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2004-731 TOE OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development.-Building & Codes _(518) 761-8256 CERTIFICATE OFOCCUP.A-N- CY Permit Number: P20040.731 Date Issued: Wednesday, Apri1209 2005 This'is to certify that work requested to.be done as-shown by Permit Number P20040731 has been completed. Tax Map Number: 523400-266-001-0001-023-000-0000 Location: 31 FOX Rd Owner: MICHAELS GROUP, LLC, THE Applicant: . MICHAELS .GROUP This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage 2 Cars Attached Single Family Dwelling Director of Building&Code Enforcement Building. Permit'Application Town of Queensbury-Dept of Community Development,742 Bay Road,Quednsbury,NY ($18)761.82$6 A permit must be obtained before beginning construction. Permit File No. —iv-P No colon will be made until applicant has re.oeived a Foe paid $ valid building permit. A11 applicants, spaoes on this Rea.Fee Paid $ applidstlon mustbe eorMleted and must appear on the Reviewed By: application form. Applicant: le cC(La-ens d Owner: Address: I %Qc ccI-&- _ Z Address: Phone#(SaL) v9 9 -.63,t/ Phone PropertyLooation: LotNumbcr: / House Number / Subdivision Name: Ov rf-'x/ 1 ls� Tax Map Number: j6 L New Building: residence /commercial 'Estimated Market Value of Construction: $ �.� O Addition: residence/ commercial If ark Addition,what will use of tow addition be? o Alteration: residence,/ commercial- • No change to c*dor size: residence/com'1 o Other wbs'k(desodbe Check OCCupancyYnforMation 1 Floor Z Floor Other floor Total Below sq.ft. sq.ft. sq.rt. Square Feet Sin a famil a 7 dweklfa �H o Two faznil dwelling o Townhouse o Multifatzdlx dwelling L e OfSco o Mercantile o mmuflactaftg I TnINN dF QUEENSRURY 0 1 oar defaehed gamse n Z oar detached IMP 0 3 car detached SuaLe 0 1 oar attaohed.pzage e 2 oar attached ge . 0 3 car attached gange o Storage building- commercial o Storage building- residential o O cr What is the proposed height of the structure c. -feet inches Will arty seoond hand or ungraded lumber be used? If s;r:r,j:h! for wt? Type of Heating System. electric/ oil /�/wood / ;Taseboard/other: Number of Ftr=laees to be irWalled Number of EQ&fgM to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Photo Numb or Builder I Plumber C, W C Iu,-t b, ' vv. t Mason -I t(fAl� a114 -/S% Blectrici= t 4 I�� a r,-3 4 f-a i E6 DJAI i tM, 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 tue and complete statement of all proposed work to be dote on tho 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 spec-Med or noted,and that such work is authorized by the owner. Further,it is understood that?/we,shall subrnit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an&2ju1it Survey by a licensed surveyor;drawn to scale,showing actual location of all 7�cdon' Signature: owner,owner's agent,architect,contractor 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 a Door Schedule/Main Entrance 36"Door mergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. Grade,5.0 sq.ft. 24"(h)x 20"(w)min. 4,4"Max.Height above floor eisidential Check Paperwork Compliance and Inspectors Checklist: OK - ampproofing/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 ce and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls latforms At Exterior Doors fairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise Winder Run and Rise , SSj 1 Not Allowed From 2' Story moke Detectors Battery Backup and Proper i/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. afety Glazing Notes For Required Areas Garage Fire Separation �arage Floor Sloped Attic Access oof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access Carbon Monoxide Detector Lowest Sleeping Level oil Test Results,if required Septic To Well Or Water Line Separation All Paperwork Signed Permit Number (town us Town.of Queensbury Application for Stormwater Management Permit Under Chapter 141, Stormwater Management, LL 4-9 RECEIVED THIS APPLICATION IS FOR A SEP 15 2004 p Major Project p Minor Project \n I oF 01JEENSBURY ING A 1. OWNER p INDIVIDUAL 0PARTNERSHIP :p ASSOCIATION. p-COR 07PORATION l ILDPACCTY��Y NAME �h..l #1 1 tS PHONE exr/7 MAILING ADDRESS '6 (SMrfG ,�L CITY ( [STATE ZIP CODE LV 2. .AGENT p3 ME AS OWNER L-EONTRACTOR .0ATTORNEY O-CONSULTANT p CONTACT PERSON NAME 1�,,� ,p,� PHONE MAILING ADDRESS U ( lCC CITY ` STATE ZIP CODE ( Zv 3 `:CONTRACTOR p SAME As AGENT NAME PHONE MAILING ADDRESS CITY STATE ZIP CODE PROJECT.LOCATION' FACILITY NAME(if not residential) SECTION BLOCK LOT STREET i' 1 6'- ZONING CLASSIFICATION PROPERTY IS PRESENTLY CANT 0 PARTIALLY DEVELOPED 0 DEVELOPED&OCCUPIED IS PROPERTY