2003-587 TOWN10F QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building,&Codes (518)761.8256
CE,'R)'.7LIFIrATE -0,F .00CU'PANCY
Perrnit.Number: ' P20030587 Date Issued Tuesday,December 23,2003
This is.to certi that work requested to.be done as shown b Permit Number
q . P20030587
has.been completed.
Tax Map Number: 523400-296=008-0001-026.001-0000
Location: 4 WAVERLY Pl
Owner: MMHAELS GROL ILC THE
.Applicant: LS 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 Enforcement
Building Permit Application
Town of Queensbury-Dept of Conununity Development, 742 Bay Road,Queensbury,NY
(5I8)761-8256
A permit must be obtained before beginning construction. Permit Fi le ®R,-.
No inspection will be made until applicant Ills received a Fee Paidoa—
valid building permit. All tipplicants' spaces oil this; I2ec.-1 cc Pai
application must be completed and must appcat-on the Reviewed I3
application form.
Applicant:��{E ��\_ Owner:
Address: _nyz _), _ Address: �[)/
MI-A t-a ty IN i2cis:b > �A- � 0 Z000
Phone# (5.1 3) -�56 - Phone# { ) - wU A1 op,
Property Location: Lot Number: 540 J House Number - ! kaZ x c
Subdivision Name: �����.� Tax Mali Number: a )& l-a�•
v
New Building: residence /commercial Estimated Market Value of Construction: $ "'Ar 0j In
❑ Addition: residence/ commercial If an Addition, what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/com*1
Ea Other work(describe ) -
Check Occupancyinformation I" Floor 2"` Floor Other floor 'total
Below sq. ft. sq. ft. sq. ft. Square Feel
❑ Single family dwelling
❑ Two family dwelling
Townhouse ( ( 2,t
❑ Multifamily dwelling
#of units
❑ Office
❑ Mercantile
❑ Manufacturing
❑ 1 car detached garage
❑ 2 car cetached garage
❑ 3 car cetached garage
❑ 1 car attached garage
ie 2 car attached garage
❑ 3 car attached garage
a Sloragc building-
commercial �`�-•-
❑ Storage building- ! —u
residential _
❑ Other
Will any second-hand or ungraded lumber be used? If so, for what?- MA ,
Type of I Icating System: electric/ oil ! gas wood /forced hot air 1 baseboard/other:
Number of Firetlhrces to be installed ZrX15_' Number of Woo(Istoves to be installed
List below the perscin(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Plumber__j C C
Mason I "s *`x--` _� C1•_ 3 C�Q �21— lam)
Electrician :; �C` VFIL _G-MlaZ
Declaratio w please sign below ancr you have earcrully mead the staterricnt:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and coniplete 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,l/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 Sttrve y by a licensed surveyor;drawn to scale,showing actual
location of all new constr ion.
Signature:-�s/�r' _ owner,owner's agent,architect,contractor
Fire Marshal's office Town of Queensbury,742 Bay Load,Queestsbury,NY
(518)761-8205
Application for Fuel Burniing. Appliances & Chimneys
applicable to solid fuel & vented gas appliances
Date ��, ' 20�� ..., Permit No,
Application is hereby made to the Building& Codes Office for the issuance of a Building and UsePermit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner
agrees to comply with,all applicable laws, or durances, regulations, and all conditions that are part of
these requirements and also will allow all inspectors to tinter premises to pei orm required inspections.
f
-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
° � � �- - Fireplace insert
Address: Rom, '���.� �...r�; _..t
Fireplace, factory-built:. wood gas
Fireplace, masonry: wood ga'
Furnace: wood Ca
oil
Phone: �a�._�t 1 ter-'
If non-masonary applicance,please provide
Owner: {� Manufacturer Name:
Address Model Number:
'Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
Flue the tee size: inches
Exact Address: `;i n t�� ,
��. --of�const Lion or instrllcttrt�n Factory-Built
Manufacturer name:
r Yt r Model Number:
Note:` ,.�-'� Listed By: Number:
Construction lInstallation must
eon orrn to NYS,Fire Prevention &Building. Indicate(circle) chimney material:
Code. Consult available Town of lQueensburr
Handouts regarding required inspections. Double ivall t Triple wall I Insulated l Direct venting
Chimney Liner
G7�e;,�.ltear-'�.L7►e�ya�7r�m.�ct'--'�'o�cr+ct.�ae `of Q►s.�c+�:,�*�rt,�cb�c.�,�',.Pi',a�t Y,o►.r.,l�
s:SS'
Fire Marshal Code# $Collected 1 $Re vided RecaNe(l fioni(efundedl`o): r
w A,
address:_
.; ✓� 1 ; 3 " ,.. r'''" address;
A 173 3389 (190) Public Safety '"2� ,r�
A 233 2655 (230)Mirror Sales (�
DATE:
White(Applicant) l Green(Fire Marshal) ( Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's inept.)
