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2004-058 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20040058 Date Issued: Wednesday, July 21, 2004 This is to-certify that work requested to be done as shown by Permit Number P20040058 has been completed. Tax Map Number: 523400-315-010-0001-013-000-0000 Location: _ 20 QUINCY Ln Owner: MICHAELS GROUP LLC THE Applicant: MICHAELS GROUP This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 3 Cars Attached Single Family Dwelling t W Director of Building&Co&Enfo ment �' TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040058 Application Number: A20040058 Tax Map No: 523400-315-010-0001-013-000-0000 Permission is hereby granted to: MTCHAF,T,S CTROT TP For property located at: 20 QUINCY Ln in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Tyne of Construction Value Owner Address: MICHAELS GROUP LLC THE 10 BLACKSMITH Dr Fireplace MALTA, NY 12020-0000 Garage-3 Cars Attached Single Family Dwelling $252,900.00 Total Value $252,900.00 Contractor or Builder's Name /Address Electrical Inspection Agency MICHAELS GROUP SUITE 1 10 BLACKSMITH Dr MALTA_ NY 12020 Plans&Specifications 2004-058 LOT 13 HSE#20 QUINCY LANE 2989 SQ FT SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE $431.28 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, February 27, 2005 (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 Tof Queens - ; ' id y, February 27, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code nforcement Check Residential Plan Review: .One&Two Family Dwellings Y/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: Window Schedule With Glass Size :f Door Schedule/Main Entrance 36"Door mergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. Grade,5.0 sq.ft. 24"(h)x 20"(w)min. "Max.Height above floor esidential Check Paperwork Compliance and Inspectors Checklist: OK ampproofing/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 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 2n Story Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance Hall Width,36"min. Handrails More Than One Riser On Open Sides Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas Garage Fire Separation Garage Floor Sloped Attic Access Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access Carbon Monoxide Detector Lowest Sleeping Level Soil Test Results,if required Septic To Well Or Water Line Separation All Paperwork Signed Town of QueensburypLl_aS Department of Wastewater 823 CORINTH ROAD, QUEENSBURY, NEW YORK 12804 Phone:(518) 745-5589 Fax: (518) 798-3320 Date 2 Z 3 I o 4 l . v o k S Cogp Hereby applies for a sanitary.sewer connection at 2-0 Q-',►N U e ,Laury e=- l 3 in the Sanitary Sewer Di rict for the property owned by 1 C�n� �. Accompanying this,application is the fee of $ for the sanitary sewer connection. ***ALL SANITARY SEWER LINES FROM SEWER MAIN TO FOUNDATION WALL MUST BE INSPECTED BEFORE BACKFILLING*** NEW CONSTRUCTION; BUILDING & CODES WILL NOT ISSUE A CERTIFICATE OF OCCUPANCY UNLESS LATERAL HAS BEEN INSPECTED AND APPROVED BY SANITARY SEWER INSPECTOR. Trench and inside inspections must be scheduled by calling 745-5589 Monday— Friday, 7:30am — 2:15pm. Highway Permit No.: Payment: Cash: Check No.: Receipt No.: Applicant: ThL M►G s Cry Phone No.: 8c69 Contractor: Phone No.: Fire Marshal's Office Town of Queensbw•y,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas .appliances Date 20 Peiniit No. i 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 Cod(--. 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 per form required inspections. NOTE to applicant: Rough-in.and Final'Inspections*`ar equired. Applicant Information Fuel B Tft'ingAppliance Information 1, (circle appropriate words) Name: { 1 t.l tt-`:� �ilz, '; _ Stove: wood coal pellet gas Fireplace insert Address: gt:'. (=t. tr ,t t't i t tit : Fireplace, factory-built: wood djas) .y 11,A— i; Nt >'' i i 0 7 Q Fireplace, masonry: wood' gas Furnace: wood gas oil Phone: 5:Y" 9- dC`- 41 If non-masonary applicance,please provide Owner: ; 't Manufacturer Name: Address: Model Number: Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue the 66tt size: inches Exact Address: of construction or installation Factory-Built Manufacturer name: Model Number: Note: Listed By: Number: Construction/Installation must cots orrn to NYS Fire Prevention cg Building Indicate(circle) chimney material: Code. Consult available Town of Queensbur y Handouts regarding required inspections. Double