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2005-826 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &''Codes (518) 761-8256 CERTIFI ATE OF OCCUPANCY Permit Number. P200508126 Date Issued: Monday, July 10, 2006 This is to certify that work reque�ted to be done as shown by Permit Number P20050826 has been completed. Tax Map Number. 52 400-308-007-0001-028-000-0000 Location: 25 WESTBERRY Way Owner. T -TOM DEVELOPMENT, INC. Applicant- T -TOM DEVELOPMENT, INC. This structure may be occupied as a: Fireplace By Order of Town Board Garage - 2 Cars Attached TOWN OF QuEENSBuxY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of wilding&Code E e t Planning Board or Zoning Board f 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: P20050826 Application Number: A20050826 Tax Map No: 523400-308-007-0001-028-000-0000 Permission is hereby granted to: TRA-TOM DEVELOPMENT, INC. For property located at: 25 WESTBERRY Way in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Tyne of Construction Value Owner Address: TRA-TOM DEVELOPMENT, INC. Fireplace 667 STATE ROUTE 9 GANSEVOORT, NY 12831-0000 Garage-2 Cars Attached Single Family Dwelling $280,000.00 Total Value $280,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-826 LOT #3 HSE#25 WESTBERRY WAY 2283 SQ FT SINGLE FAMILY DWELLING $322.36 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 Tgwn4 n'Quee ury;, 1 ri y, October 28, 2005 SIGNED BY �! for the Town of Queensbury. Director of Buildings&Code nforcement Check Residential Plan Review: One&Two Family Dwellings Y/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: indow Schedule With Glass Size Door Schedule/Main Entrance 36"Door Y1nergency 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 /Pampproofmg/Waterproofing Materials On Plans 1�6undation Drainage On Plans,if required 6" op in 10 Exterior Grade raining Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where Re uired Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors Stairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise , Winder Run and Rise Spiral Not Allowed From 2d Story Smoke Detectors Battery Backup and Proper Location Iv/ athroom Fixtures Proper Clearance al Width,36"min. andrails More Than One Riser On Open Sides Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. afety Glazing Notes For Required Areas ge Fire Separation arage Floor Sloped Attic Access Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access Carbon Monoxide Detector Lowest Sleeping Level 1 Soil Test Results, if required Septic To Well Or Water Line Separation All Paperwork Signed Permit No. Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid 742 Bay Road,Queensbury,NY 12804 Recreation Fee �c Dave Hatin,Director codes@aueensbury.net Phone: (518) 761-8256 FAX: (518) 745-4437 Principal Structure Building Permit Application � t 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 Owner: Address: / Address: Home Phone: Home Phone: Email Address: Email Address: Cell Phone: Cell Phone: FAX Phone: FAX Phone: Person responsible for supervision of work with respect to building and codes compliance: Name: �C�" -// L� Address: Phone r Location of proposed construction: Lot No. Legal Address: Tax Map Number: D 7' �' Subdivision Name: Estimated Cost of Construction: $ �Cf� �3T) Proposed construction is for: �sidential Use Commercial Use Name of Business: If proposed construction is an addition,what will use of new addition be? i New Addition Alteration Proposed Construction 10 Floor 2nd floor Other Total Proposed I structure (Occupancy Type) Sq.Ft. sq.ft. Sq.Ft. Square feet Height Ft.&in. Single-Family Dwelling / Two-Family Dwelling Townhouse Multifamily Dwelling Number of Units: Office Mercantile Manufacturing Other: Attached Garage 1, Type of Heating System: Electric, Oil,6111 Wood, orced Hot Air Baseboard, Other: if a fireplace and/or woodstove are being installed, please refer to a separate.application. 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 location of all new construction. Date: / Applicant/Builder Sig nature: 0 The application of d 'ted is hereby approved and, permission granted for th co stru Lion, reconstruction or alter tion u' ' g/and or accessory structure as set forth above. Date: G� Authorized Signature: L:\Sue Hemingway\Building.P rmit.FORMS\Principal Structure Permit Application.doc V:12/14/04 Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: .........................................I.................. ................................ Office Use Location of installation: File Permit No. Tax Map No. Owners Name: "I /A) ?L-Q­ Fee Paid ............ ................................................................ ............................... Address: 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 gallbdnn 1980- 1991 x 130 gal/bdrm, = 1991 —present x 10 gal/bdrm = L�L4 Garbage Grinder Installed yes_ / no Spa or Hot Tub Installed yes— / no V 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) opox=hy Soil Nature---- Ground Water Bedrock or LnWervious Material Domestic Water Sgpply sand at what depth at what depth !ccipal �� —Rolling am feet —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: , gallon(min. size 1,000 gal) Tile Field: each trenchft Total System Length: Seepage Pit(s): number of_CI) size of each: ft, by t. _f 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 Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature­ofresponsi le person Uate .,I"owte of tZuec�tt�Inti•y . AItpmuli x ABISUIt�I'•''t'ION, I�'I I A.A.) S- E-Pl1ItA'I' ON Itl:�Zi.]Ilti'lLIIr:IjJ'I` P i tit�j r PoN o --� �• YIILLL. IN 1!f►T!�'i�• �` � .Cif Lt'fvt 1-77 r�IleI r~ fr • r [Jt'1 tttrl.`r�111f�t F''tRLA 1F _NI ,..,,. .•.�"'" a •.-••1 �. SIGNATURE &WbRNI.ATIOI''T wimps.w.V"%V M • Queensbury, Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive 0am/pm Dep am/pm D -Inspectio uest received. - f -- inspe or's Initials:- - - r-- NAME: P IT#: "R� LOCATION: i ' ATE: TYPE OF STRUCTURE: i Comments Ye 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 backu 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 finishedF1nnrtnjSq draft stopping nt 1,000sq.ft— EmLrLency egress below grade < Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace-,area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp, 110 Enclosed Stairs Sheetrock Underside minimum''/z"Gypsum Basement stairs closed rise,>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed o Glas nclosure Final Electrical Final Survey Plo'TjAan 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 t� Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: 7 O NAME: �N-4--- LOCATION: .& PERMIT#: Final Survey Plot Plan Ap2royed Denied The attached final survey has been received by the / Dept.of Community Development. Upon review t survey has en: (VIO Craig Brown, Zoning Administrator Notes: L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey ning Administrator.doc MAP REFERENCE: 5UBDIM510N PLAN RICHARD P. SCHERMERIIORN DATED, FEBRUARY 11. 2003 LA5T REV15EDo MAMi 17. 2004 BYs VAN DU5EN 5TEVE5 i LOT 2 S75 044 57.. $ 187 86 E / 7 00 'ASP v 20.271 ry OQr0J � 30 LOT 3 UTIUTIE5 P; 36,941.88 sq.ft. 0.85 acres Eo N / NCV o 2/ N Z .CEjVr---- T yUL-0- N �E Y LOT 4 a� e-c r j we 2 � Date= FEBRUARY 3, 2006 an. D u s M�ATIHORIZED ALTERATION OR ADDITION TO A SURVEY Scale 1'=30' & BEARING A LICENSED LAND SURVEYORS SEAL IS A Map of a Survey made for VIOLATION OF SEC11ON 7200.SUB-DIVISION2.OF THE NEW YOM STATE EDUCATION LAM'.' (^� 'ONLY COPIES ORIGINAL THE OF THE OF SLI SURVEY 1.\J wARIaO wTH AN aRroNAL OF THE LAND sumEwRs MALL ERED VALI 7WS JRVE l W S PRE ARE TO BE ACCORDANCE ,RUE WITH THE T H O M,�S J. FAR O N E & SON S 1 CERTIFICATIONS NacATED HEREON SIGNIFY THAT THIS ING CO O PREPARED N AI"SUR wTH THE Land Surveyors BY THE NEW R PTATE A FOR LAON OF PROFESWYORSSIONAL IOOPTED AL BY 1IIE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS.SM CERTFICAMONS SHALL RIM ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED.AND ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMIENTA. SHEET 1 OF 1 169 •Haviland Road Queensbu New York 12804 AGENCY AND LENDING NSTMTION LISTED HEREON.AND Town of Queensbury, Warren County, New York ry, TO THE ASSONEES OF THE LENDING INSTITUTION.' 1 6120106 DRIVEWAY LOCATION FARONE (518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 02393-3 Town of Queensbary Fire Marshal 742 Bsky Road Queensbuq,NY 12804 761-82051761-SM fax 745-4437 Factory Built Gas Fireulace/Stgve 1"111 tion Resort Notice:Neva York State requires that an UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Maqual acc9ppanying the appliance.No deviation from the manufacturer's instrujajonsAdVecifications is allowed. Permit# U� � Sched�em VTime �' am p anytime I" '3 Name ��''� Address '� > 0�, Rough In Final Appliance Manufacturer Model# Direct Vent Factory Built Chimney Fine Size Double Wall Triple Walt Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Of Valve Combustion Air Hearth Extension(if any) mantel Height above f/p opening Witness Operation Tank Placement(if LP) Pink—Fire Marsha[ WMfe—BMIAin=Depc YeAsw Comet _ Queensbury Building & Code Enforcement Residential Final Inspection Office No. (518)761-8256 — Arrive.'