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2004-777
Z_,olor 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. P20040777 Date Issued: Wednesday, November 23, 2005 This is to certify that work requested to be done as shown by Permit Number P20040777 has been completed. Tax Map Number. 523400-266-003-0001-064-012-0000 Location: ` 32 CLEMENTS Rd Owner. RANDOLPH & SUSAN BARDIN Applicant: RANDOLPH & SUSAN BARDIN This structure maybe occupied as a: Fireplace By Order of Town Board Garage - 2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling /} Issuance of this Certificate of Occupancy DOES NOT relieve the ¢/ property owner of the responsibility for compliance with Site Plan, ►/ Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement 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: P20040777 Application Number: A20040777 Tax Map No: 523400-266-003-0001-064-012-0000 Permission is hereby granted to: RAN O ,PH& SI N AN B ARDW For property located at: 32 CLEMENTS 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: RANDOLPH& SUSAN BARDIN 93 WOODCHUCK HILL Rd Fireplace Garage-2 Cars d LAKE GEORGE, NY 12845-0000 Sinle FamilDwelling $250,000.00 Total Value $250,000.00 Contractor or Builders Name/Address Electrical Inspection Agency Plans&Specifications 2004-777 2100 SQ FT SINGLE FAMILY DWELLING Lot A, Malcolm Batchelder Subdivision Recreation Fee paid ($500) $331.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, October 12, 2005 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the T o ueen41 kuay-, October 12, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Bugg Permit AppReatxon Town of Queensbm7—Dept of Community Dcvelopr =t,742 Bay Road,Quota sbwy,NY (518)76i-8�56 A permit must be obtained before beginning construction. Porznit Fiic No. r No cctlon will be made until applicant has received a Foe p»d $ () RE, vali i kilns'permit. An applicants, spaoes on this Roo.Fee Paid FEE . app'lidetion raustbe completed and must appear on the Reviewed By: PAID applidation form. Applicant: n h 15is.4A) BA R d�od Owner: SANNI d Addrass: q.�'i Lo:-e-h.,uc.PC At I P—& Address: (5)Z2a�t.r� 7.�5 Pfiorse# Phone# • Praporty Location. I.otNumber: /-House Number 7� / SubdiviaionName: Tax Map Number: 6 4. 3 New Building. residmc commercial 'Estimated Market Value of Construction: $ Ste/ `rvv o Addition: resi once/ commercial If ah Addition,what will use of new addition be? 0 Alteratloa: residence/ vommercial 0 Pta ohsuge to exterior size: residence I com'1 0 tither wbrlt(descdbe ) Check Occupsncylnformatlon i Floor 2 Floor Other floor Total Below sq.ft. sq.ft, sq.ft. Square Feet Sin a fhzri{1. d Uin c,o c7 al Two aggX dwelling v Tovmhouse " o M X dwelling #of waits o Of Boo o Mora c v Maaufhctut3zt s O 1 oar detached a 11 "V 0 2 oar detached o 0 3 oar detached agaso 4 NUIV 0 1 oar attached prago �( 2 oar attached e - ` N NJ W pv Q G 3 car attach+sd prago BUILD „" o Storage building commercial o storage building-•: residetltid oO er What ia.the proposed height of the structure feet jo inches Will nay second-hand or ungraded lumber be used? if so,for what? _ a-t-0--- Type of Heating system: electric I oil IQ wood I rood ho / baseboard/other: ,,,,., Number of Fjt=taces to be in»talled Ottle Number of J&o1kian to be installed - List below the person(s)responsible for supervision of work as regards to building codes: Photo Numbor Builder N tad c f2 C/ 7j?r3�GR Plumber ,cK -g"Z Mason ns�/ Electrician P4418i tWz* please sign below after you have carefully read the statoment: To the best of my lmowledga the statements contained in this application,together with the plans and specifications sub:aitted,are a trae and complete statement of all proposed work to be done ou the desaribed promises sad that all provision:of the Building Code,the Zoning Ordinanco and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner, Further,it is understood that r/we shall submit,prior to a Carecate of Occupancy or Certificate of Comp'lianee being issued,as requested by the Zoning Administrator or Director of Building and Codes,anal-T Built Survey by a licensed surveyor;drawn to scale,showing actual location of all now coustmCdon. Signnture: awatr,owner's agent,arohit=a contractor Check Residential Plan Review: One& Two Family Dwellings YIN/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: inflow 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. "Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofmg/Waterproofing Materials On Plans oundation Drainage On Plans,if required 6' Drop in 10' Exterior Grade or Framing Cross Section'For Each Roof Line,Vertical Fire Stopping Every 10'Where e uired ce and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls P tfonns At Exterior Doors Stairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise xX- Winder Run and Rise , S iral Not Allowed From 2n Story Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance Hall Width,36"min. ,,`Handrails More Than One Riser On Open Sides ling and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas Garage Fire Separation Garage Floor Sloped ttic Access R," f over 30"—22"x 30"/Crawl Spaces 18"x 24"Access 7 arbon Monoxide Detector Lowest Sleeping Level S it Test Results, if required Septic To Well Or Water Line Separation All Paperwork Signed c Project Name: BP#Ci - 7 7 7 Address: Building Pernut Submission SFD .Checklist 2-Family All items below nam be checked either yes,no or not applicable prior to submission of any,building permit to the Town of QueensburyBurlding Department. If any of the below items are lacking,the permit. will not be accepted until such time as the application is deemed complete for submssion. 