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2004-109
TOWN OF QUEENSBUIRY 742 Bay Road,Queensbury,NY 12804-5902 (518)761=8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20040109 Date Issued: Mondiy,,June 06, -2005 This is to certify that work requested to be done as shown by Permit Number P20040 .09 has been completed. Tax Map Number: 523400-301-007-0002-003-002-0000 Location: 1 FOX FARM Rd Owner: NANCY RIVETT Applicant: RIVETT,NANCY This structure may be occupied as a: Garage - 2 Cars Attached By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY 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 Enforcement Planning Board or Zoning Board of Appeals. TOWN OF -QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040109 Application Number: A20040109 Tax Map No: 523400-301-007-0002-003-001-0000 Permission is hereby granted to: RTVF.TT. NANC;Y For property located at: 1 FOX FARM 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. Tie of Construction Value Owner Address: FLOYD SMITH LE G HILL& V RIVETT Garage-2 Cars Attached 1 FOX FARM IV Single Family Dwelling $160,000.00 Total Value $160,000.00 QUEENSBURY,NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-109 1707 SQ FT SINGLE FAMILY DWELLILNG Recreation fee paid, Victoria Rivett Subdivision No. 18-2003 $262.44 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,April 01, 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 Towr of Qu sb T y,April 01, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code En orcement Project Name: {�1��-'�- - ��C-'1t�C-n- BP# RECEIVED Address: MAR 2`2 2004 TOWN OF QUEEt�SBURY Building Permit Submission SFD BUILDING AND CODE Checklist 2-Family All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of QueensburyBuilding Department. If any of the below items are lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed ............... ...................... Mrs ❑no ❑n/a . 2. EnergyForm or CheckMate Energy Code Compliance Form Complete.. 9 yes []no ❑n/a (2 copies) 3. Energy Code Inspector's Report from C heckbdate Program..... ......... .. N'yes ❑no ❑n/a (2 copies) 4. Septic application completely filled out(if applicable)............ ...... ... ... Kyes ❑no ❑n/a 5. Solid Fuel Bumin or Gas fiance Form..., c� vi' �. . g �P yes Elfto Qn/a 6. Electrical Inspection Form...CO ...... ... ... s Qno Qn/a 7. Two(2)complete sets of structural drawings... . yes Elno nn/a a)floor plan;b)foundation plan•,c)cross sections:d)elevations; e)window and door schedule 8. Two(2)site plans showing location of the structure to be built,...... ... ... Wyes Ono ❑n/a location of well or water lines,location of septic system or sewer line. . ,McaalAe c��iies 9. Setbacks from proplines one, ru Dyes Ono Qn/a 10. Setbacks to neighboring wells and septic systems,including onsite well.. . Qyes Qno Qn/a and septic systems (if applicable) 11. DrivewayPemut... ... ���!'Q . ... .�� ..-........ ......... ... ... Dyes ❑no []n/a Date: i Staff Initial: L.\SueHexdwgwa};�Bading.PernutFORMS\Generic Checklist.doc Janwq 28,2003 r . VPA 1) f_=� q Check Residential Plan Review: One &Two Family Dwellings YIN/ /A (2)Full sets of plans Over 1,500 sq.ft.—Stamped Design Loads On Plans:90 Wind Floor Loads 40 psf / 70 Ground Snow Load Sleeping Areas and Attics 30 psf �/ Calculations: Window Schedule With Glass Size _ �� ALi v�— Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. Grade5 0 ,q t 24" x 20"(w)mm. "Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK 7t�4 Dampproofing/Waterproofing Materials On Plans Foundation Drainage On Plans,if required 6"Drop in 10'Exterior Grade lA O p � o Framing Cross Section For Each Roof Line,Vertical Fire Stoppin Every 10'Where Required �Dc�; Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls 11301— � O ktv;�' Platforms At Exterior Doors Stairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise Winder Run and Rise r 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. t\3 6v t'o ��Aq Safety Glazing Notes For Required Areas Garage Fire Separation Garage Floor Sloped \Al_- Attic Access , , +C rC Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access Carbon Monoxide Detector Lowest Sleeping Level Soil Test Results,if required Y Septic To Well Or Water Line Separation 17. 