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2003-613 TO" OF QUEENSBURY 742 BayRoad,Queensbury,°NY 12804 5902 (518)761.8201 Community Development-Building&Codes ( ) 76I.8256 'U N Uf*'t" RT1F1%raaAT1E, 0F ,0.CC %1A Permit Number, P20030613 . Wte.Issued: Monday,February 23, 2004 This is to cerdf that work requested to be done as shown by Permit Number P20030613 has been completed. Tax Map Number; 523400-266-001`-0001=042-000-0000 Location, 92 FOX-Rd . Owner, MICHAELS GROUP LLC,THE Applicanla MICHAELS GROUP. This structure may be occupied as a; By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage 2 Cars Attached Single Family Dwelling Director of Building&Code Enforcement TOWN OF Q VEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030613 Application Number: A20030613 Tax Map No: 523400-266-001-0001-042-000-0000 Permission is hereby granted to: MICHAFTSGROITP For property located at: 92 FOX Rd 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: JENNIFER A WHALEN Fireplace 794 STATE ROUTE 149 Garage-2 Cars Attached LAKE GEORGE, NY '1.2845-0000 Single Family Dwelling- $280,000.00 Total Value $280,000.00 Contractor or Builder's Name Address Electrical Inspection Agency MTCHAELS GROUP 10 BLACKSMITH Dr STE I MALTA. NY 12020 Plans&Specifications 2003-613 LOT 25 House No. 92 FOX ROAD 2335' SQ FT SINGLE FAMLIY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $325.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,August 26, 2004 (If a longer period is required,an application for an extension must he made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Quee August 26, 2603 SIGNED BY r7l. for the Town of Queensbury. A tip, Director-of Buildiny&Co Enforcement - Building Permit Application--*, . Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No inspection will be made until applicant has received a Fee Paid ` valid building permit. All applicants' spaces on this Rec.Fee Paid application must be completed and must appear on the Reviewed B application form. Applicant: Fh e F c r-A,a 615 (-?f cn�,() Owner: Address:. - Address: Phone#(,Sj-_8 ) - ,/t Phone#(_) - - Property Location: Lot Number:_ 1 House NumberA x Ids: Subdivision Name:���r� t C� Tax Map Number: - r ❑ New Building: residence /commercial Estimated Market Value of Construction: ❑ Addition: residence/ commercial 1f an Addition,what will us 0 ❑ Alteration: residence/ commercial � I . ❑ No change to exterior size: residence/com'1 ❑ Other work(describe ) AUG p `� 2003 Check OccupaucyInformation I Floor 2a4 Floor Other o0fpTeMIJ Below sq.ft. sq.ft. Q t = RY Lit l AAt�ii'36 het . ❑ Single family dwelling ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ ' Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ I car attached garage Car attached garage ` ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other What is the proposed••"height of the structure / feet inches Will any second-hand or ungraded lumber be used? If so,for what? N O Type of Heating System:. electric/ oil / ga /wood /forced hot air I baseboard/other: Number of jimplaces to be installed _ _L Number of Woodstoves to be installed List below the person(§)responsible for supervision of work as regards to building codes: - - Name Address Phone Number Builder in !o r�tX' hc�s�r.fA 97P-4-1-% I Plumber ', " G (urr�r 11t61 nV ray. �f6 =�ifoS Mason �3GG-f5'S�- Electrician Declaration: please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that 1/we shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the'Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,,showing actual location of all new construction. Signature: owner,owner's agent,architect contractor Porch, Deck, Dock, or Boathouse Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road, Queensbury,NY (S 18)761-8256 A permit must be obtained before beginning construction. No Permit File No -203-6 " inspection will be made until applicant has received a valid Fee Paid $ building permit. All applicants'spaces on this application must be completed and must appear on the application form. Reviewed By: Applicant: 91ch vic s Owner: &-"` Address: /0 & u ju/ A, Address: 14aI Phone#(S1S ) $�, . l/ Phone#(_} Email Address: 11t) 4W G R i c C •Cc..., Email Address: Person Responsible for Supervision of Work as Regards to Building Codes: Name�,\t,4 4,{ Address: /© AWC45"/A Phone c�oi- It Property Location: Lot Number: a f / House Number J Subdivision Name: (-n f�. t 17 f Tax Map Number: Estimated Market Value of Construction: $ 6tm, ❑ Porch m.---beck ❑ Dock ❑ Boathouse ❑ Other work{describe Size of structure to be built / ! / square feet Submit along with this application: 1. Two plot plans drawn to scale,preferably using a survey map. Indicate proposed structure showing setback dimensions from all property lines. Show location of water supply and location and configuration of septic disposal area. 2. Two sets of structural drawings. Indicate size of posts or studs, floor joists, decking or flooring material to be used.. Show how the porch or deck will be fastened to the building. If a roof will be constructed, indicate the size of posts or studs, roof rafter spacing and span. Indicate type of roof: sloped, flat, shed, or other. Indicate the type of material being used for the roof. Declaration: please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner. Applicant's signature: 'Date: L:\SueHemingFvay\Building.Permit.FORMS\Porch.Porch.Permit.doc 1 9/13/02 revised per DH 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. o ,7 Application is hereby trade 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 inspector's to enter premises to perfbrtn required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) s Name: _ stove: wood coal pellet gas ��+�1� a �� . ��..t j l �.