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2003-756 TOWN OF'QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518).761-8201 ,Community Development.-Building&Codes (518)761-8256 CERT.IFICATE.,DFOCCUPA Nc Ferrnit N a _.. umber; K: P2.0030756._ ..r..Date Issued; esday, September 21;.=2�OQ4- r w Thisi'stamcerafy that work requested to.beydoneasshownFbyJPermit Number..., PQ0']. 6 _ �.. , - has been completed.:_ Tax Map Number;... w �s23aa0-290-006-0001-0�20-000.0000 Location; 13 STONEHURST Dr Owner; w BRENT&CHERYL HIJMPHREY Applicant; 'BRENT&CHERYL HUMPHREY This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Residential Addition Director of Building 8c 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: P20030756 Application Number: A20030756 Tax Map No: 523400-290-066-0001-020-000-0000 Permission is hereby granted to: RRFNT& CHFRYT,UTTMPHRF`Y For property located at: 13 STONEHURST Dr 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: BRENT &CHERYL HUMPHREY 13 STONEHITRST Dr Residential Addition $13,425.00 Total Value $13;425.00 QUEENSBURY, NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency DEL-MAR CONSTRUCTION 792-4368 NY 12804-0000 Plans&Specifications 2003-756 RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, September 24, 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 f QueeIW; W dnesday, September 24, 2003 SIGNED BY for the Town of Queensbury. Director of Building&Co e Enforcement ,F yi Building Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No. 0 -7 5 No inspection will be made until applicant has received a Fee Paidr--=� CiC'� valid building permit. All applicants' spaces on this Ree.Fee Paid $- application must be completed and must appear on the application form. Reviewed By-." -" Applicant:`17 ct y P p (^ 'gk t�2 Owner:= a-e.OX- 61,rq Address: �&6- Aed. Address: r. cuLe.��t•�v s� s�K Form'r'r,/u•, �r Al J lzrz-A- ' 09",e P - s�,,� .v J. Phone# ) - tQg- Phone#(.�)-fir.,- Property Location: Lot Number: 2 0 / House Number Subdivision Name: S J Q&I e_� .,r Tax Map Number: 0 New Building: residence /commercial 'Estimated Market Value of Construction:$ ya Addition: residence/ commercial 0 Alteration: residence/ commercial If an Addition,what will use of new addition be? J . . 0 No change to exterior size: residence/com'1 [?o a m a Other work(describe Cheek I Oecupaneylnformation V Floor 2" Floor Other floor Total Below sq.ft. sq.ft, sq.ft. Square Feet Single family dwellin o Two family dwelling ` 0 Townhouse o Multifamily dwelling #of units 0 Office e Mercantile 0 Manufacturin 0 I car detached garage 0 2 car detached garage 0 3 car detached garage 0 1 car attached garage 0 2 car attached garage 0 3 car attached garage 0 Storage building- commercial 0 Storage building- residential 0 other What is the proposed height of the structure 5 feet _, z inches Will any second-hand or ungraded lumber be used? If so,.for what? Type of Heating System: electric/ oil / gas/wood forced hot air baseboard/other: Number of F-rw1aces to be installed. Number of Woodsroves to be installed ill' List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Ix Builder X l Plumber zy_� &� �---- 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,are a true and complete statement of all proposed work to be done on the described premises and that all Provisions of the Building Code,the Zoning.Ordinance and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director afBuilding and Codes,an As Bu location of all newnstru tltll S{_u�veY by a Iiconsed surveyor;drawn to scale,showing actual etion Signature: owner,,owner's agent,architect, ontractc Firc Marshal's Office Town of*Queensbury,742 Bay Road,Queen-sbury,,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid,fuel & vented gas appliances Date 20 e- Permit No. 71 Application