1. Binding Peni it Application Gompieted .................................. ❑no ❑n/a 2. EnergyFonn or Chec"te Energy Code Compliance Forms Complete.. -yes ❑no El n/a (2 copies) 3. Energy Code Inspector's Report from Chedd&te Program............ ... .. .-yus ❑no ❑n/a (2 copies) 4. Septic application completelyfrlled out(if applicable)........................ eyes O no ❑n/a 5. Solid Fuel Burning or Comas Appliance Form... .............................. .... yes []no On/a 6. Electrical Inspection Form......... ��� .............................................. yes no Ou/a 7. Two(2)complete sets of su aural drawings... Eyes Ono On/a a)floor plan;b)foundation plan;c)cross sections:d)elevations; e)window and door schedule S. Two(2)site plans showing location of the structure to be bull,......... ... -Byes Ono ' ]n%a . location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new structure......... ..................... .. -Byes Ono On/a 10. Setbacks to neighboring wells and septic systems,including onsite well.... C]yes Ono On/a and septic systems Cd applicable) 11. DrivewayPemut..................... ............................................. �3 Ono On/a Date: Staff Initial: c5Ci1:Li..in�iv a\Rnrl,4inv_PemLc-FORMS\GCIICAc CheckllSt.doc Januuy2$,200 Job Site Address: �Z. d/ Q y Date: Owner: (2c,�IL �<-- Application No. File No. —C)97 77 Building Permit — Calculation. Sheet Natural Light, Ventilation & Emergency Egress Requirements Habitable Area of Req. Light Actual Req.Vent .Actual Sq.Ft. Remarks Room Room 8%of Room Light '4%of Room Vent w Opening for in Area Square Area Square Egress Square Footage Footage Feet C YYY AA v �� OCT 200. N � i ,6LI •1 - �P. ('�'; �1�R t — "�`5 ���'";,;1=,s�f:ar i`.j!/ ffi L:4SueHemingway\Building.Permit.FORMS\Nat.Light.V entil.Calculation.Sheet.doc J WINDOW SCHEDULE Job Site/Address: Date: g�` �— O Owner: ( �d�IPr. r�l, Application No. dLr-77� Window Window Window Unit or Rough Rough SQ.FT. SQ.FT SQ.FT. Clear Clear Special Hardware Number or Manufaturor Model/Type Stock Openin Opening Glass[Vis Egress/Cie Opening Opening or Instructions Letter on Name Numbe g Height ible Vent ar Width In Height Plan Call Width Light Opening Inches In Inches Zito e5 Size C o.G SHWr. '�� ldf� ��- �!© Z !` 12•�2 $-g0 �' `�� z -7 3/ Z Tees, -g 0 fxs� v IL C 29 ` oG v `�/E 3/o `1� 3 z 9,03 L/, 03 y,°3 Lf 3 �� �3 c. n p 1 ► ��°" 31,03lo 3�'z'' 3�2 (,, 7-1 2• 91 Z. q/ 3 � � /3z L, o E crC,v 3�05/ 3�z ' �o z 11. 64 3"'19' 31 Uv 310 S/Z 3(0 2` z /2-ll -"l 5-"7 3/ A Exampla A Andersen Narroline 3062 3' 2 6'5 '/2 15.30 8.T6---`= 6.01 34 24 15135" Tempered Double 1/3" 11/16 Glazing Hun CADocuments and Settingmue\Local Settings\Temp\Window Schedule.doc :. Application for Permit=Saptio Disposes System Town of Queensbury 742 Bay Road Queembury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ....... Office Use Location of installation: File Permit No. Tax Map No. / � �GZ J/� Fee Paid Owner's Name:��7d�n ..................................................,......-...,..,.......,..............,..........,..................... Address: L00-64L e-Jc..L.L-cam.. eel PHONE NO. ME 2. INSTALLERS NA : 1 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 Dailv Flow 1980 or older x 150 gal/bdrm 1980- 1991 x 130 gal/bdrm = OCT 0 4- ?00,4 -present 3 x 110 gal/bdrm a z o ToVVN of 'Jf: = +`;MIRY Garbage Grinder Installed 'yes / no BUII_Dj,,oC ,'JDE Spa or Hot Tub Installed yes_ ./ no !14 4.' PARCEL INFORMATION: (circle applicable information&,indicate measurements) Tgpozraphy Soil ature Grolmd Water e r Lupervious Material Domestic Wata1 Flat sand at what depth at what depth municipal ollin 490 feet feet e11 Steep slope clay / /0ItIf nP,,go f well;water supply �%slope other from any septic-system depth: absorption is 150 ft. other Percolation Test: (To be completed by,licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: I/Ma gallon(min,size 1,000 gal;) i Tile Field: each trench_ U D. ft; Total System Length: 26M Seepage Pit(s): number ofL size of each: by ft. Size qX Stone to be used: #_1 / depth or thickness 1' feet Bed/System Size: x Alternative System:_,:?Z0 Za/®/ length and/or size 00 6. HOLDING TANK SYSTEM: (if required) Number of Size_of_eaahi-- gallons-/-T-GT-AL--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 1 1• J . . ' � ,'rawit 't!f tit:ctczli�ilury ' �:.,1, •:._y,:.' Sinvr•:;� and So-wiigo I>i.qwgal Olrstokn- ' ST:I'1�il.1S,'i'IG}I�l Zt�Ir6Zt.J�Itt�t�I I�tljt'I`:► ` r , 1 r 1�r�Li. 1N tr�►U"i�• Gt u'nwt Y. • ; ��,� '� »1•tY I r .,ram' • . r 7• SION4 &A�IFORIvSA1'XQ I' C2k�Et k'Vi'�t �fisL at"r:�.g��,�,wu,�.