11 Paperwork Signed R—A BLDG. PERMIT NO. 2004-109 APPLICATION FOR. A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property. . located at; 1, Fox FwLm Road for the following uses: Singke F.antiiy 'Duren.&ng Ap,c,t.C. 8, 2005 DATE SIGNATURE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY , The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby .(y),:kPPROVED ( )DISAPPROVED with the following conditions: Cut-ti4cate o% ticcuppncy to be -Lszued upon comptetion o6. 1) Submit 6 na,C? Swtvey 2) Comp& e Basement"f kzaation, 3) I n6t Ra(t 6 Doo1L @ 13i1'.:ao. . 60 Day Tempo.nany C/13 40 ALL :RA VA-►2tS AT" PO'41N 7rA- I TEMPORARY CERTIFICATE OF OCCUPANCY • (V 10 0 REPO T: $160.00 received on Apt 8, '2005 Date of Issuance Director of Bldg. '& eWde E rcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 60 DAYS FROM THE DATE OF ISSUANCE. , NOTE: This Certificate is NOT VALID unless signed by the Director. of Bldg. '& Code .Enforcement or,his designee. Application for Permit=Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 RECEIVED ' 1. OWNER INFORMATION: Location of installation: TOWN OF 4 File Permit No. _. QUEENSSURY i Tax Map No. N / / —j�- , ji1qtj AND CODE I Fee Paid Owner's.Name: i Address: ,: `ry 2. INSTALLER'S NAME Zn n )K f UCw e_ PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980—1991 x 130 gal/bdrm = 1991—present x 110 gal/bdrm = '75 3cD Garbage Grinder Installed yes / no X> Spa or Hot Tub Installed yes_ ./ no 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) Towgaph` Sbil Nature Ground Water Bedrock or Im ervious Material Do c Water So ply Flat Rsan�d at at depth at wh t depth munici al Rolling am feet J11A feet well Steep slope. clay if well; water supply slope other from any septic-system depth: absorption is ft. other Percolation'Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: gallon (min. size 1,000 gat) Tile Field: each trench_ ft. Total System Length: I 066 f t. Seepage Pit(s): number of 3 size of each: 2 ft. by Size of Stone to be used: # / depth or thickness Z feet Bed System Size: x 6 d Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks:�_ / Size of each: rod O gallons /TOTAL Capacity:46 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 mate'almisrepresentation or failure to make a material fact or circumstance knc,)w iby or on behalf of an applicant, shall be void. I have read the reguRatioins with respect to this application and agree to abide by these and all requirements of 6/Town of Queensbury Sanitary Sewage Disposal Ordinance. 1 �,•' ;' S gnature of respon ' e person Date ►I�aW11 I)Irf��ltlix • � I11�.SUIi�I�''�'1�(a�I Is'II<�I�I.� , SEA)ARA,11O N Itl:tZi1I1 HIM]MO N►PIR fhl?� POND V'1Ett- tN /(�TF'fZ• rr tc'►4�t . worn t' 1Sou 3E Ci c1E /•jjA• ' , !�l?�" I I�:��S� �' , E' ► . • •..T.I • �r 1 1 ... 7. SIQTN A►'TURE &INFORMATION FO•p,US1j N-;Sw rw� � 1 � -� V L L Vl`I iv ..+•w+.+ • r • Building Permit Application RE EIVE Town of Queensbury-Dept of Community Development,742 Bay Road,Que'ensbury,NY MA 2'2 2004 (518)761.8256 701N QUEENSBUR n "G A6� ®`E A permit must be obtained before beginning construction. Permit File No.000 q- ) . No inspection will be made until applicant has received a Fee Paid $ 67�_ validbuilding permit. All applicants' spaces on this Rec.Fee Paid application must be completed and must appear on the Reviewed By: application form. Applicant: NANQ1 RjYjF7-7- _ Owner: AA N C y Au a--1* Address: / 9 f o ARM RA- Address 3 Fc�r Fig01A g—SoNs 6u•14 X4 1A0'14 r.