2003-032 TOE OF,_QUEENSBURY
742 Bay Road,Queensb'ury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
CE1R'_.1LrIFI CATE OF OCCUPANCY
Permit Number: P20030032 Date Issued: Wednesday, June 18, 2003
This is to certify that work requested to.be done as-shown by Permit Number P20030032
has been completed.'
Tax Map Number: 523400 '361-018-0001-063-000-0000
Location: 24 FAWN Ln
Owner: DANIEL & TRACEY BROMLEY JR
Applicant: PATRICK &KELLY DINGMAN
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Residential Addition
Director of Building&Code orcein nt
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030032 Application Number: A20030032
Tax Map No: 523400-301-018-0001-063-000-0000
Permission is hereby granted to: PATRICK &KELLY DINGMAN
For property located at: 24 FAWN Ln
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: DANIEL &TRACEY BROMLEY JR
24 FAWN Ln Residential Addition 16,000.00
Total Value 16,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
PATRICK CHASE COMMONWEALTH F,LF,CTRICAL A
104 SIJNNYSiDF,Rd
OI JF,F,NSB1 JRY.NY 12804-0000
PO BOX 706
HACrIJF,.NY
Plans&Specifications
2003-032 Lot 80 House No. 24 Fawn Lane
336 sq. ft. RESIDENTIAL ADDITION AND 168 sq. ft. PORCH AS PER PLOT PLAN SPECIFICATION
$100.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,February 25,2004
(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 thus of Que sb ty; esday,February 25,2003
SIGNED BY\f for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury Department of Community Development,742 Bay Rd., Queensbury,NY 12804
(518)761-8256
A permit must be obtained before beginning construction. Permit No.: d u 3`0
No inspection will be made until applicant has received a Fee Paid:
valid building permit. Form must be completed. Rec.Fee Paid.-'
Reviewed By: ,
Applicant: �C Owner: w
Address: Address:
b SYA I � q
Phone#: Phone#: 5—t -2 yb 7 B—
BMW
Tax Map Number:
301 le-l J&3 W 5 : 7/a.�E R r1 2003
Subdivision Name: �s h_P Q_kn Pr-w el. _i e 5 TOWN OF QUEENSBURY
(if applicable) r B ILDING AND CODE
Lot Number: 5 6 /House Number: 02 /Street Name /-�ik-�
OR
Property Location: ►'� �.� �'�-
❑ New Building: Residential/Commercial Estimated Market Value of Construction: A—
❑ Addition: esidenti /Commercial If an Addition,what will use of addition be?
❑ Alteration: ial/Commercial _ Q
❑ No change to 1
Exterior size: Residential/Commercial
❑ Other work: (describe )
Check Below Occupancy Info 1"floor sq.ft. 2° floor sq.ft. Other floor sq.ft. Total Sq.Ft. .
Single Family Dwelling
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
2 car attached garage
3 car attached garage
Storage Bldg.,Comm.
i�
Storage Bldg.,Res.
Other p
What is the proposed height of the structure: 92-5 feet inches y
Will any second-hand or ungraded lumber be used? If so,for what? All
No. of Fireplaces to be installed: %
No. of Woodstoves to be installed: ��y
List below the person(s)responsible for supervision of work in regards to Building Codes:
Name Address Phone No.
Builder
Plumber Z a
Mason
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 Building Code, the Zoning Ordinance and all other laws pertaining to
the proposed work shall be complied with, whether specified or noted, and that such work is authorized by
the owner. Further, it is understood that Uwe shall submit,prior to a Certificate of Occupancy or Certificate
of Compliance being issued, as requested by the Zoning Administrator or Director of Building and Codes,an
As Built Survey by a licensed su eyor; dr to scale, showing actual location of all new construction.
