2005-823 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE (DAF OCCUPANCY
Permit Number. P20050823 Date Issued: Thursday, July 20, 2006
This is to certify that work requested to be done as shown by Permit Number P20050823
has been completed.
Tax Map Number. 523400-289-012-0001-005-004-0000
Location: 33 MAID MARION Way
Owner. DANIEL & BARBARA BARBER
Applicant: DANIEL & BARBARA BARBER
This structure may be occupied as a:
Garage - 2 Cars Attached By Oder of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the f
property owner of the responsibility for compliance with Site Plan, �d
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.
o
Permit No.
Building &Codes Office-Department of Community Development-Town of Queensbur/ Fee Paid -%
742 Bay Road, Queensbury, NY 12804 Recreation ee
Dave Hatln,Director codesQaueensbury,net /1 v(J
Phone: (518) 761-8256 FAX', (518) 745-4437 4" ylkt j �
Principal Structure Building Permit ApplicVVVatio"Px;E' _
Application & Plans subject to review before issuance of a valid permit for construction.
;instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form,
Applicant/Builder Q ,4QR S' e,2+PPOwner: d Ile
Address: ft) A)c, 1-7- / /v G %�L6m D!?, Address: 9/ 1U�J rT/d'v c x PIP
Pu}� � 90 if 4 "v !4 /age -i Q ''
Home Phone: 2 "- '-' _-z `3 Home Phone:
Email Address: C /,I- Z1 ______ Email Address:
Cell Phone: :�2 Cell Phone:
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name:
Address: v ��c,
_� S � A
!U �t9k Phone
Location of proposed construction: Lot No. � Legal Address:
Tax Map Number: '' Subdivision Name: L v y� � �1► d G L --rJ
Estimated Cost of Construction: $ �TC2
Proposed construction is for: _.Residential,Use !Commercial Use
Name of Business:
If proposed construction is an addition, what will use of new addition be?
J.
New, Addition Alteration Proposed Construction 1.1 Floor 21d floor Other Total Proposed
structure (Occupancy Type) Sq. Ft. sq.ft. Sq.Ft. Square feet Height
Ft.&In.
Single-family Dweilin U
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing �!
i
Other,
Attached Garage 1,721
3
Type of Heating System: Electric, Oil, Gas, Wood, orced Hot Air, Baseboard, Other:
Is a fireplace and/or woodstove being installed, please refer to a separate application. Yes _YNo
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the 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 Codes, 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 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 Survey by a
licensed surveyor, drawn to scale, showing actual locati all new c nstruct, n.
�-- ,
Date: C)S Applicant/Builder Signature:
The application of d ted _ is hereby approved and
permission granted for the con truction, reconstruction or alte a ' n of ui d' g/and or accessory structure as set
forth above,
Date- Authorized Signature:
1:\Sue Hemingway\Buildin .Perm' .FORMS\Principal Structure Permit Application,doc V:12/14/04
06�g7,--77
Check Residential Plan Review: One& Two Family Dwellings
N/N/A
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:
indow 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
sidential Check Paperwork Compliance and Inspectors Checklist: OK
Dampproofmg/Waterproofing Materials On Plans
oundation 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
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
s
�( �( Winder Run and Rise
Spiral Not Allowed From 2 Story
Smoke Detectors Battery Backup and Proper Location
athroom Fixtures Proper Clearance
all 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
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050823 Application Number: A20050823
Tax Map No: 523400-289-012-0001-005-004-0000
Permission is hereby granted to: DANI L&BARBARA BARBER
For property located at: MAID MARION Way
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other uiformation hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Tyne of Construction Value
Owner Address: DANIEL &BARBARA BARBER
P.O. BOX 908 Garage-2 Cars Attached
Single Family Dwelling $300,000.00
MINERVA, NY 12851-0000 Total Value $300,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-823
1620 SQ FT SINGLE FAMILY DWELLING
$252.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, October 28, 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 of Quee bu ; Fr'day, October 28, 2005
r
t /
SIGNED BY afor the Town of Queensbury.
