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2003-362 J TOWN OF QUEENSBURY 742 Bay Road,Queensbm7,NY 12804-5902 (518)761.8201 fj Community Development-Building&Codes (518)761-8256 DIO OF OCCUPANICY Permit Number; P2003036Date Issued; Thursday,Jue 03;2004 This is to certify that work requested to be done as s own by Permit Number P20030362 has been completed. Tax Map Number: 523400-308.014-OOOI.�034-000.0000 Location: 19 AMETHYST Dr. Owner: D.KIRBY&MARTH A VAN VLEET Applicant: D.KIRBY&MART VAN VLEET This structure may be occupied as a: By Order of Town Board Residential Addition TOWN OF QUEENSBURY Director of Building&Code Enforcement i F TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761.;8256 BUILDING PERMIT Permit Number: P20030362 Application Number: A20030362 Tax Map No: 523.400-308-014-0001-034-000-0000 Permission is hereby granted to: . D. KIRBY&MARTHA VAN VLEET For property located at: 19 AMETHYST Dr 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: D.KIR13Y&MARTHA VAN VLEE Residential Addition .$3,500.00 19 AMETHYST Dr Total Value $3,500.00 QUEENSBURY,NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2003-362 24.5 SQ FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS - $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,June 13,2004 (If a longer period is required,an application for an extension must be made to the cone Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the T urn of pee of une�13,2003 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit-Application -Town of Queensliury-Dept of Community Development,742 Bay Road,Queensbury,NY. (518)761-8256 A permit must be obtained before beginning construction. Permit File No. tt a Ii No inspection win be made until applicant has received;a Fee Paid $-25.,2 01WAY valid.building,permit. All applicants' spaces on this Rec.Fee Paid $ z :} application must be completed and must appear on the " Reviewed N y application form. UILDIN , r CODE Applicant: Ki ray VM V V r� Owner: K��b llr+c+�`ter�a 1�'cw. ,l1 i Address: IC1 -i3rnta,-�<4 r- .Address: 1Q �.u•e�'vzbc.e.v�.t, ►�`t' Lz.S+a�f ,�/ . Phone#(alb) - ' Phone#( ) 71, -6:76 S): tt s% -q 2v3 Property Location: ;Lot Number: / House`Number L Subdivision Name: Psvv� Tax Map Number: i Z 5� - 17-2 6 ❑ New.Building: :residence t commercial 'Estimated Market Value of Construction:$ -3 •�� << X Addition: . 'residenc commercial If an.Addition,what will use-of new addition be? .09 Alteration: esidenc commercial F AecctA e r, ❑ No change to exterior size: residence t com'i ❑ Other work(describe Check laCcupaAcyInformatfOn 1` FIoor 2° Floor Other floor Total Below sq.ft, sq.ft. sq.ft. �S,quare Feet W_ Single family dwelling j-- ❑ Two family dwelling a Townhouse ❑ Multifamily dwelling #of units ❑ Office ; ci Mercantile ❑ Manufacturing, ❑ 1 car detached garage ❑ 2 ear detached garage ❑' 3 car detached garage ' ❑ 1 car attached garage' ❑ 2 car attached garage ❑, 3;car attached garage ❑ Storage building commercial ❑ Storage building- residential n Other- . What is the proposed height of the structure feet inches Will any second-hand orungraded lumber be used? If so,for what? "Type of Heating System- electri toil / gas/wood /forced hot air/ aseboar /other: Number of FBrentaces to,,be installed . Number:of Woodstoves to be installed �? List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number _ -Builder - Plumber Mason Electrician �. ,; 4 •+ 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!!we 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 surveyor;drawn to scale,.showing actual location of all new construction. Signature: .. G Gs Z owner,owner's agent architect,contractor �y r fl �aL ENERGY CODE COWLIANCE APPLICATION TOWN OF QUEENSBL RY, WARREN COLn1T y t3—3 9000 HEATING DEGREE-DAYSC:CEIVED Compliance Methods:Part 5 -Acceptable Practice Method - 1&2 Family Dwellings (onl§IY 8 0 2003. Part 6*-Thermal Rating—_Component trade Offs 1&2 FamilyN- •. Mulfi=Fam ily Dwellings(3 Stories or less) 0t 0 uEENSBIJRy Part_`4*-'Design by Component Performance,Commercial Bnil wigs- 't'ADD CQ Rise Residential *Requires submission of worksheets r APPLICANT'S NAME: 'PROPERTY LOCATION.-' PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area square feet 2. Type of heat- Electric . Oil 'Gas Other 3. Is building mechanically cooled? yes X No 4. Percentage of area of windows and doors Over 17% Under.17% 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPONA TO R VALUES AS SHOWN ON PLANS SUBMITTED: a: Roof R 3 9 b. Exterior walls R 117 C. Glazed areas R `� �,FtS`;-�� ` d. Exterior doors R IU ` a CI' e. Floors over unheated spaces R k a f. Edge of slab on grade(heated building) R g, Basement/cellar walls(above grade) R -- h. Basernent/cellar walls(below grade) R �-- i. Heating/cooling-ducts-piping in unheated space R —` 6. Service(domestic).hot water heating device.- "°e Conforms to minimum efficiency per code 4'. Yes No TEMPERATURE CONTROL-MAXIMUM SE'ITING'140--WILLNOTBE EXEEDED ,A:ppiicanf's Signature Date Phone Number INSPECTOR'S REMARKS: i Project Name: % W Address: j� � �:I w6�,:�A'v E C )EIVED Building Permit Submission SFD Checklist 2-Family SAY 3 02003 rocs aF QUEEAISBU� ' RU1CGdNG qD CODS All items below must be checked either yes,no or not applicable prior to submission of any b permit to the Town of QueemburyBuilding 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 Gompleted ..................................... Dq-yes ❑no O n%a 2. EnerUForm or CheM&te Energy Code Compliance Forms Connplete.. ❑yes ❑no [.n/a (2 copies) 3. Energy Code Inspector's Report from ChecldOate Program................. ❑yes [:)no (A n/a (2 copies) 4. Septic application completely filled out Cif applicable).................. ...... ❑yes [:]no ®.n/a 5. Solid Fuel Burning or Gas Appliance Form... ...I..... ...... ...... ......... ... .Oyes Ono Wa 6. Electrical Inspection Form . ... ... ........:................1.......... ........ Oyes Ono ❑n/a 7. Two(2)complete sets of structural drawings.......................... ...... ... .(� ❑no On/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,............ ages Ono On/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new structure............... ................. Rks []no Qn/a 10. setbacks to neighboring wells and septic systems,including onsite well.... ❑yes. Ono Hda and septic systems(if applicable) 11. DrivewayPemnt..................... ......... .............................. ...... Oyes Qno On/a 5�411'9� Date: Staff Initial: L:\SueHemingway\Buildu'g1'ermitFORMS\Generic Cheddist.doc Januag28,2003 Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm art: Date Inspection re Uest received: Inspector's Initials: V1 z NAME: PERMIT#: LOCATION: V;1\- Wcm— DATE: TYPE OF STRUCTURE: C L-V , Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" V/ Roof Complete/Exterior Finish CoLmpfete X Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum '/" Gypsum Grade away from foundation 6 in, with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft.or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: — / Every Bedroom: Outside every bedroom area: Inter Connected: — / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss, draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/1/4 hour fire door/door closer Duct work Seated properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24".eccesi, I sq. ft.-150 sq.ft.vents Buildin No./Address kisil;I1 fro nroams , I Final Electrical 't I 4-� ( 0 1 k Site Plan /Variance Tekluired Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C or C/0 [Temporary/Permanent L:\PamW\Building&Codes\Insvection Forms\Res. Final Insp. form 2.docLast orinted 2/12/04 Rough Plumbing h sulat- fl'ns)pec )bn Report Office No. (518) 761-8256 Date Inspection reque ceived- Queensbury Building&Code Enforcement Arrive:—a prn ep t: Q a m 742 Bay Road,Queensbury,NY 12804 Inspector's Initia NAME: YN ej PERMIT#: J j�� LOCATION: 6-, ��M L\>,V(�N INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain 1 Vents Cast Iron,Copper Drain/Vent 1 Comm. Plumbing Vent Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Dfain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping C: r0o-rn ercial er,CPV CPN op?_pC,Pex One &Two Family ol Ws'u'lation/Residential Cheek/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 Framing / Firestopping 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 Initial NAME: VCk, rA PERMIT#: (� t0 O'er LOCATION: INSPECT ON: TYPE OF STRUCTURE- ` Y N N/A COMMENTS ming 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 'l2(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 L:\SueHemin-way\Building.Codes_Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Rough Plumbing Insulation Inspection Report �r � Office No. (518)761-8256 Date Inspection request received:7 Queensbury Building&Code Enforcement Arrive:—am/p epart: knVpM 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: 0 C, ERMIT#-. LOCATION: r2SA� L 4INSPECT ON: t2s� , 6CI T:)M TYPE OF STRUCTURE C) 1:)M% 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 1rough 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 Pr6perly CONMENTS: �L:\SueHemingway\13uilding.Codes.ffispection.FORMS\Rougli Plumbing Insulation Report.doc January 28,2003 Framing ifir,estopping Ins ection Report Office No.-(518) 761-8256 ' . Date Inspection request received: Queensbury Building&Code Enforcement Arrive: a Depa �am/pm' 742 Bay Road, Queensbury,NY 12804 Inspecior's'Iniiials } NAME: PERMIT#: 1 L� LOCATION: . INSPECT ON: TYPE OF STRUCTURE: ` Framing Y N N/A COMMkNTS 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 t Bearing Walls Metal Strapping for Notches Top Plate 1 'Is(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq..ft. floor trusses Anc or Bolts-6 ft.or,less on center ce and snow shield 24 inches from wall Fire separation 1,2,3 hour Fire wall 2, 3,4 hour Firestopping., Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %inch or'5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.godes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 A-1 Foundation Inspection Report Office No, (5 1*8)761-825 6 Date Inspection request received: 7 Iq /0 Queensbury Building&Code Enforcement Arrive: a��Depart:4?��-IVprmr 742 Bay Rd., Queensbury,NY 12 804 Inspector's Initial NAME: PERMIT#: LOCATION: _ �T -CT ON: Zola 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. 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 Bacicf11 o al Mer 77�b - Cast Copper P/Yr ) rI Ala ion Interior/Exterior -V to o —Rough Grade 6 inch drop within 10 ft. LASuelierningway\Building.Codes.InspectionSORMSToundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p , Depart: , Z,Tn/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: V t'd V,(e(,< PERMIT#: Q 1 � LOCATION: �,� _bs:C_ 0 rz INSPECT ON: v 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 DampprooEng/Waterproofing — Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Bacldill Approval Plumbing Under Slab VC/Cast/Copper Foundat* Ins layioJn Inte ' r/ ten r R- !`� �g Rough rjrade 6 inch drop within 10 ft. L,\.SueHemingway\Building.Codes,lnspection.FORMS\Foundation?nspection Report.doc January 28,2003