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2004-191 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: - P20040191 Date-Issued: Monday, August 30, 2004 -- -_ This is to certify that work requested to be-done as shown by Permit Number P20040191 has been completed. Tax Map Number: 523400-290-014-0001-007-000-0000 Location: 40 ROCKWELL Rd Owner: T. CRAIG JENKIN Applicant: T. CRAIG JENKIN This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Attached Single Family Dwelling Director of Building&Code Enforcement Building Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. LR7ec. File No.� =L� No inspection will be made until applicant has received a d valid building permit. All applicants' spaces on this ee Paid $application must be completed and must appear on the ed By: �scwa@ application form. Applicant. f�¢(tj S t;v�J 5 i�uc-n&J Owner: (-- t Address: f 2,4 Address:J w - 0-01 ofV 17,ec+ _ lay 1 ,€3 Phone#CI 2.9-". 2 f`FZ Phone#( ,_) - l 0 property Location: Lot Number: / House Number / SubdivisionName• Tax Map Number: ____� New Building: residence /commercial 'Estimated Market Value of Construction: $ 2 27�< coo o Addition: residence/ commercial if aii Addition,what will use of new addition biT. a Alteration: sesidenco/ commercial a No change to exterior size: residence/com'1 o Other work(describe Check OccupancyInformation 1' door 2° Floor Other floor Total Below sq.ft. sq.ft, sq.ft. Square Feet Q Single family dwelling 0 v Two family dwelling n Townhouse o Multifamily dwelling #of units a Office o Mercantile a 1 mufactutin a 1 oat detached garage ❑ 2 car detached garage 0 3 car detached garage 0 1 car attached garage / ' 2 car attached garage 8 0 0 3 car attached garage a Storage building- commercial a . Storage building- residential u Other What is the proposed height of the structure feet !inches Will any second-hand or ungraded lumber be used? If so,for.what? Tpe of Heating System: electric/ oil / wood / orced hot air baseboard/other: Number ofgPgaces to be installed Number of o vas to be installed List below the person(s)responsible for supervision of work as regards to building codes: Address Phone Numbern (hl� Name Builder 65 G�w57"671&J 1c, Plumber Mason Electrician Declaration please sign below attar you have carefully read the statement: To the beat 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 ith,w whether specified or noted,and that such work is authorized by the owner. Further,it is understood that Uwe shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested bythe Zoning Administrator or Director o ding and Codes,an As Built Survey by a licensed surveyor drawn to scale,showing actual location of all o0 Signature; owner,o r s agent,ar 'tect,contractor Application for Permit"Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: Office Use Location of installation: KDae-WE &L rZo 0: File Perml =No. Tax Map No. Fee Paid �o-t Owner's Name: CKA16— JIFKQ,�-(A ...................I............. ................ .............. ................................................. Address: 4-o L cxwL-qt y 2. INSTALLER'S NAME.: 4"St7 611dfX(JC-7?e->J Gyt1>V10 ' PHONE NO 7- 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 gandrm = 1991—present x 110 gaAdnn = 3 3D Garbage Grinder Installed yes no Spa or Hot Tub Installed yes no >I 4.' PARCEL INFORMATION: (circle applicable information&indicate measurements) ToogrgRhy Soil Nature Ground Water Bedrock or Imp ervious Material Domestic Water Supply an at what depth at what depth municipal 'R�* 9 loam :2: feet A/A feet Steep slope clay if well;water supply —%slope other from any septic-system depth: absorption is/20 other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: 3 AA 0 +D minute per inch 5. PROPOSED SYSTEM: Yor 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). Add250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: /OD 0 gallon (min. size 1,000 gal,') Tile Field: each trench ft. Total System Length: Seepage Pit(s): number of size of each: _ft, by_ft. Size of Stone to be used: # depth or thickness feet Bed.System Size: 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 th own o ueensbury Sanitary Sewage Disposal Ordinance. V 4j(2j_ Signafere of Jrsponsible person Date m-ml v m s 'G • ��+'-• ^may-,�,_�+"• ' ' ' 1 :b11d�.1�•t�f . `A t•fcL it �• l � j ., �'� a ' � �sn<:►tl ..