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2003-641 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 .(518)761-8201 Community.Development-Building&Codes (518)761.8256 CERLTIFICATHOF OCCUPANry Permit Number: P20030641 Date issued: Tuesday,February 10,2004 This is to certify that work requested to be done as shown by Permit Number P20030641 has been completed. Tax Map Number: 523400.301.012-0001-0.01-000.0000 Location: 21 BEINRICK Cir Owner: PETER&JACQUELYN DZIEDZIC Applicant: PETER&JACQUELINE DZIEDZIC This structure may be occupied as a: By Order of Town Board Garage-2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queeiisbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030641 Application Number: A20030641 Tax Map No: 523400-301-012-0001-001-000-0000 Permission is hereby granted to: PF.TFR & JAC0TTFTF%ZFDZTFD71C For property located at: 21 HEINRICK Cir 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: ROBERT &NORMA MALCOLM 19 BEINRICKCir Garage-2 Cars Attached Single Family Dwelling $130,000.00 QUEENSBURY,NY 12804 Total Value $130,000.00 Contractor or Builder's Name Address Electrical Inspection Agency Plans&Specifications 2003-641 PETER&JACQUELYN DZIEDZIC 1498 SQ FT MODULAR SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $219.76 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,August 22, 2004 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Qluerb;?; August 22,2003 SIGNED BYfor the Town of Queensbury. En Director of Building&Co forcement 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. 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 a "o ppear on the Reviewed B f application form. 1 Applicant: I t i tP-. Y-, ACCRU't tJ %1 007-16 Owner: -C rof Address: n21f t¢,fl 2t c.K �.ti2 c L Address: IQ ttiiInsfLic,K. e tt2c iPL /wP�r�s,btat^�( I(f fa- Al tl /-D804 Phone#(,jLl8 ) 774 - ;9 Z 9 Phone#Qi 5) lj 'X: :0 t_, Email Address: c,j c-07, Email Address: e,�crek�a®new a�(.�0"I Property Location: Lot Number: House Number ' I 1H-e i0��r�'c(< C�rC k e- Subdivision Name: -�y � Tax Map Number: c7O- New Building: residence commercial Estimated Market Value of Construction: $ ❑ Addition: residence/ commercial❑ Alteration: residence/ commercial If an Addition,what will use of new addition be? ❑ No change to exterior size: residence/com'1 ❑ Other work(describe ) Check OccupancyInformation I"Floor Z'd Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet U/ Single family dwelling Ytj tj/ a ❑ Two family dwelling ❑ Townhouse cl Multifamily dwelling #of units ' ❑ Office wED ❑ Mercantile ❑ Manufacturing A U G 0 .003 ❑ 1 car detached garage ❑ 2 car detached garage t ��C�tsEi ��U R Y c7 3 car detached garage az. mi i�rtrvtj CODE ❑ 1 car attached garage 2 car attached garage sa ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other MY-7-7-- What is the proposed height of the structure r !6 a feet inches Will any second-hand or ungraded lumber be used? If so,for what? 0 O Type of Heating System: electric/ oil / gas/wood /forced hot-' baseboar /other: Number of Fireplaces to be installed, 01 Number of Woodstoves to be installed a List below the person(s)responsible for supervision of work as regards to building codes: P�dQ,- (�ie( •��rakers j N t� /a 1(a� Name Address t& . Phone Number Builder re% /146D&fI-AAL /fear S- C RA 1 G J-, LA r' ✓w'- 61f)-`74,2-1t 110 Plumber c36(-Yis-Jrv,e A wS. r on-.1ctr -- IS3 rarI �(5t8�`i�_Cof83 Mason a I rzza co C&4s r uct i a vt— Pa+1e. FI i t 9 f�C( j!h �j r _tn 7�Al. Electrician -3exr i _ ,S -r. pcnJ- 6rye5 L33 rte._, P't }-6c�5 poi 133 ,Fitt! RW. Declaration; please sign below after you have carefully read the statement: A"-Y /a&'3 3'94 3 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 I/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. :' Le x".d.�. Signature 14 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 (518)761-8256 A permit must be obtained before beginning construction. No Permit File No. inspection will be made until applicant has received a valid Fee Paid $ building permit. All applicants' spaces on this application must be Reviewed By: completed and must appear on the application form. Applicant: RA7—fi,& + RLEC *J C(Ci7,EtiEtvm Address: 7 1 1fAW-)rZ1(C1k- c4iz L Address: /Ci Heir ti-',"r-(<-' - 0, U /a-sov Q(A'eetxSbur%1 , Ill, 1J-WbL/ Phone#(&-/eJ 7cl - -76-z, Phone# Email Address: aUctCk6o ate ,QC0Gcove Email Address: cLo •C-6 t-vt 1) Person Responsible-for-Supervision of Work as Regards to Building Codes: &P 61) ,- ' ka ew-e- - 7-Ae=f'-&OW-;Ve 1-0711 e, - /9*Fla-ft ders oecf Al. 7&I I/ I I Name on Jorv4s Address: 133 Ra Lz!V Phone -(6 7 N--&F�3 1911"wk;, e1ec-Jr1cv,1, po tcA 71�e-C.,t</ Property Location: Lot Number.: 1 House Number ;Z #LO/094cK C,1 gzL,6-, Subdivision Name: 6t4A0Utd 4��S Tax Map Number: Estimated Market Value of Construction: $ AA v6 0 mr/Porch V Deck u Dock R E D c3 �Boathouse p/ Other work(describe AUG 0 7. 