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2005-873
TOWN OF QUEENSBURY F ILE 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20050873 Date Issued: Friday, August 04, 2006 This is to certify that work requested to be done as shown by Permit Number P20050873 has been completed. Tax Map Number: 523400-278-019-0001-019-000-0000 Location: 663 MOON HILL Rd Owner: PETER& JILL WEIDMAN Applicant: PETER& JILL WEIDMAN This structure may be occupied as a: Fireplace By Order of Town Board Garage - 3 Cars Attached TOWN OF QuEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the / property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code nforc ent Planning Board or Zoning Board of Appeals. BLDG.;PERMIT NO._: 2cc—) � APPLICATION.FOR A TEMPORARY CERTIFICATE.OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property m - located at; '. KJ for the "following uses: / DATE SIGNATURE OF APPLICANT TEMPORARY CERTIFICXTE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby PPROVED ( )DISAPPROVED o With the following conditions: TEMPORARY CERTIFICATE OF OCCUPANCY 10X0 DEPOSIT. EPOSIT 10:0.00, received on Date,of Issuance Director of $ldg. &-.Code Enforcem.en THIS. TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES DAYS FROM THE.DATE OF ISSUANCE. NOTE:. This .Certificate is NOT VALID unless:signed.by the Director Of Bl & Code o j W., Enforcement or.his.'designee. i �r TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050873 Application Number: A20050873 Tax Map No: 523400-278-019-0001-019-000-0000 Permission is hereby granted to: PETER &JILL WEIDMAN For property located at: MOON HILL Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: PETER& JILL WEIDMAN 23 BARDIN Dr GaragFireplace QUEENSBURY, NY 12804-0000 Single Family-3 Cars Dwelling d Attached Single $300,000.00 Total Value $300,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-873 2126 sq ft SINGLE FAMILY DWELLING $336.72 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, November 15, 2006 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town of eens T eX' 'vember77, 15, 2005 SIGNED BY for the Town of Queensbury. r .Y Director of Building&Code Enforcement Check Residential Plan Review: One&Two Family Dwellings Z /N/N/A j ! (2)Full sets of plans Frt�1 V Over 1,500 sq. ft.—Stamped GV ,4 Design Loads On Plans: 90 Wind Floor Loads 40 psf 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: ` Window Schedule With Glass Size Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. �-V Grade,5.0 sq.ft. - 24"(h)x 20"(w)min. 44"Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK r Dampproofmg/Waterproofing Materials On Plans Y Foundation Drainage On Plans,if required 6"Drop in 10'Exterior Grade +' Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where .: Required ' Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors Stairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise Winder Run and Rise a Spiral Not Allowed From 2nd Story Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance Hall Width,36"min. ' } Handrails More Than One Riser On Open Sides t. Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. rr Safety Glazing Notes For Required Areas Garage Fire Separation Garage Floor Sloped PusJ 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 i ................... 'noun HI%O,NKX 11;&ard A.Idl rssr8a Hi9hw2y Superintendent DE"PARTmimor Home(518)79&5127 742 Eay Road • Queeinsbury,NY 12504 Il-$ichael F T"V s Offirce Phone: (518) 76-i-ni j SPY Hi94waY Superintendent Fax: (518) 745-4466 (518)798-0413 DRIVEWAY PERMIT R I V _ NOV 0 3 2005 DATE: I I d TOWN OF QUEENSBURY BUILDING AND CODE APPLICANT NAME: TELEPHONE NO..- 06 7 S3 3 ADDRESS TO BE INSPECTED.