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2004-324 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: P20040324 Date Issued: Wednesday, July 09, 200S This is to certify that work requested to be done as shown by Permit Number P20040324 has been completed. Location: 164 WEST MT. Rd Tax Map Number: 523400-308-017-0001-050-001-0000 Owner: JOHN & CAROLYN LORD Applicant: JOHN & CAROLYN LORD This structure may be occupied as a: Garage - 2 Cars Attached By Order of Town Board Residential Addition TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the 6l property owner of the responsibility for compliance with Site Plan, d" 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. ' 'OWN OF QUEIENSBURY 742 Bayltoad,Queensbury,NY'12804 5902 (518)761-8201 ...communityDevelovmeiit ffl.BuOdin.g&Codes..(518).7614.56:: BUI D NG PERMIT Permit Number: P20040324 Application N mber. A20040324 Tax Map No: 523400-308-017-0001-050- 000 Permission is hereby granted to: JOHN&CAROLYN LORD For property located at: 164 WEST Rd in the Town of Queensbury,to construct or place at the above location in accordance with application toge ;wi plot p and other information hereto filed and approved and in compliance with the NYS Unifo uildin Code and the Queensbury Zoning Ordinance. T e of Construction Value Owner Address: JOHN & CAROLYN LORD WEST MT. arage-2 Cars Attached QUEENSBURY,NY 12 4- 0 esidential Addition $30,000.00 otal Value $30,000.00 i Contractor or Builder's N"Iess ectrical Inspection Agency i Plans &Specifications 2004-324 984 SQ FT RESIDENTIAL ADDITION AND 456 SQ FT 2-CAR ATTACHED GARAGE $25 paid on 3/12/07 to extend permit for 1 year $163.68 PERMIT FEE PAID- THIS PERMIT-EXPIRES: Sunday,June 29,2008 (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 T Quee ury SIGNED BY d June 29, 2004 for the Town of Queensbury Director of Building&Code Enforcement, TOWN OF QIJEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 : Community:Development- Building&Codes (518) 761-8256 -- . BUILDING PERMIT Permit Number: P20040324 Application Number. A20040324 Tax Map No: 523400-3 08-017-0001-050-001-0000 Permission is hereby granted to: JOHN &CAROLYN LO For property located at: 164 WEST MT. Rd in the Town of.Queensbury,to construct or place at the above location in accordance with application together with to plans and other information hereto filed and approved and in compliance with the NYS Uniform ildin d and the Queensbury Zoning Ordinance. Tyne of Construction Value Owner Address: JOHN&CAROLYN LO WEST MT. Garage-2 Cars Attached QUEENSBURY,NY 1280 - 000 Residential Addition $30,000.00 Total Value $30,000.00 Contractor o udder Name/Address Electrical Inspection Agency Plans &Specifications 2004-324 984 SQ FT RESIDENTIAL ADDITION AND 456 SQ FT 2-CAR ATTACHED GARAGE $163.68 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,June 29, 2007 (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 own o ee uusd ,June 29,2004 SIGNED BY � I � for the Town of Queensbury � 5 Qu ury Director-of.Building&a Code Enforcement - i TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040324 Application Number: A20040324 Tax Map No: 523400-308-017-0001-050-001-0000 Permission is hereby granted to: JOHN& C;AROT,YN T,ORD For property located at: 164 WEST MT. Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Tyne of Construction Value Owner Address: JOHN& CAROLYN LORD WEST MT. Garage-2 Cars Attached NY 12804-0000 Residential Addition $30,000.00 QUEENSBURY Total Value $30,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-324 984 SQ FT RESIDENTIAL ADDITION AND 456 SQ FT 2-CAR ATTACHED GARAGE ------------- $163.68 PERMIT FEE PAID-THIS PERMIT L� I'IRES: Thursday, June 29, 2006 (If a longer period is required,an application for an extension must be mmaadee-o—the c nforcement Officer of the Town of Queensbury before the expiration date.) -- _ Dated at the T n ueen ry u da une 29, 2004 SIGNED BY for the Town of Queensbury. C � Director of Building&Code Enforcement T TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040324 Application Number: A20040324 Tax Map No: 523400-308-017-0001-050-000-0000 Permission is hereby granted to: JOHN& CAROT,YN T,ORD For property located at: 164 WEST MT. Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with die NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: JOHN& CAROLYN LORD 164 WEST MT. Rd Garage-2 Cars Attached QUEENSBURY NY 12804 Residential Addition $30,000.00 Total Value $30,000.00 Contractor or Builders Name /Address Electrical Inspection Agency Plans&Specifications 2004-324 984 SQ FT RESIDENTIAL ADDITION AND 456 SQ FT 2-CAR ATTACHED GARAGE $163.68 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, dune 29, 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 To of Bens /� e ,dune 29, 2004 SIGNED BY for the Town of Queensbury. Director of Building&,Code Enforcement Job Site Address: 74?q,(�? If6 qd Date: `S=/ -O Owner: ©h �� ,1-01 /0/-d Application No. File No. c�)-�-3� WINDOW SCHEDULE Window Window Mfg. Window Unit or dough- 12ough Q T! SQ FT SQ F� Cl'e�r Clear Special Hardware or Number or Name Model Stock Opegtng Opening CslassNtstb Dent )tigress/Clear ppenmg Opening Height . Instructions Letter on Or Type Number Width 4)Iegh6t , le,' s YOpentng rz Width In In Inches: Plan Call S. a a �ttc a a a v r X11GISCS ck z vMlit to 1'. c iL AO -THIS LINE HAS EXAMPLES OF SAMPLE ENTRIES W .G ersent* I*tarrolt ;.3 21f3,: .F L6 5 /z x„ 15.3Or <..e. n y :1:.u :r .w ;• $ 6 M 2415f35 „} T Glaziem °eyed a P rig; '`�'.,>,, F:y4 3`k�, - � �^��I1.Un�v�'.,..ia�., �i't''�� �t�. �''rrt ,.� i'+ 's a .�•d'?;i, £�>_� xtx �' L:\SueHemingway\Building.Permit.FORMS\Window Schedule.doc y + D I Check Residential Plan Review: One&Two Family Dwellings Y/N/N/A (2)Full sets of plans Over 1,500 sq. t.—Stamped Design Loads On Plans:90 Wind Floor Loads 40 psf 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glas's Size Door Schedule/Main Entrance 36"Door Emergency 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 R 'dential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofing/Waterproofing Materials On Plans A/ Foundation Drainage On Plans,if required "Drop in 10'Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where e ired Ice and Snow shield 4"Inside Exterior " ide Knee Walls Platforms At Exterior Doors Stairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise Winder Run and Rise �> n/ piral Not Allowed From P Story Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance 11 Width,36"min. andrails More Than One Riser On Open Sides Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. d/p1 afety Glazing Notes For Required Areas 7tdaiage Fire Separation arage Floor Sloped c Access Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access Carbon Monoxide Detector Lowest Sleeping Level Soil Test Results,if required Septic To Well Or Water Line Separation PRO All Paperwork Signed 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: File Permit No. rQ 9 - 3 o- Tax Map No.3 ; Fee Paid Owner's Name:,,Y�) k v,-,, L e,-tz I........................................................................................................ Address: 71l� Gv�`� /YI��v ✓ �zv X-5��`�'1 2. INSTALLER'S NAME 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/bdim = Garbage Grinder Installed yes_ / no' >L Spa or Hot Tub Installed yes— / no 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) _ToQoQraphy Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply sand=.vim at what depth at what depth municipal's Rolling o m 4 feet %' feety Steep slope clay if well; water supply . ,%slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. ,",PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. y ;Septic7ank: gallon (min. size 1,000 gal) Tile Field:"'each trench ft. Total System Length: ft. Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # / depth or thickness feet i Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. ignatur of responsible pe son Date • ' �� . ' 'I'c>'wt� uf tZttec'.ilst)tiry Avi)(milix C, t r RI:I'/11t/1,r1'1WIN 1tt��Zt.311tI�hllr�[�1'1`:l ' r •• pQNQ M 1/1-TJ*A. rt lt'rwt . ,ram t G . j � .fir ^....��_ � ,r•r �. Sc t'l lcr '�r t Ut'�itttlalllr�t t • r�Jx?RPt1G1 1 R 7. SIGrIA..rURE &INFORMATIS�I"I FOB � v� L;� �+"►,�"�' 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. Permit File No. 0 No inspection will be made until applicant has received a Fee Paid $ valid building permit. All applicants spaces on this Rec.Fee Paid $ application must be completed and must appear on the Reviewed By: application form. Applicant: -1 -T.146 Owner: ° 4ko L 6 g Address: %6 i e-i HW u /zd Address: 6 Lv�s- �•/�� Q tee¢►uS bo 2:U, �_y /--L 80 6� v h 2 d- Phone#(J-ex)_Z-a 2c Phone#(�Lfl)•_L.2-3.