2004-383 TOE OF QUEENSBURY FILE Copy
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20040383 Date Issued: Thursday, December 02, 2004
This is to certify that work requested to be done as shown by Permit Number P20040383
has been completed.
Tax Map Number: 523400-315-010-0001-016-000-0000
Location: 10 QUINCY Ln
Owner: MICHAELS GROUP LLC THE
Applicant: MICHAELS GROUP LLC THE
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Single Family Dwelling
Director of Building&Code nforce ent
BLDG. PERMIT NO. 2004-383 FILE
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property
located at; 10 Quincy, Lane
for'the following uses: S-Lngt e Farti.t, y Dwe. -;.ng
Oci-obex 29, 2004
DATE SIGN URE OF APPLICANT
TEMPORARY CERTIFICATE OF OCCUPANCY
The TEMPORARY.CERTIFICATE OF OCCUPANCY is hereby 010PROVED
( )DISAPPROVED
with the following conditions: TempOka y
E .in.6ta.0 ,tempered bo:uoin zaz at bai6vcoorn window .
TEMPORARY CERTTIFICATE OF OCCUPANCY EE: O$10.0• DE )$100.00
received on --
Date of ss nce Di of BMg. Code Enforcement
TINS TEMPORARY CERTIFICATE.OF OCCUPANCY EXPIRES 3d DAYS
FROM THE DATE OF ISSUANCE.
NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code
Enforcement or his designee.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040383 Application Number: A20040383
Tax Map No: 523400-315-010-0001-016-000-0000
Permission is hereby granted to: M1CffART,S ('TROT TP T,T,C; THR
For property located at: 10 QUINCY Ln
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Tie of Construction Value
Owner Address: MICHAELS GROUP LLC THE
10 BLACKSMITH Dr Fireplace
MALT NY 12020-0000 Garage-2 Cars Attached
Single Family Dwelling $259,900.00
Total Value $259,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2004-3 83 Lot 16, House No. 10 Quincy Lane
2364 SQ FT SINGLE FAMILY DWELLING
$327.68 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, June 08,2005
(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; Tuesday,June 08, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
LBuilding Permit application
Town oI QLicenshry—Dept Of C01111111.IIllty Dcvelopment, 742 Bay Road, Quee"sbury, NY
(518) 761-8256
A permit nulst be obtained before beginning construction. Permit File No.
No inspection will be "lade until applicant has received a Fcc Paid
valid building permit. All iplilic-an(s' splices on tliis IZcc. I cc Paid
application must be completed and I11LIst appear on the Reviewed .By:
application form.
��E1 ���� Cr7.Ya Applicant: Owner:
Address: � 1�n 'bruj�, Address:
Phone Phone## ( ) -
Property Location: Lot Number: Igo / house Number 10
Subdivision Name: Tax Map Number:
XNew Building: residence /conuricrcial Estimated Market Value of Construction: $ 2 59 ,°1 Oc�
❑ Addition: residence/ conlnlcrcial If an'Addition, what will use of new addition be?
❑ Alteration: residence/ Commercial.
I� 1
❑ No change to exterior size: residence/com'1 � � ``y I •w�' it�
❑ Other work(describe )
JUN 0 1 2004
Check OccupancylnforI11.1tio11 I" Moor 42'j'i?lii,pi; •;;t) Olhci noon 1'olal
13c1o1v �-- ._�. _ _.__
sq. R. sq. fL— - sq. ft, square beet I
Single family dwelling 1 Z Sc7 1 1 1 4-
Z 3to 4
❑ Two family dwelling
❑ Towtlhouse
❑ Multifamily dwelling
#of units
❑ Office
❑ Mercanti le
❑ Manufacturing
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage
2 car attached garage 440
❑ 3 car attached garage
❑ Storage building- — -
Commercial
❑ Storage building-
residential
❑ Other Will any second-hand or ungraded lumber be used? If so, for what? Wk ,
Type of Heating System: electric/ oil / gas wood / forced_]lot air/ baseboard/other:
Number of'Rreplaces 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
Plumber
��C. l' I�mh�nc\_
Mason J D F-'0UCj 1ER- BOY, zloe jp--* V►t-LE b32 - 91%a
Electrician At-EaF- S El-1E=-r7M C- Roc '78 FoRT HuNTe_7_ 3(0'� - 214 S
Declaration: please sign below;Iflcr you linve carefully rend the slulenlenl:
To the best of illy knowledge the statements contained in this application, together with the plans and specifications
subinillcd, are a u-uc and complete statement of all proposed work to be done on the described premises and that all
provisions of the 1hilding Code, the 7oning Ch(linancc alld all Other la\vs 11Crfaliiing to the proposed lvork shall he conlplictl
with, whether specified or noted, aild that such work is au(horized by the owner. Furlhcr, it is understood that I/wc shall
submil, prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Adnlinislralor or Director of Building and Codcs, an ifs Blurt Stirre,by a licensed surveyor;drawn to scale.,showing actual
location of all new conslr lion.
