2005-003 i
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE (JF OCCUPANCY
Permit Number. P20050003 Date Issued: Wednesday, January 31, 2007
This is to certify that work requested to be done as shown by Permit Number P20050003
has been completed.
Tax Map Number. 523400-295-020-0001-007-001-0000
Location: 19 FOX FARM Rd
Owner. ERNEST & NANCY STEVES
Applicant: ERNEST & NANCY STEVES
This structure maybe occupied as a:
Residential Addition By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the J, / 6
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&CocYe Enfo ement
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: P20050003 Application Number: A20050003
Tax ivlap No: 523400-295-020-0001-007-001-0000
Permission is hereby granted to: ERNEST &NANCY STEVES
For property located at: 19 FOX FARM 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: ERNEST &NANCY STEVES Residential Addition $10,000.00
19 FOX FARM Rd Total Value $10,000.00
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-003
490 SQ FT WORKSHOP
$38.40 PERMIT FEE PAID -THIS PERMIT EXPIRES: Sunday, January 21, 2007
(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 own o s ur� r' a January 21, 2005
SIGNED BY �
uee V for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050003 Application Number: A20050003
Tax Map No: 523400-295-020-0001-007-001-0000
Permission is hereby granted to: F,RNF,ST &NANC'Y STF,VF.S
For property located at: 19 FOX FARM 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: ERNEST &NANCY STEVES
19 FOX FARM Rd Residential Addition $10,000.00
Total Value $10,000.00
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-003
480 SQ FT WORKSHOP
$38.40 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, January 21, 2006
(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 Town of Queensbury; Friday, January 21, 2005
SIGNED BY for the Town of Queensbury.
r t ui NEnforcement
Building Permit Application 'E
Town of ueensbu ry—De t of Community Dcvelo men�742 Bay Road,Queensb�Y,NY(518)761.8256 !u t F�
My
Npermit
erection will be made untilapplicant beginning
has rocei ed a ction. Permit File No. "0/ND 4�� 6o URY
pFoe Paid $ 6 DE
valid building permit. All applicants' spaces on this Rec.Fee Paid $
application rnustbe completed and must appear on the Reviewed B
application form y'
Applicant: 1�jPft/c_.j� Owner: �c
Address: 9 Address:
ft 4, A1Y 1-2 k-41�K- QJJI,,,,��,6rw,., g /VX- -1.2 C,q,
Phone# zi- Phone#(4210 2f�-
Property Location: Lot Number: House Number %q / �3c 7& .w �
Subdivision Name: Ti; Map Number: -.2 qs- .
t
o New Building: residence /commercial Estimated Market Value of Construction: $
}$ Addition: real a -,jPommereial If an Addition,what will use of new addition be
o Alteration: ms commercial !d?C -L�..�S�a.
C No change to exterior size: residence/com 1
v Other work(describe
Check OccupancyWormation 1' Floor 2 Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
cl Single fimily dwelling
o Two fim3fly dwelling
v Townhouse 1Z �D
o Multifamily dwelling
#of units DEC 1 04
o Office 10
o Mercantile I I ®�y
Manufactutin
o i car detached prage
a 2 car detached em
a 3 car detached prage
O 1 car attached garage
o 2 oar attached pmp -
a 3 car attached garage
o Storage building-
commercial
o Storage building-
residential
c Other We 1{ 2
What is the proposed height of the structure l feet „�o _inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System electric/ o*2:ii3xvood / orced hot air baseboard/other:
Number of Fireplaces to be installed C2 Number of W odatoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder i . /71 6C 6 3
Plumber
Mason
Electrician
peclaration: 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 specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Code,the Zoning ordinance and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that Uwe shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Building and Codes,an as Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all natruetioq.-
Signature: /!/ owner,owner's agent,architect,contractor
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: Iam/pzn pepart: am/pm
Date Inspection request received: Inspector's Initials:
.J-
NAME: PERMIT#:
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 (DK Q
Guard at stairwell at 34 inches or more
Guard at deck,.porches 36 inches or more
Handrail Termination at Newell Post or Wall C O(>
0
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 1,
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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Tern 110
Enclosed Stairs Sheetrock Underside minimum%"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/a hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
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
BI L E
Bldg. Permit File No. a66-603
Final E
Inspection
Approval
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit Nol � ....Cert. N'_ 93343 Cut-in Card No.....................................
............ ...................
Owner..................1..n 12. :,?.%............ .l.s~.u.. .. ...................................................................................
Location...........1..c1. ........................ .us: .�? 5:..!✓..4 :?. ...........
Installation Consisting of..... ...... ........1az..... may...........
.......... ........4...T....S........................................................................................................................
....................................................................................................................................................................................
InstalledBy.....,.A.rx.2.0 .................................................................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
rules are violated,the Company shall have the right to revoke this certificate.
Date.............. ........... INSPECTOR....�fer. ... ��.........................
Member N.F.P.A.,I.A.E.I.
