2003-420 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804.5901 (518)761.8201
Community Development-Building&Codes (518)761.8256
rAT ry
CERTIFRA I E n0rc 01C' C1UPAN%.j I
Pem t Number; P20030420 Date Issued.: Friday,January 16,2004
This is to certify that work requested to be done as shown by Permit Number P20030420
has been completed.
Tax Map Number, 523400-296-008-0001-028.001-0000
Location; 16 WAVERLY PI
Owner. MICHAELS GROUP LLC THE
Applicant; MICHAELS GROUP LLC THE
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage-2 Cars Attached
Townhouse
Director of Building&Code EnforNment
TOWN OF ,QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030420 Application Number: A200301420
Tax Map No: 523400-296-008-0001-028-001-0000
Permission is hereby granted to: MICHAELS GROUP LLC THE
For property located at: 16 WAVERLY P1
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: MICHAELS GROUP LLC THE Garage-2 Cars Attached
10 BLACKSMITH Dr Townhouse $185,900.00
MALTA,NY 12020-0000 Total Value $185,900.00
Contractor or Builder's Name Address - Electrical Inspection Agency
NEW YORK BOARD OF FIRE UNDE
Plans&Specifications
BP 2003-420 Lot 52,House No. 16 Waverly Place
Construction of a townhouse with 2 car attached garage as per plot plan and specifications.
$318.78 PERMIT FEE PAID-THIS PERMIT EXPIRES: SaturdAy,June 19,2004
(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 Tiewn o nee ht,June 19,2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building-Permit Application
} "I'own of Qucensbury—Dept of Conununity Development, 742 Bay Road,Queensbury,NY
(518).7G 1-825b
A permit must be obtained before beginning construction. Permit File No.
No inspection will be made until applicant has received a Pee Paid $
valid building permit. All applicants' spaces on this Rec. Fee Paid $
application must be completed and must alipcar On the Reviewed By:
application form.
Applicant: i4v Owner: �(�{�
Address: ?address:
Phone#(%._e) - [ Phone
Property Location: Lot Number: 5',_/ House Number
Subdivision Name: Ito.c��, (�2c Tax Map;Number:
New Building: residence 1 commercial Estimated Market Value of Construction $
❑ Addition: residence/ commercial If an Addition, what will use of new addition be?to Alteration: residence/ commercial
o No change to exterior size: residence T coni'I
o Other work(describe )
Check 0ecuhancylriiformatioll I"Floor 2"` Floor Othci•door `Total
Below sq. ft. sq. ft• sq.ft. Square Fect
❑ _Single family dwelling
❑ Two family dwelling
Townhouse
.a Multifamily dwelling
#of units
❑ Office
❑ Mercantile
❑ Manufacturin
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ I car attached,garage
2 car attached garage
0 3 car attached garage
❑ Storage building-
commercial
❑ Storage building-
residential
❑ Other
Will any second-hand or ungraded lumber lber be used? If so, for what?- W.,i.
Type of Heating System: electric/ oil / gas wood /forced hot air./ baseboard./other:
Number of'Flrenlaces to be installed C)n16—L Number of Woodsfoi es to be installed �• _
List below the persons)responsible for supervision of work as regards to building-codes:
Narile Address Phone Number
�;' ' }�
Plumber
]Mason IAEW_�_ _
�
Electrician �-616- ' �{ l 1—�3°a2Z
Declaration: please sign below alter you have careftilly read the slaletnenti
To the best of ny knowledge the statements contained in this.application, together•with the plans and specifications
submitted, u m are a trite and complete statement of all proposed work to be done on the described prernises and that all-
provisions of the I3trilding Code, the Zoning Ordinance and all other laws pertaining to the proposed work sliail be complied
with,whether specified or noted,and,that stich work is authorized by the owner. Further, it is understood that Ifwc shall
submit,prior to a Certificate of Occupancy or Certificate orcompliance being issued,as requested by the Zoning
Administrator or Director ot'Building and Codes,an its atilt Srrrvev by a licensed surveyor;drawn to scale,showing actual
location of all new construction
Signature: — owner,owner's agent,architect,contractor
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas.appliances
Date , 20 Si Permit No.(), _0
Application is hereby made to the Building& Codes Office for the issuance of a.Building and Use
Permit pursuant to'the New York State Fire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
these requirements and also will allow all inspectors to enter premises to perform required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
f (circle appropriate words)
Name: 7TAS wood coal pellet gas
Fire ace insert
Address: 1� Vt�� ���C� '%Xireplace, factory-built: wood as
lZ � c�0,4 'Fu Fireplace, masonry: wood gas
--T 6rnace: wood gas it
Phone: If non-masonary applicance,please provide
Owner: Ziem Manufacturer Name: !
