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2004-209 F o :ems 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: P20040209 . Date Issued: Thursday, October 06,.2005 This is to certify that work requested-to be done as shown by Permit Number P20040209- - has been completed. .Tax Map Number: 523400-297=006-0001-036-000-0000 Location: 10 COBBLESTONE Dr Owner: WILLIAM & JOAN HARRISON Applicant: WILLIAM& JOAN HARRISON This structure may be occupied as a: Fireplace By Order of Town Board Garage - 3 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning.Board or Zoning Board of Appeals. t TOWN OF QUEENSBURY til742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040209 Application Number: A20040209 Tax Map No: 523400-297-006-0001-036-600-0000 Permission is hereby granted to: VM J,TAM&JOAN HARRTSON For property located at: 10 COBBLESTONE Dr uh the Town of Queensbury,to construct or place' at the above location in accordance with application together,with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Tyne of Construction Value Owner Address: WILLIAM& JOAN HARRISON 215 N WYOMING Ave Fireplace U NY 11758-0 Garage-3 Cars Attached NO. MASSAPE Q Single Family Dwelling $350,000.00 Total Value $350,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency CERRONE BIJILDERS 66 SUNSET TRAIL OT JEENSBi TRY. NY Plans&Specifications ; 2004-209 Lot 9, House No. 10 Cobbleston Drive, Butternut Hill Subdivision(Year 1973) 'Lot`9.received Planning Board approval for lot line adjustment, March 18, 2003 5332 SQ FT SINGLE FAMILY DWELLING WITH 3 FIREPLACES $721.44 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, May 12, 2006 (If a longer period is required,an application for an extension'must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To of Queen ury; Wednesday, May 12, 2004 SIGNED BY PAfor the Town of Queensbury. Director of Buildin Co nforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040209 Application Number: A20040209 Tax Map No: 523400-297-006-0001-036-000-0000 Permission is hereby granted to: W1T,T,TAM& JOAN HARRTSON For property located at: COBBLESTONE Dr in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction, Value Owner Address: WILLIAM& JOAN HARRISON 215 N WYOMING Ave Fireplace NO. MASSAPE U NY 11758-0 Single-3 Cars DwelliAttachng Q � Single Family Dwellin $350,000.00 Total Value $350,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency CERRONE BUILDERS 66'ST JNSETTRAIL OT JEENSBT TRY_ NY Plans&Specifications 2004-209 Lot 9, House No. 10 Cobbleston Drive, Butternut Hill Subdivision(Year 1973) Lot 9 received Planning Board approval for lot line adjustment, March 18, 2003 5332 SQ FT SINGLE FAMILY DWELLING WITH 3 FIREPLACES $721.44 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, May 12,2005 (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 Town of Queensbury; Wednesday, May 12, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement G ENERGY CODE COMPLIANCE APPLICATION -zoo TOWN OF QUEENSBURY, WARREN COUNTY aO 9000 HEATING DEGREE DAYS r Compliance Methods:Part 5 -Acceptable Practice Method—1&2 Family Dwellings(only) Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwelling; Multi-Family Dwellings(3 Stories or less) Part 4*-Design by Component Performance,Commercial Buildings-Hi Rise Residential *Requires submission of worksheets A LICANT'S NAME:, P OPEPTY LO TION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area- �33Z square feet 2. Type of heat- Electric /Oil Gas Other 3. is building mechanically cooled? No 4. Percentage of area of windows and doors Over 17% / Under 17% 5. R-VALUES FOR.INSULATION GIVEN BELOW MUST CORRESPONDt TO R VALUES AS SHOWN ON PLANS SUBMITTED: a: Roof R� b. Exterior walls R C. Glazed areas R 2, d. Exterior doors Rom_ e. Floors over unheated spaces R� f. Edge of slab on grade(heated building) R i GJ g. Basement/cellar walls(above grade) R 7� h. Basement/cellar walls(below grade) R� i. Heating/cooling-ducts-piping in unheated space R 6. Service(domestic)hot water heating device / Conforms to minimum efficiency per code S/ Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED p 'cant' nature Date Phone Number Z / INSPECTOR'S REMARKS: hire Marshal's Office 'Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date ' i� , 20 f � Permit No. Application is hereby made to the Building& Codes Office.for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections- NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information 3 (circle appropriate words) ,�` f Stover wood coal pellet gas `F Z"'7 Name: . .