wall / Triple wall Insulated / Direct veenthik Chimney Liner � C'��crli..iter'�r Department—TQtrsrxz;vf Qu�en�srbur�-, 3V"e��'or.A: Fire Marshal Cod # l��(d'" � $Collected SS Refunded Recen ecl fi onr (refunded to � a f:f� tts,f��c � J k� ��.'; r° +� rti t $j0 address: A 173 3389 (190)".Public Safety J J. i -~-- A 233 2655 (230)Nhizorr Sales DATE: t 7 - 4 -L_— . �wa�wLi_ /pwn. �i[r too 02 rV"ryw��, White(Applicant) / Green(Hre Marshal) - / Yellow(Bldg. Dept.) ! Pink R Goldenrod(Cashier's Dept.) Porch, Deck, Dock, or Boathouse Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 h A permit must be obtained before beginning construction. No Permit File No. inspection will be made until applicant has received a valid Fee Paid $ building permit. All applicants'spaces on this application must be Reviewed By: completed and must appear on the application form. Applicant: �� °� Owner: l ;W Ave�� Address: 30 - Address: 20. �� G.r• Phone#(,17,9 ) 7W - t'lG? Phone#(_) - Email Address: Email Address:. . Person Responsible for Supervision of Work as Regards to Building Codes: - eel/- Name �< �5 �-sue-` Address: Phone '�l 7 " Property Location: Lot Number: Flo` / House Number Subdivision Name: Tax Map Number: Estimated Market Value of Construction: $ 3600 ❑ Porch ' Deck ❑ Dock ❑ Boathouse ❑ Other work(describe _ ' Li Size of structure to be built square feet wiH 2 5 2004 Submit alonkivitli this application: TOWN OF-OUFDlS8URY BUILJI lr;,qPQ CODC 1. Two plot plans drawn to scale,preferably using a survey map. Indicate proposed structure showing setback dimensions from all property lines. Show location of water supply and-location and configuration of septic disposal area. 2. Two sets-of-stractural-drawings. Indicate size of posts or-studs floor joists; -.-- - decking or flooring material to be used. Show how the porch or deck will be fastened to the building. If a roof will be constructed,indicate the size of posts or Adds,roof rafter spacing and span. Indicate type of roof: sloped,flat, shed,or other. Indicate the type of material being used for the roof. Declaration: please sign below after you have carefully read the statement: To the best of my lmowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described Premises than-0 provisions of the Building Code;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. e t\y% ��r� Applicants signatur Date: . L:\SueHemingway\Building.Permit.FORMS\Porch.Porch.PermiGdoc 8113/02 revised per DH Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,IVY 12804 (518) 761-8256 1. OWNER INFORMATION: ..................................................................................................................................... Office Use Location of installation: File Permit No. Tax Map No. Fee Paid. Owner's Name: ..................I........................................................ ........... ................. Address: 4-0- 2. INSTALLER'S NAME 17/C-4 V9a 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 Flo 1980 or older x 150 gal/bdrm = 1980- 1991 x 130 gal/bdrm = 1991-present x 110 gal/bdrm = Garbage Grinder Installed yes no Spa or Hot Tub Installed yes no 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) Topoagphy So' ature Ground Water Bedrock or ILnRervious Material Water So ply CFIgf,*-� an at wh9t depth at what depth municipal ' Rolling loam feet we7T� — 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: IZ5-&, gallon (min. size 1,000 gal) Tile Field: each trench _5-0 ft. Total System Length: 2 6 0 Seepage Pit(s): number of 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 Town of Queensbury Sanitary Sewage Disposal Ordinance. 2 Z!! o 2! —Si6n:t6 of responsible person / Nate/ '1'Otv11 Of <Zut;c�n;4ln,ry Stavt:�:�c and SewAge I)bg)osa.l t:Irstplel• AI p-mulix C, • /1'��,�';UItI'''1'1(I� I+'I F�I�I.> , SI;,'PARNI'I0 N RMIQU iHIPINI it's NTS 17NT F'QNr rMML oe 1 f • I 1bua� Ci hEt>�" i i�:>u�st; G 1. •� � ' SC f't�G �;A rarer g . t�,�at►tw�t F`1 R1••4 ► ROM) 7. SIGNATURE &TNFORIvS&TION FO.L I r YVP(►9�fisL >r1h.�vt� �„oq..,......:; w + • r • Building Permit Application "Town of Queensbury—Dept of Community Development, 742 I3ay Road, Queensbury, NY (518)761.