�2_21_0 jJ Property Location: Lot Number: / House Numbed Subdivision Name: Tax Map Number:3 c)g, /'7-/d 6 ❑ New Building: residence /commercial 'Estimated Market Value of Construction: $ �0\wo -ct Addition: residence/ commercial If an 4ddition,what will use of new addition be? ❑ Alteration: residence/ commercial 9��1 ❑ No change to exterior size: residence/com'1 ALI v Other work(describe S e_P T,'c- Check OccupancyYnformation I't Floor 2° Floor Other floor Total Below sq.it. sq.ft. sq.ft. Square Feet d� Single family dwelling o Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ -Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached garage �k 2-car attached garage ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other What is the proposed height of the structure 690 feet inches Will any second-hand or ungraded lumber be used? If so,for what? V ►� Type of Heating System: electric 00� gas/wood / rced hot air baseboard/other: Number of F_Lrevlaces to be installed Number of Woodstoves to be installed — List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder Plumber Mason Sam e✓ Electrician gag, e- 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. Further,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 Director of Building and-Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all n w nstruatio Signature: �6=�_ei owner's agent,architect,contractor. ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS 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 APPLICANT'S NAME: PROPERTY LOCATION: John � c�holcih ,�,oh� //v � l✓1''eS���y�7'`a-�� �Qoa� PART 5 METHOD OF COMPLIANCE-BY ACCEPTABLE PRACTICE: l. Gross Floor Area- square feet 2. Type of heat- Electric_ Oil Gas Other 3. Is building mechanically cooled? yes No 4. Percentage of area of windows and doors Over 17% Under 17% 5. R-VALUES FOR INSULATION GIVEN BEhOW MUST CORRESPOND TO R VALUES AS. SHOWN ON PLANS SUBMITTED: a: Roof R &J b. Exterior walls R.1! C. Glazed areas R Ucf6r' 6 d. Exterior doors R 6 e. Floors over unheated spaces R �. f. Edge of slab on grade(heated building) R .\ g. Basement/cellar walls(above grade) = R \. 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 v Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED Tr s S' nature Date Phone Number INSPECTOR'S REMARKS: . _ G Rough Plumbing / Insulation Inspection Re ort Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/p L}epa am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: N ��-� NAME: L P IT #: LOCATION: okA PECT ON:�[ TYPE OF STRUC URE: Y N N/A PVC: R-1,R-2, R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/ Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min. Drain Size ashing Machine Derain 2 inch min. ) eailTor,:Air.Supply Test Dram and`Vents 5 PSI or 10 feet above highest connection for 15 minutes CI anout every 100 feet/change of directio ater Supply Piping cJ 1 Cooper Commercial J aL lrU C _Cod per, CPVC,Pex One and Two-F DOZi Jac.d ed O ji l[t sii lad nn[Residential Check/ Comni4rcial Check Pro er Vent, Attic Vent Duct/Hot Water Piping Insulation If required unheated s aces Combustion Air Supply for Furnace Duct work sealed properly/No/duct tape COM MENTS: Cam,z L:\SueHemingway\Building.Codes.Inspection.FORMS\Rougli Plumbing Insulation Repoit.doc November 17,2003 Rough Plumbing / Insulation Inspection Report Office No. (51 8) 761-8256 Date Inspection request received:' /ALAS 7� Queensbury Building& Code Enforcement Arrive: l� qu am/pm Depart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: LOCAT N: IN ECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/ Comm. PlumbingVent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min.Drain Size Washing Machine Drain 2 inch min. Bead or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial Cooper,CPVC,Pex One and Two-Fa nsula o /Residential Check/Comme cial Check Pro er Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furn.1ce Duct work sealed ro erl /No Ouct tape COMMENTS: / L.\SueHemingway\Buildi ng.Codes.Inspection.FORM MRough Plumbing Insulation Report.doc November 17,2003 Framing / Firestopp'ing Inspection Report Office No. (518) 761-8256 Date Inspection request receive--' �+ Queensbury Building& Code Enforcement Arrive: airl/ art: m/pm 742 Bay Road, Queensbury, NY 12804 hispector s Initials` NAME: PERMIT#: V LOCATION: 1A N�,_ \ IVA INSPECT ON: TYPE OF STRUCTURE: .4 i !.- Y N N/A COMMENTS ,' A arcing Jack Studs/Headers iJ�il��L *� cT ID at)�L �iev5'S 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 Firestappirig, > 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.