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2003-691 r. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes,(518)761=8256 CERTIFIhCATE _.OF_ :.00CUI'ANCY Permit Number. P2003069�t, .. w..,Date Issued w. Monday,August 30;2004 Thi's=is to:certify that work requested.to-be�done as shown by Permit Number P20030691 - has been completed. Tax Map Number, :._ _.. 523400-289-013-0001-029.000-0000 Location,.: 51 BIRCH Rd er :: :. . . KENNETH&LEIGH'SEARLES A hcant: _. p :. ti KENNETH&L'EIGH SEARLES This structure may be occupied as a: By Order''f Town Board Fireplace' w - TOWN OF QUEENSBURY Single Family Dwelling . Ditectot of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5962 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030691 Application Number: A20030691 Tax Map No: 523400-289-013-0001-029-000-0000 Permission is hereby granted to: KF,NNF,TTT&T,F.TCTH SEARLES For property located at: 51 BIRCH 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: KENNETH&LEIGH SEARLES 30 L�']V1AN Rd Fireplace - Single-Family Dwelling $200,000.00 EAST PATCHOQUE,NY 11772 Total Value $200,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency JOHN WELLS 644-5756 872 TROT IT LAKE Rd BOLTON LANDING. NY' 12814-0000 Plans&Specifications 2003-691 2128 SQ FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS $255.36 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, September 05, 2004 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Qu6cusbury before the expiration date.) Dated at the T �7ueen ZFy., Septeulber 05, 2003 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY (518)7614256 A permit must be obtained before beginning construction. Pentnit File No�j / No inspection will lie 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 .s application form. Applicant: Owner: V-WLJe 4 Lak-A Address: 13 72 i ro IL&LA. tt k Address: So I44AL-1 r4oA0 $o (era qj'- Xgowoc oe , Q-r 11"7-7'2... . Phone#(51 e 64f'Y- 9177 t Phone#{{0 3j_)29 - -I Property Location: Lot Number: House Number 5i I 131PC • ?'at.%AJ OF fLF.ZL.rU,2- rj""r Subdivision Name: ! l� !. Tax.MapNumber: 209. IS -1 2.cf New Building: residence /commercial Estimated Market Value of Construction: $ .lae,? ow, o Addition: residence/ commercial If an Addition,what will use of new addition be? 0 Alteration: residence/ commercial 0 No change to exterior size: residence/com'l o Other work(describe ) Check Qecupancylnformation 1` Floor 2" Floor Other floor Total Below sq.ft. sq.ft., sq.ft. Square Feet XSingle family dwelling .0 Two family dwelling 0 -Townhouse a Multifamily dwelling _ #of units At! o Ofce 0 mercantile", - EF-NSBURY t, O Mani7faCtutin -`r 21 01 car detached garage ®�� 0 2 car detached garage 0 3 car detached garage Q 1 car attached garage 0 . -2 car attached garage 0 3 car attached garage 0, Storage building- commercial o Storage building- residential d Other What is the proposed height of the structure 12'1 feet _inches Will any second-hand or ungraded lumber be used? If;so,for what? Ije) aC -Type of Heating System: electric/ oil gas/wood. forced hot air baseboard!other: Number of Mroplacesto be installed el Number of Woodstayes to be installed' - ii -_. . �_ �.—___ — Lisf _ -- :- - - below the persons)responi ible_-for supervision of_._work as regards to tUuilding codes: Name Address Phone Number Builder JOu0 2-I&L53 872 29CVT t-&)eF— EQ- WLTO "I'-126 Plumber Mason 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,area 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 Ilwe 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.r� Signature: t/le owner,owner's agent,architect,contractor Application for Permit—Septic Dispos6l System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518)-761-8256 1. OWNER INFORMATION: .............­­...........I................................... .................... ------- Location of installation: 13,v-r,4 C61ae, ilCe Office Use File Permit No6lm-3— Tax Map NOAM 13 Fee Paid Owner's Name:'<e"*O-�4 saae 40"V 1 ................................................. ..................................... .................. Address: 30 4-Xpe4asi R&pe awgy-p�fe'4 -To k t-V 15 2. INSTALLER'S NAME :—C &-iC . PHONE NO. G ;?-F 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/bdrin = 1980- 1991 x 130 gal/bdrm = 1991 -present x 110 gal/bdrm = Garbage Grinder Installed yes no' X A U G 2 0 2003 Spa or Hot Tub Installed yes_ no TOWN OF C)UL-ENS61jRy PUItAnING M-ID CODE 4.' PARCEL INFORMATION: (circle applicable information&indicate measuremerifs)'­­ Too graphy Soil h�jt—ure Ground Water Bedrock or Impervious Material Domestic Water Supply <22a7>1 sand )at what depth at what depth municipal - Rolling loam 7 jj feety, ;Ze' jeet'K well ee clay if well; water supply Yosslope other from any septic-system depth:> o�ttabsorption is (-Ti- e--c�omj�let4id-b)�-- P67i-censedprofessional--enginee;--or-,engineer rcolationZD st:= b Rate: minuteper 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. C5 ff, k Septic Tank: 1.15-00 gallon(min. size 1,000 gal.) -UT5 C-1 Tile Field: each trench ft. Total System Length: ft. e-- a 4!cp t- Seepage Pit(s): number of size of each: —ft, by_j?. j V gC9,W4 Size of Stone to be used: # depth or thickness feet Bed System Size: x Alternative System: 6 V C, 4-VV length and/or size 5.82 4 6. HOLDING TANK SYSTEM: (if required) Number of tanks: 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 13 6-29 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. 