2003-707 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (318)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030707 Application Number: A20030707
Ta_Y Map No: 523400-296-008-0001-021-002-0000
Permission is hereby granted to: MTC;HAF,T,S PT,AC;F,T,T,C TFTF
For property located at: 12 CHELSEA P1
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and"ogler information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. i ;
, I 'I'ylie OffC6nstruction Value.
Owner Address: MICHAELS PLACE-L-LC THE
10 BLACKSMITH Dr " Fireplace 2_.
'' Garage;r2,Cars
MALTA, NY 12020-0000 ,Attached
Townhouse ` $182,900.00
Total Value $182,900.00
Contractor or Builder's Name /Address Electrical Inspection Agency
MICHAELS GROUP
SUITE 1
10 BLACKSMITH Dr
MALTA_-NY 12020
Plans&Specifications
2003-707 LOT 9 HSE#12 CHELSEA PLACE
1667 SQ FT TOWNHOUSE WITH 2-CAR ATTACHED`GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$279.58 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, September 10, 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 T wn of :"v een a esday, September 10,2003
SIGNED BY
for the Town of Queensbury.
Director of Building&Cade nforcement
Buiiodin� 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. 5— 07
No inspection will be made until applicant has received a lee Paid $�
valid building permit. All applicants' spaces oh this Rec. Ucc Paid $
application must be completed and must appear on the Reviewed .By:N
oe
application form.
Applicant:��� � I& c Owner:
Address: tQ ; (��t�ra �T2t�_y Address:
N N. k >Z.CN
Phone#(%a)Wig•-� Phone# (3, �'� ' :Ly
Property Location: Lot Number: AUG 2 f, 2003
p Y g / House Number J_ I Cy�� �Q`-z�
Subdivision Name: Tax Mal) Number: 4O�d\t f31 G l 1 �1 iJFY
New Building: residence /commercial Estimated Market Value of Construction:$
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/coui'l _
❑ Other work(describe }
Ctreck (�ccupancylnforti�atiw� I"Floor 2"" Floor. other floor Total
Below sq.ft. sq. ft. sq. ft_ Sgilare Fect
❑ Single family dwelling _
❑ Two family dwelling
Townhouse i11�.51
❑ Multifamily dwelling
#of units
❑ Office
❑ .Mercantile
❑ ManuPactttring
❑ l car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ I car attached garage
X2 car attached garage
❑ 3 car attached garage
❑ Storage building-
conimcrcial
❑ - Storage building-
residential
❑ Other
Will any second-hand or ungraded Iumber be used? If so,for what?
Type of Heating System: electric/ oil / gas wood /forced hot air/ baseboard t other:
Number of fire/Maces to be installed Number o£Wootlstot,es.to be installed �. .
List below the person(s) responsible for supervision of work as regards to building codes:
Name Address Phone Number
Plumber
_ _ ��,m4,.mac �
Mason ��3 �tcs�� 4ZI- _ td'3
t2eclaration please sign below after you have carefully react the stateiricat:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a talc and complete statement of all proposed work to be done on(lie described premises and that all
provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall he complied
witli, whether specified or noted,and that such work is authorized by the owner. Further, it is understood(hat I/we shall
Submit,prior to a Certificate of Occopancy or Certificate.of Compliance being issued, as regnested by the Zoning
Administrator or Director of Build' g and Codes,an ifs Built Strrvev by a licensed surveyor;drawn to scale,showing actual
location ol'ail new const- tion
Signature: owner,owner's agent,architect,contractor
Fire Marshal's Office Town of Queensbury,742 Buy Road,Queen-sbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel, & vented gas,appliances
Date S* 1% 1120 03 Permit No, 0 3-
Application is hereby made to the Building c&Codes Office.for the issuance of a Building'and Use
Permit pursuant to the New York State fire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
these requirements and also will allow all inspectors to enterpreinises to perform required inspections.