•••,••••, Fire Marshal's Office 'Town of Queensbwy,742 Buy Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances t Date %~ il , 20 `" Permit No. Application is hereby made to the Building& Codes Office for the issuance of a Building and Use Permit pursuant to'the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to per form required inspections. NOTE to applicant: Rough-in and Final•.Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: ,r fit. Stove: wood coal . pellet 3 Fireplace insert Address: '", " ;,-A �,_. " c" `<. -i _= '' Fireplace, factory-built: wood gqs Fireplace, masonry: wood gas r Furnace: wood {:gcrs`-oil Phone: .,7171 — �! c If non-masonary applicance, please provide Owner: "% Manufacturer Name: Address: Model Number: Chimney Information Phone: (circle appropriate words) Masonry block brick stone ;..: Flue tile steel size: inches Exact Address: t '"Y" a / ' of construction:or installation: Factory-Builtr Manufacturer name: Model Number: Note: Listed By: Number: Construction/Installation must conform to NYS Fire Prevention &Building Indicate (circle)chimney material: Code. Consult available Town of Queensburjr _.. Handouts regarding required inspections. Double wall / Triple wall / Insulated /CDirect venting', Chimney Liner � Ca��iier'er Department—To�srxz,of Queen.sbury, New�or.A: Fire Marshal Code# $Collected $Rcfiurrled Received fr-onr (ref nded to) yy .i "`. F,Gr t_t'l•. address: A 173 3389 (190) Public Safety r _ _-- A 233 2655 (230)Minor Sales DATE. ri.a�wt�— owei, 2 [ s White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) ! Pink&'Goldenrod(Cashier's Dept.) Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 Factory Built Gas FirelDlace/Stove Inspection deport 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 alloowed. �® Time ( ^�( tar permit# O 7� Schedule Inspection // �3 US/ PM anytime lnspeetor�/�-`! Name `zL Address/T 3�' �l���e,-* Rough In^Final Appliance Manufacturer Model# Direct dent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated - - Yes No N/A Comments Floor Protection Clearances to Combustibles (tall sides) Pirestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles 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 east ens on(if any) /i Mantel �f ' Height above f/p opening a Witness Operation Tank Placement(if LP) White—Building Dept, — Yellow Cuss er Pink—Tire Marshal Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: l( X 3, OS-- NAME: LOCATION: CAE-�.���Ir1'S JQj PERMIT#: a Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept. of _ Community Development. Upon r view the Sur ve s been: h 't� "Brn, Zoning Administrator Notes: L:\.SueHemingway\Building.Codes.Inspection.FORMS\Fina1 Survey Zoning Administrator.doc t co aou,a zaf at d vzcc .cad � R q w , „C! W D4 Lo LX -- J Z i w Qo 1-� 11 3 .4 A All to q oCL Cr -40 to z44 1 n�Ch YY F "7 NI CO ^I Q U NCB Lj w OW d F 3AI q 3N61- �J- 1 w Z W QW Q d t i O w O - W WU- _I ��lL Ui �O Z ww Z �N ¢ J� ovi LL�3Q� wz o al` xw zc� o ` `t� t✓ ► U O p O Y U' O Z C1j Q U (V) F- [I) Q fn QfYO a Q Ld O � w� V1ZO �s 4 QrnULLJm `1� Q O U uo- >- w Ff } -✓ �1���; 4U� �a ZOO (A fir ~ a� WF-O QFJ ..... Z Z W -z Q N M to ^� W W 00 zw t ti h .. :�° �, wy li (n"1 },� VVV Q `�00 O a o c/i V' Q z Q Z r` y' •� ' t. i. �i,�Ftl '�1 Awp� U CSI� OP Q C7Q Q U Q0 W� �W �4 _.. pop ! �}� c�� �i0 z ov w� wr ,t/�? .. 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M�tyr,. f er "'irT'L..�.''a•-ws,wP+• J ' } d.,�P1, _ �tr"` .^ j Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm Depart: a I�m/pm Date Inspection request received: Inspector's Initials: NAME: Gmetmd PERMIT#: b�� -7 -2 7 LOCATION: c-tC5,a..-d-,Vj , DATE: i2 d TYPE OF STRUCTURE: t C _ Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in.or more @ stairs, decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers 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 Garage fire roofin,/'/a 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 . f3.-150 s . ft. vents Building No./Address visible from road Final Electrical Site Plan /Variance required i Final Survey Plot Plan it 2 As Built Septic System/Sewer a t. Ins ection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent L:\PamW\Building&Codes\Inspection Forms\Res. Final Insm form 2.docLast printed 2/12/04 Queensbury Building & Code Enforcement - Residential Final Inspection - i Office No.(518)761-8256 3 � / Arrive: am/pm Depart: �'/Jam/pm ((J n// Date Inspection request received: �1.a' aS Inspector's Initials: NAME: / / PERMIT#: D T ^ 7 7 ' LOCATION: DATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location !