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2003-716 J TOWN OF QUEENSBURY' 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518),7614256 C�RTIFICATE F OCCUPANry Permit:Number: P20030716 Date Issued: Wednesday,,`Januaz'y 07,2004 ThS=is to.certi that work re nested to be done.aswshown b,Permit:Nurnbe P20030716 . . has been completed Tax Map Number: 523400.308.008-0001.041.000-0000 Location: 65 BURNT HILLS Dr Owner: BURNT BILLS LLC Applicant: CLUTE ENTERPRISES INC. 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,'Queensbury,NY 12804-5902 (518)761-8201 Community Development-,Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030716 Application Number: A20030716 Tax Map No: 523400-368-008-0001-04 1-000-0000 Permission is hereby granted to: CT.TJTFF.NTFRPRTSFSTNC. For property located at: 65 BURNT HILLS Dr iii 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: BURNT HILLS LLC Garage-2 Cars Attached 15 F BIRDIE Dr Single Family Dwelling $135,000.00 QUEENSBURY,NY 12804-0000 Total Value $135,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency CLTJTE ENTERPRISES INC. COMMONWEALTH ELECTRICAL I 13 DAWN Rd RON M1 JMBLO OIJEENSBIJRY- NY 12804 NY 12804-0000 Plans'&Specifications 2003-716 Lot 17 House No; 65 BURNT HILLS DRIVE 1816 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIMATIONS $257.92 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 04, 2004 Of 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 f Quee bury; Thursday, September 04,2003 SIGNED BY for the Town of Queensbury. Director of Build w?,�'�C Enforcement Building Fermat 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 appear on the -5 application form. Reviewed By: Applicant: Owner: Address; i7z-. Address. Phone# -I '>-7'7 Phone# - AUG 2 7 2003 Property Location: Lot Number: X- / House Number U Subdivision Name: Q_,L Lxa!� Tax Map Number: nub% Amt -o f New Building: residenc ommercial Estimated Market Value of Construction: i ❑ Addition: seal nce/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence_/ commercial ❑ No change to exterior size: residence/com'l ❑ Other work(describe } Check OccupancyZnformAtion 1` Floor r" Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling p� Z( •�`. t ❑ Two family dwelling ❑ Townhouse, ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ Manufacturm ❑ 1 car detached garage ❑ 2 car detached garage ❑ Scar detached garage ❑ 1 car attached garage ❑ 2 car attached garage a ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other What is the proposed-height of the structure - feet inches Will any second-hand or ungraded lumber be used? If so,for what?, J Type of Heating System: electric/ oil gas _ood /forced hot air/ baseboard/other: Number of Fireplaces to be installed Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder Plumber Mason • Electrician. Declaration: please sign below after you have carefully rea 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 specift d,a d'that such work is authorized by the owner. Further,it is understood that I/we shall submit,prior to ertifiicate o c cy or Certificate of Compliance being issued,as,requested by the Zoning . Administrato r Director of 1 d`Codes,an As Bulit Survey by a licensed surveyor;drawn to scale,showing actual location o new cons o Sigma e:. owner,owner's agent,architect contractor Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: -AW 1-7 ............................................................... Office Use Location of installation: File Permit No. Tax Map No. Fee Paid' Owner's Name: .................. ........................................................... ............. Address: 2. INSTALLER'S NAME PHONE NO. 