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2004-648 k 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: P20040648 Date Issued: Friday, August 05, 2005 This is to certify that work requested to be done as shown by Permit Number P20040648 has been completed. Tax Map Number: 523400-279-019-0001-018-002-0000 Location: JENKINSVILLE Rd Owner: JOANN DAIGLE Applicant: L.P. DAIGLE GENERAL CONTRACTORS, LLC This structure may be occupied as a: Garage - 2 Cars Attached By Order of Town Board . Single Family Dwelling TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. BLDG. PERMIT NO. 2004-648 APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A.TEMPORARY CERTIFICATE OF OCCUPANCY'is hereby requested for the property located at; 58 JenU.nzv.it(?e Road for the following uses:_ SingZe F=ity VwQ,2.Lino May 27 e 2005 DATE SIGNATURE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby (WAPPROVED , ( )DISAPPROVED with the following conditions: Ce,'z j'jicate o6 Occupanccl to be .Lzzued f upon com)aLetion o{: 1) Submd t.: new J2oo)r. plan 66n b"emera cuLea. 2) Comptexe '.)Le .Stopp.'ng in ba4emenx. .. 31 Sep, h.r.nrgPA ow naaaao r1nprt 4) Shee dock undm baAP ne.n_.4.. .0a i jA 5) Expoze cad valve to ,bLep.LOW. J11 -h0AV_MPk1,V o0ifi4n TEMPORARY CERTIFICATE OF OCCUPAN Y F ( .,V D 44t 100:00 received on ,May 27, 2005 '�► Date of,Issuance Director of Bldg. & Code Enforcement f TIIIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES DAYS FROM THE DATE OF ISSUANCE. _NOTE: This Certificate is NOT VALID unless signed by the -Dire c 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: P20040648 Application Number: A20040648 Tax Map No: 523400-279-019-0001-018-000-0000 Permission is hereby granted to: T,.P. DATCTT,F, C'TF,NF,RAT, C ONTRACTORS_ T,T,C; For property located at: 58 JENKINSVILLE 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. Type of Construction Value Owner Address: L.P. DAIGLE GENERAL CONTRAC 16 RESERVOIR Dr Garage-2 Cars Attached Single Family Dwelling $200,000.00 QUEENSBURY, NY 12804-0000 Total Value $200,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-648 2574 SQ FT SINGLE FAMILY DWELLING $387.28 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,August 24, 2005 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To Queens ; es ay,August 24, 2004 SIGNED BY /e for the Town of Queensbury. Director of Building&Code nforcement Project Name: ki41e BP# Address: 5$ An64 S 1 ' &, Building Pernut Submission SFD Checklist 2-Family All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of QueensburyBuilding Department. If any of the below items are lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed ... ............... .....I ......... .... N yes ❑no ❑n/a 2. EnergyForm or CheckMate Energy Code Compliance Forms Complete.. ®yes ❑no ❑n/a (2 copies) 3. Energy Gode Inspector's Report from CheckMate Program.. ... ... ... ... .. N yes ❑no ❑n/a (2 copies) 4. Septic application completely filled out(if applicable).................. ... ... ®yes ❑no ❑n/a 5. Solid Fuel Burning or Gras Appliance Form... ......... .❑yes ❑ 6. Electrical Inspection Form... ... ... ...... ... .................. ..I ... ...... ... ..... Nyes Ono ❑n/a 7. Two(2) complete sets of structural drawings..... ...... ... ......... ...... ... ... .®yes Ono ❑n/a a) floor plan;b)foundation plan;c)cross sections:d)elevations; e)window and door schedule S. Two(2)site plans showing location of the structure to be built,...... ... ... ®yes Ono ❑n/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new structure......... ...... ... ......... ... .. DElyes Duo ❑n/a 10. Setbacks to neighboring wells and septic system,including onsite well... . ®yes ❑no Qn/a and septic systems (if applicable) 11. DrivewayPermit............ ... ... ... ...... ... ... ...... ......... ......... ... ... ... qgyes ❑ o ❑ a n Date: Staff Initial: L:\SueHeming-,vay\Bi@dingl'ernurYORMS\Generic Checkl udoc January 28,2003 k Check Residential Plan ]Review: One& Two Family Dwellings ��ff YIN/N/A (2)Full sets of plans i 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.ft. 24"(h)x 20"(w)min. 44"Max.Height above floor esidential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofing/Waterproofing Materials On Plans 'oundation Drainage On Plans,if required 6"Drop in 10' Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where e uired ce and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforins At Exterior Doors fairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise Winder Run and Rise Spiral Not Allowed From 2° Story Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance 4/ Hall Width,36"min. Handrails More Than One Riser On Open Sides ailing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas Garage Fire Separation Garage Floor Sloped Attic 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 ` Permit:Application R I E Building Per pp Town of Queensbury—Dept of Community Development,742 Bay Road,Queonnsbury,NY,AUG 1 9 2 04 (518)761.8256 • BURY A permit must be obtained before beginning construction- Permit File No. No inspection will be made until applicant has received a Fee paid $ valid building permit. An applicants' spaces on this Roc.Fee Paid $ nC application must be completed and must appear on the Reviewed By. applidation form. Applicant: {,. 