NOTE to applicant: Rough-in and Final Inspections, are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: tStove: wood coal pellet gas
Fireplace insert
Address: Fireplace, factory-built: wood as
Fireplace, masonry: wood gels
Furnace: wood ��s oil
Phone.-
If non-masonary applicance,please provide
Owner: Same 1544anufacturer Name:
Address: Model Number:
Chimney Information
Phone: (circle appropriate words)
`Masonry block rick stone
Flue tile Ueel'\ size:' inches
Exact Address: F(ecc-_
of consirtiction or installation Factory-Built
Manufacturer name:Model Number:
Note: Listed By:- Number:_
Construction lInstallation must
conforin to NYS Fire Prevention &Building -Indicate (circle) chimney material:
Code. Consult dvailable Town of Queensbuty
Handouts regarding required inspections. Double wallTrifilewall-l-Insulated frect Venting
Chhnnej,Liner
Fire Uarshal Code# S Collected- $Re fitinded Received from (refunded to)
address.,
-4 173'3389 (190),Public SajZty
A 233 2655 .(230)Minor Sales
DA T,1:
White(Applicant) Green(Fire Marshal) Yellow(Bldg. Dept.) 1 Pink&Goldenrod(Casliier's Dept.) TT
TOWN OF QUEENSBURy
��[_���: - - � Richard A,1frlissita -
Highway Superintendent
DEPARTMENT Horne(5f8)798-5127
742 Bay Road Queensbury,NY 12804 Michael F Travis
Dep Hi hwa Su .
Office Phone: (5'8) 761-8211 � 9 y perintendent
Fax: (518) 745-4466 (518)798-oafs .
DRIVEWAY PERMITRECFS .
DATE: .1 AUG 2 .2003
APPLICANT NAME:
TOWN OF C�6S NSIi URY.
TELEPHONE NO.:
ADDRESS TO BE INSPECTED: ' ►t�h.Qlq�. 'Place
RETURN ADDRESS: �a ��cSC1f11m1I�nC �`t • "
Applicant.must show exact location and width of driveways)to be connected to the highway by
placing stakes at the specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The
following action haSL been taken:
STEP I: { }Preliminary Approval.
NEED: { )Slight Swale
{ ) Level with the road J _
{ ) Deep Swale
Size pipe to be.used(if necessary)-
( )12" ( )15 ( )18' ( )24" ( )36" = .
Preliminary inspection completed by DATE
Approval by Highwav Supt. Deputy Supt
Upon completion,please resubmit this approved permit for a final approval.
STEP 2: ( )Final Approval
O Rejected
DATE:
Richard A. Missita,Highway Superintendent
TOWN OF QUEENSBURY f ILE Py
742 Bay Road,Queensbury,NY 12804.5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF , OCCUPANCY
Permit Number. P20030707 Date Issued. Thursday,March 18,2004
This is to certify that work requested to be done as shown by Permit Number P20030707
has been completed.
Tax Map Number: 523400-296-008-0001-021-002-0000
Location: 12 CHELSEA PI
Owner: MICHAELS PLACE LLC THE
Applicant: MICHAELS PLACE LLC THE
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage-2 Cars'Attached
Townhouse
Director of Building&Code Enforcement
Yl
Queensbury Building & Code Enforcement - Residential Final Inspection
Offce No.(518)761-8256 Arrive: arn/pm a rt: pm
Date Inspection request received: Inspector's Initials: -�
NAME: '`�T�ttl�Q: 3 vt+ n PERMIT,##: r �tJ�Z� r
LOCATION: DATE: , i V 1(s
TYPE OF STRUCTURE: ti,:, #-e ti
Comment� ss
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 Complete
Guard 30 in.or more(2 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 %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
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
Safeglazing/Window in stairwells safety glazing
Interior Smoke Detectors:
-Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: 1 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/3/4 hour 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 s .J1.-150 s . ft.vents
Building No./Address yisibI fro road
Final Electrical -3 M 1
Site Plan /Variance re uir d f"
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/D Temporary/Permanent] s
L:\PamW\Building&CodesUnspection Forms\Res. F nal insp. form 2.docLast printed 2/12/04
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Rough Plumbing Insulation Inspection Report� ;,0
Office No. (518)761-8256 Date Inspection request recei ed: 42
Queensbury Building&Code Enforcement Arrive: a j)Q am/ o
742 Bay Road, Queensbury,NY 12804 Inspector's Initi Is:
NAME: PERMIT #:
LOCATION:- Y-L INSPECT ON:— 0 2---.L&!� LiAQ1?,a
TYPE OF STR CTURE: .