� -_ Fireplace insert Address; Fireplace, factory-built: wood kas Fireplace, masonry: wood gas Furnace: wood gas oil Phone: . If non-masonary applicance,please provide Owner, r, { ManufacturerNatne: Address: Model Number: Chimney Information -Phone: (circle appropriate words) Masonry block -brick stone Flue tile steel. size: inches Exact Address: 1 ; rf t of construction or installation Factory-Built Manufacturer name: I Model Number: Note Listed By: li 1. Number: Construction/Installation,must eon grin to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall f Triple wall f" Insulated I Direct venting Chimney Liner G�z�erha[er'�er.Dep�z�zn�zit=3'oitrir.:x +vf.Que��,e�bu�e-y, N���orl3 Fire Jbfnrslaal Code Collected $Refunded Rec•c�iiTerl fr•o»r (a•efiunrlczcl to).. 1 1 Fa^�L/a address: r1 173 3389 (190) Public Safety rt 233 2655 (230)Mirror Sales �.;,,;�;� DATE: Twe (i4".-oti White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink.&Goldenrod(Cashier's Dept.) r yf ' Permit Number — 62/3*(town use) Town of Queensbury Application for Stormwater Management Permit Under Chapter 147,Stormwater Management, LL 4-99 THIS APPLICATION IS FOR A Major Project tinor Project 1. OWNER d INDIVIDUAL 0 PARTNERSHIP Q ASSOCIATION. d CORPOI ATION Q MUNICIP?ALITY.. D AGENCY NAME PHONE MAILING ADDRESS CITY STATE ZIP CODE AGI*NT D.SAME AS OWNER D]CONTRACT-OR O ATTtQRNE`l (]CONSULTANT..Q CONTi4GT PERs0 NAME PHONE MAILING ADDRESS CITY STATE 7ZIP CODE 3,.:CONTRACTOR' psAME AS-AGENT NAME PHONE MAILING ADDRESS CITY STATE ZIP CODE 4.. PROJECT LOCATION FACILITY NAME(if not residential) SECTION,24,.;�; BLOCK LOT ? STREET a ZONING CLASSIFICATION PROPERTY IS PRESENTLY ^ ACANT n PARTIALLY DEVELOPED Q DEVELOPED&OCCUPIED IS PROPERTY PART OF A SUBDIVISION? p No -ac�(es, name of subdivision ; 5:.PROJECT DESC.RIPTION - PROJECT PROJECTINVOLVES: p Earthwork/Landscaping p Tree Clearing douse Construction or Addition ILDriveway Construction p Garage Construction p Detached Structure XSeptic System p Modification of a Stormwater Device a Other L:\CRAIG\TEMPLATE&STWATAPPStTOWN STORMWATER APPL.DOC 1112000 Page I of 3 -PROPOSED USE 0 Residential (seasonal)oMesidentia' l (year-round) 0 Association p Public 0 Commercial PROPOSED STARTING DATE PROPOSED COMPLETION DATE DESCRIBE THE MAXIMUM SLOPE OF THE PROPERTY IN THE PROJECT AREA: -5% (Level) 0 5-10% (Gradual slope) 0 10-15% (Moderate slope) 0 Greater than 15% (Steep Slope) IS ANY PORTION OF THIS ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED?. 0 Yes >4o (if yes, please explain) 6, CALCULATIONS & CONTROLS N TOTAL AREA OF PROPERTY ACRES t" FT2_0ircle one) TOTAL AREA OF LAND DISTURBANCE: _9ad.0 FT2(do not include area of.stormwater controls) TOTAL AREA OF NEWLY CREATED IMPERVIOUS SURFACE: FT2 TOTAL VOLUME OF STORMWATER TO BE CONTROLLED: (see instructions) TYPE OF STORMWATER CONTROL MEASURES TO BE USED: HAS AN EROSION CONTROL•PLAN BEEN PREPARED? XYes, plan is attached O'No If no, please contact your County Soil &Water Conservation District for assistance: Warren County 623-3119 7. SITE-INSPECTION . • . During the processing of this application town personnel may need to visit this site for the purpose of inspecting, measuring and/or photographing site conditions. I authorize town personnel to conduct such a site inspection yes A no I wish to be contacted prior to any site inspection A yes A no T FICA Tll "W I hereby affirm that the information on this form-and all attachments submitted herewith is true to the best of my knowledge and belief. As a condition to the issuance of a permit, the applicant,accepts full legal responsibility for all damage,direct and indirect, or whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the town from suits,actions, damages and costs of every name and description resulting from the said project. SIGNATURE OF OWNER DATE SIGNATURE OF AGENT DATE INCLUDE WITH THIS A Sitelocatibn map- .0 — 1" n -Jarger-tban,111-M. • Prqjectp Ze 4 1 mb.fanyp,!ans-*nV/2.X11sj" {Submit a S • Nanes and ldg' aVrnailing addresses' ,6faA"c 0` Q— -ners:of-the- property . • Attachment Jor p:rojec#s only} • stormwt titer.Co' oFReP ortff r-'rhajor.projects binw . • Environmental-Assessment Form (for-major projects only) Failure to include any one of the required items will result,in an incomplete notice and delay in processing your ,application. Permits and apDroyals maybe required from other agencies. for town use only L-.\CRAIG\TEMPLATE&STWATAPPS\TOWN STORMWATER APPL.DOC 11/2000 Page 2 of 3 The project is approved as shown on the attached approved plans and subject to the conditions listed on the attached Schedule A. Approved by on Permit Expires Zoning Administrator Date CONDITIONS OF APPROVAL ATTACHMENT A to Stormwater Management Permit Application Permits or approvals required from other agencies Agency Permit or Approval Date Applied Date Issued AdJo rung Property-Owners. :List all parcels within 500 feet Tax Parcel Number Name Mailing Address BCRAIGUEMPLATESaSTW,ATAPPSITOWN STORMWATER APPL.DOC 11/2000 Page 3 of 3 STORMWATER-MANAGEMENT APPLICATION INSTRUCTIONS- A. GENERAL INFORMATION Lake George is a State-owned resource held in custody of the people of the State and protected under several State laws. Because the Lake has a relatively small and steep watershed, its water quality is highly susceptible to pollution caused by stormwater runoff. Development projects, when uncontrolled, can cause runoff problems during construction and after completion. In order to protect inter quality, development projects are required to provide for the control of stormwater runoff. This is a general guide for those undertaking projects which may require a permit for the management of stormwater from development projects pursuant to Chapter 147; Stormmter Management, Town of Queensbury Zoning