��4x. . ,V IZ es� Phone# F-I - ;24, rL Phone#(s/B) - P Shy Property Location: Lot Number: / House Number Subdivision Name: Tax Map Number: v 1 < ©7:-a -3� 21*1 New Building: residence i commercial 'Estimated Market Value of Construction: $ 0 C, o Addition: residence! commercial If an Addition,what will use of new addition be? u Alteration: residence/ commercial O No change to exterior size: residence/com'1 o Other work(describe Check Occupaneywormation 1' Floor 2° Floor Other floor Total Below sq.ft. sq.ft. sq.it. Square Feet o Single family dwelling -7 p u Two family dwelling . a Townhouse .o Multlfamily dwelling PIN `✓J" #of units o Office o Mercantile a Manufactutin a 1 oar detached garage a 2 car detached garage O 3 car detached garage a 1 car attached garage 0 2 oar attached garage " G 3 car attached garage o Storage building- commercial o Storage building- residential v Other What is the proposed height of the structure feet inches 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 FJrgpl W to be installed Number of Wood staves to be installed List below the t mrson(s)responsible for supervision of ivorl;as-rogards to b-aiiditig-co-des:-� Name Address Phone Number Builder iv 3,-. S 5--!4- Plumber Mason _ " Eloctriciaa Declar UM, please sign below after you have carefully read the statement: To the 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 specifieed-noted;and that such work is authorized by the owner. Further,it,is understood that Uwe shall submit,prior to,C;*i icate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Bulk Survey by a licensed,surveyor,drawn to scale,showing actual jlocation of all n w traction. Signature. owner,owner's a � �contractor en architect,v,, g Queensbury Building & Code Enforcement - Residential Final Inspection Offico.(518)761-8256 Arrive: am/p epa f,J L ` Date Inspection request received: _ Inspector's Initials: -- NAME: _ PERMIT#: 0471 9 LOCATION: _ DATE: TYPE OF STRUCTURE: -- A1oy, C0m '0 Y N N/A L , Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Com lete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Ali Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. CD Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum ''/z" Gypsum Grade away from foundation 6 in. with 10 ft. Handrail.Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safet Iazin 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 stoppipj finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched _ Garage fireproofing/3/4 hour fire door/door closer Duct work Seated 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, I s . ft.-150 s . ft.vents Building No./Address visible from road final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/S er a t. Inspection Sticker Flood Plain Certification, if re uired Okay to issue C/C or C/O Temporary/Permanent ` OV , L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast vri ted 2/12/04 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: - 0 NAME: G.`p LOCATION: PERMIT#: o 1q - In -9 Final Survey Plot Plan Avvroved Denied The attached final survey has been received by the Dept. of Community Development. Upon rnas 'surve e : Cr ' B Wing Administrator Notes: L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc 1 MAP REFERENCE: MAP OF A SURVEY MADE FOR VICTORIA RNETT BYs VAN DUSEN STEVES DATED SEPTEMBER 8. 2003 LAST REVISED, MARCH 1q. 2004 64 4I 4 �QvO ° LANDS OF THE STATE OF NEW YORK ray 1� o CHa LANDS N/F OF Y GIR — HOUSE RNETT ° �Fn'CF 0. 4�� A� \ \ \ 6V0Al o \ \ sss°\ \ 3�°`oo sue- F\ ° IRF \ o / \ \ / ao \ \ IRF \ \ 48,691.80 sq.ft. \ 1.12 acres LANDS N/F OF � CRUSHED JEANNE BRAND TRUST \ STONE SANFORD SEARLEMAN TRUSTEE IRF DRIVE ry0' LANDS N/F OF i MGCULLOUGH 9> '88 LEGNED: LANDS N/F OFi' IRf O = SON ROD FOUND RIVETT C(RF O = CAPPED PON ROD FOUND �--- o o— = FENCE LINE (; M., = UTILITY POLE � 7 <, DateH APRIL 14, a,� D K S 'INAUIHORM ALTERARON OR AMIM TO A SURVEY 2005 MAP 9EARINO A UOENSED LAND SURVLWM SEAL 6 A Map of a Survey made for Scale 1'=30' MOLARON OF SECTION T20Y,SUB-DIVISION z OF THE S NEO ONLY o STATE EDUCATION lAW' OILY COX$fRCM THE pOIINAL OF TM SURVEY NARKED MTH AN OROIRAL OF THE LAID SURVEYORS SEAL�H>E TN eE YALD TRw NANO RIVE TT S— 1 'CERRF7CAma NDICATED H OUM SIQIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE KITH TFE Land Surveyors COSTING CODE OF PR„ EFOR LAND ZONAL D By THE NEW OR& STATE ASSOC MOO a WALL RU ONLY LAUD SURVEYORS SAID OERTFiCARON4 SHALL RUN ONLY TO THE PERSON FOR*=THE SUfity 6 HWEPARED,AND ON N6 SENAIF TO THE TIRE COMPANY.MEIMWENTAL SHEET I OF 1 169 Haviland Road Queensbury, New York 12804 Y OF TME'""�,DING W.