Signature: �r
circle one: owner,owner's agent,architect,contractor)
f•IX 79Z--A663
Residential Plan Review: One &Two Family Dwellings
Check 3�
Y/N/ /A 03 — 0
/(2)Full sets of plans
Over 1,500 sq. ft.—stamped
i
i Design loads on plans: 90 wind
70 ground snow load
3 I& Calculations: \\\
Window Schedule with glass size
Door Schedule/Main Entrance 36"Door
Emergency escape for Bedrooms and Habitable Space
Above/Below grade, 5.7 sq. ft.Grade, 5.0 sq. ft. vv e 7— G6 +kJ4 / (/Veo
Q^� P�'�S
24"(h)x 20"(w)min.
���.. 44"Max.Height above floor
Residential Check paperwork compliance and inspectors checklist: OK
Dampproofmg/Waterproofing material on plans
ndation Drainage on pla ,if require �N �C A�X"JA
y 6"Drop in 10' Exterior Grade � AJ
7 Framing cross section for each roof line,Vertical Fire Stopping every 0' where required
Ice and Snow shield 24"inside exterior wall
Platforms at exterior doors
Stairway headroom 6 ft. 8 in. all stairs 36"Width
Stair run and rise
Winder run and rise
iral not allowed from 2° story
�J SToe detectors battery backup and proper location Geef
athroom Fixtures proper clearance
I` U� CeJ
Hall width, 36"min.
Handrails more than one riser on open sides
ing and Guards>30"/Basement Stairs included/Closed Risers more than 4"in height
° Safety Glazing Notes for required areas ✓va oA
Garage Fire Separation
A114-
Garage Floor Sloped
Attic Access
Roof over 30"—22"x 30"
Crawl Spaces 18"x 24"Access
may/ Carbon Monoxide Detector lowest sleeping level
Soil Test Results, if required
Septic to well or water line separation
All paperwork signed
Project Name: BP#C�x 3`G 3�—
Address: y- Ayi,4
r2�1- c,n.
Building Permit Submission RECEIVED
Singl�family dwelling
Tu fan7dyduelling FEB 0 5 2003
Checklist
TOWN OF QUEENSBURY
BUILDING AND CODE
All items below must be checked either yes,no or not applicable prior to submission of any g
permit to the Town of Queensbury Building Department. If any of the below items are lacking,the permit
will not be accepted until such time as the application is deemed complete for submission.
1. Building Permit Application Completed ... ... M ye ❑no ❑
2. Energy Form or Checkbdate Energy Code Compliance Forms Complete.. U�s ❑no ❑n/a
3. Energy Code Inspector's Report from CheckMate Program.. ... ... ... ... .. ❑ yes ❑no ❑n/a
Nei /� ov
4. Septic application completely filled out(if applicable)... ... ... ... ... ... ... ... ✓dyes ❑no d
5. Solid Fuel Burning or Gas Appliance Form... ... ... ... ... ... ... ... ... ... ... ... .❑yes Ono l n/a
6. Electrical Inspection Form... ... ...
7. Two (2) complete sets of structural drawings... .. ... ... ... ... ... ... ... ... ... ... . 2 �Sono ❑n/a
a) floor plan;b)foundation plan;c) cross sections:d) elevations;
e) window and door schedule '
8. Two(2) site plans showing location of the structure to be built. ... ... ... ... Oyes Ono Dw a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from property lines to new structure ... ... ... ... ... ... ... ... ... ... .. s Ono [-]n/a
10. Setbacks to neighboring wells and septic systems,including onsite well... . Oyes Ono
and septic systems (if applicable)
11. Driveway Permit... ... ... ... ... ... ...... ... ... ... ... ... ... ... ... ... ... ... ... ... ... [-]yes Ono a
Date: 0 3
Staff Initial:
L:\SueHemingway\Bunding.Pemut.FORMS\Generic Checklkdoc
Porch, Deck, Dock, or Boathouse Permit Application
Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. No it File 3 �U
inspection will be made until applicant has received a valid Fee Paid' E E R F':) 2003
building permit. All applicants' spaces on this application must be
completed and must appear on the application form. Re BY TOWN OF QUEEINS URY
r / DE
Applicant: �.��� Cc,i, {� �P Owner:
Address: /D�, Address: a Y
Phone# ( )—�:� 1 �- Phone#
Email Address: Email Address:
Person Responsible for Supervision of Work as Regards to Building Codes:
Name U (r C 6` 6Adress: Phone % .�/S 7f
Property Location: Lot Number; '6' () / House Number
Subdivision Name: Sk Le,61 i /0) a & s Tax Map Number: �3O !o %jR-I-6o
Estimated Market Value of Construction: $
❑ Porch
❑ Deck
❑ Dock
❑ Boathouse
Q," Other work(describe [�� 11-
Size of structure to be built square feet
Submit along with this application:
1. Two plot plans drawn to scale, preferably using a survey map. Indicate proposed
structure showing setback dimensions from all property lines. Show location of
water supply and location and configuration of septic disposal area.