PART OF A SUBDIVISION? p No p Yes, name of subdivision Ouir- L o 5. PROJECT-DESCRIPTION = PROJECT _U1901 hk a ccMbf St'.1 f-t fnA I KcSf/le✓��`� PROJECTINVOLVES: 0.E'arthwork/Landscaping �ree Clearing Ouse Construction or Addition riveway Construction L:\CRAIG\TEMPLATES\STWATAPPS\TOWN STORMWATER APPL.DOC 11/2000 Page 1 of 2 0 Garage Construction 0 Detached Structure 0 Septic System 0 Modification of a Stormwater Device 0 Other PROPOSED USE 0 Residential(seasonal) esidential (year-round) 0 Association 0 Public 0 Commercial PROPOSED STARTING DATE D PROPOSED COMPLETION DATE DESCRIBE THE MAXIMUM SLOPE OF THE PROPERTY IN THE PROJECT AREA: .S-fJ='M% (Level) ( -10% (Gradual slope) 010-15% (Moderate slope) 0 Greater than 15% (Steep Slope) IS ANY PORTION OF THIS ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED? 0 Yes f yes,please explain) 6. CALCULATIONS & CONTROLS TOTAL AREA OF PROPERTY J U,_5 Z°( �;Z ACRES 2 (circle one) TOTAL AREA OF LAND DISTURBANCE: !�/u-00 FT z(do not include area of stormwater controls) TOTAL AREA OF NEWLY CREATED IMPERVIOUS SURFACE: FT TOTAL VOLUME OF STORMWATER TO BE CONTROLLED: jS 'o,�SZ CFPlsee instructions) TYPE OF STORMWATER CONTROL MEASURES TO BE USED: Cj►�sc��S clur HAS AN EROSION CONTROL PLAN BEEN PREPARED? es, plan is attached 0 No If no, please contact your County Soil &Water Conservation District for assistance: Warren County 623-3119 7 ``SITE:1 SPECTION During the processing of this application town personnel may need to visit this site for the purpose of inspecting, measuring and/or photographing site conditions. I authorize town personnel to conduct such a site inspection es A no. I wish to be contacted prior to any site inspection A�es A no 8 ;CERTIFICATION: I hereby affirm that the information on this form and all attachments submitted herewith is true to the best of my knowledge and.belief. As a condition to the issuance of a permit, the applicant accepts full legal responsibility for all damage, direct and indirect, or whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the town from suits, actions, damages and costs of every name and description resulting from the said project. SIGNATURE OF OWNER DATE 6L �ltS/d SIGNATURE OF AGENT DATE INCLUDE WITH THIS.FORM A Site location map A Project plans on.81/z X.1 1.size papor.(Submit.A.copies of anyplans larger than 11X17) A Names and legal mailing addresses of anyco-owners of the property A Attachment A(for major projects only) A Stormwater Control Report (for major projects onlo. A Environmental Assessment.Form (for major projects only Failure to include.any one of the re aired item-s will result in:an incomplete notice and delay in processing your L:ICRAIGTEMPLATE&STWATAPPaTOWN STORMWATER APPL.DOC 11/2000 Page 2 of 2 application: Permits and approvals may be required from other agencies. ,for town use only The project is approved as shown on the attached approved plans and subject to the conditions listed on the attached Schedule A. Approved by. on. Permit Expires Zoning Administrator Date ATTACHMENT to Stormwater Management Permit Application Permits or approvals required from other agencies Agency Permit or Approval Date Applied Date Issued Adjoining Property Owners List:all parcels\nnthm 500 fee Tax Parcel Number Name Mailing Address L:\CRAIG\TEMPLATESSTWATAPPS\TOWN STORMWATER APPL.DOC 11/2000 Page 3 of 2 Application for Permit"Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-82S6 1. OWNER INFORMATION: ....... . ................................................................. Office Use Location of installation: � . _ _ je"4-, 4 A-0 - File Permit No. r Tax Map No. .� Fee Paid Owner's Name: / U R&_4C ,e (.S 611 uz� ��Ce,lt✓S�`� �l U� .......................,............. .....,..,,,.... Address: 16 ....,..,..,,�..,......,... 2. INSTALLER'S NAME : //t Lkj 1i Vic. 20C PHONE NO. 349 — L 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:-Neu) No of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980-1991 x 130 gal/bdrm = 1991-present -�-0— x 1/10 gal/bdrm = � Garbage Grinder Installed yes_.._ / no Spa or Hot Tub Installed yes_./ no 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) Tonozwhv Soil Nature Groundwater Bedrock or Impervious Material Domestic Water Subtly Flat sand at what depth at what depth municipal Rolling _Meet _----feet ell ,_.t p slope well;water supply %slope other from any septic-system depth: absorption is ft, other,_____ Percolation Tes�t•—fTo be completed by licensed professional engineer or architect) Rate: op S -7 minute per inch S. PROPOSED SYSTEM: For klew 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: 1 EQ gallon(min. size 1,000 gal) K A LLd c_ R C�'/J C-K Tile Field: each trench_frc/ . fl; Total System Length: c'f (y Seepage Pit(s): number of size of each: ,�, by ft. Size/Qf 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, Signature of responsible person Date f�l'prVt�,tlr ��tlttl"Ilgl�lif� ' 5t;wt:t•:t :ultl :��rvstl:t� I)i. gal ttltupit'.t' ,ll,lyl)<::ttlix t: • �11�.;;t)I�I�'•I'l«� It'll;)1,,I.