Ordinance. This is not a description of all applicable laws or regulations- other permits may be required for your project. It is the owners' responsibility to obtain all required approvals prior to commencing work. The Lake George Park is comprised of Lake George and, essentially, its land drainage basin. As such, the Park includes private lands some miles from the lake. If there is a question as to whether or not the project site is located within the Park, contact the Town of Queensbury Department of Community Development at(518) 761-8220 or the Lake George Park Commission at(518) 66&9347 for a determination. B. STORMWATER MANAGEMENT PERMIT REQUIREMENTS A permit must be obtained prior to commencing: 1. Projects involving the creation of more than 1000 square feet of impervious surface. Impervious surfaces include buildings, pavement, blacktop, macadam, packed earth and crushed stone. 2. Land clearing, grading or filling involving more than 5000 square feet. It is a violation of the Stormwater Management regulations to maintain a condition, which, due to a human disturbance of land, vegetative cover, or soil, results in the erosion of soil into any water body. If you are not sure if you need a permit you can submit a jurisdictional inquiry for a determination. Just send a cover letter with your name, address, phone number and tax map number of your property asking for a jurisdictional determination, along with a copy of your project plans. Be sure to include all proposed changes to the property including all structures to be removed and added, driveways, sheds, decks, garages, etc. C. PROJECT CLASSIFICATION Minor Projects (projects not falling into one of these categories are PAjor Projects): 1. Any building, land clearing or development activity affecting less than 15,000 square feet. 2. Creation of a two-lot, three-lot or four-lot subdivision which may result in the construction of no more than one single-family residential structure and related accessory structures per lot, and will require land clearing or alteration activities of less than 15,000 square feet per lot and less than 15,000 square feet total for any subdivision road. 3. Any building, alteration or modification of a stormwater control measure, excluding maintenance, cleaning or repair Of such stormwater control measure. If your project site contains any of the following conditions it may be considered as a Major Project: L:\CRAIG\TEMPLATES\STWATAPPS\TOWN STORMWATER INSTR.DOC page 1 of 3 1. Soils of high potential for overland or through-soil pollutant transport. 2. An area with a slope of fifteen percent(15%) or greater when measured in any direction over a distance of one hundred (100)feet from the center of the proposed building site. 3. An area with a soil percolation rate slower than sixty(60) minutes per inch. Q. FILING YOUR APPLICATION A pre-application meeting with the zoning administrator may be desirable for large or complex projects. A complete application must include the following: O Application form- completed and signed. O A general location map of the property sufficient to direct someone to your site. p Project plans (see below) For major projects only: O The names and legal mailing addresses of all landowners within five hundred (500)feet of the project site. (this information may be obtained from the town tax assessment office). p A complete list of all permits or approvals required from other agencies, the status of each application and the status of the action under the State Environmental Quality Review Act(SEAR). a A completed Full Environmental Assessment Form. Q For Major Projects-A Stormwater Control Report. A Stormmter Concept Plan may also be required. See regulations for requirements. NOTE: Failure to include any one of these items will result in an incomplete notice and delay in processing your application. Common :mistakes to avoid Information was omitted from the application form -the application was not signed by the owner. Vicinity or location maps not suitable to direct someone to the site. The map should reference a principal highway, road names,etc. Topographic maps or county highway maps are suggested. Vague, incomplete or poor quality plans. Plans should be to scale and show all pertinent distances and dimensions. Incorrect mailing addresses for adjacent owners. Section, block and lot number incorrectly given. This is the legal tax map number assigned to each property. L:\CRAIG\TEMPLATE&STWATAPPS\TOWN STORMWATER INSTR.DOC page 2 of 3 PROJECT PLANS The project plans are the basis for review and approval of the project and typically consist of a site plan showing all new development and location of stormwater measures, erosion control plans and construction details for stormwater and erosion control devices. Construction must be in strict accordance Wth the plans. Applicants for minor projects should consult the Guide for Minor Projects Manual. Your local Soil &Water Conservation District may be able to assist you in the preparation of plans. Site Plan-Have your builder, engineer, landscaper or architect proVde you with a site plan. The plan should be an accurate drawing to scale showing property boundaries, streams, wetlands and lakes within 100 feet of the property, existing and proposed buildings, driveways, wastewater system, wells, patios and other hard surfaces and the areas to be cleared, filled or graded. Label all buildings as existing or proposed and note any existing buildings to be removed. Erosion & Sedimentation Control Plan - Show locations of all temporary erosion control devices to be utilized during construction on a copyof the site plan. Minimize the disturbance to land bylimiting the area to be cleared, cut or filled and-the time period that the site Wil be worked and