2. Two sets of structural drawings. Indicate size of posts or studs, floor joists,
decking or flooring material to be used. Show how-the porch or deck will be
fastened to the building. If a roof will be constructed, indicate the size of posts or
studs, roof rafter spacing and span. Indicate type of roof sloped, flat, shed, or
other. Indicate the type of material being used for the roof.
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 Building Code,the Zoning Ordinance and all other laws
pertaining to the proposed work shall b complied with,whether specified or noted,and that such work is
authorized by the owner.
G /
Applicant's signature: l Date: Co U
L:\.SueHemingway\Building.Permit.FORMS\Porch.Porch.Permit.doc 8/13/02 revised per DH
Application for Permit—Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256
1. OWNER INFORMATION:
d'1 ' Office Use
Location of installation:
File Permit No.
Tax Map No.
Fee Paid
Owner's Name:
Address: { �� c ..�A.- `
-r-r j) ( ram,
2. INSTALLER'S NAME`: 1 i 4S a ) , ��,(IA / f 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)
11
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 = 7 6
Garbage Grinder Installed yes_ / no
Spa or Hot Tub Installed yes / no
4: PARCEL INFORMATION: (circle applicable information&indicate measurements)
aphy S ature Ground Water Bedrock or Im ervious Material Domestic Water Simply
(F=Iat Van at tiyhat depth at w at depth municipal
g ��—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: gallon (min. size 1,000 gal.) rC L b CM G ���� / Tom- ^- f7
Tile Field: each trench ft. Total System Length: ft.
Seepage Pit(s): number of size of each: ft. by ft.
Size 9f Stone to be used: # � / depth or thickness feet
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 of the Code of the Town
of Queensbury, any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
ge -.? ,j9- �06,3,
Signature of responsible pe son Date
Fire Marshal's Office Town of.Queensbwy,742 Bay Road,Queen sbury,NY
(518)761-8205
Application for Fuel Burning .Appliances & Chimneys
applicable to solid fuel & vented gas .appliances
Date e, �� ,24t Permit No.
.,1. r.> ope
Application is hereby made to`tire Building& Codes Office for the issuance of a BuPermit pursuant to the New York State.Fire.Prevention and Building Code. The dpplicarZtagrees to comply with all applicable laws•, ordinances, regulations, and all conditions thatthese requirernerrts and also will allow all inspectors to enter premises to perform required
NOTEto applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: l 1 1 %-, � Stove: wood coal pellet gas .
t"t Fireplace insert
Fireplace;factory-built. wood gas
Address
Fire`lace;-maso wood as
Furnace: wood gas oil
Phone:
If nofl-masonary applicance,please provide
Manufacturer Name ! r 1
Owner:
Model Number: , 1
Address:
Chimney Information
r (circle appropriate words)
'Phone: �---. i=��>. � , ��_ �. ,�,.
Masonry block brick stone.
