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2004-678 _ 1V TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building.& Codes (518) 761-8256 CERTIFICATE_ OF_ N- C OCCUPAY Permit Number P20040678 : Date<Issued:` Thursday, December 29, 2005 This is to-certify that work r-equested.to be-done as shown by Permit Number P20040678 has been completed. - - — - Tax Map-.Number: . - _ 523400-302-014-0001-048-000-0000 Location: 5 PERSHING Rd Owner:: GEORGE & JENNIFER GOHN _Applicant;_ GEORGE & JENNIFER GOHN This structure may be occupied as a: Fireplace By Order of Town Board Porch TOWN OF QUEENSBURY Residential Addition - .1RUMmtjfijbU&mWtvate of Occupancy DOES NOT relieve the f� 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. TOWN OF QUEENSBSURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040618 Application Number: A20040678 Tax Map No: 523400-302-014-0001-048-000-0000 Permission is hereby granted to: GEORGE& JENNIFER GOHN For property located at: 5 PERSHING Rd in the Town of Queensbury,to constructor,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. ' s Tyke of Construction Value Owner Address: GEORGE& JENNTER GOHN, 5 PERSHING Rd Fireplace UEENSBURY�NY 12804-0000 .Porch , Q Residential Addition $175,000.00 Residential Alteration Total Value $175,000.00 Contractor or Builder's Name Address ' Electrical Inspection Agency is Plans&Specifications 2004-678 i' RESIDENTIAL ADDITION AND ALTERATION ! i $259.66 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 10, 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 Queen ury; F'ri, ay, ;September 10,`2004 SIGNED BY for.the Town of Queensbury. Director of Building Code nforcement Building Permit Application , Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No. 7 g No inspection will be made until applicant has received a Foe Paid $ valid building permit. All applicants' spaces on this Rec.Fee Paid application must be completed and must appear ors the Reviewed By: application forYn. Applicant: k` (/ / i,� Owner: - Address: Address: . Phone#(r)77y- Phone#(—) -�1 Property Location: Lot Number: / House Number / Subdivision Name: Tax Map Number: 21) Q f��( 0 New Building: residence /commercial 'Estimated Market Value of Construction:$, 'r l0 Addition: residence/ commercial If an Addition,what will use of new addition be? cw Alteration: residence/ commercial m No change to exterior size: residence/com'1 0 Other work(describe ) Check OCCnpancyluformation 1' Floor 2° Floor Other IIoor Total Below sqj ft. sq.ft: sq.ft. Square Feet Addition m Single family dwelling . S a A.etetcat on 0 S' fi=UY dwellin . o Townhouse o Multifamilyhwelling #ofunits o Office o Mercantile m Mmufactatin 0 1 car detached 8mge 0 2 oar detached L=ge m 3 car detached garage . i 0 1 oar attached garage Inv o 2 oar attached gars a tnm OF m 3 car attached garage I B m Storage building- Commercial o Storage building- residential o Other What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? If so,for what? - Type of Beating System: electric/ oil % gas/wood /forced hot air/ baseboard/other: Number of ElmytaW to be installed Number of Woodsteves to be installed Li� below the person(s)responsible for supervision of work as regards to building codes: Name Address- Phone Number 'Builder V L 7U/G Uti �UPlumber iMason Sleotrician Declaration; please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this application,together with-the.plans and specifications submitted,are a true and complete statement of all proposed work to be done'on.the described premises and that all, provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that Uwe shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Dirfctor of Buildin and Code A s,an s Built Survey by a licensed surveyor;drawn to scale,showing actual location of all nacG nstrucdon. Signature:�� 2 ` owner,owner's agen' �zrcbitecto tractor Torch, Deck, Dock, or Boathouse 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. No Permit File No. —70OLf—W g inspection will be made until applicant has received a valid Fee Paid $ � 70 building permit. All applicants' spaces on this application must be d` completed and must appear on the application form Reviewed By: Applicant: Q Owner: (J�e7p,6 a Address: Address: Phone#(_) � Z Phone# Email Address: Email Address: Person Responsible for Supervision of Work as Regards to Building Codes: Name % L� Address: 1007AO Phone Property Location: Lot Number: / House Number / Subdivision Name: Tax Map Number: Estimated Market-Value of Construction: $ ork� RECEIVED Li Dec ❑ Dock ❑ Boathouse S E P 0 2 2004 ❑ Other