de-stabilized. Protect downgradient streams,"la kes, wetlands with erosion control devices such as haybales, dikes, filter fabric fencing, etc. Stock piled earthen materials should be protected. Contact the Warren County Soil &Water Conservation District for assistance at 623-3119. Stormwater Control Plan-: Show locations of all permanent stormwater control devices on a copy of the site plan. Construction Details-The stormwater control device details should include a profile view and construction details of such devices as dry wells, infiltrators, trenches, retention ponds, trenches, etc. (some detail drawings for typical devices are included in the Guide for Minor Projects) E. PERMITS FROM OTHER AGENCIES Other permits or approvals for projects may be required from Federal, State, Regional or Local agencies. Project sponsors should inquire at these agencies as to authorizations which may be necessary before commencing work. The list of agencies which follow is provided to assist project sponsors. It is not intended to mean that a permit is required from the agency, nor does the list include all agencies from which authorization may be required. Warren County Planning Dept Municipal Center Lake George NY 12845 (518)761-6410 Adirondack Park Agency PO Box 99 Ray Brook, NY 12977 (518)891-4050 NYS Department of Environmental Conservation P.O. Box 220 Hudson Avenue Extension Warrensburg, NY 12885 (518)623-3671 Lake George Park Commission Fort George Road, P.O. Box.749 Lake George, NY 12845-0749 (518)669-9347 L.\CRAIG\TEMPLATE&STWATAPPS\TOWN STORMWATER INSTR.DOC page 3 of 3 Application for Permit=Septic Disposal System Town-of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 i 1. OWNER INFORMATION: Office Use Location of installation: j File Permit No. Tax Map No. Fee Paid Owner's Name: (' .................................................................................._................................................... : Address: �a 2. INSTALLER'S NAME :_7DSq Uset b zw feue A v/l PHONE NO. lGQ jo-,)7 3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No.of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980- 1991 x 130 gal/bdrm = 1991 -present / x 110 gal/bdrm = Garbage Grinder Installed yes_ / no t/ Spa or Hot Tub Installed yes_ / no ✓ 4.' PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat san at what depth at what depth r�ax�reeipal Rolling //lo�am feet -^ feet we Steep slope lny if well; water supply %slope other from any septic-system depth: absorption is /do ft, other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: U, � gallon (min, size 1,000 gal.) Tile Field: each trench 0 ft. Total System Length: Seepage Pit(s): number of size of each: ft.'by ft. Size of Stone to be used: # / depth or thickness feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: t Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated'electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to-Section 136-29 of the Code of the Town of Queensbury, any permit or approval.granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person Date Septic Inspection Report Office No. (518)761-8256 Date Inspection request eceived: r Queensbury Building&Code Enforcement Arrive: am/ itI�epart: h am/pm 742 Bay Rd., Queensbuly,NY 12804 Inspector's Initials. NAME: PERMIT NO. G 3 LOCATION: INSPECT ON: RECHECK: Comments and/or diajzram Soil Type: Sand,,/Loa 1/Clay" Type of Water: uniai a1�9 Well W r Waterline separation distance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of StoneSeepage Pits: Number Size: x Stone Size: Piping Vz# T e Building to tank Tank to Distributg4i Box Distribution Bo t. ield/Pit et C 7J O enin Sealed: Y N/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft, Separation of Pits ft. Conforms as per Plot Plan Y N Location of System on Property: Front Rear Left Side Right Side Middle Front iddle Rear System Use Stat Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:ISueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 z z c u a 4 �. �0QN Z zz0 ENO .. wwa��r � 0 z D04Z pp�C HH x ��'" r w w0m W 10U ,. 0 N� r* IL I vW 0 D CD 30 N E H I H H ( H 0 z z*� Ix 1 N ' x W z W 't, z u w z H z U U w...� , a o W x a a w D �._ H H w a H o a x + h r' H 9 w W'`� N z W x ` a 4 D � a k a ,W I�' r� r� H U ' H 0 to t� x H H W N a 0 w a �e o "w x x a z 0 W z p U z w z H ] rn 0 a H M ' H H U H a 9 9 a 0 o H w w w x a w o n �`�.0 4 U H a H �I U (A > H H W z H U H �' U 0 H 1v z z w H 4 z w w U 4 u w �+ = W H H > H w w x x ua a p "n 'p H > W W H z a1 > w 0 9z N M w H { w w w W 'k U p> ,w 0 x 4 ' o z H a w x H a s .� a ,w z a p ;n z N H u a > H �i 0 0 0 4 a t z 0 w t7 H + z 0 0 0 H 0 0 w 0 0 0 H ,�, w rn H H E 0 z9 W H z H z W u1 H W p A z p p N 0 0 0 0 N H Z H ! H w �' A x H H H H `'a' a 0 H w w w w Ex X W w E H 0 z W U W W .4 W E H H A p A , W 4 H H U H a 0rA H ,� 0 H a 0 H 0 t a H H H z z Z H `xfH H x 0 9 �+ w H x 0 W W a 0 H H H H W H x 9 4 x x G� H 0 r, pzapH U � xa. wr Nw u , Wwax 7 MAP REFERENCE: CHERRY RIDGE A SUBDIVISION OWNED BY i 64 4 JOHN WHALEN DATED: JULY 1, 1970 REVISED: DECEMBER 7, 1970 _ BY: JOHN B. VAN DUSEN S830 03 00"E 31. 79, S82°~ 41 ppI1E 103.21 , /71 25 28,772.85 sq ft 27 0.66 acres W o - }} o CIDIN s N DECK OO 52.94 " 23 � CV N 2 STORY WOOD LQ FRAME ROUSE PORCm In � 29.65' U O I I I UTILITIE5 I . 135. 