Flue tile -steel size inches
Exact Address: /f Z7.
pf con,Si xdt n or ilrStWahon Factory Built
Manufacturer name:
Model Number:
Note: Listed By: �Number:
Construction/Installation must
con orin to NYS Fire Prevention &Building Indicate (circle)chimney material:
Code. Consult available Town of Queensbury i
Handouts regarding required inspections. (Double ivall 71 Triple wall / Insulated I; Direct verzii;tg
� Cas�ii�x-'gar D�,�s�me�t—To�srx� of Qize��ere�bury, X®�sr-Y�or�;
Fire Marshal Code# $Collected $Refiriuled Received fitin: (refzurdczr!
address:. — - 1
A 173 3389 (190) Public Safety
A•233 2G55 (230)Minor Sales `'{ r# )`
DATE:
White�4plicant) l Green(Fire Marshal) - / Yellow(Bldg. Dept.) 1 'Firk:K.Goldenrod(Cashier's Dept'.)
Q_
•J Residential Final Inspection
OM.. •
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: arn/jNn. gepart: prn
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
/ram
NAME: \� PEIUMIT#: _ 3
LOCATION: �1.� Fr���. � �;1�y�k � DATE:
TYPE OF STRUCTURE: 'tip r
Comments
Y YN N/A
ChimneyHt./"B"Vent/Direct Vent Location , a, tit ��
Fresh Air Intake 1�!
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 lzin
Interior Smoke Detectors:
Every level: / Every Bedroom: V
Outside every bedroom area:
Inter Connected: / Battery backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1, 00 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
%hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In Acessible area
Crawl Spaces 18"x 24"access, 1 s ft.-150 s . ft.vents
Building No./Ad re s vi le troqfrQad
Final Electrical
Site Plan /Variant re red
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 Occu arc
Okay to issue Permanent C/O(Cert. Of Occu ant )
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545 Q
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........................................Cert. ,cN OO 8 0 2 3/ Cut-in Card No...........................
Owner..................-lN.:....��..�!....C-j'/................................................................. ...........Ze... .........
Location.... T...... 0 !J!C1.. ........................................................... ..........
Installation Consistin of..`��.. 1 /qL l �c'�W-3
g .............. .............................,..........................Y........................}.
4-!�.c:.....��/?!�G
........... ..... .........................................................................................................................
............................................ .................
........................................................................................................................................
InstalledBy...... �.. C2 ..................................................Lie.No..... ................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued i
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon th,
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of makink4rsDections at any time, and if it
rules are violated,the Company shall have the right t r oke th' cat
011
JJ r
Date.........`..6...6-5............ INSPECTOR.'. ............ ........................ .......................
Member N.F.P.A..I.A.E.I.
o �
Town of Queensbury lore Marshal
742 Day Road 2
Queensbury,NY 12804
761-8205/761-8206 I r'
fax 7454437
Built as Fire lace/Stove Inspection_Re Mort
/
Factory u G n S -_
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
� P 5J S'
Permit# Schedule Inspection Time am pm anytime Inspector
Name �o`�`�i�j —Ad.dres Rough In Final
Appliance Manufacturer a e�t� _�1\66u Gt5 Model#
Direct Vent)(_ Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
:Floor Protection 00 bo 0 ,OVczd__
J
Clearances to Combustibles fall sides)
�y
I+irestop(s) Vertical Chasc �
/ `' 4
Wall Penetration ✓ �,u;I�+� l� C�
Vent Clearances to Combustibles
Y
Vent/Chimney Termination � s
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible -
construction within 10 feet {"�
Gas Shut-Off Valve � �U� � U
; n
(4GTttll IS1A4 S
Combustion Aar
41 It nvQS
dearth Extension (if an v� d n�
y) n /v'Sti
AK
4,T Iai%�-VcrUkA
Mantel �?-
Height above f/p opening
���� ^��
Witness OperOperation
Tank Placement(if LP)
White—BnihltngDept. Yellow Cost er Pink—Tire Marshal
Framing / Firestopping Inspection Report Aq&-,E—
Office No. (518) 761-8256 Date Inspection request received: • • 5Yj1j 3
Queensbury Building& Code Enforcement Arrive: am/p D pa am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
V
NAME: c ��� PERMIT#: C%"��' —� 3
LOCATION: o? INSPECT ON: ,y '
TYPE OF STRUCTURE: _
11 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
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