� ' �It:I'A'It11,'I'IWtN I�IrtZI,J�ItI�11']1►:1�►I`�> . I WQN D ti't�.ti. tN 11(►tf'CZ• .i fit Wool, . tt J/V rt 1c. 1A.t ly �,.....�. ,•�'' rr.r��- t iati�►itttls�it►�t t ► • r 7. SIONATU &xNFORiA1"�4�1rI F k �'' `♦ 1�.'4 V.�1'�'�'L�'i+�7:i11+7Vi°1�]J�ofeav�w.ti� . I r � • r . Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for, Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date l x .. k, 20o,{yi Permit No. lu � g , Application is hereby made to the Building& Codes Office fog*the issuance of a Building and Use Pertnit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances,'regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information jeircle appropriate:words) Name: �f 7 r t i? irF r.'� .' 1_' stove. wood coal pellet gas Fireplace`insdrt Address. ,Fireplace, factory-built: wood gas f'r6 t•) ;.1 t -Fireplace, masonry: wood gas Furnace: wood gas . oil. Phone: .If non-.masonary applicance; please provide , Manufacturer Name: t Owner: t,' . {_ Address: Model Number: 1 " V Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile steel size: inches Exact Address: leg. ;~ of construction or u:stallatio,r Factory-Built Manufacturer name: Model Number: Note: Listed.By: Number: Construction/Installation must con orin to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. ~Double wall ,V Triple wall / Insulated l Dii ec•t venting Chimney Liner � Ca,��ii�r'ier Dep�rtine�t—To�rr.� of Quee��srbu.r�, .New Yorl3 Fire Marshal Coyle Il $Collected S Refunded Received from(refunded to .1 � ( (? { address: r ^� A 1733389 (190) Public Safety A 2.33 2655 (230)Minor Sales a ems. DA TE. S 40�. 'Y'�wG�<•✓Lr— /Own. VWL(Lx02�f�` i2 White(Applicant) / Green(Eire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept,) Queensbury Building & Code Enforcement - Residential Final lnsp5�,fi6n Office No.(518)761-8256 Arrive: am/p epart: � J1m/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: J LOCATION: DATE: TYPE OF STRUCTURE: _ Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location ^ Fresh Air Intake 3 inch;Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Corn lete Guard 30 in.or more @ stairs, decks,_patios +G/P Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete fr_/ �►bG Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers E closed Stairs Sheetrock Underside minimum %2"AjYp , sum 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: / Battuy backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade asement stairs closed rise>4 inches Gara a Floor Pitched Garage fireproofing/1/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure p� /bus 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 Forrns\Res.Final Inso, 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: — —® NAME: LOCATION: PERMIT#: WW u '� 3 Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept. of a Community V Development. Upon review the survey haS_bee4. LV Craig Bro , Zoning Administrator Notes: L:1SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doe Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 A Arrive: am/pm DEpart: ,.UUam/pm Date Inspection request received: T�`1 U5 _ Inspector's Initials: L� NAME: 1 k PERMIT#: v�- 731 LOCATION: _ DATE: TYPE OF STRUCTURE: Comments Y 1V N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" ij Roof Complete/Exterior Finish Complete (A) Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more EY,terior Finish Complete nterior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %z" sum ; Grade away from foundation 6 in.with 10 ft. �Q�� 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 a Tess below grade Basement stairs closed rise>4 inches ,,,Garage Floor Pitched ,,/ Garage fireproofing/'/4 hour fire door/door closer uz.-.f �C ��'9 Duct work Sealed properly / Gas Logs in Sealed or Glass Enclosure ( �� 0��( l (7 eo Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area rawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents V Building No./Address visible from road Final Electrical ite Plan /Variance re uired 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 V � �i � n► � N � _ 4 ° ono o� tihLU O l _o ostu � -W oo s -490 .sue a A a o °o O • j �Qti e Q � � Q � o 0 0 �h/0000— fitN V . a _ cs 12 ri z � � W v a A a o x 1• a t ;tee. o Ot d EG (a ° toQ p J W .: . o tr m U # ti f'S►S b w 'o o •:.D' o � o b .o : u Q V 0 O ?