001 N82°371005W 4 FOX ROAD Date: February Du S "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY Sale 1' = 30' OLT JJJ►►►•�� MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A Map of a Survey made for VIOLATION OF SECTION 7209, SUB-DIVISION 2,OF THE NEW YORK STATE EDUCATION LAW." S i e v e s ONLY AUL BE TO BETHISDURU STANLEY A. LACKEY, JR. MARKED WITH AN ORIGINAL OF THE LAND 5URVEYOR5 ry SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES." "CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED L a Ia d Survey ors LA THE NEW ORS. STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS.SAID CERTIFICATIONS SHALL RUN ONLY SHEET TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND 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 TO-,,A55GNE.50PTHELENDING N5 LI NAME (518) 792-8474 New York Lie. No. 50135 1 1 NO. DATE DESCRIPTION DWG. NO. D2 27-1-1.11/266.01-1-42 Residential Final Inspection Office No. (518)761-8256 Date Inspection reque"r ceiv ueensb Building&i Code Enforcement Arrive: VE JI-7 La Q �Y � �art�_�L�.-�-a m 742 Bay Rd.,Queensbury,NY 1280A„ Inspector's InitiaNAME: # �- 3 � v LOCATION: t DATE: TYPE OF STRUCTURE: Comments Y N N/A Chinme Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete "�:> i ,►�,�i�fL.— �-���7�fi" Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more 1 Co�v`�c ° � � Exterior Finish Complete �., Interior/Exterior Railings 34 in.to 38 in. h1 ' Y 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 r,' � Gas Valve shut-off exposed/regulator 18"above grade _ Gas Furnace shut-off within 30 ft. or within line of site - r' 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. `'L/ V o CAI, 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 t�,/,' Carbon Monoxide detector Plumbing fixtures Foundation insulation k'l `A Floor miss,draft stopping finished basement 1,000 sf �r. Emergency EmEgency egress below grade s Basement stairs closed rise>4 inches Ai hour fire door/door closer i%' V Garage fireproofing /r`' t lJ�A 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 1 �� Building No./Address visible from road / Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept,Inspection Sticker Flood Plain Certification,if re wired Okay to issue C/C(Cert.Of Compliance) Okay to issue Temporary C/O(Cert. Of Occiz anc Okay to issue Permanent C/O(Cert.Of Occupancy) L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 I Town of Queensbury Fire Marshal _ 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 Factory Built gas Fireplace 1 Stove Instlection Re ort 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 tbe,i—appliaxice.No deviation from the manufacture ' r instructions or specifications is allowed. (3' ar€i m n time actor hermit# �?- I-- Schedule Insp�tion Time g y Inspector 11jV� Named' S tJl Address JAM f Rough In ztal Appliance Man acturer �' _ --Model# 1� 77 Direct'6�ent Factory Built Chimney Flue Size Double Will Triple Wall Insulated ,! Yes No N/A E' comments Floor Protection 1 g , Clearances to Combustibles (all sides) Firestop(s) 'vertical Chase Wall Penetrat',;_n_l Vent Clearances to Combustibles f J1 Vent/Chimney Termination � Chimney height must be 3 feet above roof 1' penetration;2 feet above any combustible a construction within 10 feet Gas Shut-Off Valve r �` �Jr Combustion Air l� Hearth Extension (if any) z \,v I , Mantel / Height above f/p opening Witness Operation Tank Placement(if LP) white—Bid&ling Dept. _ �_ 'Yellow Cast er Pink—Fire Marshal Residential Final Inspection Office No. (518)761-8256 Date Inspection re r cei Queensbury Building&Code Enforcement Arrive: m/p art: pm 742 Bay Rd.,Queensbury,NY 2804 Inspector's Ini NAME: P T#: LOCATION: : �-. ATE: Q TYPE OF STRUCTURE: Comments Y N N/A —Chimney Ht,/"B"Vent/Direct Vent Location Fresh Air Intake t_ 1 1. : 6:; 3 inch Plumb Vent through roof 14 Roof Complete V. 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 Co fete - -� 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 ex osed/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/Hoi Water Heater operating :Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safeglazing Window in stairwell safety glazing Interior Smoke Det ctors: Every level: 4 Every bedroom: / Outside every bedroo area: Inter Connected: J Battery backu : 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 / hour fire door/door closer. Garage fireproofing, ` Duct work Sealed properly1�� V Attic access 30 in.x 24 in,x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s ,ft.-150 sq.ft.vents Building No./Address visible from road Final Electrical . Site Plan /Variance re wired 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 Tem ara C/O Cert."Of Occu ana Okay to issue Permanent C/O(Cert.Of.Occupancy) L:\SueHeminpyay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 A Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: 15—Aj Queensbury Building&Code Enforcement Arrive: am/,r `Depart: an�/pm 742 Bay Rd., Queensbury,NY ]2804 Inspector's Initials — NAME: m C k,9 t S ��' � PERMIT NO.: LOCATION: ___�6r)( L-ANPV, INSPECT ON: 7/ .RECHECK: Comments and/or diagram Soil Type: Sand!Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance Well separation distance ft. jjv,�ru E_ S v c;;,/U v Other,wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Si 7,e JyRe Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan - Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:\.SueHemingway\6uildin$.Codes.Gispection.FORMS\Septic Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: +/ �� Queensbury Building&Code Enforcement Arrive: am/p4 Depart: 7 pa AtoAjvpm 742 Bay Rd.,Queensbuly,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: 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 Dampproofing Foundation/Waterproofing Type of Darapproofing/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:\SucHerningway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc, January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection Tequvt received. Queensbury Building&Code Enforcement Arrive: am/p part: pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: _0�6 �� jw LOCATION: INSPECT ON: TYPE OF STRUCTURE: N N/A PVC: R-1,R-2,R-3,R-4 Drain l 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 