- RETURN ADDRESS: Applicant must show exact location and width of driveways)to be connected to the highw5y by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: STEP 1: ( )Preliminary Approval NEED: ( )Slight Swale ( )Level with the road ( )Deep Swale Size pipe to be used(if necessary) ( )12" ( )15" ( )18" ( )24" ( )36" Preliminary inspection completed by DATE Approval by Highway Supt. Deputy Supt Upon completion,please resubmit this approved permit for a final approval. STEP 2. ( )Final Approval { )Rejected DATE: Richard A.Missita,Highway Superintendent I{ire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date ��1 /�C3. , 20 Permit No. t7 Application is hereby made to the Building& Codes Office for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perfbrm required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information pP ,�r;F' :a ,F,uelJBurning Appliance.Information (circle appropriate words) Name: �., *ove'��+` ����woad- coal pellet gas Fireplace insert Address: ; 4� �'ca� �.- _5 Tirdplace;,factory-built: wood gas Fireplace, masonry: wood gas' / e {FuMace`: ..�- wood gas oil Phone: 'If'ndti-irtasonary�appl edfide, please provide Owner: Manufacturer Name: Address: Model Number: Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue , the steel size: inches Exact Address: n- of construction or installation Factory-Built Manufacturer name: Model Number: Note: Listed By: Number: Construction IInstallation must con orm to NYS Fire Prevention. &.Building hidicate (circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall I 'Triple wall / Insulated I Direct venting Chimney Liner Dep&zriMM4B"t—Towrx o-r New X"4>.X-1K � t Fire Marshal Code 9 $Collected $Reftatded Received from (refunded to): address: --- A 173'3389 (190) Public Safety A 233 2655 (230)Minor Sales _ White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.) Application for-Perrnfi.- Septic Disposal System Town.of Queensbury 742 Bay-Road Queensbury, MY 12804 (518) 761-8256 1, OWNER INFORMATION: Office Use Location of installation: 411 File Permit No.c9-02 Tax Map No. �8/, Owner's Name: e-'r- Fee Paid ................. ........... ............................... ................... Address: 23- 2. INSTALLER'S NAME IWO r r-1.5 CH sfrud, PHONE NO. f? 6/a 3. RESIDENCE INFORMATION: (circle year of d'welling, 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/bdnn = 1980- 1991 x 130 galfbdim = 1991 -present 3 x, 110 gal/bdrm = Garbage Grinder Installed yes no Spa or Hot Tub Installed yes, no —. RECEIVED NOV 0 3 2005 4. PARCEL INFORMATION: (circle applicable information& indicate measurements) TOWN OF QUEENSBURY Topography Soil Nature Ground Water Bedrock or Impervious � �Q� ater Supply Flat sand= nt what depth at what depth ipal Rolling loam feet -feet =well Steep slope clay if well;.'water supply %slope other from any septic-system depth., absorption is' other Percolation Test: (To be completed by licensed.professional engineer or architect) Rate: 1- 3 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: 1,290 gallon (min. size 1,000 gal.) Tile Field: each trench Ll& ft. Total System Length: Seepage Pit(s): number of size of'each., _ft, by_ft. Size of Stone to be used: # depth or thickness feet Bed System Size: -3 -2- x CP 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 on or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance knowp 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. -eiagnature of responsible person bate Town of Queensbury Sewers and Sewage Disposal Chapter Appendix C ABSORPTION FIELD SEPARATION REQUIREMENTS Xv €OND SrFxric. a f DwB�UnrxN 'R. Appendix C ABSORPTION FIELD SEPARATION REQUIREMENTS PON r } W JVA-, .rfid \YATd*_ ry►t1 aA604� • 't COX � Sty t � ��1�'P'cd3 �pti�CYlRY ' ,�'`�� �V��� / Permit No. �3 Building &Codes Office-Department of Community Development-.Town of Queensbury Fee Paid 742 Bay Road,Queensbury, NY 12B04 Recreation ee Dave Hatln, Director codesfdueensbury net Phone: (618) 761-8256 FAX: (518) 745-4437 Principal Structure Building Permit Application Application & Plans subiect-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 Rf� P, w-pie"-,c"_ Owner: �� ay►- Address; 33 Address: Home Phone; Home Phone; Email Address: u .3 P, tc�_ 0 L a C-o M Email Address: Cell Phone: tit 13 3i01 4LP0 Cell Phone: FAX Phone: _-5t& -79 f, 3f6 FAX Phone: Person responsible