Resldentlal Final Inspection
`Office No. (518) 761-8256 Date Inspection request received: 1 Queensbury Building&Code Enforcement Arrive: arn/ptn k epa t: am/pm
742 Bay Rd., Queerisbury,NY 1 804 Inspector's Initials: '
NAME: r ` ERT IIT#: L./
LOCATION: u DATE:
TYPE OF STRUC .
Comments
Y N N/A -
ChimneyHt./"B"Vent/Direct Vent LocationVA
Fresh Air Intake
3 inch Plumb Vent throu h raof
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 risers01
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill pAate
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&2a in
Window in stairwells safety lzin
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
3/4 hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s ,ft.-150 s .ft.vents Az
Building No./Address isilie fromybad IKX
Final Electrical . 1 y( �1�r
Site Plan /Variance re uir
Final Survey Plot Plan 1��I� 6
As Built Septic System/Sewer Dept.Inspection Sticker G
Flood Plain Certification,if required
Okay to issue C/C(Cert.Of Com fiance)
Okay to issue Temporary C!O(Cert. Of Occupancy)
Okay to issue Permanent C 1 O(Cert. Of Occu anc _
L:\SueHenungrvay\Bui]ding.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 "
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MAP REFERENCE:
WAVERLY PLACE SUBDIVISION
DATED AUGUST 24. 2000
LAST REVISED JANUARY 19, 2001 D
BY VAN DUSEN + 5TEVE5 NgTIC A5 PaR IIAp F
LAND SURVEYORS. LLG o
H2Oor,,�3aE
r2e. rr,
� c
cii �
ifASPf1ALT DRIVE
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7 •
W STORY 55
L) WOOD rRANE l
0
O TOWNHOUSE 7,623 sq.ft.
RIM
0.17 acres y
f
n r 127.35 I
3 S12°55-
aS�aLr DRIVE 57pww_
I
56
I � �W y
� 2sse� WOOD
2 Q TOWNtIOUSE 7,562 sq.ft.
m 0.17 acres W
e aD 32.55, C
1.4
j -
y
2
cIi
O UTILITIE5 123.49'
S07023'27'W
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SMALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO# VNCENT J. DeSANTIS
MEADOWBROO K R GLENS
L. DeSANTIS
i i 1 v 0 A D GLENS FALLS NATIONAL BANK AND TRUST COMPANY,
ITS SUCCESSORS AND/OR ASSIGNS
CHICAGO TITLE INSURANCE COMPANY
CERTIFIED BYl
MATTHEW C. 5TEVE5. LLS NYS 50135
DATED DECEMBER 9. 2003
1GN a eLM
*UNAUTHORIZED ALIERA710N OR ADlM1 TO A SURVEY /— /
Q,. "A"BEARING A LICENSED D �SEAL IS A Map of a Survey made for Scate 120
V�. NaATan OF SECTM n°o,SLO-a�z of nE
NEW YORK STATE EDUCATION LAW.
