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2004-903 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: P20040903 Date Issued: Wednesday, April 27, 2005 This is to certify that work requested to be done as shown by Permit Number P20040903 has been completed. Tax Map Number: 523400-302-017-0001-030-000-0000 Location: 16 WINTERGREEN Rd Owner: LARRY CLUTE Applicant: CLUTE ENTERPRISES INC. This structure may be occupied as a: By Order of Town Board Garage - 2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040903 Application Number: A20040903 Tax Map No: 523400-3 02-017-0001-03 0-000-0000 Permission is hereby granted to: CI,IITE ENTERPRISES 1NC. For property located at: WINTERGREEN 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: THOMAS &PATRICIA RYDZY 13 LUPINE Ln Garage-Z Cars Attached QUEENSBURY, NY 12804 Single Family D«elling $120,000.00 Total Value $120,000.00 Contractor or Builders Name /Address Electrical Inspection Agency CLIJTE ENTERPRISES INC. 13 DAWN Rd OUEENSBURY. NY 12804 Plans&Specifications 2004-903 1168 SQ FT SINGLE FAMILY DWELLING $180.16 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, November 30, 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 Town ensb Tu t, November30, 2004 SIGNED BY for the Town of Quueensbury. Director of Building&Code Eent - 1 JDUJUUMg rerm t AppucaziOn RECEI E Town of Queensbury-Dept of Community Development,742 Bay Road,Queensb _ ,NY (518)761-8256 - .03fV6y 2004 b�1 A permit must be obtained before beginning construction. Permit File No. TOWN OF QUEI NSBURy No'inspection will be made until applicant has received a lNG A CODE �P PP � Fee Paid $ valid building permit. All applicants'spaces on this Rec.Fee Paid .$ application must be completed and must appear on the Reviewed By: application form. Applicant: `.- Owner: -` Address: -k cb�,, (ZS Address: Phone#(Sa) Phone# Property Location: Lot Number: / House Number Subdivision Name: Tax Map Number: -]- ( - C% 1VNew Buil ' residence mmercial Estimated Market Value of Construction:$ ci Addition: r ence/ commercial If an Addition,what will use of new addition be? u Alteration: residence/ commercial t] No change to exterior size: residence/com'1 v Other work(describe ) Cheek OccupancyInformation 1' Floor 2° Floor Other floor Total Below sq.ft. sq.It. sq.ft. Square Feet o Single family dwelling T v Two famfl dwellin v Townhouse o Multifamily dwelling #of units a Office (3 Mercantile o -Manufacturing t3 1 car detached garage v 2 car detached garage 0 3 car detached garage v 1 car attached garage 0 2 car attached garage wt)c 0 3 car attached garage 0 Storage building- commercial o Storage building- residential o Other What is the proposed height of the structure 7)n feet _ inches Will any second-hand or ungraded lumber be used? If so,for what? mac, Type of Heating System: electric/ oil gas./w od / orced hot air/ aseboard/other: Number of Fireplaces to be installed i Number of Woodstoves to be installed C6 List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder Plumber Mason ?7 Electrician " Declaration: please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Buildin Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,whether or noted, d tha Itwork is authorized by the owner. Further,it is understood that Uwe shall submit,prior to ertificate o c cy o Certificate of Compliance being issued,as requested by the Zoning Adminis or Due r o des,an As B ill urn by a licensed surveyor,drawn to scale,showing actual locati f all ne e: owner,owner's agent,architect,contractor Check Residential Plan Review: One &Two Family Dwellings Y/N/N/A (2)FulI sets of plans Over 1,500 sq. ft.—Stamped Design Loads On Plans: 90 Wind Floor Loads 40 psf 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size Door Schedule/Main Entrance 36"Door mergency Escape Or Bedrooms and Habitable Space ' Above/Below grade,5.7 sq.ft. Grade,5.0 sq.ft. 4"(h)x 20"(w)min. 44"Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK mpproofmg/Waterproofing Materials On Plans Foundation Drainage On Plans,if required "Drop in 10'Exterior Grade F mmg Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where e q uired ce and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors fairway Headroom 6' 8'AN Stairs 36"Width Stair Run and Rise Winder Run and Rise Spiral Not Allowed From 2n Story Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance all Width,36"min. andrails 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 arage Fire Separation Garage Floor Sloped Attic Access oof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access Carbon Monoxide Detector Lowest Sleeping Level Soil Test Results,if required Septic To Well Or Water Line Separation All Paperwork Signed Job-Site Address: Se Date: Owner: Application No. File No. t- O WINDOW SCHEDULE .. ,., :..