-8256 A permit must be obtained before beginning construction. Permit Tile No. �� No inspection will be made until applicant has received a ice Paid $C ,a valid building permil. All applicants' spaces on this Rec. Fee Paid „?p_ application must be completed and must appear on file Reviewed By: application form. Applicant:TE _�Ai�Re Owner: Address: Address: Phone# Phone# Property Location: Lot Number: 13 / House Number zo /_QQ» U-e L0Ne Subdivision Nanlc: Tax Map Number: `'� c:;, /0 — /3 New Building: residence commercial Estimated Market Value of Construction: $ Z 5Z t 9 DO ❑ Addition: residence/ commercial If an Addition, what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence/com'l ❑ Other work(describe ) Check Oceupaneylniorntation 1" Floor 2"` Floor Other floor Total Below sq. ft. sq. fL sq. fl, Square Feet ❑ _Single family dwelling 138'3 l l00 to 2.121Z9 ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #Ol units r ❑ Office ❑ Mercantile luN O Q ❑ Manufacturing ❑ 1 car detached garage �® ❑ 2 car detached garage ❑ 3 car detached garage ❑ I car attached garage ❑ 2 car,attached garage ❑ 3 dar attached garage ❑ Storage building — — commercial _ ❑ Storage building- residential ❑ Other Will any second-hand or ungraded lumber be used? If so, for what? �, Type of Heating System: electric/ oil / gas wood /forced hot air/ baseboard/other: Number of Fireplaces to be installed Numbcr of Woo(lsioves to be installed = List below the person(s) responsible for supervision of work as regards to building codes: 7r�Name1- c }� Address Phone Number 1 -PA Plumber t ��l,mb��c _I . � "2`� Mason 'S masCmr'-A _?4� c �c �_ �1 r� �-21— '59�� Elcetrlciall '� > �L _ Bl I-C)g2Z Declaration: please sign below aflcr you have carefully read the slalenlcnL• To(lie best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether Specified or Noted,and that such work is authoriZ,cd by the owner. Further, it is understood that i/wc shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested by the Zoning Adminislralor or Director of Building and Codes,an As Built Surveil by a licensed surveyor;drawn to scale,showing actual location of all new construction. Signature:_ -- owner,owner's agent,architect,contractor Queensbury Building & Code Enforcement Residential Final Inspection Office No. (518)761-8256 Arrive: am/p D part: Z• — ' am/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: ' ' LOCATION: _:. �,v._ DATE: TYPE OF STRUCTURE: �5 _ Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in.or more @ stairs, decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum '/" Gypsum Grade away from foundation 6 in. with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s) installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window _ Plumbing fixtures Foundation insulation Floor truss, draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/'/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft. vents Building No./Addr s v sib fro road Final Electrical d1 ki Site Plan /VarianSk re uir d Final SurveyPlot Plan C� As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/® Temporary/Permanent J L:\PamW\Building&Codes\Insuection Forms\Res.Final Insp. form 2.docLast printed 2/12/04 TOWN OF QUEENSBURY BUILDING 6 CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (518)745-4447 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT COMMERCIAL ------ MULTIPLE DWELLING (hotel, motel, apt. complex) DATE INSPECTION RMi�eEQUEST RECEI ED: NAME LOCATION /�•�� DATE -� V t PERMIT A O TYPE OF STRUCTURE FOOTINGS _BACKFILL_ FRAMING_ PLUMBING_ INSULATION N/A YES NO CHIMNEY "B" VENT HEIGHT PLUMBING VENT FIXTURES ROOFING EXTERIOR FINISH HEATING HOT WATER RELIEF VALVES FLOORS FOUNDATION INSULATION INTERIOR STAIRS RAILINGS STOCKROOM ENCLOSURE FIRE DEMISE WALLS PENETRATION FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS PLATFORM ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELE ICAL SITE AN VARIANCE RE . NAL SURVEY PLOT PLAN IF RE V OK TO ISSUE C/O OR C C 0 MAP REFERENCE: QUINGY LANE 5UBDIV15ION THE MIGHALE5 GROUP BY, VAN DU5EN + 5TEVE5 ENCE DATED,LAST REISED RI O JUNE O 003 ER M� REFER �pGNETIC AS P LOT 12 o �IILI,If_s o S16 26 30"W 257.62' W A5PHALT DRIVE LU o - }00 o LOT 13 o M IN � 0 1.04 acres C,t -'r 45,094 sq.ft. `^° M a Z �oc jj CV) � Q OIL o C 3 v m v 254.81 ' N16026'30°E Qu ��Gy Cr LOT 14 Date; JULY 9, 2004 S "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY �` Map of a Survey made for Scale 1 =30 MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATON OF SECTION 7209,SUB-DIVISION 2,OF THE NEW YORK STATE EDUCATION LAW." AW�E(i WITH FROMTAL OP.I TOL OT IY?TS EIOPY V MAkRCI ALL BE DONSID T VEND AKD TRUE �- SEAL SHALL BE CONSIDERED TO BE VALID CE COPIES.