� .:,,:,.-�'%"'''�,;;rr° ."' Fireplace insert (, r �P Fireplace, factory-built: wood gas Address: r, v '� r r V Fireplace, masonry: wood ' -gas Furnace: wood gas oil Phone: - If non-masonary applicance, please provide 7— f}rf Manufacturer Name: C Owner: e •�a`?�e Address: Model Number: Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile steel size: inches Exact Address: of construction or installation Factory-Built Manufacturer name: Model Number: _ Note: Listed By: Number: Construction Ilnstallation must conform to NYS Fire Prevention &Building Indicate (circle) chimney Material: Code. Consult available Town of Queensbury Handouts regarding required inspections. bourble wall / Triple wall / Insulated / Direct venting Chimney Liner Ca,�rhiez-'rei Depaxtme�t—Z'oVrrn of Quee�ngbury, 3�Te�7i�or�s: , Pre Marshal Code## S Collected S Refunded Receivedfront (refunded to): pf;,\,t;1 address: A 1733389 (190) Public Safety A 233 2655 (230)Minor Sales DATE: -•t f `. ! r( White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) 7 Pink&Goldenrod(Cashier's Dept.) Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date , 20 Permit No. , i' d Apt licatiort is hereby made to the Building& Codes Of for the issuance of a Building and Use Perrttit pursuant to the New York State Fire Prevention and Building Code. fire applicant or owner agrees to comply with all applicable laws, ordurmices, 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 Inspections are required. Applicant Information Fuel Burning Appliance Information _ (circle appropriate words) `�'7 ✓� a� b Stove: wood c ellet oal as Name: P g Fireplace insert i Fireplace, factor built: wood as Address: ��' �' ��%�'��" _ ��", >' � p Y- g Fireplace,.masonry: wood gas _ ,I Furnace: wood gas oil Phone: .. '�L e, ;7 If non-masonary applicauce, please provide Owner:- / /-'�' . ;� r�i =' f� Manufacturer Name: Address: Model Number: Chimney Information Phone: (circle appropriate words) Masonry block bricic stone t, Flue, ..-tile steel size:-.-,--.-- inches Exact Address:' �°� P4 - of construction or installation Factory-Built ;} A� Manufacturer name: Model Number: Note: Listed By: Number: Construction/Installation must conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double iyall / Triple wall / Insulated / Direct vOnting Chimney Liner � Ca,a�i�fer'�sc Z7�paz-tm��t—To,�rr� o�P Queert�brx�c-y, 1�Te�7[Tor..ii: Fire.Marshal Code# S Collected A Refunded, Received fi-om (refiurde(i to): C� Q f�i address: 4173338 9 (190) Public Safety ' A 233 2655 (230)'Minor Sales DATE: White(Applicant) / Green(Fire Marshal) I Yellow(Bldg.Dept.) 1 Pink Goldenrod(Cashier's Dept.) Building Permit Application - ;Y Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY (518)761.8256 A permit must be obtained before beginning construction. Permit File No.-,' d L4 - No inspection will be made until applicant has received a Fee Paid 4� valid building permit. All applicants spaces on this Rea.Fee Paid $ application must be completed and must appear on the Reviewed By: application form. V IV Applicant: 1 Owner: Address: C/ 1f-e- Address: 22fl.. Phone#( Phone#(_) J�j -2—o�L yet Property Location: LotNumber: I House Number k4 , Subdivision Name: Tax Map Number:, 9 . 66 -j-3�, New Building: residence !commercial 'Estimated Market Value of Construction:,$ 0 o Addition: residence/ commercial If an Addition,what will use of new addition be? G Alteration: residence/ commercial o No change to exterior size: residence/com'1 o Other work(describe ) Check Occupsmeylnformation 1' Floor 2° Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single#V#y dwelling fly o Two family dwelling o Townhouse o Multifamily dwelling of units APR 2. Q 200 # o Office TnWN OF OU r o Mercantile 6UILDIN 3- -=— o Manufaatutin 0 1 car detached garage D .2 car detached garage 0 3 car detached guage 0 1 car attached garage a - 2 car attached garage 3 car attached garage 0 Stomp building- commeraial o Storage building- residential o other What is the proposed height of the structure _feet - inches Will any second-hand or ungraded lumber be used? If so,for what? T�pe of Heating System: electric gas wood /forced hot air/ baseboard/other: /� Number of Fire to be to Number of wvodstaves to be installed List below the person(s)respons le for supervision of work as regards to building codes: Name Addre s Phone Number Builder Plumber Mason Electrician Declaration 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 specified or noted,and that such work is authorized by the owner. ,Furtheri it is understood that Uwe shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or D' cto of Building and Codes,anfls Built Survey by a licensed surveyor;drawn to scale,showing actual location of all no cons coon. Signature: 1�— owner,owner's agent,architect,contractor Application for Permit=S.eptic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: .....................................................................................................................................4 - Office Use Location of installation:Z,4z File Permit No.Q-Q``_��\\�J Tax Map No. / / FeePaid...................................................................................................