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2005-051 TOWN OF QUEENSBURY FILE COPY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 4200 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20050051 Date Issued: Friday, July 29, 2005 This is to certify that work requested to be done as shown by Permit Number P20050051 has been completed. Tax Map Number: 523400-266-001-0001-039-000-0000 Location: 90 HUNTER Ln Owner: MICHAELS GROUP, LLC, THE Applicant: MICHAELS GROUP 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, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050051 Application Number: A20050051 Tax i\4ap No: 523400-266-001-0001-039-000-0000 Permission is hereby granted to: MICHARLS CTROT JP For property located at: 90 HUNTER Ln 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. Tyne of Construction Value Owner Address: JOHN T WHALEN JR 794 STATE ROUTE 149 Fireplace LAKE GEORGE, NY 12845 Garage-2 Cars Attached Single Family Dwelling $300,000.00 Total Value $300,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency MICHAELS CTR01 JP SUITE 1 10 BLACKSMITH Dr MALTA. NY 12020 Plans&Specifications 2005-051 Lot 31, House No. 90 Hunter Lane Lake George 12845 2565 SQ FT SINGLE FAMILY DWELLING $359.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, March 09, 2006 (If a longer period is required,an application for an extension must he made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To ueensb sday, March 09, 2005 SIGNED BY for the Town of Queensbury. Director of Building& ode forcement Building Permit Application Town of Qucensbury—Dept of Community Development, 742 Bay Road, Queensbury, NY (518) 76 1-8256 A permit must be obtained before beginning construction. Permit Pile No. No inspection will be made until applicant has received a Pec Paid $ valid building hermit. All applicants' spaces on (his IZcc. application must be completed and must appear on the Reviewed .ed y: application form. Applicant:THF_ e I& Owner: Address: a�arr3� ., Address: t� 'tit N. "2.c:ZC_S _ Phone#(� ) - C �_L Phone# J �1� Property Location: Lot Number: ,31 / House Nun1 er .3/ l hl,/,)T�,,e Subdivision Nancc: CNERRV e'06C Tax ap Number: �� ► .- ( -3� �(� S� XNew Building: csidencc Icomnlercial Estimated Market Value of Construction: $ &00/cND" � ❑ Addition: residence/ corriniercial If an Addition, what will use of new addition be? ❑ Alteration: residence/ commercial �C& ❑ No change to exterior size: residence/conrl ❑ Other work(describe ) Cluck OCCttI it tiCylttfot'ttl:itfOtt 0 Floor 2"` Floor Other Moor Total Below sq.ft. sq. rl, sq.I't. Square Beef X Single family dwelling ❑ Two family dwelling ❑ 'Townhouse ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached garage >, 2 car attacbed garage oZ CD ❑ 3 car attached garage ❑ Storage building- commercial _ ❑ Storage building- reside.ntial ❑ Other Will any second-hated or ungraded lumber be used? If so, for what? ,1'� . Type of Ileating System: electric/ oil /0wood /forced hot air/ baseboard/other: Number of fireplaces to be installed .::I—' Number of Woodslones to be installed - List below the person(s) responsible for supervision of work as regards to building codes: Nance Address Phone Number Plumber n..•1.t,_,: 1�1G iflit:.h-�'�5�.��, �D P��c��-t�_��_�� _�'� 1J 111111.�.t Mason Tfi E, > �� ,'(L,. .. Electrician At�eKT'�� —�"T�ti CX '�8 Fr.�RT HvNTrrR 3(0 5 ^ Z t�t Declaration: please sign below after you have carefully read the stalenlenl: To the best of my knowledge the statements contained in this application,together with the plans and spe ' I atioji' ll � submitted,are a true and complete statement of all proposed work to be clone on the described premises and that all provisions of the Building C.odC, the Zoning Ordinance and all other laws pertaining to the proposed work shall he complied With, Whether specified of Voted,and Ihnl such work is authorized by the owner. Further, it is understood lbal I/we shall submit,prior to a Certif icale of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an its Built Sure by a licensed surveyor;drawn to scale,showing actual location ofall new construction. Signature: Ile >Z^ -��_ 04VIlCl',OwI1Cr'5 agC{lt,al'Cf11tCCl,ConlraC101' Application for Permit=Septic Oisposai System Town of Queensbury 742 Bay Road Queembury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ».»..»»»........»............»...........»..»............»......»».................................».. , / .. - Office Use Location of installation: ..3 VN TIER �lJ. � S-0s File Permit No. v Tax Map No. ! Fee Paid Owner's Name: .71,E .Gjl'c AXZI,S C9v w�,_„ ...... ,.»» Address: /D 2. 