2003 x 5;v/qge Size of structure to be built square feet TOWN OF QUEENSBURY BUILDING AND CODE 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 signatur Date: V7 L-.\SueHemingNvay\Building.Pennit.FORMS\Porch.Porch.Permit-doc 8/13/02 revised per DH Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ........................ .......... ....................................................... Office Use Location of installation: Tax Map No. q& / File Permit No. a ,6b 3 6z-8 - Fee Paid Owner's Name: V, 1'�,o ........... ........................................................................... Address: _/I LI)UlUr-K- 2. INSTALLER'S NAME PHONE NO.7- 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 4 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 3 x 110galfbdrm = Garbage Grinder Installed yes_ no X- Spa or Whirlpool Installed yes_ no 4:- PARCEL INFORMATION: (circle applicable information&indicate measurements) Tonogrwly Soil Nature Ground Water Bedrock-gi ImRervious Material Domestic Water SUR121Y Flat sand at w1lat depth at wh t depth Elunict a ep. Wm'�41 2 10�Ia Rolling Idam IVA- feet we f feet Steep slope clay tfwell;water supply 410 %slope other from any septic-system depth: absorption is_ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Cons$ruction: 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: 1600 gallon(min. size 1,000 gal) Tile Field: each trench Total System Length Seepage Pit(s): number of size ofeach: fi. by_ft. Size of Stone to be used: # depth or thickness feet Bed System Size: x Alternative System: length andlor size 6. HOLDING TANK SYSTEM: (if required) Number oftanks: J 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 road) For your protection,please note that pursuant to Section 13 6-29 of the Code of the Town of Queensbury, any permit or approval ininted 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 Defte '!'c>tv[i of (Ztseetlsbtli-y sq%vers :t:t(! :yew*i1;e Dis;>a:-al (:li:tlttt�r 11,j)! pith? C J i SPA'Alt.ATIONZZ ltl:t2l.Iitii;t4llr:N'I`:; n s� C ZJ - - - ---- ti^t�t.L [ea i.IfiTF.'it' `i--•----�""� �r �v --------------- [ ipaYt' ca•�x rzY.xrR.E�[>Gr t 7. SIGNATURE &,INFORMATION FOR Sysrur4btol z e„o-.--•�••,•, Residential Final Inspection C) Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: ani/p !!OPart: am/pm 742 Bay Rd.,Queefisbury,NY 12804 Inspector's Initials: PERMIT NAME: 03- q) LOCATION: &r Lc PL�t Q!zj DATE: TYPE OF STRUCTUIM: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3'inch Plumb Vent through roof Roof Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/ExteriorRaih s 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30,ft. or within line of site A0iI 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 glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: l Battery baoku 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 1/4hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq.ft.-150 sq.ft.vents 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 required Okay to issue C/C(Cert.Of Compliance) J Okay to issue Temporary C 0(Cert.Of Occupancy) Okay to issue Permanent C 0(Cert. Of Occupan y) L:\SkieHerrin'gway\Building.Codes.Inspection,FORMS\Res.Final Insp.form 2.doc edited January 28,2003 S 3 Residential Final Inspection ;00 _I 3C r-:a Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p epart: m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: o —6 LOCATION: ` DATE: TYPE OF STRUCTURE: i7 Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in.or more uard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors I tenor Handrails stairs 2 or more risers rade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft.or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating � n Low water shut'-off boiler /��iQ�GL Relief Valve(s)installed Kv t 1^ Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: A � � (��`► Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector tumbin fixtures Foundation insulation 61W rbz;L,- Floor truss,draft stopping fnushed basement 1,000 sf Emer ency egress below grade asement stairs closed rise>4 inches /4 hour fire door/door closer Garage fireproofing uct work Sealed properly Attic access 30 in.x 24 in,x 30 in.(ht.)In accessible area ,,,Crawl Spaces 18"x 24"access, l s .ft.-150 s . ft.vents 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 required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C/O(Cert. Of Occupancy) Okay to issue Permanent C/O(Cert. Of Occupancy) L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.forni 2.doc edited January 28,2003 q Residential Final Inspection Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: MW am/pm Depart: anilpm 742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initials: Qk NAME: PERMIT#: co(4, LOCATION: a ! 