2003-491 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804.5902 (518)761-8201
Community Development-Building&..Codes (518)761-8256
CERTIFICATE "OF OCCUPANCY
Permit Number: P20030491, Date Issued: Thursday, November 13,2003
This,is to certify that work requested to be done,as shown by Permit Number P20030491
..has-been completed,
Tax Map Number: 523400-296-008-0001-020-001-0000'
Location: 4 CHELSEA PI
Owner: MICHAELS GROUP LLC THE
Applicant: MICHAELS GROUP LLC THE
'This structure may be occupied as a:
By Otder of Town Board
Fireplace TOWN OF QUEENSBURY
Garage= l Car Attached
Townhouse
Nectot of Building&Code nforcement
TOWN OF QUEENSBURY,
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20030491 Application Number: A20030491
Tax Map No: 523400-296-008-0001-020-00 1-0000
Permission is hereby granted to: MICHAELS GROUP LLC THE
For property located at: 4 CBELSEA PI
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 Fireplace
10 BLACKSMITH Dr Garage- 1 Car Attached
MALTA,NY 12020-0000
Townhouse $155,900.00
Total Value $155,900.00
Contractor or Builder's Name j Address Electrical Inspection Agency
MICHAELS GROUP
SUITE I
10 BLACKSMITH Dr
MALTA,NY 12020
Plans&Specifications
2003-491 LOT 12 HSE#4 CHELSEA PLACE
1319 SQ FT TOWNHOUSE WITH 1-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$214.66 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,July 14,2004
(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 th of Qu a sb July 14,2003
SIGNED B for the Town of Queensbury.
V
Director of Building&Code Enforcement
Building Permit Application
Town Of QUCensbury-Dept of Community Development,742 Bay Road, Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No.
No inspection will be made until applicant has received a Fee Paid $
valid building permit. All applicants' spaces on this U'cc. Fee Paid $
application ri-lust be completed and must appear on the Reviewed By:
application Form.
Applicant: 1"RX, owncr: amp
Address: Address:
Phone#(S18 Phone#(_)
R
_-
- -v I - - D
Property Location: Lot Number: 1'2. / HouseNumber 4- C-kQ-ka-r-a- 'F�i U 3 0 2003
Subdivision Narne: Tax Mal) Number: 6(A-�-X-�M&36RY
FU!L ('(;DE
o New Building: residence I commercial Estimated Market Value of Construction: $
o Addition: residence t commercial
If an Addition, what will use of new addition be?
L:i Alteration: residence l commercial
0 No change to exterior size: residence/com'l
Ll Other work(describe
Check ocell pailcyl it fortit-A-ficill I" Floor 2"" Floor Other floor Total
Below I sq.ft. sq. I't. sq. fl. S(loilre Feet
U Single family dwelling
0 Two family dwelling
Townhouse Cj
o Multifamily dwelling
#of units
0 Office
U Mercantile
ci Manufacturing
o I car detached garage
0 2 car detached garage
U 3 car detached garage
-VC I car attached garage
L:j 2 car attached garage
0 3 car attached garage
Li Storage building-
Commercial
0 Storage building-
residential
U Other
Will any second-hand or ungraded lumber be used? If so, for what?
Type of Heating System: electric/ oil /(gas Wood /forced liot air baseboard other:
Number of Fireplaces to be installed Number of Wootlstoves to be installed-I-A.& -
for-super-yisipp-ofwOrkas-i-cg-ards to building.codes:
Narne Address Phone Number
Builder -T�-c s
Plumber C141C v1k�VYN6011 t3
Mason PC ocpe S44-, Xf+,,, k-C-le(-'P3
l3celaratiow plea.-c sigii below after you have caref-tilly 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-proposedwork to be done on the described premises and that all
provisions oftlic Building Code, the 7-ojj,ii.lig-A., �dillanc��—
�� c and all other laws pertaining to the proposed work shall be complied
with,whether specified or rioted arid�F�traV�s6ch work is authorized by the owner. Further, it is iiii(Ici-stood that I/wc-hall
stibinit,prior to a Certificate d,i0ectiparicy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Direc-tt ju o1dingand Codes,all As fluiltStirs,ely by a licensed surveyor;drawn to scale,showing actual
� P
locatiorik3r,all lie 11S ructioa.