1NSTALLER'S NAME F TN 1-JA4 4110-ZS PHONE NO. S18 -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) X2ar of House: No of Bedrooms x C=pAjtion - Total Daily Flow 1980 or older x 150 gal/bdrm - 1980- 1991 x 130 gandrm - 1991-present y x 110 gallbdrm - yyy Garbage Grinder Installed yes_ / no X Spa or Hot Tub Installed yes,i .J no _ X PARCEL INFORMATION: (circle applicable information&indicate measurements) ji=oQrapby Soil Nature Ground Water Bedrock or I=Mdous Material Domestic Water Sutitily Flat sand at what depth at what depth i al Rolling loam feet feet wel Steep slope clay if well; water supply ,__,%slope other from any septic-system, depth: absorption is AD". other Percolation Test: (To be completed by,licensed professional engineer or architect) Rate: minute per inch i. PROPOSED SYSTEM: For N'ew 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 V&irlpool Tub. Septic Tank / ,gallon(min.size 1,000 gal) Tile Field: each trench— -ft Total System Length: Length:. Seepage Pit(s): number of size of each: R. by 0 Size f Stone to be used: # / depth or thickness feet Bed System Size: x T ,e. Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each gallons J 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 regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. ignature of respo ibie person ate • • ' ,'1'a�vn vf �Zut�cttts►Inti•y ' •5c:wt:l�t ttltcl �3c;wstl;c: I>i.�cj�a�sLl t:Its�s�it�r c r , •� A PONo r•40-� >"J�l.c. 11t lrtis�;�• .� Gt u•nvt M •• p 1 N • �, yam" ,,.•''' "�'""'"'� '$C f•t 1G .Ift'l 1 � � ' ••»•..... 1 '•r• � lxi'►iLttL`t 111rt t � A3'J3t)RO'ttiC�►1 • w r . r 7. SIC}2$XTU= 8LxNFORMA'M4Iri C l k'VAi"�i1fisLlx.t' awvsv v.,r,N.♦r,...«.� '`: " v1 . r w E Check Residential Plan Review: One& Two Family Dwellings Y/N/ (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 Dampproofing/Waterproofing Materials On Plans Foundation Drainage On Plans,if required 6"Drop in 10'Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where Re 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 Winder Run and Rise Y' Spiral Not Allowed From 2 Story Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance Hall Width,36"min. Handrails More Than One Riser On Open Sides 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 Spaces 18"x 24"Access Carbon Monoxide Detector Lowest Sleeping Level Soil Test Results, if required Septic To Well Or Water Line Separation All Paperwork Signed hire 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— / /7 , 20 DS Permit No.05- 015/ 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 �uel Burning Appliance Information _ (circle appropriate words) Name: TNT lv1 ,,-��r, L L=� �/t Stove: wood coal pellet Aga R�ire�lace iAsert`�"_a� Ds Address: 0 el f(k-',A 7W Fireplace, factory-built: wood gas :F'ireplace,`tirasonry: wood gas Furnace: wood gaill oil Phone: 4If noti alas®nary ap lic�r ce,plejspe prMide ca Owner: E,4,^A t`y Manufacturer Name: Address: Model Number: Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile steel,f size: inches Exact Address: ,�1 !-�✓ *�' �n of construction or installation Factory-Built Manufacturer name: Model Number: Note: Listed By: ^Number: __ Construction IInstallation must con 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 i A-LFire Marshal Code# $Collected $Refunded Receivedfoot (refunded to). A 173 3389 (190) Public Safetyi - - A 233 2655 (230)Minor Sales _ .r 1-- DATE:_1_.': LS White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.) 5 ie mber REScheck Compliance Certificate ecked By at New York State Energy Conservation Construction C REScheckSoftware Version 3.5 Release lc Data filename:F:\SHARE\Design\Energy Calc\ON YOUR LOT\31 Hunter.rck TITLE:Jasmine COUNTY:Warren STATE:New York HDD: 7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE: 01/18/05 DATE OF PLANS:January 18,2005 PROJECT INFORMATION: #31 Hunter Lane Queensbury,NY COMPANY INFORMATION: The Michaels Group 10 Blacksmith Dr. Malta,N.Y. 12020 NOTES: Jasmine w/Alternate Elevation Pella Proline Windows COMPLIANCE:Passes Maximum UA=556 Your Home UA=480 13.7%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Raised or Energy Truss 1604 30.0 0.0 51 opt.Brkfst bay ceiling:Raised or Energy Truss 22 30.0 0.0 1 1st Floor walls:Wood Frame, 16"o.c. 1765 19.0 0.0 91 3x Family(BB):Wood Frame,Double Pane with Low-E 47 0.340 16 lx Family(AV):Wood Frame,Double Pane with Low-E 22 0.340 7 lx Brkfst(BC):Wood Frame,Double Pane with Low-E 14 0.340 5 2x opt.Brkfst(AR):Wood Frame,Double Pane with Low-E 21 0.340 7 Brkfst#19: Glass 19 0.350 7 Mud#20: Solid 19 0.240 5 Foyer#lB: Solid 37 0.350 13 lx Living(BC):Wood Frame,Double Pane with Low-E 31 0.340 11 lx Dining(BC):Wood Frame,Double Pane with Low-E 31 0.340 11 lx Pwdr rm. (N): Wood Frame,Double Pane with Low-E 6 0.340 2 2nd Floor walls:Wood Frame, 16"o.c. 1784 19.0 0.0 98 3x Mbr(BB):Wood Frame:Double Pane with Low-E 48 0.340 