- "CERTIFICATIONS THE MICHAELS GROUP INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE N17H THE L O BY TING CODE OF PRACTICE FOR UND SURVEYORS ADOPTED BY THE NEW YORK STATE ASSOCIA710N OF PROFESSIONAL LAND SURVEYORS.SAID CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND /�� ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL SHEET 1 OF 1 169 Haviland Road Queensbury, New York 12804 AGENCY AND LENDING INSTITUTION US ED HEREON.AND Town of Queensbury, Warren County, New York > >o ule Asswllees oT rl7e�o-;r,INs ms�Tu+:oN. MICHAELS GROUP CQUINGY LANE) (518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 02333-13 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm L Depart: /j m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: 0q�- 0S 7 PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N/A tings Piers. Mo lithic 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 Danipproofing/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. LASueHemingway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003 Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ e art. am/pm %ueensbuiy,NY itial742BayRd., 12804 Inspector's Ins: NAME: � — � PERMIT NO.: I LOCATION: } INSPECT ON: —� RECHECK: Comments and/or diagram Soil Type: an o lay Type of Wai-eq Municip /Well Water Waterline separa ' istance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trencbps, ft. Size of Ston Seepage Pits: Number Size: x Stone Size: Piping SiKq Type Building to tank Tank to Distributio Box ► Distribution Box Id/Pit Opening Seal : Y A/ /Partial Location/Separations Foundation to tank / ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Location of SyPen Property: FrontLeft Side Right Side Middle dle Rear SstemUseSt Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved LASueHemingwaylBuilding.Codes.Inspection.FORMS\Septic Inspection Report.doc Januaiy 28,2003 6 IL ,50 �-)n1 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ m Depart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials. 1 NAME: PERMIT #: �� — LOCATION: 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. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min. Drain Size Washing Machine Drain 2 inch min. q ,Q Head or Air Supply Test Drain and Vents Q 5 PSI or 10 feet above highest --I( IAJ& connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial Cooper, 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 Rroperl /No duct tape COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Repoit.doc November 17,2003 Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 7E1-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE i Received _ Permit# '"l INSPECTION ON: hh Name: a �t�CJ AM PM ANYTIME Locations _ r � P6- APPROVED _ --�-�---+--��_EXITS N AYES NO COMMENTS AISLE WIDTHS EXIT SIGNS-_NORMAL - BATTERY --- EMERGENCY LIGHTING _ FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM___ HOOD INSTALLATION INTERIOR FINISHES STORAGE _ ---_- - COMPRESSED GAS _ CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE - EMERGENCY PLAN____- MAXIMUM OCCUPANCY SIGN CHIMNEY MA ONRY ROUGE IN __ FINAL __ CHIMNEY - rAA I -SJ ��36d 1=/j FACTORY BUILT _�,C�EJC3H iN U"`AA %l � R&C- c- NAL _ � �/� z 7 WOOD STOVE ROUGHiN FINAL_ VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE ---y� -- M SONRY ROUGH IN -- — - OK THIS DATE ®K FOR CO NOT OK _ FINAL FIREPLACE FACTORY BUILT ROUGH IN - INSPECTED BY FINAL COMIAEU/CHRISJMVORD/LETTERS2001/FIREMARSH ALINS PECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Framing /Firestopping Inspection Report Office No. 518 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ Vpepart: c am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: v NAME: - (Jv PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS arcing 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 wall Fire separation 1, 2, 3 hour Fire all 2, 3,4 hour restopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 1/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Rou h Plumbing / Insulation Inspection Report / P � � p p Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/p rt: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT #: 0q-2 0- IS E LOCATION: INSPECT ON: - TYPE OF STRU URE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iro , Copper Drain/Vent/Comm. Plu m Vent/Vents in Place 84figh Plumbing/Nail Plates 1 %Z 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 Cooper,CPVC,Pex One and Two-Family Insulation/Residential Check/Commercial