for supervision of work with respect to building and codes compliance: Name: �r � ems_ Address; Phonena(ot-`� c� Location of proposed construction: Lot No. Legal Address: -moo (1 Tax Map Number;_ _027�� j I �- — q Subdivision Name: Estimated Cost of Construction; $ 00.0 ©0 0 Proposed construction is for: Residentlah�Use _Commercial Use RECENED Name of Business: NOV 0 3 2005 If proposed construction is an addition, what will use of new addition bed TOWN OF QUEENSBURYBUILDING ANn CO[)E New Addition Alteration Proposed Construction 10 Floor 2nd floor Other Total Proposed structure (Occupancy Type) Sq. Ff" sq,ft. Sq. Ft, Square feet Height Ft. &in, ` Sin ie-Fami4 Dwellin -2 L- Two.Famlly Dwelling. Townhouse Multifamily Dwelling Number of Units: Office Mercantile Manufacturing Other: Attached Garage 1, 2, 3 J Type of Heating System: Electric, Oil,GDWood orced Hot Air, seboard, Other: Is a fireplace and/or woodstove being installed, please refer to a separate application. Yes No 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 Dire- f Building and Codes, an As-Built Survey by a licensed surveyor, drawn to scale, showing actual location all ne c tructi _3l/� n, Date: 11 OS A licant Builde i nature: pN / g The application of dated is hereby approved and permission granted for-the construction, reconstruction or alteration,of a building/and or accessory structure as set forth above. i n Date: r' r~� Authorized Signature: L:\Sue Hemingway\Building,Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04 Queensbury Building & Code Enforcement - Residential Final spection 1 C� Office No.(518)761-8256 Arrive: m/pn a rt: am/pm �. Date Inspection request received: ,3 0 Inspecto 's•Inihals: NAME: rp L� PERMIT#: LOCATION: /L DATE: Zl�o TYPE OF STRUCTURE: ` Comments Yes No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location / r� G Fresh Air Intake G 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%z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/a hour fire door/door closer Duct work Sealed properly Gas Lo s 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/D [Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form—revised—I 00405.doe • h" Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: ( J,00 NAME: �� — J LOCATION: (d [GP�►� ('�Cb PERMIT J--9" [ 3 Final Survey Plot Plan A roved Denied The attached final survey has been received by the / Dept. of Community Development. Upon review the survey has/been: Crai Br wn, Zoning Administrator Notes: L:\.SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc h1 9` 5 v 3.a j f,t I `a k•S t �� h -14 t. NOW OR FORMERLY t. { LANDS OF DONNA E OGDEN & TODD R. ENGWFR LIBER 1318, PAGE 294 t �Y a r rr TAX MAP.• 276.19-1-17 (DEED AT 13181294 = 424,727 OLD IRON S 8176'50" E 424.72' ' •, ° " 4.a K OLD IRONPIPE FOUND PIPE FOUND N ' (SET CAPPED (DEED AT 1376186 = 375'MORE OR LESS) ( CAPPED �c d Y+ sFt IRON ROD) IRON ROD) / r ' STREAM ORIGINATES T ?+ FROM UNDERGROUND y NOW OR FORMERLY ` o Iasi LANDS of LOCH 71ON MAP N.T.S.o o Ph,LIP G. ROBERTSON N WOODED 0 o E D I LIBER 703, PAGE 29 � TA 'MAP. 278.00-2-11 ! O~I H r/SWALL I N / O b b �� x � I ti O X—X STREAM pv UNDERGROUND AT THIS POINT a cn h M GARAGE ai IRON PIPE r vqq ^ FOUND 2 S TOR Y �+ WOOD FRAME A.C. HOUSE UNIT i (71612006) Q co t60.5'i SOD 'o' y 'K 3 \ IN, PlN ELEC. FOUND—a MEIER M 0.7' WEST h OF LINE O O PROPOANE LANDS TO BE CONVEYED TO b TANK LOUIS & MARY RUTA ti TAX MAP: 278.19-1-19 Q CAPPED IRON C1' `*CULVERT 12"MAPLES CASED W ROD FOUND IRON ROD I Q WEZL FOU __ 3.74 AaRESt a BEN `tll�14"MAPLE y NOW OR FORMERLY .� LANDS OF h WOODED 3 PATRICK D. STACAWCH UBER 674, PAGE 699 NOW OR FORMERLY \ TAX MAP: 278,00-2-10 LANDS OF PA(RICK SEEL YE p w w A LIBER 1373, PAGE 139 q o TAX MAP.