i
Address: Model Number:
Chimney Information
Phone: (circle appropriate words)
Masonry block bgirk stone
Flue the steel size: inches
Exact Address:
of construction or inst lotion Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction 1 Installation must
conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting
Chimney Liner
� Cas�hfer'rs�e�nar�mezxt—�To�zi. of Queensbury, lV"e�-Yor,� ,
!
Fire Marshal Code# S Collected S Refunded Received ftorn(refunded to):
address:
A 173 3389 (190) Public Safety
A 233 2655 (230) inor S es
DATE:
yi�,tia�svb�- 7own. �i�c nz C� �,
Whit (Appl' ant) 1 Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.)
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas FireRlace/Stove Inspection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed.
Permit# — Schedule Inspection j/I�'��� Time I `UU �'pm anytime Inspecto
.Name —6iAddress l Rough In Final
Appliance Manufacturer Model#
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
F+irestop(s) Vertical Chase
Nall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration,2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth extension (if any)
Mantel
Height above f/p opening
'Fitness Operation
Tank Placement(if LP)
White—BtdIdWgDept. Yellow Cast er Pink—Fire Marshal
Residential Final Inspection
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ J?epar—t: a pin
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
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
Gradeaway 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 A/
Gas Furnace shut-off within 30.ft. or within line of site I/
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating 17'
-Low water shut'-off boiler
Relief Valve(s)installed
Interior privacy/ft-fin/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
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Khour fire door/door closer
Garage fire proofing
Duct work Scaled properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24,"access, 1 sq. ft.-150 sq.ft.vents
Iluilqjgg No./Addr ib fr d
Final Electrical -.4
4 L11 61r— 11&e—` 1
Site Plan /Varia ce equired
Final Survey Plot Plan Vill
As Built Sept System/Sewer Dept.Inspection Sticker V�
Flood Plain Certification,if required
Okay to issue C/C(Cert.Of Compliance) 7
Okay to issue Temporary C 0(Cert.'Of Occupancy)
Okay to issue Permanent C 0(Cert. Of Occupancy)
L:\Sueliernifi gNvay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
r
Mahoney
PO.BOX 7F,7 GLENS FALLS,NEW YORK 1U01 Notify-Plus Inc. 510/793-7780 FAX:5181703.0602
January 12, 2004 -
qj
Michaels Group
10 Blacksmith Drive
Suite 1
Malta, NY 12020
Re; 16 Waverly Place
Queensbury, NY
To whom it may concern:
This letter will confirm testing of the fire alarm system at the above referenced property
as at January 12, 2004. At the time of the inspection, all devices were in correct
operating order.
Should you have,any question;please do not hesitate to contact our office.
Sincerely,
Edward J. Boeer
Installation Supervisor
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Rough Plumbing / Insulation Inspection Report
Office No. (S 18)761-8256 Date Inspection request received: - av
Queensbury Building&Code Enforcement Arrive: am/p part: pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: G� -� -:�
NAME: (` PERMIT #:
LOCATION: INSPECT ON: J I c)4—a-ev.3
TYPE OF STRUCTURE: � �;,�
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents .
:Cast Iron, Copper Drain/Vent/Comm.
Plu mbing Vent/Vents in Place
]Rough Plumbing/Nail Plates.
1 % 'inch,loin:Drain Size
Woshin 'Machilie Drain 2 inch min.