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 S�ipply Piping
z rCor Commercial
ooper,CPVC,Pex One and Two-Family A
Residential Check/Commercial Check V/
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly No duct tape
COMMENTS:
L:\SueHemingway\Building.Codes.hispection.FORMS\Rough Plumbing Insulation Rq)ort.doc November l7,2003
Rough Plumbing / Insulation Inspection Report
� g P �
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ m art: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials
NAME: ` r PERMIT #: )� _A
LOCATION: INSPECT ON: ^`
TYPE OF STRU TURE:
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, C er Drain/Vent/Comm.
Plumb" ent/Vents in Place
Plumbing/Nail Plates
1 'lZ 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
Cooper,CPVC,Pex One and Two-Famil
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
L:\SueHemingway\Building.Codes.Inspeetion.FORMS\Rough Plumbing InsulationReport.doc November 17,2003
Town of Queenebury
Fire Marshal's Office
742 Bay Road
QueenSbury, NY 12804
Phone (518)761-8205 Fax(518)745-4437
Fire Marshal's Inspection Report
J
Request /� SCIiEDIJLE � .,
Received: —Permit INSPECTION ON.
Name: 77
1 AM PM ANYTIME
Location:
Lule APPROVED
N/A YES NO CO ENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHER
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN _
ASONRY ROUGH IN
FINAL J4_ 181 5�foo6o--Z-(e 7
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE' ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FIREPLACE FINAL
MASONRY ROUGH IN a(THIS DATE
CO NOT Oil
FINAL
FIREPLACE
FACTORY BUILT R(OUGI l IN II1IS@O`rEO Rlf
FINAL
_ COMt3EV/CHR1SJ1woRDiLE7TERS2001/FIREMA RSHALINSPECTIC)NREPORT9102200i
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Framing /Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received.
1
Queensbury Building&Code Enforcement Arrive: am��art: am/pm -
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: + - -- w
L
NAME: PERMIT#: lam' -S 7 0 7
LOCATION: INSPECT ON:
TYPE OF STRUC URE:
Y N /A COMMENTS
Jack StudsTHeaders
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.G.
Headroom'6 ft. 8 in.
Stairwells 3 6 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 12(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Iee and snow shield 24 inches from wall
Fire separation 1, 2,3 hour
Fire wall,2, 3,4 hour
shipping _
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:1SueHeming%vay\Building.Codes.Inspection.FORMSTraming Firestopping Inspection Report.doe January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection re q c e
Queensbury Building&Code Enforcement Arrive: a p Depart: a p
742 Bay Rd., Queensbury,NY 12804 Inspectors Initia
NAME: 1 IT#: C), o
LOCATION: SPECT ON: — `) /
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of 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.
LASucHemingway\Bui1ding,Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003
Rough PlulnbYng 1 Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building.&Code Enforcement Arrive: am/p am/pm ,
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: �-� .
NAIVIE: PERMIT #:
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. _
/Plpmbing Vent/Vents in Place
r
lumbin /Nail Plates
h min.Drain Size
Machine Drain 2 inch min.
Air Supply-Test
Drain and.Vents ;
5 PSI or 10 feet above-highest
connection forl"15 minutes
Cleanout every 100.feet 1 change of direction
Water Supply Piping
Cooper Commercial
Cooper,CPVC Pex One and Two-Famil
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation .
If required unheated spaces
-Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
L:\SueHg-oingway\Buiiding.Codes.tnspection.FQRMS\Rough Plumbing Insulation Report.doe November l7,2003
1
—
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date,Inspection request received: Ap
Queensbury Building&Code Enforcement Arrive: arnZ� Depart: am/pr6
742 Bay Road,Queensbury,NY 1.2804 Inspector's Initials:
NAME: PERMIT#: - 7o7
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: t
Framing Y N N/A 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 3 6 in. or more
Headroom 6 ft. 8 in.