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256
Arrive• � �am/p D art: am/pm
Date Inspection request received: _ Inspector's Initials:
NAME: PERMIT#:
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:
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
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)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 ( � ��� —
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
o_
Framing / Firestopping Inspection Report -` '
Office No. (518) 761-8256 Date Inspection request received: 3 U
Queensbury Building& Code Enforcement Arrive: _am/p eeppart: pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: Sy '
NAME:
PERMIT#: ,
LOCATION: c r,, (,_- INSPECT ON:
TYPE OF STRUCTURE: 14 /
Y N N/A COMMENTS
Framing,
Jack Studs/Headers
Bracing/Bridging
Joist hangers D ��
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 %s (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
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
LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: an ea. am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: ' cc- PERMIT#:
LOCATION: o rA_rW_t#_ _ INSPECT ON: '-7 2,0
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing F ���
Jack Studs/Headers /141 ej jA-Z.z—
('j�,(r
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. J J
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate �2vU ��
1 %2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses/An
chor 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
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\BuiIdin&Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
AN1
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: —
Queensbury Building& Code Enforcement Arrive: am/ epart: am/pm
742 Bay Road, Queensbury, NY 12804 Jnspector's Initials:
-- it
f
f�
f/
NAME: ���� �j/'t�� PERMIT#: -c6 3
LOCATION: i Fk INSPECT ON: a
TYPE OF STRUCTURE: I
Framing Y N N/A
(/ COMMENTS
ac Studs/Headers
Bracing/Bridging I c�
Joist hangers L� �exo 6ie�
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2 (w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft, floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side % inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms ,
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
�
�
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection!25
d:
Queensbury Building &Code Enforcement Arrive: Depart: a
742 Bay Rd., Queensbury,NY 12804 Inspector's InitiNAME: t Q 5�_�-�J
LOCATION: , x- INSPECT ON: Ca
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab T VITM
Reinforcement in Place
� TZ�
The contractor is responsible for ,t�
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
inc
es above footing
6 poly for wet areas under slab _
ckfill Approval
Plumbing Under Slab
VC/Cast/Copper
Foundation Insulation 'o erior
R- t� _
Rough Grade 6 inch drop within 10 ft.
L\SueHerningway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/gAgC Depart:-// ami,pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials-
PERMIT _
T#: � �D
NAME: N�
LOCATION INSPECT ON:
TYPE OF STRUCTURE: �7 r
Comments
—_ Y N N/A
ootings
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
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/Copper
Foundation Insulation Interior/Exterior
R- _
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.Inspection.FORNIS\Foundation Inspection Report.doc January 29,2003
® Permit Number
Checked By/Date
Generated by REScheck-Web Software
Compliance Certificate
Project Title: workshop
Energy Code: 1995 MEC
Location: Warren County,New York
Construction Type: Single Family
window-to-wall Ratio: 0.02
Heating Decree Days: 8499
Report Date:
Date of Plans:
Project Informatkrrr: Builder Iniomration:
16x24 addition on side of garage for a workshop.Will be self
built on slab.
Compliance:Invalid U-Factor(s) Maximum U& Your Home U&
Wall 1:Wood Frame,16in.o.c. 560 19.0 0.0 32
Window 1:Wood Frame,Double Pane 12 0.000 0
Door 1:Solid 21 0.000 0
Floor1:Heated Slab-On-Grade 56 0.0 58
Ceiling 1:Flat or Scissor Truss 388 30.0 0.0 14
Fumace 1:Forced Hot Air(Non-Electric):78 AFUE
Generated by REScheck-Web Software
REScheck Inspection Checklist
Project Title: workshop
Ceilings:
❑ Ceiling 1:Fiat or Scissor Truss,R-30.0 cavity insulation
Comments:
Above-Grade wafts:
❑Waft 1:Wood Frame,16in.o.c.,R-19.0 cavity insulation
Comments:
Windows:
❑Window 1:Wood Frame,Double Pane,U-fmc .0.000
For windows without labeled U-fadors,describe feahuea:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
❑ Door 1:Solid,1.146ctor.0.000
Comments:
Floors:
❑ Floor 1:Heated Slab-On-Grade,R-0(uninsulated)
Comments:
Pleating and Cooling Equipment:
❑ Furnace 1:Forced Hot Air(Non-Electric):78 AFUE or higher
Make and Model Number.
Air Leakage:
❑Joints,penetratwns,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.ff non-IC rated,the fixture must be installed with a 3'clearance from insulation.
Vapor Retarder:
❑ Required on the warmAn-winter side of all non-vented framed ceilings,walls,and floors.
Materials klernti8catkm:
❑ 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-vahues and glazing U-factors must be dearly marked on the building plans or specifications-
Duct Insulation:
❑ Ducts in unconditioned spaces must be insulated to R-5_Duds outside the building must be insulated to R-8.0.
Duct Construction:
❑All duds must be sealed with mastic and fibrous backing tape.Pressure-sensitive tape may be used for fibrous ducts.Duct tape
Page 2
is not permitted.
[a The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
j Thermostats are required for each separate HVAC system.A manual or automatic means to partially restrict or shut off the
heating andlor cooling input to each zone or floor shall be provided.
Circulating Hot Water Systems:
Ll Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
Ll 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 dock.
Heating and Cooling Piping Insulallon:
❑ HVAC piping conveying fluids above 120°F or chilled fluids below WF must be Insulated to the levels in Table 2.
Page 3
i
Table 1:Mbdmmn Insulation Thickness for CircuisMV 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
140-160 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 Hot Water Pipes
Fluid Temp.
Insulation Thickness in Inches by Plpe Sizes
Piping System Types Range("F) �2"Runoyts 1"and Less 1.25"to 2.0" 2.5"to 4"
Head"Systems
Low Pressurefrenperature 201-250 1.0 1.5 1.6 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
Cooking Systems
Chilied 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)
Page 4