{ Owner's Name Address: 2. INSTALLER'S NAME �� c�1Y!/�6Z 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 = �' e Garbage Grinder Installed yes / no Spa or Hot Tub Installed yes ./ no 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) Topog[Vhy Soil Nature Ground Water Bedrock or Impervious Material Water Supply Flat at what depth at what depth Rolling ;cayvm feet feet Steep slope riwell;water supply %slope other from any septic-s stem depth: absorption is A�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: /Ziol—gallon(min. size 1,000 gal:) Tile Field: each trench/D ft, Total System Length: 'Jao :'P 7 7 Seepage Pit(s): number of size of each: fl, by ft. APB Size Stone to be used: # / depth or thickness feet / TOWN OF QUEEN--BURY Bed System Size: x BUILDING AND CODE Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person Date tf ' 5�;tvt:rs tu►c1 'Sc (:tTSTt�irr AI�Ir<:tttitx (: • A1 .►'t()It,I�''I'x(Ii� It'II�;I�I.) ' SI�:I'll'It�.'I'IL)1N t�:Ir(�t.)�Iti�i41I{�lu'I`:i �'� - : ►1 POND as mlo-i Imo. L ! • Sc t•t tc. �M _...�.... \ ��,�'� �R„�.,, 1 [1l'�Tttp.t 1 Ttr•1( � W.�Q PtK11 t`tRtr� _r`-M.Mt•'�w�A• .wtir /..I^^� ww Mom\ , r ?. SIONA►`I'URL &INFORMATION FM usrumswur.,1:r-OVA,.4 \.LOAN A%O . '' { Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pt�i par am/pm Date Inspection request received: _ Inspector's Initials: _ NAME: 2\ t� PERMIT#: ® ; LOCATION. C- I��(r ,Q DATE: 0 s TYPE OF STRUCTURE: _ Comments -- Y N N/A Chimney Ht./"B"Vent/Direct Vent Location PC—C_K&C� Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" c Roof Complete/Exterior Finish Complete J r 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 Gara a Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.z 22 in,x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq. 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 Okay to issue C/C or C/O Temporary/Permanent L:TamWlBuilding&Codesllnsi)ection FornislRes. Final Insu. form 2.docLast printed 2/12/04 4- Town of Queensbury Fire Marshal 742 Day Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factor Built Gas Fireiflace/Stove Inspection_Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# f — Schedule Inspection! ® Time —am pun anytime Inspector Qe-�(I— Address �V Jr�!y�' � � Rough g In.T Final,. Appliance Manufacturer Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated. ---- Yes No N/A Comments Floor Protection j- 1�� -. , Aj 1 Clearances to Combustibles (all sides) Firestop(s) Vertical Chase M Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chiauney height must be 3 feet above roof p etration;2 feet above any combustible nstruction Within 10 fed Gas Shut. Valve Combustion Air Hearth Extension (if any) antel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept. 'Yellow Cbst mer Pink—Fire Marshal Town of Queensbuxy Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/161-8206 fax 745-4437 Factory Built,Wood Burning Fireplace/Stove Inspection Report Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying tlae appliance.No deviation from the manufacturer's II '' instructions or specifications is allowed. Permit# O 7—oo- Schedule Inspection��Time l�= �pm- anytime Inspector Name AM Son Address �Q C��b��S1C:1i1�. �C�. Rough In Final Appliance Manufacturer ►?