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2004-691 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. P20040691 Date Issued: Thursday, October 27, 2005 This is to certify that work requested to be done as shown by Permit Number P20040691 has been.completed. Tax Map'Number. 523400-290-005-0001-076-000-0000 Location: . 190 ROCKWELL Rd Owner. EDWARD &NOREEN SZMUL Applicant- EDWARD &NOREEN_ SZMUL 'This structure maybe occupied as a: Garage - 2 Cats Attached By Order of Town Board Single Family Dwelling TOWN.OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the ' s 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 Enfor6 ment 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: P20040691 Application Number: A20040691 Tax Map No: 523400-290-005-0001-076-000-0000 Permission is hereby granted to: F,DWARD &N0RF,F,N S7,MiT1, For property located at: 184 ROCKWELL 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: EDWARD &NOREEN SZMUL 125 JENKINSVILLE Rd Garage-2 Cars Attached Single Family Dwelling $300,000.00 QLTEENSBITRY, NY 12804 Total Value $300,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-691 3428 SQ FT TWO FAMILY DWELLING $488.76 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 28, 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 Tomah o ueens es ay, September 28, 2004 SIGNED BY ` for the Town of Queensbury. Director of Building&Code Enforcement Application for Permit=Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ............................................................................................................................... .. f©GkWeI1 road - Office Use Location of installation: - -�f File Permit No q Tax Map No. 29 0,�Y/ -n /._7 Owner's Name: Z X 5Z vr vt L Fee Paid Address: 1,6 Pl,"GiJ'dCin QVJ[• -, QjAee]j5bU ..............................................................-..,......................,,,..,,...,,.............,....,..,........,. 2. INSTALLER'S NAME L m d f COY Sfru G' 'Q,"') PHONE NO.24 S?;qo 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 gandrm = 1 — x 130 ga1/bdrm = 1991—present x' s110 gallbdrm = _�() RECEIVED Garbage Grinder Installed yes,_ / no l� Spa or Hot Tub Installed yes ./ no ✓ S E P 0 3 2004 TOWN OF QUEENSBURY 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) BUILDING AND CODE Topwayhy SoiLWature Ground a er BedlockolImpervious Material Domestic Wat r S 1 WteeppsRog sand at w at depth at w at depth municipal loam 41 6r feet ✓'? feet well e c ay if well;water supply %slope other / from any septic-system depth: 9 absorption is 00 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. Septio Tank: /,500 gallon(min. size 1,000 gal:) Tile Field: each trench 0 fl; Total System Length: Seepage Pit(s): number of size of each: fl`, by ft. Size�f 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 Systerz 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 ewage Disposal Ordinance. 504P aw 04 Signature of respon fe person Date r • w �:M.•;:r..e�.K�btr+ �t-�ss�'t�t�7�It;�3��2�,�T�LT�iC332dt�.-�f2�,'�id�IS '1r w , rr• i b!yd?fc�.IQ'�t y ,,��v�► '�t 1.1 SS I 4t � a• •1t.,TlVll Nt T�t� a o�n%P- Nc 0 r (A •�,� - �•lam• �•wr • V ' w " , • ',•"�.I..t�I��IC'V:tI2I�f'1T�;tI3I �C3C,I;�2I.1TcI;tI'�' • . • 1 • i� .t ..,Y� ,L(a ,i i.l�ctu.sl,) I�s:;act>,�;�I 7,ttxnla�, Inns t,.t:�n�•1�. ,R • �.silclmtc.�nciT�•Zca �lnu1.1.� •1 . All, 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: 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 Residential 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 Required Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors Y' Stairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise } Winder Run and Rise J' Spiral Not Allowed From 2° Story Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance Hall Width,36"min. andrails More Than One Riser On Open Sides i 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 SIoped Attic Access Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access arbon Monoxide Detector Lowest Sleeping Level Soil Test Results, if required Septic To Well Or Water Line Separation All Paperwork Signed BLMJMG PLANNING R3062-FIGURE R30T2 R306.2 Kft&elr.Each dweff ng unit shall be provided with