Notches/Holes 1 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
-----------
-te'e ands v�§hield 24 inches from wall AT C-- �jz
(I Ifu
Fire separation 1,2,3 hour
Fire wall 2, 3,4 hour 9��o C,
Firestopping
Penetration scaled
16 inch insulation in cavity min,
Garage Fire Separation
House side Yz 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 grade
L:\Suctlemingway\Building.Codes.Insp,,ti,,,FORMS\F,ami,gFi.stopping inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm , Depart: LLpm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: -br----
NAME: PERMIT# 717: i
LOCATION: INSPECT ON: /I &-Z
TYPE OF STRUC
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
,y6loting 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:1SueHemingway\Building.Codes.Inspection.FORMS\Founda6on Inspection Report.doc January 28,2003
(1Y
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: a �epart: pm
�pj
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
67
NAME: PERMIT#- c2M 3- 7
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; lacement
of the concrete. V
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
�7acilj�Aroval
- -------------------
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior 1 Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:NSueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request ve Zd V/0,3
request ve�
Queensbury Building&Code Enforcement Arrive: LtyL) a pa a mem
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial f. ,
c2 7 NAME: ERMIT#: c2 M 1_5 76__7
LOCATION: la INSPECT ON: /0 6 5e�bo—3
TYPE OF STRUCTURE:
Comments
Y N N/A_
Footings")
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation 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:\SucHemingway\Building.Codes.Inspection.FORMS\Foundation inspection Reportdoc, January 28,2003
Project Name: Ile- s BP# 5Z &D —7d 7
Address: 5,< /.Q e,4W-e-'
Building Permit Submission
Siq&fandy dm&T
Tu q-fan dy d&&g
Checklist
All items below must be checked either yes,no or not applicable prior to submission of any building
permit to the Town of Queensbury 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 ................ ........ ........ no 0 n/a
2. Energy Form or Check date Energy Code ConTliance Forms Complete yes 0 no F1 n/a
3. Energy Code Inspectors Report from Checkhdate Program..... ...... ..... 'J2 s 0 no 0 n/a
4. Septic application completely filled out(if applicable)... ...... ............... (:1 yes 0 no
5. Solid Fuel Burning or Gas Appliance Form........................ ...... .......� Ono On/a
6. Electrical Inspection Form...... ......... ........................ ..................DYQ Flno Fln/a
7. Two(2) complete sets of structural drawings........... ......... ............ ....nw,&- 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,......... ... Ono On/a
location of well or water fines,location of septic system or sewer line.
9. Setbacks from property lines to new structure...................... EJ3';'-s nno, Fln/a
10. Setbacks to neighboring wells and septic systems,including onsite well Yes Ono On/a
and septic systems(if applicable)
11. DrivewayPermit....... ... ...... ... ......... ....... .......... ...... . . ...... ...... �' Ono On/a
Date:
Staff Initial:
L-\SueI-leninivmy\Bading.Pennit.FOFIZ\Generic Checklt.doc
: - 707
Check Residential Plan Review: One +&Two Family Dwellings
V/N/N/A
2)Full sets of plans
Over 1,500 sq. ft.—Stamped
Design Loads On Plans: 90 Wind Floor Loads 40 psf
70 Ground Snow Load Sleeping Areas and Attics 30 psf
Calculations:
Window Schedule With Glass Size ;l
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
esidential Check Paperwork Compliance and Inspectors Checklist: OK
ampproofing/Waterproofing Materials On Plans
F undation Drainage On Plans,if required
b"Drop in 10' Exterior Grade
t Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where
e uired
ce 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" Story
Vj 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
arage Floor Sloped
ttic Access
oof over 30"—22"x 30"I 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
Permit Number-
REScheck Compliance Certificate. ehecked.By/Date
New,.York State Energy Conservation Construction Code
--REScheckSoftware Version 3.5.Release Jc
Data filename:F:\SHARE\Design\Eriergy Calc\WAVERLYPLACE\12 Chelsea.cck
TITLE:WP 322 Woodruff
Ec ; 1
COUNTY:Warren AUG 2flfl3
STATE:New York
HDD:7635 'i-Ovviv uj-QUEENS31MY
CONSTRUCTION TYPE:Detached 1,or 2 Family . llf +'
•i . DOD `
HEATING TYPE:Non-Electric
DATE:08/22/03
DATE OF PLANS:August 22,2003
PROJECT INFORMATION:
12'Chelsea Place-
Waverly Place
Queensbury;N.Y. 12804
1.