�fie, / S Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" b` Roof Complete/Exterior Finish Complete I Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers , Enclosed Stairs Sheetrock Underside minimum %" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft.or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing , Interior Smoke Detectors: Every level: / Every Bedroom: / Outside every bedroom area: i0 Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation r/ Floor truss,draft stopping finished basement 1,000 sf / Emergency egress below grade i Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/'/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Y ✓ Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area j Crawl Spaces 18"x 24"access, 1 s . f3.-150 s . ft. vents c/ Building No./Address isiblar'oom ro d Final Electrical Site Plan /Varianc re aired Final Survey Plot Plan APPO-611 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 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL ? r Permit No........................................Cert�0 8 9 9 6 0 Cut-in Card No.............................. Owner............./2.s.......:�r�An-% /......................................................................................._ ..................... "L r✓L" i 1 J r� Location... ....................... _p......,.,...`....... ,J° /:............................................. ............................. Installation Consisting of. t 7- ��� ��' ....................... .............. .... -.................... .....................:.... J Jl J41. ..� 1�.:.+..7'.L! �t .......��.1 .�'/...�`J_��?mt-1/� ..�,1:,:✓ J.Z- .' ............. .................................................................................................................................................................................... InstalledBy.....M.......rgk2i ig .................................Lic.No................. .................................................. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making inspections at any time, and if its rules are violated,the Company shall have the right to revoke th' certifica e. Date........... lJ�' -I1 — Sr ....................................... INSPECTOR... ......... .....-47 ........................................................ Mn.nhn.N FP A TAFT Queensbury Building & Code Enforcement - Residential Final Inspection ` I Office No.(518)761-8256 Arrive: am/pm Depart: UL( pm Date Inspection request received: _T Inspector's Initials: NAME: PERMIT#: LOCATION: oU 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" (�C Roof Complete/Exterior Finish Complete Guard 30 in.or more(a)stairs, decks,patios (� Guard at stairwell at 34 in. or more ����� Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %" rLe-vC � L5 G sum Grade away from foundation 6 in.with 10 ft. C S> 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 14 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: / Batwy 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 VZ Garage Floor Pitched _ Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in,x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"acce s, 1 s . ft.-150 s . ft.vents Building No./Addres,4visiVIe fEw road Final Electrical ® cleST 0-1 Site Plan /Variance e ui ed Final Survey Plot Plan !"JU�j&A � �709 fC 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\Buildiniz&Codes\Inspection Forrns\Res. Final Insp. form 2.docLast printed 2/12/04 --; ®ugh Plumbing / Insulation Inspection Re Office No. (518) 761-8256 Date Inspection request received: Queen.sbury Building & Code Enforcement Arrive: am/p, epart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: i\ PERMIT #: LOCATION: t INSPECT ON: Cos TYPE OF STRUCTURE: y N/A �.:ou.�A ,Rl�u�s�m n y/ Nail Plates Plumb n Vent / Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout eve 1QQ feet / change of direction rain Vent �2/4-/-0 V-luT— D / Air / Head P.S.I. or 10 ft. above highest connection for 15 minutes Prestr Test Water°=Supply Piping IRPIS11 ead 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\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p e rt: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 7 NAME: C,; PERMIT#: �- LOCATION: INSPECT ON: TYPE OF STRUC - Framing Y N N/A ®MNIEIV�'S Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 1/2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour wa Fire 2, 3, 4 hour estopping 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 LASueHerningway\13uiIdin&Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doe January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection re est cei ed° J 0-:�- f / Queensbury Building & Code Enforcement Arrive: am/ epart: a /p 742 Bay Road; Queensbury, NY 12804 Inspector's In NAME: - PERMIT #: n� --)7 LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent/ Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet / change of direction Pressure Test Drain / Vent Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air ead - ------ - - - - P.S.I f ; ufi nsulation / Residential Check Commercial Check Proper Vent A . ' ent 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/pm n Depart: -'am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: j/k D(A) PERMIT #: C1 LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1, R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/ Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 '/ inch min. Drain Size Washing Machine Drain 2 inch min. 