ater Supply Piping Copper Commercial Copper,CPVC,Pex One&Two Family Insulation]Residential Cheek/Commercial Check PV Proper Vent,Attic Vent Duct/Hot Water Piping insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: �L:\SucHemingway\Building.Codes.Inspection,FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Rough Plumbing insuiation Inspection Report C�Office No. (518)761-8256 Date Inspection request received, Queensbury Building&Code Enforcement Arrive: am/p3 , pepart: j 4 am/pm� 742 Bay Road., Queensbury,NY 12804 Inspector's Initials: NAME: ECOA (D PERMIT #: LOCATION: INSPECT ON: ,Z 03 TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron,Copper Drain/Vent/Comm. Plumbing 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 7jrb FF- 'Pwe Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial 9mper,-CPV- C,Pex One and Two-Family 'J;Mstil4ti6i-i-f-Reside-i-itiaI Check/Commercial Check TA<i A-c-- .ProperVent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace net work sealed properly No duct tape COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November l7,2003 Framing /Firestopping Inspection Report J Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement AiTive: aml Dep am/pm 742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials :n . NAME: 3 C PERMIT#: to LOCATION: INSPECT ON: — TYPE OF STRUC URE: 15 N N/A COMMENTS -,,A r_Ja k Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"Q.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. P 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 Fir!,separation 1,2, 3 hour F' e wall,2,3,4 hour Firestzl oppi>Ig r — ;Pene# atron sealed "16 inch insulation in cavity min. Garage Fire Separation House side %inch or 5/8 inch Type X J� 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.FQRMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestoppmg Inspection Report Office No.(518)761-8256 Date Inspection request received: ; Queensbury Building&Code Enforcement Arrive: am/ epart: I '..._.._._ m/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: i • % ,S PERMIT#: t G 7 LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS ,--Framing-- Jack Studs I Headers 2,�, Bracing 1 Bridging �T 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 I Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %z(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 wa112,3,4 hour ::Firestopgng (�Jti, . P/'-~ r Penetration sealed �..,. 16 inch insulation in cavity min. Garage Fire Separation House side %inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) — 0 �5 � / 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; Queensbury Building&Code Enforcement Arrive: am ' Depart; am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: � tzep PERMIT#: LOCATION: � INSPECT ON: Z1 C5'--1S TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron,Copper Drain/Vent/Comm. P umbing Vent/Vents in Place ough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft.above highest Connection for 15 minutes Water Supply Piping Copper Commercial Copper,CPVC,Pex One&Two Family Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: L:ISucHemingtivay\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 29,2003 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 Facton,Built Gas Fireplace/Stove Inspection Report Notice:New York State requires that all UL Fisted,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 speci�i ions is allowed. �j Permit# (� Schedule Inspection 2— i} Time am pm anytime Inspector 1 � NaaneV,,lt c l jl C-t.S 612e._Address Rough ' /Appliance 1Vlanuf'cturex� 1,�' �C t` < . Model# L k�j'�66 �LS ���v Direct Vent Factory Built Chimney Flue Size Rouble Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) •� �25 nvb�p� Bq��D Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles 'Went/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 flp opening P 'Fitness Operation Tank Placement(if LF) White—Building Dept. Yellow Cutc mer Pink—Fire Marshal i Framing/Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received 0 1,3 0 . Queensbury Building&Code Enforcement Arrive: a7 p D M, 742 Bay Road,Queensbury,NY 1.2804 Inspector's Initi s• ...- NAME: 4 PERMIT#: L LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N/ COMMENTS raming Jack Studs 1 Headers Bracing/Bridging Joist hangers ( _ Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. V-) 'tea i r�- - Stairwells 36 in. or more - = Headroom 6 ft. 8 in. � _ t'� - --�----�— Notches/Holes/Bearing Walls a ping-fz es To 1 %z(W) 16 gauge(8) 16D nails each side - e k-\1E LY ra 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 Fite wall,2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in:cavity min. (:— Garage Fire Separation House side %a,inch or 5/8 inch Type X �' 1 Garage side 5/8 inch Type X Ceihn /wail 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 i Rough 'Plumbing / Insulation Inspection Report v.3o -3 Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: amlpm art:7,1..5S am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: 1 y NAME: fy), Oh+e PERMIT #: v 0`) LOCATION: D- ro 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. IlAumbingVent/Vents in Place 4 ough Plumbing/Nail Plates 1 % inc min.Drain Size WasKng Machine Drain 2 inch min. ad 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.FQRMS\Rough Plumbing Insulation Report.doc November 17,2003 Framing/Firestopping inspection Report ✓ ' r Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ part: r m/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT LOCATION: CA CA INSPECT ON: TYPE OF STRUCT RE: Y N :N/A COMMENTS -- timing _ Jack Studs/Headers Bracing/Bridging �j Joist hangers C- 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 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 s paration 1,2,3 hour Fiip6 wall 2,3,4 hour Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 1/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilin /wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\.SueHemiugway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: I Queensbury Building&Code Enforcement Arrive: am/ oepart-. �� am/pm, 742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initials: NAME: GduVERMIT NO.: 03 In/ LOCATION: INSPECT ON: RECHECK: SP Cl Comments and/or diagram Soil Type: Sand f Loam Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length Length of each trench ft. Depth of trenches- Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field Pit Opening Sealed-.