work(describe TOWN OF QUEENSBURY Size of structure to be built '� square feet BUILDING AND CODE Submit along with this application: 1. Two plot plans drawn to scale,preferably using a survey map. Indicate proposed structure showing setback dimensions from all property lines. Show location of water supply and location and configuration of septic disposal area. 2. Two sets of structural drawings. Indicate size of posts or studs, floor joists, decking or flooring material to be used. Show how the porch or deck will be fastened to the building. If a roof will be constructed, indicate the size of posts or studs,roof rafter spacing and span. Indicate type of roof: sloped, flat, shed,or other. Indicate the type of material being used for the roof. 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. Applicant's signature: Date: t �✓ L\SueHemingway\Building.Permit.FORMS\Porch.Porch.Permit.doc 8/13/02 revised per DH Check Residential Plan Review: One&Two Family Dwellings Y/N/N/A (2)Full sets of plans Over 1,500 sq. ft.-Stamped Design Loads On Plans:90 Wind Floor Loads 40 psf 70 Ground Snow Load. Sleeping Areas and Attics 30 psf Calculations: " —Windoww Sc'fiedtik With Glass Size Door Schedule/Main Entrance 36"Door Emer'agency Escape'OrBedroams-and~Habitable-Space Above/'Below grade,_5.7 sq.ft. — Grade,5.0 sq. 24" -� 44"Max:I3ei` t above floor --T -ResideAi-l`Check Paperwork-Compliance and Inspectors C$eeklis"t::OK-- Dampproofing/Waterproofing Materials On Plans. Foundation Drainage On Plans,if required 6"Drop in 10'Exterior Grade of Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where V Required Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls `Platforms At Exterior Doors—k OJA Stairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise y Winder Run and Rise ; Y` Spiral Not Allowed From 2nd Story (Smoke Detectors;Battery Baci p_and Proper Location Bathroom 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. Safety Glazing Notes For Required Areas Garage Fire Separation Garage Floor Sloped Attic Access ----- ,r 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 ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Methods:Part 5 -Acceptable Practice Method- 1&2 Family Dwellings (only) Part 6*-Thermal Rating-Component trade Offs 1&2 Family Dwelling; Multi-Family Dwellings(3 Stories or less) Part 4*-Design by Component Performance, Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT'S NAME: //' PROPERTY LOCATION: ,� �✓1�I a�j �alz GGCO( E � L"ow X; bt,a/k� PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: \ r A nar�,o 1. Gross Floor Area 1 c quare feet 2. Type of heat- Electric Oil Gas Other 3. Is building mechanically cooled? yes No 4. Percentage of area of windows and doors Over 17% Under 17% ` 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS , SHOWN ON PLANS SUBMITTED: a. Roof R'3 9 b. Exterior walls R- e. Glazed areas R- 3,13 d. Exterior doors R- e. Floors over unheated spaces R -2 I f. Edge of slab on grade(heated building) R g. Basement/cellar walls(above grade) R - h. Basement/cellar walls(below grade) R _ [I i. Heating/cooling-ducts-piping in unheated space R 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code X Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140-WILL NOT BE EXEEDED Alqic '.s 'g ature Date Phone Number INSPECTOR'S REMARKS: ca 67? WINDOW SCHEDULE O Job Site/Address: I� /027 /491� , 60�j5�y2� � ®ate: G C40 6N Owner: Application No. lndow 1Nirrdiavd Window 'ilnit or Rough Ret�gh SQ.FI', SQ.FT S{�.FT. Clear Ctea� Spec9 I A €�urnberor Manufaturer ModelrType Stock Openin Opening G1assNis Egress/Ole Opening Opening . i e Height ible Vent ar Width In Height � � � Letter an turn., f�tumb g H ig s�'� 1 i Plan I I Coil Width � Light I, Opening inches In Inch �°s 1 -- -i--- -�--- �-Size -- J t%ZL-15�rJ A G":v � �03� � � � 3$ S Z � Zm� �. o� � /.2- 30�-2, . 5 s D 7,-rio 3. 3 0� /0' �� 574 3� �.� � � } ��� /¢l�z I . Exami ple 9ptl r w }l Se�®line 306s2 Y 2 6'�'lz S6.3Q 8.36 6.#�1 F`� 2� 4�if35°° �e�sfser�sl Double 1/3'" i.1'!!96 � Glazing � Hun - - ------- — --�- ---- -- - ca. as C^D�.umer:t.srn-i}ctfLlgs'•Sun�arsra]�ett�n�lTec�l'SPiotdo;vS¢hedu]a.i;;c Project Name: 6imq,j A 4PAd BP# Address: J� ��2vinJ�l 60a Building Permit 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 QueeasburyBuildiag 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 .................. ................... ®yes ❑no ❑n/a 2. Energy Form or ChecB&te Energy Code Compliance Foss Complete_ ❑yes ❑no ❑n/a (2 copies) 3. Energy Code Inspector's Report from CheclrMate Program..... ... ... ... .. ❑yes ❑no ❑n/a (2 copies) 4. Septic application completelyfilled out(if applicable)..................... ... ❑yes ❑no 91 n/a 5. Solid Fuel Burning or Gas Appliance Form... ......... .................. ... ... .