�itf�°` � 3�J n 3c gat - . t•M,�, t� .,~`"��r----•-� •b:�T1Vlt n1 '1,ilj�l aNnd ;�.I,�l�►I I'V;t12Ilf'lZ'1�121 IvI(�[,i,VZI,VcI;ll�a • c'IfI:.►II'll Nr)Y�I',rI'2�()w' 1V .l.�Icluel�) hstit>ci�;(I 7<Rcn�a� I)ul: �.111((bill�)illlt> SA 11MA,1�. Project Naive: 4 kO CKW CU• AD BP# l� Address: Building Permit Submission SFD 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 Queensbury Budding 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 ................... Q n0 Q n/a 2. EnergyForm or CheckMate Energy Code Compliance Forms Complete ..,pj­y�Q Ono ❑n/a (2 copies) 3. Energy Code Inspector's Report from CheckMate Program..... ... ...... .. ,� Q no ❑n/a (2 copies) 4. Septic application completely filled out(if applicable).................. ... ... 'O Q ❑no ❑n/a 5. Solid Fuel Burning or Gas Appliance Form... ... ... ... Ono Qn/a 6. Electrical Inspection Form... ...... a 7. Two(2) complete sets of structural drawings... Ono Qn/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,...... ... ... yes ono 'Qn/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new structure......... .................. ... .. 6s Ono , ❑n/a 10. Setbacks to neighboring wells and septic systems,including onsite well... ._ye ❑no Qn/a and septic systems (if applicable) 11. DrivewayPermit... ......... ... ... ... ... ... ... ........................... ... ... ... yes ono Qn/a Date: G Staff Initial: L:\SueHemingNay\B ding ernutFORMS\Generic Ueck6t.doc Januuy Z8,Z003 Check Residential Plan Review: One&Two Family Dwellings Y/N/N/A (2)FulI 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: inflow Schedule With Glass Size 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. 44"Max.Height above floor 'sidential Check Paperwork Compliance and Inspectors Checklist: OK �pmpproofing/Waterproofing Materials On Plans undation Drainage On Plans,if required /6"Drop in 10'Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where Re uired Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls latforms At Exterior Doors fairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise y Winder Run and Rise Spiral Not Allowed From Story Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance all Width,36"min. Handrails More Than One Riser On Open Sides Fling and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas age Fire Separation G age Floor Sloped Attic Access 11 oof 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 Fire Marshal's office 'Town of'Queensbury,.742 Bay Road,Queensbury,aNY (518) 761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid Fuel & vented gas .appliances Date ' ( J �._ , 20 Permit No.�: Application is hereby made to the Building& Codes Office for the issuance of a Building and Us Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. NOTE to applicant: Rough-in and Final Inspectiops are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: 'f it'd ' t'' _•,,l - ;c Stove: wood coal pellet gas Fireplace insert Address: ' ' dF� ( "�'°,( r1 Fireplace, factory-built: wood Fireplace, masonry: wood gas ` Furnace: woodga oil Phone: a� � s 1`:�.T If non-masonary applicance,please provide `r •`°°c i IA71-f fit'<`; Owner: r 1�g t1�A Manuf cturer Name: .A w Address: Model Number: _ I s _ _ -- - - ---- '��--- ....A_ ---- —•-- _-------Chimneyy Information --- Phone: (circle appropriate words) Masonry block brick stone Flue tile steer size: A inches Exact Address: + Ltf of construction or installation Factory-Built " Manufacturer iiame: ' '_ Mode1.I�'1Anber' mod;_'`°', Note: ' Listed By: ' Number: n Constructio /Installation must s ;: con Orin to NYS Fire Prevention cot Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury ,,-- _•___ Handouts regarding required inspections. 'Double 1,wil , Triple wall / Insulated / 0i ect venting? Chimney Liner ' Ca•shfex-Im AeP&zrtsneztt—270vq,orQueea X_W731 ry, 2W-evw- Fire Marshal Code#1 $Collected $Rcf aided Received from (refunded to):_ it ! 5�;' '_ 4"t? 1 i 'f fig.... address: -- A 173 3389 (190) Public Safety A 233 2655 (230)Minor Sales Tow— cep oz DT_a� White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) ! Pink K Goldenrod(Cashier's Dept.) 1 Queensbury Building & Code Enforcement - Resi ial 'Final Inspection Office No. (518)761-8256 Arrive: am/p art: ' ~� Date Inspection request received: — Inspector's Ini a1s C. NAME: d`` P IT#: LOCATION: o cr,� �1,� ATE: 1 TYPE OF STRUCTURE: \. 