a SECTION R307 kitchen area and every kitchen area shalt be provided with a TOIt_ET,BATH AND SHOWER SPACES sink. R3063 Sewage disposal.Allphombing fndares shall be cog- R3072- req�on'ed-Fi�shall be spaced aspen Ewe nected to a saaitarysewer orto an approvedp nvate sewage dis- posa - RM.2 Ramtab aad sboww spy Bathtab and showei R30&4 Watersappty to fatnrm AIIplambingfxtrres shall floors and walls above baftibs wig MsWcd showerheads be con ne etc dtoan approved watersupply_Kitchen siaksylava- andiashowercompatmcatssbaRbcfmi*WW&an r tones,baftalz,dowers,bidets,laE n&y tubs and wadit . bm tsm&m Su&WA sadaccsshaIlexteudtoand9uofnot macbiae outlets shalt beprovided with hot and cold wate� kssthaa 6 feet(1829mm)abavethe$oot" 1" --1 r-4 K �-4 k 2IN. ALUM 0 30K WC; 30 ML zi LiV tiuN. CLEARANCE LAVATORIES 24 91.CLEARANCE IN FRONTOFOPENING SHOWER WATER CL OSET Ott BM WALL •95IIV.�' - WALL 15IN. TUB LEARANCE CLEARANCE WALL TITS WATER CLOSETS 1NAL-t• ForSkYiwb=25.4mm. - FtcctltE a3ors ert940 M MOIRE CLEARANCES Job Site Address: &� VVIC Date: %"2-0 4 1 -• Owner: -� d��i"�l �� u .; Application No. File No. rr iVE® SEP032004 Building:jPeirmYt - C416ulation Sheet TOWN OF QUEENSBURY Natural Light, Ventilation &Emergency Egress Requirements BUILDING AND CODE Habitable Area of Req.Light Actual ;'Req:Vent Actual Sq.Ft. Remarks Room Room 8%of Room Light 4%of Roon} Vent. Opening for in Area Square Area , Square Egress Square Footage i Footage Feet i u�1� 11 3l•2e 3AI : 14�ir:(04 nm&p F✓.?D 1200 L I1�� m l�2 1�•5�0 1a-92 �28 I �.70 r 1 HAM- 601 49�.3fo 75:58 22-G$1. 50- '0 6•0 1 flu'j+per jwwm �1 �2n �.loo 4I.°t l : 4. $a: . cb-v; y� 2 ,1 yn tn�o 3a l.0-4 3D-fib L\SueHemingway\'Building.Pern iLFORMS\Nat.Light.Ventil.Calculation.Sheeudoc s Job Site Address: d G�w 1 ECEIVED �D . r Owner: �GC //d rec� ��� Lf L Application Nd': File rho. SEP 0 3 2004 T� : TOWN OF QUEENSBURY WINDO YV. i-SCHEDULE BUILDING AND CODE '..i_#.�5 �������,�tt'atY.�►ti'r�a�.t�:°Fi"' .�4..`.���-.ual�Ss`,:��;.'�����a.c_..� '..t. :'.s.'.•.. .�.:ue'5�4'�t.~.r.._; ....z•_i:F:' Special Hardware or Window Window Mfg. Window Unit or RQgh � 1"Tr s �Qk' r leas G�e�r Number or Name Model Stock fJpepint , (penmg `Glassiyi&�bt' sssll Me[uI1g (7p�mmn$Hel$ht Instruction Letter on , Or Type Number Width i le ` r i ( pe�u 11tt�n x rlt rnc(ies •. -i F y. a .fi 7 9 �';� hy,� a rZ. 7. Plan Call Size c '' ° 3 .+ -70 u o '- © 3'=�� '�: 5.(19o: 3-3 .5 r32. 32.ev(0 lq- •?� _ 2440 ?,'4' -D".'.,. S,BS -a-53 �3AP3 24-C, fo 20 ?6 _.._. 44 -70 it > .0`3 •')D -10 e�. 2$• 70 } -THIS LINE HAS EXAMPLES• QF SAMPLE ENTRIES �. 9re :1'/ z>.i6 �✓r"} u, d3Q J' 'moti Fa�+ w• ti 24SL35 :.>._ Tempered f>IIer Glazing :xC•, f ...if:•. < l:�f 1 j 7. .PAt r4..,.}.r,� .. T,{.` 1`1Y -2•V'.. :'•xi.�i•�: y ,�; fGy�ur - :� i. - b " .,�i;RF.f a 4�'t,_.( •y ^i I .'`�:i•': �76.�?3�St'•" � i } .� ,Cfe_, �x. �•'�' r.•c:1. ,i!J�ik yf r t4'?7' 'y. .A Wit:,r�.4 I� ,r r;i�.�r\L i'.� �.iM �.trl�.nl:".. ?C e �U�•:f, l� ' �. �'_:_... .. > •ram L:�SueHemingwaylBuilding.Permit.FORMS\Window Schedule.doc - 1 , � Building Permit AppUcatlon Town of Queeasbury-Dept of Community Development,742 Bay Road,Quiftsbury,NY (318?761.8256 • A permit must be obtained before beginning construction. Permit File No. No ection will be=ado until appliant has received a Feo Paid $ RE valid wilding permit. All applicants' spaocs on this Rea.Fee Paid , $ EE applidation mustbe oompleted and must appear on the Reviewed By: - applidation form. . ' Applicant: �J�Nn U L Owner: 6d 4 Wee s��'''+U L Address: 2 n Address: �a r do k . r 0 n ►' Phone#( )�-. 161 Phone#( 1) 2 property Loostiosi: LotNumber: / House Number,_,_,/ SubdivisionName: Tax MapNumber- 2�. _l-76 Ise New Building: residence /commercial 'Estimated Market Value of Construction: $ -/�00i'00 d ® Addition: residence/ commercial - If an Addition,what will use of new addition bo? a A.ltemdon: residenco/ commercial * 14o ohaugo to exterior size: residence l com'1 o Other wodc(d"adbo ) Check 0ccupancylnformation 1 Floor 2, Floor Other floor Total Below sq.it. aq.ft, sq.ft. square Feet 0 Single ozdii. dwellin .Or Two fknily dwelling '7- '2 Co '2 0 o Townhouse r— o M y dwelling ED #of units__r___ o OfSoeSEP 0 . 