+ O O a) E•' U— 1V \ _.... - Dou $4 • � os400 p r a2 v h .Q WROO O F -� N al � d . �� PCK O '• h �4 m a► � -.•+ � � . Z • k p Uto aE• 44 �' • e `� v C _ W1. t �► _ ?� oo Z7 -r+ r0 �� pJ> ONV \�• q � � � � O 'er + �40 �+ N C r+ r+ O 2CO m u a O A • . . .• o OvlrtrtfUO ` H Q m z2 r � Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/ Depart: m Date Inspection request received: Inspector's Initial NAME: C. _ 0 GY(SL-A PERMIT LOCATION: _ DATE: TYPE OF STRUC E: _ Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location CJ Fresh Air Intake �it/`!%¢LL-60C.7-5 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Com lete ()41 /U 5 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 �_kKNOdc S42C,(j.5 Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %" !L G sum r Co2�C—G G2G �T' 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 Ar12�s AT 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 Tern 110 Interior' rivac /trim'/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety lzin Interior.Smoke Detectors: VA Every level: / Every Bedroom: Outside'every bedroom area: Inter Connected: / Batter 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 r e Garage fireproofing/'/<hour fire door/door closer ��,¢L Duct work Sealed properly1 y 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" cc ss, 1 s . 1-150 s . ft. vents 1 t Building No./Addrep/vjsjble from r .,� Final Electrical Site Plan /Varia re ired Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker U V Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent L:\PamW\Building&Codes\Inspection Fortns\Res. Final Insp. form 2.docLast printed 2/12/04 Town of Queensbury Fire Marshal 742 Day Road Queensbury,NY 12804 761-0205/761-&206 fax 745-4437 Factory Built Gas Fireplace i Stove In'sDection ReVort Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the:installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# L Schedule Inspection - Time4- L awn lain anytime Inspector `a Name Address 3) �� Rough In_Final Appliance Manufacturer - Model# _ Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated --- Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical.Chase Wall Penetration 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-Oil'Valve Combustion Air Hearth Extension if any) Mantel Height above f/p opening Witness Operation Tank Placement(if I,F) White—Building Dept. �� -Yellow Carst er i Fink—Fire Marshal Septic Inspection Report r Office No.(518) 761-8256 Date Inspection re st received: Queensbury Building&.Code Enforcement ' Arrive: epa pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial NAME: c, PERMIT NO.: LOCATION: 3 INSPECT ON: RECHECK: ~� Comments and/or diagram Soil Type: Sand(/Loa Cl Type of Water: Nrufficipal/ ell Water Waterline separation distanc ft. Well separation distance Other wells: ft. Absorption Field: Total length ft. Length of each trench Depth of trenches ft. Size of Stone y /r Seepage Pits: Number Size: x Stone Size: Piping Sizg Type Building to tank ILA Tank to Distribution H Distribution Box to ield Pit Opening Sealed: /N/ artial cJ -- End Caps / � �'G�'J Location/Separations Foundation to tank V ft. Foundation to absorption Separation of Pits ft. Conforms as per Plot Plan N Engineer Report and As-Built Y N Location of Sys on Property: Front Rea Left Side Right Side Middle Front iddle Rear S stem Use Stats proved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Last revised 1/6/05 Rough Plumbing / Insulation In pecti®n Re ® t Office No. (518) 761-8256 Date Inspection request received: z— Queensbury Building & Code Enforcement Arrive: am/p rt24 am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT #: I LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N/A ough-'-Plumbing / Nail Plates `'_""-Plumbihg Vent/ Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanp,wt,every 100 feet/ change of direction assure 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 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&Codes\lnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: a Depart: am/p 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials m / NAME: ��C,i.�ilkC�c-S �� PERMIT NO.: LOCATION: �( ra2� rl INSPECT ON: RECHECK: 1 Comments and/or diagram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. 