COMPANY INFORMATION: . �Il 3� 3
The Michaels Grop
c�
10 Blacksmith Dr. <�'� Cts ry£;�'''{�`�l'
Malta,NY 12020 ��; •gtfl
NOTES: {
Silverline 2900 windows
COMPLIANCE:Passes
Maximum UA=414
Your Home UA=380
8.2%Better Than Code(UA)
Gross Glazing Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Raised or Energy Truss 1422 30.0 0.0 46
opt.Mbr bay ceiling:Raised or Energy Truss 17• 30.0 0.0 1
opt.Mbr bay wall:Wood Frame, 16".o.c. 18 19.0 0.0 1
opt.Brkfst bay ceiling:Raised or Energy Truss . 19 30.0 0.0 1
opt.Brkfst bay wall:Wood Frame, 16"o.c. 15 19.0 0.0 1
1st fl walls:Wood Frame, 16"o.c. 1534 19.0 0.0 76
2x opt Mbr(AG):Vinyl Frame,Double Pane with'Low-E 25 0.400 10
1x opt.Mbr(AF):Vinyl Frame,Double Pane with Law-E 32 0.400 13
Ix Bed#2(AF):Vinyl.Frame,Double Pane with Low-E 32 0.400 13.
Living`#17:Glass 54 0.350 19
Ix Living(D): Vinyl Frame,Double Pane with Low-E 9 0.400 4
lx opt.Living(D):VinylFrame,Double Pane with'Low-E 9 0.400 .4
T
' 2x Diningy(N):Vinyl Frame,Double Pane with Low-E 12 0.400 5
Ix opt.Brkfst(L):Vinyl Frame,Double Pane with Low-E 30 0.400 12
2x opt.Brkfst(K):Vinyl Frame,Double Pane with Low-E 21 0.400 8
Foyer#1A:Solid 29 0.350 10 '
Laundry#20:Solid 19 0.240 5
2nd flo6r walls:Wood Frame, 16"o.c. 784 , 19.0 0.0 .45
lx Foyer(G): Vinyl Frame,Double Pane with Low-E 5 0.400 2
lx Loft(AF):Vinyl Frame,-Double Pane with Law-E: 32 0.400 13
Basement Wall 1:Solid Concrete or Masonry 1295 . 0,0 11.0 . 84
Wall height:7.6'
Depth below grade: 6.6'
Insulation depth:6.0'
3x Bsmnt windows:Wood Frame,Double Pane with Low-E 5 0.520 3
Bsmnt opt.Mbr.bay wall:Solid Concrete or Masonry: 13 0.0 11.0 1
Wall height:7.6'
Depth below grade: 6.6'
Insulation depth:6.0'
Bsmnt opt,Brkfst bay wall:Solid Concrete or Masonry 13 0.0 11.0 1
Wall height:7.6'
Depth below grade:6.6'
Insulation depth:6.0'
Bsmnt opt.Living fireplace:Solid Concrete or Masonry 31 0.0 11.0 2
-Wall height:7.6'
Depth below grade: 6.6' -
Insulation depth:6.0'
Furnace 1:Forced Hot Air,80 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,�
specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the
New York State Ener&attting
ion Construction Code requirements. When a Registered Design Professional has stamped and
signed this page,theythat t e est of his/her knowledge,belief,and professional judgment,such plans or
specifications are in c ode.
Builder/Designer Date
T• -
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release I
DATE:08/22/03
TITLE:WP 322 Woodruff,
Bldg.
Dept.
Use
Ceilings:
[ ] I. Ceiling 1:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve full height over the plate lines of exterior walls.