�$I:r..,"`p'?...,N.,..y:•;.:v..d"..,,:�?�:, ar a'i�Ya',•.Y.a�r,,.:;.. :'SiC;':'fix "}ra' i�7+� '•?'':� ;rj, d.y;:45',. . ,.: �..y,.._.,::p>.. ..i•��, r'� ...y�,�, .. .::::,.:�:..,l��T �:�"-,.�.•rC��f'L1S"��:r..r.'!'%''"ni•,". :'%di'F•: :j.1•:.+:::::'�.iti�::':.i:'>'„.:.f b..•<,..,y'tti.`4hz,'F"t' _�,•�v�"'�..; ... � �"„�.n,Ff�pt,'Y�. "�Teccu�:o:..ktS:.�x�r:*,,.,�::•:L.t.:M•.. �. .::.. .....r,... Y , ,. Window Window Mfg. Window Unit or QK Gle r Clear Special Hardware or Number or Name Model Stock ripening (Jpepmg `,C�assiib rctSgress/ lea Openv�g Opepltig Hetght Instructions Letter on Or Type Number 1XtzdthL��i 7e i OiniY}giti5h C��n,Inol}es t it a Plan t _ Call Size �a,4 ``zi i 'p j t Joi II�N Fib$ a r 3 { 7 n r. r 7. THIS LINE HAS EXAMPLES OF SAMPLE ENTRIES �o TAMper ..Y .2' ,�i..T•�s:• .' '.i 1 .:t:,: c. �� Lt;.4. .a t� �' }ti.,, ;Z'�:... !F •� r r .,T .�.<.,,...... : .. 5.:..., .mil ..,y<.:.; ,. :.P�✓...,.....n n.Y.... '.�Ct.. i��.%Ce:, �.:I:•::....:�' ZM cr vm NO ;v c Cl) CD M .:\SueHemingway\Building.Permit.FORMS\Window Schedule.doc Ibb Site Address: r-c� el, Date: t't'(�z(��-� Owner: Application No. File No. M4 l ]Building Permit -- Calculation Sheet Natural Light, Ventilation & Emergency Egress Requirements Habitable Area of Req. Light Actual '• Req.Vent Actual t`{ Sq.Ft. Remarks Room Room 8%of Room Light 4%of Room Vent Opening for in � Area Square Area Square f[' Egress Square Footage Footage Feet DL Ica 8 (i. of ?. '1 a x w.S•i 20 6 D zM v1 m.� $0 cm C m U\SueHemingway\Building.Permit.FORMSW at.Light.Vendl.Calculation.Sheet.doc ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY ��V 1 5 2004 9000 HEATING DEGREE DAYS ._ Compliance Methods:Part 5 -Acceptable Practice Method—1&2 Family Dwellin i onl Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwelling; Multi=Family Dwellings(3 Stories or less) Part 4*-Design by Component Performance,Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT'S NAME: PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: l. Gross Floor Area 1 'l (,O square feet 2. Type of heat- Electric Oil Gas Other 3. Is building mechanically cooled? yes_ kNo 4. Percentage of area of windows and doors Over 17% Under 17% 5. R-VALUES FOR INSULATION GIVEN BEL OW MUST CORRESPOND TOR VALUES AS , SHOWN ON PLANS SUBMITTED: as Roof R b. Exterior walls R \ C. Glazed areas R :7 d. Exterior doors R '1 4--5 e. Floors over unheated spaces R15_ f. Edge of slab on grade(heated building) R g. Basement/cellar walls(above grade) R A 9 h. Basement/cellar walls(below grade) R i i i. Heating/cooling-ducts-piping in unheated space R q.� 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code Yes No TEMP CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED p ' Sign a Date r Phone Number INSPECTOR'S REMARKS: } Application for Permit-Septic Disposal System RECEIVE D Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256. 1. OWNER INFORMATION: .NO.V....0.21W4................... .._._..__ . n � _'___p ficeUse Location of installation: (v CAS';, r✓��e:s. J T�° � QUEEe9S$URY SUILUNG AND File Perms �� Tax Map No. / ! `` Fee Paid Q`A Owner's Name: n,-, (�� ....__................_._.._._._.._._............. -.._.__..__................._..._. Address: `� � 2. INSTALLER'S NAME : •t ��-, 6� ��_c'y,_ PHONE NO.7�3 '73:7 7 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gallbdrm = 1980—1991 x 130 gal/bdrm = 1991—present -7- x 110 gaUbdrm = Garbage Grinder Installed yes_ / no Spa or Hot Tub Installed yes_ / no 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil.Xature Ground Water Bedrock or Im ervious Material Su 1 -Rinlat sand at what depth at what depth municipal--) g am feet feet well Steep slope clay if well;water supply %slope other from any septic-system depth: absorption is 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: 0 C�g gallon(min.size 1,000 gal.) Tile Field: each trench 5b ft. , Total System Length: Seepage Pit(s): number of size of each: {t. by ft. Size of Stone to be used: #_ / depth or thickness feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval granted.which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant,shall be void. I have read the regula ' s with res to this application and agree to abide by these and all requirements of Town of ee ury tary Sewage Disposal Ordinance. � C 1 � S rfla&re esponsible person. Date Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/p a art: Date Inspection request received: _ inspector's Initials: _ fi NAME: t. PERMIT#: C' LOCATION: t ) � M� DATE: �rT TYPE OF STRUCTURE: _ Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake �T / /� 3 inch Plumb Vent through roof minimum 6" l v Roof Complete/Exterior Finish Complete Guard 30 in.or more @ stairs,decks,patios ' 1 Guard.at stairwell at 34 in. or more VA, 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 _ n 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 Tern 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 // I Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in,x30 in.(ht.)In accessible area Crawl Spaces 19"x 24"access, 1 s , f3.-150 s . ft.vents Buildin No./Addr s visi le I=road Final Electrical �Z Site Plan /Varia4cd reqked Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent L:\PamW\BuildinQ&Codes\Inspection Forrns\Res. Final Insp. form 2.docLast printed 2/12/04 Queensbury Building & Code Enforcement - Residential Final-Inspection I Offide No.(518)761-8256 Arrive: am/p part: am/pm Date Inspection request received: Inspector's Initials: P NAME: _ L v f D PERMIT#: LOCATION: — DATE: Z _ TYPE OF STRUCTURE: Comments -- Y N N/A Chimney H1./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Com lete Guard 30 in.or more a)stairs,decks,patios -� D v G-� 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. late 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 lazin 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 B46ement stairs closed rise>4 inches ara a Floor Pitched _ Garage fireproofing/1/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in,x'30 in.(ht.)In accessible area SLR Crawl Spaces 18"x 24"access, 1 s . ft,-150 s . ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent L:\PamW\Buildinp &Codes\Inspection Forrns\Res, Final Inso. form 2.docLast printed 2/12/04 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: NAME: LOCATION: PERMIT#: Final Survey Plot Plan AwDroved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the survey has been: ( ) h�� Craig Bro , oning Administrator Notes: L:\.SueHemingway\Building.Codes.Inspection.FORMSTinal Survey Zoning Administrator.doc MAP REFERENCE: MAP OF SECTION TWO OF OLD FORGE PARK P DATED: FEBRUARY, 1963 z BY: COULTER & McCORMACK ASPHALT DRIVE S84°48'00"E x x ___ X 150.00' x N N ri M LEGEND: s*fo A OIPF = IRON PIPE FOUND a = WOOD FENCE LINE —�` -----_ 74.38' -- x = METAL FENCE LINE = o U11LITY POLE rya STORY WOOD i O= FIRE HYDRANT r�+� SAME o a HOUSE 1 04 38.7v Lij �► �� CONCRETE F i OVER CONC.PAD r - '' CRUSHED 5TOt4E cONC.PAD V ._. _. AREA OVER BY 3.44' _ 24,000 sq. ft. 0.55 acres 5.75 0 W � 04 O T. � M L 150,00, d' rn N84048'DORW . �F C. eT APR 2 , 00 'LRawn,anzm AL=ATM OR AOOLnw To A,simy Scale 1'=20' YAP BE~A LICUM LAND SURVEYORS SEAL W A Map of a Survey made for ^� NOLATNMi OF SMTM 720%8L6-01VAM$CF A£ NLW V=STAR MUCA"LAW.' ,ONLY COPI b Ste-ves M01 94Of7"E LAUD SA91.MM A1ARK[D WITH AN ORIWNAL Or TNC LAiD 91AN[R716 CeA sM SMALL DF.CpI510M To K VALID TIME COFW S 1 ISSIMAAWW RWAM�N�„TMAT TODD R. CRAWFORD 7lDS SURIEY WAS PRITAR[D N ACCOLIDANCE TMD1 7ME Land Surveyors STReI" °'F A°°= .Y,TE NLYt T01M Sb1TE A5504ATpN DF LAND SW AU SAID COMFIC MOMS SMALL RUM OLY TO TFE patsw FOR MWY*E away IS FWAIM Am ON HIS GO MF TO TIE 1171E OW MY,00 E10110iW. 169 Haviland Road Queensbury, New York 12804 TOThe "'�` OOrD"UNN4"" MIC' A'° Town of Queensbury, Warren County, New York TO TNC A961GNCd Or TM[ILOYIG t6nn/110f4' • CRAWFORD (518) 792-8474 New York Lie. No. 50135 1 1 1 1 NO. I DATE DESCRIPTION DWG. NO. 0312G-B 119-4-14/302.17-1—30 C 1477 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection re est ecei e J Queensbury Building &Code Enforcement Arrive: a pm r Depart: a n 742 Bay Rd., Queensbury, NY 12804 Inspector's Initia s: NAME: ��L�K� P IT#: _�`z�^�4� LOCATION: !!P �-�_ SPECT ON: 5 TYPE OF STRUCTURE: _ Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection.from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of 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 b tL js�� Backfill Approval /� U� Plumbing Under Slab _ �l,o�J� \-0 PVC/Cast/Copper � � � Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. \ I.:\SueHemingway\Building.