- Y/NI Partial Location/Separations Foundation to tank Foundation to absorption ft. Separation of Pits Conforms as..per Plot Plan Y N Location of System on Property: Front Rear Left Side Right Side Middle Front M' 8le Rear 8 stem Use Status: pproved Partial Approved and needs to be re-inspected,please call the*Building&Codes Office Di8approved L:\SueHemingway\Huilding.Codes.rnspection.FORMS\Septic Inspection Report doc January 28,2003 ff VY) Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ Dpart: t am/pm 742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initials:` NAME: QT R.,� PERMIT NO.: u LOCATION: ( INSPECT ON: RECHECK: , Comments and/or diagram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as_per Plot Plan Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle/Rear System Use Status: proved artial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved LivSueHemingway\Building.Codes.Inspeetion.FQRMS\Septic Inspection Report.doc January 28,2003 Framing/Firestopping Inspection Report Office No. (518)761-8256 Date Inspection reque4t received: l C/ ' Queensbury Building&Code Enforcement Arrive: am/part: pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: IG '�- n PERMIT#: c%),6Z 3- LOCATION: �Q INSPECT ON: a.3 TYPE OF STRUCTURE: Y N N/A Framing 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/Doles/Bearing Walls Metal Strapping for Notches Top Plate 1 'Iz(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor B is 6 ft, or less on center ce and snow ie1 24 ' ches from wall Fire separation f,2, our Fire wall 2,3,4 hour Firestopping - Penetration sealed 16 inch insulation in cavity min.- Garage Fire Separation House side%inch or 5/8 inch Type X Garage.side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemingwaylBuilding,Codes.Inspection.FORMSTraming Firestopping Inspection Report.doe January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection.request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT##: LOCATION: 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 Dampproofing Foundation/Waterproofing Type of Dainpproofmg/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width �� C 6 • ches 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:\SueHen-dngway\BuiIding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (5 18)761-825 6 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depart:Z-.,4 V —am/pni 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: CAAA-6-6-s im PERMIT#: LOCATION: tif'-Zt5— E���10 INSPECT ON: TYPE OF STRUCTURE: Comments —Y N/A V 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 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. LAS ueflerningway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc Janu'ary 28,2003 0 3- � Check Residential Plan Review: One&Two Family..Dwellings Y/N/N/A J A/ /2)Full sets of plans Over 1,500 sq. ft.—Stamped esign Loads On Plans: 90 Wind Floor Loads 40 psf 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: �Wiadow Schedule With Glass Size Poor Schedule/Main Entrance 36"Door tEmergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. Grade,5.0 sq.ft. 24"(h)x 20"(w)min. 441,Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofing/Waterproofing Materials On Plans Foundation Drainage On Plans,if required 61'Drop in 10' Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where /Required V Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors /Stairway Headroom 6' 8' All Stairs 36"Width it Run and Rise - Winder Run and Rise A Spiral Not Allowed From 2nd Story V 'Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance I Width,36"min. Handrails More Than One Riser On Open Sides 0,fRailing and Guards>30"/Basement Stairs Included Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas -Garage Fire Separation Garage Floor Sloped Attic Access V -Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access V/ Carbon Monoxide Detector Lowest Sleeping Level Soil Test Results,if required Septic To Well Or Water Line Separation All Paperwork Signed �u- Town of Queensbury 742 Bay Road, Queensbury, NY 12844 Building & Cade FIAOIrcemenf Building Permit# phone:(51'8)761-8256 Date. Fax; (5 i s)745- 4437 .Em cvks@a qucmbury ' Dear YourNaldm" gpermat appl"tion has beeswmwed and found to be deficientin the following areas_ These det&need to be added to of noted on both sets ofpbns. Please feet free to contact this office-w any ° regarding#his matter. Sincerely; BULB MG&CODFS OT"CaE LISueHemiagsway\Budm&FetFORMSWeficient building pennitJan 2003-doc Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheekSoftware Version 3.5 Release lc Data filename:F:\SHARE\Design\Energy Calc\ON YOUR LOT\25 Fox Holly.cck TITLE:Holly COUNTY:Warren STATE:New York HDD: 7635 CONSTRUCTION TYPE:Detached I or 2 Family BEATING TYPE:Non-Electric DATE: 07/22/03 DATE OF PLANS:July 22,2003 PROJECT INFORMATION: 25 Fox Road Queensbury,NY 12804 COMPANY INFORMATION: The Michaels Group 10 Blacksmith Dr. Malta N.Y. 12020 COMPLIANCE:Passes Maximum UA=461 Your Home UA=415 10.0%Better Than Code(UA) Gross GI zing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA opt.plant shelf alt/elev.cell.:Raised or Energy Truss 24 30.0 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. 