Head.or Air'SuppIy Test
Drain aliid:Vents
SPSI`or 101eet above highest
,.,connection for 15 minutes
Cleanout 6irery 100 feet/change of direction
Water Supply Piping ] �-
Cooper Commercial Cfvq
CPVC,Pex One and Two-Famil
nsul"atloil >kesiileintial Check/Commercial'Check (
rU er Vent,Attic Vent
Duct[Hot Water Piping Insulation
If required unheated spaces y
Cqimbustion Air Supply for Furnace
,�15uct work sealed propLrly/No duct tape
1 C ,S! 1n J • y 1 .
COMMENTS: �t .
L;\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
it� 4
Queensbury Building&Code Enforcement Arrive:-am/um Depart: a1 pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initial
NAME: kk,,cj+f�5 PERMIT
LOCATION: INSPECT ON: —M&9*
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
Diain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Watd upply Piping
e
opper Commercial
per,CPVC,Pex One&Two Family
YCOP11
Ansulation/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
COAMENTS:
�L.\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 29,2003
Framing /Firestopping Inspection Report /
Office No.(518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p ep rt �m
742 Bay Road,Queensbury,NY 1.2804 Inspector's Initials:
NAME: M Je PERMIT#:
LOCATION: f ' Z�r�_ - INSPECT ON: !l
TYPE OF STRUCTURE:
Y N N/A COMMENTS
g �
Jack Studs 1 Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
,Headroom 6 ft. 8 in.
Stairwells 3 6 in.or more
Headroom 6 ft. 8 in.
Notches/Doles/Bearing Walls
Metal Strapping for Notches Top Plate
1 V2(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
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side t/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:1SueHemingway\Building.Codes.Inspection.FORMS1Framing Firestopping Inspection keport.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (5 18)761-8256 Date Inspection request received: /hA )
Queensbury Building&Code Enforcement Arrive: am/ am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:)
'NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Framing
COMMENTS
aml
Jac tads Headers
Bridging
n
racing Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in.or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
I Y2(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 V7.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
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: -)-A-o
Queensbury Building&Code Enforcement Arrive: am/ am/pm
. 742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT #:
C% -
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
VpPjumbing Vent/Vents in Place,
Rough Plumbing/Nail Plates
I % inch min.Drain Size,
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents'
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
Cooper,CPVC,Pex One and Two-Family
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly No duct tape
COMMENTS:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Reportdoc November 17,2003
Town of Quecusbury Fire Marshal
742 lay Road
Queensbury,NY 12804
761-8205/761-8206
fax 7454437
FactoKy]Built G ire lase/ tove Ins ection Re ort
Notice:New York State requires that all IJL Listed,fa Cory 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# 13 D.& Schedule Inspection 101A L�03TDne. _am Spmanytime Inspector
Name l Address 1 tS� i ough in +final
ApplianceManuf turer Model# � ��� ���t � ��A'o� 3
Direct Vent Factory Built Chimney Flue Size Rouble Wall Triple Wall Insulated
Yes No NIA Comments
Floor Protection
Clearances"to Combustibles(all sides)
Pirestop(s) vertical Chase
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Slant-Off Valve
Combustion Air
Hearth Extension(if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement{if LP)
White—Building Dept. yellow Oust er Pink—Tire Marshal
a6,cw /�
Rough Plumbing I Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received-
Queensbury Building&Code Enforcement Arrive: am/ (,,part: 47
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:4�f 7 PM
NAME: PERMIT #: ,
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
UIPlain 9 Vent/Vents in Place
-ail-I'lates
I 1/2,inch nun. Drain Size
YA(ashing Machine Drain 2 inch min.
Mead or Air Supply Test
Drain and Vents-
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
Cooper,CPVC,Pex One and Two-Family
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/.Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November l7,2003
Framing/Firestopping Inspedion Re-port
Office Na. (518) 761-8256 Date Inspection requ cei rcei a
Queensbury Building&Code Enforcement Arrive: Ut D a It: am/
742 Bay Road,Queensbury,NY 12804 Inspector's Initial .
7,
PERMIT#: LO,NAME: Cka-S GYC
LOCATION: 1 ((2 A rU Row- INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N '7 NIA COMMENTS
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
I V2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ke and snow shield 24 inches from wall
Fire separation 1,2, 3 hour
Fire wall 2,3,4 hour
Firestopping
Penetration scaled
16 inch insulation in cavity min.