'yet�,l QI:,(d lam, Owner: 'i c l '[ mate Address: Address,• ;1��1��r J Phone# 1 C( Phone# . Property Location: Lot Number: / House Number 53 Subdivision.X=e: Tax Map Number: 'lam i-fg m' New Buildmg: si ence l commercial Estimated Market Value of Construction: $ CO.WO G Addition: residence/ commercial if an Addition,what will use of new addition be? C Alteration: residence/ commercial O vo change to exterior size: residence J com'1 v Other work(describe Check OCCIIpanCylUfOMnat�On 1' Floor 2° Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet t/ Singlefiwiily dwelling 5-he I a Two Tamil dwelliu o Townhouse o Multifamily dwelling #of units o Office o Mercaatlle o Manufactuft e 1 car detached gLaje n 2 car detached al 3 car detached garage a 1 car attached garage tar 2 oar attached page LJ� 18 G 3 car attached garage iz Storage building- commercial o Storage building- residential a other What is the proposed height of the structure 0,51 feet > inches Will any second-hand or ungraded lumber be used? If so,for what? � Type of Heating System: electric/ oil /wood / creed hot ai baseboard J other: Number of rjrwW s to be installed .1 Number of Wudstaes to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder L, ctu- - - Alu la-�5I otQ Plumber 19 3-FS?AR Mason �'c1�1 Electrician 1 0 G 7�3-o�2q 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 I/we 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, &Butlt survey by a licensed surveyor;drawn to scale,showing actual location of all n co ctio Signature: owner,owner's agent,architect,contractor Application for Permit=Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY.12804 (518) 761-8256 1. OWNER INFORMATION: ................._..............................................,.,.,...,................,.....,,... Office Use Location of installation: 5F Q. Tax Map No.2'1ga / 1 / 1g File Permit No. D • Fee Paid Owner's Name: ,. �'tt U_1 `l l;, —�-- .......................................................................................................................... Address: 1 i� n-�ZU-6i f 2. INSTALLER'S NAME lolla.i11L PHONE NO. `0099 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 Garbage Grinder Installed yes_ / no y. Spa or Hot Tub Installed yes____ ./ no _K 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Subtly Flat san at what depth at what depth m cipal Rollin loam W_feet feet well Steep slope clay if well;water supply slope other from any septic-system depth: absorption is loo 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: 1CCO gallon(min.size 1,000 gal;) Tile Field: each trench_ 4e Total System Length: 1:35 ft. N1D, Seepage Pit(s): number of _ size of each: ft. by ft. Size gf Stone to be used: # / depth or thickness feet N{A Bed/System Size: x gjA, Alternative System: length and/or size (4ik 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. f � Signature of responsible person Date U'1r �• io .. St:wta•s soul �3etivst�;c: I)i•�jz<��st.1 tarsr�st��t• t1,hlrtattti x (: • A 11.`•i()M;'rl16N In lu'l.) ' SI�.1'/1 ttl�'1'it,?1N ILIfi(Zt•Ii iti�l�]J�;I�1'1`�i. : ' • POND ' • •tSltlttT C�f�•tC� �.... �•- • ,,ram r i ew= ' 1 }r..V�• rlCz MON 11�t 1Y '�'-••-• �a a, 1 t�t'�tttfls�ltr•t t � WX"tic,I Frt qs.,b � Rahn r �N. r 7. Sir.TN,A►'I'URE &INFORvS.AMON TKO USY-UNSWUro 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 c Date , 20 Permit No. Application is hereby inade 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 perfartn required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Pr a' . Stove: wood coal pellet gas Name: ,; �a p Fireplace insert ga t'1 ` �/i Fireplace, factory-built: wood s Address: Fireplace, masonry: wood gas Furnace: wood gas oil Phone: fi If non-masonary applicance, please provide Owner: %'' Manufacturer Name: - 2._ Address: .Model Number: Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile steel size: inches Exact Address: :111,r of construction or installation Factory-Built Manufacturer name: " Model Number: Note: Listed By: Number: Construction IInstallation must conform to NYS Fire Prevention &.Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple i all / Insulated / Direct venting Chimney Liner i Fire Nlai;sltal Code# $Collected ' $Rcf funded Received fi oni (refunded toj:RIX address: A 173 3389 (190) Public Safety A 233 ZGSS (230)Minar SalesIS �` r DATL': ✓ - '"» �ieTwta- T ws,. GtacJo 02 C7�sv�4c-i White(Applicant) / Green(fire Marshal) / Yellow(Bldg.Dept.) / Pink&:Goldenrod(Cashier's Dept.) -Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/p part: am/pm �t Date Inspection regNr, received: _ Inspector's Initials: NAME: o t, PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: Comments Chimne •Ht./"B"Vent/Direct Vent Location Y N N/A J 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 -(' � �. g, :� Exterior Finish Complete " Interior/Exterior Railin s 34 in.to 38 in. Platform at all exterior doors nterior 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 asement stairs closed rise>4 inches (Garage Floor Pitched Garage fireproofing/'/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24" access, 1 s . ft.