is hereby made to the Building&Codes Office for the issuance of a Building and Use Permit pursuant to the New York State hire Prevention and Building Code. The applicant'orowner agrees to coniply with all applicable laws, ordinances, regulations, 'and all conditions that are,part of these requirements and also will allow all inspectors to enter premises to perform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) N,atne: ±LW �7 kkT Vk i:j V Stove: wood coal pellet gas Fireplace insert Address i i, 1—h,,t c:, j_t i— 3I (i. L-o-Fireplace, factory-built: wood %, gs), Fireplace, masonry: wood gas Furnace- wood gas oil Phone: Q If non-masonary applicance, please provide Manufacturer'Name: Owner: !,�N( U ('k1�'-,,C-\((­ Model Number. Address: Chimney Information , Phone: (circle a�' propriate words) :Masonry blocV,111"brick stone Flue the steel,,,, size: inches < Exact Address: J _i V-) v r, of collstrudlon or installation Factory-Built Manufacturer name: Model Number: Note: Lusted By: Number: Construction I Installation must corgi f grin to NYC'Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections.. Double wall / Triple wall Insulated irect veining Chimney Liner $Re tended )?eccivedfi-on i (refiaided to J Fire Marsh'al Code $Co'llected address. A 173 3389 (190) Public Safety C_1__) A 233 2655 (230)Minor Stiles DA ME: White(Applicant) Green(Fire Marshal) J Yellow(Bldg. Dept.) J Pink&Goldenrod(Cashier's Dept.) ENERGY 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-Family Dwellings(3 Stories or less) , Part 4*-Design by Component Performance,Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT'S NAME: PROPERTY.LOCATION: BRE HU Pry PN Eli Y 13 5 - .S-r DR%VE- PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1, Gross Floor Area.- 53a square feet 2. Type of heat- Electric oil--X Gas Other 3. Is building mechanically cooled?--X—Yes No 4. Percentage of area of windows and doors Over 17% X Under 17% 5. R-VALUES FOR MULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS, SHOWN ON PLANS SUBMITTED. a: Roof R b. Exterior walls R /7 C. Glazed areas k-—R- d. Exterior doors R R-3 e. Floors over unheated spaces f Edge of slab on grade(heated building) R 9- Basement/cellar walls(above grade) R h. Basement/cellar walls(below grade) i. Heating/cooling ducts-piping in unheated space R S. Ce-#b^"1 R 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code yes No NA TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED ApAcant7s S.gnatr Date Phone Number -7 f INSPECTOR'S REMARKS: Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: a Dep ; ^ a pm Date Inspection request received: Inspector's Initi s: NAME: �3-15�) LOCATION: ATE: --X —0 TYPE OF STRUCTURE: r3 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 fete Guard 30 in. or more @ stairs,decks, atios 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/'/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 . 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:1PamW\Building&Codes\Inspection Forms\Res.Final Insp.form 2,docLast printed 2/12/04 COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. Main Office 176 Doe Run Road - Manheim, PA 17545 MUNICIPAL CERTIFICATE a ELECTRICAL APPROVAL Pem'tNot Cut-in Card No.i4it14144ifii#iiif#iff#r44i1N#44iii iitt#iutiNN#f fiH/Nl4f1l4fi1i4N#f#iNNNit444#ilffff# MI fit 0faiittHlaNflNi44tNtl#Eufa#aNttHtitit/uNffifffliNlNii1 1 ai moo ST6 Location,W, jrY u#i#441i44Hififf#f#ff#rttii#i f##f#fifrif444ii#N#flffirr# iN#i#f##f44rft44t##ii#Hf#ii4gi4iti#tiff#tiff#ii/44r#4f#rf#r fit 14NIN#rrf#• Installation &Oil Consisting �+'�fiifffNN NftNi4ti#Nu#atiiiNt #E frl►♦liiillt#Nfffiiigfitti #11EfffNrNft#itiit4NNf#fN#t iNNINr#fff•#fNffNfttNli tl4iti4Nr#fNfa i ##tfttilNuf afqt4NNaiNrN4NtittNtfffrffu••Nl14tIf1##### iti4414trf4tuifitf#arf11r4rurNfff4lultHrffffNNiaatHii•#aflfNNfiii itftlgl i f N##fffNiffrriiiNN/f!f if ff••i!