Garage Fire Separation
House side Y2 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:\Suel-Iemingway\Building.Codes.Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
1
Office No.(518)761-8256 Date Ins ection r q t rec ive .
Queensbury Building&Code Enforcement Arrive: a De a m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial
NAME: IT#: 4),b
LOCATION: INSPECT ON: —(
TYPE OF STRUC �� v
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 J Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation l Waterproofing
Type of Dampproofing f Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
ches above footing
6 mil poly for wet areas under slab
Bacxfill Approval
Plumbing Under Slab
PVC I Cast I Copper
Foundation Insulation Interior 1 Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
-Am
Foundation Inspection Report
Office No.(5 118)761-825 6 Date Inspection request received: P//Jl
Queensbury Building&Code Enforcement Arrive: am/p am/pm
": j oe/
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial Depart:
NAME: "J.1 clxadly C",p PERMIT#: cPOel,3 Y
LOCATION: 14 4)R wo-, V 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
Foundation Darappro6fing
Foundation/Waterproofing
Type of Dampproofing/Waterproofin*g
Footing Drain Daylight or Sump
VFooting Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
44'Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASueHemingway\B ui Wing,Codes.Inspection.rORMS\Fouiidation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection req st ec
.......................
Queensbury Building&Code Enforcement Arrive: p Depart: Z��6aig�—m �
742 Bay Rd., Queensbury,NY 12804 Inspector's Ini is
NAME: RMIT#: 03 —_q an
LOCATION: lP INSPECT ON:
TYPE OF STRUCTU
Comments
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
Found �n Darapproofing
X6undation/Waterproofing
Type of Dampproofing ftroofiri
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.
L;\SueHemingway\Building.Codes,Inspection.FORMS\Fouiidadon Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (51-8)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: - am/p D rt: am/pm
742 Bay Rd,, Queensbury,NY 12804 Inspector's Initials:
NAME: 1G PERMIT#: L4 d C>
LOCATION: cv,j: INSPECT ON: 7 rs 2
TYPE OF STRUCTMf:
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 Darapproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil of 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.
LASuefferningwayNBuilding.Codes.InspectionYORMSTounda don Inspection Report.doc January 28,2003
Permit Number
REScheck C6mpliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheekSoftware Version 3.5 Release lc
Data filename:F:\SHARE\Design\Energy Calc\WAVERLY PLACE\16 Woodruff.cck
TITLE:WP 322,Woodruff
COUNTY:Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached I or 2 Family
BEATING TYPE:Non-Electric
DATE: 07/09/03
DATE OF PLANS:July 7,2003
PROJECT INFORMATION:
16 Waverly Place
Queensbury,N.Y. 12804
COMPANY INFORMATION:
The Michaels Grop
10 Blacksmith Dr.
Malta,NY 12020
NOTES:
All options are included.
