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2004-858 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OPOCCUPANCY Permit Number: P20040858 Date Issued: Tuesday, May 09, 2006 This is to certify that work requested to be done as shown by Permit Number P20040858 has been completed. Tax Map Number: 523400-278-020-0001-005-001-0000 Location: 11 ASPEN Rdg Hydtcozeeding: peA agtceement between Owner: MICHAEL GROUP, LLC, THE Michaetz Gnoup and Zoning Adman. on h.6 .date 51912006 and pert tetten Applicant: dated 5/9/2006 ad attached to this CO MICHAELS GROUP Hyd oseeding tcequiAed by May 23, 200� This structure may be occupied as a: {1�Y 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. BLDG. PERMIT NO. 2004-858 APPLICATION FOR A TEMPORARY.CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE°OF OCCUPANCY is hereby requested for the property located at; 11 A-spen Ridge for the following uses: Singte Pawity Dwe,PZLng WvLch 30, 2006 DATE S GNATUWE OF APPLICANT TEMPORARY,CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby (!°APPROVED ( )DISAPPROVED . with the following conditions: CeAti4,icate o� Occupancy .to be izzued upon comp.tetion o�: 1) SZt:e P:tan Appaovat 2► Finat &avey . TEMPORARY CERTIFICATE OF OCCUPANCY (yJ$10. DEPOSIT: (t*)$100.00 received on Ma),.n.h. 30, , 2006 Date of Issuance Director.of Bldg. & C e"E rcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 60 DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement or his designee. TOWN OF QUEENSBURY f 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040858 Application Number: A20040858 Tax Map No: 523400-278-020-0001-005-001-0000 Permission is hereby granted to: MIC;HAM',S C41(01 TP I For property located at: 755 MOONHILL Rd in the Town of Queensbury,to construct or place ;ti 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. j Tvoe of Construction Value Owner Address: JOHN MICHAELS, Fireplace 34 ORCHARD Dr Garage-2.Cars Attached QUEENSBURY, NY 12804-0000 Single Family Dwelling $440,000.00 Total Value $440,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2004-858 2037 sq ft SINGLE FAMILY DWELLING $302.44 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, November 08, 2005 (If a longer period is required,an application for an extension must�e made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) I Dated atthe To eensb Mo day,November 08;2004 SIGNED BY for the Town of Queensbury. Director of Building& ode orcement Binding Per mit Application Town of Queensbury-Dept of Conn-unity Development,742 Bay Road,Qucensbury,NY (518)761.8256 A permit must be obtained before beginning construction. Pciinit File No. � e No inspection will be.made until applicant has received a Fee Paid $-ka.K i valid building permit. All applicants' spaces on this Roe.Fee Paid $C? W application must be completed and must appear on the Reviewed By: application form. -- Applicant: 77Yt 141 c d A C'/S 61.,:�OP Owner: 7"NEE M ieoo AE'�: 60.0✓A Address: /��0—�i/Ac.�sm�'rr� ._ Address:/o Md6rm.�A(•+ c. /viAL-IA. &Y' AZQa0 I—AAMA Al Y I7-dao_ Phone#(S1)J--6311 Phone#(SAS ) .- C EN Property Location: Lot Number: -2 / House Number . / Ao-g,,J W.� 4 , 0 C T 2, 7 '20 04 SubdivisionName Tax Map Number: X e T :�. ttvi\`UF QUEENSSURY BUILDINGf fr`D GODS New Building: esiden /commercial 'Estimated Market Value of Construction: S cola .o Addition: TO co/ commercial If an Addition,what will use of new addition be? iG Alteration: residence/ commercial ;0 No change to exterior size: residence/com'1 - i e Other work(deacdbe ) Check OccnpancyIuformation 1 Floor Z° Floor Other floor Total $elow sq.it. sq.it. sq.It. Square Feet Single bardly dwelling 2►3 -1� a o 3 V qL1 a Two family dwelling a Townhouse O Multifamily dwelling #of waits o oface o Mercantile c Mamufaoturia 0 1 car ddaehed ge 0 2 car detached EMe O 3 car detached g=go i d 1 oar Attached gaxage V1 2 car attached garage O DU e 3 car attached prage a Storage building- commercial o Storage building- residential o Other What is the proposed height of the structure feet i inches Will any second-hand or ungraded lumber be used? If so,for what? 4/0 Type of Heating System: electric/ oil /(9 wood creed hot afr baseboard/other: Number of Firebiaces to be installed Number of MoAtoves,to be installed O, List below the person(i)responsible for supervision of work as regards to building codes: -�-- -- ,Y -- Narno^- --_ --=-vTAddress- Phone Number Builder.. 