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 Dail v Flow 1980 or older x 150 gal/bdrm = HECEIVED 1980-1991 x 130 gal/bdrm = AUG, 2 7 2003 1991-present x 110 gal/bdrm = --S 3-%C.y TOWN OF QUEENSSURY Garbage Grinder Installed yes no %?4 BLI)LDING ACID COIZE_ Spa or Hot Tub Installed yes no 4., PARCEL INFORMATION: (circle applicable information&indicate measurements) Too graj3hy kg-o—R-Nature Ground Water Bedrock or impervious Material es �ter Sumly C=f1M=> < at what depth at what depth <- municipal Rolling loam feet —feet we -e-tr�m Steep slope clay if well;water supply %slope other from any septic-system depth: absorption is other Percolation Test: (To be completed by licensed professional engineer or architect) Rate. minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: I DLSn gallon(min.size 1,000 gal.) Tile Field: each trench ` ft Total Systemi Length: :>CZX--'3 ft. Seepage Pit(s): number of size of each: _ft. by_jt. Size of Stone to be used: # c>- depth or thickness feet Bed System Size: x Alternative System: length andlor size 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 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant,shall be void. I have read the regu ns 'th respect to plication and agree to abide by these and all requirements e Town of Q ensb ani Se a e Disposal Ordinance. Date Sig natuS-e-cW responsible person ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 BEATING DEGREE DAYS Compliance Methods:Part 5 -Acceptable Practice Method—1&2 Family D ;e"f in s F0,; E D_ Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwell g,, Ij Multi-Family Dwellings(3 Stories or less) ;" 2 7 Part 4*-Design by Component Performance, Commgr W N!ial Building,_Q_P3 O Rise Residential &4'sgury *Requires submission of worksheets APPLICANT'S NAME: PROPERTY LOCATION: (d5 PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: I Gross Floor Area square feet 2. Type of heat- Electric Oil__ as G Other 3. is building mechanically cooled? yes No 4. Percentage of area of windows and doors Over 170 o(I Under 17%iii -D 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPONEt TO R-VALUES As SHOWN ON PLANS SUBMITTED: a: Roof R 3CI) b. Exterior walls R \c C. Glazed areas R d. Exterior doors R A�� e. Floors over unheated spaces R f. Edge of slab on grade(heated building) R 9. Basement/cellar walls(above grade) R kk h. Basement/cellar walls(below grade) R L % i. Heating/cooling-ducts-piping in unheated space R 'k-f. 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code ><111yes No TEMP TU CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED 11 1* 9s ' at Date Phone Number INSPECTOR'S REMARKS: Residential Final Inspection Office No. (518)761-8256 Date Inspection req'u r c Queensbury Building&Code Enforcement Arrive: p apart: 742 Bay Rd., Queensbury,NY 12804 Inspector's Initi S.. NAME: 1~ 4!2 RIMIT#: c)A) S 716�� LOCATION: 6) Z&1:7 r)Al ATE: 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.fTom 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 V Furnace/Hot'Water Heater operating -71 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 afety glazing Interior Smoke Dete ors: Every level: f:��m B/oorn Outside every bedroo�,/eva.very Inter Connected: I / Battery back a 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 3/4hour 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 Site Plan [Variance required Final Survey Plot Plan V/ 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 