16 1x opt.Bed#4(BC):Wood Frame,Double Pane with Low-E 31 0.340 11 Ix Bed#2(BC):Wood Frame,Double Pane with Low-E 31 0.340 11 lx Foyer(AE):Wood Frame,Double Pane with Low-E 14 0.340 5 Ix Mbath(N): Wood Frame,Double Pane with Low-E 6 0.340 2 lx Mbath(AT):Wood Frame,Double Pane with Low-E 14 0.340 5 lx Main Bath(N):Wood Frame,Double Pane with Low-E 6 0.340 2 Basement Wall 1: Solid Concrete or Masonry 1327 0.0 11.0 83 Wall height:7.5' Depth below grade: 6.5' Insulation depth: 6.0' Ix Std Bsmnt window:Wood Frame,Double Pane with Low-E 2 0.560 1 2x Garden Level Windows: Wood Frame,Double Pane with Low-E 36 0.340 12 2868 @ Garage Stair:Solid 19 0.240 5 opt. alt.Elevation:Solid Concrete or Masonry 20 0.0 11.0 1 Wall height:7.5' Depth below grade: 6.5' Insulation depth:6.0' opt.bay Brkfst:Solid Concrete or Masonry 17 0.0 11.0 1 Wall height:7.5' Depth below grade: 6.5' Insulation depth:6.0' Furnace 1:Forced Hot Air,80 AFUE COMPLIANCE STATEMENT: 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 aqes4ng thaVa4e best of his/her knowledge,belief,and professional judgment,such plans or specifications are in compli nc wit this ode. Builder/Designer Date la ob REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release lc DATE:01/18/05 TITLE:Jasmine Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Raised or Energy Truss,R-30.0 cavity insulation Comments: Insulation must achieve full height over the plate lines of exterior walls. [ ] 2. opt.Brkfst bay ceiling:Raised or Energy Truss,R-30.0 cavity insulation Comments: Insulation must achieve full height over the plate lines of exterior walls. Above-Grade Walls: [ ] 1. 1st Floor walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] 2. 2nd Floor walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry,7.5' ht/6.5' bg/6.0' insul, R-11.0 continuous insulation Comments: Exterior insulation must have a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade)insulation and extends at least 6 in.below grade. [ ] 2. opt.alt.Elevation:Solid Concrete or Masonry,7.5'ht/6.5'bg/6.0' insul, R-11.0 continuous insulation Comments: Exterior insulation must have a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade)insulation and extends at least 6 in.below grade. [ ] 3. opt.bay Brkfst: Solid Concrete or Masonry,7.5' ht/6.5' bg/6.0' insul, R-11.0 continuous insulation Comments: Exterior insulation must have a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade)insulation and extends at least 6 in.below grade. Windows: [ ] 1. 3x Family(BB):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 2. lx Family(AV):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 3. lx Brkfst(BC):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ] No Comments: [ ] 4. 2x opt.Brkfst(AR):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 5. 1x Living(BC):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ J Yes [ ]No Comments: [ ] 6. 1x Dining(BC):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 7. 1x Pwdr rm. (N):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 8. 3x Mbr(BB):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ] No Comments: [ ] 9. Ix opt.Bed#4(BC):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 10. Ix Bed#2(BC):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ] No Comments: [ ] 11. 1x Foyer(AE):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 12. Ix Mbath(N):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 13. 1x Mbath(AT):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 14. 1x Main Bath(N):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 15. 1x Std Bsmnt window:Wood Frame,Double Pane with Low-E,U-factor: 0.560 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 16. 2x Garden Level Windows:Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: Doors: [ ] 1. Brkfst#19: Glass,U-factor: 0.350 Comments: [ ] 2. Mud#20: Solid,U-factor:0.240 Comments: [ ] 3. Foyer#1B: Solid,U-factor: 0.350 Comments: [ ] 4. 2868 @ Garage Stair:Solid,U-factor: 0.240 Comments: i Heating and Cooling Equipment: [ ] 1. 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 must be sealed. [ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a 3"clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] Supply ducts in unconditioned spaces must be insulated to R-11. [ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-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: [ ] HVAC piping conveying fluids above 105 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. Table]: 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) f�/U Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/p ,Depart: v -- �am/prrt z, Date Inspection request received: _ Inspector's Initials: _`� NAME: M 1 J" . Ap _ PERMIT#: 015 �.7 LOCATION: 9b j-�(��1 � DATE: TYPE OF STRUCTURE: _ _ Comments Y N N/A � � L� Chimney Ht./"B"Vent/Direct Vent Location. St :rn Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Com lete 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 '/2" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall I 6 inch clearance to sill plate Ft ti/ A-LL Qt 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 Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Tern 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: / Battcry 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 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 s . 