7-N9 rtl Per/ 1. ,ev" O S/ACX.1 ;rW A4 8?9-i 63!/ Plumber ',3 O Ai/ .4 a .J �/6S-aY Mason- e✓ %/ 6 G A. 4L4 Y 36r- o?17.6 (Electrician 6 rs a .� &kS—- al y8 Dacljrgt o please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code,the Zoning Ordinance and all other laws pertaininz 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 71we shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requestedby the Zoning Administrator or Director ofBuilding and Codes,anAs Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new construction. Signaturo; owner,owner's agent,architect,contractor Check .Residential Plan Review: One &Two Family Dwellings Y/N/N/A (2)Full sets of plans r Over 1,500 sq. ft.—Stamped Design Loads On Plans: 90 Wind Floor Loads 40 psf �( 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. Grade,5.0 sq.ft. 24"(h)x 20"(w)min. 44"Max.Hei t above floor �O Residential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofing/Waterproofing Materials On Plans Foundation Drainage On Plans,if required 6"Drop in 10'Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where Required Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls l/ Platforms At Exterior Doors Stairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise Winder Run and Rise r` Spiral Not Allowed From 2n Story Smoke Detectors Battery Backup and Proper Location �4 Bathroom Fixtures Proper Clearance Hall Width,36"min. ' Handrails More Than One Riser On Open Sides Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. - Safety Glazing Notes For Required Areas 2`'4- fl r Vk cc✓2 9 Garage Fire Separation Garage Floor Sloped Attic Access Roof over 30"—22"x 3 / yawl Spaces 18"x 24"Access vl Carbon Monoxide Detector Lowest Sleeping Level Soil Test Results,if required Septic To Well Or Water Line Separation All Paperwork Signed Fire Marshal's Office Town of'Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimn yd-,n v applicable to solid fuel & vented gas appliancesa Date /d , 20 !-:P�/ Permit Nof0i.-,.,. 7,200, Application is hereby made to the Building&Codes Office for the issuance of a Biiil..i'ng unil Ilse Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or oii%ndr,-. =1' agrees to comply with all applicable laws, ordinances,-regulations, and all conditions that are part off these requirements and also will allow all inspectors to enter premises to perform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: 2 R ^4 1 ti►,4,g ZS Stove: wood coal pellet gas Fireplace insert Address: /O B/Ae ks•"17-i-1 Fireplace, factory-built: wood gas .��d v ' Fireplace, masonry: wood gas Furnace: wood gas oil Phone: S/B- 8'99-63// If non-masonary applicance, please provide Owner: 77/,E 4o6;c&AE1s Manufacturer Name: Address: 8/Ae1sw. 1 Tit 1-'Ne. .Model Number: Chimney Information Phone: 57/8 - 899- G3// (circle appropriate words) Masonry block brick stone ''AA Flue tile steel size.' inches � . Exact Address: .2 /�( VA) / eC of construction or installation Factory-Built Manufacturer name: Model Number: i Listed By: Number: Construction/Installation must conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple wall / Insulated / Dire=venting Chimney Liner CJ�,orha[ear'ier D�pas�tz:: �-To YOrlr Fire Marshal Code 4 $Collected S Refunded Received from(refunded to): _ address: A 173 3389 (190) Public Safety A 233 2655 (230)Minor Sales J .- DATE: C �niwTau- 7otvw �if�n./�oti D� White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink R.Goldenrod(Cashier's Dept.) Application for Permit=S.43ptic Disposal System Town of Queensbury 742 Bay Road Quembury,NY 12804 (Si8) 761-8256 1. OWNER INFORMATION: ..„.......... ....,........,.