'MY cone Mcm THE CRIGYNL ar THq SURVEY
Steves MARKS WrmALL ABE NORIGINALRE 7 BE VAUD ORS
IRK VINCENT J. & SHIRLEY L. DeSANTIS S- 1
CERTMAIRONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED W ACCORDANCE Mni THE
EIGGSTING CODE OF PRACIM FOR LAND SURVEYORS ADOPTED
Land Surveyors BY THE W PORK SID C ASSDCMTIOH SHALL
pLDFES�L
LAW SURVEYORS. R ON TFN:AnOVE SHALL RUN aNIA
TO 11£PERSON FOR MHp/THE 8URVEY NI PREPARED,AND
ON HIS BEHALF TO THE DIU COMPANY.OOVERIMIENTAL
AGE169 Haviland Road Queensbury, New York 12804 TOTHEA M AM LENDING�"NGGN Ur Nam°" A"° Town of Queensbury, Warren County, New York SHEET 1
ro rn ASL>tGNITa a rn IDIOING INsnnnloNr
518 792-8474 New York Lic. No. 50135 DeSANTIS
NOt DATE DESCRIPTION DWG. NO. WAVERLY-5G
Rough Plumbing/ Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request ceived:
Queensbury Building&Code Enforcement Arrive; am/ D am
742 Bay Road, Queensbuiy,NY 12804 Inspector's Initia --
NAME: PERMIT#:
LOCATION: INSPECT ON: 101 c�
TYPE OF STRUCTURE:
Y. N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron, Copper Drain l Vent/Comm. 1—
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 `-'tl Lvl�
Water Supply Piping
Copper Commercial—
CPVC,Pex One&Two Family
Insulation s' . 1 heck ,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.1SueHemingway\Building.Codes.Inspection.FORMS\Rougb Plumbing Insulation Report.doc January 28,2003
Rough Plumbing /Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ D r an�Um
742 Bay Road,Queensbury,NY 12804 InspectorPsitia :n
PM
NAME: Ku'v\-AeA� PERIV11TY:
LOCATION: :::�� S? INSPECT ON: 11-1 7
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
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.doc January 28,2003
Rough Plumbing Insulation Inspection Report
Date Inspection reqi e --,'
Office No. (518) 761-8256 jedl(ceive)l
Arrive: am/PMO -,par
Queensbury Building&Code Enforcement De t:
742 Bay Road,Queensbuiy,NY 12804 Inspector's Iriitial '
NAME: PERMIT#: CD
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain Vents
Cast Iron,Copper Drain/Vent Comm.
Plumbing Vent Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply Test
Drain and Vents
5 PSI or 10 ft. above highest
- Connection for 15 minutes I
Water Supply Piping
pper Commercial
z"C'opper,CPVC,Pex One&Two Family
Insulation/Residential Check/Commercial Check
V/11
-Proper Vent,Attic Vent JV
Duct/Hot Water Piping insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly �
COMMENTS:
!L:\Sucliemingway\Building.Codeslnspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003
Framin Firestopping Inspection Report= /
1�
Office No: (518)761-8256 Date Inspectiowrequest received:.
Queensbury Building&Code Enforcement Arrive: " am/ m Depart: pin
742 Bay Road,Queensbury,NY 12804 Inspector's Initials!52
NAME: PERMIT#:
LOCATION: : S PECT.ON:
TYPE OF STRUCTURE:
Y N : :lv/a CON MENTS,
;t Frain' g_
tu'dsr/`"eaders
Bracing/Bridging
Joist hangers
Jack Posts/Main Beaixa
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 .
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-
ire wall 2 3 '4 hour - - .
04 Frestopping - .. ,
Penetration sealed
16 inch insulation in cavity min. '
Garage Fire Separation .
House side%2 inch or 5/8 inch Type:,
Garage side 5/8 inch Type
Ceilin /wall
Windows Habitable Space I Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above[below grade
5.0 sf grade
I: ue"emin uilding.Codes Inspection.FORMS\Framing F.irestopping Inspection Repori.doe 3anuaiy 2&,2003
Framing/Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Atxive: am/pm Depa : 7,- am/pm,,.
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: - , Y
NAME: l It PERMIT#:
LOCATION: L INSPECT ON:
TYPE OF STRUCT
Y N ;NIA COMMENTS
,Fr-arririg
Y�-
,
slack Studs'/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams U Exterior sheeting nailed properly J O k1 C-'
12"O.G.
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
1 %2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft,floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1,2,3 hour
Fire wall 2, 3,4 hours.
Penetration sealedp
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
mo
L sueHemingway\Building.Codes.Tnspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Rough Plumbing/Insulation Inspection Report
I I
Office No, (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive:-am/ps De art: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#
LOCATION: 0L INSPECT ON:
TYPE OF STRUCTURE:
N N/A
PVC: R-1,R-2,R-3,R-4 Drain Vents
Cast Iron,Copper Drain/Vent Comm.