Sij"llatu 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 Permit No, C,�4
Application is hereby inade 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 perfqrin required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant.Information Fuel Burning Appliance Information
(circle appropriate words)
Name:
Stove: wood coal pellet gas
-Tr,
Fireplace insert
Address: Fireplace, factory-built: woad (ga-s
Fireplace, masonry:, wood gas
Furnace: wood gas oil
Phone. If non-masonary applicance,please provide
Owner: Manufacturer Name:
Address: Model Number:
Chimney Information
Phone: (circle appropriate words),
Masonry block brick stone
Flue tile steel size: inches
Exact Address: A- til,.
ojcZn;tirictfon Factory-Built
Manufacturer Dame:
Model Number:
Note: Listed By: Number:__
Construction lInstallation inust
coca.f Qrjn to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall Triple wall l Insulated / Direct venting
Chimney Liner
A' i
-e Marshal Code# d ed, (re
Fire $Collect( S Rejiinde Received funded
fi '0)
c" Ob address:
A 173 3389 (190) Public Safety __C�l
A 233 2655 (230)Minpr Sales
DATE: f _Z1.
White)(Applicant) Green(Fire Marshal) Yellow(Bldg. Dept.) fink&Goldenrod(Cashier's Dept.)
f
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Received: _. -P9"4i�_t._'..uest -13-63 INSPECTION ON: ��--f--}--
Na me: �\C�q � (�,� PMAM PM ANYTIME
Location:
APPROVED
R N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS_NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE$PFdNrLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKCER-
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CH NEY
SONRY _ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT ROU H N
NAL
WOOD
STOVE' ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
M ONLY Rau�l�IN �}(THIS i ATE OK FOR CO NET OK
FINAL.
FIREPLACE
FACTORY BUILT Rc7t1 tN INSPECTED SY
FINAL
COMDEV/CHRISJNVORDIL.ETTER$2001]FIREMARSHALINSiPECTIONREPORTI1022001
WHITE-BUILDING DEPARTMENT COPY YELLOW d OCCUPANT COPY
-D
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: arn/prn Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: Ceaap PERMIT M
LOCATION: DATE: W/"
TYPE OF STRUCTURE:'
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
-Low water shut-*off boiler
. .Relief Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety lazin
Window in stairwells safe!y 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 stgying finished basement 1,000 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 accessible area
Crawl Spaces 18"x 24"access, 1 sq,ft.-150 sq. ft.vents
Buildinoo./Address visible from road
Fin lectrical
. e Plan /Variance required
V Final Survey Plot Plan
As Built Septic System/Sewer Dept,Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue Temporary C 0(Cert.Of Occupancy)
Okay to issue Permanent C 0(Cert. Of Occupancy
L:\SueHen-dfigway\Buildiiig.Codes.Itispection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Residential Final hispection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pmDepart:r7 an pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: 4 C'LOCATION: IQ DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof J/
Roof Complete
Guard 30 in.or more @,stairs,decks,patios
Guard at..s.tairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railifigs 34 in.to 38'in.