Director of Building&Co e Enforcement
Application for Permit Septic Disposal System
Town of Queensbury 742 Bay Road Queensbwy, NY 12804 (518) 761-8256
1. OWNER INFORMATION: L ; rh A 9 I'O�...........�%`'A.>.............. . .... .
� Office Use
Location of installation: c:) F rm Oa!),, Z>
File Permit N
Tax Map No.
Fee Paid
Owner's Name:
Address: R
v r;r- /\j S is v Z y N c) 1 —�z
2. INSTALLER'S NAME : _ 17,c}ry, � Z- PHONE NO. t J a
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply #of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House No of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdrm =
1980— 1991 x 130 gal/bdrm =
1991 —present t x 110 gal/bdrm = C �'
Garbage Grinder Installed yes / no
Spa or Hot Tub Installed yes C / no _
4. PARCEL INFORMATION: (circle applicable information& indicate measurements)
Topography S ature Ground Water Bedrock or Impervious Material Domestic Water Suppl
FF san tit what depth at what depth municipal
Rollin loam J! " feet 2t�feet we
Steep slope clay of well; water supply
r%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: 1a gallon (min. size 1,000 gal.)
Tile Field: each trench ft. Total System Length: .ft.
Seepage Pit(s): number of N J& size of'each: ft, by ft,
Size of Stone to be used: # / depth or thickness feet
Bed System Size: 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 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 To Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person ate
Town of Queensbury
Sewers and Sewage Disposal Chapter
Appendix C
ABSORPTION FIELD
SEPARATION REQUIREMENTS
-ne�eer ssn1
Sric..
Appendix C
ABSORPTION FIELD
SEPARATION REQUIREMENTS
POI
�. r�►r�. �ru�r�ssr+c^r � .
Job Site Address: Date:
Owner. Application No. File No.
WINDOW SCHEDULE
12
Window Window Mfg. Window Unit or q I t �� �qYT �ql T $ ,� Clear Clear Special Hardware or
Number or Name Model Stock C gck>t lJpgn}ng C�lass, 'Istb 1�'znt �gr�s5 G1'ear C penmg QI}ent$$Sleight Instructions
Letter on Or Type Number V,i rx, }`' e� ib dh tad jia yes
+
Plan Call Sizes
,h
- .. .:2a.,.o?+',a:, •°. . ... .?.t. ,....in'#F.x'.3i+i .t.[.??F.. °..: .. ..;•, LE
3 ,,v4?- N CAS f.v4• T C¢' S" 2• 17' 0 7. a d 5 I
. 9 9•� L�. G. / p /rig 3 ,S- '%�
422 6-reA o, t1q ° x
THIS LINE HAS EXAMPLES OF SAMPLE ENTRIES
A... AndersetY � ;�#; 3''2r1%365'/£;� Tempered
a� t
�•,.y r r,�"t.r 4 e��. . F 'i� i ^ �..,,. x 1 kt�.' IT
�.,• Glazing
L:4SueliemingwaylBuilding.Permit.FOR.MS\Window Schedule.doc
Job Site Address: _ Date:
Owner: Application No. File No.
Building Permit — Calculation Sheet
Natural Light, Ventilation & Emergency Egress Requirements
Habitable Area of Req. Light Actual Req. Vent Actual Sq. Ft. Remarks
Room Room 8%of Room Light 4%of Room Vent Opening for
in Area Square Area Square Egress
Square Footage Footage
Feet
Zs-
4(� . V,4 �L4.6 S �? O
L'SucHcminpk,ay�Building.Permit FC)RMSWat.Light.VentiLCalculaUon Sheet doc
B
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 / Arrive: �i )am/p art: - am/pm
Date Inspection request received: / (d Inspe or's Initials:
NAME: (771 PERMIT#: a �'
LOCATION: Z DATE: d
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''/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/Y4 hour fire door/door closer VX
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\lnspection Forms\Residential Final Inspection Form revised 100405.doc
Town of Queensbury Fire Marshal
low 742 Boy Road
Queensbury,NY 12804
761-8205/7614206
fax 745-4437
Factory Built gas re__utace./ taye Lzspectign Report
Notices New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the bistallation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or ' cations is allowed.
