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2004-668 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: P20040668 Date Issued: Wednesday, July 06, 2005 This is to certify that work requested to be done as shown by Permit Number P20040668 has been completed: Tax Map Number: 523400-308-018-0002-032-000-0000 Location: 27 KIMBERLY Ln Owner: GREGORY GARAFALO Applicant: GREGORY GARAFA_ LO This structure may be occupied as a: Fireplace By Order of Town Board Garage -2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate.of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enf semenAl Planning Board or Zoning Board of Appeals. TOWN OF 'QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040668 Application Number: A20040668 Tax Map No: 523400-308-018-0002-032-000-0000 Permission is hereby granted to: GREGORY GARAFALO For property located at: KIMBERLY 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. Type of Construction Value Owner Address: GREGORY GARAFALO Fireplace 126 SHERMAN ISLAND Rd Garage-2 Cars Attached QUEENSBURY, NY 12804-0000 Single Family Dwelling $150,000.00 Total Value $150,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency ANCHOR CONSTRUCTION 126 SHERMAN ISLAND Rd OUEENSBURY, NY 12804-0000 Plans&Specifications 2004-668 2128 sq ft SINGLE FAMILY DWELLING $314.56 PERMIT FEE PAID-THIS!PERMIT EXPIRES: Wednesday, September 07, 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 T o ueen u da September 07, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement BuRding Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY (518�761.8256 A permit must be obtained before beginning construction. Permit File No. d L �O 0 .No ection will be made until applicant has received a Fee Paid vali 'wilding permit. A.11 applio=W spaoes on this Roo.Tee Paid $ 1cam, application mustbe completed and must appear on the Reviewed By-, application form. 4143 A licatlt: vt �o n 5 r�cG i en Owner: re 6ara�a�o T��V1�!np 2Q�� . Address: 1,. S6e---- T 1�, R= Address: 5 N��UEFNse Phone#(57 9 ),�$,= 31 al. proporty Location: LotNurimber: 3 4 / Hou-se Number / SubdivisiouName: `_OKf6 E 5 r Tax Msp Number: � ;;4 8 2-.3 2 w New Building residence / ommercial 'Estirnated Market Value of Construction:$ 1�QrtQQ.(�,;V o Addition: a commeroial If an Addition,what will use of new addition be? a Alteration: residence/ commercial © 14o orange to exterior size: residence!com'1 t2 Otherwonc(descdbe Check Occupancylnformation V Floor Z Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square peat �S Single tkmil. awellin 1 e 12 c� 1-3 o Two family dwelling �SS v Townhouse a multiftmay dwelling #of units o Offlco - o Mercaatlle o Manu�aturin a . 1 car detached smse 0 2 oar detached a a Q 3 car detached S=aSo ra 1 oar attached V=go 2 car attached Smse a 3 car attached 9mgo to Storage building- convnercial o Storage building- residentid ; o other What is the proposed height of the structure ® feet _Inches � Will any sdoond--hand or ungraded lumber be used? If so,for what?Typo of Heating System: -electric/ oil ! gas wood �Orohot Dai / baseboard/other: Number of FJM I,jgM to be installed �� Number of N'oo&(gW to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Numbet Builder • Q&-_Y L Z L Plumber MaisOn Electrician gr please sign below after you have carefully read the statement: To the best of my knowledge the statemeuts 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 Ordinanco and all other laws pertaining to the proposed work shall be oompliad with,whether specified or noted,and that such work is authorized by the owner, Further,it is understood that Vwe shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administzator or Director of Building cad Codes,an&_.B,.uti-""a by a licensed surveyor;drawn to scale,showing actual location of all now o Iction. Sigaaturo; / Cvner;owner's agent,azahitcat,contractor Check Residential Plan Review: One &Two Family Dwellings YIN/N/A ( 'bull sets of plans t 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: indow Schedule With Glass Size Door Schedule/Main Entrance 36"Door E rgency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. Gr9lde,5.0 sq. ft. "(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 "Drop in 10' Exterior