-150 s . ft. vents / Building No./Address visible from road f6 Final Electrical 1 Site Plan /Variance required D Final SurveyPlot Plan �t✓ As Built Septic System/Sewer Dept. Ins ec ' tic Flood Plain Certification, if required Okay to issue C/C or C 10 Temporary/ ermanent L:\PamW\Building&Codes\Inspection Forms al Insm form 2.docLast printed 2/12/04 Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm�/� part: �'C—am/pm Date Inspection request received: Inspector's Initials: _111kor NAME; r� C,,L�' PERMIT#: Q6 2/9 LOCATION: Ga lLi.�5 L<<�c, �� j _ , DATE: a t� TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location /,�_A1% Fresh Air Intake 2 G-5 9' �r 3 inch Plumb Vent through roof minimum 6" 1 Roof Com L lete/Exterior Finish Complete ��1-�� �( rj Guard 30 in.or more a),stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railin s 34 in.to 38 in. Platform at all exterior doors �✓ �� Anterior Handrails stairs 2 or more risers /�C C�� Xc J}�ot4 lj / Enclosed Stairs Sheetrock Underside minimum %2" F sumradeawa from foundation 6 in.with 10 ft.andrail Termination at Newell Post or Wallinch clearance to sill nlate 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/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft. vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan j As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required j Oka to issue C/C or C/0 Tem orar /Permanent L:\PamW\Building&Codes\lnsvection 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/p a t: "/&p/ m Date Inspection request received: — Inspector's Initials: PV NAME: PERMIT#: C LOCATION: 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 P,stairs,decks,patios Guard at stairwell at 34 ni. or more Guard at deck,porche2 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 v Oil Furnace shut-off at entrance to furnace area / r 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 �� �✓/. � �� �O,Q 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 fire roofin./'/<hour fire door/door closer Duct work Seated properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces I8"x 24"access, 1 s . ft.-150 s . ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent L:\PamW\Building&Codes\Inspection Forrns\Res. Final Insp. form 2.docLast printed 2/12/04 Queensbury Building & Code Enforcement - Residential Final Inspection C � Office No.(518)761-8256 Arrive: 1V f 3s am/pm Depart: am/pm Date Inspection request received: _ Inspector's Initials: _ NAME: L 6—' PERMIT#: LOCATION: &- --j—L(,cY DATE: z TYPE OF STRUCTURE: _ _ Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake Q&C V4, I C'vN. P 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete G Guard 30 in.or more a)stairs, decks,patios V N 1 0 /US . Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete -3v -DA- 4 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. y�e � Handrail Termination at Newell Post or Wall /- 6 inch clearance to sill plate k-ieine,4- Gas Valve shut-off exposed/regulator 18"above grade col Gas Furnace shut-off within 30 ft.or within line of site Oil Furnace shut-off at entrance to furnace area Si✓� /��z! "� ,�j���J`_ �``r Furnace/Hot Water Heater operating / J v Low water shut-off boiler 51�z�>�lQ�l� U),dams Relief Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Fin 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 firepro ofing/'/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 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 re uired Okay to issue C/C or C/O em orar' ermanent L:\PamWlBuilding&Codeslinspection ForrnslRes. Final Insp. form 2.docLast printed 2/12/04 Queensbury Building & Code Enforcement - Residential Final Inspection �J ALL Office No.(518)761-8256 Arrive: am/ epar: CJ_� pm L Date Inspection request received: _ Inspector's Initial C /�L NAME: PERMIT#: 0c)d 4 LOCATION: DATE: TYPE OF STRUCTURE: !!!5rc�q _ 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 ( �� ��'� T- � Guard 30 in. or more @ stairs,decks, atios Guard at stairwell at 34 in. or more U 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 R Furnace/Hot Water Heater operating U 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 grRde Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in x 22 in,x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent L:\PamW\Building&Codes\Inspection Fornis\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: am/ epart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials 3LOP NAME: PERMIT NO.: O L LOCATION: WV- INSPECT ON: D RECHECK: Comments and/or diagram Soil Type: Sand/Loam/Clay/,- Type of Water: Municipal/Aell Water Waterline separation distance ft. _ Well separation distance ft Z�frk /.o Other wells: ft• AC' 5 Absorption Field: Total length ft. A� L �5i�� �i� j�� Length of each trench ft, L 7C Depth of trenches ft• Size of Stone 7i See a e Pits: Number Size: x Stone Size: Piping Sizp T e Building to tank Tank to Distribution Box A Distribution Box to Field/Piti Opening Sealed: Y/N/Partial Location/Separations Foundation to tank ft• Foundation to absorption ft. Separation of Pits Conforms as per Plot Plan Y Location of System on Property: V k Front Rear Left Side Right Side Middle Front fiddle Rear System Use Statu . 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 28,2003 � APPROX. PER-TEST HOLE LOCATION �' &L83-54-56-E r` 5-HOLE 617.46 FT 45 D-BOX -- --- - -- -----' --- -- -- " -----20 FOOT SETBACK (SIDE OR REAR) )M EW WELL 3 ROW ABSORPTION FELD, 4 ;t5b CeA- 30 ��TOTAL LENGTH WITH PERG. RATE OF 1.12 MN/INCH 78' / - ) T250 61AL. SEPTIC TANK r' r , _ I NOTE: OBSERVATION AND FELD-MEASUREMENTS INDICATE THAT THE NEW WELL E MORE THAN �i NEW1 SF 51NELE �RTy 100 FEET FROM ANY EXI511NG SEPTIC, SYSTEM AND THE NEW SEPTIC, SYSTEM 15 MORE THAN —---Fkll: RESIDENCE WITH 100 FEET FROM ANY EXISTNE, WELL, THE NEW ATTACHED 764 5F INSTALLATION LOCATONS WILL BE ADJUSTED AS 2-GAR 6ARA6E NEEDED TO MAINTAIN REOURED SEPARATIONS. r D AY 4OE 4 SF ONNE STORY )RACE BLD6 IF PERMf f APPLICATION) 6.69 ACRE PARCEL TAX MAP NJNBER 279.19-1-18 SR-IA ZONE (INCLUDING ALL ABUTTING PAR(,ELS) �4.6`1 vr8g- N � r EXISTING WOODED AREAS ................)................................ EXISTING SINGLE EXISTING SINGLE- FAMLY RESIDENCE FAMILY RESIDENCE TAX MAP: 279.19-1-21 TAX MAP: 279.19-1-20 0 42 JENKINWLI-E ROAD 51 JENKINSVILLE ROAD ° N I TF: PLAN AN T APPROX. PER.TEST 1. POLE LOCATION 5-83-54-56-E 5-HOLE 617.46 FT 43' D-SOX --- "_----------- ------20_FOOT SETI3AGK (56E OR REAR)-- WQL ROW A55ORPTIon ELD, 4&-ff#Ct!t-523 , 4367 TOTAL LENGTH I r ►WITH PERC. RATE ..too OF }1 INCH 1 78, / - I 1250 GAL. SEPTIC TANK NOTE: O13SERVAl10N AND FOLD�ASUREMEI'iTS R INDICATE T14AT Tl-IE NEW WELL IS MORE THAN 100 FEET FROM ANY EX57IN6 SEPTIC 5Y5TEM NEW--—F 252 5DF SN WITH AND TILE NEW SEPTIC SYSTEM IS MORE THAN ATTAGI rED 784 SF 100 FEET FROM ANY EXISTTnG WELL. TPE NEW 2-GAR GARAGE INSTALLATION LOCATION WILL BE ADJUSTED AS NEEDED TO MAINTAIN REQURED SEPARATIONS. D AY POSED �F oNE-STORY AGE BLDG PERMf APPLICATION) 6.69 ACRE PARCEL- TAX MAP NUMBER 279.19-1-18 SR-lA ZONE (8'iGL-0% ALL ABUTTING PARCELS) V4b� �88- EXSTIN6i WOODED AREAS 6 I\ N EXISTING SIN6LE- EX5TING SINGLE FAMLY RESIDENCE FAMLY RESIDENCE o TAX MAP: 279.19-1-21 TAX MAP: 279.19-1-20 0 42 JEI'IKINVILLE ROAD �J' ITS �l�-AI I 52 JENKINSVILLE ROAD Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request l(l SCHEDULE Received: Permit# ` INSPECTION ON: Name: AM PM ANYTIME Location: APPROVED N/A YES NO COMMENTS EXIT ACCESS EXIT ENCLOSURE EXIT DISCHARGE MAIN AISLE WIDTH SECONDARY AISLE WIDTH �-- EXIT SIGN-NORMAL EXIT SIGN-BATTERY EMERGENCY LIGHTING _ FIRE EXTINGUISHER HUNG ,,A „l�l� T� qA �FIRE EXTINGUISHER fC� / J INSPECTION FIRE EXTINGUISHER HYDRO d 7--Q45)2'� FIRE ALARM SYSTEM FIRE ALARM -FAN SHUTDOWN FIRE SPRINKLER SYSTEM FIRE SUPPRESSION-KITCHEN FIRE SUPPRESSION-GAS ISLAND HOOD INSTALLATION INTERIOR FINISHESSTORAGE COMPRESSED GAS �G�j� ►�d SG �r y U r CLEARANCE TO SPRINKLERS �• CLEARANCE TO ELECTRICAL T 6 bQ I A) 1A) S ELECTRIC WIRING ENCLOSED COMBUSTIBLE WASTE _ VEHICLE IMPACT PROTECTION FIRE LANE F.D.SIGNAGE—UTILITY ROOMS NO SMOKING SIGNS MAXIMUM OCCUPANCY SIGN _ EMERGENCY EVAC PLAN OK THIS DA OK FOR CO NOT OK INSPECTED BY CO M DEy/C H RIS JIWO R D/LETTE RS2001/F IRE MARS HALT N S P ECTIO N RE SORT 11022001 WHITE—BUILDING DEPARTMENT COPY YELLOW—OCCUPANT COPY COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176-Doe Run Road-Manheim,PA 17545 �l© MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No........................................Cert. N 2 90071 Cut-in Card No..............� ....j�� ...... . Owner............. 4L /�/9' ............................... .........................f tG....... ( Location.............. . �f' .�..................... vv��,'' a .�........................... .......... .......... ..... .. .... Installation Co istin of.o -lf �` �LITb� g k...................................[....................� ....,A......................... �......... �11ft....� ..... .1L?..t.......1�'N�. ��.......... AJI�:�`'....................................... -... ....ZZ J!f.��............................................................................................................................ InstalledBy...... ............................................... Lic.No................................................... ................... The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making ctions at any time, and if its rules are violated,the Company shall have the right to rev a this rtif te. Date....