* AN° Town of Queensbury, Warren County, New York (518) 792-8474 New York Lie. No. 50135 MICHAELS GROUP CSURREY FIELD) NO. DATE DESCRIPTION DWG. NO. g7061 Queensbury Building & Code Enforcement - Residential Final Inspection '� Office No.(518)761-8256 Arrive: a! / par-/. Date Inspection request received: Inspector's Initials.'_ NAME: %ZL\ R t V&,C—k PERMIT#: LOCATION: a Itlo r - � � DATE: TYPE OF STRUCTUR. r Comments Chimney Ht./"B"Vent/Direct Vent Location Y N N/A Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" A ', Roof Complete/Exterior Finish Com lete �" (�6iv t % F r,- AL 5v 4��-' Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more y�(���TC � JAY Ui Guard at deck,porches 36 in, or more Exterior Finish Complete 1,�15"j{/��� /� i L -f D(2 . Interior/Exterior Railings 34 in.to 38 in. (� C Platform at all exterior doors Interior Handrails stairs 2 or more risers �t � � � Enclosed Stairs Sheetrock Underside minimum %2" �G 1�+.� l L 4\L J Ad� Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft.or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Tra /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/%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./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certifrcati , Okay to issue C/C r C/O Temporar Permanent 4 L:\PamW\BuildinQ&Codes\Inspection Forrns\Res. Final Insp. form 2.docLast printed 2/12/04 11 r%® . Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/p IjepartZ /yam/pm Date Inspection request received: _ Inspector's Initials: (� J NAME: PERMIT LOCATION: 1r. �� . _ DATE: _ TYPE OF STRUCTURE: Comments -- Y 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 a)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 /itJ g��LL i�C/�ve, �j 6AA Enclosed Stairs Sheetrock Underside minimum %Z" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall !A 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft.or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety lazin 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 C,P� Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched _ Garage fireproofing/3/<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 sq.ft. vents / Building No./Ad4ff s v' ible from road �o�l� 4 USC Final Electrical 01 Site Plan /Variance required ` Final Survey Plot Plan `1v�(,(„t-r %UAU&r As Built Septic System/Sewer Dot.Inspection Sticker Flood Plain Certification, if uired Oka to issue C/C or C/ Tem or /Permanent L:1PamW\BuildinQ&Codes\Inspection FornislRes. Final Insp. form 2.docLast printed 2/12/04 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No........................................Cert. 84845 Cut-in Card No........................ � Owner................../.V. .... ................................................................................ .... . .. Location...l � PW-12 y,AQ .....................................�� ......................................... ...................... ................... ........................ Installa'on Consisting of... �UJI ! /� '. "1... .U l �l......................................................... ............. ..lV�2L{U. ......................... ..0.. ....... �. ................................................................................................... InstalledBy.......S.... — ..PP.P...........................................Lie.No................................................... The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of makp'q inspections at any time, and if its rules are violated,the Company shall have the Date.... :..L..