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 %2" 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 lzin /Window in stairwells safety glazing Interior Smoke Dete tors: / Every level: ! EveryBecjtoom: Outside every bedroom ea: / / Inter Connected: / Battery backup: YY 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/1/4 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 BuildingNo./Address visible from road Final Electrical Site Plan /Variance required 1 Final Survey Plot Plan C\� ,JU As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C or C/O Temporary/Permanent L:\PamW\Building&Codes\Inspection Forms\Res, Final Insp. form 2.docLast printed 2/12/04 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/pm epart: am/pm Date Inspection request received: Inspector's Initials: NAME: Y l PERMIT#: LOCATION: O DATE: 4 TYPE OF STRUCTURE: 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 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 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 Bui ing No./Address visible from road nal Electrical Site Plan /Variance required Final Survey Plot Plan �— As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C 10 Temporary/Permanent L:\PamW\Building&Codes\Inspection Forms\Res. Final Inso. form 2.docLast printed 2/12/04 Queensbury Building & Code-En orcA nP s-ideAi Fix hspection 9 Office No. (518)761-8256 Arrive: a epart: �` a pm Date Inspection request received: _ Inspector's Init' s: NAME: _ IT#: O ! LOCATION: o ATE: TYPE OF STRUCTURE: 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 %2" / Gypsum J ts..P;Z Grade away from foundation 6 in.with 10 ft. ~S�"'"" Handrail Termination at Newell Post or Wall � � � 6 inch clearance to sill plate = Gas Valve shut-off exposed/regulator 18"above grade CAk �p` vkl Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area �� � lam\—` 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 ' r'I'�) Safety glazing/Window in stairwells safe 1 zin Interior Interior Smoke De rs: �te Every level: / very Bedr m: Outside every bedroo rea: Inter Connected: / Battery backup: Carbon Monoxide Detector - Bathroom Fans, if no window Plumbing fixtures Foundation insulation "' — -- Floor truss,draft sto in 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 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 Certification, if required Oka io issue C/C or C/O" Temporary/Permanent L:\PamW\Building&Codes\Insvection Formsaes.Final Insp. 0 st printed 2/12/04 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection re est re e ed Queensbury Building&Code Enforcement Arrive: m/p Depa : r'+ 742 Bay Rd., Queensbury,NY 12804 Inspector's Init"a r NAME: / P IT#: ADO-- t, LOCATION: INSPECT ON: q1 I 0 i 0'.00 TYPE OF STRU TURE: _`j E D Comments Y N, liT/A Piers Monolithic Slab C � 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 �+ � 1� � ��« e 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 Q �� Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Cnade 6 inch drop within 10 ft. L;\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Septic Inspection Report Office No. (518) 761-8256 Date Inspection r e re eiv d: 5 o I aV)L Queensbury Building& Code Enforcement Arrive: ` " a epart: `` am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initi 1 NAME: P IT NO.: OD LOCATION: 4 SPECT ON: q1151ft s RECHECK: J Comments and/or diagram Soil T e: an y Type of r: icipal/Well Water Waterline separation distance `_ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft Depth of trenches ft• Size of Stone # 2 Seepage Pits: Number Size: x Stone Size: Piping Size T e Building to tank " �� - Tank to Distribution Box Distribution Box to Fi /Pit 4; Opening Sealed: Location/Separations Foundation to tank Aft Foundation to abso tion Se aration of PitsConforms as er Plot Plan Y Location of System on Property: '� �= `� ��r` Front Rear _ Left Sid •ght Side Middle Front Middle Rear � E System Use Status: -� Approved �' Partial Approved and needs to be re-inspected,please call the Building&Codes Office l Disapproved L:1SueHemingway\Building.Codes.Inspection.FORMS\Sepfie Inspection Report.doc Ja ualy 