/►!ai/1 Model# ( � Masonry Chimney Factory Built Chimney Flue Size 'Double WalKTriple Wall Insulated Yes No NIA Comments Floor Protection Clearances to Combustibles(all sides) Safety Strip Installation (fireplaces only) Firestop(s) vertical Chase Wall Penetration_ Chimney Clearances to Combustibles - Chimney Termination - 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air Hearth Extension Mantel(height above Up opening) Fireplace Doors/Screen(required) White—Bttilding Dept. Yello —C me r Pink—Irlre Marshal Town of Queensbury Fire Marshal 5 5 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factor,*wilt Gas FireiDlace/Stove MsRection(tort Notice:New York State requires that all-UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviations from the manufacturer's instructions or s ecifi tions is allowed. l r ]Permit# Z Schedule Inspt3ction [me am pm anytime Inspector Name— 'AKP-Ik�.tj Address_ /y Ca��WG-2PPC Ole - Rough Yn"Final_ Appliance Manufacturer _ Model# Direct Vent Factory Built Chiraney Fine 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� imney Termination Chi ey height must be 3 feet above roof pe tration;2 feet above any combustible c struction within 10 feet Gas Shut_Off Valve Combustion Aar Hearth Extension(if any) cc) I C� Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White--Eallding Dept. _ '� yellow Cast er Pink—Fire Marshal Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/E D par t/�• am/pm Date Inspection request received: Inspector's Initials: - ll dam° NAME: �� N PERMIT#: LOCATION: _ - DATE: _ TYPE OF STRUCTURE: _ Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake FIA 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 4h,N a t4 jLS 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 %" /� �7 Gypsum u Grade away from foundation 6 in.with 10 ft. S 1 . I�5 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 �� too Relief Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom I 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 V � A14- P�jt/GT��.T/0 NS 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"acces , 1 s . ft.-150 s . ft.vents Building No.-/Address from road Final Electrical Site Plan /Variance r u' ed Final Survey Plot Plan L As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent L:\ParriW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas:Fireplace/Stove hispection Re-Port Notice:New Fork State requires that all UL Listed$factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifi ations is allowed. )'ermit# Schedule Inspection �-� d S Tune am pin anytime Inspector" C:O Name � dy Address_ i i)D !✓ Rough In Final_ Appliance Manufacturer Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection /4 1 Clearances to Combustibles (all sides) Firestop(s) Verticai 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 C ��y� Gas shut-Of�Valve VA-LIAC - Combustion Air Hearth Extension (if any) Mantel Height above f/p opening ; � (r' 1 Witness Operation N VC) A-)L. I Tank Placement(if LP) White—BuNingDept. Yellow �t er Pink—Fire Manhal -Town of Queensbury Fire Marshal 742 Day Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection ReRort Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the limstallation Manual accompanying the appliance.No deviation from the manufacturer's instructions or recifcations is allowed. Permit# d Schedule Inspection Time am pin anytime Inspectov/ Name _ Fina,_-� ��c�r�,�G�� Rough hi.. � _Address Appliance Manufacturer Model# Direct Vent Factory Built Chiraney Mue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection ow l� :JILT 4 o Clearances to Combustibles (all sides) Firestop(s) Vertical chase Wall Penetration Vent Clearances to Combustibles Vera/Chimney Termination / Chimney height must be 3 feet above roof / penetration;2 feet above any combustible 111f construction within 10 feet Gas Shut-Off Valve Combustion Air [earth Extension (if any) Mantel Height above f/p opening Witness Operation Tatar Placement(if LP) White-Building Dept. �� Yellow C t er Peak—Fire Marshal Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date re eived: 2 F NAME: �¢`2►�� S�� LOCATION: /a Co,813,:�(25 UDC PERMIT#: (D z� Final Survey Plot Plan AiDDroved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the . survey has b e Craig ro , Zoning Administrator Notes: L:\SueHemingwaylBuilding.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doe MAP REFERENCE: BUTTERNUT HILL A SUBDIVISION MADE FOR CHARLES Ft. AND BEVERLY f. MAINE DATEDl FEBRUARY 7. 1g73 LAST REVISED] APRIL 7. 1g83 BY= JOHN B. VAN DUSEN 7 8 UTILITIES S79.20 43 ll,6 GRU5HED \ Cly N �� STONE ' DRIVE V1 9 Z STORY 56,288 sq.ft. WOOD FRAMED 1.29 acres k � HOUSE WEL VNr +. N � � N � 0 O 12�,53 z 354.401 S83057'54°W N v_ W W S 10 SEP272005 C. Sr FLU Al 0 1 Do,tei DECEMBER 20, 2002 """ 80M A C ENW L �t ors RVEYADDIN ro�SURVEY 1'=50' •,(1 CF S � «n A Map of m Survey made for P KM rant STATE ourArm LAW.' S V v e S 'ON.r COPIVA7H A OR1 ME OPoC DIE OF SUIIIISRVEYORS SURVEVEYORS 4AA!