Permit# Schedule Inspection Time am pm anytime
_._ �.._._..._ . .,._......�..__ ins_p._ec.to
X�
Name ___ Address Rough Y 22 Appliance M:aufu ctxircrC'' s n _ Model#
Direct Vent__.� Factory Built Chimney_____ Flue Size Double Wall Triple Wall Insulated- _
Y No NIA Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical
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 Vp opening;
Witness Operation
Tank Placement cif LP)
White—Bu%ins Dept. YeAew r Pink—Fire Marshal
/)
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received: ' c �/
Queensbury Building&Code Enforcement Arrive: am/ part: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: _ PERMIT NO.: OS-7 �
LOCATION: �o'�►�, �"' i c � INSPECT ON:
RECHECK:
Comments and/or diagram
Soil T nd Loam C
Type of Wa Municipa Well Wate
Waterline separation di ce 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 Size Type/
Building to tank
Tank to Distributio x ec w vf?
Distribution Box Wfi Id Pit zq 94
Opening Sealed Y N Partial
End Ca
Inlet/Outlet Pipes&Baffles Y N
Location/ Separations
Foundation to tank ft.
Foundation to abso ion ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N 'fj �j — 6U/
Engineer Report and As-Built Y N
Location of Syste n Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
Svstem Use Stat
Approved
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
Last revised 021006
Last revised 1/6/05
w
Final Survey Inspection
Dept. of Community Development-
Town of Queensbury RECFIVED
742 Bay Road
Queensbury,NY 12804 JUL 192006
TOWS q, U: �URy
E
Date received:
NAME:
LOCATION: mil'3 ffl,41E2
PERMIT#: 3
Final Survey Plot Plan
Avvroved Denied
The attached final
survey has been
received by the
Dept.of
Community
Development.
Upon revie
survey been:
CrakB
AKvn, Zoning Administrator
Notes:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Fina1 Survey'
Zoning Administrator.doc
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Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pra D„ epart: am/pm
Date Inspection request received: Inspector's Initials:
G-T ,
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 4 /
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 Tern 110
Enclosed Stairs Sheetrock Underside minimum'/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
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
Town of Queensbury Fire Marshal
4Q 742 Day Road
Queensbury,NY 12804
761-8205/761-8206
fax 7454437
Factory Built Gas Fireplace I Move InsnectiQn Rgport
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 applianm No deviation from the manufacturer's
�j instructions or sp"coionx is allowed f�
Permit# (,ICJ ! Seftedulc Inspection 'T t Yme am pm anytime r C�F-�C
Name Moe _Address_ _._ !0 AJ hough In Final,_..
Appliance Manufacturer._.._.._.___..__ ------- Model
Direct Vent — Factory Built Chimney__ Flue Size Doable Wall Triple Wall Insulated—
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical
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 Vp opening
Witness Operation
Tank Placement(if LP)
White-Banding Dept. Yellow CL�et t Pink-pire lVxurvhai
COMMONWEALTH ELECTRICA INSPECTION SERVICE,INC. --O-I
Main Office 176 Doe Run R�ad-Manheim,PA 17545
_
MUNICIPAL CERTIFICATE ELECTRICAL APPROVAL
lermit No........................................Cert. N2 8 9 9 9 8 Cut-in Cud No.....................................
)wner...........PE... ...........................................................2tiLiF
,ocation..3.�......AI&P.........................../j........................................................................'. .'
..... .......
nstallation Consisting of wzw
..................................................................................................................................................................................