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: _arn/, Dpart: 'Zr' am/pm ;/� 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ��44 ;? �V NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: _ -- Y N N/A COMMENTS Ting- , Jack Studs/Headers s t l«— �kR. S K s<v b 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 rl gr..,, - G Flrestopping Penetration sealed 16 inch insulation in cavity min. ST w, �'� 3 Co 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 7- e, OZ 9(Y� V6-IJ F( _L\SueHemingway\Building.Codes.Inspection.FORMSTraming •iresttoppnig Inspection Report.doc January 28,2003 l,�y� - AIAIL Pe4 Framing / Firestopping Inspection Report v � Office No. (518) 761-8256 Date.Inspection request received: Queensbury Building& Code Enforcement Arrive: S13J anVpm; Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N v/�► COMMENTS Framing Jack Studs/Headers 2 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 Its 6 ft. or less on center / I nd snow shield 24 inches from wall t�C--` Fire separation 1, 2, 3 hour �✓/� �,��(� ro.f� C'v�oG'10( .. Gov'' 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 Septic Inspection Report i Office No. (518)761-8256 Date Inspection re es t r e' Queensbury Building&Code Enforcement Arrive: am/p D€pa _a pm 742 Bay Rd., Queensbuly,NY 12804 Inspector's Initial NAME: P IT NO.: t LOCATION: 1 c,` v.� h� M�"� �� SPECT ON: — — RECHECK: Comments and/or diagram Soil Typ and/ oam/Clay Type of 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 �C_� 1� Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank >\ y Tankto Distribution Box Distribution Box to Field � — 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 N Location of System on Property: Front Rear Left Side Right Side Middle Fron Middle Rear S stem Use St s• Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved LASueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 1 . V Foundation Inspection Report Office No. (518) 761-8256 Date Inspection reques receiv d: — Queensbury Building&Code Enforcement Arrive: any/ -m - Depart: i` f"am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: `��'�'� PERMIT#: V— zzv'- LOCA:I`ION: INSPECT ON: O d _ 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.Danipproofing 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/Capper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHcmingway\Building.Codes.InspectionTO RMSToundation Inspection Report.doc January 28,2003 1-J J Foundation Inspection Report Office No. (518) 761-8256 Date Inspection requestreceived: /7, 74, Queensbury Building&Code Enforcement Arrive: am/ Depart.Y am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: PZ NAME: ���'�� PERMIT#: LOCATION: ',` INSPECT ON: D G" TYPE OF STRUCT . Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. j Materials for this purpose on site. Foundation/Wallp our Reinforcement in Place Foundation Dampproofing A, Fou dation/Waterproofing ��"I ype of Ddmpproofing/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.FORMSToundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request eceived: Queensbury Building&.Code Enforcement Arrive: ani/pm epart: anvpm 742 Bay Rd.; Queensbury,NY 12804 Inspector's Initials: NAME: - — (YAvc PERMIT#: --O—/ —3c ` L/ LOCATION: Mg- INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A ootings Q Piers Monolithic Stab Reinforcement in Place �/� The contractor is respErfisib e fo providing protection from freezing for 48 hours following the placement of the concrete. MaterjalLfor_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\Bui Win g.Codes.Inspection.FORMS\Foundation Inspection Report.doe January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection requ�est received: _ - Queensbury Building&.Code Enforcement Arrive: anvp�t Depart,::'—", 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials. n NAME: PERMIT#: ��� L LOCATION: _� INSPECT ON: _ 7 — 0 L TYPE OF STRUCTURE: Comments �ootings II Piers L ��1M UU c' L-OO A�e— Monolithic Slab Reinforcement in Place The contractor is responsible fo 3 S��1CG— u u� rJ�Q,IS 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 /�4 �C� 8` . !✓�/� Foundation/Waterproofing Type of Dampprooting/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 f Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASucHciningway\building.Codes.Inspecti on.PORMSToundation Inspection Report.doc January 28,2003 Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm Depart: `� am/pm Date Inspection request received: _ Inspector's Initials: NAME: Llt;F� _ PERMIT#: LOCATION: L � _ DATE: TYPE OF STRUCTURE: —CAI _ 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 Com lete Guard 30 in.or more cry 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 1 zin Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroo 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 ra erl Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in,x 30 in.