11.-150 s . ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required T Final Survey Plot Plan As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent L:\PamW\Buildina&Codes\lnspection 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: NAME: t Jn--e,ej' ( LOCATIONo� J j :7�Lki PERMIT#: Final Survey Plot Plan A roved Denied The attached final survey has been received by the 1 Dept.of v Community Development. Upon 91liew the survey1h4s C aig own,Zoning Administrator Notes: L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc Queensbury Building & Code Enforcement - Residential Final Inspection t-8256 Arrive: am/p epart: n Ratepection request received: 7 D> Inspector's Initials: NAME: `��° C �� PERMIT#: �Is J < LOCATION: DATE: O r3 TYPE OF STRUCTURE: _ _ Commtol-c Y N N/A �; � Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake � t/tiC-- 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Co m lete -r,,z1At() {"r' o D Aj to +T(z)ed Guard 30 in.or more a�stairs,decks, atios Guard at stairwell at 34 in. or more / 1 Guard at deck,porches 36 in. or more AN C.t-(6A C01-V�ti� Exterior Finish Complete Interior/Exterior Railin s 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %2" 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 Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen waterti ht Safety glazing/Window in stairwells safety lzin Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backu : 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 asement stairs closed rise>4 inches Gara a Floor Pitched Garage fireproofing/3/.hour fire do /door closer Duct work Seated properly Gas Logs in Seated or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces IS"x 24"access, 1 sq. ft.-150 s . ft. vents Building No./Address visible from road Final Electrical Site Plan /Variance required v Final Survey Plot Plan As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent L:\PamW\Buildintt&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/p part: ai pm Date Inspection request received: Inspector's Initials: _ NAME: 1 ' ��w .' PERMIT#: C�-S LOCATION: A DATE: TYPE OF STRUCTURE: Comments Y N N/A y Chimne Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in.or more a?,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 ''/2" 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 Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight 7. Safet y glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Vi Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation zA,)' lilt:i PC/ Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched _ Garage fire roof n�/3/4 hour fire door/door closer ✓ I ��' /�% �''� 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 s . ft.-150 s . ft.vents /11 Building No./Addresj visi e frgin road Final Electrical 4 C 1 T— <yl� i Site Plan /Variance 1equijed Final Survey Plot Plan L - P(' � DUN O As Built Septic System/Sewer Dept. Inspection Sticker 'J� Flood Plain Certification, if required Okay to issue C/C or C/O[Temporary/Permanent L:\PamW\Building&Codes\Inspection Forms\Res. Final Insn. form 2.docLast printed 2/12/04 t Septic Inspection Report Office No.(518)761-8256 Date Inspection request received: i. Queensbury Building&Code Enforcement Arrive: am/ part: 73. 7V am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: t3 PERMIT NO.: LOCATION: _jL , INSPECT ON: RECHECK: Comments and/or diagram Soil T • Sand/Loa a Type of Water: umcip /Well Water Waterline separation distanc ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping S' e Type Building to tank Tank to DistributioUZox tit Distribution Box to WTN Pit K V" Openin Sealed: /N % artial End Caps p Location/Separations vC--►� �� Foundation to tank Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built I Y N Location of System on Property: Front ear Left Side Right Side Middle Front Middle Rear System Use Status: Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved Last revised 1/6/05 Rough Plumbing J Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/ nt y Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector`s Initials t�`J" NAME: 1%�j g 45;lrnu n PERMIT #: LOCATION:_ a► Cry (-]� ` tLhn;�Q INSPECT ON: TYPE OF STRUCTURE: Y� Y N N/A Rough Plumbing/ Nail Plates Plumbing Vent/ Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I change of direction Pressure Test Drain / Vent Air/ Head ,5 P.S.I. or 10 ft. above highest connection for 15 minutes Pres re Test ater Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation / Residential Check/ Commercial Check Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: LAPam Whiting\Building&CodeAnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: f Queensbury Building&Code Enforcement Arrive: am/p ep art: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: n� .,_? NAME: 5 6AP PERMIT #: � LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents st Iron, Copper Drain/Vent/Comm. 14humbingVent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min.Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/chan a of direction Water Supply Piping ooper Commercial Coo er CPVC,Pex One and Two-FamilyCott—) 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:\SueHeming"y\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 q C-Y)- Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm [mart: , am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: I� PrRMIT #: 1 LOCATION: _ � SPECT ON: TYPE OF STRUCTURE: Y N /A ou h Plumbing / Nail Plates Plumbing Vent/ Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/ change of direction Pressure Test Drain / Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes / sulation Residential Check Commercial Check Proper Vent Attic Vent /c'S Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace A) Duct work sealed properly/ No duct tape <'> COMMENTS: LAPam Whiting\Building&CodesVnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Framing / Firestopping Inspection Report ! /� Office No. (518) 761-8256 Date Inspection requ st received / Queensbury Building& Code Enforcement Arrive: am/p epart. am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials. NAME: � PERMI T#: LOCATION: INSPECT ON: -� TYPE OF STRU Y N N/A COMMENTS Framing Jack Studs/Headers B cing/Bridgin oist hangers f tG�j Jack Posts/Main Beams v5�7 Exterior sheeting nailed properly I le 12"O.C. cGC'f`� Headroom 6 ft, 8 in. l O Stairwells 36 in. or more CV't Headroom 6 ft. 8 in. D� Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %z (w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire sep tion 1, 2, 3 hour Fire all 2, 3, 4 h((oulIr JJ irestopping W w& Cmo Penetration sealed 16 inch insulation in cavity min. 1`` 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 gradeLV /,� / RL-1�llr L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection re uest received: Queensbury Building&Code Enforcement Arrive:_ apart:fl-&Opm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials NAME: PERMIT#: a 0,57/l LOCATION: INSPECT ON: �T TYPE OF STRUCTURE: Framing Y N N/A COMMENTS Jack Studs/Headers Bracing!Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %z (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fi separation 1, 2, 3 hour ire wall 2, 3, 4 hour Firestopping i 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 Town of Queensbury Fire Marshal 1cl 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Insuection 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 % D51 _ G Permit# Schedule Inspection � 2 T0Time am pm anytime Inspector Name,��G{�irr�v5 V Address N /C L� Rough In�Final Appliance Mwmfacturer —__ 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 Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Btdidin;Dept. Yellow r Pink—Fire Marshal Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: I A—C �/� PERMIT #: S O LOCATION: INSPECT ON: 5 5 6 5� TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron Copper Drain/Vent/Comm. robin Vent/Vents in Place Rou Plumbing/Nail Plates 1 % inch min. Drain Size Washing Machine Drain 2 inch min. �j Head or Air Supply Test Drain and Vents 47— 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial Cooper,CPVC,Pex One and Two-Famil 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.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ e rt: am/pm �/ 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ` � NAME: PERMIT#: 2woS—OS_ LOCATION: p 4AA N4T::6 L LA-M C INSPECT ON: TYPE OF STRUCTURE: S'P� Y N N/A raming COMMENTS Jack Studs Headers �G Vim.��- G — R Bracing/Bridging _ )A 1 L S Joist hangers ✓" T Jack Posts/Main Beams Q Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. AT l izo&) 7— Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls C -,P W 10 Metal Strapping for Notches Top Plate �` r0 1 19( 1 %z (w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3,4 hour irestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %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 LASueHemin-way\13uilding.