0009 01 6z A,6& 021/6-�ir SigV"re of responsible person Dbte • . . ` . • - . ' •'i`otvit•cif �2ttec�ttalttti•y • st:-mars situ! Sewitima DiAl asal (.11 titter. AI�Itt'tltti x t: t SVIN'P RATION Itlrs2t.}�Itt t�ll�:t�l'I`:'V POND L•jE.LL. tN �I�.TR'IL+ tit Lt't4•t . IX 't1t}ttT CliSt•IC; I 1. � �'' 1r.t sx,. � 7• �+27�+ttRPItG1 t • •..�- Tyr ���,,,,,,, ...:..r--- _ +�*« M� - •7. SIGI�I A."1 LTI� &•INFOPIAATION Fit F� ,. r` � Q3�` ENERG)(CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 BEATING DEGREE DAYS Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings (only) Part 6*-Thermal Rating-Component trade Offs 1&2 Family Dwelling; Multi=Farxfily Dwellings(3 Stories or less) Part 4*-Design by Component Performance,Commercial Buildings-Hi Rise Residential *Requires submission of worksheets — 4736f, Afoclaao kao C.44ZV_. APPMCANT'S NAME; PROPERTY LOCATION: L-4 ir 61 F�JaO4 ROAQ o (5;Le�J L.4a_. V jo�VLJ or ouaeLr-,,wwrxr, LJ6.r PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area 1211b square feet 2, Type of heat- Electric Oil Gas Other 3. is building mechanically cooled?_Lyes_X__No 4. Percentage of area of windows and doors Over 17% Under 17% 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPONDt TO R­VALUES AS SHOWN ON.PLANS SUBMITTED: a: Roof R b. Exterior walls Rom_ C. Glazed areas R '9 d. Exterior doors R I I e. Floors over unheated spaces R f. Edge of slab on grade(heated building) R g, Basement/cellar Walls(above grade) R 10 h. Basement/cellar walls(below grade) R _LO i. Heating/cooling-ducts-piping in unheated space R 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED Applicant's Signature Date Phone Number INSPECTOR'S REMARKS: Fire Marshal's Office Town of'Queensbury,742 Bay Road,Queensbury,NY' (518)761-8205 Application for Fuel Burn,in*g Appliances & Chimneys applicable to solid fuel. & vented gas appliances �- Date 20 Pernift No. Application is hereby made to the Building&,,Codes Offi ce the issuance of a Building and Use Permit pursuant to the New.York State.Fire Preve0ion and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part Of these requirelnents and also will allow all inspectors to enter premises to perform required inspections. NOTE to applicant: Rough-in and :Final Inspections are required. App I licant Information Fuel Burning Appliance Information (circle appropriate words) wood . coal pellet gas Name: Stove: 'Fireplace-insert 2 Ciep lace fact-_o_r_y­b_u-ilt. woo d asAddress: L--Le V,S 1p I Fireplace, masonry: wood gas (FUrnke.Ve wood gas (10 Phone: Sl qq - 2 T1 If non-masonary applicance, please provide acturer Name: Owner: el'i A-,, Man uf Address: Model Number: 4 4 V Chimney Information Phone: 2 '1;0 1, (circle appropriate words) Masonry block brick stone Flue tile steel size: inches Exact Address: CO3 of construction or installation Factory-Built Manufacturer name: 17"4� j Model Number: 's Note: Listed By: LA.L Number: Construction lInstallation must con:f Indicate(circle) chimney material: orin to NYS Fire Prevention &Building Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall Triple wall f Insulated Direct venting Chimney Liner Fim Marshal Code 9 $Collected S Rejitiided, Received fi-om (refunded to): address:7- ,41733389 (190) Public Safety A 233 X 261-� (1 230)Minor Sales DA7 w,5�71 White(Applicant) Green(Fire Marshal) I Yellow(Bldg.Dept.) I Pink&Goldenrod(Cashier's Dept.) Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm Depart: am/pm Date Inspection request received: Inspector's Initials: (� NAME: PERMIT#: LOCATION: i Y— DATE: - -- TYPE OF STRUCTURE: �cs � Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Co m fete Guard 30 in.or more @ stairs,deckspatios 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 Enclosed Stairs Sheetrock Underside minimum %z" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 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: / Battery backup: Carbon Monoxide Detector Bathroom Fans, if.no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/1/4 hour fire door/door closer W Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, I s . ft.-150 s . ft.vents Building No./Address visible from road Final Electrical Site /Variance required al Survey Plot Plan ' As Built Septic S stem/Sewer Dept. Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent L:1PamWlBuilding&Codes\lnspection FormslRes, Final Inso.form 2.doeLast printed 2/12/04 2R UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE NEW PORK STATE EDUCATION LAW. ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYOR'S EMBOSSED SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF AN ABSTRACT OF TITLE OR TITLE REPORT AND IS, THEREFORE, SUBJECT TO ANY EASEMENTS, COVENANTS, OR RESTRICTIONS OF RECORD OR ANY STATEMENT OF FACTS SUCH DOCUMENTS WOULD DISCLOSE. DEED REFERENCE ROY J. PETTIT AND KAREN L PETTIT TO KENNETH ALM SEARLES AND LEIGH WELLS SEARLES DATED 19 OCTOBER 1988 AND RECORDED IN THE WARREN COUNTY CLERK'S OFFICE ON 31 OCTOBER 1988 IN UBER 731 OF DEEDS AT PAGE 249. MAP REFERENCES MAP OF A SURVEY MADE FOR MIRIAM E. do GEORGE H. ROOKE, JR. DATED 2 MAY 1979 PREPARED BY JOHN B. VAN DUSEN, LAND SURVEYOR. MAP OF LAND OF ROY do JEANNE TONNESEN DATED 4 SEPTEMBER 1986, AMENDED 9 SEPTEMBER 1986 PREPARED BY COULTER do McCORMACK, LAND SURVEYORS. TAX MAP REFERENCE TOWN OF QUEENSBURY: 289.13-1-29 lands now or formerly of Dean E do Daphne D. unborn deck b fD v i C p o � 0 3 paved o drive \ o/ lands now or formerly of Neil G. McPhillips = John C. McPhillips Paul R. McPhillips O do Z Joseph W. McPhillips O.... .. ..:.'.'.. � ..'_ . _"_ .'..: _ ..:..'�`• . tine "..... ..::........................... ... �� ``.. tree row ... ...... .--.---• -••-- ..._.....'_ --- overhead wires ------------------------------- - -- --------------------------------- a-- ......_.-.-...... _ ..... utilityOle---....�...--•---...---•-•----•-•-•--.....--•-------------------••------••- •-•--•-----••--•----•-•--........- -- ------------------•----- 'ran pipe found ..... ----- ------------- -- -- ............ .............. ' crushed stone drive \ Q paved drive'`•'- / guy �>� large rocks Q d w're building wall 0.4' over line — — ( lamp roof 1.3' over line ` guy building cone. wall roof corner 1.1' over line 2' wood cover over conc. block wall 1 electric panel concrete do o stone building u 34.5' .o o, v 0 n 0 u c 0 0 20" pine 0 drain concrete cap on stone m030nrJ' wall cone. walk cone. steps w/ rail conc. shed fence ston�taining wall stone retaining wall dock propane tanks conc. wall concrete walk house wood steps 7.1 ' oh 10 I M lands now or formerly of David R. do Marianne McGowan c 1� \ a \ 0 a utility 30" oak pole wood steps — block wall 6" oak concrete block wall remains concrete 9 30" pine 36" pine 0 filler pipe /K texture concrete patio 0 N iron pipe found Concrete cap on stone mosonr), woll Glen Lake 1'q t 'q1 iron pipe found �4 DAVID F. BARRASS L.S. # 49363 qG0 '�'6 1� RECEIVED AUG 2 0 Z004 TOWN OF QUEENSBURY BUILDING AND CODE C>--, % Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive a pm e iti Date Inspection request received: Inspector's In s: NAME: IT#: t A," LOCATION: ATE: C./,g jj-6 TYPE OF STRUCTURE: Sf D. V I If Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Co!ppfete 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 Enclosed Stairs Sheetrock Underside minimum 1/2" Gypsum Grade away from foundation 6 in. with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade —N-0 kA.) 0CL Gas Furnace shut-off within 30 ft. or within line of site 7—�4-4 � 1j?,6NjbtA Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s) installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors I 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: I / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss, draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3, /4hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 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 or C/0 [Temporary/Permanent L:\PamW\Building&Codes\Inspection Forms\Res.Final Insi). form 2.docLast printed 2/12/04 eensbury Building & Code Enforcement - Residential Final Inspection Office No.(5 8)761-8256 Arrive: _` _brF, -- LOCATION: am/pm Date Inspection request received: Inspector's lnitiaNAME: SL TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Com lete 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 Enclosed Stairs Sheetrock Underside minimum '/_" G surn Grade away from foundation 6 in. with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill$late Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp, 110 \ Interior privacy/trim/doors/main entrance 36 in. t'� Bathroom/Kitchen watertight Safety glazing/Window in stairwells safetygl in Interior Smoke Detec rs: Every level: / Eve Bedroom: Outside every bedroom a: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss, draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Gara e Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Ductwork Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 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 or C/O Temporary/Permanent] L:\PamW\Building&Codesllnsuection Forms\Res.Final Inst3. form 2.docLast printed 2/12/04 Town of,Queensbury Fire Marshal's Office 742 Bay Road Queensb,ury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Irispection Report Request SCHEDULE Received: Permit# INSPECTION ON: Name: 3 LP Q— AM ANYTIME I Location: APPROVED EX N/A YES NO COMMENTS AISLE WIDTHS EXIT SIGNS-NORMAL BATTERY EMERGENCY LIGHTING FIRE EXTINdit)ISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM§YSTEM FIRE SUPPRESSION SYSTEM HOODINSTALLATION INTERIOR FINISHES STORAGE COMPRESSED .CLEARANCETO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE fO— REQUIRED SIGNAGE EMERGENCY PLAN_ MAXIMUM OCCUPANCY SIGN -- CHIMNEY MASONRY ROUGH IN I -7dH-IMNEY FINAL FACTORY BUILT ROUGH IN FINALWOOD I STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN 0,K I DA OR --OK FIREPLACE FINAL FACTORY BUILT ROUGH .