Grade raming Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where Re quired and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors fairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise Winder Run and Rise Y' piral Not Allowed From 2nd Story S oke Detectors Battery Backup and Proper Location BOfliroonl Fixtures Proper Clearance 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. afety Glazing Notes For Required Areas Garage Fire Separation Garage 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 kc o2 Coi6 u , Project Name: ��� �j lr1�p B a LI 'r 6 F lec Address: Building Pernut Submission S AUG 3 ® 2004 Checklist 2 N QUSFNSBU G ANp CODS Y AN 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 anyof the belowitems are lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Binding Permit Application Completed .........I........ ................... &NM ❑no ❑n/a 2. EnergyForm or CheckMate Energy Code Compliance Forte Complete., 1j'O yes ❑no ❑n/a (2 copies) 3. Energy Code Inspector's Report from ChecU&te Program............ ... .. W yes ❑no ❑n/a (2'copies) 4. Septic application completelyf ffed out(if applicable)..................... ... O yes ❑no �/a. 5. Solid Fuel Burning or Gas Appliance Form... ........................... ... ....Oyes Ono Wa b. Electrical Inspection Form......... ....................................... ....... .. Ono ❑n/a 7. Two(2)complete sets of structural drawings............................._.. .. Ono ❑n/a a)floor plan;b)foundation plan;c)cross sections:d)elevations; e)window and door schedule 8. Two 2 site plans showing location of'the structure to be b no location of well or water lines,location of septic system or sewer line. 9. Setbacks from propertylines to new structure............. ...... ... .. Dyes Ono ❑n/a 10. Setbacks to neighboring wells and septic systems,including onsite wen.... ❑yes [_]no and septic systems(if applicable) 11, DrivewayPemut..................... ......... .................. ............ ...... Ono ❑n/a Date: i Staff Initial: L:\SueHeming-,ua}\BuHding.PemvtkORMS\Generic ChecHist.doc January 2S,2003 WINDOW SCHEDULE Job Site/Address: oT L-Aop_ a . Date: S- 30_ U Owner: C(2eG fir,-tzAPa,)_o J Application No. Window Window Window Unit or Rough Rough SQ.FT. SQ.FT SQ.FT. Clear {� c ware Number or Manufaturor Model/Type Stock Openin Opening Glass/Vis Egress/Cle Opening Opening br ' ' ns Letter on Name Numbe g Height ible Vent ar Width In Hei Plan Call Width Light Opening Inches In Inc 0 2004 Size �O'- � D i (o '.l Y9 D,3 1 5,-73 �/g�' NG NQ rnr)Rr. Y 3-2- 3°fit` 7j fie/ l4cv1 '3,-d -3,8 .7j�7/T Example Entry A Andersen Narroline 3062 3' 2 6'5 '/Z 15.30 8.36 6.01 34 2415/36" Tempered Double 1/3" 6111/16 Glazing Hun C:\Documents and Settings\Sue\Local Settings\Temp\Window Schedule.doc i.w Job Site Address: I �,M Date: e 'D Owner: (L� 2st Application No. File No.--Q q - Building Permit — Calculation Sheet Natural Light, Ventilation & Emergency Egress Requirements RECEIVED Habitable Area of Req.Light Actual Req.Vent .Actual Sq.Ft. Remarks Room Room 8%of Room Light 4%of Room Vent Opening for AUG 3 0 2004 in Area Square Area Square tigress Square Footage Footage TOWN OF Feet Q EENSBURY SUILDIN ND CODE yt�A" '311,19 3 G, 2-1,12-1 1 q,-7 1 � 1 A ! l!C / i � 3 1 yy, L:\SueHemingway\Building.Permit.FORMS\Nat.Light.V entil.Calculation.Sheet.doc Fite Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to sky.Luel & vented gas appliances Date i�,sf 343 , 20� Permit No. AQg Application is hereby made to 1 u lding&Q: Offece for the issuance of a Building and Use Permit pursuant to the New York State rand Building Code. The applicant or owner agrees to comply with all applicable la AdQr�q � Bons, and all conditions that are part of these requirements and also will allow all inspector E rernises to perform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name:r,Lie r ��,�s f►�k c d 4 Stove: wood coal pellet gas Fireplace insert Address: 12.6 Fireplace, factory-built: wood gas Fireplace, masonry: wood gas Furnace: � gas oil Phone: (E f - 3 O. f n.on-masonary applicance,please provide Owner: r a r a t'o Manufacturer Name: Address: 12L Model Number: R"eai2 s A .rto Aj. - � � Chimney Information Phone: ��/ `Z[� 31 S- (circle