Signaltirc:_ _-_ __ owner,Owner's agent, architect, Contrrador
Check Residential Plan Review: One & Two Family Dwellings
Y
2)Full sets of plans
Over 1,500 sq. ft.—Stamped
Design Loads On Plans: 90 Wind Floor Loads 40 psf
70 Ground Snow Load Sleeping Areas and Attics 30 psf
Calculations:
Window Schedule With Glass Size
Door Schedule/Main Entrance 36"Door
Emergency Escape Or Bedrooms and Habitable Space
Above/Below grade, 5.7 sq. ft.
Grade,5.0 sq. It.
24"(h)x 20"(w)min.
44"Max.Height above floor
esidential Check Paperwork Compliance and Inspectors Checklist: OK
Dampproofmg/Waterproofing Materials On Plans
Foundation Drainage On Plans,if required
6"Drop in 10'Exterior Grade
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where
Re uired
tee and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
Stairway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise
Winder Run and Rise
Spiral Not Allowed From 2n Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper CIearance
Hall Width,36"min.
Handrails More Than One Riser On Open Sides
Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht.
Safety Glazing Notes For Required Areas
Garage Fire Separation
arage Floor Sloped
ttic Access
Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access
Carbon Monoxide Detector Lowest Sleeping Level
Soil Test Results, if required
Septic To Well Or Water Line Separation
All Paperwork Signed
Application for Permit=Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION:
i Office Use
Location of installation: 1 O GilN C-C LANF. l L-OT #1(0) I
File Permit No. -
Tax Map No.
Fee Paid
Owner's Name: G
T4F-��� p` -S
�OVP
Address: 10
2. INSTALLER'S NAME : ��r� �S �Vo��� PHONE NO. fq!2 ,e 1 j
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 G]- x 110 gal/bdrm. =
Garbage Grinder Installed yes_ / no e
Spa or Hot Tub Installed yes_ / no
4: PARCEL INFORMATION: (circle applicable information&indicate measurements)
ToDop.ra,ohv Sail-Nature Ground Water Bedrock or impervious Material . Domestic Water SlIpply
la Wam
at w at depth at what depth municip
olling I Y&feet feet well
Steep slope clay if well, water supply
_%slope other from any septic-system
depth: absorption is ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub.
Septic Tank: 1262' gallon(min. size 1,000 gal)
Tile Field: each trench_ _ft. Total System Length: Z,!,0 ft.
Seepage Pit(s): number of size of each: ft.'by ft.
Size of Stone to be used: '#t//r- / depth or thickness feet
Bed.System Size:
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.
Signa ur responsible person to
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7, SIONA�TURE &WOFMATIt'JN PO4 USPI UN;$WJ.4 rz"vt4 ��vw��.vyv;:r' ; :•"::
Queensbury Building & Code Enforcement - Residential Final Inspection 30
I
Office No.(518)761-8256 Arrive: am/ epart: am/pm
Date Inspection request received: Inspector's Initials:
NAME: 0,1 , C Li a-u' r U PERMIT#:
LOCATION: I L) Lnt&& DATE:
TYPE OF STRUCTURE:
L e 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 @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more -C/I�G�C
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
terior privacy/trim/doors/main entrance 36 in.
athroom/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/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s .ft. vents C
Building No./Address visible from road //;
(/LL J1
Final Electrical 0
D C b j
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
food Plain Certification, if required
*Mkay to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res• Final Insp. form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/ Depart:/ - m/pm
Date Inspection request received: Inspector's Initials:
NAME: VA t cV,_ $ 6R PERMIT#:
LOCATION: Id U I Aj -i. --N , DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake G�u
3 inch Plumb Vent through roof minimum 6" i
Roof Complete/Exterior Finish Com lete
Guard 30 in. or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum '/2"
Gypsum
Grade away from foundation 6 in. with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
$athroom/Kitchen watertight zP pG� � ✓��� �f;4
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors: L /������
Every level: / Every Bedroom: JVT
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/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft. vents
Building No./Address visible from road v 5 �G 1 p
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker Ii
Flood Plain Certification, if re •red-
Okay to issue C/C or C/ [Temporary Permanent]
AIL:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. /Orm 2.docLast printed 2/12/04
V
Town of Queensbury Fire Marshal
742 Day Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Firepla e� /Stove ln�spection Renort
Notice: New Fork State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contai d in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
> �J� instructions or specifications is allowed.