#tli/llfufffffaa'illiNiiN(jlNNff#NlNt1!!#fNN#u#i#4l4#tf#fff iNIH/f11111lfllrufff#Ef�HtlNffff igfuuaffff#tNffff ifflNlfiN#H4N installed ++yNEN4NIN#Nfrf.#fNirfi # Ihtlf NfNirialrtNN Nf#•#iti 44ltiii!lfflff EEi111Nrr Lie, Not rffrNi�au�iiNiltf4tlfffffffNNfiNftlli#lift# The conditions following governed the issuance of this certificate, and any certificate previously issued is cancelled; - This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations, application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making ' s ections at an time, and if its p � � y rules are violated, the Company shad have the right to tov a thi c sate, if1I1TL fL- 7, at lt.Nf##ffflNN#la1#rNf##f ElfiE#Nr4lalNfr#f INSPECTOR ri Ni##N444i NrN#N iiitiiii#Irri##f##fii4it##iff4iffuf#iii i441141rf!#Nf ur#fiif 441141i# Member NARA,,LALtt Zosidential Final inspection Office No. (518)751-825 - , ectionPATE: �! O Queensbury Building&Code Enforcement Arrive:e" rt: j 742 Bay Rd,, Queensbury,NYC/12804 Inspector's liiitiiNAME:LOCATION: 3 11<li TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake �J 3 inch Plumb Vent through roofer 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 Railiri s 34 in.to 38 in. x Platform at all exterior doors ,1 Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. ,may Handrail Termination at Newell Post or Wall W, "" or wom 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 Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight - Safety glazing Window in stainvells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing Fixtures Foundation insulation ; Floor truss,draft stopping finished basement 1,000 sf 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 Final Electrical . Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C Cert. Of Compliance) Okay to issue Tem ora C/O Cert. Of Occupancy) ( ) _,- Okay to issue Permanent C/O(Cert. Of Occu anc L:LSueHemitigwaylBuilding.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 Town of Queenabury Firs �4ars6�s0's Office 742 Bay Road 0, ��_ Quae.sbury, NY 12804 LPhone761-8205 Fax(51€3) 745-4437 Fire Marshal's Inspection Report Request SCHEDUL.E Received: Permit#� (� INSPECTION ON: Name: A ANYTIME Location: J-� nAnDLIL� APPROV __ -- N rA YES No C®MMENT s EXITS - AISLE WIDTHS EXIT SIGNS-NORMAL BATTERY EMERGENCY LIGHTING t XTINGUISHERSALARM SYSTEMSPRINKLER SYSTEM SUPPRESSION SYSTEM INSTALLATION RIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL. REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN _ CHIMNEY MASONRY ROUGH IN FINAL CHIMMNEY _ ._._ FACTORY BUILT ROUGH IN FINAL. wG4O[) STOVE' ROUGH IN _ FINAL VENTEL9 GAS APPLIANCE ROUGH IN FINAL MASONRY ROUGH IN ' OK TMI bC FC� CO NOT OK f FIREPLACE - -- -, FACTORY BUILT ROUGH I SP DBY _ •INAL COMDEVICHRI rjNvoRDILETrERS2009/F.IRE SHALINSPECTIONREPOE3 1022001 WHITE-BUILDING DEPARTMENT COPY i YELLOW-OCCUPANT COPY I �- Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 Fore Marshal's Inspection report Request �~� SCHEDULE Received: /2 v L} Permit C/ INSPEO'�ION ON: _ �Z_:�''�5�I7..-.--...-- Name: __ � AID —PM—ANYTIME Location: /3 nc��f�i I �. APPROVED N 1A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS 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' ROUGH IN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK THIS ® F O OT OK FINAL . FIREPLACE FACTORY BUILT ROUGH IN � INSPECT FINAL E-T-1 v COIV1bE022001 V/CtIItISiAVOtID/LETTERS20OI/FlltEMARSHALINSPECTIONREPO YELLOW-OCCUPANT COPY WHITE—BUILDING DEPAITI MENT COPY Rough Plumbing / Insulation Inspection Report Office No, (518)761-8256 Date Inspection request received-, Queensbury Building&Code Enforcement Arrive: m/f Tpart' an-dpm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: S INSPECT ON: /19zzA(Zz) TYPE