appropriate.words) Masonry block, brick stone / Flue tile steel size: inches Exact Address: jof 37 fis,6 e,/u &,w t of construction or in tallation Factory-Built Manufacturer name: Model Number: Note: Listed By: Number: _ Construction IInstallation must con orm to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbur), Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting Chimney Liner- ` C7a,achtatear'�er.D�,�az-tm�t—To�rrzi.of Qsxe��,�bury, .Nt3�-�orl� Fire Marshal Code# $Collected $Refunded Received from (refunded to): address. _ A 173 3389 (190) Public Safety A 233 2655 (230 Min Sales DATE: 6 mo.,a''444o— T som ti"o2 0cp.-,(O White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.) Application for Permit=Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ............................................................................,.,.....,....,.,.,,............... • - fficee Us Location of installation: (ot 3`f i(�►�,6�rlv l an OFile Permit No. - CO Tax Map No. 3 QY/ J 8 / -Z - 3 Z 4el Owner's Name: �r�z GarcL a�o Fee Paid �i -- -- .....................�.,,......,4..................... $��lLl � Q Address: IU Skzrynaos Gtn _ cao�Ry P 2. INSTALLER'S NAME a ry {� �.s, .i s1"r�x�S PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No of Bedrooms x CgmgjjLqton = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980-1991 x 130 gal/bdrm = 1991-present 3 x 110 gal/bdrm = Garbage Grinder Installed y,es+, / no Spa or Hot Tub Installed yes _./ no 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil-Nature- Ground Wa er Bedrockorlm envious Ma erial Domestic-Water 1 Flat sand at what depth at what depth mun c a Moiling oam feet T� feet we 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: I gallon(min,size 1,000 gal;) Tile Field: each trench 6 a fl, Total System Length; tS?Q f1. Seepage Pit(s): number'of size of each: ft. by ft. Size cf Stone to be used: #�_ / depth or thickness feet Bed/System Size: x � Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. , 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant,shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. r7 30 gnatup bf re pons.ib(`e person Date ,•IlotlwI 't)r,t�tlt2t"11:41)lif•� • •�c;wt::•,� soul �2c:tiv�tl;c: I)i,,��)t�Kst1 t:Er»s)i��l• - 1. w 1 .r.�r.r � a..►.. wrr.r.�....ry.�.r. Z k�? POND ir'�L.Li. fN N�ttrR• rat Wow _ - I�, •. t Sc t►t lc. ' `l ' Z 1, ,� '�, IA•11�. �..r.N Iw.*�U ( ftlr1 f 11f�1 f • w r • • irsit•Lta • ' w • �Irw ROM) • r • r 7. SIONXT= &INFORMATION lv=l�+ak'V1�4��fisL+l'+��xwv,.�a�r�+•c+�.....�; w Queensbury Building & Code Enforcement - Residential Final Inspection r-- Office No.(518)761-8256 Arrive: am/p+ epart: !,,� am/pm Date Inspection request received: _ _ Inspector's Initials: _\ NAME: .ram PERMIT#: LOCATION: DATE: `- TYPE OF STRUCTURE: , _ Comments Y le1 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 /f Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more xterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. iatform 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/ ater 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/%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./Addre s yijib_La from ro d Final Electrical F Plan /Varian re uired l Surve Plot Plan uilt Se tic S stem/Sewer De t. Ins ection Sticker d Plain Certification, if re uired to issue C/C or C/O Temporary/Permanent L:\PamW\Buildinp,&CodesUnspection Fortns\Res, Final Insp.form 2.docLast printed 2/12/04 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: dJ`� NAME: LOCATION: lz"6&i�e l_y L#") PERMIT#: 04) �ze Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the survey has be Crai r , Zoning Administrator Notes: L:\,SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc MAP REFERENCE: MAP OF SOUTHERN EXPOSURE I A SUBDIVISION OF LANDS OF ROBERT E. McDONALD I DATED: APRIL1981 BY: RAYMOND J. BUCKLEY LOT 35 LANDS N/F OF ' LANDS N/F OF ROBERT & VIVIAN ETHEL NAATZ HOYT i sg8os� � C3 Sd �s U] s3ryI? GRF LANDS N/F OF w `� ROBERT & MARGARET LOT 34 ow �0�4e Q° McDONALD 40 Nor / 56.06, 3 P- co Q� \ 3 N N h ?3�, O cRU� M °0 00 a� n' A80 L N �00 OT 33Q IQ LANDS N/F OF o ' GEORGE BARGISEN JENNIFER CHISANO �CQ� FILE COPY C. S�F L AF; Fr Ix '001110- two- tis - CIRF 0013E J LAN Date: TUNEq 24, 2005 an u S E? 