'G�� Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box istribution 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 System on Property: Front Rear Left Side Right Side Middle Front Middle Rear S 'stem Use S atus• Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved LASueHemingway\Building.Codes,Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Rough Plumbin / Insulation ns �ection Report Office No. (518) 761-8256 Date Inspection reques c iv _ Queensbury Building&Code Enforcement Arrive: pm D part: ' a 742 Bay Road, Queensbury,NY 12804 Inspector's Init als: NAME: r�\�C-�L C-2-D�V PERMIT #: Zo LOCATION:_ �� A C7 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 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 COMME Z LASueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 , Town of Queensbury Fire Marshal 4a 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 FactorvBuilt Gas Fire la® ce/Stove Mspection Retort Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions an specifications contained in the Installation Manual accompanying the appliance.No deviation from this minas faetu2i instructions or specifications is allowed. r ]Permit# — Scluedaa➢e Inspection _ l.,'I e :am pan a acne Name`Mj�� L`` Address Rough lfla� 'apal_ 'J Appliance Manufacturer _ Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) VI —�i' iv�E� lti N�— i C) J ezi�' 1�4IN BJ Cc -V-0 Co'wC3J Firestop(s) Vertical Chase �N Wall Penetration Vent Clearances to Combustibles L�1 l>u b DD b ti l -iQSM� -;OP Vent/Chimney Termination Chimney height must be 3 feet alcove roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above Vp opening Witness Operation Tank Placement(if I.F) Whine—BmildingBept, �� Yeilow tbst er Pink—i�ireMarshal Rough Plumbing / Insulation Inspection Report Office No. (51 8) 761-8256 Date Inspection request re�eivII, Queensbury Building�c Code Enforcement Arrive: arfi/p ' / Derrt: �, i 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: I 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 Rouo 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 /1w6ter Supply Piping Cooper Commercial er,CPVC,Pex One and Two-Family Insulation esidential Check/Commercial Check b r Vent,Attic Vent uc / of Water Piping Insulation re uired unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape_ COMMENTS: CA� L:\.SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report. oc ovem er �`j V 1 Town of Queensbury Fire Marshal 742 Day RoadCl Queeasbury,NY 12804 761-8205/761-8206 fax 745-4437 Factoiiy Built Gas Fire®lace/Stove Mspection Report Notice:New`fork State requires that all UL Listed,factory built appliances be installed according to the instructions and 2 , specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# L{- L� t 'i/G� �, Schedule Inspection am pan anytime Insp Name � pp h b. nnal � ��l2ClOQ�1 � Address � Roug ____ _ Appliance Manufacturer—MI l 1Vlodel#If 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 _ �� (_ ��-�5 �/��/J Nis Wall Penetration Vent Clearances to Combustibies D-75 A A)c_46 2 O A)t l 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 Vp opening Fitness Operation Tank Placement(if LP) White—Building Dept. — ��_~_---- 'Yellow eust4ner I Pink—Fire Marshal Framing / Firestopping InspectionsCue Report Office No. (518) 761-8256 Date In=m/p re ived: )7'16 Queensbury Building & Code Enforcement Arrive: Depart: 742 Bay Road, Queensbury, NY 12804 Inspector's Initi Is: NAME: �' .�(1 PERMIT#: LOCATION: INSPECT ON: tL°Da vUJ� TYPE OF STRUCTURE: 11 C 1`1'_j '._)--L— Weil - �- `1" Y Iv 1 /A ICOMMENTSV Framing Jack Studs/Headers / Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly ✓ 1 �j�� _ 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 v/ 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 LASueHernin-way\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection re ,ue t rec ve Queensbury Building& Code Enforcement Arrive: a art: ",,' am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initial : , 'G NAME: dl PERMIT#: LOCATION: INSPECT ON: . , 706U 5 TYPE OF STRI URk Y N N/A Framing / COMMENTS Jack Studs/Header Bracing/Bridging -�— Joist hangers Jack Posts/Main Beams1 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 / V� Draft stopping 1,000 sq. ft. floor trusses `'7L7 Anchor Bolts 6 ft. or less on center -`�, i �� Ice and snow shield 24 inches from wall ' � v� Z- "= ®�u'v lei - Fire separation 1, 2, 3 hour � i� �1 � C7 Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %z inch or 5/8 inch Type X Garage side /8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) c, 20 in. (W) 5.7 sf above/below grade ��- 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Rough Plumbing g robing / Insul tion Inspection Report Office No. (51 8) 761-8256 Date Inspection request received: -d-- -E,1 0J Queensbury Building& Code Enforcement Arrive: )/! C� am/pm Depart: I aAVPm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT LOCATION:_ K 12—h INSPECT ON: 2 UJ 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 ou h 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 1 � 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!!pply for Furnace Duct work sealed properly/No duct tape COMMENTS: LASueHemingway\Building.Codes.inspection.FORWRough Plumbing Insulation Report.doc November 17,2003 Framing / Firestopping Inspection Report ' Office No. (518) 761-8256 Date Inspection reciueOrec ed: Queensbury Building& Code Enforcement Arrive: D part: 'ar�r/lim 742 Bay Road, Queensbury, NY 12804 Inspector's Initials(ji NAME: L I ( PERMIT#: LOCATION: INSPECT ON: — TYPE OF STRUCTURE: Y lv lv/a COMMENTS Framing " Jack Studs/Headers Bracing/Bridging . Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. s. Notches/Holes/Bearing Walls Y' Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge(8) 16D nails each side '' Draft stopping 1,000 sq. ft. floor trusses . Anc r Bolts 6 ft. or less on center t � ce and snow shield 24 inches fromwall Fire separation 1, 2, 3 houri' S• 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 ind Type X Ceiling/wall Windows HabitablejSpace/Bedrooms 24 in. (H) f 20 in. (W) ' 5.7 sf above/-below grade 5.0 sf grade LASueHemingwa, BuiIding.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report JI Office No. (518) 761-8256 Date Inspection request received: -� Queensbury Building& Code Enforcement Arrive: am/p depart: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: I LOCATION: INSPECT ON: ag 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 %a (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor is 6 ft. or less on center / J 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 L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/pmDepart: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: `�f NAME: VV, c' 1'l G _5 6ik'r PERMIT#: oe _ -7-3 i LOCATION: INSPECT ON: TYPE OF STRUCTURE: Framing Y N N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/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 1 T'? N 1 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.doc January 28,2003 . � J Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection re guest received: ' Queensbury Building&Code Enforcement Arrive: a part 742 Bay Road, Queensbury, NY 12804 Inspector's Initi NAME: �J�^\��-� PERMIT#. LOCATION: INSPECT ON: 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 stop ing 1,000 sq. ft. floor trusses Ancho olts 6 ft. or less on center 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 L:\SueHemingw•ay\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ D part e pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial` `�\, NAME: C:)�nQV")PERMIT#: LOCATION: INSPECT ON: —� TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation -Waterproofing Type Ybanipproofing/Waterproofing Fo ng Drain Daylight or Sump doting Draim;Stone: _12-inch-widish 6 inches above footing 6 mil p oly_for wet areas under slab Wackfill 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 CA Office No. (518)761-8256 Date Inspection request received: it Queensbury Building&Code Enforcement Arrive: am/ m Depart: m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials NAME: �,11 PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing -for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Found atio - ampproofing YwtifQation/Waterproofing Type 'f`Ijarz ppfoofmg/Waterproofing 01 Footing Drain Daylight or Sump. Ing / Dram Stone: �-/� ° l jirieli Width i�G-G,( f 6 inches above footing �; . 6 mil wet areas under slab « r f 8 ackt�iilil Ap��Q;va1�=` ' Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. . L:�SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 29,2003 Foundation Inspection Report r Office No. (518)761-8256 Date Inspection request received: _ Queensbury Building&Code Enforcement Arrive: am/p / Depart: pm 742.Bay Rd., Queensbury,NY 12804 Inspector's Initials:N NAME: r -0-01 1 PERMIT#: LOCATION: C EN 11INSPECT ON: :n/ TYPE OF STRUCT . 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 //JJ Reinforcement in Place —��/¢� l� `, A��-,�56-1> Foundation Damp-proofing A4 ,,`v/ V6undaffbn`/Waterproofing � rk(ld �C S Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump � =U UT�✓v Footing Drain Stone: � 12 inch width 1� C��Srl O AJ 6 riches above footing 6 mil poly for wet areas under slab $ack£ill-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: am/' Depart: Tv _am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: fi` 1 \ ` PERMIT#: 00 — 7,D)) LOCATION: _ - INSPECT ON: TYPE OF STRUCTURE: Comments --- _ � N N/A otings Piers Monolithic Slab Reinforcement in Place The contractor is responsible fol� 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. LASueHcmingway\Building.Cod es.