�............., Office Use Location of installation: � � -- File Pennit No. - Tax Map No. Fee Paid Owner's Name: 71we 10iedAE'/s l�ieb J�. .............................................. ...... .............................. Address: !1?4G�� r 2. . .INSTALLER'S NAME : iTf�l ��t�S PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#bedroom(s) and multiply #of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House, No of Bedro=s x Comoutpt SM ._ Total Daily Flow r 1980 or older x 150 gal/bdrm m L; _ 1 — tool x 130 galfbdrra rl 991--presen x 110 gal/bdrm ��'� T �C T 2' 7 2004 Go6a a Grinder Installed es / no X S Y Spa or Hot Tub Installed yes! ,/ no 4.' PARCEL INFORMATION: (circle applicable information&indicate measurements) Soil Nature oMaterial a sand at what depth at what depth municipal oiling loam feet _ feet well Steep slope clay if well,water supply slope other from any septic-system depth: absorpdoi is other irx�r Percolation Test: (To be completed by.licensed professional engineer or architect) Rate., minute per inch 5. PROPOSED SYSTEM: For nw 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: 1a6'0 gallon(min,size 1,000 gal) Tile Field: each trench sy . f l; Total System Length:dl_f 1'. Seepage Pit(s): number of. �1 k size of each: ft. by_fit, Size�f Stone to be used: # / depth or thickness feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: J_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 Imown 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, o s` o 0 e gnatu a of res ons.ible person M M • 1 1• I . r . , -Tow, Tt of t�t=ucz�ial�Ta;t�y. ' snwom lull Sowillk : I)i$lmmil 0.1rsip lo. • r • /•11#•;�(�I.�I'''1't @��t Is'l 1i31.►tJ ', ' ' SI�.I'11•It11,'1'lWI`;1 ��IrtZ�J'(Itt�l�l i�lt�i.�l�. ..,:. . :• :. ., • ti • l meta POND 1'J�u. iN �l�►s1"rZ• tit T .40 �N t ' Sfi T�tTG • Y l ,� 'r �r.1•TY. r•'r ' 1 ��••.. r•r•Y r . 1 • ' ' r 7. SWrNATTJ= &)FIFO rSA'].'XIQ�I { l k'vt+4 �fisL a� �w•:+�,e1+,+rw.,...,..,.� . 1 w • , „ r w 4.. , j Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: NAME: LOCATION: PERMIT#: RS9 Final Survey Plot Plan AiDmoved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the survey has be n Craig Brown, Aoning Administrator Notes: L:\SueHemingway\Building.Codes.inspection.FORMS\Fina1 Survey Zoning Administrator.doc MAP REFERENCE MAP OF Q SUBDNISION LANDS N/F OF MADE FOR BRUCE ADAMS TRUST AGREEMENT THE MICHAELS GROUP BYs VAN DUSEN + STEVES DATEDsMQRCH 2O03 LAST REVISEDs NOVEMBER 7. 2005 s°a 455"� N? 190.g9 N j w k w -a a m � ab, LANDS N/F OF MITCHELL LOT 2 W �h LOT 1 146,390.81 sq.ft. ;3.36 acres O�O� �O S59011 '57"E 20.00' UTILITIES 2 5TORY 129.03� WOOD FRAMED �J 1 HOUSE ASPHALT I! DRIVE O O O � N47037'35"W /12.57' f °Aa �O N6g S 28, 202.24' 011� • r � S t�,. �t w ROAD Dates MARCH 29, 2006 D ,,1` 'INAUMW AM ALMA7M OR AMMO"TO A SMWY Scale 1'=60' MV A LAND SUMSY a SEAT.Is A Map of a Survey made for %VU "OF SEC00"7M.SUB-W%UM Z.W RIE KW I=STAR:CUM""A' S `_ 'm OOmfuPIES TROY ROE Wtl KL OF THS sm wM AN WaONt OF THE LAFO SURVL�'DRS - � WTN�VA�T THE MICHAELS GROUP 1 *=UF"WS NWCAM FE MH S%Wr THAT Ras VATQMM"wAs FNEPARED w AOOON 9N wTH THE Land Surveyors IffMWNEW FM LAM A� BT THE HER trWac STA7E ASSOGAIIOH a ROOFESSIWUL LAND SUNYEYORS SAD conMGIROHS SHALL Im"It TO THE MIWM Fro"WKX RIE SUM IS PREPARED,AM A°EW"'M L==*=TtfflWF LWO HEITAK NO Town of Queensbur Warren County,169 Haviland Road Queensbury, New York 12804 R,RK ASSO M OF M LMMG NSRW".' y, y, New York MICHAELS 01778 (518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIP77ON DWG. NO. 01133-1 r Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: IO NAME: LOCATION: Il A S �U PERMIT#: 0 4 S-x Final Survey Plot Plan A roved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the survey has been: Craig Bro , Zoning Administrator I 0 Notes: V Vl tt V)q)�" L:\SueHemingway\Building.Codes.Inspection.FORMS\Fina1 Survey Zoning Administrator-doe MAP REFERENCE LANDS N/F OF BRUCE ADAMS TRUST AGREEMENT MAP Of A 5UBDIV15ION MADE FOR THE MICHAELS GROUP BY, VAN DUSEN 5TEVE5 DATEDs MARCH 2O03 LAST REVISEDl NOVEMBER 7. 2005 45 0�1 "E N76 90,59 w j m LANDS N/F OF PHILLIP MITCHELL LOT 2 W h - } e '� LOT 1 146,390.81 sq. ft. o3.36 acres 0 1 1 S59011 '57"E 20.00' UTILITIES 53,S 7, 1 2 STORY 1 29.03- 1 WOOD FRAMEDGO t10U5E A5PMALT !1 1 DRIVE r O O Wig O � CK O O N47037'35"W �12.57' 0 y�8 �o ro N6� S 28 C. 1S"dy 202.24' r FG S86054155"W A. A DateR MARCH 29, 2006 11HAu7HaRIgD ALTERAi10N 0R ADDITION ro A SURVEY •_ � a� u 's e n � A L LAND S �IS A Map of a Survey made for Scale i 60 VIOLA710N OF SECRDN 72DB.SUB-DWION 2.OF THE NEW YM STATE EDUCATION LAW.' S t e v e s •AL<YDD��,HE DNT BE VALIor D T =�Y ANTHONY P . BRUNO AND NAR1f6D WIN AN ORIGINAL W THE LAND SURVEYORS SEAL SHALL BE ro BE VALID IHUE CWIES.