Permit V I r_ Schedule Inspectionssn - -NTimc � ain pm anytime Inspector jP"
Name I ' oja �.�� Address �1.-►� ram_. 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
Clearances to Combustibles (all sides)
Firestop(s) 'Vertical Chase
Wall Penetration
Trent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Start-Off Value
Combustion Air
Hearth Extension if any)
Mantel
Height above Up opening
Witness Operation
Tank Placement(if LP)
White—Btailding Dept. jveuow C-ust er Pink—Dire Msuslml
Queensbury Building & Co Enforcement - Residential Final Inspection
:.
Offic o. (518)761-8256 Arrive: am/pm Depart: 3;3+ am/pm
Date Ynspection request received: Insp'ector's Initials:
NAME: PERMIT#:
LOCATION: C DATE:
TYPE OF STRUCTURE:
I
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake �0
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete - —
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %Z" /
Gypsum ✓ %;i
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: / Batter backu :
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"aeces , 1 s . ft.-150 s . ft. vents
Building No./Address isib fyom.re A
Final Electrical to
S
Site Plan /VarianceVegillWed
Iv
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Oka to issue C/C or C/O Tem orar /Permanent
L:\PamW\Building&CodesUnspection Fornis\Res. Final Inso. form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: anVpm Depart: am/pm
Date Inspection request rece'VAd: — Inspector's Initials: , 2
NAME: �t 1 (- PERMIT#—:_-- 0 ! —,3 3
LOCATION: 1 C t.� �� DATE:
TYPE OF STRUCTURE:
_ Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs, decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches _
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in,(ht,)In accessible area
Crawl S aces 18"x 24"access, 1 s . ft.-150 s . ft. vents
Building No./Address visible from road
Final Electrical
Site P an /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\Buildinp,&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received: ,
Queensbury Building&Code Enforcement Arrive: a Depart-q am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials
NAME: Ax614A""-1'5 610r PERMIT NO.: 9iG
LOCATION: iL> CRU L,4 L tj INSPECT ON: `� a
RECHECK:
Comments and/or diagram
Soil Type: Sand/Loam/Clay
_.Type of Water: Municipal/Well Water
Waterline separation distance
Well separation distance ft. ,�✓C . C� ��L � � ���L C—�
Other wells:
Absorption Field: Total length
Length of each trench ft. ["�
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
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 N
CIS
Location of System on Property:
Front Rear Left Side Right Side
Middle Fro Middle Rear
S stem Use Stat s:
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 23,2003
'4
Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received: o �l
Queensbuiy Building&Code Enforcement Arrive: am/p epart: am/pm
742 Bay Rd., Queensbuly,NY 12804 Inspector's Initials:
NAME: f_ C PERMIT NO.: ��
LOCATION: INSPECT ON:
RECHECK:
Comments and/or diagram
Soil T e: and Clay
Type of Water: i unicip 1/Well Water
Waterline sepa ation d' tance
Well separation nce ft.
Other wells: ft.
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone
-Seepage Pits: Number
Size: x <
Stone Size:
Piping Si T
Building to tank G
Tank to Distribution Box 0 �
Distribution Box to Field/Pit
Opening Sealed: Y/N/Partial
Location/Separations
Foundation to tank U ft.
Foundation to absorption _ft.
Separation aration of Pits ft.
Conforms as per Plot Plan Y_N
Location of System of Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
System Use Status: C
Approved
rtial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
boo
169 Haviland Road, Queensbury,NY 12804
Phone-518-745-4400 Fax -518-792-8511
October 7, 2004
Job#46176
New York State Dept. of Health
77 Mohican Street
Glens Falls,,NY 12801
RE: Quincy Lane Subdivision- Queensbury(T)
10 Quincy Lane(Lot# 16) Septic System
Dear Sir/Ma'am:
This letter is to inform you.that we inspected the completed septic system for the house at 10 .
Quincy Lane(Lot#16) in the Quincy Lane Subdivision on September 29, 2004.