...........................
nstalled By................................... 1yb *#41
..........................................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
=celled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
ntroduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of maki"pections at any time, and if its
ules are violated,the t Company shall have the right Jk thj e cc rt' icate.
)ate... ..... ...................... INSPECTOR.... . ..................... ..................................
Member N.F.P.A.,I.A.E.I.
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/p epart: am/pm
Date Inspection request received: _ Inspector's Initials:
NAME: �+ — PERMIT#:
LOCATION: ----_-- '"'—�dR. LOO (A W—!V 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
PIatform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade c^
Guard at stairwell at 34 inches or moree �
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 Elazing/Window in stairwells safety glazing
Interior Smoke Detectors: /
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup: (�
Carbon Monoxide DetectorV11, ✓Jy��'�
Attic access 30 inches x 22 inches x 30 inches(height)in accessible ft area
�eCrawl Spaces 18 inch x 24 inch access, 1 s . ,150 s .ft.vents f/
Bathroom Fans.if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft.
Pl—
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'h"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/344 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical OfIl
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/O[Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
Septic Inspection Report
Office No. (518)761-8256 Date Inspectionnquest received: 711710
Queensbury Building&Code Enforcement Arrive: ' ;` am/p rt: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's' I itiais:
NAME: C PERMIT NO.: ,4 `�LOCATION: f� INSPECT ON: r/►-. /0 4
RECHECK: J
Comments and/or��gr�m
Sail Type: Sand Loam/Cla
Type of Water: Municipal/Well Water
Waterline separation distance 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 Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field Pit
Opening Sealed: Y I N Partial
End Ca
Inlet/Outlet Pipes&Baffles Y N
Location Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Engineer Report and As-Built Y N
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear C (�
System Use Status:
Approved
rtial Approved and needs to be re-inspected, please call the Building&Codes Office
isapproved
Last revised 021006
Last revised 1/6/05
Awl—
i
Septic Inspection Report
Office No. (518) 761-8256 Date Ins request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd., Queensbury, NY 12804
NAME:
-� PERMIT NO.:
LOCATION: _�.G r' ter;7�� / INSPECT ON:
RECHECK:
Comments and/or diagram
Soil T : Sand Loam/Clay
Type of Water: Municipal/ Well Water
Wateriine se ration distance ft.
Well separation distance ft.
Other wells: ft,
Abso n Field: Total length ft.
Length of each trench ft.
De
h of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building tD tank
Tank to Distribution Box
Distribution Box to Field Pit
Opening Sealed: Y NJ Partial
End Ca
In Outlet Pipes&Baffles Y N
Location/ Se rations
Foundation to tank ft.
Foundation to absorption ft.Separation of Pits ft.
Conforms as per Plot Plan Y N /
Engineer Report and As-Built Y N
Location of System on Property:
Front Rear 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 021006
Last revised 1/6105
Rough Plumbing / Insulation Inspection Repo
Office No. (518) 761-8256 Date Inspector request received:
Queensbury Building & Code Enforcement Arrive: 'I •<'7 am/pm Depart: /pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: aLge= -- PERMIT #: - Y
LOCATION: "4 ; M&L 3 mi a--;o r wn- INSPECT ON:
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 / chan a 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 minutest q
nsulation Residential Check/ Commercial Checks ' �� I
' Proper Vent Attic Vent
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly le
COMMENTS:
LAPam Whiting\Building&CodesUnspection FormslRough Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005
Foundation Inspection Report
Office No.(518) 761-8256 Date Ins tivequest received:
Queensbury Building&Code Enforcement Arrive: am/pDepart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: Sa3
LOCATION: .Zk INSPECT ON: S
TYPE OF STRUCTURE:
Comments
Y N N/A
Piers
Monolithic Slab
Reinforcement in Place 2
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under stab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
1 2/20/2005 9:24:00 AM
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspecti n�r ueceived:
Queensbury Building & Code Enforcement Arrive: am/�rry� epart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspe or's nitials: L
NAME: 4eooe PERMIT #: 47
LOCATION: 01wz> " INSPECT ON: 342 81,15
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates 6'
(72�7 Cit,4
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
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
Foundation Inspection Report
Office No. (518) 761-8256 Date Ins ct equest received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: arri/pm
742 Bay Rd., Queensbury,NY 12804 Inspe or's itials:
NAME: PERMIT#:
LOCATION: INSPECT ON.