• 1 CEnFrA RIS POCA70 HEREON SIGHFY THAT THIS SURVEY YMS PREPARED IN ACCORDANCE OR AD M A U R A E . HUNT Z Land Surveyors °�"° � M BY 7HE NEW PORK SPATE ASSOCIATON OF PROFESSIONAL LAND SURVEYORS.SAID CFRTFlCA,IOHS SHALL RUN ONLY M IHE PERSON FOR WM THE SURVEY 5 PREPARED,AND SHEET i OF 1 ON HIS BEHAL'TO IHE 7"LE COMPANY.DOVEIFlNENTAL 189 Haviland Road Queensbu New York 12804 AGENCY AND LEND"D"bI'TUT'DN LISTED HEREON.AND Town of Queensbury, Warren County, New York ry, ro THE ASSIGNEES aF THE LENO"D WS11M710N.• 1 4105106 CERTIFICA71ONS BRUNO/FtUNTZ 01778 (518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 01133-1 48-1-1 .21 / 278.20-1-5.1 Queensbury Building & Code Enforcement - ResidWfilal,Office No. (518)761-8256 Arrive: a am,64- Date Inspection request received: _ Inspector's Initials/1 NAME: A/k z AC-��7 ��P P IT#: 1� LOCATION: I t E: =8w 1 ` TYPE OF STRUCTURE: Comments Y N N/A C D�Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Co m lete Guard 30 in.or more @ stairs,decks,patios �-1�A� ��RUE� 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. atform at all exterior doors Fo t) LF— Interior Handrails stairs 2 or more riser(-07 (�FAoZ / LF Enclosed Stairs Sheetrock Underside minimum %Z" l� Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall , 0 CJ e, C-)C> C k-\ --� 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade WlA9 DL\ To Tot�J 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. V Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss, draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/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"access, 1-sq. ft.-150 s . ft. vents Building No./Address visible from road Final Electrical kite Plan /Variance required Final Survey Plot Plan ) /G .t9 0/6tiG As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, 'f r uired Okay to issue C/C prary/ ermanent L:\PamW\Building&Codes\Inspection Forms\Res, Final Insv. form 2.docLast printed 2/12/04 Queensbury Building & Code Enforcement - Residential Final Inspection n ` Office No. (518)761-8256 Arrive: iam/pm ,((��part: am/pm Date Inspection request received: Inspector's Initials: ,'J�y ( . i NAME: v PERMIT#: � LOCATION: DATE: TYPE OF STRUCTURE: Comments es Y No N/A Building Number/Address visible from road ChimneyHeight/"B"Vent/Direct Vent Location Fresh Air Intake , V// Pfr) 3 inch Plumbing Vent through roof minimum 6 inches 1-3 Roof Complete/Exterior Finish Complete Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches ol Interior Handrails @ stairs 2 or more risers 1j+�j% L L �4 14— Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches 07ZI02 L--- 7k3C D Bathroom/Kitchen watertight D 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 Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site t/ Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/Y4 hour fire door/door closer \\ Duct work Sealed properly Gas Logs in Sealed or ass 1psure X C s 1 Final Electrical ZOol Final Survey Plot Plan ��ste - Q1Gn'f11�e As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required r Flood Plain Certification, if required Okay to issue C/C or C/O [Temporary/Permanent] d K CA fe" L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405 S � .doocA - C\. �y �U Town of Queensbury Fire Marshal 742 Day Road / Queensbury,NY 12804 761-8205/761-8206 fax 7454437 f Factory l milt Gas Fireplace/stove Inspection Report 1 Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instruTions and Specifications contained in the kistallation Manual accompanying the appliance.No deviation from the manufac rer's instructions or specif7UTime ons is allowed. Periaiit# Schedule Inspection °3 '�-G� _/ am pm anytime Inspector Name MIZIZ�'�l/' �%lr��-- —Address 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) (e-' ^-== 1-• _ - -�rj� 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 withiia 10 feet Gas Shut-Off Value Combustion Air Hearth Extension (if any) Mantel Height above ff/p opening Witness Operation Tank Placement(if LP) White—EuiidingDept, _ _---- Yellow Cost er Pink—Fire Marshal Septic Inspection Deport Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p