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2003-026 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: P20030026 Date Issued: Wednesday, June 11, 2003 This is to certify that work requested to be done as shown by Permit Number P20030026 has been completed. Tax Map Number: 523400-308-008-0001-067-000-0000 Location: 22 'KYLIANS Way Owner: BURNT HILLS LLC Applicant: BURNT HILLS LLC This structure may be occupied as a: By Order of Town Board Garage - 1 Car 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: P20030026 Application Number: A20030026 Tax Map No: 523400-308-008-0001-067-000-0000 Permission is hereby granted to: BURNT HILLS LLC For property located at: 22 KYLIANS Way 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: BURNT HILLS LLC 15 F BIRDIE Dr Garage- 1 Car Attached Single Family Dwelling 100,000.00 QUEENSBURY,NY 12804-0000 Total Value 100,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency CLUTE F,NTFRPRTSES COMMONWF,ALTH F,LF,CTRTCAL T 13 DAWN Rd RON MIJMBLO OT JF,F,NSBT JRY.NY 12804 NY 12804-0000 Plans&Specifications 2003-026 1274 SQ FT SINGLE FAMILY DWELLING WITH ONE-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $188.08 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 06,2004 (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 of Queensbury; Thursday,March 06,2003 SIGNED BY for the Town of Queensbury. Director of Xuild^e Enforcement Building Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road, Queensbury,NY z (518)761-8256 (�Y A permit must be obtained before beginning construction. Permit File No. No inspection will be made until applicant has received a Fee Paid $ ,- , Q 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: —,..�$- 1 r5 LLL Address: �?� �� Q ,� Address: Phone#(_)'7�' - `7�.� Phone# Email Address: \,) Email Address: Property Location: Lot Number: 'N:I / House Number Subdivision Name: CXI.J =k= ;(,� Tax Map Number: 7 Z, c.C—,y — New Building: residence /commercial Estimated Market Value of Construction: $ �009000 ❑ Addition: residence/ commercial 'y ❑ Alteration: residence/ commercial If an Addition,what will use of new addition be? ti ❑ No change to exterior size: residence/com'1 "1 ❑ Other work(describe ) Check Occupancylnformation I"Floor 2 nd Floor Other floor Total Below sq.ft. aq.ft. sq.ft. Square Feet Single family dwelling q 1 t14- ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage 1 car attached garage 01 2 car attached garage ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? If so, for what? Type of Heating System: electric/ oil ga wood fo=hot / baseboard/othet: Number of Fireplaces to be installed Number of Woodstoves to be installed 0 List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder Plumber 1 a e�2� Mason � > Electrician] �C'_ . Declaration: please sign below after you have carefully read the statement: To the best of my knowledge the statements containe in this application,together with the plans and specifications submitted,are a true and complete statement of all p ,posed work to be done on the described premises and that all provisions of the Building Code,the Zoning Ordin e and all other laws pertaining to the proposed work shall be complied with,whether specified or note,,and that such w is authorized by the owner. Further,it is understood that Uwe shall submit,prior to a,�rtificate of occupancy or icate of Compliancg being issued,as requested by the Zoning Administrat ror Director of B�' ding and o S. n As Built Survey by a licensed surveyor;drawn to scale,showing actual location f 1 new co Sign re: I owner,owner's agent,architect,contractor -23 Residential Plan Review: One & Two Family Dwelling Check Y/N/N/A (2)Full sets of plans h Over 1,500 sq. ft.—stamped Design loads on plans: 90 wind 70 ground snow load 74 Calculations: Window Schedule with glass size Q-e -'J4/ Sri 7 Door Schedule/Main Entrance 36"Door , Emergency escape for Bedrooms and Habitable Space 70 Above/Below grade, 5.7 sq.ft. Grade, 5.0 sq. ft. 24" (h)x 20"(w)min. 44"Max.Height above floor Residential Check paperwork compliance and inspectors checklist: OK Dampproofing/Waterproofing materials on plans 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 Platforms at exterior doors L- Stairway headroom 6 ft. 8 in. all stairs 36"Width Stair run and rise fir' N Winder run and rise Spiral not allowed from 2° story _ Smoke detectors battery backup and proper location . 