[ ] 2. - opt.Mbr bay ceiling:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must'achieve full height over the plate lines of exterior walls.
[ ] 3. opt.Brkfst bay ceiling:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve full height over the plate lines of exterior wails.
I - •
Above-Grade Walls:
[ ] I. opt.Mbr bay wall:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
[ ] 2. opt.Brkfst bay wall:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
[ ] 3. Ist fl walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
[ ] ( 4. 2nd floor walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Basement Walls:
[ ] 1. Basement Wall 1:Solid Concrete or Masonry,7.6' ht/6.6'bg/6.0' insul,
R-11.0 continuous insulation
Comments:
Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
[ ] 2. Bsmnt opt.Mbr.bay wall:Solid Concrete or Masonry,7.6' ht16.6'bg/6.0' insul,
R-11.0 continuous insulation
3 Comments:
Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
[ ] 3. Bsmnt opt.Brkfst bay wall:Solid Concrete or Masonry,7.6'ht/6.6'bg/6.0'insul,
R-11.0 continuous insulation
Comments:
f Exterior insulation must have a rigid,opaque,weather-resistant protective covering that-
( covers the exposed(above-grade)insulation and extends at least,6 in.below grade.
[ ] 4. Bsmnt opt.Living fireplace:Solid Concrete or Masonry,7.6'ht/6.6' bg/6.0' insul,
R-11.0 continuous insulation
Comments:
Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
covers the exposed(above grade)insulation and extends at least 6 in.below grade.
Windows:
[ ] 1. 2x opt.Mbr(AG):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe,features:
a'
#Panes Frame.Type J Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 2. lx opt.Mbr(AF):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ J No
Comments:
[ ] 3. lx Bed#2(AF):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes.Frame Type Thermal Break?[ j Yes[ ]No
Comments:
C ] 4. lx Living(b):Vinyl Frame,Double Pana with Low-B,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ j Yes [ J No
Comments:
[ ] 5. lx opt.Living(D):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,,describe features:
#Panes Frame Type Thermal Break?[ J Yes,[ J No
- Comments:
[ ] 6.' 2x Dining(N):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type 'Thermal Break?[ ]Yes [ ]No
Comments:
[. ] 7. lx opt.Brkfst(L):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors;describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 8. 2x opt.Brkfst(K):Vinyl Frame;Double Pane with Law-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[• j No
Comments:
[ ] 9. lx Foyer(G):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features:
#Panes . Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ 3 10. lx Loft(AF):Vinyl Frame,Double Pane with Low-E,U-factor:0.400
For windows without labeled U-factors,describe features: -
#Panes Frame Type Thermal Break?[ J Yes[ ]No
Comments:
[ ] 11. 3x Bsmnt windows:Wood Frame,Double Pane with Low-E,U-factor:0.520
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
Doors:
[ ] 1. Living#17:GIass,U-factor:0.350
Comments:
[ J 2. Foyer#IA:Solid,U-factor:0.350
Comments:
[ ] 3. Laundry#20:Solid,U-factor:0.240
Comments:
Heating and Cooling Equipment:
[ ] 1. Furnace 1:Forced Hot Air,80 AFUE or higher
Make and Model Number
Air Leakage:
[ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
' ( with a 0.5 clearance from combustible materials.If non-IC rated,the fixture must be installed with a
3"clearance from insulation.
Vapor Retarder:
[ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification: .
[ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] Materials:and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
] v Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
[ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] Return ducts in unconditioned attics or outside the building must be insulated to.R-6.
[ ] Supply ducts in unconditioned spaces must be insulated to R-11.
[ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
Insulation is not required on return ducts in basements.
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).
[ ] Ducts shall'be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ] Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] Air filters are required in the return air system.
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
Electric Systems:
[ ] Separate electric meters are required for each dwelling unit.
Fireplaces:
[ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction
provisions of the Building Code of New York State ,the Residential Code of New York State or
the New York City Building Code ,as applicable.
Service Water Heating:
[ T Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat-trap or is part of a circulating system.
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the-levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool_pumps require a time clock.