CIO(Cert. Of Occupancy) Okay to issue Permanent C 0(Celt. Of Occupancy) L:\SueHemingNvay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 N x x x ro n U) H H� a r z d ► H H b r k X H m H H g z 0 r m m X o r w z0 ► p 0 > a z z z z H H H 0 H c 0 r q 0 H U10 ro q n H > M d a d y q q m r M n z 0 H y M I X c►a m m > r•1 m H 0 C r H H H H N 0 P m H ,P H W •z VH q ro n n n 0 0 z a 0 H N 1 z H z H 0 H H m H a 0 0 a m 0 0 a 0 o 0 z H0 N a z N c r ro ro ro 0 0 X 0 H c HU) z cn X 0 0 N ro r 0 1 c m z ►a m m n z H m z z [ ►� n H z H y C n H N. roHn � � n � � a00 > rp0 0 m q o o r > q r 0 0 q x z n c a z r x x m o r m 0 r rn r m H x x 0 H n m z N m cn ro q x H m H O 10 H H ro m H H 0 m r ` .! UO x0 C z mr 0 H r O ro m r1 m 0 z H z 0 � � r � c� HP n yAl 20 cnN OS m ro z y4 . Hxa z H ro m x m,ca�'o m z H Hf H Ln >dIO z H I z0c x C1 x a %MM ozz t H -4H 10 ro � ro z vM Dk v '^ Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 fax(518) 745-44 7 Fire Marshal's Inspection Report Request ( _ SCHEDULE Received: _ Permit## INSPECTION ON: Name:.-- _ " a c AID PM ANYTIME Location: APPR.O f4E N lA YES NO COMMENTS ExITs + AISLE WIDTHS EXIT SIGNS-NORMAL BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM- FIRE SUPPRESSION SYSTEM ;, r HOOD INSTALLATION INTERIOR FINISHES MRA PPRESSED GAS w �,� CYN 1. , C I &1 CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN FINAL. CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD STOVE 1 ROUGH IN FINAL VENTED GAS - APPLIANCE ROUGH IN FINAL ' FIREPLACE n MASONRY ROUGH IN K THIS DATE 1 OR 0 NOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN I p CTED BY FINAL — DOIt DEv/cH RISJmoRDILETTERS20GI/FIREMARSHALINSPECTIONREPOi TI I021001 WHITE-BUILDINe DEPARTMENT COPY � YELLOW--OCCUPANT COPY g Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: <t Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm 742.Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: Lla �� PERMIT#: _ 3 LOCATION: &67 Ai&)x> +."s"' INSPECT ON: TYPE OF STRUCTURE: Y N N/A. PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron,Copper Drain/Vent/Comm. lumbing Vent/Vents in Place p Rough Plumbing/Nail Plates C-0-4 j 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 CONMENTS: L.\SueHerningway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 1 I Rough Plumbing 1 Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am��art:742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT #: 0 3 LOCATION: 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. Plumbin vent-/V'ents-in Place gRru k"llutlsat /Naiii'Plates . 'a 1 9 in min�rain 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 t0� Water Supply Piping t Cooper Commercial 0o er, CPVC,Pex One and Two-Famil -� (�- sulati6n/Residential Check/Commercial Check Proper Vent,Attic Vent f Duct/Hot Water Piping Insulation If required uired unheated spaces Co ustion Air Supply for Furnace ct work sealed properly/No duct tape COMMENTS: a L:\SueHemingway\Huilding.Codes.Inspection.PORMS\Rough Plumbing Insulation Report.doc November 17,2003 Framing 1 Firestopping Inspection Report 9106 Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Cade Enforcement Arrive: amI'nXr 1.7, 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: ,) NAME: PERMIT#: LOCATION: Y/ INSPECT ON: ��- TYPE OF STRUCTURE: ` Y 'N/A COMMENTS ram g y' 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 Met l Strapping for Notches Top Plate /2(w) 16 gauge(8) 16D nails each side raft 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 D14w) eszn r g------- r-F v Penetration sealed- 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in.