28,23� � Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request eiv 11,4104 h gozm Queensbury Building&Code Enforcement Arrive: p part: 742 Bay Road, Queensbury,NY 12804 Inspector's Initi. r NAME: 1 PERMIT #: 00 -19 1 LOCATION: 40 INSPECT ON: 91 W04 1171:00 f n TYPE OF STRUCTURE: S ED 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 V,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-Famil Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Rough Plumbing / Insn a ion 1"ns eetaon Report Office No. (518) 761-8256 Date Inspectionrrequed' _ Queensbury Building&Code Enforcement Arrive: art: 742 Bay Road, Queensbury, NY 12804 Inspector's INAME: i C �'�' � #: �-LOCATION: moo'' ( T 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. 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 0; Cooper Commercial r, CPVC,Pex One and Two-Family Insula o 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: ,g.Codes.Inspect ion.FORM S\Rough P1um6.g4�lm Rion J orc. �ether 17,200 Tome of Queensbury Fire Marshal 742 Ray Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 Factory Built Gas Fireplace/Stove Insvection ReRort Notice:New York State requires that all 1JF Fisted,factory built appliances be installed according to the instructions specifications contained in the Installation Manual accompanying the appliance.No deviations from.the manufa rer's instructions or specifications is allowed. Permit#�bbs-I�—1c1 I Schedule Inspection —6 L4 � f am n� n ytime Inspecto _ � .•� � � Name A Address l augh In ina. Appliance Mannl cturer Model# Direct Vent _ 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 Hearth Extension (if army) Mantel Height above f/p opening Witness Operation Tank Placement(if FP) white—BultdingDepL � � ^y_�Y Yeiaow Cast er Pink—Fire Marshal Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request ved: q b Queensbury Building&Code Enforcement Arrive: ep 7 a m 742 Bay Road, Queensbury,NY 12804 Inspector's Initi NAME: o ti PERMIT #: LOCATION: p INSPECT ON: 0 ,9 p :00 p TYPE OF STRUCTURE: Y N N/A VC: R-1, R-2,R-3,R4 Drain/Vents - Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Vo 1 % inch min.. Drain Size Washing Machine Drain 2 inch nun. 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: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Framing/Firestopping Inspection Report l Office No. 518 761-8256 Date Inspection requ recei Queensbury Building&Code Enforcement Arrive: a p e rt:L a 742 Bay Road, Queensbury,NY 1.2804 Inspector's Initiate' NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N' /A COMMENTS CJ. V � r✓ Jack Studs/He ers Bracing/Bridgin Joist hangers 0 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 Is Metal Strapping for Notches p Plate (l�� 1 '/z(w) 1.6 gauge(8).16D n '1 each side . � Draft stopping 1,000 sq. ft. flo trussesA���� Anchor Bolts 6 ft. or less on ce r 7 . . Ice and snow shield 24 inches from all ��� Fire separation 1, 2,3 hour `� � Fire wall 2, 3,4 hour ` Firestopping Penetration sealed �'��-�i1OtV 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:\,SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 I Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection F, -<' d: Queensbury Building&Code Enforcement Arrive: aI 742 Bay Road, Queensbury,NY 1.2804 Inspector's Initia NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: N /A COMMENTS - aming 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 F� Metal Strapping for Notches Top Plate 1 %z(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and 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 L:\SueHemingway\Building.Codes.Inspection.FORMS\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 D art: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: 01-/--/9 LOCATION: © INSPECT ON: TYPE OF STRUCTURE: Y N COMMENTS..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 Ancho• olts 6 ft. or less on center t;zle 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 LASueHemingway\Building.Codes.Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: -am/p n Depart: m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: r- 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. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing F Ing Drain Daylight or Sump (OL.