17 19.0 0.0 1 Ceiling I.:Raised or Energy Truss 1252 30.0 0.0 40 1 st Floor walls:Wood Frame, 16" o.c. 1602 19.0 0.0 81 2x Family(AP): Wood Frame,Double Pane with Low-E 28 0.340 10 lx Family(AQ):Wood Frame,Double Pane with Low-E 25 0.340 9 2x Brkfst(AR): Wood Frame,Double Pane with Low-E 21 0.340 7 Brkfst#7:Glass 40 0.350 14 Utility#20: Solid 19 0.240 5 Ix Study(BC):Wood Frame,Double Pane with Low-E 31 0.340 11 Entry#1: Solid 21 0.350 7 Ix Living(BC):Wood Frame,Double Pane with Low-E 31 0.340 11 lx Dining(3C):Wood Frame,Double Pane with Low-E 31 0.340 11 2nd Floor walls:Wood Frame, 16"o.c. 1307 19.0 0.0 70 2x Mbr(BB):Wood Frame,Double Pane with Low-E 31 0.340 11 Ix Mbath(N):Wood Frame,Double Pane with Low-E -6 0.340 2 I x opt.Mbathlux(V):Wood Frai-ne:Double Pane with Low-E . 16 0.340 5 Ix Bed#2(BC): Wood Frame,Double Pane with Low-E 31 0.340 11 lx Foyer(AE):Wood Frame,Double Pane with Low-E 14 0.340 5 Ix Bed#3(BC): Wood Frame,Double Pane with Low-E 31 0.340 11 1x Bed#4(AB):Wood Frame,Double Pane with Low-E 16 0.340 5 Basement Wall 1: Solid Concrete or Masonry 1179 0.0 11.0 76 Wall height:7.5' Depth below grade: 6.5' Insulation depth:6.0' Bsmnt windows: Wood Frame,Double Pane with Low-E 12 0.560 7 opt.Dining box wall: Solid Concrete or Masonry 31 0.0 11.0 2 Wall height:7.5' Depth below grade: 6.5' Insulation depth:6.0' opt.Brkfst bay wall: Solid Concrete or Masonry 13 0.0 11.0 1 Wall height:7.5' Depth below grade: 6.5' 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 complia with is Code. Builder/Designer Date#_��__ REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release lc DATE: 07/22/03 TITLE:Holly Bldg. Dept. Use Ceilings: 1. opt.plant shelf alt/elev. ceil.: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. 3. Ceiling 1: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. 1st Floor 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 Wails: 1. Basement Wall,I: Solid Concrete or Masonry,7.5'ht/6.5'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. opt.Dining box wall: Solid Concrete or Masonry,.7.5'ht/6.5'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. opt.Brkfst bay wall: Solid Concrete or Masonry,7.5'ht/6.5'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 Family(AP):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: 2. 1 x Family(AQ): Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes [ ]No Comments: 3. 2x Brkfst(AR):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: 4. Ix Study(BC):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: 5. Ix Living(BC): Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: 6. Ix Dining(BC):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: 7. 2x Mbr(BB): Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: 8. Ix Mbath(N):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: 9. Ix opt.Mbathlux(V): Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: 10. Ix Bed#2(BC): Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: 11. Ix Foyer(AE):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: 12. Ix Bed#3 (BC): Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: 13. Ix Bed#4(AB): Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: 14. Bsmnt windows:Wood Frame,Double Pane with Low-E,U-factor: 0.560 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: 1. Brkfst#7: Glass,U-factor:0.350 Comments: 2. Utility#20: Solid,U-factor: 0.240 Comments: 3. Entry#1: Solid,U-factor: 0.350 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-1C 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 manufacturers 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. 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-I 1. 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-ei-nbedded-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). 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 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 combustion 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 °F must be insulated to the levels in Table 2. a 8' 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 l 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 Ran e F 2"Runouts 1" and Less 1.25"to 2" 2.5"to 4"1 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 A and Brine Below,40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) Project Name: BP# /-3 Address: Building Pen-nit Submission SbV--fani1ydu&g Tuofiardy"&g 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 BuAding 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 ...... . 0 no F1 n/a 2. Energy Form or Check1date Energy Code Compliance Forms Complete..ages [Jno Eln/a 3. Energy Code Inspector's Report from CleckMate Program...... ... ... ... .. :eyes El no F]n/a 4. Septic application completely filled out(if applicable)...... ... ......... ... ... � Ono On/a 5. Solid Fuel Burning or Gas Appliance Form....................................AEr� E]no E]n/a 6. Electrical Inspection Form .. ... ... ... ... ........................ ... ...... ........ Yes Flao (Qn/a 7. Two(2)complete sets of structural drawings........... ... ...... ............ ....09 Elno On/a a)floor plan;b)foundation plan;c)cross sections:d)elevations; e)window and door schedule 8. Two(2)site plans showing location of the structure to be built ......... ... nyes nno nn/a location of well or water lines,location of septic system or sewer line, 9. Setbacks from property lines to new structure................................ . yes Ono E]n/a 10. Setbacks to neighboring wells and.septic systems,including onsite well... � Ono Eln/a and septic systems(if applicable) 11. 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