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 r ter Supply Piping �' b Cooper Commercial Cooper, CPVC,Pex One and Two-Famil ,-- Insulation/Residential Check/ Commercial Check Proper Vent, Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: LASueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Rough Plumbing / Insulation Inspection Deport Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/pin epart: am/pny 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT #: _ 7 LOCATION: INSPECT ON: '3 ,g S 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. pad or~Air Supply Test '`Drain,and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/chan a of direction Water Supply Piping Cooper Commercial Cooper,CPVC,Pex One and Two-Family Insulation/Residential Check/ Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace uct work sealed properly/No duct tape LY4 COMMENTS: P � L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12504 761-8205/761-8206 fax 745-4437 Factory Built Gas Fire®lace/Stove Insvection Report Notices New York state requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Ins9:allation Manual accompanying the appliance.No deviation from the manufacturerls instructions or Vecifications is allowed. Permit# 1�^ Schedule Inspection I.i / Time -- am pin anytime Inspec br/ i� h In Final Name— ��� Address_ Rough T Appliance Manufacturer. Model# Direct vent Factory Built Chimney Flue Size Double Wall Triple Walt Insulated Yes No N/A Comments Floor Protection 7tances to Combustibles (all sides) op(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-Of Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept. fellow Cut er Pink—Fire Marshal Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection req st e iv d: i Queensbury Building& Code Enforcement Arrive: a p epart: arnfip'm 742 Bay Road, Queensbury, NY 12804 Inspector's Initial NAME: �� � )l i�j PERMIT#: LOCATION: AC .J� INSPECT ON: TYPE OF STRUCTURE- Framing N N/A COMMENTS Framing � Jack Studs/Headers racin_gAridizing ngers / 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 % (w) 16 gauge(8) 16D nails each side lv V Draft stopping 1,000 sq. ft. floor trussesL3L �7� Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side % inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 WA4�� /-,3)/L,- Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection requeslzpceiyed: p 5� Queensbury Building&Code Enforcement Arrive: afn/pm f )depart: 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: t NAME: PERMIT PERMIT#: 777 LOCATION: INSPECT ON: ®,— TYPE OF STRUCTURE: U. Framing y N ,IN/A COMMENTS ' HE tuds/Headers 11 rCacmg�Bridging 01 istVT angers Jack Posts/Main Beams Exterior sheeting nailed properly emu" 4 t�; LL ' t tU 12 O.C. Headroom 6 ft. 8 in. vv� Stairwells 36 in. or more Headroom 6 ft. 8 in. 1 - - Notches/Holes/Bearing Walls 1, Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side % inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) `. 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHernin.-Way\13uiIding.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report ,, 7. Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/pm, epart: 5 am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: N PERMIT #: 4717 LOCATION: A� INSPECT ON: ?i I-1 dS 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/chan a of direction later Supply Piping Cooper Commercial Coo er,CPVC,Pex One and Two-Family sulation l Residential Check/Commercial Check `er Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Djwt work sealed properly/No duct tape COIV MENTS: L:\SueHemingway\Building.Codes.inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-825.6 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: H /p epart: am/pm 742 Bay Road, Queensbury,NY 12804 'Inspector's Initial NAME: PERMIT#: LOCATION: INSPECT ON: 1( o's 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/chan a of direction Water Supply Piping Cooper Commercial Cooper,CPVC,Pex One and Two-Family Insulation/Residential'Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: L.