�am/pm De am/pm 67 Date Inspect' nest received: G� Inspe tor's Initials: NAME: Uo-�C� / P IT#: LOCATION: — ATE: TYPE OF STRUCTURE: Comments Ye N/A ---- Building Number/Address visible from road �C Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake -- 3 inch Plumbing Vent through roof minimum 6 inches ___ --�.--- Roof Com lete/Exterior Finish Com lete 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 01 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: Batterybackup: 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 ti Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed o Glas Enclosure Final Electrical Final Survey PloTflan As Built Septic S stem/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 L' Septic Inspection Report Office No.(518)761-8256 Date Ins0ectioirequest received: Queensbury Building&Code Enforcement Arrive: am/pj�Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspecto s^ itials: NAME: _ PERMIT NO.: ��� � LOCATION: ( INSPECT ON: � 5 RECHECK: Pt Comments and/or diagram Soil Type: Sand/Loam!Clay 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 T e Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial End Cap* Location/Separations Foundation to tank Foundation to absorption a ` L, Separation of Pits ft. Conforms as per Plot Plan N Engineer Report and As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front fiddle Rear System Use Status: pproved Partial Approved and needs to be re-inspected, please call the Building& Codes Office Disapproved Last revised 1/6/05 NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 June 24, 2006 Job # 46175 New York State Dept. of Health 77 Mohican Street Glens Falls, NY 12801 RE: Pine Ridge Subdivision- Queensbury (T) 25 Westberry Way(Lot#3) - Septic System Dear Sir/Ma'am: This letter is to inform you that we inspected the completed septic system for the house on 25 Westberry Way(Lot#3) in the Pine Ridge Subdivision on June 7, 2006. The septic system as installed was for a four bedroom house and consisted of a 1,250 gallon septic tank and 216 lineal feet of absorption trench constructed with stone and perforated pipe. The system conforms to the requirements of the approved subdivision design drawings. Please call me if you have any questions or concerns. Sincerely, Thomas R. Center Jr. , PE cc: Dave Hatin, Town of Queensbury Tom Farone Septic Inspection Report Office No. (518) 761-8256 Date Ins request received: b� / Queensbury Building&Code Enforcement Arrive: amt/V,�epp;art: am/pm742 Bay Rd., Queensbury, NY 12804 Inspector`s Initials: NAME: _ ,-a— PERMIT NO.: ® '— LOCATION: L,/3 2,S- INSPECT ON: RECHECK: Comments and/or diagram Soil T San m la T of Wa r: Munid /Well Water Waterline sepahWoP46ance ft. Well separation distance ft. Other wells: ft, Absorption Field: Total length 'Z ft. Length of each trench ft. Depth of trenches , Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Sizea Building to tank Tank to Distribution x O " Distribution Bo o d Pit �z Opening Seal : Y N Partial End Ca Inlet/Outlet Pipes&Baffles Y N Location/Se rations Foundation to tank z1Z ft. Foundation to absorption ft. Separation of Pits ft. Conforms as r Plot Plan Y En ineer Rep2rt and As-Built Y N Location of Systein on Property: Front Rea Left Side CRightde Middle Front Middle Rear System Use Status: proved rtial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Last revised 021006 Last revised 1/6/05 Y Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspec i�i .r est received: Queensbury Building& Code Enforcement Arrive: (/� am/je��: am/ppi742 Bay Road, Queensbury,NY 12804 Insp tor's Initial1 NAME: PERMIT #: � LOCATION: oZ INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2, R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbin Vent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min.Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial 0o er,CPVC,Pex One and Two-Famil nsulation/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: LASueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Rough Plumbing / Insulation Inspection Rep of t ` Office No. (518) 761-8256 Date Inspe ' n r quest received: Queensbury Building & Code Enforcement Arrive: am/pm a art: a /p 742 Bay Road, Queensbury, NY 12804 Inspect is Initials: _ 1 NAME: �'� �-- PERMIT #: 0 LOCATION: 2 112- sT ( V U-V, `l INSPECT ON: 6/ 6) 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 lNA-` `s l21 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 3� 50 P.S.I for 15 minutes nsulation 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 r - - COMMENTS: �Dp � e, �/�D�i �w.. C��-�2. (��4�L LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Town of Queensbury Fire Marshal CL 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Insuectiqu 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 V / instructions or specifications is allowed. Permit# Q Cj — f 1 Schedule Inspection^ Time am m an r " f-� Name� Address ough In V Final Appliance M7Factory cturer. ' � (3f/� �'�jv 0Z)C ti) Model# © G� Direct Vent Built Chimne• Flue Size Double Wall Triple Wall _ Insulated s Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) Whue—BtdidingDept. �`� YeIIow r Pink—Fin Mar" Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection quest received: F` Queensbury Building&Code Enforcement Arrive: . n/pm Depart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspect r's� Initials: `t NAME: PERMIT#: .� ' �? LOCATION: CX a INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS ing 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 Botts 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 Firms 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. (518)761-8256 Date In _ do request received: Queensbury Banding&Code Enforcement Arrive: amlF Depart: pm 742 Bay Rd.,Queensbury,NY 12804 Inspecto 's Initials: NAME: Q PERMIT#: 0 LOCATION: A INSPECT ON: TYPE OF STRUCTURE: 7' Comments Y N N/A / Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 1 ch width inches above footing fi mil poly for wet areas under slab Backfill Approval Bing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Fonns\Building&Codes\lnspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/p Depart: am/ 742 Bay Road, Queensbury,NY 12804 Inspector s Initials: NAME: PERMIT #: C }: LOCATION: INSPECT ON: TYPE OF STRUCTURE: PVC: R-1,R-2,R-3,R4 Drain/Vents Y N N/A C Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min. Drain Size Washing Machine Drain 2 inch min. Head or upply Test Dr,xhCand Vents 7 a -5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping -7 Cooper Commercial Cooper, CPVC,Pex One and Two-Famil Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: LASueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date In41n' e i est received: Queensbury Building&Code Enforcement Arrive: m/ e art: am/pm 742 Bay Road,Queensbury,NY 12804 Inspectos: NAME: A v'6 of PERMIT#: t6 / LOCATION: sr INSPECT ON: 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 '/ w) 16 gauge(8) 16D nails each side Dr ft stopping 1,000 sq. ft. floor trusses chor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2,3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilin 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 Pkquest received: Queensbury Building&Code Enforcement Arrive:�— p art: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: C.ti PERMIT h. l/ LOCATION: �, t INSPECT ON: TYPE OF STRUCTURE: 115 Y N N/A COMMENTS Framing Attic Access 22"x 30"minimum Jack Studs/Headers o Bracing/Bridging 3 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 tQ"� Anchor Bolts 6 ft. or less on center joCand 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 ''/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 l Office No. (518) 761-8256 Date Insp#ioi est received: 12 2 OS-� Queensbury Building &Code Enforcement Arrive: .- p / Depart. a `pm 742 Bay Rd., Queensbury,NY 12804 Inspect r s Initials: "— NAME: PERMIT#: _ p _ LOCATION: ?. �� ( �C�Sr ge�,.�r ,a�/ INSPECT ON:�_--- TYPE OF STRUCTURE: _ Comments T Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing ype 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 ��13ackfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- _ Rough Grade 6 inch drop within 10 ft. LASueHemingway'Ouilding.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart. m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: 1 NAME: PERMI T#: /� LOCATION: SPECT ON: TYPE OF STRUCTURE: i Comments Y N N/A Footings Piers Mo lithic Slab Inforcement 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. L:\SueHemingway\Building.Codes,Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date ti,�request received: Queensbury Building&Code Enforcement Arrive: i am/p Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspecto 's Initials: NAME: PERMIT#: LOCATION: ----- — �c INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforce ntin Place T contractor is responsible for providing protection from freezing //0( G��b 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. h\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 � (/0 3 l�ti V,An Foundation Inspection Report Office No. (518) 761-8256 