004 o Mere=die a MaautatutltlTOVVNuF=ISBURY a 1 cardetaehcd a CODE D 2 oar detached gasp r a 3 car detached Suage 0 1 oar attached go 0 2 car attached Samse . 3 car attached ge o Storage building- oommercdal o Storage building- residential G O er - What is the proposed height of the structure feet 0 inches Will any second-hand or ungraded l used? If so,for what? 1110 or Type of Heating.System: electric oil /, gas wood forced hot air baseboard I other: Number of�'gg to be fiJ#alled Number of Wooc'stgves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number ._ Dan . 1 n.n� -. - o -- U Snh-Fa- Builder Plumbtr +> r Mason BIQCtCIoi&tl P 120d3tWan: please sign below after you have carefully read the statement: To the beat of my lmowledge the statements contained in this application,together with the plans and speeiflcations submitted,are a trae and complete statement of all proposed work to be dote on the described promises and that all provisions,of the Building Code,the Zoning Ordinanco and all other laws pertaining to the proposed work shall be complied With,whether spooMed or noted,and that such work is authorized by the owner, Farther,it is understood that Vwe shall submit,prior to a Certlficato of Occupancy or Certifiedto of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an by a Licensed surveyor;drawn to scale,showing actual location of all now oonstruottoa Signature: owner,ownor's agent,architect,contractor Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: Q a-2 6 5 NAME: cd S2- L�U LOCATION: I � q &A lJ� PERMIT#:aWq - 6 -1 ( Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the survev has beorrN Craig Br n, Zoning Administrator Notes: L:\.SueHemingway\Building.Codes.Inspection.FORMSTina1 Survey Zoning Administrator-doe MAP REFERENCES: ©MAP MADE FOR 12 BROOKWOOD WiNOR 8 Z KATHY G. POLAND SUBDIVISION O BY, VAN DUSEN + STEVES 11 DATEDs NOVEMBER 24, 1997 © 10 W OF TWO PARCELS OF LAND IRF s o PREPARED FOR ROBERT A. NEL50N BYs RICHARD W. BENNETT DATED* FEBRUARY 4. 1985 S84009 20°E 523,43' ti Q 0 C* IR x o Z LANDS N/F OF CHIA55ON N C- � o to O N- w Z 4, ti 0 M IRF ti 11,.4 z q IRF S84043''00"LC � (D ti 225,84' 0 GIRF O ui U5NE.D '� 0 � m LAND5 N/F OF 41 MILLER C Q / V H 211,160.84 sq. ft. c6 h 4.85 acres o 2 STORY O WOOD FRAMED ` �W •O Z Hc(j5E ' 1 V~A <G L Zia O A5PHALT t s � Nn : /- DRIVE N ; � �` � �2 o azi= w •CP - IRF O 82,341 U� �4p"W N83°5340W S71 ,6 "' IRF IRF Z � W o (Q !O •O O CIRF C CO CQ 315, IPF Tn tf� 3>> tIl N83°53'40"W 0 0 > N Qo � IR z LAND5 N/F OF ice. GRETHER v� Q� 0 b ( z A43 0 LEGNED: c3), = UTILITY POLE V ,b LAND5 N/F OF = WELL HOWE aIPFO = IRON PIPE FOUND IRFO = IRON ROD FOUND 1( CIRFO = CAPPED IRON ROD FOUND CQ Q0 Date-OCTOBER 14, 2005 scale row S-- 1 SHEET 1 OF 1 5ZMUL C1G50 290.5-1-7G / 54-3-17.31 DWG. NO. 9G141 PFQueensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/p Date Inspection request received: Inspector's Initials: NAME: Li c uc', YY•x,� PERMIT#: LOCATION: U DATE: TYPE OF STRUCTURE: Comments Y N N/A , 'Chimne Ht./"B"Vent/Direct Vent Location Fresh Air Intake —P 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. � Platform at all exterior doors ��"✓��Iv�S Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %Z" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft.or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched �b Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly � f0 54), 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 Buildin No./Address visible from road Final Electrical Site Plan /Variance required �� �� Final SurveyPlot Plan C Y As Built Septic System/Sewer Dept. Ihs ction Sticker Flood Plain Certification, if re ired.1 , p\—SW t00 Okay to issue C/C or C/O [jernpoiary/Permanent kc.(� \ \ �-- i ce I L:1P5mW\Building&Codes\Insvection Forms\Res. Final Inso. form 2.docLast Printed 2/12/04 4 Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/p part: �pm Date Inspection request received: _ Inspector's Initials: _ 09 NAME: _ PERMIT#: �J5 1 LOCATION: DATE: J TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake vb 3 inch Plumb Vent through roof minimum 6" ?