Platform at all exterior doors 01
Interior Handrails stairs 2 or more risers 01
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 V
Safety glazing
Window in stairwells safety glazing Iry jr.4,4
wz—4T-
Interior Smoke Detectors: 01
Every level: l Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation V/
Floor tniss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4houf fire door/door closer
Garage fireproofing voro
Duct work Scaled properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"cicces.s, I sq.ft.-150 sq. ft.vents
Building No./Addr4s x sible fro adV0,--
Final Electrical , (N151-
Site Plan [Varian belreWired-
Final Survey Plot Plan
As Built Septic System/-Sewer Dept.Inspection Sticker t L t(Z-10
Flood Plain Certification,if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue Temporary C 0(Cert.Of Occupancy)
Okay to issue Permanent C 0(Cert, Of Occupancy)
L.\SueHeniingway\Btiilding.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,�J3
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received-
a o _;� am/pm
Queensbury Building&Code Enforcement Arrive: pm
- in/ De
742 Bay Road,Queensbuly,NY 12804 Inspector's Initials:
NAME: Cl-f_Om'� PERMIT#: l
LOCATION: 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
Drain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes Pj ,4 c,U,
Water Supply Piping
Coppe;Commercial
Co pfer, CPVC,Pex One&Two Family
) anon/Residential Check/Commercial Check
-Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
-LASueHemingway\l3uil ding.Codes.In spection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003
_ Framing/Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received-
Queensbury Building&Code Enforcement Arrive: am/ ep AM61
art:� l am/pm742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials `plea 6
NAME: \� .fit PERMIT#: '
LOCATION: INSPECT ON: —03
TYPE OF STRUCTURE: sn
XQY N 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
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 wa,112, 3,4 hour
_ estopping4-
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side%Z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\,SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Rough Plumbing /Insulation Inspection Report
Office No, (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/1 epart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME:
PERMIT#:
LOCATION: Lc INSPECT G
TYPE OF STRUCTURE:
0, c
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain Vents
Cast Iron,Copper Drain/Vent Comm.
P1 bing Vent/Vents in Place
IV 4Zough 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 far Furnace
.Duct Work Sealed Properly
COMMENTS:
-L.\SueHemingway\13uilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
L
`1
Town of Queensbury
Fire Marshal's Office 1
742 Bay Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518)745-4437
Fire Marshal's Inspection Report
Request �. 1 SCHEDULE
Received: Kermit# INSPECTION ON:
Name: J AM PM ANYTIME
Location, '-
APPROVED
N lA YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGIJISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL —
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY
CHIMNEY /
MASONRY ROUGH IN �L�CS 31.e]j f
Ok—
FINAL S� 'P� D ?72- �(0
CHIMNEY_
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
T FINAL T�~-
FIREPLACE
MAS NRY ROUGH IN OK THIS DATE OK FOR CO NOT OK
FINAL �O
FIREPLACE —
FACTORY BUILT ROUGH IN INSPECTED BY
FINAL -T-]
COMDEV1CHRisil dORDILETTERS20011FIREMARSHALINSPECTIONREPORT11022001
041V—OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
Rough Plumbing / Insulation Inspection Report
Office No. (5 18)761-8256 Date Inspection Tequ ceive
Queensbury Building&Code Enforcement Arrive:XM'14 ar a
D-
742 Bay Road,Queensbuiy,NY 12804 Inspector's Initial
NAME: ii,\(l 0�n I PERNHT#
LOCATION: INSPECT.ON:
TYPE OF STRUCTURE: M_ 51
"I...........
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain Vents
Cast Iron,Copper Drain/Vent 1 Comm.
Plum)*f-Vent/.Vents in Place
)Wugh 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
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
COMMENTS:
�L.\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003
Pr-rn
Framing /Firestopping Inspection Report
Office No. (518)761-8256 Date Inspecy1s:
d:
Queensbury Building&Code Enforcement Arrive: rt:742 Bay Road,Queensbury,NY 12804 Inspector's INAME: T#;
LOCATION: INSPECT ON: G—
TYPE OF STRUCT RE:
Y N NSA 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 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
iTeeand 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.FORMSTraming Firestopping inspection Report.doc January 28,2003
Framing /Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection re recel ed: `//j 1
Queensbury Building&Code Enforcement Arrive; am/pm e r = an pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initia s:
NAME: `� PERMIT#: -k,03-
LOCATION: INSPECT ON: ''p-
TYPE OF STRUCTURE:
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 3 6 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate f�
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
1
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\,SueHemingway\Building.Codes.Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003
Framing Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ De art: am/pm
742 Bay Road,Queensbury,NY 112804 Inspector's lnitialzy��
C-
NAME: A PERMIT#: r)
21E4 - V U
LOCATION: INSPECT ON:
D9-1 "L
TYPE OF STRUJtC 4',
Y N N/A
Framing COMMENTS
Jack Studs Headers
Bracing 1 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
Ane -Bolts 6 ft. or less on center
e r ce and snow shield 24 inches from wall
---- I \/, 0
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 Y2inch 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,lnspection.FORMS\Framing Firestopping Inspection Report.doe January 28,2003
Foundation Inspection Report
Office No.(5IS)761-8256 Date Inspection reque t received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm
742 Bay Rd., Queensbury,NV 12804 Inspector's Initials:
NAME: ��vhG PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE.