("odes.Inspection.FORMS\Foundation Inspection Repoil.doc January 28,2003 C69) Rough Plumbing J Insulation Inspection Report Fz Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am epart: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials• I / NAME: PERMIT #: U 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 -Cle��, iy tpojeet / change of direction FPre Dr / Vent Head above highest connection for 15 minutes tPressure:l'es VtZ er Supply Piping JI Gr,� `• i Head .SA-P:S:I-f.Qr 15 minutes �_nsulation esidential Check / Commercial Check IPrb er Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace ct work sealed ro erl / No duct to e COMMENTS: L A r LAPam Whiting\Buildi a a-4 odeAnspection 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: °5 Queensbury Building & Code Enforcement Arrive: am/p epart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT #: --V � —qo3 LOCATION: I&,- INSPECT ON: a3 1 16 TYPE OF STRUCTURE: Y L N N/A RoiV I%:_Plum6i % Nail Plates umbing Vent/ Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet / change of direction f PreS`s`ire'=Test Drain / Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes ��lem r R,p(q ure-Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation /.Residential Check/ Commercial Check Proper Vent Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: LAPam Whiting\Building&Codes\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 reque t received: Queensbury Building& Code Enforcement Arrive: aiTV n pa m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: r NAME: PERMIT#: JT LOCATION: UP 0i, INSPECT ON: ;L3 16S TYPE OF STRUCTURE: Y N N/A �Frramin { 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 l. -"Ice and snow.-shield,-?4 inches from wall .�`_ Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour t Penetration sealed j - 16 inch insulation in cavity m* . 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.lnspection.FORMS\I-raming Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report PP g P P Office No. (518) 761-8256 Date Inspection quest r v Queensbury Building&.Code Enforcement Arrive: _am/pm art: a m 742 Bay Road, Queensbury, NY 12804 Inspector's. itial NAME: PERMIT#: CP0o l 0 3 LOCATION: INSPECT ON: =JT�—{� TYPE OF STRUCTU : Framing Y N N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate i 1 %z (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses 'r Arc r Bolts 6 ft. or less on center e and snow shield 24 inches from wall Fire separation 1, 2, 3 hour r' 4 Fire wall 2, 3, 4 hour j 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 LASucHemin-way\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection r quest. ceiv d: Queensbury Building&Code Enforcement Arrive: al p part: Za 742 Bay Road, Queensbury, NY 12804 Inspector's ImNAME: PERMIT#:LOCATION: INSPECT ON TYPE OF STRUCT RE Framing Y N N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %z (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Ancodr Bolts 6 ft. or less on center e 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\Bui Win g.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/ art: 4 amlpm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT NO.: jo `7 O� LOCATION: INSPECT ON: — RECHECK: Comments and/or diagram Soil T . and oam/Cla Type of Water M cipAP Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench 5 ft. Depth of trenches F]7- ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Siz Type Building to tank r-0 4A Tank to Distribution Box Distribution Box eld/Pit Opening Sealed Y Al Partial s d_ Location/Separations Foundation to tank ft. Foundation to absorption ft.. Separation of Pits Conforms as per Plot Plan Y N Location of S " on Property: Front Rear Left Side Right Side 1Vliddle Front fiddle Rear System Use Stat Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved LASueHemingwaylBuilding.Codes.lnspection.FORMS\Septic Inspection Report.doc January 28,2003 i I have seen or observed,or believe I saw evidence off,; ai o ec suc s ses;w leis ls, rees,fenes, e$c.; =- - - R o -oW , � ,fiep u ttt-1= en#tha - : per-som