`..0. right ke th' rtifcate .................. INSPECTOR... .... ............. ................................ Framing / Firestopping Inspection Report i� Office No. (518) 761-8256 Date Inspection request received: / Queensbury Building&Code Enforcement Arrive: am/pIP Depart: { am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials:c—a NAME: J L PERMIT#: LOCATION: INSPECT ON: )2 2— TYPE OF STRUCTURE: ji Y N N/A Framing 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 wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side '/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemin-.way\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 i'� f-10111 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/p D part: z • m/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: 7l� —6 5 2 PERMIT #: 1j__ ) 0 LOCATION: N '�_ INSPECT ON: =J a_ 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 I % 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 Co per Commercial 0o er, CPVC,Pex One and Two-Family sulation/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 Report.doc November]7,2003 Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/T„ pepart: am/pm 742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials: /� NAME: PERMIT #: LOCATION: -> •r INSPECT ON: TYPE OF STRUC URE: 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. 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 nsulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: -roPS (%PC-.5 0r- AL, D2S. 5f U a 6,te Iv' A'nr (of 61Qy VEi✓r AT 76FFtr5 7jc-ru)e'� �.tcry v5 L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Framing / Firestopping Inspection Report r ,p Office No. (518) 761-8256 Date Inspection request received: - Queensbury Building& Code Enforcement Arrive: am/ part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: G�►�C� PERMIT LOCATION: INSPECT ON: L 4� TYPE OF STRUCTURE: Framing Y N N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. tAl bbw !/j 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 aration 1, 2, 3 hour F e wall 2, 3, 4 hour — .--%. --/—�- �Fire stopping Penetration sealed U V" —r C.• 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) � �� r ' L ' 20 in. (W) 5.7 sf above/below grade 5.0 sf grade •r'LASueHemingway\Building.Codes.Inspection.FORM STranning Firestopping Inspection Report.doc January 28,2003 1 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: I 1AL,14 Queensbury Building&Code Enforcement Arrive: am/ epart: ' rm/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: 90047 ]O 9 LOCATION: ) M11, INSPECT ON: TYPE OF STRUCTU S F'p Y N. lv/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 Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour F' e wall 2, 3, 4 hour Firestopping__ I �L✓G� (� �r;QC� [� Penetration sealed _ 16 inch insulation in cavity min. SYG Fl 1 `7 Garage Fire Separation \\l House side %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 0 LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p epart: % am/pm 742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials: NAME: i� V6 -1jG PERMIT#: LOCATION: INSPECT ON: UG TYPE OF STRUCTURE: Y N NIA COMMENTS Framing Jack Studs/Headers /,V(9 Bracing/Bridging Joist hangers Jack Posts/Main Beams ' Exterior sheeting nailed properly e`1�/�/'/gE' JL�c C-/J ��� z j 1sk14—Cj"! 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 wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %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:\SueHentingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: 15 U 1 �� 50 -art Queensbury Building& Code Enforcement Arrive: am/pm , Die art: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: n PERMIT #: , QQ -!Qq LOCATION: I 1 _10 �4 avm- INSPECT ON: qbblo4 ?H o',Oo ar-� TYPE OF STRUCTURE: S r D 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. 