[Ayes Ono ❑n/a b. Electrical Inspection Form......... 7. Two(2)complete sets of structural drawings....................... ...... ... ....x]yes 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 built,...... ... ... Myes Ono ❑n/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new structure......... .................. ... .. (A)es Ono ❑n/a 10. Setbacks to neighboring wells and septic systems,including onsite well... . ❑yes Ono An/a and septic systems (if applicable) 11. DrivewayPermit... ... ............ ... ...... ... ............ ...... ---......... ... ... Dyes ❑no b da Date: Staff Initial: L_\SueHcnung,,va}\BuAding-PernutFORMS\Generic dieckl si-doc January Z8,2003 Dire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas .appliances Date % J 4; ,'li , 20 Permit No.r ?� Application is hereby made to the Building& Codes Of,fice for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. Pie applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises`to perform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: Stove: wood coal pellet gas Fireplace,nsert. _ _n Address: ; �•' `���•"'� `�"�� f`� s Fireplace, factory built: ,� wood ,gas Fireplace;�masoriry:' wood gas J Furnace: wood gas oil Phone: ,;, r If non-masonary applicance, please provide Owner:'" Manufacturer Name: ;V i-%i ' i " �✓�' Model Number: Address: , Chimney Information ,X E'�j ;? ' circle appropriate words ( ) Phone: Masonry block brick stone Flue the r'steel size: inches Exact Address: of construction or installation Factory-Built Manufacturer name: o Model Number: r'; Note: Listed By: lVuimber: Construction llnstallation must con. orrn to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult.available Town of Queensbur�r Handouts regarding required inspections. Double wall / Triple ivall / In.§ulated V " Direct venting Chimney Liner ICa�.�i.�[er'�r Dep�z�zne�.t—Z':cr�;u ao�Que���bur�r, New York; (ire Marshal Code# S Collected S Refunded Received fi-orrr (refunded to):_,� v_ ' & _;'i,� �,► , c a, address: A 173 3389 (190) Public Safety - ,y A 233 2655 (230)Minor,Sales DATE: 'r j%` r�L�iya- Own O White(Applicant) / "Green(Fire Marshal) / Yellow(Bldg.'Dept.) / Pink d.Goldenrod(Cashier's Dept.) o Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive:2• ��am/pm� epart: am/pm Date Inspection request received: _ Inspector's Initials: C� NAME: O �_ _ PERMIT#: 7 8 LOCATION: ' C—&-,,H I Ai9— o DATE: ?/ d TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent LocationG Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Co m 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 v Interior/Exterior Railings 34 in.to 38 in. De2f2 1 Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %2" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/re ulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/'/<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 Forms\Res,Final Insp. form 2.docLast printed 2/12/04 Queensbury Building & Code Enforcement - Residential Final Inspection . Office No. (518)761-8256 Arrive: m/pm \ Depa t: am/pm Date Inspection request received: _ Inspector s Initials: a� /r NAME: PERMIT#: lq7 LOCATION: Q�C c + C DATE: f —..2 TYPE OF STRUCTU : \-) Comments Ye No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more .Handrail Termination at Newell Post or Wall . / Interior/Exterior Railings 34 inches to 38 inches 1 Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: / Every level: Every Bedroom: Outside every bedroom area: VVV Inter Connected: Battery backup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s . ft,150 s . ft.vents Bathroom Fans, if no window Plumbing fixtures Foundation insulation V � �� l�iPA F Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade 1 A4413L Gas Furnace shut-off within 30 feet 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 Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%Z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed pro erl Gas Logs in Sealed or a s E-noo§ppe Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker V� Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/® [Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form-revised-1 00405.doc Town of Queensbury Fire Marshal 742 Day Road Queensbury,NY 12804 761-82051761-8206 fax 7454437 Factory Built Gas Fireplace/Stove Mspectiona Re.gort Notice:NeA York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# 0 (Pl ) Schedule