• 278.19-1-18 2 o 'toy ' R.R. 71E _ STEPS 18.5' boo 1 SZ \ FRAME n HOUSE "2 t_ CASED WELL o > UIL � 3 UTL POLE IRON PIN CAPPED IRON MAPLEPIPLE SET i NM 6�NIT 5 }NM 69, NYT 4 FOUND�, 0 137.69' (DEED AT 13761W = 390'MORE OR LESS) CAPPED IRON u � dtoN PIN 131.55 123.26 0 I `� FOUND N 792�30` W II�� � u N 803225 W Un. POLE N 8135'35" W �u�v�rrr====;__ rII I' To BAY ROAD II MAILBOX OVERHEAD UTILITY WTR£Su �' ° NM 67, NYT 6All _ MOON HILL ROAD ,�%� ,v f 7t7 N.Y.S ROUTE 9 lT� '� u ll —ram CATCH CATCH BASIN BASIN UIL POLE I l T I (-C' NM 6711 ,I NYT 7 NOTES l HEREBY CERTIFY TO fil LDU1S ROTA AND ND MARY ROTA, E � 1) FIELD SURVEY PERFORMED IN MA Y, 2004 MAP REFERRENCES AND DEED REFERENCES CHICAGO TIRE INSURANCE COMPANr, 1) MAP EN777LED: MAP OF A SURVEY OF A PARCEL OF LAND THAT THIS MAP WAS PREPARED FROM AN ACTUAL SURVEY 2)ROAD BOUNDARY OF MOON HILL ROAD IS SHOWN AT PERFORMED ON THE SUBJECT PREMISE AND THAT THE JUL 8 2 25 FEET FROM 7HE CENTERLINE OF THE EXIS77NG TO BE CONVEYED BY ROBERT WALKUP", MADE BY JOHN B. ELSIE M. BOWMAN & CHERYL LYNN MITCHELL VANDUSEN, L.S, DATED AUGUST 9, 1963 AND FILED IN 7HE S17E IMPROVEMENTS WERE LOCATED BY SAID SURVEY ON PAVEMENT AND MAY BE APPROXIMATE: WARREN COUNTY CLERK'S OFFICE ON SEPTEMSER 10, 1963. TO JULY 6, 2006. TOWN C,� 3) THIS MAP WAS PREPARED WITHOUT BENEFIT OF AN JAMES V. & JUDlIH P. RANDO JULY 6, 2006 , / ,...% ��IL 1 3 � IG(B UP-TO-DATE RILE REPORT OR ABSTRACT OF TITLE 2) MAP EN717LED: MAP OF A PROPOSED SUBDIVISION MADE FOR DID. APRIL 1, 2004 DALE DONALD L PlD E AND IS SUBJECT TO ANY FACTS THAT MAY BE REVEALED EUNICE M. ENGWER PREPARED BY VanDUSEN & SIEVES, L.S., RCD. APRIL 2, 2004 N.Y.S. UC. NO. &, BY THESE SAID DOCUMENTS DATED NOVEMBER 26. 1990 AND FILED IN THE WARREN COUNTY LIBER 1376, PAGE 86 4) ONLY COPIES MADE FROM 7HE ORIGINAL OF THIS SURVEY CLERKS OMCE ON MARCH 18, 1991 IN PLAT CAB. A. SLIDE 164. MAP WHICH ARE MARKED WITH AN ORIGINAL OF 7HE JAMES V & JVDITH P. RANDO LAND SURVEYORS SEAL AND BEARING THE SURVEYORS 3) MAP EN777LED: MAP OF A SURVEY OF LANDS OF SURVEY & MAP BY OF LANDS TO BE CONVEYED BY ORIGINAL SIGNATURE IN RED INK, SHALL BE CONSIDERED JAMES V & JUDITH P. RANDO, MADE BY DONALD L. PIDGEON, Jr. TO TO BE VAUD AND TRUE COPIES DATED MAY 13, 2004. PETER R. WEIDMAN & JLL E. WEIDMAN �� SURVEYlNa LLC PIDGEON, Jr. TER R. WEIDMAN & JILL E. WEIDMAN DID. FEBRUARY 11, 2005 DONALD L. r. TO 5)UNAUTHORIZED AL110N OR ADDITION TO A SURVEY RCD. FEBRUARY 23, 2005 LICENSED LAND SURVEYORLOUTS RU TA & MARY RU TA MAP BEARING A CENSED LAND SURVEYORS SEAL lS LICEN LIBER 1432, PAGE 302 * A VIOLATION OF SECnON 7209, SUBDMSION 2, OF TAX MAP REFERENCE , THE NEW YORK STATE EDUC477ON LAW. SEC770N 278.19, BLOCK 1, PARCEL 19 N.Y.S. LICENSE NO. 50372 16 MICHAEL ROAD SI TUA TED IN 303"1Z FORT EDWARD, NY 12828 TOM OF WEENSBURY, WARREN COUNTY, NEW PORK K " (518) 792-4146 SCALE.- 1" = 40' JULY 6, 2006 -=151r7 Septic Inspection Report Office No. (518) 761-8256 Date Ins io equest received: Queensbury Building &Code Enforcement Arrive: am/pl epart: am/pm 742 Bay Rd., Queensbury, NY 12804 Ins o s i als: NAME: (-t) PERMIT NO.: 97`5 LOCATION: I-1 - ' C) INSPECT ON: 7 , 7 & o RECHECK: 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, Absor tion 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 N Partial End Ca Inlet/Outlet Pipes&Baffles _ Y N Location/ Separations � Px-z-w, Foundation to tank ft. Foundation to absorption Separation of Pits ft. Conforms as per PI N Engineer Repo d As-Built V Y_N /7i", /rL/"� '�ly Location of System roperty: Front Rear Left Side Right Side Middle FronA�Mid a Rear System Use tatu Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 RECEIVED JUL 17 ?006 TOWN yr . .. . Ii'URY BUILDING p",, ) CODE t - t IW'JFW (-) / 2— nnoNJ-')A"1 /7106 ' Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm j teart: am/pm Date Inspection request received: Inspec or's-I itials: �J� L NAME: i G�h .c� ,.