\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Repo t.doc November 17,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: _ Queensbury Building& Code Enforcement Arrive: a m epart: s pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initial " NAME: ����� �� PERMIT#: Q _2.? LOCATION: G f - —S / �J INSPECT ON: 00 TYPE OF STRUCTURE: Y lv/a Framing COMMENTS i ♦., "��� � Ta`dk Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %z (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Aire wall 2, 3, 4 hour ,,'', Firestopping . L� W /w`� O GCS o Penetration sealed 16 inch insulation in cavity min. �,9�,L 01F V,QrQ, 1 .600 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 (� jj 1A) L 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/ part am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:� ' NAME: PERMIT NO.: LOCATION: t N i b INSPECT ON: I Z d RECHECK; Comments and/or diagram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. /� Well separation distance ft Q wre -r �' LG Other wells: L7 ft. Abso tion Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone -Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial Location/Separations Foundation to tank ft. Foundation to absorption Separation of Pits ft, Conforms as per Plot Plan Y_N ' Location of System on Property: Front Re'a Left Side Right Side Middle Front Middle Rear S stem Use Status, Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved U\SueHemingway\Building.Codes.In spection.FORMS\Septic Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report i Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: _arn/ m epart: Y ' am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initial : NAME: YCJ 'i PERMIT#: � LOCATION: Q INSPECT ON: TYPE OF STRUCT 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 e and snow shield 24 inches from wall CX re-1U Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour 1N5 tdo cr� �L Firestopping l ram, Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X �2 v 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 /00 Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: , Queensbury Building& Code Enforcement Arrive: am/p. epart: & _ -/pin 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: ) r l A PERMIT NO.: LOCATION: INSPECT ON: RECHECK: Comments and/or diagram Soil Type:LSand Type of Water: Municipal/ ell Wa -` 2 ` �\ Waterline separation distance _ft. /Vo� v�% /2 i Z��Y Well separation distance ft. l Other.wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches Size of Stone. ?� Seepage Pits: Number Size: x Stone Size: . du(— PipinjZ SiZ9 d Type 1A) (AA Building to tank b Tank to Distributio Box .� /� Distribution Bo t ield/Pit n ` 0U r V Ur t-6-r -bpf,--,k Opening Seale /NI Partial 10 w i,r Location/Separations Foundation to tank ft. ��L� •�� ��C����` Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan V Y N Location of System on Property: Front ear Left Sid DRigt Side Middle Front Middle Rear System Use Status: proved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-82.56 Date Inspection request received: 69Y -- Queensbury Building&Code Enforcement Arrive: ann/pm Depart. am/pm 742 Bay Rd., Queensbury,:NY 12804 Inspector's Initials: _ __ Ci NAME: 2 k� PERMIT#: LOCATION: INSPECT ON: l O TYPE, OF STRUCTURE: Comments __------- _ Y N N/A Footings Pie 3T-^— - Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. _ Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/E- erior R- _ _ Rough Grade 6 inch drop wit}ni 10 ft. L\Suellemingway\BuiIding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am1/=� Depart: am/pm 742 Bay Rd., Queensbuiy,NY 12804 Inspector's InitialsQ-74C— - -7 —7 NAME: PERMIT#: 0 LOCATION: )r.' INSPECT ON: — TYPE OF STRUCTU . Comments Y N N/A ootings Gi2saZ(2 c Piers Monolithic Slab Reinforcement in Place �l The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft-. L:%SueHemingway\Btiilding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request recei d: Queensbury Building&Code Enforcement Arrive: m/prn //' Depart: _a pm 742 Bay Rd., Queensbtry,NY 12804 Inspector's Initi Is: NAME: _ PF/I2MIT#: "^ LOCATION: _ _ �II;crSPECT ON: — TYPF OF STRUCTURE: Comments — __-------- __ Y N N/A Footings Piers — Monolithic Slab Reinforcement in Place The contractor is responsible for pr i Ing protection from freezing f 48 hours following the placement the concrete. aterials for this purpose on site. Foundation/Wallpour enforcement in Place � . Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing ✓,.'' Footing Drain Daylight or Sump lot" ( 4/7 Footing Drain Stone: 12 inch width 6 inches above footing 6 it poly for wet areas under slab ckfill Approval Plumbing Under Slab PVC/Cast/Copper oundation Insulation Interior/Exterior �. Rough Grade 6 inch drop within 10 ft. LASueHcmingway\AuiIding.Codes.Inspection.FURMSToundation Inspection Report.doc January 2&2003 Foundation Inspection Report Office No. (518) 761-82.56 Date Inspection reques received: ''" Queensbury Building&Code Enforcement Arrive: am/p Dep rt: m/pm 742 Bay.Rd., Queensbury,:NY 12804 Inspector's Initials: NAME: _ �,` PERMIT#: LOCA'fIUN: _ INSPECTr:,_Q_ TYPE OF STRUCTU Comments y MA ootigsgs Piers / Monolithic Slab Reinforcement in Place Z .