0,tq V— DATE: I'S-12,q v TYPE OF STRUCTURE: Comments Y N NI Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in.or more Exterior Finish Complete 1110, 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 dal 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area V Furnace/Hot Water Heater operating -Low water shut-off boiler / (f V Z x Relief Valve(s)installed 4e I,A�-_ Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen waterti& Safety glazing Window in stairwells safety glazing Interior Smoke De,�Ptors: ✓ Every level: I / Every Bed rum: Outside every bedroom 3pea: Inter Connected: V / 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 %hour fire door/door closer Garage fireproofing e t- lee Duct work Sealed properly e, e Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area F` if, 30 Crawl S2aces 18"x 24"access, 1 sq. ft.-150 sq.ft.vents AX Building No./Address visible from road �>ry,y1-1 Electrical Site Plan /Variance required WIC.(711'ej, 4e, Final Survey Plot Plan A I As Built Septic System/Sewer Dept.Inspection Sticker Z,Flood Plain Certification,if required Okay to issue C/C(Cert.Of Compliance) C ka to issue Temporary C/0(Cert. Of Occip_a e 761 S Okay to issue Permanent C/0(Cert. Of Occupancy) L:\SueHeri-ingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003 Framing Firestopping Inspection Report Office No. (518)761-8256 Date Inspection re e receiv d Queensbury Building&Code Enforcement Arrive: amlp D rt: a pm 742 Bay Road,Queensbury,NY 12804 Inspector's Ini ias! r NAME: PERMIT#: ia LOCATION: INSPECT ON: TYPE OF STRUCTURE—., Y N N/A Framing COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly '1211 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 V2(w) 16 gauge (8) 16D nails each sid4' Draft stopping 1,000 sq. ft, floor trusses \ Anchor o ts 6 ft. or less on center 1"Iedoand -now shield 24 inches from wall Fire separation 1,2, 3 hour Fire wall 2,3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min, Garage Fire Separation House side 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-.\Sueliemingway\]3uilding.Codes.Inspection.FORMS\FramingFirestopping Inspection Report.doe January 28,2003 Residential Final Inspection 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: 2—\ PERMIT#: LOCATION: 14 DATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30.ft. or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/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 glaKjpj� Window in stair-wells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: _ Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf ELn Urency egress below grade Basement stairs closed rise>4 inches 3/4hour 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, I sq.ft.-150 sq,ft.vents Building No./Address visible from road Final Electrical , I Site Plan /Variance required Final Su ey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C I 0(Cert.Of Occupancy) Okay to issue Permanent C J 0(Cert.Of Occup ncy LASueHernin gway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003 Framing /Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection' request received.- Queensbury Building&Code Enforcement Arrive:—a m pepart: p 4_1W 742 Bay Road,Queensbury,NY 1.2804 Inspector's Initials". NAME: —_7 PERMIT#: LOCATION: Cjtq_Cc_&— INSPECT ON: ;�0-3 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. QiMeadroffi 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 V2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft, floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1,2,3 hour ire wall 2,3,4 hour 117irestopping 9 7— -40 Penetration sealed 16 inch insulation in cavity min. Garage FireSeparation 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:\SueHemitigway\Building.Codes.Inspection.FORMS\rramingFirestoppingInspectionReport.doc January 28,2003 Framing Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: .en ' Queensbury Building&Code Enforcement Ariive: am/p a rt: . m/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: �� Z PERMIT#: / LOCATION: C INSPECT ON:` TYPE OF STRUCTURE: Y N N/A COMMENTSFraming 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 %z(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq.ft.floor trusses Anchor B 6 ft.or less on center and snow shield 24 inches from wall Fire separation 1,2,3 hour Fire wall.2, 3,4 hour Firestopping "Penetration sealed 16 inch insulation in cavity min.- Garage Fire Separation House side ''/z.inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable-Space 1 Bedrooms 24 in.(H) 20 in.(W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS%Praming Firestopping Inspection 12ep6rt.