` PERMIT#: LOCATION: - DATE: TYPE OF STRUCTURE: Comments Y s I No I N/A Building Number/Address visible from road ���� ChimneyHeight/"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/f-lot Water Heater operating / Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Tern 110 Enclosed Stairs Sheetrock Underside minimum%"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 �Ji� ',(,t� �UxG'G l As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if rcAqfred Okay to issue C/C or C/D empor /Permanent] L:\Building&Codes Forms\B oilding& odes\Inspection Forms\Residential Final Inspection Form revised 100405.doc Town of Queensbury Fire Marshal 742 Bay Road Queensbury,.NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Wood Burning Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# _�� Schedule inspection 7 0 M'P Time pm anytime Inspector Name �' y Address ✓Rough In Final' �1 Appliance Manufacturer ��r��` _ N ` 1 y Model V. i-'TG h t ►' -X L� Masonry Chimney Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (a8 sides) Safety Strip Installation (fireplaces only) Firestop(s) vertical Chase `1 Wall Penetration Chimney Clearances to Combustibles Chimney Termination C 3 feet above roof penetration;2 feet above t any combustible construction within 10 feet Combustion Air Hearth Extension Mantel(height above f/p opening) Fireplace.Doors /Screen (required) White—Bmlding Dept. Yeno — mer Pink—Fire Alarshal Queensbury Building & Code Enforcement - Residential Final Inspection Z Office No. (518)761-8256 Arrive:Z. ✓am/(p� /�epart: am/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: LOCATION:, ,, A. ) DATE: TYPE OF STR RE: Comments Yes No N/A Building Number/Address visible from road ,��'�'h tG0✓` Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete n/ Platform at all exterior doors ,-f"v 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 f Safe glazing/Window in stairwells safe glazing ,/lle-;- V 'ICE�,P 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 Fumace/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/3/4 hour fire door/door closer Duct work Sealed pro erl Gas Logs in Sealed or lass tAclosure Final Electrical Final SurveyPlot Pla As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/® [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 Ins on re iv : Z Queensbury Building &Code Enforcement Arrive: apart: m 742 Bay Rd., Queensbury, NY 12804 Inspector's Initia I NAME: e: lr P IT NO.: - � LOCATION: - cxi - PECT ON: -- RECHECK: clay Comments and/or diagram Sail T . Sand / _ Type of Wa er: Municipal e I Wat Waterline separation distan ' ft. PLE-R6 Well separation distance Df7 ft. �y Other wells: �, ft. �' Absorption Field: Total len h ft. Length of each trench ft. Depth of trenches ft. Size of Stone See a Pits. Number Size: x Stone Size: Piping Size -Type Building to tank 14 e; � D Tank to Distribution Box %y > Distribution Box t9.Neld Pit LA '\Opening Sealed: Y 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 Engineer Report and As-Built Y N Location of System on Property: Front ea �SidRight Side Middle Front fiddle Rea System Use Status: Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 Town of Queensbury Fire Marshal 742 Bay Road Queensburyy Y 12804 7614205/'i61-8206 fax 7454437 Factory Built Wood Burning Firei6lace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# '" Schedule inspection Time am pm anytime Inspector Name et dw,4 •k Address�,�'6 L i— Bough In Final Appliance Manufacturer Model Masonry Chimney Factory Built Chimneya�Flue Size Double Wall Triple Wall Insulated Yes No NIA Comments Floor Protection Clearances to Combustibles (all sides) Safety Strip Installation (fireplaces only) Firestop(s) Vertical Chase Wall Penetration Chimney Clearances to Combustibles Chimney Termination 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air Hearth Extension X1 Mantel(height above Vp opening) Fireplace Doors'/ p Screen(required) White—Budding Dept. Yello —Cusinter Pink—Fire Marshal /cg iz- WEbN S bAy G ZI -OC Town of Queensbury Fire Marshal 742 Bay:Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Wood Burning Fireplace/Stove Inspection Report Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# ©s Schedule Inspection �� CMG Time; !`�� p anytime Inspector Name C�7Pi� /'�fC�I�VT_Address 6� f 3 11�� j hough In Final Appliance Manufacturer �` `�/ Model i A -/':a/)i Masonry Chimney Factory Built Chimney Flue Size Double Wall_Triple Wall Insulated_ Yes No N/A Comments FIoor Protection pn%) —� Clearances to Combustibles (all sides) �`� �?