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 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: 1 e- A TO C5 T-Di2A I AJ �I.A, C-3) Vkvif-, Lz, 6 0 r6,J A-) dT- ,/4 ,�1UrrfT> 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 request received: Queensbury Building& Code Enforcement Arrive: ani/p partO am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: /c ue.tk—. INSPECT ON: 7 d TYPE OF STRUCTURE: Y N N/A Framing., COMMENTS Jack Studs/Headers / ��UV 11x ( (,U Slj Yg1�d}"<- 1 Bracing/Bridging Joist hangers z 2 Jack Posts/Main Beams 1�5[,+Z C- O/S ./Sk f D<.' (,c)G 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 /N�j�kGCr ,2 �10�° � SGr/—I r S Eyre wall 2, 3, 4 hour Firestopping ,Q Penetration sealed 16 inch insulation in cavity min. 0 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 D /V B 1 iV UL P4 f C- 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 S IrAVA' Ro gh Plumbing / Insulation Inspection Report Ij eq-r) Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ Depart: t pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials NAME: 9\)- r PA4 ` PERMIT #: 0 q 0 LOCATION: A r INSPECT ON: e �Z4 TYPE OF STRUCTURE: s�� Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents 6 � Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place C— Rough Plumbing/Nail Plates 1 % inch min. Drain Size Washing Machine Drain 2 inch min. Bead 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 tDuff—work sealed properly/No duct tape COMMENTS: L:\SueHemingway\Building.Codes.hispection.FORMS\Rough Plumbing Insulation Report.doc November l7,2003 � \\\\ Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: LhT� 3 Queensbury Building&Code Enforcement Arrive: am/pjepart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT #: UQ — 0 LOCATION: Qlvm, ' INSPECT ON: 1, TYPE OF STRUCTURE: 5 FD Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. ool Plumbing Vent/Vents in Place -Rough Plumbing/Nail Plates 1 '/ inch min. Drain Size ashing Machine Drain 2 inch min. _ ead or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes eanout every 100 feet/change of direction ater Supply Piping Cooper Commercial Cooper, CPVC,Pex One and Two-Famil Insulation/Residential Check/ Commercial Check Proper Vent, Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed property/No duct tape COMMENTS: L:\SueHemingway\Building.Codes,Inspection.FORMS\Rough Plumbing Insulation Repott.doc November l7,2003 Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: IV NAME: l = PERMIT#: L1'16 LOCATION: INSPECT ON: ' 2�1 TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron,Copper Drain/Vent I Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial Copper, CPVC,Pex One&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 COMMENTS: L:\SueHemingway\I3uilding.Codes.inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Framing /Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: -70 Queensbury Building&Code Enforcement Arrive: am/ epart: m/pm 742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials.- � NAME: PERMIT LOCATION: k INSPECT ON: S TYPE OF STRUCTURE: Framing IV 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 wall Fire separation 1, 2, 3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side ''/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemingway\Building.Codes.rnspecti on.FORMSTraming Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ in epart: m/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: j vim!/ PERMIT#: — D� LOCATION: /P' 6i„ INSPECT ON: TYPE OF STRUCTURE: 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 %z(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft.floor trusses Anchor Bolts 6 ft. or less on center C Ice and snow shield 24 inches from wall kc— �w-,Iz �J q Fire separation 1, 2,3 hour W 1, ► 1 5T � Fire wall 2, 3,4 hour � Firestopping Penetration sealed / O( �C- 6 16 inch insulation'in cavity min. Garage Fire Separation House side %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 APR-19-04 MON 12:31 PM MIDROX INS CO FAX:607 326 4265 PAGE 2 C®81�M C •RTIFICATm ®F LIABILITY•INSURANCE 04%19/04�> PRODUC!0 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MOTSE_WtISO[i Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE YY Ag y HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR fit 30 South, p0 Box 218 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Roxbury, NY 12474 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Preferred Mutual Ins Co 15024 Arthur D Kolkhorst INSURERS: Mountain High Construction Co. , Inc, INSURERC: 34 Lawrence Street INSURERD: _,-__•.