Comments
Y N NIA ,
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
ches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior 1 Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingwayUBuiiding.Codes,Inspectioii.FORMS\Foundation Inspection Report.doe January 28,2003
Foundation Inspection Report
Office No. (51,8)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm De am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: - ,* C-v41k/S 6go, PERMIT#:
LOCATION: 6&1— INSPECT ON: �/b Z &Z
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
Ynoting 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;\SucHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (5 118)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p epart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial
NAME: PERMIT#: 03, 14
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: AL
CComme 7s)7
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
dation Danipproofing 00,
Foundation/Waterproofing
Type of Dampproofing/Waterproofing do�A
7A"— <_
Footing Drain Daylight or Sump 7-,C>Aj
Footing Drain Stone:
12 inch width
6.inches above footing
6 mil of for wet areas under stab
Backfill Approval
Plumbing Under'Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Glade 6 inch drop within 10 ft.
LASueHerningwayNBuilding,Codes.IrtspectionYORMSToundation Inspection Report.doc January 28,2003
Feundation.Inspection Report
Office No. (5 1'8)761-8256 Date Inspection re ec Ij03
Queensbury Building&Code Enforcement Arrive: a p epai t: a in
742 Day Rd., Queensbury,NY 12804 Inspector's Thniti
4 &
NAME: -1 PERMIT#: QA)1 6 v 4j:? �, I I
LOCATION: INSPECT ON: 6
TYPE OF STRUCTURE:
V
Comments
N N/A
outings
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 Darripproofing/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.
L,\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Project Name: j-ee4 BP# C>�
Address: ` (� tt.. .f'G ,bee.. le-et.,
Building Permit Submission
Singlafandy duelling
Tvafan7ly cares
Checklist
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 Completed ...... no ❑
2. Energy Form or CheckMate Energy Gode Compliance Fors Complete.eyes [:]no [:]n/a
3. Energy Code Inspector's Report from CheckMate Program..... ... ........ �s [:]no ❑n/a
4. Septic application completelyfilled out(if applicable)......jj
l•�� . .�❑yes Ono ❑n/a
5. Solid Fuel Burning or Gas Appliance Form... . .... . Ono Qn/a
6. Electrical Inspection Form......... ........................................ ........ C33es Qno ❑n/a
7. Two(2) complete sets of structural drawings.......................... ......... Ono Qn/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............. yes Ono Qn/a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from property lines to new structure............ ......... ...... ..... ,Eli s Qno ❑n/a
10. Setbacks to neighboring wells and septic systems,including onsite well..... (P, 31ds Qno Qn/a
and septic systems (if applicable)
11. DrivewayPermit......... ...... ... ... ... ... .................................... ... Pfes Ono Qn/a
a .
Date: 7
Staff Initial:
L:\SueHeminguray\BadingYecmit.FORMS\Generic Checklist.doc
T Check Residential Plan Review: One& Two Family Dwellings
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 Or Bedrooms and Habitable Space
Above/Below grade,5.7 sq.ft.
Grade,5.0 sq.ft.
24"(h)x 20"(w)min.