Silverline 2900 windows
COMPLIANCE:Passes
Maximum UA=428
Your Home UA=415
3.0%BetterThan Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Raised or Energy Truss 1422 30.0 0.0 46
opt.Mbr bay ceiling:Raised or Energy Truss 17 30.0 0.0 1
opt.Mbr bay wall: Wood Frame, 16"o.c. 18 19.0 0.0 1
opt.Pining bay ceiling:Raised or Energy Truss 19 30.0 0.0 1
opt.Dining Bay wall:Wood Frame, 16"o.c. 15 19.0 0.0 1
opt.Brkfst bay ceiling:Raised or Energy Truss 19 30.0 0.0 1
opt Brkfst bay wall:Wood Frame, 16" o.c. 15 19.0 0.0 1
1st R'walls:Wood Frame, 16"o.c. 1534 19-.0 0.0 73
2x opt.Mbr(AG):Vinyl Frame,Double Pane with Low-E 25 0.400 10
Ix opt.Mbr(AF):Vinyl Frame,Double Pane with Low-E 32 0.400 13
Ix Bed#2(A):Vinyl Frame,Double Pane with Low-E 34 0.400 14
Living#17:Glass 54 0.350 19
Ix Living(D):Vinyl Frame,Double Pane with Low-E 9 0.400 4
Ix opt.Living(D):Vinyl Frame,Double Pane with Low-E 9 0.400 4
Ix Dining(L):Vinyl Frame,Double Pane with Low-E 30 0.400 12
2x Dining(K):Vinyl Frame,Double Pane with Low-E 20 0.400 8
Ix opt.Brkfst(L):Vinyl Frame,Double Pane with Low-E 30 0.400 12
2x opt.Brkfst(K):Vinyl Frame,Double Pane with Low-E 21 0.400 8
Foyer#IA: Solid 29 0.350 10
Laundry#20: Solid 19 0.240 5
2nd floor walls: Wood Frame, 16" o.c. .910 19.0 0.0 50
Ix Foyer(AH):Vinyl Frame,Double Pane with Low-E 11 0.400 4
Ix Loft(AR):Vinyl Frame,Double Pane with Low-E 32 0.400 13
lx Bed#3(A):Vinyl Frame:Double Pane with Low-E 34 0.400 14
Basement Wall 1: Solid Concrete or Masonry 1295 0.0 11.0 84
Wall height: 7.6'
Depth below grade: 6.6'
Insulation depth:6.0'
3x Bsmnt windows:Wood Frame,Double Pane with Low-E 5 0.520 3
Bsmnt opt.Mbr.bay wall: Solid Concrete or Masonry 13 0.0 11.0 1
Wall height: 7.6'
Depth below grade:6.6'
Insulation depth:6.0'
Bsmnt opt.Dining bay wall: Solid Concrete or Masonry 13 0.0 11.0 1
Wall height: 7.6'
Depth below grade: 6.6'
Insulation depth:6.0'
Bsmnt opt.Brkfst bay wall: Solid Concrete or Masonry 13 0.0 11.0 '1
Wall height:7.6'
Depth below grade: 6.6'
Insulation depth:.6.0'
Furnace 1:Forced Hot Air,80 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,
specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the
New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and
signed this page,they are attesting that to the best of his/her knowledge,belief,and professional judgment,such plans or
specifications are in compliance wit this Code.
Builder/Designer— Date -711
REScheck Inspection Checklist.
New York State Energy Conservation_ Construction Code `
REScheckSoftware Version 3.5 Release lc
DATE:07/09/03
TITLE:WP 322 Woodruff
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve full height over the plate lines of exterior walls.
[ ] 2. opt.Mbr bay ceiling:Raised or Energy Truss,R 30.0 cavity insulation
Comments:
Insulation must achieve full height over the plate lines of exterior walls..
[ ] 3. opt.Dining bay ceiling:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve full height over the plate lines of exterior walls.
[ ] 1 4. opt.Brkfst bay ceiling:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve full height over the plate lines of exterior walls.
Above-Grade Walls:
[ ] 1. opt.Mbr bay wall:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
[ ] 2. opt.Dining Bay wall:Wood Frame, 16"o.c.,R 19.0 cavity insulation
Comments:
[ ] 3. opt.Brkfst bay wall:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
[ ] 4. 1st fl walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
[ ] 5. 2nd floor walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Basement Walls:
[ "] 1. Basement Wall 1: Solid Concrete or Masonry,7.6'ht/6.6'bg/6.0'insul,
R-11.0 continuous insulation
Comments:
Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
[ ] 2. Bsmnt opt.Mbr.bay wall: Solid Concrete or Masonry,7.6'ht/6.6'bg/6.0'insul,
R-I1.0 continuous insulation
Comments:
Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
covers,the exposed(above-grade)insulation and extends at least 6 in:below grade.