- Footing Drain Stone: 0 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.FORMSToundati on Inspection Report.doc January 28,2003 . 6� Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p ' Depart: - in 742 Bay Rd., Queensbury,NY 12804` Inspector's Initials: NAME: 9 PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y lot 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 Dampproofmg/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. LASucHemingwayU3uilding.Codes.Inspection.FORMSToundati on Inspection Report.doc January 28,2003 Foundation Inspection Report � .. Office No. (518) 761-8256 Date Inspection request received: S 9 104 Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:v" 0� — NAME: PERMIT#: LOCATION: INSPECT ON: v 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_Dampproofin Foundation/Waterproofing T e of Dampproofing/Waterproofing \ ooting 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.FORMSToundation Inspection Report.doe January 28,2003 1 Foundation Inspection Report Office No. (51i3) 761-8256 Date Inspection requ r eiv d: Queensbury Building&Code Enforcement Arrive: a pm Depart: _am/ in _/ 742 Bay Rd., Queensbury,NY 12804 Inspector's Initia s• NAME: t C �'� 1 rl P IT#: L f` 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. Foundation/Wallpour Reinforcement in Place ndation Dampproofii Foundation/Waterproofing Type of Darrrpproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Bacicfrll Approval lumbing Under Slab � V PVC/ st/Copper lb Fo dation atio Inter' terior VN R- Rough Grade inch drop wi in 10 ft. LASueHemingway\Building.Codes.Inspecti onTORMSToundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request c d: Queensbury Building&Code Enforcement Arrive: am/ �epart: ,` m 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: X PERMIT#: LOCATION: EnCY,bl 7=u— vk o INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers �fl OAC J Monolithic Slab t Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building,Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection r Queensbury Building.&Code Enforcement Arrive: ; gZepart ��an m i 742 Bay Rd., Queensbury,NY 12804 Inspector's InitiNAME: I -/ 0 /-/ ^ LOC ATION: 1�2 b t �, r INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for G� 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 Dampproofmg/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:\SueHen-ingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 May 4, 2004 To: Hayes Construction Group 395 Big Bay Road Queensbury, NY 12804 RE: Test Pit and Percolation Test for property located at 46 Rockwell Road I am pleased to submit the following test pit data and percolation test results for the above referenced project. Percolation Test Results: Location Percolation Rate PR#1 3 min. 40 sec./in. Deep Test Pit Information: Test Pit#1: 0-10" Topsoil 10-50" Loamy Fine Sand 50-72" Fine Sand Mottling a@ 44" Please do not hesitate to call.if you have any questions or comments. Thank you. Sincerely Daniel yan, P.E. OF N �0 � 2 � r - ! w w C? ROFFSSIONP� PROFESSIONAL SEAL a ooz/ Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release lc Data filename: C:\Documents and Settings\Dan Ryan\My Documents\Hayes Construction Group\Drawings\Building Plans\Two-Story\TrioGableModified\mcheck.rck TITLE:Modified Trio of Gables COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE;04/15/04 DATE OF PLANS:4/12/04 PROJECT INFORMATION: 46 Rockwell Rd COMPANY INFORMATION: Hayes Construction Group COMPLIANCE:Passes Maximum UA=444 Your Home UA=306 31.1%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 345 38.0. 0.0 10 Ceiling 2:Flat Ceiling or Scissor Truss 807 38.0 .0.0 24 Wall 1:Wood Frame, 16"o.c. 1160 19.0 0.0 64 Window 1:Vinyl Frame:Double Pane with Low-E 43 0.360 15 Door 1:Glass 34 0.360 12 Door 2: Solid 20 0.140 3 Wall 2:Wood Frame, 16"o.c. 1072 19.0 0.0 58 Window 2:Vinyl Frame:Double Pane with Low-E 100 0.360 36 Wall 3:Wood Frame, 16"o.c. 426 19.0 0.0 21 Window 3:Vinyl Frame:Double Pane with Low-E . 40 0.360 14 Door 3: Glass 34 0.360 12 Basement.Wall 1: Solid Concrete or Masonry 565 11.0 0.0. 37 Wall height:7.8' Depth below grade:6.5' Insulation depth:7.8' Furnace 1:Forced Hot Air,92 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 StakEnergy 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 co lian this Code. Builder/Designer Date , (Z/ I Of— t I 410. 