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 height Safety Glazing Notes for required areas Garage Fire Separation Garage Floor Sloped Attic Access Roof over 30"—22"x 30" Crawl Spaces 18"x 24"Access /v A Carbon Monoxide Detector lowest sleeping level Soil Test Results,if required Septic to well or water line separation All paperwork signed/n 1 ��. h S6•G�..i SDI�e lG�" c- �Y Town of Queensbury 742 Bay Road, Queensbury, NY 12804 Building & Code Enforcement Building Permit# Phone: (518)761-8256 Date: �(Od3 Fax: (518)745-4437 Email: codes@queensbury.net Dear Your building permit application has been reviewed and found to be deficient in the following areas: S4, go ��i w/=�v /�® 4� .,0 �� /� rd�k s �� J�� „✓� c4/`r�� GSfGa' ,4 S4Sli .SIZE Shy` ll,- .fG�f'old�l �5�,rG✓ H't � G�rjY �Jd!!�S < JO✓M �J�- 'PX�7'P�/vim �Odr,,r ✓JOr� & �r'lals s041- - 1'uh '54 6G0 /c e ! ( ��'1lrG.� �r� ✓LLl{u jg;�&,- (-Iw of e r//e/ec74/J S-4 e-z!� tS�G- /(/QG� G�-L re T/re Se .c��+r✓s- CG ea These details need to be added to or noted on both sets of plans. Please feel free to contact this office with any questions regarding this matter. Sincerely, BUILDING&CODES OFFICE L:\SueHemingway\Building.Permit.FORMS\deficient building permit Jan 2003.doe Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: ......................................................... .... .... .. ........................................... es Location of installation: File Pen-nit mN LO ��0TaxMaPNo. 3 �� Fee Paid TDWN O ENS�UR Owner's Name: L� �\ �� C lNG.,gfyp.... .. .. Y...: Address: 2. INSTALLER'S NAME C� � -�;�� PHONE NO. �75 D"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 gal/bdrm = 1980- 1991 x 130 gal/bdrm = 1991 -present �� x 110 gal/bdrm = Garbage Grinder Installed yes— / no Spa or Hot Tub Installed yes_ / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Topogrgphy Sail—Nature. Ground Water Bedrock or impervious Materia floir tic Water Supply san at what depth at what depth munici al o ling --tcam 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: \QQ3 gallon (min. size 1,000 gal.) Tile Field: each trench ':50 ft. Total System Length: `D��-)O ft. Seepage Pit(s): number of size of each: ft. 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 own by or on behalf of an plicant, shall be void. I have re • he re latio 's ith respect this ppl;cahon and agree to abide by these and all requir tigu p ect tnts of the To f Queens S itary ewage Disposal Ordinance. Si ure o r sponsible person Date 5rtvt:rs :ulcl St;wsiht; I)is{scssai (assi{sirt• /ppmulix C. A-11.80MI'VION. VIEI�i) SFAIA1tMION ItF.M1.)i11,I 1 IONTS POND G . E Mom/ �.• ('94YO -,,• Scr�Ilc,Ile, 1141--t J III OY bxrxAp INC%I f`10.LS� rtana 7, SIGNATURE &INFORMATION FOR USlJVMuC Lz wbv%4ow....w - ' RECEIVE ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNT 3 0 2903 9000 HEATING DEGREE DAYS TOWN OF QUEEiVS6URY BUILDING AND CODE Compliance Methods:Part 5 -Acceptable Practice Method- 1&2 Family Dwellings (o y 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: 1. Gross Floor Area -7 square feet 2. Type of heat- Electric Oil Gas Other 3. Is building mechanically cooled? yes No 4. Percentage of area of windows and doors Over 17% Under 17% 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TOR VALUES AS , SHOWN ON PLANS SUBMITTED: a. Roof R b. Exterior walls R C. Glazed areas R D. d. Exterior doors R_— e. Floors over unheated spaces Rom_ f. Edge of slab on grade(heated building) R g. Basement/cellar walls (above grade) R h. Basement/cellar walls (below grade) R i. Heating/cooling-ducts-piping in unheated space R 6. Service(domestic)hot water heating device C o s to minimum rciency per code Yes No T PERA RE 10 0 IMUM SETTING 140-WILL NOT BE EXEEDED Applicant' u Date Phone Number 3 7 X1'? SPE TO S MARKS: �d s' Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/pm/ art: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: �`JJ NAME: &�,Sd PERMIT NO.: a C 26 LOCATION: Wel u�' INSPECT ON: Q RECHECK: Comments and/or diagram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance _ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Location of System on Property: Front Rear Left Side Right Side Middle Front iddle Rear System Use St . Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved LASueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Dec 11 03 03: 13p Brownell Electr 518-747-1115 p. l a G��r7t t rGn�nr�[�G rCnC�I rL(t�l�f�r�rrr nC�rr1 r1t_nt:n�nC I�C.I�C I�C�i��nC�r�r�L�CPr rrrr�C�r�Cnr�rrt�cnC��rG.n�nC��nC�C�t:n[�Cn[�[�Ln� S 5 5 13Y THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF . FIRE UNDERWRITERS 5 5 r.m BUREAU OF ELECTRICITY S 40 FULTON STREET - NEW YORK, NY 10038 5 DEC 5 5 lrp. �n� �v`L S 5 �rpWll6i CERTIFIES THAT 5 5 C5J Upon the application of upon premises owned by 5 C5 5 5 BROWNELL ELEWNC. B HOGAN Cj 5 126 EAST ROAD 34 HOLLY LANE 5 FORT EDWARD, NY 12828, LAKE GEORGE, NY 12845 5 5 5 Located at Y LANE LAKE GEORGE, NY 12845 S 34 HOLLY ' - 5 5 Application Number: 1183351 Certificate Number: 1183351 5 5 5 5 Section: Block: Lot: Building Permit: BDC: Aego 5 5 5 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 5 electrical devices and wiring,described below, located in/on the premises at: 5 5 Basement,Outside, 5 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5 Sfound to be in compliance therewith on the 3rd Day of December,2003. 5 5 Name QTY Rate Rating Circuit Twe Amoun 5 5 Miscellaneous 5 5 1 tank alert control box $1.0 5 5 Appliances and Accessories 5 5 Pump/Motor 1 0 F.H.P. $10.0 5 5 Dj Wiring and Devices C5 Receptacle 1 0 GFCI $1.0 CJ 5-.-Switch 1 0 General Purpose •$0.2 5 5 Invoice Total $50.0 5 5 5 S 5 S 5 5 5 5 5 seal L 5 5 5 5 5 5 5 This certificate may not be altered in any way and is validated onlylby tKe presence of a raised seal at the location indicated. S 5 S o �� E Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: G° �an—Vpm 3Queensbury Building&Code Enforcement Arrive: any/ Depart: 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: r 1 v }. I PERMIT NO.: LOCATION INSPECT ON: &M416 RECHECK: Comments and/or diagram Soil Type:k&nd/L /Cl Type of Water:-Municipal/Well Wate• G�� Waterline separation distan ft. Well separation distance ft. Other.wells: ft. // e Absorption Field: Total length ft. �{ l Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Si Aye Type Building to tank 2 Tank to Distribution Box w Distribution Box to Field/Pit Opening Sealed: Y/N/Partial Location/Se aratio Foundation to tank Foundation to abso lion t. Separation of Pits ft. Conforms as per Plot Plan V Y N Location of Sys o Property: Front Rea Left Side Right Side Middle Front Middle Rear System Use Status: pproved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved U\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Residential Final Inspection :3 (/ Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p epart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: � -- LOCATION: cl= E\,5erT _ DATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in. to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 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 Interior privacy/trim/doors/main entrance 36 in. �C� , 1 Bathroom/Kitchen watertight V��i�� U C V Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor tiuss, draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 3/4 hour fire door/door closer ,Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s , ft.-150 s . ft.vents oc 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(Cert. Of Compliance) Okay to issue Temporary C/O(Cert. Of Occupancy) Okay to issue Permanent C/O(Cert. Of Occupancy) L:\SueHemingNvay\Building.Codes.Inspe.etion.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 �-` - Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received: Permit# — INSPECTION ON: Name: �, /�� AM PM ANYTIME Location: APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGHIN FINAL CHIMNEY FACTORY BUILT ROUGHIN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL REPLACE ASONRY ROUGHIN OK THIS DA E 0 rKF OR JCO NOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMDEV/CHRISJIWORD/LETTERS2001/FIREMARSHALINS PECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: _ FINAL INSPECTION �GIINlNl it ------ MU _P_�,E__M—W C� (hole , moT— tel, apt. complex) DATE INSPECTIO REQUEST RECJ. VE NAME \ i' LOCATION U4 \(�� DATE PERMIT # TYPE OF STRUCTURE FOOTINGS _BACKFILL FRAMING_ PLUMBING_ INSULATION N/A YES NO CHIMNEY/"B" VENT 11EIGHT PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH HEATING/11OT WATER RELIEF VALVES FLOORS FOUNDATION INSULATION INTERIOR STAIRS RAILINGS STOCKROOM ENCLOSURE FIRE/DEMISE WALLS PENETRATION FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS PLATFORM ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL SITE P VARIANCE RE . F AL SURVEY-PLOT IF RE IIA OK TO ISSUE C/O OR C/C � � �a tBI& F(LM ASAP. Residential Final Inspection Office No. (518) 761-8256 Date Inspection request received: A/0 3 Queensbury Building&Code Enforcement Arrive: am/p Depart: m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: c . NAME: �t Llut(fl PERMIT#: LOCATION: I ' 5 DATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in,with 10 ft. Handrail Termination at Newell Post or Wall 8 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 Valve(s)installed 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: Bathroom Fans,if no window Carbon Monoxide detector ,'11 Plumbing fixtures 14LCC� Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches -/<hour fire door/door closer Garage fireproofing /{�fL(td� �bCuue�s Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s , ft.-150 s . ft.vents /\ Building No./Address v ible om road ® U Final Electrical . Z i l Site Plan /Variance rc/quireff Final Survey Plot Plan As Built Septic System/Sewer Dept, Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C/0(Cert. Of Occupancy) Okay to issue Permanent C/0(Cert. Of Occupancy) L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003 Town of Queensbury lire Marshal 742 Bay Road VVV Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Ins2ection Regort Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# 7r�17 —� Schedule Inspection 11 v 41 3 Time am pm anytime Inspector Name Address i= 1 ' hough In.Finales Appliance Manufacturer Model# _ Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments ]floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration I Vent Clearances to Combustibles Vent/Chimney'Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Of Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept. Yellow Mast er Pink—Fire Marshal Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection reque t received: Queensbury Building&Code Enforcement Arrive: Zu part: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: V NAME: L PERMIT#: ✓��' LOCATION: or INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail.Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial Copper,CPVC,Pex One &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 CONENIENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation 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 art. am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: n ERMIT#: NAME: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial Copper, CPVC,Pex One &Two Family Insulatio R side ial Ch k/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Town of Queensbury 4 a Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE IC Received: Permit# "a� INSPECTION ON: Vo P Name: AM PM ANYTIME Zy Location: L E5 APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE �C'/tJA- J EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN q WNEY MH SONRY ROUGH IN 1 �bG�- �"\F 3 S�� vl tJ FINAL CHIMNEY 20 FACTORY BUILT ' ROUGH IN i pecr C1r FwAL WOOD STOVE ROUGH IN _ FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN :OK THIS DA OK FOR CO NOT OK FINAL , IREPLACE FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMDEV/CHRISJANORD/LETTERS2001/FIREMARSHALINSPECTIONREPORTi 102L®1W OCCUPANT COPY WHITE-BUILDING DEPARTMENT COPY Z _ Rough Plumbing/ Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbuly Building&Code Enforcement Arrive: ` r Co am/ r an m 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: -LL 2 PERMIT#: 03- 0c�^4o LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A� PVC: R-1,R=2,R-3,R-4 Drain/Vents Cast Iron,Copper Drain/Vent/Comm. FR Pt r iJ C-1 Plumbing Vent/Vents in Place CA Rough Plumbing/Nail Plates Head or Air Supply Test t Drain and Vents s 5 PSI or 10 ft. above highest Connection for 15 minutes V Water Supply Piping / Copp r Commercial C9Ker, CPVC,Pex One&Two Family ulation/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 COMMENTS: P'gow�n F\VL v ova �) D mv) L:\SueHemingwaylBuilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection re qu rece fed: 3 Queensbury Building&Code Enforcement Arrive: a pm Dyyrt: m 742 Bay Road,Queensbury,NY 12804 Inspector's Initial 1 NAME: PERMIT#: J LOCATION: INSPECT ON: cl3 TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents i Cast Iron, Copper Drain/Vent/Comm. lumbing Vent Vents in Place v Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial Copper, CPVC,Pex One &i Two Family LZ Insulation/Residential Check/Commercial Check Proper Vent, Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace uct Work Sealed Properly 21-COMMENTS: •L:\SueHemingway\Building.Codes.Inspection. ORMS\Rough Plumbing Insulation Report.doc January 28,2003 I �zj� � Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection reque9t receiv Queensbury Building& Code Enforcement Arrive: a•pm/ -pa i�a 742 Bay Road, Queensbury, NY 12804 Inspector's Initial r- NAME: Lam` +�-� PERMIT#: �� LOCATION: INSPECT ON: TYPE OF STRUCTURE: �. -T Y N N/A COMMENTS Framing Jack Studs/Headers V . Bracing ridging f Joist hange Jack Posts/Main Beams ✓ �� ` �� , J 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 restopprn g 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 V 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request receive Queensbury Building&Code Enforcement Arrive: am/ De rt: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials:-- NAME: L ��C PERMIT#: J �� LOCATION: Y, ti K Arq INSPECT ON: TYPE OF STRUCTURE: Framing Y N N/A COMME ITS 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 topping 1,000 sq. ft. floor trusses chor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side '/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm De art: a pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: -� NAME: �� PERMIT#: — LOCATION: INSPECT ON: 03 TYPE OF STRUCTURE: C.�1 Framing Y N N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center ce and snow s 'e 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side % inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemingway\Building.Codes.Inspection.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: am/p !part: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials. NAME: ��-c.!� PERMIT#: LOCATION: ?l,ti�, - ,}�j INSPECT ON: TYPE OF STRUCTURE: Framing Y N N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %z (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses chor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall L� U Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side '/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256' Date Inspection request received: Queensbury Building&Code Enforcement Arrive: Ina pm rpart: G' am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: Z L/�,t-,i10` ��/� INSPECT ON: 13 1 L c) TYPE OF STRUCTURE: Comments Y N N/A Fo6ti gs Piers Monolithic Slab 1 Reinforcement in Place J' 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 Dampproofmg Foundation/Waterproofing Type of Dampproofmg/Waterproofing Footing Drain Daylight or Sump/ Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: s Queensbury Building&Code Enforcement Arrive: am/3 Depart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: /_za2� LOCATION: l4 INSPECT ON:TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Wat r Supply Piping Copper Commercial Copper, CPVC,Pex One&Two Family Insulati �Resid tial Beck/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: L:\PamW\Whiting\Rough Plumbing Insulation Report.doc Foundation Inspection Report C� Office No..(518) 761-8256 Date Inspection request received: 3, L� Queensbury Building&Code Enforcement Arrive: am/ ; GL- Depart: anr/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: <�'` I�` PERMIT#: c� LOCATION: INSPECT ON: I 1 U- TYPE OF STRUCTURE: n� (/.t sSln _ Co-raments 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. ials for this urpose on site. Foundation all 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 Bacicfill Approval 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 �t Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request receiy.4 Queensbury Building&Code Enforcement Arrive: V/�S- n ' ,fDepart:742 Bay Rd., Queensbury,NY 12804 Inspector's lr c: NAME: . P,EKNIT#: 0 --5 ` —r) LOCATION: 'L,��,�> 1 \ C21 INSPECT ON: TYPE OF STRUC ✓ Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for i(� providing protection from freezing ( J for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place / (01 Foundation Dampproofmg ` Foundation/Waterproofing Type of Dampproofmg/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: f 12 inch width 6 inches above footing �� 6 mil poly for wet areas under slab ,+ ackfill Approval Plumbing Under Slab 'PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. r Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Z — Queensbury Building&Code Enforcement Arrive: am/pmj �Depart: � ✓" am/pm 742 Bay Rd., Queensbury,NY 12804 Inspectors Initials: NAME: PERMIT#: 094 LOCATION: INSPECT ON: — TYPE OF STRUCTURE: 5 Comments j. Y N N/A ootings Piers l Monolithic Slab Reinforcement in Place Z The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for-this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofmg/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. f % -oa r RECEIVE® Permit Number JA N 3 0 2ao3 TOWN OF QUEENSSURY MECcheck Compliance Report Checked By/D ��7-- AND CODE a Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb Data filename:Untitled TITLE: 1274 COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:01/30/03 DATE OF PLANS: 1/30/2002 PROJECT INFORMATION: Lot# 13 22 Kylian's Way Queensbury,Ny 12804 COMPANY INFORMATION: Clute Enterprises,Inc. 13 Dawn Rd Queensbury,NY 12804 COMPLIANCE:Passes Maximum UA=292 Your Home=261 10.6%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R Value R Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1274 30.0 0.0 45 Wall 1:Wood Frame, 16"o.c. 1616 19.0 0.0 87 Window 1:Vinyl Frame,Double Pane 99 0.490 49 Door 1:Solid 42 0.230 10 Door 2:Glass 21 0.490 10 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 1274 19.0 0.0 60 Furnace 1:Forced Hot Air,82 AFUE COMPLIANCE STATEME proposed building represented in this document is consistent with the building plans,specifications,an they cal ions su fitted with this permit application. The proposed systems have been designed to meet the sed Ne ork Sta r servation Construction Code requirements. Builder/Deg i'— — e '� ---� Date MECcheck Inspection Checklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE:01/30/03 TITLE: 1274 Bldg. Dept. Use J Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: [J] 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 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 #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air,82 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 Type IC rated and installed with no penetrations,or Type IC or non-IC rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials and 3"clearance from insulation. Vapor Retarder: [J] 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 manufacturers 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: [✓] 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. 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 offew 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 T must be insulated to the levels in Table 2. ti 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) MAP REFERENCES: BURNT HILLS SUBDIVISION DKC HOLDINGS, INC. DATED: JULY 23, 2001 LAST REVISED: JANUARY 17, 2002 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC MAP OF A MODIFICATION TO AN APPROVED SUBDIVISION MADE FOR DKC HOLDINGS, INC. DATED: APRIL 9, 2003 BY: VAN DUSEN & STEVES a S800D1 32"C G 148. 671 4 CB CB N Qi t `', +`\ C 40 O 0 W Z co I CV) ° � Z Z I 65.73 751 j( 0 CV) 75, 12# S8334 ' 50"E o I 2 40.86 13 U- 91. 761 LANDS N/F OF } 3 ALFRED W. GREEN, II 29,336 sq.ft. 0.67 acres a & � 00 _ o o) DONNA L. GREEN a to T� to O w co z 303. 17 N86013' 50"W �..,� TO BE CONVEYED TO GREEN H LOT LINE MODIFICATION i 12 o j 's . uS %WAUDIOR=ALTMRATION OR ADD YM TO A suR�Y Map of a Survey made for Scale I°' ' NETT V=STATE EDUCATION LAN.' Steves dllY COMER MOM THE ORIT"rLOYTNB9IAO LY MARIRDALL ANOAWINALOr 70 LAND LLAN s— 1 SEK M ,mem9 , DAVID P . & JOANNE T. CA CERIMICA7101ES"dCATED IlRf011 Sp1�Y THAT .y.�■ C WS SURVEY%"PREPARED Or AOOORDANOE WIN TIC L a.i i d h.J u r v e y o r s EfOS,N16 CCOE PRACIILL O "E LAW OF PRTOR5 ADO►/!D MY 11E NEN YORK STAIE ASSOCMl101 OF PROFESSIONAL LAND SURVEYORS.SAT)00"I CATIONS SNAIL RUN OILY To THE PERSON FOR I*=THE"WY IS PREPARED.AM BFEET 1�1 ON NO M AU TO THE WU COMPANY.GOVO MENTAL 169 Haviland Road Queensbury, New York 12804 AOEWY AM LWW WMIM LEM HIMM,AND Town of Queensbury, barren County,-New York �+ ,Imp TO THE ASMICES OY SHE IOIDM DMTRUION.' VLV 1 L (518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. No. 9g241-13 Jf t o-Ile i Olt J CD iJ I r i i r t�ti �r nj-nj J cm CD a� cw� m °� O to O a , y o Ic ..,.�. ,