[ j 1 3. Bsmnt opt.Dining bay wall: Solid Concrete or Masonry,7.6'ht/6.6'bg/6A'insul,
R-11.0 continuous insulation
Comments:
Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
C ] 4. Bsmnt opt.Brkfst bay wall: Solid Concrete or Masonry,7.6'ht/6.6'bg/6.0'insul,
R-11.0 continuous insulation
Comments:
Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
Windows:
1. 2x opt.Mbr(AG):Vinyl Frame,Double Pane with Low-E,U-factor: 0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
2. Ix opt.Mbr(AF):Vinyl Frame,Double Pane with Low-E,U-factor: 0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
3. Ix Bed#2(A):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
4. Ix Living(D): Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
5. Ix opt.Living(D):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
6. Ix Dining(L):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
7. 2x Dining(K):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
8. Ix opt.Brkfst(L): Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes .Frame Type Thermal Break? Yes No
Comments:
9. 2x opt.Brkfst(K):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
10. lx Foyer(AH):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
11. Ix Loft(AR):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
12. Ix Bed#3 (A):Vinyl Frame:Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments: .
13.. 3x Bsmnt windows: Wood Frame,Double Pane with Low-E,U-factor: 0.520
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
1. Living#17:Glass,U-factor:0.350
Comments:
2. Foyer#lA: Solid,U-factor: 0.350
Comments:
[ ] I 3. Laundry#20: Solid,U-factor:0.240
I
Comments:
Heating and Cooling Equipment:
[ ] I 1. Furnace 1:Forced Hot Air, 80 AFUE or higher
Make and Model Number
I'
Air Leakage:
[ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] I Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
I with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a
3"clearance from insulation.
I
Vapor Retarder:
[ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
. Materials Identification:
[ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] I Materials and equipment must be identified so that compliance can be determined.
C ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] I Insulation R-values;glazing U-factors,and heating equipment efficiency must be clearly marked 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.
[ ] I 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.
[ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
Insulation is not required on return ducts in basements.
I
I 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).
[ ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder. .
[ ] I Air filters are required in the return air system.
[ 1 I The HVAC system must provide a means for balancing air and water systems.
I
I 'Temperature Controls:
[ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
I temperature set point of the largest zone.
I
Electric Systems:
[ ] I Separate electric meters are required for each dwelling unit.
i
Fireplaces:
[ ] I Fireplaces must be installed with tight fitting non-combustible fireplace doors.
C ] I 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
I the New York City Building Code,as applicable.
I
Service Water Heating:
[ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
I water heater has an integral heat trap or is part of a circulating system.
[ ] I 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%
j of the heating energy is from non-depletable sources. Poolpumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 105 OF or chilled fluids below 55 T must be insulated to the
levels in Table 2.
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
: Insulation Thickness in Inches by Pipe Size's
Heated Water Non-Circulating Runouts Circulating Mains and Runonts .
Temperature(F) _Up to I" "Up.to 1.25" 1.5"to 2A" Over 2"
170-180 0.5 1.0 1.5 2.0
140460 0.5 0.5 1.01 1.5
100-130 0.5 '0.5 0.5 Lo
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range F 2"Runouts l"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)
Project NameL /ll/i BP# Q5. , $
Address: o � t t ,
Building Pen-nit Submission SFD
Checklist 2-Family
All items below must be checked either yes,no or not applicable prior to-submission of any building
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 Gompleted ............... ...... ...... 10_5�s ❑no. ❑n/a
2. EnergyFonn or Checkmate Energy Code Compliance Form Complete.. ❑no ❑nla
(2 copies)
3. Energy Gode Inspector's Report from-Clrejd&te Program.. ...... ...... :. Q no F1'rr/a
(2 copies)
t if a hca le ... no nla
4. Septic application completely filled out( pp ) ❑yes [] ❑
5. Solid Fuel Burning or Gras Appliance Form... ...... ... ...... ...... ...... ... ... .❑yes Qno �,❑'nIa
6. Electrical Inspection Form... ...... .... ... ... ❑ a
7. Two(2)complete sets of structural drawings......... ... ...... ... ... ...... ... ... . yes ❑no ❑ula
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,...... ... ... - ❑iro 'Elh/a
location of well or water lines location of septic systems or sewer line.