-/--I Roof Complete/Exterior Finish Complete Guard 30 in.or more @ stairs,decks, atios 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 GI l�►✓��L �, ��C--�iS b�S Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %" Gypsum Grade away from foundation 6 in.with 10 ft. /2 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 t Low water shut-off boiler Relief Valves installed/Heat Trap/Water Tern 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safet lzin /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 �s✓��l�GL I 6,J�C-���"�� ✓ 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/1/4 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./Addr ss ' fib efro oad P/Zp if X, dv�e-- #5 Final Electrical ! Site Plan /Varian e reiluired final Survey Plot Plan 4WIX,/ Ql/e As Built Septic S stem/Sewer Dept. Inspection Sticker lu--cz- Cc e A•rlo rj --bK Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent ZE L:\PamW\Building&Codes\Inspection Forins\Res, Final Insp. form 2,docLast printed 2/12/04 Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: a ' Queensbury Building& Code Enforcement Arrive: am/ D art: pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials NAME: z 1` PERMIT #: LOCATION: INSPECT ON: 5 J TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents ® G�� Cast Iron, Copper Drain/Vent/ Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 V2 inch min.Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test Drain and Vents FPSI or 10 feet above highest connection for 15 minutes leanout every 100 feet/chan a of direction ater Supply Piping Cooper Commercial Cooper, CPVC,Pex One and Two-Family Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/p epart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT #: _ LOCATION:' INSPECT ON: TYPE OF STRUCTURE: e� Y N N/A Rough Plumbing / Nail Plates ` l 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 I Pressure Test Water Supply Piping l J�(D Air/ Head `l 50 .S.I for 15 minutes sulation / 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&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/ De - m/p 742 Bay Road, Queensbury,NY 12804 Inspector's Initials. i _ NAME: '5� �J t� PERMIT #: ,� 421 LOCATION: aciCto &/GL 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 Wa ing Machine Drain 2 inch min. �IPIad or Air Supply Test D11rain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction ter 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 S1Rougb Plumbing Insulation Report.doc November 17,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: 1 Queensbury Building& Code Enforcement Arrive: 74.2 Bay Road, Queensbury, NY 12804 Inspector's Initials: Q� NAME: — PERMIT#: LOCATION: (, INSPECT ON: TYPE OF STRUCTURE: Y N YNIA n�ing COMMENTS � .. - \J _ Jack Studs/Headers f� Bracing/BridgingC- 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 aw esf6pping- . 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\Frai i re opping Inspection Report.doc January 28,2003 r Framing / Firestopping Inspection Report i Office No. (518) 761-8256 Date Inspection requ st received: �S Queensbury Building&Code Enforcement Arrive: _ain�mcepart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials. NAME: X } PERMIT#: LOCATION: INSPECT ON: (�S TYPE OF STRUCTURE: Y N N/A Framing 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 ce 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.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 k/ Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspectionreque� r ed: Queensbury Building& Code Enforcement Arrive: / arn/.m part: a 'm 742 Bay Road, Queensbury, NY 12804 Inspector's I�.tia-lam_ NAME: PERMIT#: 0 LOCATION: INSPECT ON: — oJ— S TYPE OF STRUCTU 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 Anch Olt s 6 ft. or less on center / and snow shield 24 inches from wall ` U 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 U\SueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: I ' Queensbury Building&Code Enforcement Arrive: an epart: am/pm 742 Bay Rd., Queensbury,NY 1,2804 Inspector's Initial NAME: ,, PERMIT NO.: D _40 LOCATION: c 0� �G INSPECT ON: ZZ Q RECHECK: Comments and/or diagram Soil T e: Sand/Loam/Clay Type of Water: Municipal/Well Water ��7/o N Waterline separation distance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total lngLhft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Location of Sysjtgjn on Property: 12, Front Rear ,Left Side Right Side Middle Front Middle Rear System 4St ro ved dartial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved LASueHemingway\Building.Codes.Inspection.FORMS1Septic Inspection Report.doc January 28,2003 to-1 � Foundation Inspection Report Office No. (518) 761-8256 Date Inspection re -es rec iv d: !'