epart: i am/p 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: r NAME: l PERMIT NO.: J 2 LOCATION: c INSPECT ON: — RECHECK: Comments and/or diagram Soil Type: a' Loam/Cl Type of Water: Municipal f Well Wat Waterline separation distan ft. Well separation distance ft. Other wells: ft. Absorption Field: Total lengthy 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 Distributi Box 'A LI 7p Distribution Box jto,Fleld/Pit Opening Seale N/Partial End Caps Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan —T-Y N Engineer Report and As-Built Y N Location of System on Property: Front Rear Left Side t Side Middle Front Middle Re r A • '/�f System Use Statu . Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Last revised 1/6/05 Framing / Firestopping Inspection Report _ Office No. (518) 761-8256. Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: /pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 1 NAME: e C 6— PERMIT#: 0`` t LOCATION: INSPECT ON: TYPE OF STRUCTU A\ 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 %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 rF' l2, 3, 4 hour ping � „�� 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 I_ASueHemingway\Building.Codes.Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/prn Depart:"Z�30 am 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: (-,AA-b NAME: PERMIT #: 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 / Head 50 .S.I for 15 minutes sulation Residential Check / Commercial Check V l Proper Vent Attic Vent Duct/ Hot Water Piping Insulation �� - If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / o duct toe COMMENTS: LAPam Whiting\Building&Codes\lnspection 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 reques received: a Queensbury Building& Code Enforcement Arrive: am/p part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initial NAME: PERMIT#: LOCATION: INSPECT ON: TYP OF STRUCTURE: Framing Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/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 LASueHemingw•ay\Building.Codes.Inspection.FORM S\Framijig 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 Firmlage/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Lnst.allation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. 4 Permit# I 9 _ Schedule Ins action a.'�Time - am pm anytime luspeeto P Name �JLS Address Rough In�Final Appliance Manufaci:urer W,+ 6/7 f� Model# �0 DV15C-R P Direct Vent Factory Built Chimney Flue Size .Double Wall Triple Wall Insulated Y No N/A Comments Floor Protection -�' c, Clearances to Combustibles (all sides) U/j L Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) While—Building Dept. � �� Yellow cost er Pink—Fire Marshal Rough Plumbing / Insulation Inspection Report �6 � Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: m ep am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initia NAME: PERMIT #: 0 LOCATION: As p`� L t>C? 6.- INSPECT ON:_ 5 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 Cooper Commercial Cooper, CPVC,Pex One and Two-Family Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Framing / Firestopping Inspection Report Office No. (518) 761 8256 Date Inspection request received: 4 Queensbury Building&Code Enforcement Arrive: _ainr p! art: - pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: 11 f NAME: V&I&VkAd;'li" 6ozePERMIT#: LOCATION: INSPECT ON: t�zd TYPE OF STRUCTURt Y lv lviA COMMENTS Jac Studs/Headers racing/Bridging r oist 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 F' e 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 LASucHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518)-761-8256 Date Inspection-request received: Queensbury Building&Code Enforcement Arrive: am/p De art: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: y NAME: PERMIT #: LOCATION: 5�"41 INSPECT ON: TYPE OF STRUCTURE: Y N N/A PV R-1,R-2,R-3,R4 Drain/Vents C st Iron, opper Drain/Vent/Comm. lumbar ;Vent/Vents in Place fRq�u` H Plumbin /Nail Plates 1 '/ inch min.Drain Size WyAhing Machine Drain 2 inch min. ead'or'Air Supply Test and Vents ' s 5 PSI or 10 feet above highest ' connection for 15 minutes Clepnoutgvjery 100 feet/change of direction , Fate �SuPP1Y Piping :Cooper Commercial r...5..