TYPE OF STRUCTURE:
Comments
Y N N/A / j -
otings / o�
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
i
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
I.ASueHemingway\Building.Codes,InspectionTORMSToundation Inspection Report.doc January 28,2003
2- - �
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspectionpquest received: J
Queensbury Building & Code Enforcement Arrive: 3 r I am/pm part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: <,S�
NAME: /3A, f6_1 PERMIT #: 05- - S-
LOCATION: 2,.Z> nti a A' INSPECT ON:
TYPE OF STRUCTURE: _T
Y N NIA
Rough Plumbing / Nail Plates
Plumbing Vent/ Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
Pressure Test
Drain / Vent
Air / Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
0 P.S.I for 15 minutes
sulation / Residential Check Commercial Check
roper Vent Attic Vent -q7&L. A r e4.
Duct/ Hot Water Piping Insulation L�--v�—�
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct toe
441,okut..,-
COMMENTS:
LAPam Whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report-revised Nov 17 2003.doc Revised February 15,2005
Rough Plumbing / Insulation Inspection Repo
Office No. (518) 761-8256 Date Inspection request received: 'V5�
Queensbury Building & Code Enforcement Arrive: . 2 am/p Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Ins ectWs Initials:
NAME: 6.4?—g PERMIT #: DS' g �
LOCATION: INSPECT ON: /
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 , i�Y�4-1,fz'
5 P.S.I. ; t. above highest connection for 15 minutes
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
jnsWaW0'--/'*, sidential Check Commercial Check
gent 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
Rough Plumbing 0 Insulation Inspection Repo
Office No. (518) 761-8256 Date Inspectign�quest received:
Queensbury Building & Code Enforcement Arrive: 'D am/p er ,Depart: m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: �
NAME: off' C PERMIT #:
LOCATION: INSPECT ON: z 0
TYPE OF STRUCTURE:
Y VN N/A
JRou EhPlumbing / 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
Insulation Residential Check Commercial Check _
Proper Vent Attic Vent
Duct/ Hot Weser 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
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Ins ection request received:
Queensbury Building&Code Enforcement Arrive: am/pm\ De rt: a pm
742 Bay Road,Queensbury,NY 12804 Inspect 's Initials: J
NAME: L_ PERMIT
LOCATION: u ?�5 -, i>t� �v�. �,, INSPECT ON: r :a �L (�
TYPE OF STRUCTURE: —�
Y N N/A COMMENTS
Af- L
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/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 water shield 24 inches from wall
Fire separation 1, 2,3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side V2 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)
�.7 sf above/below grade
5.0 sf grade
)Q �
Frar n / Firestopping Inspection Report l "'
Office No.(518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/l?m Depart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: ck<— `^J '�_� PERMIT#: 5 ' Z
LOCATION: L I��Lv�� INSPECT ON: Z t""...