► v L/ Queensbury Building&Code Enforcement Arrive: a i/prn Depart: ' ,a pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initia s:_,.- e r NAME: _J��'r-_ Pi,RMIT#: � ���/ LOCATION: _^ () G _ INSPECT ON: / a TYPE, OF STRUCTURE: Comments Y N N/A Footings _ rers 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 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: 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. LASucHemingway\Bui Win g.Codes.Inspection.PORMSToundation Inspection Report.doe January 28,2003 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: 1 C�� Queensbury Building&Code Enforcement Arrive: am/p part: m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: 5-z- r Y\t1 j PERMIT NO.: Q-00 l LOCATION: INSPECT ON: RECHECK: Comments and/or diagram Soil T e: Sand/Loa Cla T e o ater: Mu ' i al/ ell Water Waterline separation distan ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length2 ft. Length of each trench ft. Depth of trenches ft. Size of Stone 7/ .-Seepage Pits: Number Size: x Stone Size: Piping Siw, Type Building to tank Tank to Distribution Box y At Distribution Box to Fipkd/Pit K . Opening Sealed: Y / artial �c/f� r'-Ou Nth Location/Separations �� �,� ✓�� ��C— u �6� Foundation to tank Foundation to absorption ft. Separation of Pits ft. I Aril Conforms as per Plot Plan Y N W l 1 K (A) � J � oe /4 Location of System on Property: aa Front 11 Vront Left Side Right Side �` L �L 5 ko S T cO(�C COT— Middle Middle Rear D_ dX ���•���T` System Use Status: proved e- VPartial 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 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection requ st received: Queensbury Building&.Code Enforcement Arrive: any/ Depart: • — m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ,�,,Af, NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments t 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 �J/ /� / of the concrete. r J/� �N 5" Materials for this purpose on site. _ Foundation/Wallpour einforeement in Place VT-Foun 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 �, CBaelcfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\BuiIding.Codes.Inspection.FORM SIFoundation Inspection Report.doe January 28.2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection requ st received: X}�� Queensbury Building&Code Enforcement Arrive: ann Depa - M_am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials- NAME: ZCt�,U� PERMIT#: LOCATION: p,ie,.Lc� _ INSPECT ON: o 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 Reinforc em in Place ent _ 0°6�7 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 i Back fill Approval / Plf um ce��X bing Under Slab FO /_ l PVC/Cast/Copper Foundation Insulation Interior/Exterior r ,T R- Rough Grade 6 inch drop within 10 ft. LASueHcmingway\Building.Cod es.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 VVVI Foundation Inspection Report o� / r Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: an-/p Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: V` NAME: PERMIT#: wo LOCA'CIUN: _ INSPECT ON: f TYPE OF STRUCTURE: Comments 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 puu ose on site. Foundation/Wallpour Reinforcement in Place Foundation!Dairrpproofii g - �I -- Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches ove footing 6 ol�for wet areas under slab 1I l r1VApproval i y.. Plumbing Under SIab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueBemingway\Building.Codes.Inspection.PORMSU�oundation 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: am/pm 742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initials: NAME: �� L�tJ PERMIT#: " 7 LOCATION: e e-k SI C(c. ► ) INSPECT ON: l� 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 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\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-82.56 