�.Y.._.�Zj/_O`� ................................. INSPECTOR........ ......... .................... ......................... Member N.EP.A..I.A.E.1. Septic Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p i�rt: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT NO.: � LOCATION: �--L vJ. INSPECT ON: Z 0 RECHECK: Comments and/or diagram Soil Type: Sand/Loam/Clay T e of Water: Municipal/Well Water aterline separation distance ft. Well separation distance -4-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 Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial End Caps Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan _Y N Engineer Report and As-Built Y N Location of System an Property: Front Rear Left Side Right Side yo MiVStats: Middle Rear ��,�� System Uspproved Partial Approved and needs to be re-inspected,please call the Building& Codes Office Disapproved Last revised 116105 Queensbury Building & Code Enforcement - Residential Final Inspection 1�7 _ Office No.(518)761-8256 Arrive: am/p epart Date Inspection re u t received: _ Inspector's Initials: � NAME: O. UC LOCATION: �� PERMIT#: DATE: — TYPE OF STRUCTURE: Comments -- Y N N/A Chimney Ht./"B"Vent/Direct Vent Location �O 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,porche2 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 4Z Lf- , Oil Furnace shut-off at entrance to furnace area /N �� .(�U /R� Furnace/Hot Water Heater operating ( Gi 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: / sl/ Inter Connected: / Battery backup: Carbon Monoxide Detector V Bathroom Fans, if no window Plumbing fixtures Foundation insulation / Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grRde VA Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer C� f�J��C�J Duct work Sealed properly y�� -VUG I Gas Logs in Sealed or Glass Enclosure V� 4 Attic access 30 in,x 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 , V&A 60Y- Site Plan /Variance required Final Survey Plot Plan Ve�— As Built Septic System/Sewer Dept.Inspection Sticker �'-` ��`_ "��—� -• rl'v'r— � Flood Plain Certification, if required Okay to issue C/C or C/0 Temporary/Permanent L:\PamW\Building&Codes\Inspection Forms\Res, Final Insp. form 2.docLast printed 2/12/04 Rough Plumbing / Insulation Inspection Report p � Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/IATT art: r am/pm742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT #: a LOCATION: 6 e-Yj�-tx3S V tLCZ- _ INSPECT ON: Z 015- TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min.Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping 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\-\Sue7Hemingway\Building.CGdes.hispection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: /) Queensbury Building 4c Code Enforcement Arrive: _am/pi a art: pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: o , f NAME: PERMIT #: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2, R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min.. Drain Size Washing Machine Drain 2 inch min. Mead 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 Coo er Commercial ,Cooper, CPVC,Pex One and Two-Family nsulation/Residential Check/ Commercial Check �/4'Y�� ,4�j Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air S!Ipply for Furnace Duct work sealed properly/No duct tape COMMENTS: LASueHemingwayU3uilding.CGdes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: r�- �4m r Queensbury Building& Code Enforcement Arrive: art: 742 Bay Road, Queensbury, NY 12804 Inspector's Initia s NAME: r/igl - PERMIT#: /— #. LOCATION: INSPECT ON: �— TYPE OF STRUCTURE: Y ;v/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 CU� 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 LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Deport Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: _arrVp a am/pn 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: —` -�— NAME: PERMIT#: LOCATION: S V. I I e 4��. INSPECT ON: L OS TYPE OF STRUCTURE: J Y N N/A O MEN - gaming, -'_ ��✓� Jack Studs/Headers 6U l/r7� /PUS! Bracing/Bridging Joist hangers Do_ Jack Posts/Main Beams , C� �c7 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 Firestopping_ "Penetration sealed Z ►�`� 16 inch insulation in cavity min. Garage Fire Separation _ (►/� House side % inch or 5/8 inch Type X C�'�se A� 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 to Rough Plumbing / Insulation Inspection Deport Office No. (51 8) 761-8256 Date Inspection request received: �� U Queensbury Building&Code Enforcement Arrive: am/ m art: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials. NAME: PERMIT #: LOCATION: V; .