`� � afety Strip Installation replaces only) OA- Firestop(s) vertical Chase Wall Penetration Chimney Clearances to Combustibles Chimney Termination 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air Hearth Extension Mantel(height above f/p opening) Fireplace Doors/Screen (required) White—Bmlding Dept. Yen —Custrmer Pink—Bre Marshal Rough Plumbing / Insulation Inspection ep®rt Office No. (518) 761-8256 Date Inspection request received: d� Queensbury Building & Code Enforcement Arrive: ` -'am/pm� art: am/! m 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 1 r� NAME: PERMIT #: LOCATION: L,2 3 PECT 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 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 Insulatio Residential Check / Commercial Check d 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: �LEc�rJ— j�1 C�U UL_ 6S� /�S � � � � �C / � j A) (SS C 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 ecti request received: Queensbury Building& Code Enforcement Arrive: am/prn p rt: am/pm I/V1 742 Bay Road, Queensbury, NY 12804 Inspector's Initials. NAME: i hl PERMIT#: 9 \ "7 LOCATION: INSPECT ON: TYPE OF STRUCT l J Framing Y N N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wail Fire separation 1, 2, 3 hour / Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemingw•ay\Building.Codes.Inspection.FORM S\Fraining Firestopping Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspect' r quest received: Queensbury Building & Code Enforcement Arrive: am/p pepart:. a /pm 742 Bay Road, Queensbury, NY 12804 Inspect 'r's Initials: � ca NAME: �/ , A�V PERMIT #: � c> LOCATION -5 A% INSPECT ON: --I vcf 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 - — - -- -__ 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping � L -Air / Head 50 P.S.I for 15 minutes Insulation / Residential Check / Commercial Check ivi 41 —R712— 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 LO LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Rough Plumbing / Insulation Inspection Deport Office No. (518) 761-8256 Date Inspection r uest received: Queensbury Building& Code Enforcement Arrive: am/p nDepart: ;am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: 0 ri NAME: RA PERMIT #: LOCATION: INSPECT ON: p TYPE OF STRUCTURE: ro _ / a PVC: R-1,R-2,R-3,R4 Drain/Vents Y N N/A 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 Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction o�L Water Supply Piping Cooper Commercial �H'l J2166oper, CPVC,Pex One and Two-Family _ e \ nsulation/Residential Check/ Commercial Check V Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace - T 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 a Office No. (518) 761-8256 Date Inspe io nest received: Queensbury Building&Code Enforcement Arrive: m/pm� //I part: am/pm 742 Bay Road, Queensbury,NY 12804 Inspect is Initials: V6 < NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS ' Fran __ 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 �-9 Fires pin Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side ''/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Town of Queensbury Fire Marshal 742 Bay Road f Queensbury,NY 12804 761 8205/761-8206 fax 7454437 Fa tory Built Gas Fireplace/Stove Infection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructs and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or spec' c�a"bons is allowed(. Permit# CJ — Schedu➢e Inspection? Z f ��I� Time °�/ a pm anytime I:P:Zrial r Name ( I"k Address ��aU i����— i�1'� Rough _ Appliance Manufacturer _ -4- b a-b Model#C \lk— —4 Z__ Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection AA1"I -1- 7— Clearances to Combustibles (alp sides) girestop(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 Vp opening Witness Operation Tank Placement (if LP) White—liullding Dept. 4'ellow Chet er Pink—Dire Marshal Rough Plumbing / Insulation Inspection Report � Office No. (518) 761-8256 Date Inspection r quest received: �- , ��� Queensbury Building& Code Enforcement Arrive:�(� ) am/pm 00//� art: m/pm . 