(W) 5.7 sf above/below grade 5.0 sf grade L: ueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report,doc January 28,2003 Framing /Firestopping Inspection Report 1� Office No. (518)761-8256 Date Inspection request received: .. Queensbury Building&Code Enforcement Arrive: am/p e�art pm 742 Bay Road,Queensbury,NY 12804, Inspector's Initials: � _ NAME: lie, � ' PERMIT#: cZ(9) LOCATION: INSPECT ON: TYPE OF STRUCTURE: on Y N :N/A COMMENTS Jack Studs I Headers �i' Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly (9 12"O.C. 1'1 Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Af Metal Strapping for Notches Top Plate 1 %2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses L� �i✓G� ��'� 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 y "restoppan _ ' �o�1c cot, (. J Penetration sealed Z� 16 inch insulation in cavity min. /./ olv&E' Garage Fire Separation House side/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X 4 F4 U s bra Ceiling/wall Windows Habitable Space/Bedrooms 24 in.(H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade - - b 0�k_ P6() ztn Pj [�j LASueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Report Office No.(518)761-8256 Date lnsp!ctiok�e e i od.- Queensbury Building&Code Enforcement -Arrive: X._Llvj_a Depart: a in —reqod*,-- D Depart: am/ m 742 Bay Rd.,Queensbury,NY 12804 Inspector's itia P IT NAME: R RMIT#: U:�4 T R. LOCATION: L—L INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A V?/Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours'following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump_ Footing Drain Stone: 12 inch width 6 inches above footing 6 mil of for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L-.\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 +'t+F j,. -' .. `�' II l I"." 1 '•i { � I� 1�tf�'�3`i(fi 3tll 4:J'�S� � ��' t s i�r 3 I t��'+�u{ 1 _ I I. i L•t it 3 I , Iy 3 i11 •} n f• {t�i. 169 Havilarid•Road, Queensbury;�l�Y'12864 Phone-518-745-4406 Fax'-518-792-8511 October`��10 2003 ,.,.. a Joli#.46,145 Mr. Glenn Bruso , '. New York State Dept. of Health 77 Mohican-,Street ': Glens Falls NY 12801 RE: Burnt Hills Subdivision- Queen* (T) r' i 65 Burt Hills Drive(Lot#17) - Septic•System i. Dear Glenn: t, This letter is,to inform you that I.inspected the,completedseptic system for the house at 65 Burnt Hills Drive.(Lat#17) in the Burnt Hills Subdivision-on October 7,' 2003. The septic system as installed was for a four bedroom douse and _consisted of a 1,250, gallon :;:is a septic tank and 200 lineal feet of j t, _ . ' 1 absorption t'rench.constructed with stone and perforated pipe.. j t The system conforms to the requirements of•the' approved subdivision design drawings ., Please call me if you have any questions or concerns: Sincerely, r' 164. 44, Thomas R. Center Jr., EI 5i{ cc: Dave Hatm`-oywn o&Queensbury Larry Clute, Clute Enterprises f !«Al t ,� a hhtt t , .. Ifi 1 i 33 77�•� r) Septic Inspection Report P r Office No. (518)761-8256 Date Inspection re u recej Queensbuiy Building&Code Enforcement 'Arrive: art: 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial < NAME: PE NO.: LOCATION: PECT ON: RECHECK: Comments and/or dia ra Soil Type: Sand Z�am Clay T e of Water: aicip'af)Well Water Waterline sep oration-di'stdnce u t recej al F6ran&i -1/p < 0 . P N P To i VEC Well separation distdnce Other wells: ft. Absorption Field: Total I Length of each trench Depth of trenches Size of Stone -Seepage Pits: Number- Size: Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box t ield Pit --Opening SealeVYJM.Partial To-cation/Separations Foundation to tank Foundation to abs2Eption. ft. Separation of Pits Iftft. Y N Conforms as per Plot Plan' Location of System on Property: li Front ., ear Left Side Right Side Middle Middle Rear System Use S tus: Approved Partial Approved and needs to be re-inspected,please call the'Building&Codes Office -Disapproved L:iSueHemingway\Building-Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Foundation Inspection Report Office No, (5 18)761-825 6 Date Inspection request received: /57 1 ei Queensbury Building&Code Enforcement Arrive: —am/p1A A6"Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERNV, ro. ( )f) LOCATION: INSPECT ON: TYPE OF STRU(�TftE� Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width c s above footing I of for wet areas under slab K'ckfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundafion Inspection Report.doc January 28,2003 Foundation,Inspection Report Office No. (518)761-8256 Date Inspectiortreclue$t-r�ce' ed: _ Queensbury Building&Code Enforcement Arrive: '�6°a qpm epart: �� f _ice 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initia s��' NAME: PERMIT#: r LOCATION: INSPECT ON: TYPE OF STRUCc . 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 ---ofthe-concrete. - - --- - -- - - -- - -- - - - — --- -- - - —_ Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing 7f 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;\.Sucl3emingway\Building.Codes.Inspection.FORMS\Foundadon Inspcction Report,doc January 28,2003 Z- lrr\ --3, - 71� U Check Residential Plan Review: One&Two Family Dwellings Y N N/A (2)Full sets of plans Av 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: ndow Schedule With Glass Size Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. Grade,5.0 sq.ft. 24"(h)x 20"(w)min. 44"Max.Height above floor /Residential Check Paperwork Compliance and Inspectors Checklist: OK �)arnpproofing 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 VPlatforms At Exterior Doors S ay Headroom 6' 8' All Stairs 36"Width Stair Run and Rise Winder Run and Rise Spiral Not Allowed From 2nd Story woke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance 2 all Width,36"min. Handrails More Than One Riser On Open Sides v'Railing and Guards>30"/Basement Stairs Included Closed Risers More Than 4�'in Ht. Safety Glazing Notes For Required Areas /Garage Fire Separation L/ 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 Paper-work Signed �..� Town of Queensbury 742 Bay Road, Queensbury, NY 1280 Buflding & Code Enforcement Building Permit# Phone:(5I8)761-8256 Date. Fax: (518)745-4437 Fina* codes@qucewt5'.net Dew Your building permit application has been reviewed and found to be deficient in the following arc These detuiis need to be added to or noted on both sets of plans. Please feet free to contact this office with any 9wtiow regarding this matter. Sincerely, BiT11.DING&CODW OFFICE L:ISSueHcuingmy\ft-Wing.PainitFQRMSWer)eient building PMAiUm 2003AM Dr Job Site Address:, J Date: Owner: L Application No. File No `WINDOW SCHEDULE Window Window Mfg. Window Unit or g, p 'E7 Q, T SQL Clear Clear Special Hardware or Number or Name Model Stock Openirg7pentng GlassNtsib VentgresslClear Opening Opetnng Keagbt Instructions Letter on Or a G d V y t Or Type Number iidth��i s HetghoF 1e Opntng: ttt�InyInnc Plan Call Size tit i litches jp �11 RE 41 7ct7 13a� --THIS LINE HAS EXAMPLES OF SAMPLE ENTRIES n`! t�.�ht k�y a d•^ ,,.�P , Y¢*^£u....r 'a. a t'S a^ M1 r F; b SMIz . „ ,1f5,3Qi $3 TM, 3: z: a�4 5t3St4 t r, r .H„,;,' ,�-,.z, � .,,.