-y— —7 INS 1CTED13Y - 1 77 FINAL I COMDEViCHRISJIWORDILETTERS200I/FiREMARSHALINSPECTION /PORT1102200I WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. i Main office 176 Doe Run Road - Manheim,, A 1754 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL j'y NO 7 6 0 6 4 Cut-in/ t1#r!!1lfftfffH �:4 Card No.iN}Ii#iffiiffiif/#iNiiififfilffr/1 Owner.,iiifffif iit !ft !f}ftlft}rtii#I/iiii i{{i i}}} Ir rii INi}tiiffii}f/rf{}}fifntirr/iiiifii{riiuffiliilig/ftft/iir/ilfi/iift Ni}}!} iiiiir{iifi LocationflfillHt/f#i##itilftffi{lffitt/iifi111iN i #t#tiiiftifti {flffitfiffN#ltuft•fffriff{{ft{t{tffff/flfittit#tfftiftf/lfrt#fti /ifiilfiiiti tit#ttfftf/tffHii Installation Consislin of rflffi ,f#i}tt#}i!#•.ltf{{tf{{frelrrlfftttttfl, ##{tififiiffftutuffitititt t{t {iiifiitf{ffiiii,Nf fiffi#fIf•{{fiffl piffr M mew � r } {ff{fifr n •f/ ♦il�Itfi#iti !f#fl i {f iH i}ff#tiilltiif{ffi/fff{{t rfff}ffr! H# tti•!f#ffififff{ffiiifif/it iffffif{fill/t•!rN fiiflfi#i#ir#i!t}f1 l see ff llltiit rr t aaj�j� i#It.i{i{ff}t}p!lifi{N!f!//ftffi#i!liiilN#liiiN/Htflfltlt}tt#t#N`{f!!f{Iififtrfififfttlfftttfti #tie#tellff1Nittff}fifftittfiHNiififfiffttt#iffHHiff/tfiiitl#rfftiiNip {\1 ' Lie No.IriStal ed ##}pull} {/ffl Ni#ii•••# ifil/Itf##tt#ttfr}fttitf!{Joe .iHifiiHtiffft##t#f}}}/flit#/fiti►iHNlf too lfl The conditions following governed the issuance of this certificate, and any certificate previously issued i� cancelled: This certificate only covers the electrical equipment and installation conditions as of dare. Upon th( introduction of additional equipment or alterations, application shall he promptly made for inspection{ Inspectors of this Company shall have the privilege of4malinpectwns' at any time, and if it� rules are violated, the Company shall have the right r kte} 6 IN -+�VTVi\ }ti.fiittiiitfiiiiti•t}}}ti}iifrr.N/tiNt{f/1/ffM•t#it//iiiftiftHl Member NAP A,, LALL Septic Inspection-Report Office No. (518)761-8256 Date Inspection req st c I'Ve r Queensbury Building&Code Enforcement Arrive: - p part: pi 742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initia NAME: V'E, C, P T NO.: 3 CT 01�. LOCATION: #SPECT ON: RECHECK: Comments and/or diagram Soil T _-e=and r Type of Waterline separation distance Well separation distance Other,wells: Absorption Field: Total length Length of each trench ft. Depth of trenches -§17ze of—Stone Seepage Pits: Number Size: x Stone Size: �v \ Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Fiqld Pit Opening Sealed:(Y W11 Partial Q 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 Middle Rear System Use S pp V YParti Approved and needs to be re-inspected,please call the'Building&Codes Office —AQ pproved LASuel-lernj gway\Buil g./Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 = H O�• n C. Crl� jp rop a 00 enclosed stair ose Property line — i. _• i O / _ _ _— 1 Oye lha 34' SEPT C p ti 3 - b 1 TANK SEPARA ION 1 o i " � � i � J � —. 2g'SIDE LIME `� / ; � Ll--- - =F i s£1BACK concrete: -1• - .;ti: i 1 / �. +� tz o h i q i n 1 NN 01 �' .. - Aim AO / .• .-. w i Z i m o � i i 5'-6" N o O y i o n 1 m I I 1 / i m t o rmAOa nm 11 V p S T.O m H r1 f o x o w n FV- to H S BACK • I i m o m z O o'� o "o—Q 1k1G.f' WASTEWATER S STE.' s SEPARATION 12 564CL O O -0CZN n gAC o ti J Rm-i-a N (b S c �. � O / n ID 4 a S '0 c-, f O A S N 3 p 0 In p O N �. O N O O Q I I n LA m o c° � " m R*0 o , m o y/ h Town of Queelsbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Wood Burning Fireplace/Stove Inspection Report Notice;New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or iZecifications is allowed. Permit# C } chedule Inspection 3 Q Time � a pnz zaytizne Inspector Name t) Address I 1 k, Rough InX Final Appliance Manufacturer L,-L Model# .Masonry(Chimney Factory Built Chimne& Flue Siae.._] /A (Double WalIxTriple Wall Insulated Yes No N/A CO en Floor Protection x � G N y2- Z Clearances to Combustibles(all sides) X/ Safety Strip Installation(fireplaces only) X Firestop(s) Vertical Chase Wall Penetration Chimney Clearances to Combustibles Chiaamey Termination 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air Hearth'Extension !