®wtH AN NSIDM OF K LAND SUpvE1O PI _ ` ��a ��rALro��E� WILLIAM HARRISON cUMMAnats DIMA70 MMON dirt THAT TNS SURVEY MAS PREPARW w AOOORDANCE wnt iFtE Land Surveyors °t"°`WW PIMME`��°SURWYM A°°�° kTY of R*'YORK STATE ASSOOIAnOH OF PR RM O&Y uwo suR+�raas spa anTs>cATwNs srwi Rtw awr TO TnE PERSOR FOR*M W SURVEY ISMMOAeEo.MD 0,M OW"To THE nne OOWAW.QOVFANIEMTAL BHCt'T 1 OF 1 169 Haviland Road Queensbury, New York 12804 E .,�,,""K AM T'own of Queensbury, Warren County, New York 1 9108105 HOUSE LOCATION HARRI51oN G-787 (518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 02325-q t ippe v� Town of Q*nsbury Fire Marshal 742 Bay Road Queensliury,NY 12804 761-8205/761-8206 fax 745-4437 �15 Factory Built Wood Burning Fireplace/Stove Inspection Resort Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# U d-C7-1 Schedule Inspection 3 3 Time 2 am m anytime Inspector Name WAMI So 4 Address ZB/i S'/-ylri 1)nl d E-. hough In-Z—Final Appliance Manufacturer Model# Masonry Chimney Factory Built Chimney Flue Size Double Wall%Triple Wall Insulated ( IL Yes No N/A Comments Floor Protection ` Clearances to Combustibles (all sides) _ i Safety Strip Installation(fireplaces only) VY CIS i Firestop(s) Vertical Chase 11)�/4 Wall Penetration Chimney Clearances to Combustibles ``, W Chimney Termination C0 Q L- LAJ;V l (-p-) ` 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air � C Hearth Extension Mantel(height above f/P opening) enin g) Fireplace Doors/Screen(required) White--BdUing Dept. Yello —C mer Pink—Fire Marshal Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: o U S a �) Queensbury Building& Code Enforcement Arrive: am/p Depart: r pm / 742 Bay Road, Queensbury, NY 12804 Inspector's Initials NAME: 11 c� (��r5 _ PERMIT#: C; o"c)- LOCATION C7 62 G SPECT ON: TYPE OF STRUC URE: '7 Framing 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 4 hour Firesto i 0/�Ge;L�:� Penetration Seale 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 LASueHernin.-Way\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: a epart: i tkm/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials. M \� CYrw" PERMIT#: LOCATION: INSPECT ON: j 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 %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 Fi separation 1, 2, 3 hour ire 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:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection requ st received: Queensbury Building&Code Enforcement Arrive: _arn/p epart: �ap 742 Bay Road, Queensbury, NY 12804 Inspector's Initials /t NAME: �,('rqpzo/J6' PERMIT#: LOCATION: At z) 1 1U, INSPECT ON: CSC 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 Ice and snow shield 24 inches from wall Fires ration 1, 2, 3 hour F re wall 2, 3, 4 hour Firestopping / U� 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 LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 i Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/p_ Depart: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials NAME: PERMIT#: LOCATION: z e— INSPECT ON: vs—' 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 %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. t, Garage Fire Separation 1 �� 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 ' . (W) .7 sf above/below grade 5.0 sf grade L—:\Suef-lemingway\Building.Codes.Inspection.FORMSTFraming Firestopping Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (51 8) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/pm Depart`- am/ = - 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: t�FA.�c�Y� �cN� PERMIT #: LOCATION:10 QC�0 _ INSPECT ON: — — 5 TYPE OF STRUCTURE: Y N N/A PVC: R-1, R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. lumbin Vent/Vents in Place Roia tii_Pliinbin /Nail Plates 1 % inch min. Drain Size Washing Machine Drain 2 inch min. Heaii-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 IAXA,fiFSfipply Piping Cooper Commercial oo er, 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 C MIYIENTS: G „S qP P �' LASueHemingway\Building.Codes.Inspection.FORM MRough Plumbing Insulation Repoit.doc November]7,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p epart:. S am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: C PERMIT #: 6`� LOCATION: ID C u�g . �- �� INSPECT ON: TYPE OF STRUCTURE: Y N N/A j 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 W er Supply Piping Cooper Commercial Coo er, CPVC,Pex One and Two-Family w -Instilration 7 Residential Check/Commercial Check ° -Pro. ep Vent, Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace ,Duct work sealed properly/No duct tape �_ 1Rc Si 0�... V COMMENTS: LASueHcmingway\13uilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November l7,2003 9 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Jam— I a; BLS - Queensbury Building& Code Enforcement Arrive: am/ ; art: 1m/pm 742 Bay Road, Queensbury,NY 12804 Inspector's il'itials . 