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2005-372 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 (zt Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20050372 Date Issued: Wednesday, September 21, 2005 This is to certify that work requested to be done as shown by Permit Number P20050372 has been completed. Tax Map Number: 523400-315-010-0001-004-000-0000 Location: 15 QUINCY Ln Owner: MICHAELS GROUP LLC THE Applicant: MICHAELS GROUP LLC THE 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 J 4 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: P20050372 Application Number: A20050372 Tax Map No: 523400-315-010-0001-004-000-0000 Permission is hereby granted to: MTCHAF,i,S GR01 TP I,I,C THF, For property located at: IS QUINCY 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. Type of Construction Value Owner Address: MICHAELS GROUP LLC THE 10 BLACKSMITH Dr Fireplace MALTA, NY 12020-0000 Garage-2 Cars Attached Single Family Dwelling $281,900.00 Total Value $281,900.00 Contractor or Builder's Name / Address Electrical Inspection Agency MICHAELS CTROIIP 10 BLACKSMITH Dr STE l MALTA_ NY 12020 Plans&Specifications 2005-372 LOT 4 HSE#15 QUINCY LANE 3010 SQ FT SINGLE FAMILY DWELLING $408.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,June 06, 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 To of e sb 4 , une 06, 2005 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement 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 i '1 ,. 20 Permit N 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 t; (circle appropriate words) Name:_-i rl �A1C> fi�,L_- I`'tstJ" Stove: wood coal pellet gas y Fireplace insert Address: C V,`' t-t 11 t 1 1_ .r Fireplace, factory-built: wood t � �M j.7 t ZQ Fireplace, masonry: wood gas t Furnace: wood gas oil Phone: ri "t - ?� If non-masonary applicance, please provide Owner: E. Manufacturer Name: ":�=i��-1 Address: Model Number: -, �— Chimney Information ... . Phone: (circle appropriate words) Masonry block brick stone Flue tile steel size: inches Exact Address: of construction or installation bt ry-Built Manufacturer name: Model Number: Note: Listed By: Number: Construction/Installation must con orrn to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town ofQueensbury _ Handouts regarding require.d nspections. Double wall / Triple wall ! Insulated ! ;Sect v ent I Ji y Chimney Liner Ca.�rhtier'�r I�epar�m�ut,--�''o�z� of Qsz�ee��erbazry, ,New Yorl� -- Fire Marshal Code# S Collected Ref coded Received from (refunded to): address: _. �--- ,4 173 3389 (190) Public Safety A 233 2655 (230)Minor Sales DATE: ° •�i j��1 Lam' `._� j i White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.) TOWN OF QUEENSBURY Fee Paid BUILDING & CODES DEPARTMENT �j` IC Permit # APPLICATION FOR: PORCHES-DECW �/ G DOCKS & BOA Est. Cost A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION: PLEASEABN� 1 R ALL OF THE FOLLOWING: kations The undersigned hereby applies for a Building Permit MW0 'ng work which will be done in accordance with the description, plans and submitted, and such special conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED WITH THIS APPLICATION. Owner of Property: _1�1 P.O. Address �p $\tLA.< �n w-e a� � I20 Phone # Q,��4c&kl Property Location I Tax Map # Subdivision Name (If applicable) PERSON RESPONSIBLE FOR SUPERVISION OF`WORK AS REGARDS TO BUILDING CODES: Name: C�� Address Phone# �7-�e BUILDING SPECIFICATIONS: Type of work to be done: Porch eck Dock Boathouse (Circle one) Size of Structure to be built, (square footage): £> Foundation Material: Width Thickness Depth of Footing, below grade: Size of Posts or Studs: x x Long Size of Floor Joists: x x Span Decking' or Flooring Material : How will Porch or Deck be fastened to building? If Roof Will Be Installed, Answer Following .Questions: Size of Posts or Studs: x x Long Roof Rafters: x Spacing Span Roof Trusses (pre-engineered spacing): Span Type of Roof: Sloped Flat Shed Other (Circle one) Material of Roof: ZONING INFORMATION: TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached hereto, showing clearly and distinctly all buildings, whether existing or proposed and indicate all set back dimensions from property lines. Show location of water supply and location and configuration of septic disposal area. Size of Property: ft. x ft. Existing building(s) : Size ft. x ft. Size ft. x ft. Use of Existing building(s): Proposed structure, distance from property line: Front yard ft. Rear yard ft. Sf,de--yards- ft.