Flu ing Vent/,Vents in Place
IGugh Plumbing/Nail Plates
Head or Air Supply Test
Diain 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 Taces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
L:\SueHemingway'Building.Codes.Inspection.FORMS\Roiigh Plumbing Insulation Report.doc January 28,2003
Rough Plumbing 1 Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received: _
Queensbury Building&Code Enforcement Arrive: am/ m Depart:
a pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: Leio PERMIT#:
LOCATION: L,L Cam`". " INSPECT ON: -11 Z '
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply Test
Drain and Vents
5 PSI or 10 ft, above highest
Connection for 15 minutes
! Water Supply Piping
Copper Commercial
Copper,CPVC,Pex One&Two Family
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
L:\SueHemingway\13uilding.Codes.Inspection.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/� Y
742 Bay Road,Queensbury,NY 1.2804 Inspector's Initials: am/pm
NAME: 1 PERMIT#:
LOCATION:
INSPECT ON:
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 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 Y2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft. floor trusses
Anc r Bolts 6 ft. or less on center
e'and snow shield 24 inches ftomwall
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 V2inch 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
14
Foundation Inspection Report
3 Qffice No. (5 1'8)761-825 6 Date Inspection request received: 2 g1
Queensbury Building&Code Enforcement Arrive: ani/p Dcparo_1_1_1��M/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: g,',LXAj (�51�, PERMIT#: �6V3-�>T7
LOCATION: INSPECT ON: I/Z103
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 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,lnspection.FORMS\Foundation Inspection Report.doe January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection re U cej q
qu, cej
in Queensbury Building&Code Enforcement Arrive: a pin Depart:
742 Bay Rd., Queensbuiy,NY 12804 Inspector's InitiaV
NAME: �Y) 0 00 -PAMIT 0: 0
LOCATION: (A INSPECT ON: Z
TYPE OF STRUCTURE:
7
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 Darapproofing/Waterproofing
Footigjkain Daylight or Sump.
G( F ting Drain Stone:
12 inch width
6 inches above footing
1 6 mil of for we,areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASucHerningway\Building,Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003
Fcundation Inspection Report
Office No. (518)761-8256 Date InsItionst r ceiv : " �' 0
Queensbury Building&Code Enforcement Arr ''� part:
742 Bay Rd., Queensbury,NY 12804 InspectoNAME: S . �P -T#.•LOCATION: ECT ON: 3
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 Dampproofmg
Foundation aterproofing i
Type of Dampprooling Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches,above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Capper
Foundation Insulation Interior 1 Exterior
R-
Rough Grade 6 inch drop within 10£t.
L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doe January 28,2003
Fcundation Inspection Report
Office No. (5 1S)761-825 6 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart; mlpm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials.
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE.
Comments
Y N/A
Ooting
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 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,lnspection.FORMS\Foundation Inspection Report.doc January 28,2003
t u ber
P u ber Check ate
REScheck Compliance Certificate Checked BYA
New York State Energy Conservation Construction Cod
RES checkSoftware Version 3.5 Release lc
Data filename:F:\SHARE\Design\Energy Calc\WAVERLY PLACE\4 Woodruff.eck
TITLE: WP 322 Woodruff
COUNTY:Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached I or 2 Family
BEATING TYPE:Non-Electric lot
'9
003
DATE:07/22/03 P '?
DATE OF PLANS:July 20,2003
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PROJECT INFORMATION:
4 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=409
Your Home UA=579
7.3%Better Than 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.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 fl walls:Wood Frame, 16"o.c. 1534 19.0 0.0 76
Ix Mbr(AE): Vinyl Frame,Double Pane with Low-E 40 0.400 16
Ix Bed#2(AF):Vinyl Frame,Double Pane with L6w-E 32 0.400 13
Living 9 17:Glass 54 0.350 19
lx Living(D):Vinyl Frame,Double Pane with Low-E 9 0.400 4
lx 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
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#I A: Solidi 29 0.350 10
Laundry#20: Solid 19 0.240 5
2nd floor walls:Wood Frame, 16"o.c. 784 19.0 0.0 45
Ix Foyer(G):Vinyl Frame,Double Pane with Low-E 5 0.400 2
I x Loft(AR):Vinyl Frame,Double Pane with Low-E 32 0.400 13
Basement Wall 1: Solid Concrete or Masonry 1295 0.0 11.0 83
Wall height:7.6'
Depth below grade: 6.6'
Insulation depth:6.0'
3x Bsmnt windows:Wood Frame,Double Pane with Low-E 12 0.520 6
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'
Bsmnt opt.Living fireplace: Solid Concrete or Masonry 31 0.0 11.0 2
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 h' ode.
Builderffiesigner�__ Date
REScheck Ihspection Checklist
New York State Energy Conservation Construction Code
RES checkSoftware Version 3.5 Release lc
DATE:07/22/03
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.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.Brkfst bay wall:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
2. 1 st R walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
3. 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 it least 6 in.below grade.
2. Bsmnt opt.Brkfst bay wall: Solid Concrete or Masonry,.7.6'ht/6.6'bg/6.6'insul,
R-I 1.0 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. Bsmnt opt.Living 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.