- - ILh , INSPECT ON: Z TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbin Vent/Vents in Place �k6a --P-lumbft /Nail Plates v 1 % inch min..Drain Size Washing Machine Drain 2 inch min. 7 '=Head'`br,Air Supply Test `Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial Cooper, CPVC,Pex One and Two-Family Insulation/Residential Check/ Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: LASueHemingway\Building.Codes.Inspection.FORM S\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/pip Depart. ��am/pm �b\� 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: -NW— NAME: " .C PERMIT • O J LOCATION: INSPECT ON: TYPE OF STRUCTURE: Framing Y N N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %s (w) 16 gauge (8) 16D nails each side Draft stopp'ng 1,000 sq. ft. floor trusses _ Ancho olts 6 ft. or less on center e and snow shield 24 inches from wall U Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Ale Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side % inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 1 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: a m Depart am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials<._ NAME: A-\ " PERMIT#: LOCATION: )V-- ►, ; tc..c— 't, — INSPECT ON: TYPE OF STRUCTURE: 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 Fire separation 1, 2, 3 hour �G✓R j uz&� Fire wall 2, 3, 4 hour - Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side % inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemin,way\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 9- I 0 Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p epart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: 1, 14:T:6LUF PERMIT NO.: LOCATION: S`� -Y<Zn V'- n S y, l l f. oz-b - INSPECT ON: ?� RECHECK: Comments and/or diagram Soil Type Sand/Loam ay T e of Wa nlcip4l/Well Water r Waterline separation dista "4157 Well separation distance ft. Other wells: ft. Absorption Field: Total length Length of each trench Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x " Stone Size: Piping Si e Type, -Building to tank d Tank to Distribution Box Distribution Box to Field/Pit N O ening Sealed: Y/N/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits E ft. Conforms as per Plot Plan Y Location of System on Property: Front Rear Left Side Right S' e d/OR la Middle Front Middle Rear System Use Status: Ap ed eiisapproved al Approved and needs to be re-inspected,please call the Building&Codes Office LASueHemingwayU3uilding.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 ,i Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: _ Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd, Queensbury,NY 12804 Inspector's Initials: NAME: LG� PERMIT NO.: 6 ,— LOCATION: 1� ,.59 V. INSPECT ON: 1 C7 RECHECK: Comments and/or diagram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. c Well separation distance ft. Other wells: ft. t rC Absorption Field: Total lengV4 ft. LSFgth of each trench ft. ,ffe th of trenches ft Size of Stone PT OF TOn1C �� Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Bo eld/Pit O enin Seale : Y/ /Partial Location/Separations Foundation to tank ft• Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N C� Apr z;wl(, 6— Location of System on Property: Front Rear Left Side Right Side Middle Front iddle Rear System Use Sta �C� //C V�L proved V 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 Foundation Inspection Report Office No. (518)761-82.56 Date Inspection req st cc:�,,V` d: Queensbury Building& Code Enforcement Arrive: aI 'p Depart: am/ 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial NAME: I IZMIT#: �J INSPECT ON: LOCATION: TYPE OF STRUCTURE: ��� Comments N N/A -pofings 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 pj ose on site Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12inch 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. LASucHemingway\Building.Codes,Inspection.PORMSToundation Inspection Report.doc January 28,2003 M0000 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depar . !m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: _ PERMIT#: D91 V LOCATION: _ S�� r, Vl INSPECT ON: ^/c2-20 41 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 1 Wallpour Reipf6rcement in Place ° F"ouridatiori Dampproofing Foundation/Waterproofing ype of Dampproofing/Waterproofing Foot rrg�Drain Daylight or Sump Footing Drain Stone: 12 ' ch width inches above footing 6 ,p_oly for wet areas under slab ackft11i1 Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SucHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doe January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date InsZ- 742ion request received: Queensbury Building&Code Enforcement Arrive: 0 am/pm Depart: am/pm Bay Rd., Queensbury,NY 12804 Inspector s Initials: NAME: �L►E I_ PERMIT#: LC�o i-i LOCATION: INSPECT ON: 10 —L! —61A 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 e✓ h Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building,Codes.Inspection.FORMSToundati on Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ Depart: m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: i NAME: \ PERMIT#: `— ' LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this