- and- - - -_ ft - - --- -- If on corner, setback from side street: ft. DECLARATION To the best of my knowledge and belief 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 not, and that such work is authorized by the owner. e_�DATE: Z �`' SIGNATURE ,A - 11 Owner, 0 er s Agency, Architect, Contractor REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE Building Permit Application "Town of Qucensbury-Dept of Community Development, 742 Bay Road, Queensbury,NY (518)761-8256 REC _ FEE crmit must be obtained before beginning constructlol t No. PAID No inspection will be made until applicant has rcccf k1tC � $� valid building permit. /III applicants' spaces on this. Rec. `-c Paid $ (,4)q37 application must be completed and must appear on the VA ed .l3 application form. MAY Y i i OF Q l r gW(N A E Applicant: Address: JQQ 12A ddress: Phone# (!ht�,) - _L Phone# Property Location: Lot Number: 4 / House Number l 5 / Q�►rul �/ �.A.N> Subdivision Name: Tax Map Number: XNew Building: residence /commercial Estimated Market Value of Construction: $ 2e)1 , 900 ❑ !-Addition: residence/ commercial If an Addition, what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence/com'1 ❑ Other work(describe ) Check Occulmneylnfonnation 1" Floor 2"' Floor Other tlnor 'Total Below sq. ft. sq. ft. sq. ft. Square Feel �[ Single family dwelling _ l 4$"1 l 5Z1 3C> 0 ❑ Two family dwelling ❑ 'Townhouse ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ I car attached garage 2 car attached garage -,-1 ❑ 3 car attached garage ❑ Storage building- — commercial ❑ Storage building- residential ❑ Other Will any second-hand or ungraded lumber be used? If so, for what? 9,1\ , Type of I leating System: electric/ oil / gas wood /forced hot air/ baseboard/other: Number of Fireplaces to be installed Nunnbcr of►1'oodLstoves to be installed N. . List below the person(s) responsible for supervision of work as regards to building codes: Nattnc Address Phone Numb.--r_--_- Plumber_ �l �11�] '(1 _ Mason j D eou !-IER_ 13oX 2(oe c{tZAMVjL j F b'32 - 918$ Electrician AQNE3Cr1_-_, M_E=r7-1C golf '70 FoRT 44vNTeV_ 3to5 - 2146 Declaration: please sign below after you have carefully read the stalenienl: To the best of my knowledge the statements contained in this application,together with the plans and specifications submiltcd,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 he complied with, whether spccilied or noted,and that such work is authorized by the owner. Further, it is understood that I/we 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 Surrey by a licensed surveyor;drawn to seine,showing actual location ofall new cons •ucti 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: ................................................................................................................................... QV i LYN _ Office Use Location of installation: � File Permit No. a Tax Map No. Owner's Name: �" t C�-4 A�1`LS C�czpup ` Fee Paid Address; 10 !RA—N�CX%1A1T1-t 't�SZAy.C, �..................................................................................._..................................,..,....,..... 2. INSTALLER'S NAME : PHONE NO. 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 gallbdrm = 1980— 1991 x 130 gallbdrm = 1991 —present 4 x 110 gandrm, = a Garbage Grinder Installed yes_ / no Spa or Hot Tub Installed yes_ / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedrock or impervious Material . Domestic Water Su 1 at a at wh depth at what depth A un c' _ Rolling loam et feet well Steep slope clay if well;water supply _%slope other from any septic-system depth: absorption is 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: BSc gallon(min. size 1,000 gal) Tile Field: each trench '0 ft. Total System Length: Z°O ft Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: #__.tt� / depth or thickness feet Bed System Size: /L x 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 mast be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) that ursuant to Section 136-29 of the Code of the Town of Queensow. ' reliance upon any material misrepresentation or tauum w,,,c4....., 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. A r'' Si naVire of responsible person Date ' L Nam! � • • • r f IOU J LJK.,CtY7 `pit N L M'�► '�ll.t9s . •�� t 1 Z tk hi -r-21A 1r,P .,,,• � 3W laJ 3tnOti{ �t•zSYa szt�4xz. Ct N�1�( lttti� ��• v ♦r �.