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive:-am/p axt m/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: to b NAME: PERMIT#: C� LOCATION: `7 / <a' �/� l�� INSPECT ON: j TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron,Copper Drain/Vent/Comm.. umbing Vent/Vents in Place Rough Plumbing/Nail Plates ow6rrll 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 COIMENTS: -L:1SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: "/A Queensbury Building&Code Enforcement Arrive: am/p Depa an-/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: t � . -3, NAME: VZJ -J� PERMIT#: LOCATION: I hle E094,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 o,fethe concrete. aterials for this purpose on site-. ,foundation/Wall-pour r Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump. Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:ISueHemingwaylBuilding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Septic Inspection Report Office No. (518)761-8256 Date,Inspection request received: - Queensbury Building&Code Enforcement Arrive: am/p Wart- am/pin t 742 Bay Rd., Que ury,NY 12804 Inspector's Initial NAME: PERMIT NO.: LOCATION: INSPECT ON: RECHECK: Comments and/or diagram Soil T e: Sa Clay Type of WatKr: Municip�A/Well Water Waterline separkon tance Well separation distance Other wells: Absorption Field: Total length ft. .....Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: Stone Size: Piping Si*11 Type /, Building to tank Tank to Distribute Box Distribution Box ' iie d Pit Opening Sealed f Yj/NI Partial I Location/Separations, Foundation to tank Foundation to absorption- Separation of Pits ft. Conforms as per Plot Plan I/Y N Location of Sy gteN n Property: Front URea' Left Side Right Side Middle Front Middle Rear System Use 4Stat Approved Partial Approved and needs to be re-inspected,please call the*Building&Codes Office Disapproved L:\SLicHemingway\J3uilding.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Foundation Inspection Report C Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: a D art: rpm , 742 Bay Rd., Queensbuly,NY 12804 Inspector's' S. f ,71e,W J-, NAME: J"e't D A PERMIT#: LOCATION: QfP INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A ootings Piers Monolithic Slab Reinforcement in Place The contractor is responsible f? 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.hispection.FORMS\Foundation Inspection Report.doe January 28,2003 Foundation inspection Report Office No. (518)761-8256 Date Inspection req s re iv. , d: _ Queensbury Building&Code Enforcement Arrive: a p Depart: is a in 742 Bay Rd,, Queensbury,NY 12804 Inspector's Initi s: 1 NAME: � i 1 Rmrr#: LOCATION: Ck VA ffkQ INSPECT ON: =Z0 ' TYPE OF STRUCT RE: Comments Y N NIA ec0J) s Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump, Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval ing Under Slab VC [Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASuelierningway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/prr part: 4 mlpm 742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initials: NAME: PERMIT#: 4 Ak/ LOCATION: INSPECT ON: TYPE OF STR CTURE: J Comments Y N NIA Footings Piers Monolithic Slab Rei rcement in Place T e contractor is responsible for providing protection from freezing for 48 hours following the placement o he concrete. aterials for this,p ose on site. oundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump_ Footing Drain Stone: 1.2 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Suellemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 PK Foundation Inspection Report Office No. (5 18)761-825 6 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depart:6, am/pm 742 Bay Rd., Queenshury,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. V'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 Glade 6 inch drop within 101 LASuellerningway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: 44 f Queensbury Building&Code Enforcement Arrive: am/pnAi Deparl/l/ -�-Imlpm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: its NAME: Z j .: PERMIT#: Coe// LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y / N N/A 7-- Xootings Piers e—r— Monolithic Slab Reinforcement in Place The contractor is responsible/ fo4r"f--( n U 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 Darripproofirig/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., LASucHerningway\Building,Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 N fh Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: —a tj�Depart: in 742 Bay Rd., Queensbury,NY 12804 Inspector's lnitial�p NAME: I (Z-6 7—,� PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N "NIA INI"Footings R6 C3 5 Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement rCs of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing A)E t( Foundation/Waterproofing Type of Darapproofing/Waterproofing Footing Drain Daylight or Sump. Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab -cK Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 'inch drop within-10 ft. L:\Suellemingway\Building,Codes.Inspection.FORMS\Foundation Inspection Report doe January 28,2003 tv , _ I Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoflware Version 3.5 Release lb 4 Data filename:C:\BILL LAKE SYSTEMS APPROVAL\houseslRES-CKECKIUntitled rck TITLE:PR-233 COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:66/04/0i3 DATE OF PLANS:06-03-03 i PROJECT INFORMATION: DZIEDZIC J 21 HEINRICK CIRCLE QUEENSBURY,NY 1.2804. (SHOWCASE HOMES) COMPANY INFORMATION: BILL LAKE MODULAR HOMES 188 FLANDERS ROAD SPRAKERS NY 12166 NOTES: FLOOR INSULATION BY OTHERS. COMPLIANCE:Passes Maximum UA=256-, Your Home UA=256' 0.0%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1494 38.0 0.0 45 Wall 1:Wood Frame, 16"o.c. 1291 19.0 0.0 60 Window:4257:Vinyl Frame,Double Pane with Low-E 116 0.370 43 Window: 8457:Vinyl'Frame,Double Pane with Low-E 66 0.370 25 Window:3037:Vinyl Frame,Double Pane 8 0.370 3 Window:4237:Vinyl Frame,Double Pane with Low-E 11 0.370 4 Window:4253:Vinyl Frame,Double Pane with Low-E 15 6.370 6 Door:2-8 9LITE:Solid 53 0.200 11 Door:3'-0":Solid 20 0.200 4 Floor 1:All-Wood_Joist/Truss,Over Unconditioned Space 1494 26.0 0.0 55 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 attest* that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in compliance e. Rc Builder/Designer Date�� Cam,, 02730' R Op NEW 't0 AUG-2172003 03:10P FROM: TO:7454437 P:2/6 k. t er ber 0� REScheck Compliance'Certiricate y to New York State Energy Conservation Construction Co e�FChecked B te REScheekSoftware Version 3.5 Release lb Data filename:C:\ProgramFiles\Check\RESchetkTR-233.rck TITLE:PR-233 COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:08/21103 DATE OF PLANS: 06-03-03 PROJECT INFORMATION. DZIEDZIC 21 HEINRICK CIRCLE, QUEENSBURY,NY 12804 (SHOWCASE HOMES) COMPANY INFORMATION: BILL LAKE MODULAR HOMES 188 FLANDERS ROAD SPRAKERS NY 12166 NOTES: FLOOR INSULATION BY OTHERS. COMPLIANCE.Passes Maximum UA=256 Your Home UA=256 0.0%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1494 38.0 0.0 45 Wall 1:Wood Frame, 16"o.c. 1291 19.0 0.0 60 Window.4257:Vinyl Frame,Double Pane.with Low-E 116 0.370 43 Window: 8457:Vinyl Frame,Double Pane with Low-E 66 0.370 25 Window:3037:Vinyl Frame-,Double Pane 8 0,370 3 Window:4237:Vinyl Frame,Double Pane with Low-E 11 0.370 4 Window:4253:Vinyl Frame,Double Pane with Low-E 15 0.370 6 Door:2-8 9LITE:Solid 53 0.200 11 Door:T-0".Solid 20 0.200 4 Floor 1:All-Wood Joistfrruss,Over Unconditioned Space 1494 26.0 010 55 . AUG-21-,j2003 03:10P FROM: TOI:7454437 P:3/6 COMPLIANCE STATEMENT: The proposed building represented in this document isconsistent 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 Profess'ional 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 with this Code'. Builder/Designer Date - AUG-21-2003 -03:11P FROM: T0:7454437 P:4/6 5. 31 REScheck Inspection Checklist New York*State Energy Conservation Construction Code REScheck Software Version 3.5 Release lb DATE:08/21/03 TITLE:PR-233 Bldg. Dept. Use Ceilings: 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: I. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Windows: 1. Window:4257:Vinyl Frame,Double Pane with Low-E,U-factor:0,370 For windows without labeled U-factors,describe features: #Panes Frame Type- Thermal Break? Yes No Comments: 2. Window:8457;Vinyl Frame,Double Pane with Low-E,U-factor:0.370 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: 3- Window:3037:Vinyl Frame,Double Pane,U-factor:0.370 For,windows without labeled U-factors,describe features: #Panes Frame Type _Thermal Break? Yes[ ']No Comments: 4. Window:4237:Vinyl Frame,Double Pane with Low E,U-factor:0.370 For windows without labeled U-fact6rs,describe features: #Panes -Frame Type_ Thermal Breakll Yes No Comments: 5. Window:4253:Vinyl Frame,Double Pane with Low-E,U-factor:0.370 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes j No Comments: Doors- 1. Door: 2-8 9LITE:Solid,U-factor:.0.200 Comments: L 1 1 2. Door:Y-0":Solid,U-factor: 0.200 Comments: Floors. 1. Floor 1.All-Wood Joist/Truss,Over Unconditioned Space,R-26.0 cavity insulation Comments: Air Leakage: Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. I Recessed lights must be 1)Type IC rated,or 2).installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a 3 clearance from insulation. AUG-21-2003 03:11P FROM: TO:7454437 P:5/6 s 4 Vapor Retarder: [ ] I Required on the wam-in-winter side of all non-vented framed ceilings,walls,and.floors. I I 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 proNided. [ ] I Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: [ ] I 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. [ ] I 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. Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception_Continuously welded and locking-type longitudinal joints and seams on ducts ( operating at less than 2 in.w'g.(500 Pa). ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] I Air filters are required in the return air system. [ ] I The HVAC system must provide a means for Balancing air and water systems. I J Temperature Controls: ti `• [' 'r Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. I Electric Systems: [ ] I Separate electric meters are required for each dwelling unit_ I _ Fireplaces: [ ] J 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 I provisions of the Building Code of New York State,the Residential Code ofNew York State or 9 the New York City Building Code,as applicable. 4 J Service Water Heating: [ ] J Water heaters.with vertical pipe risers must have a heat trap on both the inlet and outlet unless the J 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. I J Circulating Hot Water Systems: [ ] J Insulate circulating hot water pipes to the levels in Table 1. I J Swimming Pools: [ ] J 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. I 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. AUG-21-,2003 03:11P FROM: J0:7454437 P:6,6 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 V 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: Minintunt Insulation Thickness for HVACPipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Ran e(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 Below40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) Code Compliance and Informational Sheet for Permit Use Queensbury Dept. of Community Development Project for: Permit No. 2003 61 I LI Applicant Name: Tax Map No. _a)i. i �_� ' � Application,. Lot No. 6�7 House No. �--21 ` ram( 12 2 03 road,street (4 n Mobile Home Park: Subdivision: iI—e�� C J7-..�- O Administrator F QUEENSBURY Planned Unit Dev. Z Parcel Size: 0 S'7 acres Current Zoning: (April 9,2002 Zoning Ordinance)at time of this Permit Application Zoning Ordinance effective at time of Subdivision approval by Planning Board: Note Regarding Approved Subdivisions: EAR G b 1967 ................. -- Prior to November 23,1992;earner lot(2 1982 June 11............ front yards)did not apply to zoning. 1988 September 19....... All new development must conform to 2002 April 9,2002........ current zoning. Setbacks: Existing Required Proposed Zoning Information i Front 1 3A The latest Zoning Ordinance Front 2 is effective April 9,2002 (if corner and shoreline) ......... ..........•..._... f.,.. ........ ! Side 1 Side 2 Rear 1 Rear 2 AR Shoreline � V Travel Corridor Overlay Zone 1//�. ( A• Buffer Yes No meets depth,width&square footage requirements preexisting,nonconforming lot with proper setbacks required frontage on public road has required off-street parking. permeable area is adequate(Requirement is %) building does not exceed maximum height(Max. ft.) Is lot in a Flood Zone? Floor Area Ratio worksheet required?Zone: WR-lA(effective Z.Ordinance 1988) Application appears to conform to the requirements of Section(s): of the local Town Code. Town of Queensbury Code Compliance and Informational Sheet for Permit Use Queensbury Dept. of Community Development Drawing Space and Comments: Awa acyut.f,,- c r A lam, Mt,, Q A-4 �. Parcel History Additional review required by Zoning Board of Appeals Planning Board Town Board comments: Zoning Board of Appeals File No. Action Resolution Date Use Variance Area Variance Sign Variance Other Planning Board File No. Action Resolution Date Site Plan Review a Subdivision PUD(Planned Unit Dev.) Other .1 Recreation Fees Paid Engineering Fees Paid ,. Site Plan Maps on Pile., Subdivision Mylar Signed and Filed REVIEWED BY STAFF(initial) DAT NOTES Town of Queensbury NYS•Real Property System Subject Property Inventory Summary RPS030/VO4/LO01 County of Warren For Current Year File 2003 Date:8/11/03 Town of Queensbury Parcel ID 301.12.1.1 Sheet 1 of 14, SWIS Code•523400 Active t.. Parcel Information Parcel Land Size File Maintenance Info Curr Owner:Malcolm,Robert Acct#: Front: 0.00 Acres: 0.57 Created: 11/20/1984 Location: 21 Heinrick Cir School Cd: 523402 Queensbury Un.f Depth: 0.00 Sq Ft: 0 Modified: 05/23/2003 03:30 P Queensbury,NY Roll Sect: 1 Taxable RS/S: Grid Coordinates By: Mary Prop Class: 311 Res vac land [East: 706238 North: 1636876 Folder: u_parcel_tab Site Characteristics Site No: 1 Nbad Cd: 162 Old B Grade Re Site Desire: 2 Typical DC Entry Type: 5 No entry Laser.Disk No: Site Type: R Residential Sewer Type: 3 Comm/public Nl hd Type: 2 Suburban Zoning Cd: SFR.1A Sing Fam Re Data Mailer: Prop Class: 311 Res vac land Water Supply: 3 Comm/public Nbad Rating: 2 Average last Phy Insp: Route No: Utilities: 3 Electric Road Type: 3 Improved Reappraisal: Land Breakdowns Land Soil Wtrfrt Depth Infl Infl Infl InfI Land Unit Dim Type Front Depth Acres Sq Ft Rating Type Factor Pct Cd 1 Cd 2 Cd 3 Value Price Code 01 Primary 0.00 0.00 0.00 24,829 0 0 22300 181.301 �. rr v�I� Mx 'a f J STATE Or NEW Y RK Dr-PAR7'tVtENT OF STATE 41 5TATE STREET 1 t GEOROE E. FarAKs Dccember?U,20C1 RANDY A.'DAtouz rl GOVERNOR Smr,.ETARY aF s?RYa Mr. William Lake Bill Lake Modular Homes 188 Flanders Road Sprakers, NY 12166 RE:M 117942-053 System approval-,CONDITIONAL DeauMr.Lake.: Issued herewith, in response to your September 25,2002 application far approval of Detached One and. Two.