Date Inspection request received:Queensbury Building&Code Enforcement Arrive: anl/pin Depart: pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: ��� PERMIT#: LOCATION: _ � � INTSPECT ON: TYPE OF STRUCTURE: V Comments ----- X N/A OOtll1gS a--'-- ---- 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 SIab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASucHctningway\Bui Win g.Codes.Inspcction.FORMS\Foundation Inspection Report.doc January 28,2003 SEP 0 3 2004 oil70 TOWN OF QUEENSBURY Permit Number BUILDING AND CODE REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoflware Version 3.6 Release 1 Data filename:Untitled.rck PROJECT TITLE:Edward and Noreen Szmul COUNTY: Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric WINDOW/WALL RATIO:0.11 DATE:08/23/04 DATE OF PLANS:25 Aug 2004 PROJECT DESCRIPTION: Rockwell Road-2 Family Residence DESIGNER/CONTRACTOR: Rucinski Hall Architecture 627 Maple Ave, Saratoga Springs COMPLIANCE:Passes Maximum UA=837 Your Home.UA=646 22.8%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value -Factor UA Ceiling 1:Raised or Energy Truss 2329 38.0 0.0 58 Ceiling 2: Flat Ceiling or Scissor Truss 245 30.0 0.0 9 Wall 1: Wood Frame, 16"o.c. 3932 21.0 0.0 196 Window 1: Wood Frame:Double Pane with Low-E 356 0.340 121 Door 1:Glass 67 0.340 23 Door 2: Solid 40 0.300 12 Door 3: Solid 36 0.300 11 Basement Wall 1: Solid Concrete or Masonry 2180 10.0 0.0 203 Wall height:7.9' Depth below grade:6.0' Insulation depth: 5.0' Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 399 30.0 0.0 13 Furnace 1:Forced Hot Air,92 AFUE Furnace 2:Forced Hot Air,92 AFUE Air Conditioner 1:Electric Central Air, 10 SEER Air Conditioner 2:Electric Central Air, 10 SEER 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 ors ci ions are in compliance with this Code. Builder/Designer Date D PETF t?, 16 REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoflware Version 3.6 Release 1 DATE:08/23/04 PROJECT TITLE:Edward and Noreen Szmul Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Raised or Energy Truss,R-38.0 cavity insulation ` Comments: Insulation must achieve full height over the plate lines of exterior walls. [ ] 2. Ceiling 2:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry,7.9'ht/6.0'bg/5.0'insul, R-10.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: Doors: [ ] 1. Door 1:Glass,U-factor: 0.340 Comments: [ ] 2. Door 2: Solid,U-factor:0.300 Comments: [ ] 3. Door 3: Solid,U-factor:0.300 Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1: Forced Hot Air,92 AFUE or higher Make and Model Number [ ] 2. Furnace 2:Forced Hot Air,92 AFUE or higher Make and Model Number [ ] 3. Air Conditioner 1:Electric Central Air, 10 SEER or higher Make and Model Number [ ] 4. Air Conditioner 2:Electric Central Air, 10 SEER 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 warn-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] Supply ducts in unconditioned spaces must be insulated to R-I 1. [ ] Return ducts in unconditioned spaces(except basements)must be insulated to R- [ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2.. Insulation is not required on return ducts in basements. Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives), j mastic-plus-embedded-fabric,or tapes. Tapes and mastics must be rated UL 181A or UL 18113. 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: [ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: [ ] Separate electric meters are required for each dwelling unit. Fireplaces: [ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York State ,the Residential Code of New York State or the New York City Building Code,as applicable. Service Water Heating: l 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. [ ] 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/offheater 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 T or chilled fluids below 55 °F must be insulated to the levels in Table 2. n 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(n Un to 1„ U12 to 1.25" 1:5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches bLPipe Sizes Piping System Types 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)