44"Max.Height above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK f
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
Re uired �+ --
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
Stairway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise
Winder Run and Rise
Spiral Not Allowed From 2"d Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
Hall Width,36"min.
Handrails More Than One Riser On Open Sides
Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht.
Safety Glazing Notes For Required Areas
Garage Fire Separation
arage Floor Sloped
ttic 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
Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
RES checkSoftware Version 3.5 Release lc
Data filename:F:\SHARE\Design\Energy Calc\WAVERLY PLACE\4 Chelsea.cck
TITLE:WP 320 Chickory
COUNTY:Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached I or 2 Family P,F-
HEATING TYPE:Non-Electric
DATE: 06/18/03 3 o ?nnz
DATE OF PLANS:June 18,2003 TOWN OF:C)UE—ENSBURY
PROJECT INFORMATION:
4 Chelsea Place
Queensbury,NY 12804
COMPANY INFORMATION:
The Michaels Grop,
10 Blacksmith Dr.
Malta,NY 12020
NOTES:
Silverline 2900 windows
COMPLIANCE:Passes
Maximum UA=300
Your Home UA=286
4.7%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
1st.Fl.Walls:Wood Frame, 16"o.c. 1457 19.0 0.0 74
Ix Dining(#21):Vinyl Frame,Double Pane with Low-E 33 0.350 12
2x Family D:Vinyl Frame,Double Pane with Low-E 27 0.400 11
Ix Mbr(L):Vinyl Frame,Double Pane with Low-E 30 0.400 12
2x opt.Mbr(K):Vinyl Frame,Double Pane with Low-E 21 0.400 8
Ix Bed#2(L):Vinyl Frame,Double Pane with Low-E 30 0,400 12
Ix Pwdr(N):Vinyl Frame,Double Pane with Low-E 6 0.400 2
Entry#lA:Solid 30 0.350 11
Brkfst 920: Solid 19 0.240 5
Ix Brkfst(L):Vinyl Frame,Double Pane with Low-E 30 0.400 12
opt.Brkfst box out wall:Wood Frame, 16"o.c. 35 19.0 0.0 2
Bsmnt wall opt.Fireplace: Solid Concrete or Masonry 31 0.0 11.0 2
Wall height:7.6'
Y
Depth below grade:6.6'
Insulation depth:6.0'
Bsmnt wail opt.Brkfst.: Solid Concrete or Masonry 31 0.0 11.0 2
Wall height: 7.6'
Depth below grade:6.6'
Insulation depth:6.0'
Basement Wall 1: Solid Concrete or Masonry 1159 0.0 11.0 75
Wall height:7.6'
Depth below grade: 6.6'
Insulation depth:6.0'
3x Basement windows:Wood Frame,Double Pane with Low-E 5 0.520 3
opt.Brkfst box out ceiling:Raised or Energy Truss 18 30.0 0.0 1
Ceiling 1:Raised or Energy Truss 1301 30.0 0.0 42
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 wi th' Gode.
Builder/Designer Date t a
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
RES checkSoftware Version 3.5 Release lc
DATE: 06/18/03
TITLE: WP 320 Chickory
Bldg.
Dept.
Use
Ceilings:
1. opt.Brkfst box out ceiling:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve full height over the plate lines of exterior walls.
2. Ceiling 1:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve fall height over the plate lines of exterior walls.
Above-Grade Walls:
1. 1st.F1.Walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
2. opt.Brkfst box out wall: Wood Frame, 16" o.c.,R-19.0 cavity insulation
Comments:
Basement Walls:
1. Bsmnt wall opt.Fireplace: 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 wall opt.Brkfst.: 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.