@Family Dwellings System of Models is Factory hanufa.ct:ured Building Approval. designated,I6I f f79-02-(l ,as authorized under part 1281 of the Uniform 'Fire Prevention and Building Code. Supplemental Conditions of Approval , n addition,the conditions under which system approval is nted are: l.The manufacturer is to subzmit to the Division a duplicate ref the permit set for each dwelling to be installed in belly"Fork State..Each permit sot is tot be sealed and signe d by art architect or engineer registered.hi New,York State and is to bear thatarclike-et or ongineer's certification that`the plans and specifications of the permit set are derived from and consistent with the plans .and specifications associated with this approval on file V"ith the Division and this conditional approval letter."*Ibe certifying architect or-engineer may not be affiliated car associated NNith the manufacturer's clualig,assurance agency. The following are specific roquirements regarding the contents of the permit set, 11.A set.of drawings comprising at a minimurn: L I1 l Cover street which conuins information on: project location.. Design c'rltex a: listing of applicable design loads such.as Ground Snov,=Lgad, Seismic Design CategoM Wind Speed,lave Loads,Dead Loads,etc, -Applicable building codes and design specifications -p tie rgy code itiformation:: sytateniont by professional of compliance withEnergy Conservation�"on0ruction Code of:r'Veio Y645`r`at , 2002 Edition. Method of compiianoo and pertinent docunUmtation shall be provided, Occupancy classification -- VAVAV Ava STATE.N'r US �" E-NML' NY us accrcu:a.�r+ Mr. William Lake /f December 20,2002 Page 2 -Construction type classification General notes -Index ofdraNvings -Manufacturer's title block- -Certification,by design professional,of derivation from approved system set. drawings and this conditional approval letter 1.1.2 Elevations 1.1.3 Floor plans which coney the inforniation on: >� r Required and provided light,ventilation,egress,Nvindow and door schedules -Unambiguous identification of structural members -Smoke detectors and GFGI Interrupt protection 1.1A Foundation plau I.1.5 wilding cross section with information on: Building integration(module connections)details Location of required fire stopping Roof truss bracing mid structunal.connections 1.1,6 Roof system -Special requirements addressed(such as sliding,drifting or unbalanced snow load conditions) 1.1.7 Non-typical details(such as prow roofs cantilever beams,etc.) 1.2 Summary of references to system for selection of structural members. 1,3 Each page ofdraN%ings and calculations should be signed, scaled,and dated by New York State registered design professional, 1 The manufacturer grill submit a weekly report summarizing (listing) all permit sets with inflammation about project location,production serial number,and NYS insignia number_ 3.The manufacturer will promptly address the deficiencies of submittals. r 4. The system conditional approval is subject to termination upon evaluationofcomplianceN%ith the provisions of-the Uniform Code. 5.,The Division will conduct quality control review of permit set submittals to evaluate compliance Nvith the above conditions and Nvith the provisions of the Residential Cole of New York State. Deficiencies will be reported to Manufacturer name and are to be promptly addressed. The approval is indicated by the New York State Departtuent of State"Stamp of Approval"placed on the accompanying set of plans and by the qualifying letter-dated December 20,2002 A copy of the first two pages of this letter shall accompany each set of plans submitted for a building . permit and be deemed a duplicate original, Sind , Geo E.C'•lark,Jr. Director Division of Code Enforcement and Administration - Enclosure • cc.TR Arnold&Associates,700 B Beardsley Ave,Elkart IN 46515 File 02-053.N-,pd, Check Residential PIan Review: One &Two Family Dwellings YIN/N/A (2)Full sets of plans Over 1,500 sq. ft.