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2003-1015 TOWN NQUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 E C R'TIFICATE OF OCCUPANCV Permit Number: P20031015 Date Issued: Thursday,.May 06,2004 This is to certify that work rertuested to be.done as-shown.bl y Permit Number P20031015 has been completed, Tax Map Number: 523400-289-008-0001-079-002-0000 Location: 958 Bay Rd Owner: RONALD&SHIRLEY HARRIS Applicant: kLEY&BURKE CONSTRUCTION This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage-2 Cars Attached Single Family Dwelling Director of Building&Code Enforcement TOWN OF QUEENSBURY •1 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761=8256 BUILDING PERMIT Permit Number: P20031015 Application Number: A20031015 Tax Map No: 523400-289-008-0001-079-002-0000 Permission is hereby granted to: JELLEY&BURKE CONSTRUCTION For property located at: Bay Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: RONALD HARRIS Fireplace SHIRLEY HARRIS Garage-2 Cars Attached 962 BAY Rd Single Family Dwelling $225,000.00 QUEENSBURY,NY 12804-0000 Total Value $225,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency JELLEY&BURKE CONSTRUCTION 115 MOUNTAINVIEW Ln QUEENSBURY, NY 12804-0000 Plans&Specifications 2003-1015 Lot A House No 958 Bay Road This lot created from an approved 2-lot Administrative Subdivision (AD 3-2003): Construction of a 2,355 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE $339.10 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, January 07, 2005 (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 To of ensb .j ed January 07, 2004 SIGNED BY for the Town of Queensbury. v Na Director of Building&Code Enforcement Building Permit Application . Town of Queansbury—Dept of Community Development;742 Bay Road;Queerisbury;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. An applicants' spaces on this Rec.Fee Psi application must be completed and must appear on the Reviewed :t application form. Applicant: U Ci15trrIc&Cli Owner: � Address: Address: 4 Phone* }11C2.- Phone# � ;L�.� _ *, _Property Location. Lot Nuxtber ,/House Numbcr1 ;r Sub divisionName: Map Number: Z59,te= �. pa' New Building. residence commercial 'Estimated Market Value of Construction: $�a�`�` t(�j o Addition: commeria O Alteration: residence/ commercial If an Addition,what will use of new addition be?�,1 L . 0 No change to exterior size: residence/com'l a .Other work(doze dbe } Check Occupancy o n#on 1` Floor S° Rloor Otu,'r floor Total Below sq.ft. sq.ft sq.ft.- Square Feet Single aEJ#2 dwelling r 2_ a Two famil dwollin a Townhouse a Multifamily dwelling #of units a Office a - Mercantile a . Manufae Iniz a 1 oar detached ge a 2 car detached garage a 3 car detached garage a 1 car attached garage a 2 car attached garage a 3 car attached garage 0 Storage building- commerciaf o Storage building- resiaentzaI a - other What.is the proposed height of the structure feet hushes Will any second-baud or ungraded lumber be-used? If so,for what? Type of Keating System: electric/ oil 1 gas/wood /forced hot air/ baseboard other: Number of Eksytaces to be installed Number of Wpodstoves to be installed List below the persons)responsible far supervision.of work as regards to building codes: Name Address -- - -- -- --- _-�_---.