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request r ceived: Oq Queensbury Building &Code Enforcement Arrive: am/otr I epart: . am/pm 742 Bay Road, Queensbury, NY 12804 Inspector`s Initials: r NAME: PERMIT #: 0 9 nSI LOCATION: INSPECT ON: 45 Lj-CAS TYPE OF STRUCTURE: 64)1) Y N N/A Ah Plumbing / Nail Plates PlumbingVent/ Vents in Place 1 1/2 inch minimum Drain Size WashingMachine Drain 2 inch minimum Cleanout eve 100 feet change of direction Pressure Test r"Oin / Vent Ai / Head . L or 10 ft. above highest connection for 15 minutes re u re Test Water Supply Piping it/ Head P.S.I for 15 minutes Insulation Residential Check/ Commercial Check Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: LAPam Whiting\Building&Codes\lnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005 8 -1v� Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: �5' 11> oS Queensbury Building& Code Enforcement Arrive: am/prrl,IFepart: pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: t�1I ((// NAME: I ALQ4ft c`s (;12.6-1,t V=1 PERMIT#: C 5 U r LOCATION: O {-h,�tiL .t( INSPECT ON: �- TYPE OF STRUCTURE: S Framing Y N N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/z(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and 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 '/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) j 5.7 sf above /below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request rec ed: Queensbury Building &Code Enforcement Arrive: am/ Depa a pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initi s: NAME: 1QC PERMIT#: LOCATION: Q 4i)nINSPECT ON: _ �- TYPE OF STRUCTURE: iy Comments Y N N/A Footings �b. 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 R Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Fo ng 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. I,:\SueHemingway\Building.Codes.Inspcction.FORMS\Foundation Inspection Report.doc January 28,2003 k l U Foundation Inspection Report 11vif P P C� Office No. (518) 761-8256 Date Inspection reque' d: S UaS Queensbury Building&Code Enforcement Arrive: amI/pm epa mI/ m 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: a` Pi✓l PERMIT#: _ LOCATION:, — INSPECT ON.- TYPE OF STRU 'TURF: Comments —_ —^— YEN N/A Footi ngs 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 at ro mg Type of Dampproo mg/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab _ n Backfill Approval ' Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior_R- Rough Grade 6 inch drop within 10 ft. LASueHen ingway\Building.Codes,InspectionTORMSToundation Inspection Report.doe January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: -�11 lk am/pm Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: Oil- - NAME: 1 J PERMIT#: LOCATION: INSPECT ON: _ TYPE OF STRUCTUR Comments Y N N/A ;o2otings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing , for 48 hours following the placement I v 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.(:'odes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Victory Built GGas Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's _ instructions or specifications is allowed. Permit# Schedule Inspection Time am pm anytime Inspector i� Name A k CV1 (� Address vn�'��J2 LA Rough In Final Appliance Manuf cturer_ � ( / Model# Direct Vent Factory Built Chimney Flue Size Doable Wall Triple Wall Insulat 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 L. 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) WldGe—Bualding Dept Yellow Coat r Pink—Dire Mar" Town of Queensbury Fire Marshal 4DO 742 Bay Road / Queensbury,NY 12804 761-8205/761-8206 1 fax 745-4437 Factory Built Gas Fireplac,e/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the inst ctio&Z specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's y instru�ctigns or ecifieations is allowed Permit# Ce `�S I Schedule Ins action 71 -k 0-5 Time /- r. p am pm ytime Inspector— Name.Name �LE°`l f..�' �Y�'Z Address To Rough In Fine, 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 Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) vvbfte-B"Ming Dept. Yenow tit r Pink-Fire Marshal Town of Queensbury Fire Marshal CL 742 Bay Road Queensbury,NY 12804 j 761-SM/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 instru o and specifications contained in the Installation Manual accompanying the appliance.No deviation from the man ufa is instructions or specifications is allowed, ".,, n�� . Permit# Schedule LnspectionTim pm anytime inspector Name CSY -- Address_ ��01 au1yu& �,lla __ 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 Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White— D dIdina De YeiMw 0uh mer Pink--Fire Marmhd