� The contractor is responsible'Tor providing protection from freezing for 48 hours following the placement of the concrete. Materials for this pu.T se on site. Foundation/Wallpour f7 Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing' Type of Dampproofing atetproofing Footing Drain Da.yiiglit or Sump Footing Drain Stone: 12 inch width" 6 inches above footing 6 mil polyTor wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SucTlemingway\Building.Codes.Inspection.FORMS\l-oundation Inspection Report.doc January 28,2003 H.Tfiomas Jarrett, P E. ProfessionalEngineer.'ing Kenneth Martin;RE' Septernber`14;,20'04 1 Mr: Randy Bardin" c/o.Ellsworth& Son Excavating 57 E1lswortliRoad. ; Lake George;NY•12845 `Re ,.Wastewater Disposal Feasibility ! , , Cliriicii Road Pro ert I own:bi Q,iieensi'uiy:New York JM#00 8.8 1 Cr `1jil;�u a-ErvsBUR O.CODE, On., Wednesday September 1;• 200 . . this.:office. witriessed,test;pits and -.conducted percolation tests.on property located,on Clements.Rd in.the.Town.of Queensbury (Tax Map #266 3=1'-64:,12). The property is a "key' shaped°lot situated.'on the south side:of Clements RD; approximately,900-feet east of Route.9L�: Ari area near the=center of the property; appr0&nately;300 feet:south_'of,Clements Road, was'investigated fodetermine the suitability of subsurface conditions for anew wastewater disposal system; , a Two test pits were=completed to depths,of--75"'and 88"-respectively; and each showed granular .loamy soils, No.bedrock 'was encountered,.nor.was :evidence of.groundwater. Percolation tests at-depths of:32".and,36" yielded results of A. min,32.-seconds per:inch" and1 min 43 seconds,per inch;,both-excellent percolation rates for.design of wastewater disposal'systems. ; In addition -to.subsur`face' soil" and .groundwater .conditions, all";horizontal. separation end t, o j�TA:;' Yvrlr C4'. t?T�Prit (JI NP. ltli - IILJLGULL'Co i�iijux .i .. �... - r- .. a_.__ (i. '.. .15W.,setback,.to wells,.wi'tliout 50' of grouted'casing; 100''."setback to:stream, 10'" :> setback to property lines,:etc.) must'be maintained. ; Prior to.construction"of a wastewater disposal.system,Ao serve this site, locations of all existing dnd proposed wells must.be verified,and documented as to their exact location to , minim tothewastinsuretliat hm h ewater disposal system is met 12.East Washington 'St-,-:Glens Falfs, NY 12801 - 518-792-2907/-51'8-798-1'864 FaX, ®Printed on Recycled Paper f' IVIr:Randy Barden „ September 14,.2004 ; Re:.G'lements Road'Property,�Town bf Queensbiiry -'For further infbrinatioii;regarding vertical and,horizontal_separation requirements,refer to the.-New.York• 'State ,Dept:'of`Health "Individual Residential Wastewater Treatment Sy stems`-Design,.-Handbook" .arid;;the,•'Town of,Queensbury:Oii=Site Sewage Dispbsal Ordinance" please If you have:any'questions or comments regarding this letter feel.free tb contact our office at;792-2907. ; Sincerely, Jarrett Martin"Em ngeers,.PLLC Thomas �e-tt'P.E. rincipal " :Attachments: Sketch of test'iocations - Test Pit.and Percolation Test•Results F:OataFile12000 Project Files100=088 ElsiVorth GenerallRandy.`Bgrdin.Was[eivater1088091404.Bardin Residen[ial WW feasibthry report.doc• - IT 2 of 2' ARRETT-MARTIN ENGINEERS, PLLC Professional Engineering a /7 Percolation Test Report Project Name: 0,gez.?/ c1 l 'y� � ? Proj # oo- o68 Site Location: Date: 9 i P4r Time: S,'oy -4nA Weather: 3"OivaVe" Test(s) Performed by: Pt-a Witnessed by: Percolation Test #:_�_ Soil Description A/v42 Go, Test Depth: it Presoak: Run #: Time to Drop 1" Comments: 1 //n�1,0 //S_rz- 2 I /hiiv Z55 3 /maJ z9 SEA 4 5'€L. {� 5 C,E � / 6 OCT 0 4 2004 7 8 TOWN OF QUEENSBURY BUILDINIG MID` 0_ODE Percolation Test #: Z Soil Description: lT- ���o Low Test Depth: 32'' Presoak: Run #: Time to Drop 1" Comments: 1 Jr 2 /4 7,N /P5 56�_- 3 1 rn,xJ ZS 56:— 33$,5L - -2OD wP-7,�4 �F 6s - 7 8 12 East Washington St. ° Glens Falls NY 12801 518-792-2907 / 518-798-1864 Fax JARRETT-MARTIN ENGINEERS, PLLC ,. Professional Engineering Test Pit Report Project Name: 6_eoe� ) ' Proj # ofl-o&- Site Location: - ,ems Date: Time: 3,117,4 Weather:_ •vw f Test Pit Observation by: PLE Witnessed by: Test Pit #: Z Location: S SK�rc.r-� TA Relative Elevation Depth: Soil Description Water or Mottlin2r? Lour OP c) 12 East Washington St. ° Glens Falls NY 12801 518-792-2907 / 518-798-1864 Fax JARRETT-MARTIN ENGINEERS, PLLC Professional Engineering Test Pit Report Project Name: Plq-'J-Oq 86eD&N 11?U6`.y) Proj # Co- 8a Site Location: e2eSMc5N-MS Date: 9 / f /off Time: 7.'39 A Weather: 4/ Test Pit Observation by:_ Witnessed by: Test Pit #:_,� Location: Relative Elevation Depth: Soil Description Water or Mottlinw? F-w(f 5n1JD 1_0 N0 d I N ®6® TP 2 _BT k a � I Op' O 12 East Washington St. ° Glens Falls NY 12801 518-792-2907 / 518-798-1864 Fax S+ J. t f f r + ! v 1 Y N I v ~COS r r 3 00 1 4ti �q WAS) %"AG 4 6 uj zzr m _ a�t \ 1 9V �0 ��OUS F Sc 0 C StP� e o 9L .