-r...._._...,r .,..... _ ........ 14V.VfA s ;�I.N;fJ i'UL�I'2I�f'lZ�;►�:17 !r�(�I.I,'V'2I,V<I.sIS • t t'Ir1511"1 t)t.t•.rr'! O(slly ;) x:Nu;�ctclyr .1,11(tizil:) }z:,;c>(lrn�I 7<t1sMa,; 1i(zts tt.(a,�t:iS IC.1tl(ItiltL)C111�� 10 1114w 1r " •1 . w r Check Residential Plan Review: One& Two Family Dwellings N/N/A (2)Full sets of plans Over 1,500 sq. ft.—Stamped Design Loads On Plans:90 Wind Floor Loads 40 psf 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. Grade,5.0 sq.ft. 24"(h)x 20"(w)min. 44"Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofng/Waterproofing Materials On Plans Foundation Drainage On Plans,if required 6"Drop in 10'Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where Required Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors Stairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise Winder Run and Rise Spiral Not Allowed From 2 ad 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 307—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 Queensbury Building & Code Enforcement - Residential Final Inspection_ Office No. 518 "( )761-8256 Arrive: am/p Depart: �J •Z am/pm /Date Inspection request received: _-- F—�/6 Inspector's Initials: ! S� NAME: CIA5 �;U L, _ PERMIT#: OS_` 3 7 9--- LOCATION: �L DATE: _ TYPE OF STRUCTURE: _ Comments Y 01N N/A Chimney Ht./"B"Vent/Direct Vent Location 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,p2rches 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 Safety lzin /Window in stairwells safety glazing Interior Smoke Detectors: Every level: i 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 Garage Floor Pitched _ Garage fireproofing/'/4 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 . ft.-150 s . ft. vents , -pG• � Building No./Address 'sibli from road Final Electrical Site Plan /Variance re uir d Final Survey Plot Plan 01111 b As Built Septic S stem/Sewer a t. Inspection Sticker Y.192d Plain Certification, if required ka to issue C/C or C I O Temporary/Permanent L:\PamW\Building&Codes\Inspection Forms\Res. Final Insv. 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: /a— O's NAME: LOCATION: PERMIT M Final Survey Plot Plan Avvroved Denied The attached fmal survey has been received by the Dept.of Community Development. Upon review the survey has be . J;D Craig BrWhyZoning Administrator Notes: L:'SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administmtor.doc MAP REFERENCE: QUINGY LANE 5UBDIV151ON THE MIGHALES GROUP BY, VAN DUSEN + 5TEVE5 DATED, APRIL 15. 2003 LA5T REVI5ED, JUNE 10. 2003 ti S74028'30"E 175.00, a w N LOT 3 LOT 4 1.00 acres LOT 5 L 43,750 sq.ft. Co N UI ?W O O Cll- Clat O OI rn �o� R1 0 75.22' 2 STORY WOOD FRAMED 43.211 HOUSE PORCH cs�� 0? ❑ ,41j1�'W �'� UTILITIES Ltn 175.00' N74028'30"W Z J `�RDf0135 QUINCY LANE A 01L^ C_,Z Date, SEPTEMBER 7, 2005 t"( �-� u ,S' M'UNAUTHQT=ALTERATION OR AWTMM TO A SURYEY Scale 1'=30' N BE404 A UCEMSED LAND"VEYORS SM IS A Map of a Survey made for NOIATIOIT E SEOnON nw,SOB-gN90R 2 or TIE & MEW YM STATE MrATION LAW.' S ONLY COMES FARM THEM OF WE OF SU*-f= MAAtlED TAm AN NSDEAL OF THE LAND SURVEYORS S— 1 l,ALL�I�Nl�ro�YAW» THE MICHAELS GROUP 'mile ATIms M"To HEREON away mAT mMs SURVEY WAS PREPARED IN At%ARDANOE TOm mE Land Surveyors '"°`�`�M"�`�T°9'�`�� E 717E NEW YOfCC STATE ASSOt7A110N OF PRCFTB904AL LAID SVRVETORS.SAW=11F OATIONS!MALL RUN ONLY TO THE PERSON FOR*NON THE SURVEY IS PREPARED.AND %Ms BEEmIF TO TIE mE MWANY.GOVdU M MTALACENCY SHEET'��' 16.9 Haviland Road Queensbury, New York 12804 TO THE SS EES OFMDW "s'WONTUFFM`W"TUMSTED V "'° Town of Queensbury, Warren County, New York ro THE AssIaIEEs OF THE IEIglN6 MNsnTunllrL• MIGHAELS GROUP (518) 792-8474 New York Lic. No. 50135 NO. DATE DESCRIPTION DWG. NO. 02333-4 Rough Plumbing a Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request re ived: / Queensbury Building & Code Enforcement Arrive: am/ m art: rpm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: % NAME: 0 C1� PERMIT #: LOCATION: INSPECT ON: �- TYPE OF STRUCTURE: Y N N/A or'l ou h Plumbing / Nail Plate Ck Plumbing Vent / Vents in Place 1 1/2 inch inimum Drain Size Wash'Washirra Machine Drain 2 inch minimum Cleodout every 100 feet / change of direction l� P ssure Test Drai e Air / Head 5 P. .I. or ft. above highest connection for 15 minutes Pressure Test Ater ly Piping Air / e 50k.'S'.i!V15 minutes Insulation / Residential Check Commercial Check Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: LAPam Whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Septic Inspection Report Office No.