1. Setbacks from property linen to new structure......... ...... ............ ......- yes Ono Onla
lo. Setbacks to neighboring wells and septic systems,including onsite well.... IrTyes. ❑no ❑nla
and septic systems (if applicable)
11. Driveway Permit.. ... ... ... ... .:............ ..................... ...... ❑ a
Ono
Dater " 69 _
Staff Initial:
I.\SueHemiugway\BuRding.Pernit.FORMS\Generic(:iecklisedoe. Jmuary28,2003
' Residential Plan Review: One&Two Family Dwellings r
Check
Y/N/N/A
2)Full sets of plans
Over 1,500 sq. ft.—stamped
Design loads on plans: 90 wind Floor Loads 40 psf
70 ground snow load Sleeping areas and Attics 30 psf
Calculations:
Window Schedule with glass size
Door Schedule/Main Entrance 36"Door
Emergency escape for Bedrooms and Habitable Space -
/` Above/Below grade,5.7 sq.ft.
/ Grade,5.0 sq.ft.
V 24"(h)x 20"(w)min.
44"Max.Height above floor
Residential Check paperwork compliance and inspectors checklist: OK
Vertical Rebar as required by code/Anchor Bolts%x 7 6'O.C.
Dampproofing/Waterproofing materials on.plans
Foundation Drainage on plans,if required
6;:Drop in 10' Exterior Grade
Framing cross section for each roof line,Vertical Fire Stopping every 10'.where required
Ice and Snow shield 24"inside exterior wall/Proper Vent,Attic Vent ,
Platforms at exterior doors
Stairway headroom 6 ft. 8 in.all stairs 36"Width
Stair,run and rise
Winder run and.-rise
Spiral not allowed from 2" story
moke,detectors battery backup,and proper.location
throom Fixtures proper clearance
all,width,3,6"`min.
andrails 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
arage Fire Separation
Garage Floor Sloped
Attie Access
Roof over 30"—22"x 30"
Crawl Spaces-18"x 24"Access
Carbon Monoxide Detector lowest sleeping level
Soil Test Results,if required
Septic to well,or'water line separation
All paperwork signed
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MAP REFERENCE:
WAVERLY PLACE 5UBDIV15ION
DATED AUGUST 24, 2000
LAST REVISED JANUARY 1g. 2001
BY VAN DU5EN + 5TEVE5
LAND SURVEYORS. LLG
S89017'53"E
119.86'
3a A2 >
0
\� 51 m
N 0 5,°?�M� ` 8,202 sq.ft.
FFN 0.19 acres
?0RG" w oww
0
3A Q3,
720 33
50
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52
7g• f'n
33 5�O\z 8,194 sq.ft.
w000 oUSti 0.19 acres
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CP 2
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- I
a t-+L Datei DECEMBER 9, 2003
"UNAUTHORIZED ALTERATION OR ADDITION A SURVEY Map of a Survey made for Scale 1"=20'
MAP OF A LICENSED S LAND SURVEYORS SEAL IS A
VIOLATION
TION OF SECTION 7209,SUB-DINSICN 2,OF THE
NEW YORK STATE EDUCATION LAW."
'ONLY COFIE5 FROM THE ORIGINAL OF TH15 5URVEY
MARKPD N"TH AN O'JGINA,OF TH!LAND 5URVVO,R5
S t �T /� s SEAL SHALL BE CONSIDERED TO BE VALID RUE TH TH ' THE M I C HA E L S GROUP S - 1
C V C "CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE W1 TH THE
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
Land Surveyors LA THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS.SAID CERTIFICATIONS SHALL RUN ONLY
70 THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND SHEET 1 OF 1
ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL
AGENCY AND LENDING INSTITUITION LISTED HEREON,AND Town of Queensbury, Warren County, New York
169 Havlland Road Queensbury, New York 12804 TO THE A551GNEE5 OFT HE LENDING IN5TIP1TION."
N.�iGhaels
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. g9312-51-52