Windows:
1. lx Mbr(AE):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 Bed#2(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 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:
[ ] ' 4. 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? [ J Yes [ ]No
Comments:
[ ] 5. 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:
[ ] 6. lx opt.Brkfst(L):Vinyl Frame,Double Pane with Law-E,U-factor:0.400
For windows without labeled U-factors,describe.features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ ] 7. 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:
[ ] 8. Ix Foyer(G):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. 'lx 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:
[ ] 10. 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:
[ ] I. Living#17:Glass,U-factor: 0.350
Comments:
[ ] 2. Foyer#IA: Solid,U-factor: 0.350
Comments:
[ ] 3. Laundry#20:_Solid,U-factor:0.240
Comments:
Heating and Cooling Equipment:
[ ] 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
leakage 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:
[ ] �. '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
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
I operating at less than 2 in.w.g.(500 Pa).
[ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ] Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] Air filters are required in the return air system.
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
I temperature set point of the largest zone.
I
Electric Systems:
[ ] Separate electric meters are required for each dwelling unit.
Fireplaces:
[ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction
provisions of the Building Code of New York State ,the Residential Code of New 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.
[ ] I Insulate circulating hot water pipes to the levels in Table 1.
I
I Circulating Hot Water Systems:
[ ] I Insulate circulating hot water pipes to the levels in Table 1.
I
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.
P ,
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} U to o 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: Mliiimum.Insulatioit Tliickitess for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range F 2"Runouts i"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)
1
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
V/ 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.
-
2422(h)x 20"(w)min.
44"Max.Height above floor
Residential Check Paperwork Compliance and Inspectors Checklist- OK
Dampproofing/Waterproofing Materials On Plans
Foundation Drainage On Plans,if required
6"Drop in 10' Exterior Grade
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where
Required
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
V/ Platforms At Exterior Doors
Stairway Headroom 6' 8' All Stairs 36"Width
Stair Run and Rise
�4, Winder Run and Rise
Spiral Not Allowed From 2 Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
Hall Width,36"min.
Handrails More Than One Riser On Open Sides
Railing and Guards>30"/Basement Stairs Included 1 Closed Risers More Than 4"in Ht.
Safety Glazing Notes For Required Areas
Garage Fire Separation
V/ Garage Floor Sloped
Attic Access
'I-Roof over 30"-2ex30 Crawl Spaces 18"x 24"Access
)p KY 12' ' !:�
�Carb0l(>Kn I Al=Detector Lowest Sleeping Level
Soil Test Results,if required
Septic To Well Or Water Line Separation
All Paperwork Signed
Town of Queensbury 742 Bay Road, Queensbury,ICY 12804
-Buiddlmg & Cade Enforcenaeant Building Penniit#
Phone:(5i-sp 1-8256 Date.
Fax: (518)7454437
Ems: codw@qoeensbuq-wt
Dear
Yowbutilding permit application has been reviewed and found to be deficient m the following areax
These details need job,added to or noted on both sets afPkw- Please fee}free to contact this office with any questions
-regarding this matter.
Sincerely,
Bud DING,&OODES OFFICE
L-lSuetiemingnvay\Bu�7d"m�YemniLFo&MSWefieient twstdisig pemnt7an 20o3-doe
Project Name: BP#
Address: $�
tulg rmit Submission
S*dads
TUO-
checklist
All items below must be checked either yes,no or not applicable prior to submission of anybuilding
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 ...... ............................... yes ❑no .❑n/a
2. EnergyForm or CheckMate Energy Code Compliance Forms Complete.. ❑no ❑n/a
3. Energy Code Inspector's Report from CheckMate Program...... ... ........ j2tF� ❑no ❑n/a
4. Septic application completely filled out(if applicable).... . ..... ...... �j yes ❑no Q n/a ,---
5. 5and Fuel Burning or Gas Appliance Farm...... ......... . : ...... . nno ❑n/a
6. Electrical Inspection Form...,.. ... .. ........................ ... ......... ... .... ❑yes . ❑no ❑n/a
7. Two(2) complete sets of structural drawings........... ............ ............ . [:]no ❑n/a
a)floor plan;b)foundation plan;c) cross sections:d)elevations;
e)window and door schedule
8. Two(2)site plans showing location of the structure to be built,......... ... 12yes ❑no ❑n/a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from property lines to new structure......:..... ............... ..... []no ❑n/a
10. Setbacks to neighboring wells and septic systems,including onsite well... ❑no C]n/a
and septic systems (if applicable)
11. DrivewayPernut... ...... .................. ................... ...... ......... ...... ❑no ❑n/a
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Date: `L a
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