(518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm epart: ►- ' pm 742 Bay Rd., QueKnsbury,NY 12804 Inspector's Initials: NAME: 1G PERMIT NO.: LOCATION: INSPECT ON: RECHECK: Comments and/or diagram Soil T e a /Loam/Clay Type of Water/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Abso tion Field: Total length ft. Len h of each trench o ft• Depth of trenches '��- ft. Size of Stone - Se a e Pits: Number Size: x Stone Size: Piping P�� T Building to tank Tank to Distribution Box tw Distribution Box to ield/Pit Opening Sealed N/Partial End Cape Location/Separations Foundation to tank ft• Foundation to absorption ft• Separation of Pits ft• Conforms as per Plot Plan Y N Engineer Report and As-Built Y N Location of System on Property: AAVFront ear Left Side �ightSid Middle Front Middle Rear S stem Use St s• Approved _ Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved Last revised 1/6/05 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/ Depart: ! am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:Or � NAME: ( PERMIT #: 5 � LOCATION: INSPECT ON: 611165 TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/ change of direction Pressure Test Drain / Vent Air/ Head P.S.I. or 10 ft. above highest connection for 15 minutes ressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation Residential Check/ Commercial Check Proper Vent Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005 Framing / Firestopping Inspection Report Ll Office No. (518) 761-8256 Date Inspection req est received: Queensbury Building& Code Enforcement Arrive: am/ ep am/praZ, 742 Bay Road, Queensbury,NY 12804 Inspector's Initials. -7 NAME: C PERMIT#: 3 LOCATION: `S INSPECT ON: �S TYPE OF STRUCTU Y N N/A COMMENTS IJV�ming 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 trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separ tion 1, 2, 3 hour Fire 112, 3,4 hour estopping V,4 x.4 477"k1R 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 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/prepart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: �`l) NAME: PERMIT #: LOCATION: .0 INSPECT ON: r TYPE OF STRUCTURE: Y N N/A h Plumbing / Nail Plates /A/ A-V-) Plumbing Vent / Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum C►c�c r� ��,� Cleanout every 100 feet change of direction Lo De) Pressure Test Drain / Vent Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation / Residential Check Commercial Check Proper Vent Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Town of Queensbury Fire Marshal lEa 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Firealace/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# -j Schedule Inspection ime pm a ytime Inspector Name Address I -t Rough In-16inal� Appliance Manufacturer �� I /n `zG Model# (� s ) 007�i'b18 Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated No N/A Comments Floor Protection -��(�� (�.A•) IT- Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet Whove 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-Banding Dept. Yellow r Pink-Fire Mar" Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: _ Queensbury Building & Code Enforcement Arrive: am/p owart: • am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: GO PERMIT #: LOCATION: INSPECT ON: - - TYPE OF STRUCTURE: ou h Plumbing / Nail Plates Y N NIA 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 fits A�C C.