Inspection ` ri rTime am pm aaytne Inspecfor Name ���1 ---Address_ /ffi _ — Rough In_Final Appliance Manufacturer _- Model# Direct Vent Factory.wilt Chimney Flue Size .Double Wall Triple Fall IanNulated - Yes No N/A comments Floor Protection Clearances to Combustibles (a➢➢ sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve r Combustion Air Hearth Extension (if any) : Mantel Height above f/p opening Witness Operation Tank Placement(if LP) Pink—Fire Marshal iWhi4e—Building 1Deg►t. Fellow CAE er Rough Plumbing / Insulation Inspection ep®rt Office No. (518) 761-8256 Date Inspection request received: q /(*05 Queensbury Building & Code Enforcement Arrive: am/pm Depart: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ./�C) NAME: PERMIT #: LOCATION: INSPECT QM TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent/ Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet / change of direction Pressure Test Drain / Vent Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air / Head 50 P. for 15 minutes ation / Residential Check / Commercial Check Proper Vent Attic Vent Duct / Hot Water Piping Insulation `3 c?eEkL� If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape V-"" g&.S-roo A 7�)V COMMENTS: LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Rough Plumbing / Insulation Inspection Repo. Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/prn epart• am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT #: O LOCATION: INSPECT ON: S TYPE OF STRUCTURE: Y N N/A � �--1 _: -lurnbin / Nail Plates Plumbin'-Vent / Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/ chan e of direction Ore Test ain / Vent Air/ Head - .5.I. or 10 ft. above highest connection for 15 minutes Pressure Test ly Piping 9 15 minutes 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: LAPam Whiting\Building&CodeAInspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Framing / Firestopping Inspection Report l C �ULO Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: a p epart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: c INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS Framing Attic Access 22"x 30"minimum Jack Studs/Headers f 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/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 water shield 24 inches from wall Fire separation 1,2, 3 hour Fire/ H 2, 3,4 hour ,F. _ stopping_'. p&�-r/� Penetration sealed ,U v9 16 inch insulation in cavity min. ®� 2 1 Garage Fire Separation House side 11/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received- i Queensbury Building& Code Enforcement Arrive: arn/ Depart:am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 1 s NAME: �� 4 PERMIT#: -�� LOCATION: G Q��_ K\n3 Rn INSPECT ON: Z tl TYPE OF STRUCTURE: Y N N/A # FraMI. COMMENTS Jack Studs/Headers / Bracing/Bridging r (� Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center '.'.Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. 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 LASucHerningway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: U Queensbury Building &Code Enforcement Arrive: am/pm Dep rt:% ` m 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: li NAME: _ PERMIT#: Q T LOCATION: -- ��S INSPECT ON: o f TYPE OF STRUCTURE: 0 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 of for wet areas under slab _ ackfill Approv� Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. I:\.SueHemingway\Building.Codes,Inspection.FURMS\Foundation Inspection Report.doc January 28,2003 7—// Foundation Inspection Report Office No. (51 8)761-8256 Date Inspection request received: 3 / Queensbury Building &Code Enforcement Arrive: am/pQ n Depart: ani/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: �i11 NAME: _ PERMIT#: U ' LOCATION: - INSPECT ON: `�_�� -()S TYPE OF STRUCTURE: Comments Y N N/A ootings Piers Monolithic Slab Reinforcement in Place -1�7 T The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab _ Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- _ Rough Grade 6 inch drop within 10 ft. L kSueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.(J, Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No........................ .............Cert. No 90031 Cut-in Card No............................. Owner..................................Q..IN........................... GdzS �G ��,......................................... G Location.................... ............................................ ................................................................... ............ Installation Consisting of......................................... C�� �J��'l� ............ .......................... .......... ............................... .................................................................................................................................................................................... ................................/........................................... . . .. .......... ............................................................... InstalledBy... l. /..�Yk...............................................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 makin to ections at any time, and if its rules are violated,the Company shall have the right t r ke this erCificate �z7—o s� �-- Date..... ......................................... INSPECTOR............................................................................................... Member N.EP.A..I.A.E.1. Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection reque re ei Us Queensbury Building & Code Enforcement Arrive: /p epart: 4 a 742 Bay Road, Queensbury, NY 12804 Inspector's Initiz / NAME: r �� Q. PER #: 0-0-0 7 e' LOCATION: INSP--CT ON: 3 as c TYPE OF STRUCTURE: .., 4. I -�- -W Y N N/A Rough Plumbing / Nail Plates Plumbing Vent/ Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet / change of direction Pressure Test Drain / Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air / Head 50 P.S.I for 15 minutes k Insuia ion Residential Check/ Commercial Check \C� Pro er Vent Attic Vent a Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work sealed properly / No duct tape COMMENTS: Q J�v LAPam Whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 - Factory wilt Gas Fireplace/Stove Ins aoeetion Report Notices New York State requires that all UL Listed,factory built appliances be installed according to the instructio d specifications contained in the URsl.a➢lation Manual accompanying the appliance.No deviation from the manuf Iurer, instructions or specifications is allowed. Permit# 0 — 67 Schedule Inspection^ 0 Time am pm a time Inspect Name C- Address_ �5 G�i �1-`�-� ' _ Rough In' V Appliance Manufachirer � Model# �G Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) 'Vertical Chase Wall Penetration. Vent Clearances to Combustibles / Vent/Chimney Termination Chimney]height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept. �"`�i` �_ _ YeBAow G4uyk t Pink—Tire Marshal Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p i epar�t:. am/pm 742 Bay Road, Queensbuly,NY 12804 Inspector's Initials: °' NAME: I PERMIT#: LOCATION: INSPECT ON: r� TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron,Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place —Rough Plumbing/Nail Plates Head""-or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes t Watex Supply Piping Copper Commercial Copper,CPVC,Pex One &Two Family Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: -L:GSueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Framing / Firestopping Inspection Report s -Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: _a �: /; am/pm 742 Bay Road, Queensbury, NY 12804 haspector's Initial__ NAME: PERMIT#: LOCATION: INSPECT ON: — — TYPE OF STRUCTURE: Y N N/A COMMENTS Framing Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/a(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 estopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side % inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASucHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping inspection Report.doc January 28,2003 1 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: -arn/rIm Depa am/ m 742 Bay Road, Queensbury, NY 12804 Inspector's Initials. i NAME: C) PERMIT#: 4 d LOCATION: INSPECT ON: U TYPE OF STRUCTURE: ` Framing Y N N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping'for Notches Top Plate 1 %z (w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches frorn wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour �restopping 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 LASucHerningway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report ice' Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: aI — epart: y p a m 742 Bay Road, Queensbury, NY 12804 Inspector's Initials NAME: D W✓ A PERMIT#: LOCATION: G'1 i i. INSPECT ON: Ci ' TYPE OF STRUCTURE: Y N N/A COMMENTS Framin C c�(� Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemin,-Way\Building.Codes.Inspection.FORM STraming Firestopping Inspection Report.doc January 28,2003 l Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: (] _ Queensbury Building& Code Enforcement Arrive: am/ Depart: rri 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:=� NAME: �� PERMIT#: LOCATION: v , j h - INSPECT ON: (_Z bct TYPE OF STRUCTURE: -_ Y N 1 /A. COMMENTS r i ack Studs/Headers Pe-cl{ �C��C✓� �Q. Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour P6,A-b irestoppin9 'rPenetration 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.Inspecti on.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-82.56 Date Inspection request Queensbury Building&Code Enforcement Arrive: epart: Q 742 Bay Rd., Queensbuzy,NY 12804 Inspector's Initia s: �- NAME: �j _ PERMIT#: WSJ LOCATION: _ INSPECT ON: TYPE. OF STRUCTURE:. \J Comments Y N N/A Footings — Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for_this purpose on site. _ Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 jRfl poly for wet areas under slab Z ckfill Approval Plumbing Under Slab PVC/Cast/Copper G Foundation Insulation Interior/Exterior R_ << Rough Grade 6 inch drop within 10 ft. L:\SueTlemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January N.2003 Foundation 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: 0 �7a° NAME: ��� PERMIT#: LOCATION: j ��✓�� " /� "� INSPECT ON: C)4110 TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsib e 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 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. LASueHemingway\Bui]ding.Codes.Inspection.FORMS11--oundation Inspection Report.doc January 28,2003 -zy�, �oH 171 yO=RI ;I b'iRSNI Cv�c=� r, -- - - - - w --_ -- w V1, __ 47CU=- - -- Q -- �-lLL 0 ti. W W co w - g o kr=' Permit er q), c s V 7 REScheck Compliance Certificate Checked By ate 2000 IECC REScheckSoftware Version 3.6 Release 1 Data filename: C:\Program Files\Check\REScheck\Gohn Additions.rck PROJECT TITLE: Gohn AdditionGohn Addition CITY: Glens Falls STATE:New York HDD:7635 CONSTRUCTION TYPE: Single Family WINDOW/WALL RATIO: 0.06 DATE: 09/10/04 DATE OF PLANS: 9/7/20049/7/2004 PROJECT DESCRIPTION: Residential Additions/Alterations DESIGNER/CONTRACTOR: Paul Cushing PO Box 4547 Queensbury,NY 12804 COMPLIANCE:Passes Maximum UA=248 Your Home UA=201 19.0%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 288 38.0 ' 0.0 9 Ceiling 2:Flat Ceiling or Scissor Truss 847 38.0 0.0 25 Wall 1:Wood Frame, 16" o.c. 792 21.0 0.0 43 Window 2:Vinyl Frame:Double Pane with Low-E 46 0.320 15 Wall 2:Wood Frame, 16" o.c. 840 21.0 0.0 45 Window 1:Vinyl Frame:Double Pane with Low-E 32 0.320 10 Door 1: Glass 26 0.320 8 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 154 21.0 0.0 7 Crawl 1:Masonry Block with Empty Cells 847 0.0 11.0 39 Wall height: 5.5' Depth below grade:4.0' Insulation depth:5.5' Boiler 1:.Other(Except Gas-Fired Steam), 80 AFUE i COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC requirements in RES checkVersion 3.6 Release 1 (formerly MECchecl and to comply with the mandatory requirements h t, the RES checkrnspection Checklist. Builder/Designer Date J .' ' y : =W03 REScheck Inspection Checklist 2000 IECC REScheckSoftware Version 3.6 Release 1 DATE: 09/10/04 PROJECT TITLE: Gohn AdditionGohn Addition Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: [ ] 2. Ceiling 2:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16" o.c.,R-21.0 cavity insulation Comments: [ ] 2. Wall 2:Wood Frame, 16" o.c.,R-21.0 cavity insulation Comments: Windows: [ ] 1. Window 2:Vinyl Frame:Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 2. Window 1:Vinyl Frame:Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: Doors: [ ] 1. Door 1: Glass,U-factor: 0.320 Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-21.0 cavity insulation Comments: Crawl Space Walls: [ ] 1. Crawl 1:Masonry Block with Empty Cells, 5.5'ht/4.0'bg/5.5'insul, R-11.0continuous insulation Comments: Applies to walls of unventilated crawl spaces. 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: [ ] 1. Boiler 1: Other(Except Gas-Fired Steam), 80 AFUE or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials.If non-IC rated,the fixture must be installed with a 3"clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives), 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 operating at less than 2 in.w.g. (500 Pa). [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Service Water Heating: [ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105 '17 or chilled fluids below 55 °F must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(Fl Up to 1" Upto 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pige Sizes Piping.System Tykes Range Fj 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)