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
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
1
and water shield 24 inches from wall
-Fire separation 1, 2, 3 hour c_
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date inspection request received: e�,J a--
Queensbury Building&Code Enforcement Arrive: am/pm Depart: 44pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:_
NAME: /l� �° t G 'L ,'�`� PERMIT#: ,�
LOCATION: Cu c Mc=7 %,f% -' INSPECT ON.-
TYPE OF STRUCTURE:
Framing Y N ' N/A COMME S I
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in.or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/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 water s ld 24 inches from wall
Fire separation 1, 2, 3 hour
P
Fire wall 2, 3,4 hour C� `
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side `/z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Framing / Firestopping Inspection Report
0
Office No. (518) 761-8256 Date Inspection request received: /D-ce
Queensbury Building&Code Enforcement Arrive: am/pm Depart: t pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: .i % �-- %)
l
NAME: . G ( �Gf r�-s 1 C„ ;`` PERMIT#: .�
LOCATION: } INSPECT ON: (� j
TYPE OF STRUCTURE:
Y N N/A COMM S
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in.or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/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 ter shield 24 inches from wall ,
Fire separation 1,2,3 hour _
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Foundation Inspection Report
Office No. (S 18) 761-8256 Date Inspection request received: l l
Queensbury Building&Code Enforcement A pve: ai _—Depart: Y�mlpm
Q
742 Bay Rd., ueensbury,NY 12804 Inspector's s Initials:
NAME: /�✓ 1?z B!� JZ _ PF.,RMIT#:
LOCATION: _ �— ,�1/l 1� 11� r},2 t h �� II`iSPECT ON: _ - r1 S
TYPE OF STRUCTURE:
Comments
Footings -------
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour-
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing!Waterproofing
Footing Drain Daylight or Sump _
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil-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.
LASueliemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report z 'J
Office No. (518) 761-8256 Date Inspection request received: 17 0-5
Queensbury Building&Code Enforcement Arrive: am/prn . Depart: 1 -7,&Vpm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: _ 1
NAME: _ -�e, PERMIT#:
LOCATION: _ -25A4 INSPECT ON:
TYPE OF STRUCTURRqV
Co meets
Fantings
Piers
Mono ' STa15-
l einforcement in Place /
T e con c or is respo�tdr
providing protection from freezin
for 48 hours following the placement
of the concrete.
U Materials for this purpose on site. _
Foundation/ Wallpour —
o r fi 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 rt�
Plumbing Under Slab
PVC/Cast/Cper�
Foundatlb In terior/ xterior
Rough Grade inch drop within 10 ft.
LASuellcmingway\Building.Codes.Inspecti on.FORM S\Foundation Inspection Report.doc January 28,2003
da ion Inspection Report
ort t p p
Office No. (518) 761-82.56 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT
LOCATION: _ _ —--- kjN`SPECT ON: ,� _ �•�
TYPE OF STRUCTURE:
Comments
F tings �-----_----------------
iers _
Monolithic Slab
Reinforcement in Place ;;; .
The contractor is responsible`ror
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:\SucHemingway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: anvpm DepartC am/ m
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: dl.
NAME: PERMIT#: Q-00S—
LOCATION: _ � _ FNTSPECT ON:
TYPE OF STRUCTURE:
Comments
_ Y N N/A
Footings ^-`---- eck V
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.Darapproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump _
Footing Drain Stone:
12 inch width
6 i •hes above footing
it poly for wet areas under slab
�,fi&kfill Approval
Plumbing Under SIab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SucHemingway\Building.Codes.hispectionTORMSToundation Inspection Report.doc January 28,2003
f
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection requ st received:
Queensbury Building&Code Enforcement Arrive: am/ Depa m
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: f'" _ INSPECT ON.
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings �----__ �---`^—
Piers
Monolithic Slab _ I
Reinfarcement 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 Dampproofng/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
ckfill Approval Y
bing Under Slab
,PV /Cast/Copper C it
ou dation Insulation Inter�oar/ ,xterior
Rough Grade 6 inch drop within 10 ft.
L!\SueHctningway\Building.Codes.Inspection.FORMSIFoundation Inspection Report.doc January 28,2003
1�
r.
Foundation Inspection Report y.
r
Office No. (518) 761-8256 Date Inspection request received: _
Queensbury Building&Code Enforcement Arrive: anv,p,41-Depart: pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: _ i-t-e- 3a,-gel ERMIT#: 0 < 3
LOCATION: 13 C;A, t TSPECT ON: P_ eo it C
TYPE OF STRUCTURE: —
Comments
Y N N/A
Footings ^—
Piers
i
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._ _
�j✓L'' e oun ation allpour v
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone: _
12 inch width I
6 inches above footing
6 mil poly for wet areas under slab
Backfrll Approval _ �^
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation VInterior/Exterior
R- _
Rough Grade 6 inch drop within 10 ft.