� Air/ Head 1 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head .S.I for 15 minutes nsulation Residential Check/ Commercial Ch ck Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace t5�f�2 New Duct work sealed properly / No duct toe A-Do /// Pf- COMMENTS: ��` LAPam Whiting\Building&CodesUnspection Forms\Rougb Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: mam/ Depart:q�2�rn 742 Bay Road, Queensbury NY 12804 Inspector's Initials:/4 NAME: PERMIT#: 0. LOCATION: INSPECT ON: — �5 TYPE OF STRUCT 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 %2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anc r Bolts 6 ft. or less on center 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 518 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 Rough Plumbing / Insulation Inspection RFe Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/ De art:742 Bay Road, Queensbury, NY 12804 Inspector's Initials:NAME: /L PERMIT #: LOCATION: INSPECT ON: -7 TYPE OF RUCTURE: Y N N/A )dd%ugh 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 sure Test Iminin / Vent XA' / Head P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air Head of 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 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ ` 'p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: �-' C 13 LOCATION: INSPECT ON: — ` �` T � 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/Wall-pour Reinforcement in Place Foundation Dampproofing Fou ation/Waterproofing e of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing it poly for wet areas under slab ackfill Approval Plumbing Under Slav PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. I:\SueHen ingway\Building.(:odes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-82.56 Date Inspection request received: — Queersbury Building&Code Enforcement Arrive: am/pm Depart: a 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: V _ Go --• _ PERMIT #: v I-S7LOCATION: S t f/�G I / INSPECT ON: _ TYPE OF STRUCTURE: Comments ��.------------ Y N N/A Footings ^---_T-- Piers Monolithic Slab I 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 poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior —--I R- Rough Grade 6 inch drop within 10 ft. L:\SueHcmingway"Building.Codes,Inspection.FORM SToundation Inspection Report.doc January 28,2003 Foundation Inspection Report � i Office No. (518)761-8256 Date Inspection request received: ' Queensbury Building&Code Enforcement Arrive: am/ bp" Depart: J_i742 Bay Rd.,Queensbury, NY 12804 Inspector's InitialNAME: F PERMIT#: L/ LOCATION: INSPECT ON: TYPE OF STRUCTURE: Co ment ..�- Y N N/A Piers Monolithic Slab Reinforcement in Place The contractor is responsib e 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. 1.�SueHemingway\Building.Codes.Inspection.FORMS\roundation Inspection Report.doc January 28,2003 ()6:_ Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release lc Data filename:F:\SHARE\Design\Energy Calc\Quincy Lane\15 Quincy.rck TITLE:QL544 Jefferson COUNTY:Warren RECEIVED STATE:New York HDD:7635y CONSTRUCTION TYPE:Detached 1 or 2 FamiIy HEATING TYPE:Non-Electric TOWN OF OUEcNSt3URY DATE:05/19/05 BUILDING AND CODE DATE OF PLANS:May 19,2005 PROJECT INFORMATION: 15 Quincy Lane Queensbury,NY COMPANY INFORMATION: The Michaels Group 10 Blacksmith Dr. Malta,N.Y. 12020 NOTES: High Efficiency Furnace Pella Proline WIndows COMPLIANCE:Passes Maximum UA=679 Your Home UA=600 11.6%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 1763 30.0 0.0 56 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 90 3x Family(BB):Wood Frame,Double Pane with Low-E 47 0.340 16 Ix Family(AV):Wood Frame,Double Pane with Low-E 22 0.340 7 Ix Brkfst(AP):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#7: Glass 40 0.350 14 Mud#20:Solid 19 0.240 5 Foyer#113: Solid 37 0.350 13 lx Pwdr rm. (N):Wood Frame,Double Pane with Low-E 6 0.340 2 lx Dining(BC):Wood Frame,Double Pane with Low-E 31 0.340 11 Ix Living(BC):Wood Frame,Double Pane with Low-E 31 0.340 11 2nd Floor walls:Wood Frame, 16"o.c. 1784 19.0 0.0 94 3x Mbr(BB):Wood Frame:Double Pane with Low-E 48 0.340 16 2x Bed#3 (BB):Wood Frame,Double Pane with Low-E 32 0.340 11 3x Bonus(Z):Wood Frame,Double Pane with Low-E 14 0.340 5 1x Bonus (BC):Wood Frame:Double Pane with Low-E 31 0.340 11 Ix Bed#4(BC):Wood Frame,Double Pane with Low-E 31 0.340 11 I Foyer(AE):Wood Frame,Double Pane with Low-E 14 0.340 5 Ix Bed#2(BC):Wood Frame,Double Pane with Low-E 31 0.340 11 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 Basement Wall 1:Solid Concrete