The septic system as installed was for a four bedroom house and consisted of a 1,250 gallon
septic tank and 200 lineal feet of absorption trench constructed with stone and perforated pipe.
The system conforms to the requirements of the approved subdivision design drawings.
Please call me if you have any questions or concerns.
Sincerely,
Thomas R. Center Jr., EI
cc: Dave-Hatin,Town-of Queensbur�- 4
Eric Wilson, The Michaels Group
Oq -393
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Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/pm �rt: m/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: A-\CL eL ��Y PERMIT #:
LOCATION: 1/ A i n ZA INSPECT ON: — _ I
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
I % inch min. Drain Size
Washing Machine Drain 2 inch min. /' 1
Head or Air Supply Test
VCJ - S
Drain and Vents
5 PSI or 10 feet above highest C�1 �- !�� ��
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
Cooper,CPVC,Pex One and Two-Family /
r `1IRsul407ii/Residential Check/Commercial Check U /J 5 .
- o er Vent,Attic Vent ZE- ; WC 11f
Pr
Duct/Hot Water Piping Insulation
If required unheated spaces A4rZ--
Combustion Air Supply for Furnace
Duct work sealed properl /No duet tape
COMMENTS:
D U
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/ m Depart am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:� <_
NAME: 1 \1 C. PERMIT#: L/ (-f 3 �3
LOCATION: INSPECT ON: _ �
TYPE OF STRUCTURE:
Y I NI N/A COMMENTS
Fr ing _
Jack Studs/Headers 06, C u7—
Bracing/Bridging
Joist hangers 1,V:5 7_�4-1— /)4 Ie- 5 7J�
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 `112, 3, 4 hour
restopping
Penetration sealed
16 inch insulation in cavity min. 2Cc1
Garage Fire Separation
House side % inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Q 9S 7 � �1 ��
Rough Plumbing / i.�
sulatCOn Ins ct�on Report 1/
Ck
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/prr� Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: �1 fC,Ei
NAME: PERMIT #:
LOCATION: (� INSPECT ON: -n
TYPE OF STRUCT
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron,_Copper Drain/Vent/Comm.
Plumb' Vent/Vents in Place
),_Ro`u*`gh Plumbing/Nail Plates
1 % inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
Cooper,CPVC,Pex One and Two-Family
Insulation/Residential Check/Commercial Check
Proper Vent, Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces_
Combustion Air Supply for Furnace
Duct work sealed properly I No duct tape
COMMENTS:
L:\SueHemingway\13uiIding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November]7,2003
Town of Queensbury Fire Marshal
742 Day Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fire lace/5tove Inspection Re>�ort
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# � Schedule Inspectio Time am pawn anytime Inspect
Names An C�4 Address Rough In IFinal_
Appliance Mannf cturer 1*464t_6�`171 C Model# -3 re (312 yy lr -G�?�8 cp
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
- Yes No N/A comments
Floor Protection
Clearances to Combustibles (all sides)
F'irestop(s) Vertical Chase
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension(if any)
Mantel
Height above Up opening
Witness Operation
Tank Placement(if LP)
Wt dte•-Banding Dept. ----- Y e61ow Cast er Pink—Fire Marshal
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received
Queensbury Building& Code Enforcement Arrive: am/ epart: an�/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials. f--
NAME: PERMIT#:
LOCATION: ,fj QU\ CU C_ • INSPECT ON: ff Ski d
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
-Jack Studs/Headers I
Bracing/Bridging
Joist hangers �[
Jack Posts/Main Beams �J
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in. IDS �LL 1 ���� j U105
Stairwells 36 in. or more S ^ C
Headroom 6 ft. 8 in. l SC v S J�✓�
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
�V_`"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:\SueHeminsway\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 c ive q i D a 1__5 L
Queensbury Building&Code Enforcement Arrive: art: n
742 Bay Road, Queensbury,NY 12804 Inspector's Initi ,
NAME: L ( PERMIT #: 00 �3 I
LOCATION: 0 INSPECT ON: D 0,
TYPE OF STRUCTURE: -5 T)
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm. i
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/chan a of direction
Water Supply Piping
Cooper Commercial
Cooper,CPVC,Pex One and Two-Family
Insulation/Residential Check/ Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe November 17,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement -Arrive: _<6 am/p Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: I _ PERMIT
LOCATION: / �} v INSPECT ON: V ilk
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,k-2,R-3,R-4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply Test
Drain and Vents f
5 PSI or 10 ft. above highest (,,�/l� /-ec/ E
Connection for 15 minutes
Water Supply Piping Z
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:\Suel-lemingway\Building.Codes.In spection,FORM S\Rough Plumbing Insulation Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection re est ece' e o
Queensbury Building&Code Enforcement Arrive: p art: a
sp
742 Bay Road, Queensbury,NY 12804 Inector's Initia s
NAME: J /, PERMIT#: c�
LOCATION: LZ-b-)G' INSPECT ON-7i, 3 0
TYPE OF STRUCTURE:
y N: lv/a COMMENTS
Framing
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 `/2(w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
ce and now shield 24 inches fro 1
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LASueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28;2003
Foundation Inspection Report
Office No. (51-8)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart:
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: D®.