� Mantel (height above f/p opening) Fireplace boors/Screen(required) White--Building Dept. WHO — nner Pluk—Fire Marshal Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request eived: Queensbury Building&Code Enforcement Arrive: aml De 742 Bay Road,Queensbury,NY 12804 Inspector's Initi NAME: PERMIT#:PECT ON:0 LOCATION: r5A I!V. TYPE OF STRUCTURE: V Y N N/A PVC: R-1,R-2,R-3,R-4 Drain Vents Cast Iron,Copper Drain/Vent Comm. Plumbing Vent Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Dfain and Vents 5 PSI or K1ft. above highest Conn,Ocoon for 15 minutes Water Soply Piping CopOer Commercial Vpper, CPVC,Pex One&Two Family lati Residen is Check/Commercial Check "h Proper Vent,Attic Vet V/ Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMEN S -L:\SueHemingway\Building.Codes.Inspection,FORMS\Rougb Plumbing Insulation Report.dor, January 28,2003 Framing /Firestopping.Inspection Report _ AM ' Office No. (518)761-8256 Date Inspection request received: - Queensbury Building&Code Enforcement Arrive: am/p ep i pm 742 Bay Road,Queensbury,NY 1.2804 Inspector's Initials: NAME: PERMIT#: LOCATION: SPECT ON: 1 TYPE OF STRUCTURE: Y • Y. N N/A C MENTS Framing Jack 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. .. , Notches/.Holes/Bearing Walls ; Metal`Strapping for Notches Top Plate O C� vd � 1 12(w 16 gauge(8) 16D nails each side 2 Draft stopping 1,000 sq. ft, floor trusses `Anchor Bolts 6 ft.or less on center Ice and snow shield 24 inches from wall. . Fire separation 1,2,3 hour Fire wall,2, 3,4 hour / Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation -- House side%z inch.or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms '24 in. (H) 20 in.(W) 5.7 sf above 1 below grade 5.0 sf arade L:1SueHemingway\Building.Codes.Inspection.FORMS\F'raming Firestopping Inspection Report.doc 3anuary 28,2003 4 — 1 Rough Plumbing/Insulation Inspection Report 1� Office No. (518)761-8256 Date Inspection request received: ueensb g � � Building&Code Enforcement Arrive: am/ e rt: Q t am/p 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: 40. 1 LOCATION: INSPECT ON: 3 TYPE OF STRUCTURE: e Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron,Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place m h a' Plates Tlead-.Or:Air Supply Test --Drain-and Drain-aid Dents 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 U'5 PA COMMCENTS. / L:\SueHemingway\Building.Codes.lnspection•FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (5 18)761-8256 Date Inspection request rec . d: .3 )6 Queensbury Building&Code Enforcement Arrive: M D 742 Bay a , ueensbury,NY 12804 Inspector's �Itiz am . NAME- 41�4 PERMIT #: -62 LOCA'PION: 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. 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 Cleanout every 100 feet/change of direction-',., Water Supply Piping Cooper Commercial VC,Pex One and Two-Fa!!!a -�—Lsulatioin�/ sidential Check,/Commercial Check\ Proper Vent,Attic Vent Duct/Hot Water Pipingliniulation. If required unheated spaces Combustion Air§u/poly for Furnace Duct work seal_ed_-properly No duct tape COMMENTS. L:\SueHeiningway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November l7,2003 Framing/Firestoppmg Inspection Report Office No. (518)761-8256 Date Inspection requereceive, 131j Queensbury Building&Code Enforcement Arrive: aml r De rt: ,n rq,---- 7 Bay Road,Queensbury,NY 12804 Inspector's Initial N E: c� PERMIT#: 3— LOCATION: INSPECT ON: . TYPE OF STRUCTURE: C N/A CON[MENTS Framing ON-1-A,. Jack Studs/Headers Bracing/Bridging "1 Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O,C.. Headroom 6 ft`8`in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate,.` 1 %2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft, floor trusses',. Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2,3 hour.``,'' l Fire wall 3,4 hour Irestopping•'' ; . k�VL`vIAV Penetration sealed I 16 inch insulation'in.cavity min. Garage Fire Separafion House side '/Z inch or 5/8 inch Type X Garage side,5'8 inch Type X Ceiliri°/wall Windows Habitable Space/Bedrooms 24 in, (H.) 20 in.(W) 5.7 sf above/below grade 5.0 sf grade L:\Suel-Iemingway\Building.Codes.Inspection.PORMSTraming Firestopping Inspection Report.doo January 28,2003 Framing /Firestopping Inspection Report j�Jl Office No. (518)761-8256 Date Inspection request eceived: xi7 o Queensbury Building&Code Enforcement Arrive: amGp Depa 742 Bay Road,Queensbury,NY 12804 Inspector's Initials NAME: t' ?// PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N NIA Fra COMMENTS mi g 1 - . 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 m Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate ' 1 %2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft..floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall-2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min, Garage Fire Separation House side 't/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitab,1e Space/Bedrooms 24 in. (H) 20 in. (W)r' 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Repprt.doc January 28,2003 Framing /Firestopping Inspection Report V Office No. (518)761-8256 Date Inspection reques ceived.