Date� e�ction�t received: I( (15 Queensbury Building&Code Enforcement Arrive• U. � S--> vp Depart: mipm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ' NAME: 'F PERMIT#: O LOCATION: _ T _ INSPECT ON: �1� �— TYPE OF STRUCTURE: � � Comments ootin — Piers Monolithic Slab Reinforcement in Place i The contractor is responsible-fbr providing protection from freezing for 48 hours following the placement of the concrete. Materials for this pu_pr ose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing i 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�i Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:iSueHemingway\Building.Codes.Inspection.FORM SToundation Inspection Report.doc January 28,2003 *r • Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheck Software Version 3.6 Release 2 Data filename: C:\Program Files\Check\REScheck\2283-01 CANT ERBERRY-F ARONE-25 WESTBERRY WAY(LOT 3)-QUEENSBURY.rck PROJECT TITLE: PLAN NO.2283-01CANTERBERRY COUNTY: Warren STATE: New York HDD: 7635 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE: Non-Electric WINDOW /WALL RATIO: 0.15 DATE: 10/10/05 DATE OF PLANS: OCTOBER 10, 2005 PROJECT DESCRIPTION: THOMAS J. FARONE AND SON 25 WESTBERRY WAY(LOT3) QUEENSBURY, NEW YORK DES IGNER/CONTRACTOR: WILLIAMS & WILLIAMS DESIGNERS INC. 509 GLEN STREET GLENS FALLS, NEW YORK 12801 COMPLIANCE: Passes Maximum UA= 457 Your Home UA= 355 22.3%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 1140 30.0 0.0 40 Wall 1: Wood Frame, 16" o.c. 1154 19.0 0.0 56 Window 1: Vinyl Frame:Double Pane with Low-E 131 0.320 42 Door 1: Solid 35 0.130 5 Door 2: Solid 21 0.130 3 Door 3: Glass 42 0.330 14 Wall 2: Wood Frame, 16" o.c. 1140 19.0 0.0 58 Window 2: Vinyl Frame:Double Pane with Low-E 167 0.320 53 Basement Wall 1: Solid Concrete or Masonry 1154 11.0 0.0 81 Wall height: 8.0' Depth below grade: 6.0' Insulation depth: 8.0' Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 70 19.0 0.0 3 Furnace 1: Forced Hot Air, 92 AFLTE COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stwfl and si ed his page, they are attesting that to the best of his/her knowledge, belief and professional judgmen ch pl or p ifications are in compliance with this Code. esigner Date Q__ 0 __ Q REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheck Software Version 3.6 Release 2 DATE: 10/10/05 PROJECT TITLE: PLAN NO.2283-01CANTERBERRY Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: [ ] 2. Wall 2: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry, 8.0' ht/6.0'bg/8.0' insul, R-11.0 cavity insulation Comments: Windows: [ ] 1. Window 1: Vinyl Frame:Double Pane with Low-E, U-factor: 0.320 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] ( 2. Window 2: Vinyl Frame:Double Pane with Low-E, U-factor: 0.320 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: Doors: [ ] 1. Door 1: Solid, U-factor: 0.130 Comments: [ ] 2. Door 2: Solid, U-factor: 0.130 Comments: [ ] 3. Door 3: Glass, U-factor: 0.330 Comments: Floors: [ ] 1. Floor 1: All-Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation 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. [ ] 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. Ifnon-IC rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values, glazing U-factors, and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] Supply ducts in unconditioned spaces must be insulated to R-11. [ ] Return ducts in unconditioned spaces (except basements)must be insulated to R- [ ] ( Return ducts in unconditioned spaces (except basements)must be insulated to R-2.. Insulation is not required on return ducts in basements. Duct Construction: [ ] I All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 18113. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] ( Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point ofthe 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. r 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/offheater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105 T or chilled fluids below 55 T must be insulated to the levels in Table 2. r Table l: 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 I" Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 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- - 2,01-250 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) TrA �,32 s•�8 .OD / 4 I PR pP 45.24.I Np�S�D I10 LOT 2 r I CO , NO 3 I co ;88 sq.ft. l ,5 acres I I "l have seen or observed,or believ all objects such as houses,wells,tr shown on this document, t also rep Ipersonally measured the distances 26l- 20' WIDE NO CUT ZONE SlGNAT R S05004'26"W 226.67'