LOCATION: O ald%uf, %VYL, INSPECT ON: `]/A 0 J • :Q(?
TYPE OF STRUCTURL: (j
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
F undation 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
ackfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
1
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection reque t received:
Queensbury Building&.Code Enforcement Arrive: am/p Depart. _ am/pm
742 Bay Rd.; Queensbury,NY 12804 Inspector's Initials:
NAME: _ iC� —C� PERMIT#: C;) I J
LOCATION: _� \ INSPECT ON:
TYPF,OF STRUCTURE: S43p
Comments
ootings
Piers
Monolithic Slab
Reinforcement in Place/
The contractor is responsible Y+oi
providing protection from freezin
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:\SueHcmingway\BuiIding.Codes.InspectionTURMS\foundation Inspection Report.doc January 28,2003
0
Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release lc
Data filename:F:\SHARE\Design\Energy Calc\Quincy Lane\10 Quincy.rck
TITLE:QL542 Madison
COUNTY:Warren
STATE:New York
HDD:7635 JUN 0 j 2004
CONSTRUCTION TYPE:Detached 1 or 2 Family _
HEATING TYPE:Non-Electric
DATE:05/26/04
DATE OF PLANS:May 26,2004
PROJECT INFORMATION:
10 Quincy Lane
Queensbury,NY
COMPANY INFORMATION:
r t �
The Michaels Group
10 Blacksmith Dr.
Malta N.Y. 12020
NOTES:
Pella Proline Series Windows
�aq All?
COMPLIANCE:
COMPLIANCE:Passes
Maximum UA=457
Your Home UA=399
12.7%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Raised or Energy Truss 1252 30.0 0.0 40
1st Floor walls:Wood Frame, 16"o.c. 1602 19.0 0.0 83
2x Family(AP):Wood Frame,Double Pane with Low-E 28 0.340 10
lx Family(AV):Wood Frame,Double Pane with Low-E 23 0.340 8
Brkfst#7:Glass 40 0.350 14
Utility#20:Solid 19 0.240 5
Ix Study(BC):Wood Frame,Double Pane with Low-E 31 0.340 11
Entry#1:Solid 21 0.350 7
1x Living(BC):Wood Frame,Double Pane with Low-E 31 0.340 11
lx Dining(BC):Wood Frame,Double Pane with Low-E 31 0.340 11
2nd Floor walls:Wood Frame, 16"o.c. 1307 19.0 0.0 70
2x Mbr(BB):Wood Frame,Double Pane with Low-E 31 0.340 11
lx Mbath(DL):Wood Frame,Double Pane with Low-E 16 0.340 5
lx Bath(N):Wood Frame,Double Pane with Low-E 6 0.340 2
lx Bed#2(BC):Wood Frame,Double Pane with Low-E 31 0.340 11
lx Foyer(AE):Wood Frame,Double Pane with Low-E 14 0.340 5
lx Bed#3(BC):Wood Frame,Double Pane with Low-E 31 0.340 11
lx Bed#4(AB):Wood Frame,Double Pane with Low-E 16 0.340 5
Basement Wall 1:Solid Concrete or Masonry 1179 0.0 11.0 76
Wall height:7.5'
Depth below grade:6.5'
Insulation depth:6.0'
Bsmnt windows:Wood Frame,Double Pane with Low-E 5 0.560 3
Furnace 1:Forced Hot Air,80 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,
specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the
New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and
signed this page,they are a esti g that to the best of his/her knowledge,belief,and professional judgment,such plans or
specifications are in comp l an with e.
Builder/Designer Date 2 ¢
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release lc
DATE:05/26/04
TITLE:QL542 Madison
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve full height over the plate lines of exterior walls.