+" 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.luspection.FORMS\Rough Plumbing Insulation Repoit.doc November 17,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: r Queensbury Building& Code Enforcement Arrive: am/ epart: �m/pm y� 742 Bay Road, Queensbury, NY 12804 Inspector's Initials. NAME: N y1 PERMIT#: —I F' LOCATION: �S INSPECT ON: TYPE OF STRUCTURE: Y lv lvia COMM04S F mg �. 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 w 2, 35 4 hour ol .100 F 7 J a,. �restoppmg4: ` �jL� D(��I —QtJ netration 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:\SueHemin-.way\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: i Queensbury Building&Code Enforcement Arrive: arrd art: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT L. #: � LOCATION: AQ INSPECT ON: -- -- TYPE OF STRUCTURE: Y N N/A COMMENTS gack ing Studs/Headers ► ' [. ' l< s. Lr�,� ,�rr� Bracing/Bridging / Joist hangers Jack Posts/Main Beams v 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 e► ,, �/� LIce and snow shield 24 inches from wall P(&(�- 1� �l 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 LASueHemingway\Building.Codes.Inspection.FORM S\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: _a De art: afn/pm -„ 742 Bay Road, Queensbury, NY 12804 Inspector's Initiale3�2 1 � y 7 NAME: PERMIT#: C)q -o..'d LOCATION:. I INSPECT ON: TYPE OF STRUCTURE: g Y N lv/a � _ COMMENTS rktuds � `/Headersl AJ i l'9"g/Bridging 6'A_ Joist hangers 1 Jack Posts/Main Beams Exterior sheeting nailed properly p 12" O.C. I (�i✓17� —VI&VG G Headroom 6 ft. 8 in. J i Stairwells 36 in. or more L4v, vQyA_ V&< D -ekwe e rdC r/�1 Headroom 6 ft. 8 in. '72 Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % (w) 16 gauge (8) 16D nails each side YJ Draft stopping 1,000 sq. ft. floor trusses �y Anchor Bolts 6 ft. or less on center P�bU t I T2 U Ice and snow shield 24 inches from wall - Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour °V Firestopping /'�� +C�� '%Penetration sealed 16 inch insulation in cavity min. �J rr \\ Garage Fire Separation ckc-a4 W 1 �'7G l� I GQ House side % inch or 5/8 inch Type X n n 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 5.0sfgrade � l j #� •�`��`/� L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Deport Office No. (518) 761-8256 Date Inspection re est iv Queensbury Building&Code Enforcement Arrive: > pm 4 part:'�� a� 742 Bay Road, Queensbury, NY 12804 Inspector's Initi ls: NAME: 1 9 _ PERMIT#: ' U R LOCATION INSPECT ON: — ®� TYPE OF STRUCTU : Framing S� Y N N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %z (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center L,jpeland snow shield 24 inches from wall 00or Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping �� Penetration sealed F' 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.FORMSTraming Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: � i� Queensbury Building&Code Enforcement Arrive: aIn/pm Depart: V%' am it 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: (7TO t)Y3 PERMIT#: �1 LOCATION: ` INSPECT ON: TYPE OF STRUCT Framing Y N iN/A COMMENTS Jack Studs/Headers Bracing/Bridging r Joist hangers Jack Posts/Main Beams Exterior sheeting 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 Ancho Bolts 6 ft. or less on center and sno field Dinches from wall Fire separation 1, 2, 3 tiour 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 LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: 41 Queensbury Building &Code Enforcement Arrive: arn/ Kpart: a m 742 Bay Road, Queensbury, NY 12804 Inspector's Initials. / NAME: C, G r PERMIT#: — LOCATION: 1` INSPECT ON: <- _ S TYPE OF STRUCTURE: Y N N/A COMMENTS Framing Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses _ � l Anchor Bolts 6 ft. or less on center 1 � e and snow shield 24 inches from wall Fire separation 1, 2, 3 hour ��j>N Ail L 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 LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: O S Queensbury Building &Code Enforcement Arrive: am/p Depa '• �i 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial NAME: PERMIT#: <r LOCATION: INSPECT ON: � TYPE OF STRUCTURE: Comment 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. oundation/Wallpour Reinforcement in Place F,,oundAion'Dampproo fing Foundation/Waterproofing a 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 5c TiIl,A roval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.Inspection.FORMSUbundation Inspection Report.doc Januajy 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection equ st ec ived: Queensbury Building &Code Enforcement Arrive: m/p, V Depart: '% an �m 742 Bay Rd., Queensbury, NY 12804 Inspector's Initia s: NAME: C�l C\ �, 'S\� PE T#: 0 o R51 T LOCATION: INS CT ON: bL TYPE OF STRUCTURE: Comments y_ N N/A j C Footin!