Check Pro er Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Rough Plumbing /. Insulation Inspection Report i Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: epart am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT #: O`T— LOCATION: INSPECT ON: — —� TYPE OF STRUCTURE: SF-� Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents st Iro ou nn l , Copper Drain/Vent/Comm. Vent/Vents in Place ou Plumbing/Nail Plates 1 'z inch min.Drain Size ashin Machine Drain 2 inch min. �Iead 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 Cooper, 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: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Framing /Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection reque t received: ) /All Queensbury Building&Code Enforcement Arrive: am/pn art: i am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: �Ap� NAME: 1 L' -,Cl L vS PERMIT#: LOCATION: INSPECT TYPE OF STRUCTURE: Y N 'N/A COMMENTS Framing 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 e and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 11/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\,SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection re u re ed: Queensbury Building&Code Enforcement Arrive: a epart: () pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: y IT#: U LOCATION: T;JNSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofin 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\I3uilding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request eceived: ��` 7 Queensbury Building&Code Enforcement Arrive: am/pm „ / Depart: am/pm 742 Bay Rd.,Queensbuiy,NY 12804 Inspector's Initials: NAME: /�-'dlG�� St PERMIT#: UG CCU J d LOCATION: INSPECT ON: U TYPE OF STRUCTURE: Comments Y N/A Footings.> Piers Monolithic Slab Reinforcement in PlaceZ-- The contractor is responsible or providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report doc January 28,2003 Town of Queensbury Fire Marsha 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Mspection 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#. .. 6q- V 1a� Schedule Inspection Time am pm anytime Inspectoij/ c-, Name�lCi�,�4IM ��(��p. Address_-� U(f�• C ' Rough Yn�Final Appliance Manufacturer. Model#E Direct dent Factory Built Chimney flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection. Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Dearth Extension if any) Mantel ]Height above f/p opening Witness Operation Tank Placement(if LP) White—BuililMgDept. — —_ Yal.#Cust er link—Fire Marshal e Oq -0S o Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release lc Data filename:F:\SHARE\Design\Energy Calc\Quincy Lane\20 Quincy.rck TITLE: QL544Jefferson RECEIVE® COUNTY:Warren FEa 2:4 2004 STATE:New York TOWN OF QUEENSBURY HDD:7635 BUILDING AND�OpE CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE: Non-Electric DATE:02/20/04 DATE OF PLANS:February 20,2004 PROJECT INFORMATION: 20 Quincy Lane 15 Queensbury,NY 12804 COMPANY INFORMATION: of Eli, y The Michaels Group 10 Blacksmith Drive Malta,NY 12020 ., �Y l NOTES: Custom Jefferson s <.y ry Pella Proline Windows F`� fl COMPLIANCE:Passes Maximum UA=511 Your Home UA=469 8.2%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling:Raised or Energy Truss 1816 0.0 30.0 56 1st Floor Walls:Wood Frame, 16" o.c. 1404 19.0 0.0 69 Ix Mud(BC): Wood Frame:Double Pane with Low-E 31 0.340 11 Ix Office(BC):Wood Frame:Double Pane with Low-E 31 0.340 11 Ix Powder(N):Wood Frame:Double Pane with Low-E 7 - 0.340 2 2x Family (BB): Wood Frame:Double Pane with Low-E 31 0.340 11 Ix Family (AV): Wood Frame:Double Pane with Low-E 22 0.340 7 2x Dining(AR):Wood Frame:Double Pane with Low-E 20 0.340 7 Ix Dining(BC): Wood Frame:Double Pane with Low-E 31 0.340 11 #20 Mud: Solid 19 0.240 5 #lb Entry: Glass 37 0.350 13 #19 Dining: Glass 19 0.350 7 2nd Floor Walls:Wood Frame, 16" o.c. 1652 19.0 0.0 88 3x Bonus (Z):Wood Frame:Double Pane with Low-E 14 0.340 5 lx Bonus(BC):Wood Frame:Double Pane with Low-E 31 0.340 11 Ix Bed#2(BC):Wood Frame:Double Pane with Low-E 31 0.340 11 Ix Bed#3 (BC):Wood Frame:Double Pane with Low-E 31 0.340 11 Ix Master Bath(N):Wood Frame:Double Pane with Low-E 7 0.340 2 lx Master Bath(AT):Wood Frame:Double Pane with Low-E 14 0.340 5 Ix Master Bed(AP):Wood Frame:Double Pane with Low-E 14 0.340 5 2x Master Bed(BB):Wood Frame:Double Pane with Low-E 32 0.340 11 Ix Foyer(AE):Wood Frame:Double Pane with Low-E 14 0.340 5 Basement Wall 