ancesset#orth_ _q'':the diarar�. .. __--- , i AT ` -07 r am ; i : ! rrrr . V ----- - ---- — �U I i I i I 1 ` [ , ,a-S w , Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ Depart am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: \ PERMIT#: 0 I LOCATION: c� ,r tc� vim_- INSPECT ON: —c�O 0 TYPE OF STRUCTURE: Comments Y N N/A '•✓ Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallp our inforcement in Place "atio pampproofing Foundation/Waterproofing Type of Dampproofng/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 1.2 inch width 6 inches above footing 6 it poly for wet areas under slab f' dBackfill Approval ` I Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 � �r Foundation Inspection Report Office No. (51S)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depart: i am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials. NAME: U PERMIT#: — L LOCATION: INSPECT ON: TYPE OF STRUC U Comments Y N N/A ootings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement . of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place t 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 d Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Bui1ding.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003 r CA� Foundation Inspection Report , Office No. (518) 761-8256 Date Inspection request received: Id— / G T Queensbury Building &Code Enforcement Arrive: am/ �epart: I/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:�J NAME: i ' PERMIT#: LOCATION: &2 INSPECT ON: ? TYPE OF STRUCTU Comments Y 1<T N/A Footings Piers or— 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. I,ASueHemingway\Building.Codes,Inspection.FORMSToundation Inspection Report.doc January 28,2003 1�) 0 o L4-�� Permit Number REScheck Compliance Certificate Checked By/Date New fork State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release I Data filename: C:\Program Files\Check\REScheck\16 Wintergreen.rck COUNTY: Warren C_,, r r= STATE:New York V HDD: 7635 CONSTRUCTION TYPE: Detached 1 or 2 Family NOV 1 5 2004 HEATING TYPE:Non-Electric M' � _ DATE: 11/03/04 DATE OF PLANS: 11/3/2004 PROJECT DESCRIPTION: 16 Wintergreen Queensbury,NY 12804 DESIGNER/CONTRACTOR: Clute Enterprises,Inc. 13 Dawn Road Queensbury,NY 12804 COMPLIANCE:Passes Maximum UA=354 Your Home UA—306 13.6%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door - Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1168 30.0 0.0 41 Wall 1: Wood Frame, 16" o.c. 1476 19.0 0.0 74 Window 1: Vinyl Frame:Double Pane 163 0.490 80 Door 1: Solid 40 0.230 9 Door 2: Glass 40 0.490 20 Wall 2: Wood Frame, 16" o_c. 512 19.0 0.0 31 Basement Wall 1: Solid Concrete or Masonry 656 11.0 0.0 51 Wall height: 4.0' Depth below grade: 3.0' Insulation depth: 4.0' Furnace 1:Forced Not Air,90 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 attesting that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in compliance with this Code. t i Builder/Designer Date C � REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release Id DATE: 11/03/04 Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: [ ] 2. Wall 2: Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry,4.0'ht/3.0'bg/4.0'insul, R-11.0 cavity insulation Comments: Windows: [ ] 1. Window 1: Vinyl Frame:Double Pane,U-factor: 0.490 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: Doors: [ ] 1. Door 1: Solid,U-factor: 0.230 Comments: [ ] 2. Door 2: Glass,U-factor: 0.490 Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air,90 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. y 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: [ ] I 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. Breplaces: [ ] 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 Yor lc 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 T must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(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: Mirninnum Insulation Tlnickizess 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" Beating 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) I i I } "1 have seen or observed,or believe 1 sour evidence of,. all objec$s such --ses;:wells;trees,;fences, etc.: - - -�- - - --- - -- _ ,-i' i - - - -- - shown' ocu 2Ctt a so-represent#ha#-� have — ances set forth n the diagra pers m f, 4 i ATE.___- --- 1000 416- , St , TITRE 1 a 1 1 • 1 : i I s t i : v 1 — , i