pul pose 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 Inspection Report E-16) P P Office No. (518) 761-82.56 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: anvil Depart: _• _am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: _ _ As PERMIT#: ' c LOCATION: �-' _ INSPECT ON: TYPE.OF STRUCT �U Comments y N NIAZ otings 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 i��aterproofing Footing Drain Daylight 6r Sump Footing Drain Stone: / 12 inch width 6 inches above .f6oting 6 mil poly for yGet 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:\SucHeiningway\Building.Codes.Inspection.FORMS\i'oundation Inspection Report.doc January 28,2003 AUG-12-2904 12:25 PM JO.ANN'PAUL.DAIGLfi 5187933106 P.A1 Avon, ClUr. 82 TWoO LOO Owwu lorry,NY 12M (318)793-OM August 11 ,200.4 Paul Daigle, Contractor 16 Reservoir Drive Queensbury, NY 12804 Re: Soil perculation test and deep soil test1pit, Jenkinsville Road, Town of pueensbury, Warren County, new York. On August 4, 2004 I did a soil perculation test and a deep test .pit investigation: Listed below are my observations: ' 0 -10 Inches, topsoil 10-21 Inches, loamy 'fine sand . 21-73 Inches, fine sand Perculation rate is: 1 minute 12 seconds per inch Soils observed are deep, well drained sandy soils. No high water tables was evident in this pit. If you ,have any 'guestions about the above soil information, please feel free to contact me. Charles. 11, Maine Soil Scientist Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Jr Queensbury Building&Code Enforcement Arrive: a Depart: 7 - am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: ✓� , INSPECT ON: ` 16 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. l 5� ' •l�'� �C/`� Y Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofmg/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doe January 28,2003 Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.6 Release 1 Data filename:C:\Program Files\Check\REScheck\PDaiglel.rck PROJECT TITLE: Single Family Residence COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric WINDOW/WALL RATIO: 0.25 DATE:08/17/04 DATE OF PLANS:July 25,200408/10/04 PROJECT DESCRIPTION: Paul&Joann Daigle 58 Jenldnsville Road Queensbury,NY PROJECT NOTES: Ceiling 1=Bedroom&Kitchen Wings Ceiling 2=Family Room Section Basement 1=North&East Sides Basement 2=South Side Basement 3=West Side Concrete Basement 4=West Side Framed COMPLIANCE:Passes Maximum UA=677 Your Home UA=645 4.7%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 1920 30.0 0.0 67 Ceiling 2:Flat Ceiling or Scissor Truss 556 30.0 0.0 19 Wall 1:Wood Frame, 16"o.c. 2586 19.0 0.0 123 Window 1:Wood Frame:Double Pane with Low-E 418 0.350 146 Door 1: Glass 59 0.370 22 Door 2: Glass 40 0.350 14 Door 3: Solid 21 0.180 4 Basement Wall 1: Solid Concrete or Masonry 1120 11.0 0.0 69 Wall height: 8.0' Depth below grade: 7.2' Insulation depth: 8.0' Basement Wall 2: Solid Concrete or Masonry 256 11.0 0.0 20 Wall height: 8.0' Depth below grade:4.5' Insulation depth: 8.0' Basement Wall 3: Solid Concrete or Masonry 32 11.0, 0.0 3 Wall height: 8.0' Depth below grade: 0.0' Insulation depth: 8.0' Basement Wall 4:Wood Frame 640 19.0 0.0 28 Wall height: 8.0' Depth below grade: 0.0' Insulation depth: 8.0' Window 2: Wood Frame:Double Pane with Low-E 132 0.350 46 Door 4: Solid 22 0.280 6 Door 5: Glass 40 0.350 14 Floor 1: Slab-On-Grade:Heated 80 5.0 64 Insulation depth: 2.0' Furnace 1:Forced Hot Air,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 j1�g Q_ Date 18 REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.6 Release 1 DATE: 08/17/04 PROJECT TTTLE: Single Family Residence Bldg. I Dept. I Use I I - Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R 30.0 cavity insulation Comments: [ ] I 2. Ceiling 2:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: I - Above-Grade Walls: [ ] I 1. Wall 1: Wood Frame, 16"o.c.,R 19.0 cavity insulation Comments: I Basement Walls: [ ] I 1. Basement Wall 1: Solid Concrete or Masonry,8.0'ht/7.2'bg/8.0'insul, R-11.0 cavity insulation Comments: [ ] I 2. Basement Wall 2: Solid Concrete or Masonry,8.0'ht/4.5'bg/8.0'insul, R-11.0 cavity insulation Comments: [ ] I 3. Basement Wall 3: Solid Concrete or Masonry,8.0'ht/0.0'bg/8.0'insul, R-11.0 cavity insulation Comments- [ ] I 4. Basement Wall 4:Wood Frame,8.0'ht/0.0'bg/8.0'insul,R 19.0 cavity insulation Comments: Windows: [ ] I 1. Window 1:Wood Frame:Double Pane with Low-E,U-factor: 0.350 For windows without labeled U-factors,describe features: I #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] I 2. Window 2:Wood Frame:Double Pane with Low E,U factor:0.350 For windows without labeled Ufactors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No I Comments: Doors: [ ] I 1. Door 1:Glass,U factor:0.370 Comments: [ ] 2. Door 2:Glass,U factor:0.350 Comments: L l I 3. Door 3: Solid,U-factor:0.180 Comments: [ ] 4. Door 4: Solid,U factor:0.280 Comments: [ ] I 5. Door 5: Glass,U-factor:0.350 Comments: I Floors: [ ] I 1. Floor 1: Slab-On-Grade:Heated,2.0'insulation depth,R-5.0 continuous insulation Comments: Slab insulation to extend down from the top of the slab to at least 2.0$.OR down to at I least the bottom of the slab then horizontally for a total distance of 2.0 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. Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air,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 hearing equipment efficiency must be clearly marked on I the building plans or specifications. I Duct Insulation: [ ] I Supply ducts in unconditioned attics or outside the.building must be insulated to R-11. [ ] I Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] I Supply ducts in unconditioned spaces must be insulated to R 11. [ ] I Return ducts in unconditioned spaces,(except basements)must be insulated to R- [ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R-2.. Insulation is not required on return ducts in basements. I Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives), I mastic-plus-embedded-fabric,or tapes. Tapes and mastics must be rated UL 181A or UL 181B. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts I operating at less than 2 in.w.g. (500 Pa). [ ] I The HVAC system must provide'a means for balancing air and water systems. I Temperature Controls: [ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space I temperature set point of the largest zone. I Electric Systems: [ ] 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 the New York City Building Code,as applicable. Service Water Heating: [ ] I 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. [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pine Sizes Heated Water Non-Circulating Runouts . Circulating Mains and Runouts Temperature(F1 to 1„ �to 1.25" 1.5"to 2.0" r 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 Pining System Typgs Range(F) 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) \ APPROX. PER.TEST HOLE LOCATION 5-83-54-56-E 5-POLE 617.46 FT 43' D-BOX --- - - - - "I have seen or observed, or believe i saw evidence of, ------- ` ----------- - SETBACK (SIDE OR REAR) ° -- - 1 s ouseS, ov is, trees, fences, etc ail G'� ects .S";C� � h Rs c � U, Q —3 ROW ABSORPTION sE?own on i!1;S ie vnm�!3t i alst� r} nrasent tf;;t i have 100' RA FROM EW WELL I FELD, 46' EAGH, 138' TOTAL LEN6�TH PCr !°aily I�'eas, red the i�' . ;h �� WITH PERG. RATE es set f,ar+,� �,, the d,ag,am." OF 1:12 MIN/INCH \ 78' � - 1250 6AL. S! IAT� RE rATE \ / SEPTIC TANK P� MOTE: OBSERVATION AND FELD-I"EASUREMENTS RECEIVED An INDICATE THAT THE NEW WELL 5 MORE THAN r AUG 1 9 2004/ Ty 100 FEET FROM ANY EXI5TIN6� SEPTIC, 5Y5TE!M NEW-2952 5F SINQ-E AND THE NEW SEPTIC 5Y5TEM 15 MORE THAN FA L-Y RESIDENCE WITH 100 FEET FROM ANY EXISTINF� WELL. T� NEW ATTACHED 784 5F IN5TALLATION LOCATION5 WILL BE ADJU5TED A5 TOWN OF QUEENSBURY ® 2-GAR GARA6E NEEDED TO MAINTAIN REOURED SEPARATION. BUILDING AND CODE 3 100.73 FT NE OR AT 22' N --- -- ------------- ---- t` - o NOR N PROPOSED NEW 1064 5F ONE-5TORY 5TORA6E BLO& (NOT PART OF PERMIT APPLICATION) 22 6.69 ACRE PARCEL TAX MAP NJ'13P- 3 5R-1A ZONE (INrLJP1N6 AL FL ABUTTIN6 8PARGELS) o �4.6° FT o r�.88 40co '1 EXISTING, SINU-E- t FAMILY RESIDENCE TAX MAP: 279.19-1-17 o - EXIjTIN6 WOODED AREAS 66 JENKINSVL-LE ROAD IL � � 458.54 FT ,n N-87-06-44-W PROPERTY BOUNDARY INFORMATION TAKEN FROM A "MAP OF LANDS OF E5TELLA REDOINGTON" DATED 5/11/88 AND 9/10/96 SURVEYED BY WAYNE R. RAYMOND �8�24_2q-`r LCEN5EO LAND SURVEYOR, C�LEEN FALL5, NY �63� EAR1 - N FOR WARREN OUNTY P TIAL DATA�VIEWER FROM THE OQ C $AGK 151D R EXISTING 5INU-E- FAMILYRE5IDENGE FAMLY RESIDENCE TAX MAP: 279-19-1-21 TAX MAP: 279.19-1-20 0 42 JENKINVLLE ROAD SITE �� ��A 52 JENKIN5VILLE ROAD AREA VARIANCE APPLICATION INFO OWNER/APPLICANT: b RESIDENCI E AND STORAA6E 5UIL-DIN6 FOR L. PAUL O OR DRIVE F A U 1— t$ J 4 A I I I N I I 1 )A 61--5 aY:EN5BURY, NY 12804 58 JENKIN5VILL.E ROAD PLAN PREPARER: qo 234.83 FT TOWN OF aUEEN55URT, NEW TORIG JOHN SC.4-IUMAKER SHEET 253 FULLER ROAD A)- 3. QUEENSBURY, NY 12804 1 OF I �T N-87-38-22-W JENKIN5VILLE ROAD DATE: DRAWN 13Y: 5GALE: 1" = 50' O" ORAWM FILE AL61-1 T 10, 2004 JJOPN 5CNIUMAKER UNLE55 NOTED P0AI6LE1VWF r 24„ TRENC,�­I WIDT�i ( TRENC PES 72" OC,., TYPICAL ) EARTP 5A(�r F LL WITP TOPSOL CeoVER N MOUNDED FOR SETTLIN6 PURPOSES. ;g z PERMEA5�.E 6EOTEXTILE UNTREATED 5UILI IMm PAPER OR 4" �-IAY/STRAW C,OVER. N 4" MIN. DIA�I. PERFORATED DISTRI5UTOR PIPE, SLOPED 1/16" TO 1/32" PER FOOT. N C,RUSNED STONE (3/4" TO 1-1/2" SIZE) OR WASPED 6iRAVEL. 6ROUNDWATER, 5EDROC,15,, OR IMPERVIOUS LAYER. z m :�.. ._A550F FT � O '� SITE F�_A� RESIDENCE AND STORA6E 13UILDIN6� FOR INSTALL ENTIRE SEPTIC, SYSTEM PER NYSDO�­I INDIVIDUAL RESIDENTIAL FAUL_ $ JOA� DAIC�_E WASTEWATER TREATMENT SYSTEMS DE516N NAND500K, CURRENT EDITION. 58 JENKINSViI-LE ROAD TOWN OF QUEEN55URT, NEW PORK 2OF2 DATE= DRAWN 5Y= NOT TO 5GALE AU6mU5T 10, 2004 JJOI4N 50PUMAt<ER UNLESS NOTED