- .__. Queensbury Building&Code Enforcement Arrive: a eP, atil am 742 Bay Road, Queensbury,NY 1.2804 Inspector's Initial.. NAME: PERMIT#: Q3 4() LOCATION: 51-�&(,ch k C_-21 e-n I�2 INSPECT ON: TYPE OF STRUCTURE: 0 Y N N/A COMMENTS Framing Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 V2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft, floor trusses AZnor Bolts 6 ft. or less on center Xce and snow shield-)4 i es fiom 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 V2ineh 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 LASueHcmingway\Buflding.Codcs.Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Report 1 � Office No. (518)761-8256 Date Inspection request received- CZ Queensbury Building&Code Enforcement Arrive: a p Depart: in 742 Bay Rd., Queensbuiy,NY 12804 Inspector's'&7ti-a NAME: PERMIT#: LOCATION: PECT ON: 0 TYPE OF STRUCTURE: Comments Y N N/A ootings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement P��j.2 C of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump. Footing Drain Stone: 12 inch width 6 inches above footing 6 mil of for wetareas 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 Ihspection,Reportdoc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection re est e iv Queensbury Building&Code Enforcement Arrive: a P Depart: 742 Bay Rd., Queensbury,NY 12804 Inspector's Initi S'. ki ) ko NAME: RMYr#: LOCATION: L SPECT ON: TYPE OF STRUCTURE: r V---' Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of th oncrete. 7erials for this PuTose on site. undation/Wall Reinforcement in Place Foundation Danipproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone; 12 inch width 6 inches above-footing 6 mil of for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueMemingway\Building.Codes,lnspection.FORMS\Foundafion Inspection Reportdoc January 28,2003 Foundation Inspection Report , Office No. (S 1$)761-8256 Date Inspection reque ecei 1 t7k '13 Queensbury Building&Code Enforcement Arrive: a Depart: 21 742 Bay Rd., Queensbury,NY 12804 Inspector's InitiNAME: fir'' : RMIT#:LOCATION: 131f'c' INSPECT ON: TYPE OF STRUCTURE: ��.• ��, toen 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 ,Reinforceme in Ply T oundation m roo ing I Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump. Footing Drain Stone: f 12 inch width 6 inches above footing , �,�� 6 mil poly for wet areas under slab Backfill Approval \;1 � Plumbing Under SIab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Residential Final Inspection .'Office No. (518)761-8256 Date inspection re e t recei 6 Queensbury Building&Code Enforcement Arrive: am/ part: 742 Bay Rd., Queensbury,NY 1280.4 Inspector's Initi 1 NAME: P T -LOCATION: W e. TYPE OF STRUCTURE: {-� Comments Y N NIA - . Chimne Ht./"B"Vent/Direct Vent Location f e Yrdsh:Air Intake v . , 3 inch Plumb Vent through rooftjYq 5 m r R66f CO3Tplete 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 14 Grade awa from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill' late Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30-ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut=off boiler Relief Valves installed - Interiorprivacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Ev Every Broom:NIL/ Outside every bedroom ea: , / Inter Connected:- tL /' Batter backup. Bathroom Fans,if no window " Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stoTping finished basement 1,000 sf 'Emergency egress below grade Basement stairs closed rise>4 inches ' '/hour fire door/door'closer . Garage fire roo4 Duct work Sealed ro erl . Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible.area Crawl Spaces 18"x 24"access, 1 s :1-150 s .ft.vents Building No./Address visible from road Final Electrical . Site Plan /Variance requited l Final Survey Plot Plan As Built.Septic S. stem/Sewer Dept.Inspection Sticker Flood Plain Certification;if required Okay to issue C/C(Cert.Of Compliance) Okay to issue Temporary C 10 Cert.'Of Occu anc Okay to issue Permanent C/O Cert. Of Occu anc L:\SueHemirigway\Building.Codes.Inspection.FORMS\Res.Final insp.form .doc edited January 28,2003 Residential Final Inspection Office No. (518)761-8256 Date Inspection re e t recei r G Queensbury Building&Code Enforcement Arrive: am/ part: 742 Bay Rd., Queensbuty,NY 12804 Inspector's Initi 1 r° NAME: t P IT#: . LOCATION: `r-rA. ATE: p TYPE OF STRUCTURE: i Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location 1 S 4 j`ZG%, Fresh Air intake `3"'ch Plumb Vent through roof d � Gdafd 30 in.or more @ stairs,decks,patios ward at stairwell at'34 in.or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Rail in 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 ex used/regulator 18"above grade Gas Furnace shut-off within 30.ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed Interior privacy/trim/doors 1 main entrance 36 in. Bathroom/Kitchen watertight Safety glazing .Window in stairwells safety glazing Interior Smoke De 6ctors: Every level: V 1 Everyrom: Outside every bedroom ea: Inter Connected: / Batter backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 3�4 hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht,)In accessible area Crawl Spaces 18"x 24"access, 1 s .ft.-150 s . ft.vents Building No./Address visible from road JT Final Electrical . Site Plan [Variance re wired Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker -41 Flood PIain Certification,if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Tem-or C/-O'-(Cert-Of-Occu anc ) �a Ok k,, ,too i!isue Pei Tian'enfQ7/,fJ� Cert Clf,()ceia anc eIM L.1Suellemii gway)auilding.Codes:If'specf&FORMS1 es.F,inal!Ji7�fo"n--n�,I"dbc•'edited January 28,2003 Framing/Fires topping Inspection Report // Office No. (518)761-8256 Date Inspection request-,re5c ived: Queensbury Building&Code Enforcement Arrive: am/pm Depff a de 742 Bay Road,Queensbury,NY 1.2804 Inspector's Initialk�^,, NAME: r—-.42rK1',,A PERMIT#: (0911 11 - LOCATION: :isT— C-� INSPECT ON: �47 > 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/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 Bo ft. or less on center ;oe and snoT*eld 4 Ynch6F*om wall C1. Fire separate 1,2,34h'our Fire wall,2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side V2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7.sf above/below grade 5.0 sf grade L:\SueHemitigway\Building.Codes.Iiispection.FORMS\FramingFirestopping Inspection Report.doe January 28,2003 may, J; Foundation Inspection Report J Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm epart• 6 am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: �0� --_� 'NAME: PERMIT#: 03 -&q ) LOCATION: INSPECT ON: _1 a 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 Fo dation 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 !B`ackfill Approval Plumbing Under Slab VC/Cast/Copper Foundation-Insulato Interior Exterior Rough Grade 6 inch drop within 10 ft. L:\SucHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ �epart/ m/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial NAME: r,C(--s PERMIT#: LOCATION: INSPECT ON: /0 (2,!y 6725- TYPE OF STRUCTURE: Comments A N N/A Footings Piers Monolithic Slab "Reinforcement in Place The contractor is resknpsiblb for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this put pose on site. Foundation/Wallpour Reinforcement in Place Foundation Darapproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump. Footing Drain Stone: 12 inch width 6 inches above footing 6 mil of for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. 1,:\SucHenungway\Building.Codes.hispection.FORMS\Foundation Inspection Report.doc January 28,2003 Project Name: GGACL I09& BP# Address: 61 1'_;i ao a TO\e10 0p 0oV.�t'2Jt" A 01", Building Pen-nit Submission SFD Checklist 2-Farnily All items below mast be checked-either yes,no or not applicable prior to submission of any building permit to the'Town of Queensbury Building Department. If any of the below items are lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed ...... ... ............... ............. Oyes O no ❑n/a 2. EnergyForm or CheckMate Energy Code Compliance Forms Complete.. W yes ❑no ❑n/a (2 copies) 3. Energy Code Inspector's Report from Clue&14ate Program... g yes ❑no O n/a (2 copies) 4. Septic application completely filled out(if applicable)............ ...... ... ... ©yes ❑no ❑n/a 5. Solid Fuel Burning or Gas Appliance Form... ......... ......... ... ...... ... ... .�X[yas Ono On/a 6. Electrical Inspection Form... ...... ... ... ................................. ... ..... Oyes Ono On/a 7. Two 2 complete sets of structural drawings 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,...... ... ... Qk_ eyes Ono On/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new structure......... ..................... .. Wyes Ono On/a 10. Setbacks to neighboring wells and septic systems,including onsite well.... QX yes Ono On/a and septic systems(if applicable) 11. DrivewayPermit...... ......... ...... ...... ... ... ...... ..................... ... ... Oyes Ono Wa Date: Staff Initial: �/ 1 L.\SueHeming«ay\Bading.PemutFORW\Geueric Checklist.doc January 28,2003 .V Cheek Residential Plan Review: One&Two Family Dwellings Y/N/ A (2}Full sets of plans Over 1,500 sq. ft.