LASueHemingway\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�/}}�� epart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:�� _ r 5
z
NAME: /t- , PERMIT#:
LOCATION: INSPECT ON: v�j
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
W r Supply Piping
Copper Commercial
Co er,_C--PVC,Pex One&Two Family
In"su on',.°/'Residential Check/Commercial Check
` Proper Vent,Attic Vent 1
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
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/`p Depart- am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:/
�
NAME: /�,��L�J I PERMIT#: 0.77 ✓
LOCATION: INSPECT ON: 6,
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
Wayf Supply Piping
Copper Commercial P�
Copper, CPVC,Pex One&Two Family �`
Insulation/Residential Check/Commercial Check w-
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
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ m✓� am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials
NAME:
PERMIT#: 03— 03C�—
LOCATION: INSPECT ON: J-j—Q-:�- 0
TYPE OF STRUCTURE:
1
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
ough 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
COINMENTS:
L:\,SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Framing / Firestopping Inspection Report f�lti i
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: _ .,(_ i
�000
NAME: '� �cY �� PERMIT#: 0 3`D3
LOCATION: - INSPECT ON: — -0,3
TYPE OF STRUCTURE:
Y N N/A COMMENTS
OOaming
ack 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
112, , ahourF re wa
Fires fog
e �� lei<<`> — /✓LJ
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report �� �� e
Office No. (518) 761-8256 Date Inspection req st r eiv d: `
Queensbury Building&Code Enforcement Arrive: a i/pm Depart: = a
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi s-
NAME: RMIT#: 3
LOCATION: SPECT ON:
TYPE OF STRUC
Comments
Y N N/A
ootings �l
air-- t
Piers J
Monolithic Slab J
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
s
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 po!Y for wet areas under slab
Backfrll Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Glade 6 inch drop within 10 ft.
L:\SueHemingway\B uildin g.Codes,Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (51S)761-8256 Date Inspection request received: �-3Ud 91,0
Queensbury Building&Code Enforcement Arrive: am/ �pa �m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: '
NAME: A PERMIT#: 03 " l)3 2
LOCATION: j q n _ INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
s
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.InspectionTORMSToundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No.(518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/PTt"" Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials.
NAME: PERMIT#: d` � Tf--
LOCATION: p���"S (_„ INSPECT ON: 2,
TYPE OF STRUCTURE:
Comments
Y N N/A r`
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 `� t j C-� �p��t e (Z_(f
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.
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial
NAME: C j I1 -4
LOCATION: 6:} U,J Cam✓ . INSPECT ON: `3� �7
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. Al
Foundation/Wallpour
4+ti. C`o,ers
Reinforcement in Place
Foundation Dampproofmg
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.'
Foundation Inspection Report
Office No. (51S) 761-8256 Date Inspection request received: k G-3
Queensbury Building&Code Enforcement Arrive: am/ Depa . pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: PA
LOCATION: INSPECT ON: 3
TYPE OF STRUCTURE: /
3 3 !C7
ments
Y N IV/Aply Footing JJ) - .
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
Bacicfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L;\SueHemingway\Buiiding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
N�
�,� .o��
"I have seen or observed, or believe 1 saw evidence of,
I
J all objects such as houses, wells,trees,fences, etc.,
shown on this document. I also represent that I have
personal easured the di tances set forth on the diagram."
� — o
SIGNATURE DATE
1 �
L20c13--6
PermitNumber
MECcheck Compliance Report . Checked By/Date
Proposed New.York State-Energy. Conservation Construction Code
MECcheck Software Version 3_3 Releajse lb c5e03--���
Data-filename:Untitled
TITLE:CHASE CONSTRUCTION RECEIVED
FED 0 5 2003
COUNTY:.Warren_ :�" .STATE TOWN OF QUEENSBURY
:New Rork �;' BUILDING AND CODE
HDD:7635.
CONSTRUCTION TYPE:Detached 1 or 2.Family
HEATING TYPE--Non-Electric
DATE:02/02103
DATE OF PLANS:01-25-03
PROJECT INFORMATION:
BEDROOM.&FAMILYROOM ADDITION
SERMAN PINES:
QUEENSBURY,;NY 128.04
COMPANY INFORiNION:
CHASE-CONSTRUCPr
COMPLIANCE_-Palses
Maximum UA=127
Your-Home=80
37.0%Better Than Code
Gross Glazing
Area or. Cavity Cont. ..or-Door.