Above-Grade Walls:
[ ] 1. 1st Floor walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
[ ] 2. 2nd Floor walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Basement Walls:
[ ] 1. Basement Wall 1:Solid Concrete or Masonry,7.5' ht/6.5' bg/6.0' insul,
R-11.0 continuous insulation
Comments:
Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
Windows:
[ ] 1. 2x Family(AP):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 2. lx Family(AV):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 3. lx Study(BC):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ ] 4. lx Living(BC):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 5. lx Dining(BC):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ ] 6. 2x Mbr(BB):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 7. lx Mbath(DL):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
A
Comments:
y [ ] 8. lx Bath(N):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes - Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 9. lx Bed#2(BC):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 10. lx Foyer(AE):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 11. lx Bed#3 (BC):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 12. lx Bed#4(AB):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:
[ ] 13. Bsmnt windows:Wood Frame,Double Pane with Low-E,U-factor:0.560
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
Doors:
[ ] 1. Brkfst#7: Glass,U-factor:0.350
Comments:
[ ] 2. Utility#20:Solid,U-factor:0.240
Comments:
[ ] 3. Entry#1: Solid,U-factor:0.350
Comments:
Heating and Cooling Equipment:
[ ] 1. Furnace 1:Forced Hot Air,80 AFUE or higher
Make and Model Number
Air Leakage:
[ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a
3"clearance from insulation.
Vapor Retarder:
[ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
[ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
[ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] Supply ducts in unconditioned spaces must be insulated to R-11.
w
Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
Insulation is not required on return ducts in basements.
Duct Construction:
[ ] All joints,seams,and connections must be securely fastened with welds,gaskets,mastics
(adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in.w.g.(500 Pa).
[ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ] Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] Air filters are required in the return air system.
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
Electric Systems:
[ ] Separate electric meters are required for each dwelling unit.
Fireplaces:
[ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction
provisions of the Building Code of New York State ,the Residential Code of New York State or
the New York City Building Code ,as applicable.
Service Water Heating:
[ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of a circulating system.
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 105 OF or chilled fluids below 55 must be insulated to the
levels in Table 2.
Table l: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range(F) 2"Runouts l"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)
MAP REFERENCE:
QUINCY LANE SUBDIVISION
THE MICHALES GROUP
BY: VAN DUSEN & STEVES
DATED: APRIL 15, 2003 �rvly�cr
LAST REVISED: JUNE 10, 2003 psx
LOT 15
S16026'30"W
249. 18'
a;
w
W
LOT 16
co1.00 acres
! N es.z 43,611 sq.ft.
r0 to
T o I
maw O
0 LL 5 cp M!
y EnpS ti 0 OO
r CV)
LLI)_
r l
ASPHALT DRIVE
Cr
N
N
246.87'
Lj UTILITIES N16026'30"E
1 HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
' Qu( N G CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: BRIAN D. RUMRILL
LOT 17 BANKNORTH, N.A.,
IT'S SUCCESSORS AND/OR ASSIGNS
• . CHICAGO TITLE INSURANCE COMPANY
k .
CERTIFIED BY:
b -- MATTHEW C. SIEVES, ILLS NYS 50135
DATED: OCTOBER 8, 2004
a ID S (r (Date+ ctober 0 4
'UNAUTHORIZED ALTERATION OR ADDITON TO A SURVEY Ma of a Survey inade for Scale 1'=30�
YAP BEARING A LICENSED LAND SURVEYORS SEAL IS A Map S y
VIOLATION OF SECTION 7209,SUB-DIVISION 2,OF THE
NEW YORK STATE EDUCATION LAW.'
'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED WTH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES.' '.
t e v e s IS SURVEY WAS PREPARED
HEREON DANCE THAT Brian D . Rumrill S 1
THIS SURVEY CO O PREPARED O LAND URE OR THE
E%ISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
L a r� d Surveyors LA THE NEWRVE PORK STATE ASSOCIATION OF SHALL
RUN
lAtJO SURVEYORS.SAID
CERTIFICATIONS SHAD.RUN ONLY
TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND
ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL %IM7 1 OF 1
AGENCY AM LENDING INSn7uTION USTEU HEREON,AND Town of Queensbury, Warren County, New York
169 Haviland Road Queensbury, New York 12804 TO THE ASSIGNEES GF THE LENDING WSTITUnCN.
RUMRILL
(518) 792-8474 New York Lic. No. 50135 NO. DATE DESCRIPT70N DWG. NO. 02333-16