—Stamped Design Loads On Plans:90 Wind Floor Loads 40 psf 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size / Door Schedule/Main Entrance 36"Door t✓ Emergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. Grade,5.0 sq-ft. 24"(h)x 20"(w)min. 44"Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK 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 Platforms At Exterior Doors Stairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise , Winder Run and Rise Spiral Not Allowed From 2'd Story / Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance Hall Width,36"min. Handrails More Than One Riser On Open Sides Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht: Safety Glazing Notes For Required Areas Garage Fire Separation iV Garage Floor Sloped Attic Access Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access Carbon Monoxide Detector Lowest Sleeping Level Soil Test Results,if required Septic To Well Or Water Line Separation All Paperwork Signed . - r al Town of Queensbury 742 Bay Road, Queensbury;NY--11 2 804 B-uRding & Code Enforcement Building pt ttnit# phone.(518)761-8256 Fax: (518)745-4437 En vj- �des{a� tteensbory net Dear Yovrbw1dWg Pt n-at application has been reviewed aad fowd to be deficieot in the fa2towbg area These detafs need to be added to or noted on both set ofplans. Please feet free to contact this office with MY Vtesttons regarding this matfeir. Simcex'ely, BiJtLDING&COl:1E8 OFFICE t,:l5ueticmingwaytBuiIdingl"c�mit.FORMSkle�ciant building permit:ian Zod3- MAP REFERENCE: EVERGREEN SUBDIVISION SECTION THREE DATED AUGUST 6, 1969 LAST REVISED DECEMBER 18, 1973 JUGN 10-AS pax MAP Mr— BY JOHN B. VAN DUSEN LAND SURVEYORS PF LOT 27 3 o - CV a��- LANDS N OF NIAGARA HAWK 2 STORY POWER CORP. WOOD FRAME ROUSE P O�Gr N LOT 26 20,061 sq.fi. 0.46 acres PF WAl i UTILITIES L E SHED r ti A& .4, i MMMSY CMIrY TtIAT TM MAP WAS MMPARED \ v FROM AN ACTUAL fELD SURVEY. AV MIS GIRMICATION SMALL MM ONLY TO THE MRSONS FOR WHOM THE SLRVEY WAS MtEPAMM. AND ON Tt1ER LEGEND: srrED CORNER o• W SWALF TO THE MnZ COMPANY. GOVERPft TAL AGENCY ON LAVE O.7 $ AND LC'NIt7N14 NSTInl M USTLD 1"MON. CERTIFICATIONS ARE NOT TR MNSfERANX TO AVI NTIONAL O PF IRON PPE FOUND OVER f INSTITUTIONS OR SUBSEGRUENT.OM93RS. � BASKETBALL �,,� c� lam/ ° ° - - FENCE LNNE HOOP h Mr{ GERTIFIT TOm PETER 0° 4 D . rrs .ASSMS Nr1 CHK.!► C DWANY 0 LOT 25 MIA NYS;13 • s DATm wn!PM 25. 2003 •� a e� , 2003 u S ,w►n,aAm AL,e anoM at ro A ► SCaI@ D- l ) wr era A u�TAW WOOM Ix a A blap of a Survey made for G4 WLAr M n Ana rmt PA-W40M;v ne Mnr�asc RAIL mua►raM IA�e• Steves '0wrod+esnwneaaonwa�n[�Musc rrseo M+n AM aAaMr a the ww ylortwaw " 19 Peter L. & Jacquelyn L. Dziedzic S-- l ,RltlllCAt101R NddYilD MGM NOI/Y yNT P 11Ni�t M1!�Mlip N AOOa1DAlk[■111 M[ Land Surveyors °NMN°woc �m ,"",�°",�.,w ry 1E 1EM/EIrC lfA7[ArOCNAON a lN�t�UL 1A110 away m aw�w01!MO""acy to"rswMa tat ow va Wo"s PNV# ,AID aM Ms owu,o m,mE a wmy.OOICMOfLLL SHEET 1 OF 1 169 Haviland Road Queensbury, New York 128m4 a,,,�, N M".°�°""'� Town of Quetnsbury, barren County, New York 1 4„2q-03 SELLING C"ANGE DZ�DLG G44O (518) 793--6474 New York Lie. No. 50135 NO. DA TE DESCRIPTION DWG. No. 023515 qO-4-26 COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. t Main Office 176 Doe Run Road # Manheim, PA 17545 , T(0 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL , Permit No, 7 5 9 6 3� Cut-in Card Not Iff{ffffff{fffffftil/1i1t1! if ) z -P z K.. 1 ��+��riffflffff{tifffffi44}fflflN}}i44ii{iff{fi{{}f{ffiffifflfifff ffifiiifflfff{Niifff�iff}iiiifififliff}ififiifl}ff}{Nffff}ffNff If ffffifffifff l4l ii Ni4ff}ffiNlffiff Location � •1{11f14tt1 111a1Nf{uNti4t/u/lttitlMltttlt4•!41/l11fi41t1tt141I4f1fut11u1f{ft41f1u4t4111♦f{4futuf41fu11t4441111uf4f11#i1„{{{{fff 7, ..tfftt14111•/N1N vi t4j 'iwa IM14 44 e Installation Consisting of fi}{ }if{ff {I{ffifiHi{Iff11{ifff ff ifffi{ffi{ff{iff}�fiif}ff4ffi{{ f}If }Nlfff/f1f4Nf4f//44t1 1411iHNffiffflfff/Mfft!!f ff�� 41j,ry. OV "� 1 411u41t1/{t1}ftfffNfiff�Iff{ffff ffift111}/}{/i014ii1liili}1fi}1}i///lfift*f/t iit it}}l}ff I10461#4161111it}}1114f{fiif a}}fiff1f11ifi}f}f}}}Ilfii}#ffflifffiilf}1}i/1{liii}f{ff}Ifi }tuff!/Ht!/itl441u11{iuu1tuu144u4u I ofu4110 1/ftf 4tI mt}I##N/1}t114{if41 a ttf{fff 4414004}444f1f}}{{it144t1t11ttffuurlttttl!{M!/1111141u1ff1111}1}u}}}111101146164114 fit �j �� 4 Installedyi11111 11ui1 14{141fi1 a{ff{u1f1Ifu14 u1iff u411f111u 1441tuflffi11u 1141ff 411u,1ui Lie, No. 4�ff�if.l4ff11.�1�4iNH{11i4u1441i4441r4ut4url 1 The conditions following governed the issuance of this certif cate, and any certificate previously`issued is cancelled, - This certificate only covers the electrical equipment and installation conditions as of date} Upon the introduction of additional equipment or alterations, application shall be omptly made for inspection, Inspectors of this ompapy shall have the privilege of making nspec ions at any time, and if its rules are violated, the Company shall have the right t re o e this c ificat 4 ute1 flit i4ii14uf11 }}u,u!!}utuufit{}}u}{,} INSPECTOR i/t4lttttl1114M/4u/fM tu1114f4uu{}11tut{{4uufu{tt114}}i1},lii/ti1u 4111u{11{111• Member NAP/A1,ItA1E1i1