LASueHemingway\BL1i!ding,Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003
tyvcr
Y
Foundation Inspection Report
Office No. (518)761-82.56 Date Inspection request received: �1
Queensbury Building&Code Enforcement Arrive: an-/_pyi Depart: -. am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: _�x. .�V PERMIT#: ®�
LOCATION: _ ; INSPECT ON:
TYPE OF STRUCTURE
Comments
Y N N/A
ootings
ings
Piers
Monolithic Slab
Reinforcement in Place Z --
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
R-
Rough Grade 6 inch drop within 10 ft.
LASucHemingway,Building.(:odes.Inspection.FORM SToundation Inspection Report.doc January 29,2003
Foundation Inspection Report
i
Office No. (518) 761-8256 Date Inspection request received: __ l( S�
Queensbury Building&Code Enforcement Arrive: anv� Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: _
NAME: _ Zh-� �� PERMIT#:
LOCATION: _ � A� i7 — —� SSPECT ON: y __
TYPE OF STRUCTURE:
Comments
Footings �---------_ _._
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for I
providing protection from freezing
for 48 hours fotlowing the placement
of the concrete.
Material_' u eon site.
Foundation/Wall r< _ —
_ t-
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing i Waterproofing 1
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:\SueHetriingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
k
Q
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) _
LOCATION: ,� cA' INSPECT ON: T �J
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible f
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 I Waterproofing
Footing Drain Daylight or Sump _w
Footing Drain Stone:�JT
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under SIab �^
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:1SueHemingway\Building;.Codes.Inspection.FORMS\F'oundation Inspection Report.doc January 28.2003
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SHERWOOD ACRES CONSTRUCTION CORPORATION
Builders&Developers
324 Northwoods Club Road
Minerva,AT 12851
est. 1970
Daniel ItBarber,Pres. Tel(518)251-2132
Concrete Specs
1.) All concrete 4000 psi or better
2.) Placed with mid-range plasticizer for slump control and water reducer
3.) Fibers in all f latwork
4.) Reinforcing-residential
a.) Footings 1.) 2-#4 Rods as per code
2.) 2'risers every 2'on center wet set
b.) Walls 1.) #4 rebars every P on center Horizontal
2.) #4 rebars every 4'on center Vertical
5.) Floors a.) Fibers interior
b.) #6-6 X 6 Mesh & Fibers Exterior
6.) Control Joints
a.) All concrete f latwork cut per ACI rules per ACI width & depth
b.) Nulls-control joints per ACI every 12'from corners and hence every 20'
7.) Curing-when necessary
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Permit Number
MECcheck Compliance Report Checked By/Date
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release 1b
Data filename:Untitled
COUNTY:Albany
STATE:New York
HDD:6894
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE:09/29/05
COMPLIANCE:Passes
Maximum UA=296
Your Home=252
14.9%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Cathedral Ceiling(no attic) 2040 30.0 7.0 54
Skylight 1:
Metal Frame with Thermal Break,Double Pane with Low E 11 0.48,0 5
Skylight 2:
Metal Frame with Thermal Break,Double Pane with Low-E 11 0.480 5
Wall 1:Wood Frame, 16"o.c. 1252 19.0 7.0 51
Window 1: Wood Frame,Double Pane with LowE 20 0.280 6
Window 2:
Metal Frame with Thermal Break,Double Pane with Low-E 13 0.280 4
Window 3:
Metal Frame with Thermal Break,Double Pane with Low-E 21 0.280 6
Door 1:Solid 35 0.125 4
Door 2:Solid 21 2.000 42
Door 3:Glass 32 0.350 11
Basement Wall 1:
Solid Concrete or Masonry, 10.0'ht/8.0'bg/10.0'insul 888 19.0 7.0 30
Floor is Heated Slab-On-Grade,4.0'insul. 51 14.0 34
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
plans,specificatiTinqdd other cal a 'ons submitted with this permit application. The proposed systems have been
designed to meet th sed Ne*YoA Sta ervation Construction Code requirements.