1:Solid Concrete or Masonry 1186 0.0 11.0 84 Wall height:7.6' Depth below grade: 6.0' Insulation depth:5.6' 3x Bsmt Windows:Wood Frame:Double Pane with Low-E 4 0.560 2 2868 Door @ Bsmt Stair:Solid 19 0.240 5 Floor above Garage: All-Wood Joist/Truss:Over Unconditioned Space 387 30.0 0.0 13 Floor @ Cantilever:All-Wood Joist/Truss:Over Outside Air 42 30.0 0.0 1 Furnace 1:Forced Hot Air,80 AFUE COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page,they are at sting that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in comp ian e with Builder/Designer Date "1 REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release lc DATE: 02/20/04 TITLE: QL544 Jefferson Bldg. Dept. Use Ceilings: [ ] 1. Ceiling:Raised or Energy Truss,R-30.0 continuous insulation Comments: Insulation must achieve full height over the plate lines of exterior walls. Above-Grade Walls: [ ] 1. 1st Floor Walls:Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: [ ] 2. 2nd Floor Walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry,7.6' ht/6.0' bg/5.6' insul, R-11.0 continuous insulation Comments: Exterior insulation must have a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade)insulation and extends at least 6 in.below grade. Windows: [ ] 1. Ix Mud(BC):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: [ ] 2. Ix Office(BC):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 3. Ix Powder(N):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 4. 2x Family(BB):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 5. lx Family(AV):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes . Frame Type Thermal Break? [ ]Yes [ ] No Comments: [ ] 6. 2x Dining(AR):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: [ ] 7. 1x Dining(BC): Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ] No 3 Comments: [ ] 8. 3x Bonus (Z):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: [ ] 9. Ix Bonus(BC):Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ J No Comments: [ ] 10. Ix Bed#2(BC):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: [ ] 11. Ix Bed#3 (BC):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 12. Ix Master Bath(N):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ J No Comments: [ ] 13. Ix Master Bath(AT):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 14. Ix Master Bed(AP):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: [ ] 15. 2x Master Bed(BB):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: [ ] 16. 1x Foyer(AE):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: [ ] 17. 3x Bsmt Windows:Wood Frame:Double Pane with Low-E,U-factor: 0.560 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: Doors: [ ] 1. #20 Mud:Solid,U-factor:0.240 Comments: [ ] 2. #lb Entry: Glass,U-factor: 0.350 Comments: [ ] 3. #19 Dining: Glass,U-factor: 0.350 Comments: [ ] 4. 2868 Door @ Bsmt Stair: Solid,U-factor: 0.240 Comments: Floors: [ ] 1. Floor above Garage: All-Wood Joist/Truss:Over Unconditioned Space, R-30.0 cavity insulation Comments: [ ] 2. Floor @ Cantilever:Ali-Wood Joist/Truss:Over Outside Air,R-30.0 cavity insulation Comments: Heating and Coo ling Equipment: [ ] 1. Furnace 1:Forced Hot Air,80 AFUE or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] Supply ducts in unconditioned spaces must be insulated to R-11. [ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. Duct Construction: [ ] All joints,seams,and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). [ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] Air filters are required in the return air system. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: [ ] Separate electric meters are required for each dwelling unit. Fireplaces: [ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction provisions of the Building Code of New York State ,the Residential Code of New York State or the New York City Building Code.,as applicable. Service Water Heating: ' [ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part'of a circulating system. [ ] Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. r '1 Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. 1 1 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(F) 2"Runouts 1" and Less 1.25"to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, '40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) d g ECEIVED gypl��'OWNnoyF C�t,`=,�'.'�i�SSUIRY 1 { . V. � d ew �at. aax, rY - IlA"U V r u y1t�n0a Sasg e-91PAI�� e, oil o U05 Ito r° xz 1 �%2 0 '� - s