� ROUTf 4s � PSE r2 L J EXIT n �oJ2 22 0 �Q �O Q LOCATION OF P OJECT PICKLE HILL R 2 - - 0 Q. EXI >- 21 0 0 m QUEENSBURY 0 0 i PARK BOUNDARy�o�� ' ApIR ONDACK 0 od 0 5 s r �O v� w 0 EXR guCK 20 ? J 2 0 o RD_ y ROUND POND Q.C.C. 0 G J d02 0 PON co 00 JiJ6o Od, Iy0UN J m FLOYD E. BENNETT %0�6 OdO� MEMORIAL AIRPORT F a O O J� q��qT SWEET R CRONIN /ON �4 ye Q DRAWING: 0 C1 DATE REV# ISSUED/REVISIONS BY PROJECT LOCATION PLAN JARRETT-MARTIN ENGINEERS, PLLC PERK TEST AND TEST PIT LOCATION PLAN PROFESSIONAL ENGINEERING BARDIN 12 EAST WASHINGTON STREET PHONE:(518)792-2907 CLEMENTS ROAD GLENS FALLS,N.Y. FAX:(518)798-1864 QUEENSBURY,NEW YORK SEPTEMBER 2004 PRO#00 088 SHEET:1 of 1 FILE: F:\00088091404 BARDIN LOCAT ON PLAN.dwg PLOTTED/REViSED:9/14/04 5:00 PM Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection reques received: Queensbury Building& Code Enforcement Arrive: _arn/ epart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: I NAME: PERMIT#: LOCATION: c_U h--�,� S7e5 INSPECT ON: 7 Zj 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 chor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side % inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report 1 Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions an specifications contained in the Lislallation Manual accompanying the appliance.No deviation from the manufactur is instructions or specifications is allowed. Ll 2 Permit# 6 ' � ��chedu➢e Inspection Time „i axes pm anytime Inspec r Name � �_� Address � � e' hough In Final_ Appliance 1VSanufactureK V, S I,A, Model# — 3:5 Direct Vent ]Factory Built Chimney Flue Size IDouble Wall Triple Wall Insulated Y No N/A Comments Floor Protection Clearances to Combustibles (all sides) 7' Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles 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 Rearth Extension (if any) Mantel Height above Up opening Witness Operation Tank Placement(if LP) White—BaildingDept. � ~V Yellow Cast er Pink—Fire Marshal :0 Permit Number 77 REScheck Compliance Certificate Checked By/Date 2000 IECC Vernon 3,AR.dea ,Q, flul rgg N*ft MR-IFF7 4 Nil -AR & 'in �'R 414U.JE -A 'ki 5 j. 'hi i t? CITY: Glens Falls STATE:New York HDD: 7635 CONSTRUCTION TYPE: Single Family - WINDOW/WALL RAT-IQ.'0"4 --INIE D- DATE: 09/13/04 DATE OF PLANS: 9/13/04 OCT 0': 4 2004 PROJECT DESCRIPTION: TOWN OF QUEENSBURY 2100 Sq Ft Ranch BUILDING AND CODE COMPLIANCE:Passes Maximum UA=427 Your Home UA=414 3.0%Better Than Code (UA) 'Mica,I WValue A 1 eU. A: Ceiling 1: Flat Ceiling or Scissor Truss 3672:, 30.0 0.6 119 Wall 1: Wood Frame, 16"o.c. 1980 19.0 0.0 100 Window 1: Vinyl Frame:Double Pane with Low-E 203 0.370 75 Door 1: Solid 50 0.150 8 Door 2: Glass 67 0.370 25 Basement Wall 1: Solid Concrete or Masonry 1220 0.0 13.0 77 Wall height: 8.0' Depth below grade: 7.5' - Insulation depth: 5.0' Furnace 1:Forced Hot Air,85 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC requirements in REScheckVersion 3.6 Release 1 (formerly Nffi&hecr'�j and to comply with the mandatory requirements listed in the REScheekInspection Checklist. Builder/Designer Date REScheck Inspection Checklist 2000 IECC REScheckSoftware Version 3.6 Release 1,.. DATE:09/13/04 PROJECT TITLE:BARDIN/Clemons Rd Bldg. Dept. Use I Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: I Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: I Basement Walls: [ ] I 1. Basement Wall 1: Solid Concrete or Masonry, 8.0'ht/7.5'bg/5.0'insul, R-13.0 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. I Windows: [ ] I 1. Window 1: Vinyl Frame:Double Pane with Low-E,U-factor:0.370 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: Doors: [ ] I 1. Door 1: Solid,U-factor:0.150 Comments: [ ] I 2. Door 2: Glass,U-factor: 0.370 Comments: I Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air,85 AFUE or higher Make and Model Number Air Leakage: [ ] Joints,penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I 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. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] I Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating I equipment must be provided. [ ] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] I Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. I Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives), I mastic-plus-embedded-fabric,or tapes. Tapes and mastics must berated UL 181A or UL 181B. I Exception:Continuously welded and locking-type longitudinal joints and seams on ducts I operating at less than 2 in.w.g. (500 Pa). [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I Service Water Heating:. [ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the I water heater has an integral heat trap or is part of a circulating system. [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I' Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% I of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids.above 105 *F or chilled fluids below 55 T must be insulated to the I levels in Table 2. 1•. 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) U too 1„ Un to 1.25" 1.511 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 Pining System Types Range l Fll Fl 2"Runouts 1"and Less 1.25"to 2" 2.511 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) location r H rO ' approx. property line 299' ' approx. 1 30' property line O o — — — — — — — — — — — — — — — — — — — — — — — — — I proposed I , well approx. proper�y 15ria I I I proposed I oPP rox. 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