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: y'` NAME: PERMIT #: LOCATION: (o �� INSPECT ON: .2- l a) TYPE OF STRUCTURE: _ 4 Y N N/A PVC: R-1,R-2, R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/ Comm. Plumbing Vent/Vents in Place Plates ✓�/d��Gd�� 1 % inch min. Drain Size Washin Machine Drain 2 inch min. 4 ad r A ply'Pest Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction W%eW Piping ``` -Cooper Co mmo ercraal Coo er, CPVC,Pex One and Two-Family 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.FORM S\Rough Plumbing Insulation Repoit.doc November 17,2003 Rough Plumbing Insulation Inspection R ;ap J 9 / p Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: ._ t�/ M/p D part: ti742 Bay Road, Queensbury, NY 12804 Inspector'sIitials: NAME: 6A I env PERMIT #: LOCATION: KJ-14A>j kA AtN INSPECT ON: �r TYPE OF STRUCTURE: r N N/A Rau� jP'umbi_� / Nail Plates Plumbing Vent / Vents in Place 1 112 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/ change of direction Pres-Prier- t grain /Tent h Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes f -lj-jPressure Lest" —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 cl COMMENTS: LAPam Whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Framing/ Firestopping Inspection Report 4-- 1 . _ --- 0=` Office No. (518) 761-8256 Date InsTtion requeat-received: Queensbury Building&Code Enforcement Arrive` / , -a�in/p epart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspectors Initiais. NAME: J PERMIT#: �- �73 0 0 LOCATION: INSPECT O-M —� TYPE OF STRUCTURE: = Y N N/A COMMENTS L ck<' Attic Access 22"x 30"minimum J� 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 Anch Bolts 6 ft. or less on center ire and water shi • 24 ches 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 518 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 � I Framing / Firestopping Inspection Report - -� Office No. (518) 761-8256 Date sctio P� receivs Queensbury Building&Code Enforcement Arrive: i in/ art: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's I itials: NAME: ) PERMIT#: LOCATION: INSPECT ON: - I YPE OF STR TURE: Y N /A COMMENTS Fr " ' Aftic Access 22"x 30"minimum Jack Studs/Headers Bracing/Bridging L Joist hangers lAf- A7 bl (�d fijA'i-- S 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 I '/z(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolt:46tt.or less on center Ic a+i�{.water shield 24 inches o wa I ��4 i� Tire 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. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pIn Depart: '� ) a pm 742 Bay Rd., Queensbury,NY 12804 ` Inspector's Initials r ', NAME: PERMIT#: D 7-3 LOCATION: _ _ INSPECT ON: TYPE OF STRUCTU : CommentsV _ Y N N/A Footings 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 pu_pr ose on site. _ Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12inch width 6 inches above footing 6 mil poly for wet areas under slab ackfill 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.FORMSU-oundadon Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-82.56 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: an Depart: a pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: _ PERMIT#: 05 LOCATION: I1�TSPECT ON: TYPE OF STRUCTURE: Comments _-- _ -- __ Y N N/A / otings Piers Monolithic Slab ^ Reinforcement in Place �..�j The contractor is responsible*br 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/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 lnsulaiion Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASucAemingway\Buil ding.Codes.Inspecti on.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection equest r ceiv d: , Queensbury Building cYc Code Enforcement Arrive: m/pm Aepart: anv' 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial NAME: PEfRMIT#: n =8 7 LOCATION: _ �--INSPECT ON: TYPE OF STRUCTURE: ��Cr 5 ^� Comments �^ Y N N/A noting A Piers - ay i'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. 