—_.. .—_.__...—.._._... ... Cohoes. NY. 1 2047 i INSURERE: COVERAGES THE POLICIES OF INSURANCE L!STED:BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM'OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY WAVE BEEN REDUCED BY PAID CLAIMS. _.....__... ...... — ----... --..._.......... lNSR'ADD'1� � "POLICYEFFECTTVE POLICYEXpIRATION � LTR N Rb �yYE.EQFmlStlltH[ .� POLICY NUMBER 0, p/y7(L L rrS GENERAL LIABILITY EACH OCCURRENCE I S.1 r 00 O• •O,O O DATW�(aETOi NTkb——— A COMMERCIAL GENERALLIABII.rTY PREMISES(Ea occurence)_, CLAIMS MADE '•:X OCCUR. CPP 015 0 5 3 6 3 51 0 6/0 5/0 3 0 6/0 5/0 4 MED EXP(Any ono parson)_ $ PERSONAL&ADV INJURY $ r•0 0 0_�0 09 I I GENERAI.AGGREGATE S �QQ QQ GEN'L AGCAEGATELIMITAPPLIE�PER: I PRODUCTS-COMP/OPAGG 2 _O,OO 0U.- ... LIE —_ J I I PRO- ire Damage 50, 000 POLICY .LO'C AUTOMOBILE LIABILITY I i COMBINED SINGLE LIMIT I$ ANYAUTO i (E4accidan!) Il I ALLOWNEDAUTOS I j BODILY INJURY I $ SCHcDULED AUTOS / I (Par person) .....—._—_, HIRE?AUTOS I BODILY INJURY § ! I ca NCWOWNEDAUTOS I i (Pe dent) GE j fa ' - ........ ..._.....__j PROPERTY DAMA $ I (Par;=dant) I GARAGE LIABILITY I AUTO ONLY-EA ACCIDENT $ ANYAIII'O i (AUTO ONLY: .EA ACC $•, -•,-_....._....�_-- _ .., AGG 5 _EXCESS/UMBRELLA LIABILITY' I EACH OCCURRENCE $ OCCUR .CLAIMS MADE :AGGREGATE $ DEDUCTIBLE $ I RE'CENYION A _ WCSTATU OTH- I WORKERSCOMPENSA716NAND .TORY.LIMIIS..L__ —__—__._._.._....... !EMPLOYERS'LIABILITY ' I E.L.EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVF !OFFI0EFdMFMBEREX0kU0F1j7 i E.L.DISEASE-EA..EMPLOYEE $ Ifyy85,tla5rrifl(t rindrer __......__.....__-_._-_.-_-__—_..._.. SPECIAL PROVISIONSbolaw „y _��� E.L.DISEASE POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Carpentry CERTIFICATE HOLDER _ CANCELLATION Town of Queen sbury� SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED 9EFORE THE EXPIRATION 742 Bay Road DATR THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Qu e e n sbury NY 1 2 8 0 4-8 9 0 2 NOTICE TO THE CATC HOLDEA NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL f� { IMPOSE NO O GATIO OR LUIBI OF ANY KIND UPON THE INSURER,ITS AGENTS OR AUTHORED R PR E ACORD 26(2001/08) m�_ ®ACORD CORPORATION 1988 w Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/p part_ j�am/pm 742 Bay Rd., Quee uly,NY 1,2804 Inspector's Initials: `ay — NAME: 11c PERMIT NO.: t;;�— J LOCATION: INSPECT ON: L —1 L RECHECK: Comments and/or diagram Soil T San /Clay T e of er M nici /Well Water Waterline separ istance ft. Well separation distance ft. Other.wells: ft. -Absorption Field: Total length ft. Length of each trench Depth of trenches ft. Size of Stone �, Z -Seepage Pits: Number Size: x Stone Size: Elping sizp,. T e- Building to tank Tank to Distribution Box " t Distribution Bo field/Pit t► 1% Opening Seale Y/ /Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan _N lj�-� A— 6 Location of Syste n Property: Front (!ear Left Side Right Side Middle Front Middle Rear System Use Stat Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved LASueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 S� CN &P4 LANDS N/F OF 0 RF , RIVETT y o h' RF , All 2°ram 0� •s� o \ D IRF b 0�0 .. d � � s ANDS NFOF NE BRAND TRUST SEARLEMAN TRUSTEE / ,<. 9 OB,S�` /� AR A D DV' Foundation Inspection Report Office No. (518)761-8256 Date Inspection reques received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:0. 