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 October 4, 2004 Job #49146 Jim Chandler Michaels Group k 10 Blacksmith Drive, Suite 1 �� Malta,NY 12020 RE: Septic System O C T 0 7 20 a Lot 8,Fox Road TOXIN O QUEE ISBU BUILDING AND D E Dear Jim: At your request I have performed soil testing (deep test and percolation test) at the site of the 3 bedroom house you will be constructing on Lot 8 Fox Road in Queensbury. The tests were performed in the location of the proposed septic system, approximately 30 feet south of the south side of the proposed house. The results of the testing are as follows: Deep test 0- 16" fine silty sand 16-36" fine silty sand(compact) 36-72" fine silty sand,trace clay mottling at 36"; moist at 59'; no water Percolation test Stabilized percolation rate— 1" in 5 minutes; 23 seconds `yBas de upon these tests;I,recommend constructing the proposed septic system-as a shallow trench s�s`"Jtern�witht%eb xr ofthJ - _upon a 3 bedr house and a percolation rate of 5 to 7 riiinutes, you will need a total of 165 lineal feet of 2 foot wide trench. I recommend using 4 trenches each 50 feet long. Please call me if you have any questions. Sincerely, Thomas R. Center Jr., EI cc: Dave Hatin,Town of Queensbury Rough Plumbing / Insulation Inspection Deport Office No. (518) 761-8256 Date Inspection reque re eiv d: Queensbury Building& Code Enforcement Arrive: p _part: 742 Bay Road, Queensbury, NY 12804 Inspector's Initi als NAME: ERMIT #: 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 nun. 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 doper Commercial r, 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 COMMEN J LASueHemingwa3ABuilding.Codes.Inspection.FORMS\Rou sulation ov t, Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release lc Data filename:F:\SHARE\Design\Energy Calc\ON YOUR LOT\8 Fox.rck TITLE:The Augusta COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE: 09/09/04 REUOVED DATE OF PLANS:September 9,2004 SEP 15 2004 PROJECT INFORMATION: 8 Fox Road TOWN OF QUEENSBURY Queensbury,NY BUILDING AND CODE COMPANY INFORMATION: The Michaels Group 10 Blacksmith Drive c`1_ 'Malta,NY NOTES: Pella Proline Windows COMPLIANCE:Passes Maximum UA=497 Your Home UA=461 7.2%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Raised or Energy Truss 1767 30.0 0.0 57 1st Floor Walls:Wood Frame, 16"o.c. 1647 19.0 6.0 77 lx Dining(CU):Wood Frame:Double Pane with Low-E 41 0.340 14 lx.Kitchen(F):Wood Frame:Double Pane with Low-E 9 0.340 3 2x Brkfst(K):Wood Frame:Double Pane with Low-E 19 0.340 6 2x Family(Y):Wood Frame:Double Pane with Low-E 28 0.340 10 Ix Family(E):Wood Frame:Double Pane with Low-E 28 0.340 10 2x Family(2953):Wood Frame:Double Pane with Low-E 22 0.340 7 Ix Family(5953):Wood Frame:Double Pane with Low-E 22 0.340 7 Ix Bonus(L):Wood Frame:Double Pane with Low-E 35 0.340 12 Ix Master Bed(L):Wood Frame:Double Pane with Low-E 35 0.340 12 2x Master Bed(K):Wood Frame:Double Pane with Low-E 19 0.340 6 Ix Master Bed(CD):Wood Frame:Double Pane with Low-E 11 0.340 4 lx Master Bath(CX):Wood Frame:Double Pane with Low-E 19 0.340 6 Foyer#1:Solid 21 0.350 7 Brkfst#21: Glass 33 0.350 12 Mud#20:Solid 19 0.240 5 2nd Floor Walls:Wood Frame, 16"o.c. 1280 19.0 0.0 72 lx Bed#3(BC):Wood Frame:Double Pane with Low-E 31 0.340 11 Ix Foyer(DP):Wood Frame:Double Pane with Low-E 22 0.340 7 Ix Loft((2525 Circle)): Wood Frame:Double Pane with Low-E 4 0.340 1 lx Bed#2(CX):Wood Frame:Double Pane with Low-E 19 0.340 6 Ix Bath(N):Wood Frame:Double Pane with Low-E 7 - 0.340 2 Basement Wall 1:Solid Concrete or Masonry 1464 0.0 11.0 107 Wall height: 8.0' Depth below grade: 6.0' Insulation depth:6.0' Furnace 1:Forced Hot Air,80 AFUE COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page,they are att ing that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in compli ce with this o Builder/Designer Date -1 19 4 REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release lc DATE: 09/09/04 TITLE:The Augusta Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Raised or Energy Truss,R-30.0 cavity insulation Comments: Insulation must achieve full height over the plate lines of exterior walls. Above-Grade Walls: [ ] 1. 1st Floor Walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] 2. 2nd Floor Walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1:Solid Concrete or Masonry,8.0' ht/6.0'bg/6.0' insul, R-11.0 continuous insulation Comments: Exterior insulation must have a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade)insulation and extends at least 6 in.below grade. Windows: [ ] 1. Ix Dining(CU):Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 2. Ix Kitchen(F):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 3. 