OF STRUCTURE: N N/A PVC: R-1,R-2,R-3,R-4 Drain Vents Cast Iron,Copper Drain/Vent Comm. Plumbing Vent t Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Dfain and Vents 5 PSI or 10 ft. above highest ,Connection for 15 minutes W# a r 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 r6quired unheated spaces Combustion Air Supply for Furnace 'Duct Work Sealed Properly CONMENTS: -L:\Sueliemingway\Building.Codes.Inspection.FORM S\Rough Plumbing Insulation Report.doe January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: ni/ pn� W:,_'I am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: INSPECT ON: LOCATION: TYPE OF STRUCTURE: ,, N N/A PVC: R-1,R-2,R-3,R-4 Drain t Vents Cast Iron,Copper Drain/Vent Comm. Plumbing Vent Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Dfain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping opper Commercial opper,CPVC,Pex One &Two Family sulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: L:\SucHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Framing /Firestopping Inspection Report tl C Office No. (518)761-8256 Date Inspection req received-21 11 Queensbury Building&Code Enforcement Arrive: D an n 742 Bay Road,Queensbury,NY 1.2804 Inspector's Ini NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: 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 36 in. or more Headroom 6 ft. 8 in.- Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate I V2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1,2, 3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side Vz 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:\Suellemingway\Building.Codes.Inspection.FORMS\rramingFirestopping Inspection Report.doc January 28,2003 Framing /Firestopping Insp'ection Report Office No. (518)761-8256 Date Inspection req t received: Queensbury Building&Code Enforcement Arrive: _a p 6 art:VAj[�a 742 Bay Road,Queensbury,NY 1.2804 Inspector's Initial,- NAME: 'Au PERMIT#: 0, 3-7, LOCATION: -2 INSPECT ON: — j77 TYPE OF STRUCTURE: Y N N/A COMMENTS ��rannng Jack Studs Headers Bracing Bridging Joist hangers L2 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 raft stopping 1,000 sq. ft, floor trusses /Anchor Baits 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 Y2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilin&all Windows Habitable Space/Bedrooms 24 in.(H) 20 in. (W) 5.7'sf above below grade 5.0 sf grade L:\SueHeming%vay\Building.Codes.Inspection.FORMS\FramingFirestopping Inspection Report.doc January 28,2003 Foundation Inspection Report Office No, (518)761-8256 Date Inspection request received: 4iii Queensbury Building&Code Enforcement Arrive: am/ Depart. 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials. 5r7 NAME: PERMIT#- n � LOCATION: ;:z -7/y n-e INSPECT ON: -1/ TYPE OF STRUCT Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Darapproofing/Waterproofing Footing Drain Daylight or Sump. Footing Drain Stone: 12 inch width 6 i s above footing nelpoly for wet areas under slab ?-Sckfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation,Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHeniingway\Building,Codes.Inspection,FORMS\Foundation inspection Reportdoc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection requ re e' Queensbury Building&Code Enforcement Arrive: a Depart: a pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial NAME: P IT#: LOCATION: INSPECT ON: 'j TYPE OF STRUTZ".71FURE, 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 Shy Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/ t/Copper F Indation Insulation Interior/Exterior , V/ Rough Grade 6 inch drop within 10 ft. L:\SueHen-dngway\Building.Codes.hispectioii.FORMS\Foundation Inspection Reportdoc January 28,2003 -T%uj�) V Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depar m/pm 742 Bay Rd.,Queensbuiy,NY 12804 Inspector's Initials: NAME: Y:)IC- PERMIT#: Q'Q o LOCATION: INSPECT ON: TYPE OF STRUCTURE: -e_. , Comments Y N N/A >at6gs Piers Monolithic Slab Reinforcement in Place 2 i The contractor is responsible fob t providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallp our Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump. Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\,SueHemingway\BuiIding.Codes.Inspection.FORMs\Foundadon Inspection ReporLdoc January 28,2003 Project Name:. 13UINT 1-IV—MPt4a!R Y BP# Address: t3 Sf-bAFSWORST DRI v r-- Building Pern-fit Submission Checklist Multiple Dwelling Commercial Projects 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 Ono On/a. 2. Energy Form or CheckMate Energy Code Compliance Forms Complete... Myes Ono Fln/a (submit 2 copies) 3. Energy Code Inspector's Report from(leckmate Program............... [:]yes Ono Dn/a (submit 2 copies) 4. Septic application completely filled out(if applicable)...........NA ... Dyes E]no nn./a 5. Electrical Inspection Form.................. ................................ Myes [-]no Dn/a 6. Two(2)sets.of plans showing the following:............... ............... .. ... Wyes no nn/a 6a. Floor plan(s)........................... ................................. Wyes []no nn/a 6b. Foundation plan....................................... ....................JMyes []no On/a 6c. Gross section(s)..................... ........................................CK]yes []no Dn/a 6d. Elevations.......................................................... VJyes E]no Dn/a 6e. Design loads including floor,snow load,and wind load... ... Wyes []no [-]n/a 6L Seismic design(required after jan. 1,2003)........................... 91yes Ono Fln/a 6g. Plans signed byregistered architect or engineer,signed Oyes ©no Dn/a and sealed by a registered architect or engineer 61L Window and door schedule.................................... Elyes Ono Dn/a 7. Two(2)site plans showing location of the structure to be built,... ...... Myes Flno (Jn/a location of well or water lines,location of septic system or sewer line with all setbacks and separation distances shown,and all improvements to the property. 8. Solid Fuel Burning or Gas Appliance Form,(if a Dyes ®no Dn/a 9. DrivewayPermit....................................... ................. Dyes (@no []n/a ce Date: Staff Initial: L.\Suclienmigvay\Building.Pemlit.FOM\GL'acLic Check6t.doc Jammy28,2003 z � 45�"w n-'-- /3 k Permit Number SE P24 2003 TOWN OF QUEEN REScheck Compliance Certificate BUILDING AND CODSBUE Y Checked By/Date 1995 MEC REScheckSoftware Version 3.5 Release lb Data filename:Untitled.rck TITLE,�Brent-wHi mpl e CITY:Glens Falls STATE:New York HDD:7635 CONSTRUCTION TYPE: Single Family DATE:09/23/03 COMPLIANCE:Passes Maximum UA=88 Your Home UA=69 21.6%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 330 38.0 0.0 10 Wall 1:Wood Frame, 16"o.c. 136 19.0 0.0 8 Wall 2:Wood Frame, 16"o.c. 126 19.0 0.0 8 Wall 3:Wood Frame, 16"o.c. 136 19.0 0.0 8 Wall 4:Wood Frame, 16"o.c. 160 19.0 0.0 7 Window 1:Vinyl Frame:Double Pane with Low E 36 0.330 12 Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 330 19.0 0.0 16 Furnace 1:Forced Hot Air,78 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 1995 MEC requirements in REScheckVersion 3.5 Release lb (formerly MECchec))and to comply with the mandatory requirements listed in the RESchecklnspecti ecklist. Builder/Designer Date ?AZAA REScheck Inspection Checklist 1995 MEC RES checkSoftware Version 3.5 Release lb DATE:09/23/03 TITLE:Brent Humphrey Bldg. Dept Use Ceilings: 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: 2. Wall 2:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: 3, Wall 3:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: 4. Wall 4:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Windows: 1. Window 1:Vinyl Frarne:Double Pane with Low-E,U-factor:0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?I I Yes No Comments: Floors: 1. Floor 1: All-Wood foist/Truss-.Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: 1. Furnace 1:Forced Hot Air,78 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.N 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 identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: Ducts in unconditioned spaces must be insulated to R-5. " I Ducts outside the building must be insulated to R-8.0. Duct Construction: [ ] I All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. Duct tape is not permitted. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120 T or chilled fluids below 55 OF 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(F) up to I of Up to 1.251- 1.511 to 2.011 Over 211 170-180 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 RVA C Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Rang (F) -2"Runouts 1"and Less 1.25"to 2" 2.511 to 411 Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) Job Site Address: 1 �,�2 �i c���. ����� Date: Owner: L`j�� Application No, pile No. WINDOW SCHEDULE hu a. 'v � "a,ri4c { " P; AICt+pnS, " !J"fifi..r ;.'. �5,�. Window Window Mfg, Window Unit or �$ T S "]1' S �;$ , x Qt Q Clear Gear Special Hardware or Number or Name Model. Stock b`asn '�` ' ��` ' °� esstCle ll `� 1 ' lass7stb' t $ p� Qmng t�e�ntn 'eight instructions f Oil ri , S p iq� t= i wthd>.tl�^4 q e t t f Letter on Or Type Numberid �l afglt�" `1 ref plan Call Size 'rrf l� hry q L 11L 12 .-THIS LINEHAS EXAMPLES OF SAMPLE ENTRIES erSYN° bf"h4'��+ !'empered Glazing L;iSueHemingwaylBuilding.PermiLFORMS1Window Schedule.doc r Job Site Address: 1.3 sr'dly s r 4 R y s ; Our—, N s 8 Q lj YN Y Date; Owner; R R E%T Pl U m P g G L Application No, File No. Building Permit—Calculation Sheet Natural Light, Ventilation & Emergency Egress Requirements Habitable Area of , Req,Light Actual 6 Req,Vent Actual Sq.Ft, Remarks Room Room 8%of Room Light . 4%of Room Vent Opening for in Area Square fi Area Square j Egress Square Footage 1,,4Rl q g Footage . Feet es �A Il,r 330 'y � , I U N3 Is M1 i- i i u. � j L,ISueAemingwaylBuilding,PermiLFORMS\Nat,Light.Ventil,Calculak on,Sheetdoe Proposal ' CRAWFORD DOOR&WINDOW SALES Quaker Plaza 118 Quaker Road Queensbury,NY 12804 Phone;(518)793.7349 Fax;(S18)793.7385 Quick Quote Project Date 08/19/2003 No, Alternate No, 1145 Need Date OOIOOl00 Sales Rep,Name Prepared by Owner; 2 R 0ir 11,,,E Pt,4*% Payment Terms Bus,Phone:( - Bus.Phone, Architect Bus,Fax;{ ) - HomePhone; Cellular.( ) - Comments; item#1 .Qty;1 4 Panel Fall Sidelight 1,331.26 I;3n2' Location; A:1'0"x 618"Fixed-used with In-swing Entry Door Sidelight, RO;S'5.114" X 611011 Frame;13.112 X 81-112c Support Products,Clad,Full Lite,Model 2,Poplar [a] Wakoadc 6.9116" White RR0047),Primed Steel,l"Clear Temp IG Glazing,Anodized Sill WIOak Threshold,Fins(per design) B;310"x 618"Left Hinge In-swing Entry Door,Frame;37412 X$1.112: Support Products,Clad,4 Panel,Modell,Poplar White(PR0047),l"Clear Temp 10 Glazing,Primed Steel,Latch Bore with Deadbolt,2.314"Backset, Brasstone Zinc,Dichromate Hinge,Anodized Sill WIOak Threshold,Fins(per design) C,1'0"x 618"Fixed-used with Inswing Entry Door Sidelight, Frame,-13.112 X 81.112s Support Products,Clad,Full Lite,Model 2,Poplar White(PROO47),Primed Steel,l"Clear Temp 10 Glazing,Anodized Sill W1OakThreshold,Fins(per design) Notes; i THIS PROPOSAL WILL BE HONORED THIRTY(30)DAYS FROM THE ABOVE QUOTE DATE. CONTRACT CONDITIONS-(L) Purchaser should carefully check material against packing list upon arrival and'I±r MEDIATELY report shortga; Proposal•Page 1 t t i aB,per, 419380 v 9ce7 7 (RI07 CO prr •Ne A br.., "" r• O 9V