•>a,>.a„�'� ,Q' ,,.,lz��i wax�,x.�t,°s,�., ,r N�, rr,* � Tempered :.� d.e. .. ,i� f ,. ;G..].,•...: r:n.. .. m.r� p ,vsz9ly. �{ "J'„ da k,..�+, a ; m, �,,. 1 ,:-.!",! r �t„S�`"^µ.. t t..T�'121,[ 1� S,,)TM• j z.�n x �,,. a�a 5% ,. ` M1 Ya. ,.t7r,, x. r �.t'A,"v��arouble ...,f „c i. Yw, « ; 4„„:. n.vr. fu.,:r H; .. a} .. ,..r `xs ,T'r,, 111.A1:1•Ur •A: !^i zx;q"a Y. �;.,• ;3. ,i �, k,�,�^;>r � "I��>.;l�?fir k. ,�Y•a �S d i a�;� �3 a ,�� ,.� l' S I, t f ,.>!�s�, tx°4 , y,• .S�S«+3` '�a,•:,n' .f�"� �s� ti b�r� � w,�r a`a.,,, a ,�,.,,,,�cn ,s& yykt i �4ti�a ,�a �;;r a�",,,. Glazin �^ :xs n ,r�t...� � •,:§`ai�,t, rY� k.7.,4,. :�"�"� x �>�� ;t �71>,.,•,l` ,;a "'�`,� t�' ,�q^+g��,., .y d�iG°�i'r p.��'„ f'.�r;,e3 .ukt. �. y a F b' .,. Y`,.,,�F, ,.�: �.�} •. etas ti1n FiR'. F { r��k ..°r., ' pp {^,i`. ..��, a ' ^;,'m7't '4 `3p � ',�'�, ,�yrn.rpP4rWw•.. , 'fir •3t�. �s$ "a` 'd•,. ' L.iSueHemingwaylBuiiding,Permit,FORMS1Window Schedule,doc Job Site Address: C7 &I-061k 1116 Date: Owner: �&� Application No. File��CEIVED � 003 Building Permit-- Calculation Sheet TOWN p F eU,jc ivSUny D CooE Natural Light, Ventilation & Emergency Egress Requirements � ° g Y �' , Habitable Area of Req,tight Actual ' Req,Vent Actual Sq.Ft. Remarks Room Room 8%of Room Light 4%of Room Vent g �� .Openrng for in Area Square .f� Area Square i Egress SquarePI, Feet Footage Faota a '` g . , v20 Mi f �� xa 5 �0 � Yt dT N L:I ueHemingwayTuilding.Permit,FORMSWat,Light,Ventil,Caieulation,Sheetdoo Y V h t 1 t PermitN -t— umber REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release Id Data filename:A:1lLot# 17xck PROJECT TITLE:Colonial 24 x 32 1536 sq ft COUNTY:Warren RECEIVED STATE:New York AUG 2 7 HDD:7635 2Qp� CONSTRUCTION TYPE:Detached I or 2 Family TOWN OF HEATING TYPE:Nan-Electric �Ajj)Coj22 ,y ��lJ,��€yl:a� DATE:08/28/03 DATE OF PLANS: 8/28/2003 PROJECT DESCRIPTION: Lot#17 65 Burnt Hills Drive Queensbury,NY 12804 DESIGNER/CONTRACTOR: Clute Enterprises,Inc. 13 Dawn Road Queensbury,NY 12804 COMPLIANCE:Passes Maximum UA w 603 Your Home UA M 378 37.3%Better Than Code(LJA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R Value U-Factor UA Ceiling l:Flat Ceiling or Scissor Truss 1536 30.0 0.0 54 Wall 1:Wood Frame, 16"o,c. 3584 19.0 0.0 208 Window 1:Vinyl Frame:Double Pane 49 0.490 24 Door 1:Solid 42, 0.230 10 jv Door 2:Glass 21 0.490 10 Floor l:All-Wood Joist/Truss:Over Unconditioned Space 1536 19.0 0.0 72 Furnace 1:Forced Hot Air,90 AFUE COMPLIANCE STATEMENT: The proposed building represented in this dacurtient is-consistent,with the building plans, specifications,and other calculatio 'witted with this permit application. The proposed systems have been designed to meet the. New York State Energy Con ation onstructio ode requirements. When a Registered Design Professional has stamped and signed this page,they ar ting t to the b t his/her kno ge,belief,and professional judgment,such plans or specifications are in p1 a this Builder/Des' r Date�� Project Name: BP# dD 3-7l1 Address: 442ttl S Building Permit Submission Si fan-dy duelling Tuofi dy dmd4U Checklist All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of Queensbury Building Department. If any of the below items are lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed ...... .............................. yes ❑no ❑n/a 2. EnergyForm or OieclJ&te Energy Code Compliance Forms Complete.. yes ❑no ❑n/a 3. Energy Code Inspector's Report,from Checkl&te Program..... ... ... ..... yes ❑no ❑n/a 4. Septic application completely filled out(if applicable)...... ............ ...... 