'UNAU7HOIOEEO ALTERATION DR ADDIOON ro A sURVEY Scale 1"=30' ('1 YM BE~OF A LICENSED LAND SURVEYORS SEAL IS A /av[`(V,. v10unON OF SECTION 720a sue-aHs10N�,OF THE Map of a Survey made for NEW YORK STATE EDUCATION LAN' 'ONLY COPIES FROM THE ORIGINALOFTH55URVH'Y MARKED WITH AN ORIGINAL OF THE tAN 5VRVEYOF5 SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPES eves IS SURVEY WAS INDICATED IN HEREON ACCORDANCE THAT ANCHOR CONSTRUCTION S 1 h115 SURVEY WAS PREPARED N ACCORDANCE WITH THE Land Surveyors LANDCASTING CODE OF PRASAID CEE FIC LAND SURVEYORS ADOPTED BY THE NEW YORK STATE ASSMATIOi OF PRORESSIONAL LAND SI11tVEYORS 31UD CEROFICADONS SHALL RUN ONLY TO THE PERSON FOR YNGM THE SURVEY IS PREPARED.AND ON HIS BEHALF TO THE 11 1LE COWANY,GOVERNMENTAL SHEET 1 OF 1 AGENCY AND LENDING NS1i7U1TION LISTED HEREON,AND y� 169 Haviland Road Queensbury, New York 12804 TO THE A551GREESOF THE LENDINGN5TRU(pN.• Town of Queensbury, Warren County, New York ANCHOR GONST. (518) 792-8474 New York IAc. No. 50135 NO. DATE DESCRIPTION DWG. NO. SE-34 308.18-2-32 I Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/ e art: �— Date Inspection request received: Inspector's Initials: _ (/ NAME: _ PERMIT#: L,)— L�cL03 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 Co lete/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 V / �P, /A 4�0 Enclosed Stairs Sheetrock Underside minimum ''/2" �/Si '�"�LC�1i'le" 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 1 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 � �1( it— iA-r�( j 6l Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector 3 6 F, Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade r �p Basement stairs closed rise>4 inchesLL � Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly twc( s 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 1 Building No./Address visible from road l tJ 1 A'U— flbuqef— Final Electrical V A&'L-b 6/JAV C—C 66- Site Plan /Variance required Final Survey Plot Plan VL As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/t] Temporary/Permanent ,��/ ' i�J�¢� L:\PamW\Building&CodesUnsvection Forms\Res• Final Inst). form 2,docLast priiit'c�2/12%04 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No.......................................Cert. JM2 90120 Cut-in Card No............................... Owner.......................... ! _ .......... Location...-.—�...... iYl /��721i GN.................................. T ......................'. Installa'on Consisting of. .��.. L� !. �7.� yZLI � ........................................................................................................................•--.-....................................................... InstalledBy...................... G............................................................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 maki spections at any time, and if its rules are violated,the Company shall have the right to voke tficate. Date.... ............... INSPECTOR................. ............................................................................ Member N.F.P A._1_A.F..I_ Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/ epart:� ' m/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initial NAME: PERMIT #: LOCATION: (�� ,3 �� L ,v 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. 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 C oo ea, ,,C-P-VC,Pex One and Two-Family 7-Residential Check/Commercial Check Proper Vent, Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air S!!pply for Furnace Duct work sealed properly/No duct tape COMMENTS: LASueHemingway\l3uilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Rough Plumbing / Insulation Inspection Rcpor Office No. (518) 761-8256 Date Inspection request received: _r1 Queensbury Building&Code Enforcement Arrive: am/pm Depart: a am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: - 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. Read 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 ./n� 11 Water Supply Piping ram(. C oper Commercial Oo er, CPVC,Pex One and Two-Famil Insulation/Residential Check/ Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape L ,p COMMENTS: c LASueHemingway\l3uilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November l7,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/��m_ Depart: pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: ��� v NAME: PERMIT#: D LOCATION: IZ L INSPECT ON: (, TYPE OF STRUCTURE: r Framing Y N N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour re wall 2, 3, 4 hour 1/61 F> "es topping,l Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Rep January 28,2003 ort o-4/z s 2�-LA Vn Dough Plumbing / Insulation Inspection Report , Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/p D part- a pm 742.Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME PERMIT LOCATION: ` INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,II-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/ Comm. Plupibing Vent/Vents in Place ,ou V.lp mbin /Nail Plates '1 i/a` nch min. Drain Size Washing Machine Drain 2 inch min. sad®r--Air.Supply Test _Dram-and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout eveg 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_S"ply for Furnace Duct work sealed properl /No duct tape COMMENTS: LASueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm 742 Bay Rd., Queensbury,:NY 12804 Inspector's Initial NAME: Cam_ � —e^( PERMIT#: 0 LOCATION: �.�� II SPECT ON: 'Z��/ LO TYPE OF STRUCTURE: Comments -----)?no Y N N/A gs -- - — Piers — o,p6lithic 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 pu—pr 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 Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SucNcmingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 CTC-kg3 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: % ---, f!f' Queensbury Building& Code Enforcement Arrive: am/p Depart: -5am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: CC.-c A PERMIT #: Q00 l�J LOCATION:" INSPECT ON: n— TYPE OF STRt CT1jRE: I Y N N/A PVC: R-1,R-2, R-3,R4 Drain/Vents Cast Iron, Co er Drain/rent/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 �q Water Supply Piping C000 r Commercial n 6o er, CPVC,Pex One and Two-Family C&tc,t(06 r` As /Residential Check/Commercial Check Pr'd er'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: ebb /N C 0��� � � V 19-A I A) LASueHemingway\Building.Codes.Inspection.FORM S\Rough Plumbing Insulation Report.doc November 17,2003 �eco Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: arn// D part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: ��G. `� PERMIT#: 13 L� LOCATION: _ LCti 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 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 ;eeland snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doe January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: _arn�T pgpart: pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: �v NAME: c PERMIT#: L — a.(o LOCATION: -a:7 INSPECT ON: TYPE OF STRUCTURE: O Y N N/A COMMENTS Framing Jack Studs/Headers Bracing/BridgingJoist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft, floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side % inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemin.-Way\Building.Codes.Inspection.FORM S\Frarning Firestopping Inspection Report.doc January 28,2003 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request receivWd'- / Queensbury Building&Code Enforcement Arrive: am/ xri e rt: - am/pIn 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: C � PBRMIT NO.: LOCATION: INSPECT ON: RECHECK: Com nts and/or diagram Soil Type Sa / y T e of Water: unicipal/ ell Water Waterline separation istance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length 2 ft. Length of each trench ft. Depth of trenches Size of Stone -Seepage Pits: Number Size: x Stone Size: Piping Si 7p,, T Building to tank �rJ Tank to Distribution Box u K Distribution Box ield/Pit a Opening Seale Y N/Partial Location/Separations Foundation to tank ft. Foundation to absorption f. Separation of Pits Conforms as per Plot Plan Y N Location of System on Property: 0ron Rear Left Side Right Side Middle Front 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.[nspection.FORMS\Septic Inspection Report.doc January 28,2003 19HMjZ.