or Masonry 1327 0.0 11.0 84 Wall height:7.5' Depth below grade: 6.5' Insulation depth: 6.0' I Std Bsmt Win:Wood Frame,Double Pane with Low-E 4 0.560 2 2x Garden Level Windows: Wood Frame,Double Pane with Low-E 36 0.340 12 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' Floor @ Bed#5 over Garage: All-Wood Joist/Truss:Over Unconditioned Space 370 0.0 0.0 92 Furnace 1:Forced Hot Air,92 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 ation Construction Code requirements. When a Registered Design Professional has stamped and signed this page,they attesti g that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in co plaan wi t . Code. Builder/Designer Date REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release lc DATE:05/19/05 TITLE:QL544 Jefferson 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.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. Ix Brkfst(AP):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. Ix 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 J Comments: [ ] J 6. lx Dining(BC):Wood Frame,Double Pane with Low-E,U-factor:0.340 J For windows without labeled U-factors,describe features: J #Panes Frame Type Thermal Break?[ ]Yes [ ]No J Comments: [ ] J 7. lx Living(BC):Wood Frame,Double Pane with Low-E,U-factor:0.340 J For windows without labeled U-factors,describe features: i #Panes Frame Type Thermal Break?[ ]Yes[ )No J Comments: [ ] J 8. 3x Mbr(BB):Wood Frame:Double Pane with Low-E,U-factor:0.340 J For windows without labeled U-factors,describe features: J #Panes Frame Type Thermal Break?[ ]Yes[ ]No J Comments: [ ] J 9. 2x Bed#3(BB):Wood Frame,Double Pane with Low-E,U-factor:0.340 J For windows without labeled U-factors,describe features: J #Panes Frame Type Thermal Break?[ ]Yes[ ]No J Comments: [ ] J 10. 3x Bonus(Z):Wood Frame,Double Pane with Low-E,U-factor:0.340 J For windows without labeled U-factors,describe features: J #Panes Frame Type Thermal Break?[ ]Yes[ ]No J Comments: [ ] J 11. lx Bonus(BC):Wood Frame:Double Pane with Low-E,U-factor:0.340 J For windows without labeled U-factors,describe features: J #Panes Frame Type Thermal Break?[ ]Yes[ ]No J Comments: [ ] J 12. lx Bed#4(BC):Wood Frame,Double Pane with Low-E,U-factor:0.340 J For windows without labeled U-factors,describe features: J #Panes Frame Type Thermal Break?[ ]Yes [ ]No J Comments: [ ] J 13. lx Foyer(AE):Wood Frame,Double Pane with Low-E,U-factor:0.340 J For windows without labeled U-factors,describe features: J #Panes Frame Type Thermal Break?[ ]Yes[ ]No J Comments: [ ] J 14. lx Bed#2(BC):Wood Frame,Double Pane with Low-E,U-factor:0.340 J For windows without labeled U-factors,describe features: J #Panes Frame Type Thermal Break?[ ]Yes[ ]No J Comments: [ ] J 15. lx Mbath(N):Wood Frame,Double Pane with Low-E,U-factor:0.340 J For windows without labeled U-factors,describe features: i #Panes Frame Type Thermal Break?[ ]Yes [ ]No i Comments: [ ) J 16. lx Mbath(AT):Wood Frame,Double Pane with Low-E,U-factor:0.340 J For windows without labeled U-factors,describe features: J #Panes Frame Type Thermal Break?[ ]Yes[ ]No J Comments: [ ] J 17. lx Std Bsmt Win:Wood Frame,Double Pane with Low-E,U-factor: 0.560 J For windows without labeled U-factors,describe features: J #Panes Frame Type Thermal Break?[ ]Yes [ ]No J Comments: [ ] J 18. 2x Garden Level Windows:Wood Frame,Double Pane with Low-E,U-factor:0.340 J For windows without labeled U-factors,describe features: i #Panes Frame Type Thermal Break?( ]Yes [ ]No Comments: J J Doors: [ ] J 1. Brkfst#7: Glass,U-factor: 0.350 J Comments: [ ] J 2. Mud#20: Solid,U-factor:0.240 J Comments: C 1 / 3. Foyer#IB:Solid, U-factor. 0.350 Comments: Floors: [ ] 1. Floor @ Bed#5 over Garage:All-Wood Joist/Truss:Over Unconditioned Space, R-0(uninsulated) Comments: Heating and Cooling Equipment: [ ] ! 1. Furnace 1:Forced Hot Air,92 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. [ J 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. [ ] Retum 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. [ J 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. 1 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: [ J HVAC piping conveying fluids above 105 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. 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)