Perimeter R Value R-Value U Factor UA
Ceiling I`.Flat Ceiling_or.ScissorTruss -33-6 38.0 0.0 10_
Wall 1:Wood Frame, 16"o:c. 468 19:0 0.0 28
Wall 2:Wood Frame, 16"o.c. 468 19.0 :0:0 21
Window 1:Wood Frame,Double Pane.with Low E 52 0:032 2
Door I:Glass . 40 0.069 3
Door 2:-Glass 20 . 0.032 1
Basement W911:1::-
Solid Concrete or.Masonry,4.0'ht/3;0'bgl4.0'-insul_ 208 0:0- .10.0, 1S
Furnace I-Forced-Hot-Air,78 AFUE
COMPLIANCE STATEMENT: The,proposedbuilding_represenfed.in this document is consistentwitlrthe-
buildin&plans,specifications,and other calcul4tions submitted'with-this permit application: The proposed systems
have been designed-to meet the Proposed New Wrk.State Energy Conservation,Construction`Code requirements.
2 3 Q�
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OF NEW YoR
1SH Cco ap
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MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version_3.3 Release lb
DATE:02102/03
TITLE:CHASE CONSTRUCTION
Bldg. 1
Dept. 1
Use 1
Ceilings:
[ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R 38.0 cavity insulation
Comments:
1
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
1 Comments:
1
Basement Walls:
[ ] 1. Basement Wall 1:Solid Concrete or Masonry,4.0'ht/3.0'bg/4.0'insul,
R 10.0 continuous insulation
Comments:
1 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. Window 1:Wood.Frame,Double Pane with Low-E,U factor: 0.032
For windows without'labeled U factors,describe features:
1 #Panes Frame Type Thermal Break?[ ]Yes[ ]No
1 Comments:
Doors:
[ ] 1. Door 1:Glass,.U-factor:0.069
#Panes Frame Type Thermal Break?.[ ].Yes[ ]No
Comments:
[ ] 1 2. Door 2:Glass,U-factor:0.032
#Panes Frame Type Thermal Break?[ ].Yes[ ]No
Comments:
f Heating and Cooling Equipment:
[ ] 1. Furnace 1:Forced Hot Air,78 AFUE.or higher
Make and Model Number
f 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
1 rated installed inside an appropriate air-tight assembly with-a 0.5"clearance from.combustible
1 materials and 3"-clearance from insulation.
Vapor Retarder:
[ ] I Required on the warm in-winter side of all non-vented framed ceilings,walls;and floors.
j Materials Identification:
[ j I Materials-and equipment must-be installed-in-accordance-with-the manufacturer's installation
instructions:
L ] I Materials and equipment must be identified so that compliance-can be determined.
[ ] I Manufacturer manuals for all installed heating-and-cooling equipment and service water heating
j equipment must-be provided.
f r I InsulationK varues and glazing U-factors must be clearlymarked on-the building-,plans or specifications.
I
Duct.Insulation:
[ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R 11.
[ ] j Return ducts in unconditioned attics or outside the building must be insulated to R-6.
L ] j Supply ducts.in unconditioned.spac&—�,must-be.insulated-to R 11.
Return-ducts_in-unconditionedspaces.(except-basements)must tw insulated-to R:2,
Insuration is.not-required on.return-ducts-in basements_-
{. Duct_Cinstrnctinn:
AJll joiIItsrseams,-and-connections must lie securely'fasteneirwith wends,gaskets__;mastics.
(adhesives)�-mastc-plus=emb&rred=fdi6e or-tapes. Mcttapf_-!knot permitted.