& g12-3153 - MAL .)b Foundation Inspection Report �0 Office No. (518) 761-82.56 Date Inspection repec..Queensbury Building&Code Enforcement Arrive: aDep rt: m 742 Bay Rd., Queensbury,NY 12804 Inspector's InitialNAME: PO� 1P b LOCATION: _ _ INSPECT ON: e 0 TYPE.OF STRU TU ZL 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/W allpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Yj Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing V 6 mil poly for wet areas under slab Backfrll Approval Plumbing Under Slab PVC/Cast./Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASucHcmingway\Building.Codes.InspectiotiTORMN-oundation Inspection Report.doe January 28,2003 1 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/DrA Depart: IV V Lim/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: A-jeDFALU PERMIT#: L ✓(0 LOCATION: Lw INSPECT ON: - 0! TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: � �`t O 1�00 cam, Queensbury Building&Code Enforcement Arrive: am/prjj Depa : am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: P—/— NAME: PERMIT#: AOO - 66 D LOCATION: INSPECT ON: TYPE OF STRUCT �D Comments Y t N N/A 'Footings Piers Monolithic Slab Reinforcement in Place ��� The contractor is responsibl r providing protection from freezing for 48 hours following the placement of the concrete. Materials_for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump T 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. LASueHcmingway\BuiIding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 _ I Permit Number MECcheck Compliance Report Checked By/Date New York State Energy Conservation Construction C ode M ECcheck Software Version 3.3 Release I c Data filename:Untitled TITLE.: Kimberly Lane Soh RECEIVED COUNTY: Warren STATE:New York AUG 3 0 2004 11 DD:7635 CONSTRUCTION TYPE: Detached 1 or 2 Family TOWN OF QUEENS13URY HEATING TYPE: Non-Electric BUILDING AND CODE DATE:08/28/04 DATE OF PLANS:8-22-04 PROJECT MI ORMATION: Kimberly lane COMPANY INFORMATION: Anchor Construction COMPLIANCE: Passes Maximum UA-425 Your I lome-364 14.4%Better Than Code Gross Glazing Area or Cavity Cont_ or Door Perimeter R aluc R-Valuc 11-Factor VA Ceiling 1:Flat Ceiling or Scissor Truss 1147 3 .0 0,0 34 Wall 1: Wood Frame, 16"o.c. 2111 19.0 0.0 112 Window 1:Vinyl Frame, Double Pane with Low-Is 200 0.350 70 Door 1:Glass 24 0.330 8 Door 2: Solid 21 0.200 4 Basement Wall 1: Solid Concrete or Masonry,8,0'ht/6,0'bg/5.0'insul 1 184 0.0 5.0 136 Furnace 1:Forced I lot Air,91 AMU' Air Conditioner 1:Electric Central Air, 10 SEER COMPLIANCE'STATEMENT: The proposed building represented in this doc menl is consistent with the building plans,specifications,and other calculations submitted with this permit applicati n. The proposed systems have been designed to meet the New York State Energy Conservation Construction(:ode r quirements. When a Registered Dcsiln Professional has stamped and signed this page,they are attesting that to i lie best of his/hcr knowled► t NF_yy and professional judgment,, h plans or splications arc in compliance with tiisCodc, 9 - Builder/Deli finer , "�Gl' '^/`l_� -- U c "•: :ir CL T 'd ESTE-BSL-BTS oTeje-4e0 Zaig eOS :B0 +,O 1E Znd 1 y MECcheck Inspection Checklist New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release I DATE-:08/28/04 TITLE:Kimberly Lane Job Bldg. DcPt Use I Ceilings: L ] I 1. Ceiling 1: Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments:—_ „•, I Abov"rade Walls: [ ) I 1. Wall 1: Wood Frame, 16"o.c., R-19.0 cavity insulation I Comments: __-- -•- - _ I Basement Walls: [ ] I I. Basement Wall 1:Solid Concrete or Masonry,8.0'ht/6.0'blr/5.0 insul, k-5.0 continuous insulation Comments: Exterior insulation must have a rigid.opa'que,weather-resistant rotcc:tive covering that covers the exposed(above-gradc)insulation and extends at least 6 in-below grade. I Windows: [ ] I l_ Window 1: Vinyl Frame, Double Pane with Low-Es,U-factor:0350 For windows without labeled U-factors,describe features: ff Pancs..2 Frame'I'ypc�'''�.�� '1'hcrmal Break?[�Q cs[ ]No Comments: I Doom: L ] I 1. Door 1:Glass, U-factor:0.330 I 11 Panes_ 1,rame'l'ype_Slj_rj VL_.Thcrmal Breuk'1 k cs L ] No Comments: .. . N�E [ ] I 2. Door 2: Solid, U-factor:0.200 Comments: 4S'CT_r, _... v j.5 I Heating;and Cooling Equipment: [ ] I I- Furnace 1:Forced Ilot Air,91 nFUF.or higher _ Makc and Modcl Number_( �b I 1 ram• _ a L,.