—Stamped Design Loads On Plans: 90 Wind Floor Loads 40 psf 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size _ Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. Grade,5.0 sq.ft. 24"(h)x 20"(w)min. 44"Max.Hei t 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 1tJt0: y Stair Run and Rise Winder Run and Rise ,+ Spiral Not Allowed From 2� Story Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance Hall Width,36"min. Handrails More Than One Riser On Open Sides Railing and Guards>30"1 Basement Stairs Included/Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas P, Garage Fire Separation Garage Floor Sloped Attic Access Roof over 30"—22"x 30"1 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 4'r 7- "e4 t) �*tW MECcheck Compliance Report Checked By/Da 2000 IECC MECeheck Software Version 3.3 Release lb Data filename:D:\Old Computer\Program Files\Check\MECcheck\SearIes Residence eck.cck CITY-Glens Falls STATE:New York HDD:7635 CONSTRUCTION TYPE:Single Family DATE:08/20/03 DATE OF PLANS:August 15,2003 PROJECT INFORMATION: Residence for Kenneth&Leigh Searles 51 Birch Rd.,Town of Queensbury,NY COMPANY INFORMATION: Dwellings by Dybas COMPLIANCE:Passes Maximum UA=391 Your Home=361 7.7%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter "ue R-Value U-Factor UA Ceiling 1:Raised or Energy Truss 1176 38.0 0.0 29 Wall 1:Wood Frame, 16"o.c. 2502 21.0 0.0 113 Window 1:Wood Frame,Double Pane with Low E 472 0.340 160 Door 1:Solid 39 0.093 4 Basement Wall 1: Solid Concrete or Masonry,5.7 htt4.0'bg/5.7 insul 761 0.0 10.0 55 Boiler 1:Other(Exept Gas-Fired Steam),85 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application. The proposed building has -been designed to meet the 2000 IECC requirements in MECcheck Version 3.3 Release lb and to comply with the mandatory requirements listed in th ck Inspection Checklist. designer er Date 8AZOL 4 'R MECcheck Inspection Checklist 2000 IECC MECcheck Software Version 3.3 Release I DATE:08/20/03 Bldg. I Dept. I Use I I I Ceilings: [ ] I 1. Ceiling 1:Raised or Energy Truss,R 38.0 cavity insulation Comments: I Insulation must achieve full height over the plate lines of exterior walls. I Above-Grade Walls: [ ] I 1. Wall 1:Wood Frame, 16"o.c.,R 21.0 cavity insulation I Comments: I { Basement Walls: [ ] I 1. Basement Wall 1:Solid Concrete or Masonry,5.7`ht/4.0'bg/5.7'insul, I R-10.0 continuous insulation Comments: I Exterior insulation must have a rigid,opaque,weather-resistant protective covering that I covers the exposed(above-grade)insulation and extends at least 6 in.below grade. I I Windows: [ ] I 1. Window 1:Wood Frame,Double Pane with Low E,U-factor:0.340 I For windows without labeled U factors,describe features: I #Panes Frame Type Thermal Break?[ j Yes[ ]No Comments: E I Doors: [ ] ( 1. Door 1:Solid,U factor:0.093 I Comments: I Heating and Cooling Equipment: [ ] I 1. Boiler 1:Other(Exept Gas-Fired Steam),85 AFUE or higher I Make and Model Number ( Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air I leakage must be sealed. [ j Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC I rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible I materials and 3"clearance from insulation. I (, Vapor Retarder: [ j Required,onthe warm-in-winter side of all non-vented framed ceilings,walls,and floors. 1 Materials identification: [ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions- [ ] I Materials and equipment must be identified so that compliance can be-determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. - ._.- .. .�'f'' • .k .. .. t .{ f j ] { Insulation R values,glazing U factors,and heating equipment efficiency must be clearly marked on { the building plans or specifications. { E Duct Insulation: ] { Ducts in unconditioned spaces must be insulated to R 5. { Ducts outside the building must be insulated to R 8.0. { [ Duct Construction: [ ] ( 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). [ J { 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. [ ] E Air filters are required in the return air system. [ J ( The HVAC system must provide a means for balancing air and water systems. E { Temperature Controls: [ ] { Thermostats are required for each separate HVAC system. A manual or automatic means to E partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I # 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. E ` { 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. E { Heating and Cooling Piping Insulation: [ ] { HVAC piping conveying fluids above 105 T or chilled fluids below 55 T must be insulated to the { levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation-Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts"' Circulating Mains and Runouts Temperature UP to 1" W 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 byPipe Sizes Piping System Types Rana F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low PressarelTemperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam.Condensate(for feed water) Any 1.0 1.0 1.5 2.0 cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) Job Site Address: 001411�k 9 Date: Owner: 4UUI'6jr4 46'(4 4�41V�) ApplicationNo. File No, � �� l Building Permit— Calculation Sheet Natural Light; Ventilation &Emergency Egress Requirements Habitable Area of Req,Light Actual Req,Vent Actual Sq.Ft, Remarks Room Room r 8%of Room Light 4%of Room Vent Opening for in "Area Square Area Square Egress Square Footage I Footage N Feet v 9 U- 'O S,t7 r � .tip M Mi 1''Till 0 &2. 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