51 — � /� NAME: �� PERMIT #: LOCATION: INSPECT ON: 13 ; 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 l_ LLB S �2 Rough Plumbing/Nail Plates Ar W 1 % inch min. Drain Size •.I t/(�� 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 ti- Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial _CPVC,Pex One and Two-Family tud i ou. residential Cheek/Commercial Check r ent,Attic Vent —�/Lc� .. �70rf1 !7" Duct/Hot Water Piping Insulation If re uired unheated spaces S'ur> 6. 7° Uf fi Combustion Air_Supply for Furnace Duct work sealed properly/No duct toe lueB -5 rU r—F- cU(AjI>0 .;s COMMENTS: 'F«5 LASueHemingway\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: am/pm,De< part: am/pm 1 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: c� NAME: (`CSC PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A Framing COMMENTS It Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % (w) 16 gauge (8) 16D nails each side 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 w 11 2, 3, 4 hour / { estopping 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 x PZ LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ epart: am/pm 742 Bay Road, Queensbu>y,NY 12804 Inspector's Initials: NAME: '1 ti PERMIT LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Pl bing-Vent/Vents in Place .- '.rougfi"lAumbing/Nail Plates ,Head-or Air Supply Test 1Drain 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\Bui]ding.Codes.Inspection,FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Framing / Firestopping Inspection Report A�3 Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm_-- - 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ' NAME: PERMIT#: oZo LOCATION: 5+n�tQINSPECT ON: - TYPE OF STRUCTURE: Y YN N/A COMMENTS gaming. 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 Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour re wall 2, 3, 4 hour Frestopping Penetration sealed 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 IAI LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 6`f r iN71 go a- k A/C) Septic Inspection Report Office No. (518)761-8256 Date Inspection re es re eiv d: Queensbury Building&Code Enforcement Arrive: m/p epart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial . NAME: C� u c) g�� OPECT NO.: LOCATION: 5,��_L�J,T�d _ ,� ON: RECHECK: Comments and/or diagram Soil Type: Sand Loam Cla Type of Water: Mumci al/ ell Water Waterline separation distance ft. Well separation distance Other wells: ftVe / Absorption Field: Total length Length of each trench Depth of trenches Size of Stone Seepage Pits: Number Size: Stone Size: Piping Size Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use St us: _V _Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:wSueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 As ZUu,--t--zol r, q , 6��.�.�� b 3 ' 1 JV/ �lr 6�/_7 r1 -71 ��/.711 i..4.f(1A V uAAV ■ I IVAAIQ.7 V `PQ"nvr, Inc. . BLACK TOP PAVING. EXCAVATION AND GRADING DEALERS IN FILL, GRAVEL. SOIL AND STONE AREA CODE 518 1 47MEACOWEROCK ROAD TELEPHONES: OFFICE 792-4090 P.O.BOX 377 NO ANS. 793-2297 GLENS FALLS,N.Y. 12801 FAX. 792-4194 DAILY LABOR, EQUIPMENT & M-ATERIaL VOUCEER TO- DAY: DATE: P .O. z PROJECT: DESCRIPT=ON OF WORK: LABOR. EQUIPMENT RENTAL HOURS TOTP_:.• L'T.'._SS A1�O0Q4_ d 5. 7QU_P? y7^ Lira i' 111�0 ; . - UN f •I I I I I • `. I I I I I I I i I I I I I 1 I I I I { • I I I 9 { I I 11 ��1• I 1 I . I I I i i I I M.T=^7 s . � I ' �_vt•1r_ __ � i Septic Inspection Report Office No. (518)761-8256 Date Inspection re• -es e e ed: Queensbury Building& Code Enforcement Arrive: eprt: am P 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: _ 'L ` NAME: PE IT N LOCATION: �Q , IN ECT ON: RECHECK: Comments and/or diagram Soil T e: Sa 1 Loam Clay__.