• . 2. Au Conditioner 1: Electric Central Air, 10 SEER or higher Make and Model Number 6TT:> I Air Leakage: [ ] I Joints,penetrations,and all other such opening.S in the building envelc pe that are sources of air leakage must be scaled. 1 ] I Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with it 0.5"clearance from combustible materials. If non-IC rated,the fixture must be installed with a 3"clearance from insulation. I Vapor Retarder; [ I Required on the warm-in-winter side of all non-vented framed ceiling_,walls,and floors. I . 2 'd ESTE-BBL-BIS oie_4e.1e0 Za.a0 e0S tB0 +,0 IE Znd I Materials Identification: [ ] Materials and equipment must be installed in accordance with the man ifacturces,installation instructions. I I I Materials and equipment must be identified so that compliance can be Ictcrmincd. [ J I Manufacturer manuals for all installed heating and cooling equipment d service water heating I equipment must be provided. tn [ [ I Insulation R-values,glazing U-factors,and beating equipment efficien y must be clearly marked on I the building plans or specifications. I i Duct Insulation: [ J I Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ l I Return ducts in unconditioned attics or outside the building must be in Mated to It-6. [ J I Supply ducts in unconditioned spaces must be insulated to R-11. [ ] I Return ducts in unconditioned spaces(except basements)must be insu aced to R-2. Insulation is not required on return ducts in basements. I Duct Construction: [ J I All joints,scams,and connections must be securely fastened with wek s,gaskets,mastics I (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. I Exception:Continuously welded and locking;-type longitudinal joints I Ad seams on ducts I operating at less than 2 in.w.g.(500 Pa). Ducts shall be;supported every 10 feet or in accordance with the manu"cturces instructions. [ ] I Cooling ducts with exterior insulation must be covered with a vapor der_ [ ] I Air filter%arc required in the return air system. [ [ I The l IVAC system must provide a means for balancing air and water stems. I I Temperature Controls: [ ] I Each dwelling unit has at lcsal one thermostat capable of automalicall adjusting the space I temperature set point of the largest zone. I Electric Systems: [ 1 I Separate electric meters are required for each dwelling unit. I Fireplaces: [ ] I Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] I Fireplaces must be provided with a source of combustion air.as requiy ed by the Fireplace construction I provisions of the Building Cvde of New Yark Slate,the Residenlial 0 de of New York Stale or i the New York City Building Code,as applicable. I , i Service Water Heating: [ ] i Water heaters with vertical pipe risers must have a heat trap on both t c inlet and outlet unless the I water heater has an integral beat trap or is part of a circulating system. [ J I Insulate circulating hot water pipes to the levels in Table 1. l Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in'fable 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and req dre'a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps req Uire a time clock. I Heating and Cooling Piping insulation: HVAC piping conveying fluids above 105 OF or chilled fluids below 15 OF must be insulated to the levels in Table 2. E 'd ESTE-B6L-BiS oteje.ae0 20,49 eDS :eo *,0 le Zed i ti Table 1: Minimum Insulation Thlc knesv Jot(inculuting Hot Water Pipax. Insulation,rhicknc;is in Inches by PiN Si Healed Water Non-Circulating,Runouts Circulatin► Main•and Runouts Tcmperaturc(F) UR to 1" Up to 1.25" 1.5"to 2.0" 170-180 0.5 1.0 1.5 _0 140-160 0.5 0.5 1.0 _5 100-130 0.5 0.5 0.5 1.0 'ruble 2: Minimum Imsulation Thickncls for 11 VAC Pipes. Fluid Temp. InsulationThic:knesS if i Inches by Pi DC Sizes Piping System'Types Range( I') 2"Kunapts 1"and 1, ss 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Tcmperaturd 120-200 0.5 1.0 1.0 1,5 Steam Condensate(for teed water) Any 1.0 1.0 1,5 2.0 Cooling Systems Chilled Watcr,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 Lo 1.5 1.5 NOTES TO FIELD(Building,UepaRment Use Only) � 'd ESlE-B6L-BlS oleje.ae0 za.a0 eOS•t90 t,0 lE gnu