3. Basement Wall 1: Solid Concrete or Masonry,7.6'ht/6.6'bg/6.0'insuI,
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. Ix Dining(#21):Vinyl Frame,Double Pane with Low-E,U-factor:0.350
For windows without labeled U-factors,describe features: -
#Panes Frame Type Thermal Break? Yes No
Comments:
2. 2x Family 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:
3. Ix Mbr(Q: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. 2x opt.Mbr(K):Vinyl Frame,Double Pane with Low-E,U-factor: 0.400
For windows without labeled U-factors,describe features:
L-
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:
[ ] 5. lx Bed#2(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:
[ ] 6. Ix Pwdr(N):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. Ix 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:
[ ] 8. 3x Basement windows: Wood Frame,Double Pane with Law-E,U-factor:0.520
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:
Doors:
[ ] 1. Entry#lA: Solid,U-factor: 0.350
Comments:
[ ] 2. Brkfst#20: Solid,U-factor: 0.240
Comments:
Heating and Coaling Equipment:
C ] 1. Furnace 1:Forced Hot Air, 80 AFUE or higher
Make and Model Number
Air Leakage:
[ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air
Ieakage must be sealed.
[ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a
3 clearance from insulation.
Vapor Retarder:
[ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
[ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
C ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
C ] Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] Supply ducts in unconditioned spaces must be insulated to R 11.
[ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
Insulation is not required on return ducts in basements.
Duct Construction:
[ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics
(adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in.w.g.(500 Pa).
C ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
Cooling ducts with exterior insulation must be covered with a vapor retarder.
Air filters are required in the return air system.
The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
Each dwelling unit has at lesat one thermostat capable of automatically adjust* the space
adjusting
temperature set point of the largest zone.
Electric Systems:
Separate electric meters are required for each dwelling unit.
Fireplaces:
Fireplaces must be installed with tight fitting non-combustible fireplace doors.
Fireplaces must be provided with a source of combustioi air,as required by the Fireplace construction
provisions of the Building Code of York State,the Residential Code of York State or
the New York City Building Code ,as applicable.
Service Water Heating:
Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of a circulating system.
Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
All heated swimming pools,must have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
HVAC piping conveying fluids above 105 OF or chilled fluids below 55 OF must be insulated to the
levels in Table 2.
r
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water , Non-Circulating Runouts Circulating Mains and Runouts
Temperature(F) Up to I" Up.to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 IA 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0
and.Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
MAP REFERENCE:
WAVERLY PLAGE SUBDIVISION
DATED AUGUST 24. 2000
LAST REVISED JANUARY 19. 2001
BY VAN DU5EN STEVE5
LAND SURVEYORS. LLG
NAGNETIC AAS PER NAP gEFERENC
,f ti
J
FINAL SURVEY
LOT 10
fJJ
LOT 11
LOT 13
2 STORY
WOOD FRAME •�.
3' TOWNHOUSE
CUNDER
CONSTRUCTION)
(�1
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LOT 12 r
0.27 acres
11,842 sq.ft. /
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(Date. November 5, 2003
a.� u s e� UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY p S�a l e 1��302
/'1 MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A Map of a Survey made for
/`�/`J/`,�-j �AOLATION OF SECTION 7209,SUB-DIVISION 2,OF THE
NEW YORK STATE EDUCATION LAW.-
. 'ONLY wrie5 FROM THE ORIGINAL OF THIS SURVEY
MARKED WIT AN ORIGINAL Or mE LAND SURVEYORS
/�� �''T /�'� SEAL SHALL BE CONSIDERED 70 BE VALID TRUE COPIES.'
C V C EXISTING
E OF INDICATED HEREON SIGNIFY ORS S T E P H E N P . & ROSE D . C ATAN Z AR O S- 1 THIS SURVEY WAS PREPARED IN ACCORDANCE MATH THE
EXISTNG CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
Land Surveyors THE NEW STATE ASSOCIATION OF PROFESSIONAL
LA
LAND SURVEYORS.ORS.SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR WHOM THE SURVEY PREPARED,AND SFEET 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 Haviland Road Queensbury, New York 12804 TOmeAs5ic;wsorme LENDING INSTrcurlow
GATANZARO
(518) 792-8474 New York Lic. No. 50135 NO. DATE DESCRIPTION DWG. NO. 12
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