-=-` T e of Wa � al `Well Watp-r-� Waterline separation distanc ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench L ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank IA 1'. t, - Tank to Distribution Box "';i C--- Distribution Box to Field/Pit l- ' JL. v- \• Z O ening Sealed: Y /Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan VY N Location of System on Property: Front Rear Left Side gh Side Middle Fri _.Middle Rear System Use eSSt 2s: Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved U\Sueliemingway\Building.Codes.Inspection.FORMS1Septic Inspection Report.doc January 28,2003 Framing /Firestopping Inspection Report / Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: a m epart: m/pm 742 Bay Road,Queensbury,NY 1.2804 Inspector's Initials. NAME: i2��J2�ti PERMIT#: LOCATION: 1366-57-vAX- OY—' INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS Framing Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2(w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from 7111 Fire separation 1, 2, 3 hour Fire wall 2, 3,4 hour Firestopping / Penetration sealed 16 inch insulation in vity min. Garage Fire Separation House side '/z inc or 5/8 inch Type X Garage side 5/8 nch Type X Ceilin /,wall Windows Hapi`able Space/Bedrooms 24 in. (4) 20 in.* 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 request received: Queensbury Building&Code Enforcement Arrive: arn/ m epart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials NAME: PERMIT#: LOCATION: o v INSPECT ON: Q�� TYPE OF STRUCTURE: lv lv/a aming COMMENTS Jack Studs/I-feaders 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 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 LASueHemingway\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/ m Depart: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials. I NAME: �-��'�,�. PERMIT#: L09ATION: �`� � ��iy�Q INSPECT ON: TYPE OF STRUCTURE: Y N N/A Framing COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly L) 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:\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: _w p epart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: dO LOCATION: INSPECT ON: TYPE OF STRUCTURE: S 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 ,,!Pe-'and sno- shied 24 inches from wall Fire separation 1, , 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 LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report 3 Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: a pm Depart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initial . NAME: l or PERMIT#: LOCATION: 6 6 L . INSPECT ON: O !S- O TYPE OF STRUCTURE: Y N 'N/A COMMENTS Framing Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more . Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % (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 LASueHemingway\Building.Codes.Inspection.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/pm Depart: t WPM 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: CIG d LOCATION: jo ) INSPECT ON: 10115104 Y-10.1"00) 3»i. TYPE OF STRUCTURE: SFD 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 % (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses _ Anchor Bolts 6 ft. or less on center �� L 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 LASueHemin-Way\Building.Codes.Inspection.FORMS\Fratning Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Re port Office No. (518) 761-8256 Date Inspection re est ec e Queensbury Building& Code Enforcement Arrive: In/pm e rt: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initia NAME: PERMIT#: ( � LOCATION: INSPECT ON: TYPE OF STRUCT Y7 N/ACOMMENTS 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 snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour F�bt � LR�1 D� of Gv Firestopping K-C 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 LASueHemin-way\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Re i n Ins ort p 1 ' Office No. (518)761-8256 Date Inspection re es ece' ed- Queensbury Building&Code Enforcement Arrive: ; a Depart: " 1� a 742 Bay Rd., Queensbury,NY 12804 Inspector's Initia s: Q� } %( ` NAME: . `1� % RMIT#:. u LOCATION: , INSPECT_ON: — LJ TYPE OF STRU TURF: 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 undation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump" 01 Footing Drain Stone: 12 inch width 6 inches above footing 6 <bly for wet areas under slab ill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation terior/ xterior R- Rough Grade 6 inch op within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Reporkdoc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection rfque#. Queensbury Building&Code Enforcement Arrive: Depart. �i ba pm = 742 Bay Rd., Queensbury,NY 12804 Inspector's In NAME: P LOCATIO C crh� DSPECT ON: TYPE OF STRUCTURE: � L�I� Comments Y N N/A 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: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Report Ins ection �. P Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ptli 1 Depart. am/pm 742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initials: NAME: �Q `��. PERMIT#: LOCATION: 1 1A V INSPECT ON: TYPE OF STRUCTURE: �. Comments Y N N/A ootings L Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placeme 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 SIab 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 Permit Number MECcheck Compliance Report Checked By/Date Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb Data filename:Untitled TITLE:HARRISON, WILLIAM AND JOAN COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:02/02/04 DATE OF PLANS: 11/02/02 COMPLIANCE:Passes Maximum UA=855 Your Home=786 8.1%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 3074 .38.0` 0.0 92 Wall 1:Wood Frame, 16"o.c. 4212 -21.0 0.0 182 Window 1:Wood Frame,Double Pane with Low-E 764 0.340 260 Door 1:Glass 185 0.340 63 Door 2:Solid 68 0.100 7 Basement Wall 1: Solid Concrete or Masonry,8.6'ht/8.0'bg/8.6'insul 1015 11.0 0.0 60 Floor 1:Heated Slab-On-Grade;2.6'insul. 80 10.0 58 Floor 2:All-Wood Joist/Truss,Over Unconditioned Space 1464 21.0 0.0 64 Boiler L,90 AFUE Air Conditioner 1:Electric Central Air, 10 SEER 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 Proposed New York State Energy Conservation Construction Code requirements. 4Wildw/Designer Date Z-Z i � = I MECcheck Inspection Checklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE:02/02/04 TITLE:HARRISON, WILLIAM AND JOAN Bldg. Dept. Use . - I Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: I Above-Grade Walls: [ ] I 1. Wall 1:Wood Frame, 16"o.c.,R 21.0 cavity insulation Comments: I Basement Walls: [= ] I L. Basement Wall 1:Solid Concrete or Masonry,8.6'ht/8.0'bg18.6'insul, R-I 1.0 cavity insulation Comments: Windows: . [ ] I 1. Window 1:Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: Doors: [ ] I 1. Door 1:Glass,U-factor:0.340 #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] J 2. Door 2:Solid,U-factor:0.100 . Comments: Floors:' [ ] I 1. Floor 1:Heated Slab-On-Grade,2.6'insulation depth,R 10.0 continuous insulation Comments: Slab insulation to extend down from the top of the slab to at least 2.6 ft.OR down to at least the bottom of the slab then horizontally for a total distance of 2.6 ft. Exterior insulation must have a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade).insulation and extends at least 6 in.below grade. [ ] I 2. Floor 2:All-Wood Joist/Truss,Over Unconditioned Space,R-21.0 cavity insulation Comments: I Heating and Cooling Equipment: [ ] I 1. Boiler 1:,90 AFUE or higher Make and Model Number ( ] I 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher Make and Model Number I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are.sources of air I leakage must be sealed. [ j I Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC I rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible I materials and 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: [ J 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. Manufacturer manuals for all installed heating and cooling equipment and service water heating I 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: [ ] 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. [ j I Supply ducts in unconditioned spaces must be insulated to R 11. ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. Duct Construction: [ ] 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). [ ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ J I Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] 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: [ ] 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: [ ] I 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 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. [ ] ( 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: [ J 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. 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. Table I: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pie Sizes Heated Water Non-Circulating Runouts Circulatine Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5",to 2.0" Over 2" 170-180 0.5 1.01 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 TlticknessforHVACPipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F "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) lr6- �. zz 61 -WIV elz� - a - agm �5t75 Cos�ii��;ICliiCia kOGSN33no�®1 MOi � e � MOZ 0 9 ddV "I have seen or observed, or believe I saw evidence of, all Objects SLEch as houses, wells, trees, flences, etc., shown o �n1 docu, ent. I also represent that I have person ly easu the distances set forth on the 'iagram.' SIGNATURE D T