Builder/Designer JALDate ^C7 S
/ r,r NI
` J r
MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
DATE:09/29/05
Bldg. {
Dept. {
Use
{ Ceilings:
[ } { 1. Ceiling 1:Cathedral Ceiling(no attic),R-30.0 cavity+R-7.0 continuous insulation
{ Comments:
1
{ Above-Grade Walls:
{ ) ( 1. Wall 1: Wood Frame, 16"o.c.,R-19.0 cavity+R 7,0 continuous insulation
{ Comments:
{
{ Basement Walls:
{ ] J 1. Basement Wall 1:Solid Concrete or Masonry, 10.0'ht18.0'bg/10.0'insul,
{ R-19.0 cavity+R-7.0 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.
J
Windows:
( ) { 1. Window 1: Wood Frame,Double Pane with Low-E,U-factor:0.280
For windows without labeled U-factors,describe features:
{ #Panes Frame Type Thermal Break? [ ]Yes j )No
{ Comments:
[ ) { 2. Window 2:Metal Frame with Thermal Break,Double Pane with Low-E,U-factor:0.280
{ For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
{ Comments:
( ] { 3. Window 3:Metal Frame with Thermal Break,Double Pane with Low-E,U-factor:0.280
{ For windows without labeled U-factors,describe features:
{ #Panes Frame Type Thermal Break?( )Yes[ )No
J Comments:
i
{ Skylights:
[ ) { 1. Skylight 1:Metal Frame with Thermal Break,Double Pane with Low-E,U-factor:OA80
{ For skylights without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?{ )Yes{ ]No
{ Comments:
[ ) 2. Skylight 2:Metal Frame with Thermal Break,Double Pane with Low-E,U-factor:0.480
{ For skylights without labeled U-factors,describe features:
J #Panes Frame Type Thermal Break?[ ]Yes[ ]No
{ Comments:
{
Doors:
( ] ( 1. Door 1: Solid,U-factor:0.125
J Comments:
j ) { 2. Door 2:Solid,U-factor:2.000
{ Comments:
[ ] { 3. Door 3:Glass,U-factor:0.350
{ #Panes Frame Type Thermal Break?j }Yes[ )No
{ Comments:
Floors:
[ ] ( 1. Floor 1:Heated Slab-On-Grade,4.0'insulation depth,R-14.0 continuous insulation
Comments:
Slab insulation to extend down from the top of the slab to at least 4.0 ft.OR down to at
{ least the bottom of the slab then horizontally for a total distance of 4.0 ft.
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.
{
{ 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 Type IC rated and installed with no penetrations,or Type IC or non-IC
{ rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible
{ materials and 3"clearance from insulation.
{
Vapor Retarder:
[ ] j 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 and glazing U-factors must be clearly marked on the building plans or specifications.
f Duct Insulation:
[ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R-8.
[ ] { Return ducts in unconditioned attics or outside the building must be insulated to R-4.
[ ] { Supply ducts in unconditioned spaces must be insulated to R 8.
[ ] { 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 iesat 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.
i
{ Fireplaces:
[ ] { Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] 1 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.
{
}
f 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.
f Circulating Hot Water Systems:
[ ) l Insulate circulating hot water pipes to the levels in Table 1.
{
Swimming Pools:
{ j 1 All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
f of the heating energy is from non-depletable sources. Pool pumps require a time clock.
i
{ Heating and Cooling Piping Insulation:
{ j f HVAC piping conveying fluids above 105°F or chilled fluids below 55°F must be insulated to the
{ levels in Table 2.
t. .
i
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
x 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 Ran e 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)