Heating and Cooling Piping Insulation: .
[ ] HVAC piping conveying fluids above 105 OF or chilled fluids below 55 OF must be insulated to the
levels in Table 2.
J .J
Y -
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 1" 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 L0.
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp.- Insulation Thickness in Inches by Pipe Sizes
Piping System'Types Range(F) 2".Runouts 1"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 120-206 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)
MAP REFERENCE:
WAVERLY PLACE SUBDIVISION
DATED AUGUST 24, 2ODO
LAST REVISED JANUARY 19, 2001
BY VAN DUSEN + STEVES
LAND 5URVEYOR5. LLC
MAGNETIC AS r4"
AM00onInIII c
707
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9
9,949 sq. ft. --__ 10
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TiL-ITIE ,�O•� \
I HEREBY CERTIFY THAT THIS MAP WA5 PREPARED
FROM AN ACTUAL FIELD SURVEY.
\ THI5 CERTIFICATION SHALL RUN ONLY TO THE PER5ON5
/ _ \ FOR WHOM THE 5URVEY WA5 PREPARED. AND ON THEIR
BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY
/ \ AND LENDING INSTITUTION L15TED HEREON.
CERTIFICATION5 ARE NOT TRAN51FERABLE TO ADDITIONAL
IN5TITUTION5 OR 5UB5EQUENT OWNERS.
D us e-n
8c
S -teve S
Land Surveyors
169 Haviland Road Queensbury, New York 12804
(518) 792-8474 New York Lie. No. 50135
','NAUTH0R1ZCD A_TERATION OR ADDITION TO A SURVE*
MAP BEAR;- A U::EN_LD SAND SURVEYORS SEAL 1� A
'/IiaAfION OF SEA-LGN �209, SIJB-bl'JISIOFI 2, OF THE
RE:N (ORk STATE EDV-ATION LAW."
"ONLY CuP1E5 NRGM Mr On G;NAL OF TY,5 SUkVEf
NV+W:f_D wIm AI. OILGNAL Of TnC i ANV 9DRV['rOR9
SEAL SHALL BE CONSIDERED TO BE VAJD TRUE-OPIES"
ERT&ICAnONS INDICATED HEREON SIGNIFY THAT
'THIS SURVEY WAS PREPARED IN ACCORDANCE MRI THE
EXISTING DOGE OF PRAC110E FOR LAND 5,,RVEYOr?S ADOPTED
B'T1I' NCW' .Rn `.•IATF. 0. �F PRTSS CNAL
SURVEYLRS. SAII: CERTFICAION5 SH'LL RUN 01 L'I
If, THE PERSON FOR WH M TIE SUPE' PREFARED. AND
?N 1'5 BEHALF TU TnF TITLE COMPA6i, GOVERNMENTAL
AGE
AND LENDING INST,TUITION LISTED HEREON, AND
T , THE A551GNEP5 OF TnE LLN Di I.G ND'I M,ON'
BLS
Map of a Survey made for
JANET LIEOU
Town of Queensbury, Warren County, New York
CERTIFIED TO, JANET LIEOU
CITIMORTGAGE. INC.. IT'5 5UCCE55OR5 AND/OR A55IGN5
CHICAGO TITLE INSURANCE COMPANY
CERTIFIED BYE RECEIVE®
----------------------------
MATTHEW C. 5TEVE5, LLS NY5 50135
DATEDs FEBRUARY 4. 2 4641 1 MAR Z 2004
C1F� TOWN OF ciEEiVSBURY
d BUILDING AND_ CODE
r� Q
Date. FEBRUARY 4, 2004
Scale 1"=30'
S --1
SHEET 1 OF 1
1 3-1G-04 FINAL UPDATE
MORRISSEY
NO. DA TE DESCRIPTION DWG. NO. 99312-10
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ON HIS SENALF 10 THE MILE COMPANY. OOVEitl1AWU
TO IK AID LENDING MNE LKINDM IONS 0W AND
ro TEE AssaNEEs a THE LENaND wamunaN.•
Town of Queensbury, Warren County, New York
�
York Lie. No. 50135