(ht.)In accessible area Crawl Spaces IS"x 24"access, 1 s . ft,150 s . ft.vents Building No./Address visible fro oa 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:\PamW\BuildinQ&Codes\Inspection Forms\Res. Final Inso. form 2.docLast printed 2/12/04 518-793-2290 Fax#518-793-2115 T;} -1. 7(p E-mail: morningstarseptic@hotmail`.com www.morningstarse {tc.com Date: // �/ 107 Jewel Road,Gansevoort, NY 12831 TO: i�,Olt�'t /fJ{/rr� i ter_..._ ._.__ '--•------__—.r_ - — — --- --_1 i i >� f J . t t) [ A)? �,J� lrv�C�'1 ✓Se tip• J' L�./ f i L Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoflware Version 3.5 Release le Data filename:Untitled.rck PROJECT TITLE:Mr. &Mrs.John Lord COUNTY: Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:05/10/04 DATE OF PLANS:May 04 PROJECT DESCRIPTION: Addition COMPLIANCE:Passes Maximum UA=430 Your Home UA=338 21.4%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 . 2200 38.0 0.0 66 Wall 1:Wood Frame, 16"o.c. 1888 21.0 13.0 57 Window 1: Wood Frame:Double Pane with Low E 227 0.340 77 Door 1: Solid 40 0.210 8 Door 2: Glass 80 0.340 27 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 2200 19.0 0.0 103 Boiler 1: Other(Except Gas-Fired Steam),90 AFUE COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction.Code requirements. When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in compliance with this Code. Builder/Designer Date 1dlOS L w REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release le DATE:05/10/04 PROJECT TITLE:Mr. &Mrs.John Lord Bldg. I Dept. I Use I Ceilings: [ ] I 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+R-13.0 continuous insulation Comments: I Windows: [ ] I 1. Window 1: Wood Frame:Double Pane with Low E,Ufactor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: I Doors: - [ ] I 1. Door 1: Solid,U factor: 0.210 Comments: [ ] I 2. Door 2: Glass,U-factor:0.340 f Comments: I Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: I Heating and Cooling Equipment: [ ] I 1. Boiler 1:Other(Except Gas-Fired Steam), 90 AFUE 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. [ ] I Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly I 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: [ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] Supply ducts in unconditioned spaces must be insulated to R-11. [ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. I Duct Construction: [ ] I All joints, seams,and connections must be securely fastened with welds,,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g. (500 Pa). [ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] Air filters are required in the return air system. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: [ ] Separate electric meters are required for each dwelling unit. Fireplaces: [ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York State,the Residential Code of New York State or the New York City Building Code,as applicable. Service Water Heating: [ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ J All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation [ ] HVAC piping conveying fluids above 105 OF or chilled fluids below 55 T must be insulated to the levels in Table 2. Y - Table 1: Minimum Insulation Thickness,for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HUAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range( F) 2"Runouts 1"and Less 1.25"to 2" 2.51-.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) //4o �t T. P17-CMEX <.9piAEO lZaA(/Pao /OlJN O i S'- 87- 3 3 -15 E 47/• ¢s 3 JOHN & CAROL l'N LORD to iron PIAI — F��o PATRICK A CAROLE GERUSO 00 N h z PQ L/6NTf� 0 � -S-g2 - 3 7- So- E �P� --. re we Q � , M .ac�aoI 2 9/, a 2 Q D Rfv F 7'Ec • Q �elox Q r • 41 \4� � R4 O Fovvo / S relz J JOHN & CAROL YN LORD �� No usPC eve H c 0 N ;v /3G 0 � - h 2 73 00 /.SON P/pF 444- 79 _ Fav,Alo I I 1 �DoQ ` a� pD D DEED REFERENCE Robert N. and Emily M. Lilly to John Lord and Carolyn Lord FROM TH6 office Of �o be r 10, 19 7 9 B k. 6 2 6 P Np M-Covw - g. 875 COULSfeR A �� $ut�teYot su,evEv ,H.�,a ,�y OF Z.4AVDS OF .C/CE.vfED /D 1 L.9Aaek',6y4RS TOH& .A"jo C74Q QLYAt LORD 9-Z .B Ay - G L E.✓1 FULL s ^/E�v yo.2,C r7-OIA/Al OF q uc-Eus t3u.e Y 1 va�P,eE.J C'o�.vey AvEsv yo,� -1/8 792 -57fr- s , -164 1110 TAX MAP J'ECT/ow• / Z S 13�0 0.� Z i�A.PCEL 3.` SEP 7- F-/SS