5 am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: ;\I (~/' PERMIT#: LOCATION: INSPECT 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. Fo dation/Wallpour einforcement in Place =Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump. Footing Drain Stone: 12 inch width 6eies above footing of 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.FORMS\Foundation Inspection Report doc January 28,2003 Al Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: in/ Depart: p 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: X NAME: Y�� `;\j 1 PERMIT#: LOCATION: --; C' INSPECT ON: = —0 a TYPE OF STRUCT .� 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 Dampproofing/Waterproofing Footing Drain Daylight or Sump. Footing Drain Stone: 1.2 inch width 6 inches above footing i6�mil poly for wet areas under slab Aackfill 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 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection reques received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: ° L2am/pni 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: l V(Z PERMIT#: LOCATION: Yc INSPECT ON: TYPE OF STRUC URE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible Tor 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: 1.2 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.FORMS\Foundation Inspection Report.doc January 28,2003 Pe er yr-i REScheck Compliance Certificate checked By/ at New York State Energy Conservation Construction Code REScheckSoflware Version 3.5 Release le Data filename:Untitled.rck PROJECT TITLE: Chris and Nancy Rivett _ COUNTY: Warren STATE:New York HDD:7635 C. 1'j } CONSTRUCTION TYPE:Detached 1 or 2 Family aL=S J. HEATING TYPE:Non-Electric ¢ :y Q r � fir. � DATE: 03/31/04 DATE OF PLANS: 3/08/04 ��OF COMPLIANCE:Passes ESS10r�� Maximum UA=294 Your Home UA=273 7.1%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 756 38.0 0.0 23 Ceiling 2:Flat Ceiling or Scissor Truss 240 38.0 0.0 7 Wall 1:Wood Frame, 16"o.c. 880 19.0 0.0 46 Window 1:Wood Frame:Double Pane with Low-E 121 0.330 40 Wall 2:Wood Frame, 16" o.c. 896 19.0 0.0 41 Window 2:Metal Frame:Double Pane with Low-E 109 0.330 36 Door 1: Solid 60 0.160 10 Door 2: Glass 42 0.330 14 Basement Wall 1: Solid Concrete or Masonry 896 11.0 0.0 56 Wall height: 8.0' Depth below grade: 7.0' Insulation depth: 8.0' Furnace 1:Forced Hot Air,79 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 attesting that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in compliance with this Code. ' / Builder/Designer Date v Scheck Inspection Checklist New Yorks State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release ld DATE: 03/09/04 PROJECT TITLE: Chris and Nancy Rivett Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: [ ] 2. Ceiling 2: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: [ ] 2. Wall 2:Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry, 8.0'ht/7.0'bg/8.0' insul, R-11.O cavity insulation Comments: Windows: [ ] 1. Window 1:Wood Frame:Double Pane with Low-E,U-factor: 0.330 For windows without labeled U-factors,describe features: #Panes Frame Type---- Thermal Break? [ ]Yes [ ]No Comments: [ ] 2. Window 2:Metal Frame:Double Pane with Low-E,U-factor: 0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ] Yes[ ]No Comments: Doors: [ ] 1. Door 1: Solid,U-factor: 0.160 Comments: [ ] 2. Door 2:Glass,U-factor: 0.330 Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air,79 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. [ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds, gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. 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: [ ] I Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. 1 Table 1: Minimum Insulation-Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulatma Mams and Runouts Temperature(F) Up to V Up to .2 " to . Over �5— �— TT 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: lVinimum Insulatiot: Thickness for HVACPipes.- Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(F) _"Runouts and Less to .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)