Exception;Continuously welded and-locking-AMe lonigitUdina-lsomts-and-seams on-ducts
: operat :iat an 2 in.w:g.=�3D��a3�. - - -
L 1::- { s kall besu perted evey ITtM-or4n=aceerdance h'4he-m n ctur,&s instructions.
eol}n ,ducts h=exterior insulation must=lie cevereitlt aer�er.
[ ] { Ai Aktma a aired-in the 4,atum4ir_-system.:.
_ P rode-=means�or_alancin- an water_= s.
� . .. .
I
1 ._emper-atere-E-e els:
---Each d igg-u.* -has at lesat one thermostat capable.af automatic ll}r adjusting the spaee
.temp
-j -Eleetrie�bystems:
[ ] "f--�Far�ate-�leetr-ice-meters:are-regfor_-eack_-d�vell��-mot _ ;.
1_ -Tireptnew.
[ I.:--[ F�Mlacesmustbe instal led witlrt-xght iff.g-noff--eombgsffiic p&-e _--doors------ -_
-- Fir-places_inustbe-provided-with_asource flf combustion:.* as...
i ,:ed.y the FiEe�lace-Fire
PFevisions of a uildingCQ _-Rb— t_e;t a side i vfNew 7c tattier---. .
I the-NeNt_ I[ �oiilfiis C'r�nTn�aessnsaliea �_---
-_.j --Serviee_�Vater_$eating:.—
[ ]: :{- ,-Water heate&,mth.-vertical pipe-risers.-musthave-a�4eat*ap--m-both.:te-inlet and_-outlet-unles&-the_.------
_.j._.-water�eata hasan-integraL-heat-trap��.cpart�fadroulating}+stem-__
l. I Insulat-_cirdA&Jq hot watep tlimatauels
_ L .-,C-rculating=Hotrater Systems ----- -
L 1- -I: .Insulate-circulat g.-hot wateuip-es-to#he4evels_-in T-ablei_-----
I
L 1 I AR-heated-swimming poolsmust-havean on/ofheatec=switch-and_rewire-a cover-unless-over-2fl°la.-
ofthe-heating- errgy is from=non-depletable.soutces.-Pool pumpsivquire-a time clock-_ -
I
: .$eating -Cvoling-Piping-insubdoar---...
L r- { Ti�t�C�i��coaysying:fluids-.abo�re�D�-°E-on-�iiliedfliiiils:l�loviF�S_�must=b�3_ ��'�i�he--:
• Table l: Minimum7nsulation Thickness for Circulating Hot Water'Pipes.
Insulation Thickness in Inches by Pipe Sizes.
Heated Water Non-Circulating Runouts Circulating Mains and-Runouts
Temperature-f`FY - to 1" `Untal.25" 1.5"ta2.f} Over T'
M-180 0.5 J.0 1.5- .-.2.�O
140-160 0.5 0.5 1.0- 15
100-130 0.5 0.5. - 0.5 1.0
Tablet: Minimum:insuladon.Thickness forRVACPipes.
- Fluid-Temp-_'.-Insulatiotf__Thidmess in"Inches by Pipe Sizes
Piping-System Types _ Ran e._T.. - 2"Runouts 1"..and:Less 1.25"to'2" 2.5"to 4"
Heating-Systems
Low-Pressure[Temperature- 201=250 1.0 L5 1.5 2.0
Low Temperature: 120-.200 0:5 1.0 1.0 1.5
Steam Condensate:(for feed water) .-Any 'LO 1:EI -1.5 2.0
-Ooai�Systems
Chilleit Water;Refrigerant, 40:S5 A.5 '0.5 '075 _Lo
and Brine :Below 4.0 1:0 LOF 1.5 1.5
NOT'ES:TO FIELD-(Biiilding Departiuetit Use Unlyy
MAP REFERENCE:
SHERMAN PINES SUBDIVISION
SITE PLAN PHASE 111 40
BY MORSE ENGINEERING P.C.
.AST REVISED APRIL 5, 1995
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I HEREBY CERTIFY THAT IRIS MAP WAS PREPARED S0 �
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL CO
INSTITUTIONS OR SUBSEQUENT OWNER&
CERTIFIED TO:Daniel R. Bromley. it N