079�6� R0FES S10NP� J REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release Ic DATE:04/15/04 TITLE:Modified Trio of Gables Bldg. 1 Dept. 1 Use 1 I Ceilings: [ ] 1 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: [ ] 1 2. Ceiling 2:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation 1 Comments: I Above-Grade Walls: [ ] 1 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] 1 2. Wall 2:Wood Frame, 16"o.c.,R-19.0 cavity insulation 1 Comments: [ ] 1 3. Wall 3: Wood Frame, 16"o.c.,R-19.0 cavity insulation 1 Comments: I Basement Walls: [ ] 1 1. Basement Wall 1: Solid Concrete or Masonry,7.8'ht/6.5'bg/7.8'insul, R-11.0 cavity insulation Comments: I 1 Windows: [ ] I 1. Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.360 1 For windows without labeled U-factors,describe features: 1 #Panes Frame Type Thermal Break?[ ]Yes [ ]No 1 Comments: [ ] 1 2. Window 2:Vinyl Frame:Double Pane with Low-E,U-factor:0.360 1 For windows without labeled U-factors,describe features: 1 #Panes Frame Type Thermal Break? [ ]Yes[ ]No 1 Comments: [ ] 1 3. Window 3:Vinyl Frame:Double Pane with Low-E,U factor:0.360 1 For windows without labeled U-factors,describe features: 1 #Panes Frame Type Thermal Break? [ ]Yes[ ]No J 1 Comments: I 1 Doors: [ l I 1. Door 1: Glass,U-factor: 0.360 1 Comments: [ ] 1 2. Door 2: Solid,U-factor:0.140 1 Comments: [ ] I 3. Door 3:Glass,U-factor:0.360 Comments: I Heating and Cooling Equipment: [ ] 1 1. Furnace 1:Forced Hot Air,92 AFUE or higher 1 Make and Model Number I 1 Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are souices of air leakage must be sealed. [ ] I 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 I 3"clearance from insulation. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings;walls,and floors. I Materials Identification: [ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating I equipment must be provided. [ ] I Insulation R values,glazing U-factors,and heating equipment efficiency must be clearly marked on I the building plans or specifications. I Duct Insulation: [ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ ] I Return ducts in unconditioned attics or outside the building must be insulated to R 6. [ ] I 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_ I Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics I (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts I operating at less than 2 in.w.g. (500 Pa). [ ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder. [ l I Air filters are required in the return air system. [ ] I The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ l I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. I Electric Systems: [ ] I Separate electric meters are required for each dwelling unit. I Fireplaces: Fireplaces must be installed with tight fitting non-combustible fireplace doors. . [ ] I Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction I provisions of the Building Code of New York State,the Residential Code of New York State or I the New York City Building Code,as applicable. I Service Water Heating: [ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the I water heater has an integral heat trap or is part of a circulating system. [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% I of the heating energy is from non-depletable sources. Pool pumps require a time clock. I 1 [ j HVAC piping,conveying fluids above 105 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. 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 111 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 HIVAC 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) l �-� �o GKhI�'LL lQo� c�GE y J ''� �•o' . . I have seen or observed, or believe I saw evidence of, all.objects such as houses, wells, trees, fences, etc., Sh min on this decmrn,,�f,t. I also represent that I have . �rSOP ly ffleas n 'd th istances Jet forth on the d O ,C . - TE Id SIGNATU :N0.9 0830 . E . 3027 1 80 00 , : 1 V•x ON- = .33: •1 ?Aim1000 on 0 .00 �� !'�I --� ° � 3 MAN 405��'�►►� � � \ LrI N., ' GENE® SETBACKS • ,\SIN �1 ' �� \ PQ 1.004 OF c�- �I�S�NSBURY 8 9.26. �. RkyRD agY, NY izgC+ RC KT E +(o Rocf4we7U- tW mamma (''� 40 AA iz,sfl a4-' S± 000 Oc ,,' 3 l oo