> N ers 1 Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or,Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.Inspection.FORMSToundation 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 milt Gas Firep&—C /Stove Inspection Re>3ort Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions d specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufactuv's instructions or specifications is allowed. �v ]Permit#,c a` Schedule Inspection Time j�D am anytime InspectorcAt- Name =�f _Address_l� 7�3^� L , hough In. Final_ Appliance Manufacturer._ � ��6 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) ��,�� j., R �r` g+irestop(s) Vertical Chase — Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above Vp opening Witness Operation Tank Placement(if LP) pink—Fire Marsnwa white—BuildIng Dept. �J Tv_ Yellow Celt er Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 )Factory Built Gas Fireplace/Stove hisRectign Re ort Notice:New York State requires that all UL]Listed,factory built appliances be installed according to the•u►struct�ons and specifications contained in the Installation Manual accompanying the appliance.No deviation from the ig nuf�a''cturcr's instructions or specifications is allowed. / Permit ' ) Schedu➢e Inspection Time / am pm anytime Inspector�l Name �-�� Zt;��' Address — ou h.i�a Final — Appliance Manufactaarer. Mode143 L-S]- 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 midst be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet ' Gas Sheet-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept. �� — ~— Yellow C1oHt er Pink—Fire Marshal OWNER: MAP REFERENCE: THE MICHAELS GROUP MAP OF SURVEY 10 BLACKSMITH DRIVE OF LANDS, OF MALTA, NEW YORK - SANDRA B. & MARTIN J. CECH SR. DATED: SEPTEMBER 11, 1980 BY: W.J. ROURKE, ASSOCIATES APPLICANT: DEED REFERENCE: THE MICHAELS GROUP JEANNE C. ALLEN 10 BLACKSMITH DRIVE TO MALTA, NEW_ YORK MARTIN J. & SANDRA B. CECH DATED: NOVEMBER 1, 1985 BOOK 677 PAGE 263 %ZONING INFORMATION: R' RURAL RESIDENTIAL 3 Acre 8C SETBACKS: FRONT = 50' TRAVEL CORRIDOR = 75' SIDE = 30-' qo REAR = 30' �\ TAX MAP NO. 48-1-13.1 \\ ioo TOTAL AREA \ 449,290 sq.ft. 10.31 ac LANDS N/F OF \\ PHILLIP MITCHELL \ 110 \ CIRF 120 �\ \ ir, 130 ,"V) Lj- YS W 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\l Moon Hill.rck TITLE:Hastings �� C` ' 1 ED COUNTY:Warren OCT 2004 STATE:New York TO+,'h\J 0, HDD:7635 ! CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric _® DATE: 10/18/04 DATE OF PLANS: October 18,2004 PROJECT INFORMATION: Lot#1 Moon Hill Queensbury,NY COMPANY INFORMATION: The Michaels Group f,f ;y,+;;r gi pp.•—�,,e -,' ; "19 10 Blacksmith Dr. Malta,N.Y. 12020 NOTES: Hastings Pella Proline Windows 1 ';; COMPLIANCE:Passes Maximum UA=587 Your Home UA=571 2.7%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 2:Raised or Energy Truss 1855 30.0 0.0 59 1st floor walls:Wood Frame, 16"o.c. 2151 19.0 0.0 102 Mud rm.#20:Solid 19 0.240 5 Entry door#lB:Solid 37 0.350 13 Family#10881:Glass 53 0.350 19 4x Living(D):Wood Frame,Double Pane with Low-E 62 0.340 21 lx Dining(C):Wood Frame,Double Pane with Low-E 31 0.340 11 2x Dining(D):Wood Frame:Double Pane with Low-E 31 0.340 11 lx Kitchen(AS):Wood Frame,Double Pane with Low-E 15 0.340 5 2x Brkfst(CJ):Wood Frame,Double Pane with Low-E 26 0.340 9 Ix Brkfst(BY):Wood Frame,Double Pane with Low-E 33 0.340 11 8 lx Brkfst(BX):Wood Frame,Double Pane with Low-E 16 0.340 5 Brkfst#34: Glass 23 0.350 8 2x Family(CY):Wood Frame,Double Pane with Low-E 22 0.340 7 2x Family(DA):Wood Frame,Double Pane with Low-E 6 0.340 2 lx Family(DB):Wood Frame,Double Pane with Low-E 13 0.340 4 2x Family(CZ):Wood Frame,Double Pane with Low-E 26 0.340 9 2x Family(CS):Wood Frame,Double Pane with Low-E 7 0.340 2 2x Study(AH):Wood Frame,Double Pane with Low-E 24 0.340 8 lx Study(D):Wood Frame,Double Pane with Low-E 15 0.340 5 2nd floor walls:Wood Frame, 16"o.c. 1429 19.0 0.0 . 