2x Brkfst(K):Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 4. 2x Family(Y):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 5. lx Family(E):Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 6. 2x Family(2953):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 7. Ix Family(5953):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 r Comments: [ ] 8. lx Bonus(L):Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 9. lx Master Bed(L):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 10. 2x Master Bed(K):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 11. lx Master Bed(CD):Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: - #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 12. lx Master Bath(CX):Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 13. lx Bed#3 (BC):Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 14. lx Foyer(DP):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: [ ] 15. lx Loft((2525 Circle)):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: [ ] 16. lx Bed#2(CX):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: [ ] 17. lx Bath(N):Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: Doors: [ ] 1. Foyer#l:Solid,U-factor:0.350 Comments: [ ] 2. Brkfst#21: Glass,U-factor:0.350 Comments: [ ] 3. Mud#20:Solid,U-factor:0.240 Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air,80 AFUTE or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] Supply ducts in unconditioned spaces must be insulated to R-11. [ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. Duct Construction: [ ] All joints,seams,and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). [ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] Air filters are required in the return air system. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: [ ] Separate electric meters are required for each dwelling unit. Fireplaces: [ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York State ,the Residential Code of New York State or the New York City Building Code ,as applicable. Service Water Heating: [ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105 T or chilled fluids below 55 T must be insulated to the levels in Table 2. 4 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(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(F) 2"Runouts 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) 1:1 have e seen or observed, or believe I save evil�ntce Of, ail objects such as houses, alslosrgresene that�I have ,icy shown on this docunlen t. nc es set forth on the diagram• personally sured the dista , URE DATE r SIGNAT . +l t . cif � ��'•:I .,i„ti1.'.'2: �';f' `t, ,_e:• ;:!'t.. n��• �..:-� n,l' 6iU�.i.`., !,yu4�_r :�r'?I' .d •cr'h'i�^' ii�`nS 66,1' •;J^ '- _!.. 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C�:.�.. �"r?'�.5.5��±' 1sd,r,l'r i�..•i�!. _ x��I;,,°"�'s�'%•.t _ MR RV ��:,,ir� :t!�'F,E•.�i.'+.yd r++y.,{t.3y'. �.i�.-_.' - . t 11 �� •• _ - .,�;q s"1,�yli �}.,6-�:4 _r• gi' �;A,. 445' Pz":.-`f1;� ��r MAF REFERENCE: CHERRY RIDGE A SUB OHN OWHA ENED BY DATED: JULY 1, 1970 NE BEMBAN DUSEN 0 REVISED: BY: JOH ROAD FOX �lUS1G`� i � S82°37'00"E L 214.65R`574•p3 8.44' Z 0 o I U L N I 50.56' CD CD N 2 STORY 00 p WOOD FRAME I v HOUSE 3 to :- I 58,329 sq f1; rn C N v 1.34 acres �' V 0 ° N N 0 10' WIDE O 149.V9' 0 DRAINAGE EASEMENT Z coo w o ' 1 HEREBY CERTIFY THAT THIS MAP WAS PREPARED cV3 CO FROM AN ACTUAL FIELD SURVEY. N THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS 0 h F� WHOM THE SURVEY WAS PREPARED. AND ON THEIR o TO THE TITLE COMPANY' GOVERNMENTAL AGENCY 2 HEREON.qI D LENDING INSTITUTION LISTED ABLE To ADDITIONAL CERTIFICATIONS ARE NSFER OWNERS. INSTITUTIONS OR CERTIFIED TO: DONALD SOUWEINE GEORGANN D. SOU*E NE COMPANY CHICAGO TITLE INSURANCE 250.00' N82041100"W _ R CERTIFIED BY: MAT-IFiEW C. STEVES, Lt-S NYS 50135 $ _ 2 DATED: APRIL 12, 2005 s >A atel A 1, "^• ,AN0 Scate Map of a Survey made for S'�" 1 w,.,. D s e � D . SOUWEiNESHMT 1�, �►-n- s ; EORGANN p[w coat sate Eaur/&orTrL TWR R r j`(' YES D ONALD � ��yes.• CHERRY RIDGE � � t,,,t ICHAELS GROUP Ste-ves y r was raFr w�°ooaource MtrT ADM= e oaoe� �""'ND s�� New York DWG. N0. 02373— s sr n,e� sw �Y Warren County, NO. DATE DESCRIPTION 2 J C 1455 S u r�,e y o r �s��,T"" Tow�i of Queenabury, — ✓!Land AQ8 ��,�. = `/•�, �l U �a Ate.pp 1,E71piti N5t1tUR10N Lwo��'AM New York 12804 ToTMEA,�,EE5a1„E . �, d Road Queensbury, 26_5-8/266.01-1-23 169 gavilan 50135 (518) 792-8474 New York Lie. No.