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:1SueHemingwaylBuilding.Codes.Inspec tionTORNISToundation Inspection Report.doc January 28,2003 i I ' ..Lea`J-;L4?rY�hF.i. i£Yr'3� �W� "A'i•.�K+.F4,h '. ' REQUEST FOR PROPERTY AOORESS f. Town of Queensbury, Warren County, NY . " Department of Community .Development Building & Co'de Enforcement Date of R uest: � Name: N (Property Owner, Tenant) circle one ' Telephone Number: (518.) - (on property where request for address is made) Tax Map Number.a � —�- section block lot 4. New Address,. GV 193 l strcet zip code • Old-Address (if known): I street LE zip code Street Range - i! Comments: — I ' -- r. Date notified of new address: By telephone In person i �r White/Bldg &Codes Yellow/Assessor Pink/Sheriff I ..._:,: l V4.y or believe ; savY evidence of, i S (l uR: J, vJukfs,Ei S, ?c.�,�•'^.t.�4 S, vEc.,th 3 r, 'Ns documen'. 1 also represent that I have t. � a c9 iar d e is, rives set or, t� the r4 U �a .rr tue�4 O /oo+ F-fi ° -I N91?2st�'`�` 00 L r Eck Nov 0 3 2005 $VV LD OF QUEEPVSgU�Y AlVp p�pE . AM t R,0 t i CQ - Pemiit Number RFScheck Compliance Certificate Checked By/Date 2000 IWC REScheck Software Version 3.6 Release 2 Data filename: C:\Program Files\Check\REScheck\MoonHill.rck PROJECT TITLE: moonhill ®� CITY: Glens Falls RECEI " E® STATE:New York HDD: 7635 NOV 2005 CONSTRUCTION TYPE: Single Family WINDOW/WALL RATIO: 0.06 TOWN OF QUEENSBURY BUILDING AND CODE DATE: 10/14/05 DATE OF PLANS: 10-14-05 PROJECT DESCRIPTION: MoonHill Qumnsbury,NY 12804 DESIGNER/CONTRACTOR: William Herlihy/Weidman COMPLIANCE: Passes Maximum UA=473 Your Home UA=335 29.2%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R Val= U Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 2126 38.0 0.0 64 Wall 1: Wood Frame, 16"o.c. 2007 19.0 0.0 110 Window 1: Vinyl Frame:Double Pane with Low-E 114 0.320 36 Door 1: Solid 60 0.070 4 Basement Wall 1: Solid Concrete or Masonry 1784 0.0 10.0 121 Wall height: 8.0' Depth below grade: 7.0' Insulation depth: 6.0' -- Furnace 1:Forced Hot Air, 92 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC requirements in REScheck Version 3.6 Release 2(lbrmerly MECcheck) and to comply with the mandatory requirements listed in the RESchecl:Inspection Checklist. Builder/Designer /, Date 1 RFScheck Inspection Checklist 2000 IECC RES check Software Version 3.6 Release 2 DATE: 10/14/05 PROJECT TITLE: moonhill Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-38.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry, 8.0'ht/7.0'bg/6.0'insul, R-10.0 continuous insulation Comments: Exterior insulation must have a rigid, opaque,weather-resistant protective covering that covers the exposed(above-grade)insulation and extends at least 6 in. below grade. Windows: [ ] 1. 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: Doors: [ ] 1 1. Door 1: Solid, U-factor: 0.070 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 ofair 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-fictors, and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. 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 181 A or UL 181 B. 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: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut oifthe heating and/or cooling input to each zone or floor shall be provided. 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 circulating system. [ ] Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] Al I heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105 T or chilled fluids below 55 T must be insulated to the levels in Table 2. v Table]: Minimum Insulation Thickness for Circulating Hot Rater Pipes. Insulation Thickness in Inches by Pie Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F1 -UD 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 Pipe Fluid Temp. Insulation Thickness in Inches by Pi en Sizes Piping System Types Rane_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(1Dr 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)