73 lx Mbr(D):Wood Frame,Double Pane with Low-E 15 0.340 5 2x Mbr(CB):Wood Frame,Double Pane with Low-E 19 0.340 6 lx Mbr(EB):Wood Frame,Double Pane with Low-E 22 0.340 7 2x Mbath(DC):Wood Frame,Double Pane with Low-E 46 0.340 16 lx Bed#3(C):Wood Frame,Double Pane with Low-E 31 0.340 11 lx Bed#2(BE):Wood Frame,Double Pane with Low-E 30 0.340 10 lx Foyer(DQ):Wood Frame,Double Pane with Low-E 13 0.340 4 lx Living High (EA):Wood Frame,Double Pane with Low-E 16 0.340 5 lx Bed#4(D):Wood Frame,Double Pane with Low-E 16 0.340 5 Basement Wall 1:Solid Concrete or Masonry 1569 0.0 11.0 102 Wall height:7.6' Depth below grade:6.6' Insulation depth:6.0' 3x Std Bsmt Windows:Wood Frame,Double Pane with Low-E 5 0.520 3 Bed#3 Floor above Garage: All-Wood Joist/Truss,Over Outside Air 245 30.0 0.0 8 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 attest g at to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in complian ith t ' C e. Builder/Designer Date j REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release lc DATE: 10/18/04 TITLE:Hastings Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 2:Raised or Energy Truss,R730.0 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,7.6'ht/6.6'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. 4x Living(D):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. lx Dining(C):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 Dining.(D):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. lx Kitchen(AS):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. 2x Brkfst(CJ):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. lx Brkfst(BY):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. lx Brkfst(BX):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: [ ] 8. 2x Family(CY):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. 2x Family(DA):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. lx Family(DB):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. 2x Family(CZ):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. 2x Family(CS):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. 2x Study(All):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 Study(D):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 Mbr(D):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. 2x Mbr(CB):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 Mbr(EB):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: [ ] 18. 2x Mbath(DC):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: [ ] 19. lx Bed#3(C):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: [ ] 20. lx Bed#2(BE):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: [ ] 21. lx Foyer(DQ):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: [ ] 22. lx Living High (EA):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 [ J No Comments: [ ] 23. lx Bed#4(D):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: [ ] 24. 3x Std Bsmt Windows:Wood Frame,Double Pane with Low-E,U-factor:0.520 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: Doors: [ ] 1. Mud rm.#20:Solid,U-factor:0.240 Comments: [ ] 2. Entry door#1B:Solid,U-factor:0.350 Comments: [ ] 3. Family#10881: Glass,U-factor:0.350 Comments: [ ] 4. Brkfst#34:Glass,U-factor:0.350 Comments: Floors: [ ] 1. Bed#3 Floor above Garage:All-Wood Joist/Truss,Over Outside Air, R-30.0 cavity insulation Comments: . Heating and Cooling Equipment: [ ] 1. Furnace l:Forced Hot Air,80 AFUE or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a 3"clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,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 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. l 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) F:, ;• ---, .� s�. _ - _:3.. i .:. f ,_,_fir t ,r .� - ,,,.,f �yj\ �� {l'•y�-`*�, L :� ``�-�..o `-- - --tea- `"---•m. - spa �'► .. '`�.f � � --+._""``- .,,a � ; - ,+, � � � `��' •`r -'•,"� ��'/'+�„r„ mow- '`� -r'"..... _ � -- �`-�M.: � ,�`'�` _ , - � � - :" ` { t� f OF =� -