4�ITS ❑no ❑n/a 5. Solid Fuel Burning or Gas Appliance Form......... �............... ............ . s .bum n/a 6. Electrical Inspection Form......... ....................................... ....... no ❑n/a 7. Two(2)complete sets of structural drawings........................... ......... .. Ono ❑n/a a)floor plan;b)foundation plan;c) cross sections:d)elevations; e)window and door schedule 8. Two(2)site plans showing location of the structure to be built,... ......... ,(]des Ono ❑n/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new structure............ ... ............ ..... eyes Ono ❑n/a 10. Setbacks to neighboring wells and septic systems,including onsite well.... eyes ❑no ❑n/a and septic systems(if applicable) 11. DrivewayPennit......... ...... ...... ............... ........................ ...... -,Oyes o ❑n/ ❑n a Date: Staff Initial: L:\SueHemingway\BuRding.Pemu RMS\Generic Ched&t.doc I � t I I II 77I I I I I....�Gr6.bn4 rw.u....4 ... ,.. ,. .��r�. ✓:. ..l..l�. •.�i+ �„�u�u,{Fxrv4W iN.rM\U�1'ItM�'F.V't11'r.Wp� 'nJi...l�'1!.:�w�Y,r lhH'M'rlRMal ry,Y„rAafN�a+4ith.l ..fnWMVl I • l • 1 � ff I 1 I '.� � I L. � . ..' .. L. � a.. . .., T�y� ' 1J ; ll �•..,. ,,..L. I .!�. �...�. I.... 1 (' .I � . ! I I i I I ..I i i I I i I I I I � � �,�I 7 �, i I ! � � �• � �i i I ! � I I I I ! I • ( I I I , l i l � i � � f � I I I � � ' i I ( I � I I � i I i I I I I I I I i I I , II I i 1 � t�•M•rW+YWMCWWvW'l�SM�rvw �}�CA tb4 bwflWnM Rw.,,.M•.,., �' � , �'�°�'��'i"�9 t ' � I V � •� �i w i I yl is such S'1y 1 ^` tCEES tEhCES,etC, �� ! M UY�✓A��YwrB 5+wryn'MMmE1MwrMA Mvp{�1M¢a+Y .+ � i I I � bjEC. _ .. sgt tha I Nvo rep�E� t Iho dlag,��m;' w pom sup hE dis a �, I�, , M rMf rhrrJ'p '(1ryf Fob I I WE .•,. ... .. _L., _ p I i I I . I S1 l ,., .. � I � �wr,�.a�u,..l.:wakur,�.i '�»,:��w�manb.,-..V w...:1,,.�....:.��eua..... „,• I j i t MAP REFERENCE: BURNT HILLS SUBDIVISION DKC HOLDINGS, INC. DATED: JULY 23, 2001 LAST REVISED: JANUARY 17, 2002 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC L=1 - R=550.00 0 g S86013'50NE 107.85' 21,163 sq ft 0.49 acres Own 28. I .T BURNT HILLS DRIVE Ki 1 HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL new SURVEY. THIS CERTIFICATION WALL RUN ONLY TO THE PERSONS Nq r37 FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR �+r 0 ' ?p A BEHALF TO THE TITLE COMPANY: GOVERR IENTAL AGENCY Op, AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO+ CHRISTOPHER J. EGGLESTON HEATHER K. EGGLESTON GLENS FALLS NATIONAL BANK and TRUST COMPANY. ITS SUCCESSORS AND/OR ASSIGNS 20' WIDE GHIGAGO TITLE INSURANCE COMPANY NO CUT ZONE CERTIFIED BYN _ MATTHEW G. STEVES. LLS NYS W135 DATEDN DECEMBER 11. 2003 • a ei Du %K%UTN== ALTEMATNMI ON AWTIM1 TO A WHEY scale 1'= 30' an �� Map of a Survey made for YAP LYAMYD A LNiNS[D LAID SIMIIEYCRS TEAL NT A VIOLATION Of SECTION 720C SO-DMSIOII S.-Of DIE NEW YOMK STALE WMADON LAW. S t e t/ V `ONLY MM ANIIOM M OrThl L ND WR IAIVLI S -1 YANSm WIN AN OItlGiULOf M LAID 9LRK'10RS SEAL >NA<L K OONWER D TO K VALD I".COPIES.' SUM" WM "'"`#= *1 ACC ZMWYM= MAT CHRISTOPHER J. & HEATHER K. EGGLESTON TINS BURYEY YIAS PNEPARED M ACCOIDANCE ON M Land S u ry y o r s `Y M CM M P EOM � ADO►lE0 !Y M NEw YCIK 8TAlE ASSOCIATION Of MK1►I�SIONAL LAND SU %V M9. SAD CENTIPN 'nM SNAIL WMI ONLY TO DM: PEMM M WNW THE %*%" B PMWAIM AID ON INS NEIIMF TO M DDL OOIiANY. OOYEMNaff& SHM 1 OF- 1 169 Haviland Road Queensb y, New York 12804 AWCY AID UMMO or TMMUI wsnMM LOW NEMM AM Town of Queensbury, Warren County, New York TO"0ASKMw MOM NOIm- EGGLESTON 518 792-8474 New Y rk lAc. No. 50135 1 NO. DATE DESCRIPTION DWG. NO. 9g241-17