- Suilder c .,fia►h tr'.;,,r L�,, Phone Number Plumber- tt- Maso12 - /I t ll Electrician I t I De-1 92 . please sign below after you have carefully read the ststomnnt To the best of mylmowledge 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#hat 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 Uwe shall - submit,prior to a-Certiflcato of Occupancy or Certificate of compliance being issued,as requested by the Zoning Administrator or Director ofBuiiding and Codes,w Signature: aaAs Bunt urvev by-a liecnsodsurveyo;;drawn to sealershowiag actual location of all Dons ltio ____ / ., owner,owner's agent,architect,contractor Application for Permit-.Septic Disposal system _.Town ofQueensbury742Bay ci e 2804 (S18)'761-82- 56 l: OWNER INFORMATrON: � '"� _ ".� - ..................N...._............._.......,,,........_...........:_.........................,..... ..:x. .. Location of installation: cc> Fjgy �-� Office Use 1Lt Tax Map NoZ File Permit No, 0 3-!v t 5� Owner's Name Fee Paid vt r`yr i Address: 1`> /Y? »t+at�ViC'i.✓ _.........................I.,............... .,,,,•,...........,...........,....».....................,.. All 2. ]NSTALLER'S NAME : 11)�J t ey 9,,,4 -C'_ Ce_L r, � —r" PHONE NO. �rv // 3. RESIDENCE INFOg.Mp,TION; (circle year of dwelling, indicate#bedroom(s) and multiply#of Bedrooms with applicable gallons per bedroom to equal total daily flow) s u e• of e x - o uta 'Dno it -1 1980 or older 1980—1991 x 150 gal/bdrm , 1991 -present — x 130 gal/bdrna = x 110 gal/bdrm = Garbage Grinder Installed ` " Spa or Hot Tub Installed yes yes;.._ / no 4: PARCEL,INFORMATION: (circle applicable information&indicate measurements) Too a oil afore Ground W ter j3e ock sand at what de th a ous at 1 D sti ater Rolling loam et at.what depth m riicipal Steep slope eldy --'=` feet %slope othertIGTT.tn�/�'„ A-�erecj if well;water supply depth: f from any septic-s stern absorption is Rate: Roo� Percolation Test: (To be completed by licensed professional engineer or architect)- other f --�---�_ minute per inch S• PROPOSED SYSTEM: For New Cans rn�tion: .Ail individual sewage disposal systems must be designed 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 VV i&Jpool Tub. s a licensed Septic Tank: r?5l! gallon(min.size 1,000 gal.) Tile Field: each trench Jr- f}•. Total System Length: Z Z CO Seepage Pit(s): number of size of each., -Z f —.A by Size, t Stone to be used: :# j depth or thicknessf�5�Bets System size: � � x r�� ! Alternative-System length and/or size 6• HOLDING TANK S'!'STEM: (if required) .. Number of tanks: _/ ,Size_of_each _- _ gallons-/TGTAL C_ apaoity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved ele.ctrical'inspection agency. 7• SIGNATUPE &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 regulations with respect to this application and agree to abide by these and all requirements of the TJCW.n of Que nsbury Sanitary sewage Disposal Ordinance. ignatura espa ` ible person Date • • • ' ' •'1•ctwtt•'tit t�ucctzt�tinti•y • sowera mul :3rtivi{J;� L);rtz�c{r:st2 C:luttsit•r ST-31A RA:i'ION Jtlr at.3 t ILI t1�It>I�I'1` ' POND • _ �"'�• \ ,�'u'• f N t*i'ai^�til:.t!{tt•1 t ,� ). Sl�ar�T,A:X'UR� 8�.7N��7R.3�+Z.1►TIS'"t"�TF4:2kC" `►4`�'t!A`aw`►'���-���av:.�:�ys,�►........'�:�' - - __--- �- ---- _ - w • Fire Marshal's Office Town of Queensbury,742 Bay:l26ad,Queettsbu's-y,NY; (518)761-8205 Application for Fuel Burning Appliances & Chimn'eys applicable to solid fuel &vented gas appliances t Date , 20 - Permit No. Application is hereby made to the Building&Codes Office for the issuance of a Building and Use Per snit pursuant to the New York State Fire Prevention and Building Code. Die applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that arc,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) Name: `- " -�'r!`? �'6�C` f0'q' Stove: wood coal pellet gas Fireplace insert Address: i nt)U fr l tE Vi e u«1 L. Fireplace, factory-built: wood gas Fireplace,masonry: wood gas -Furnace: wood ; gas3 oil Phone: If non-masonary applicance,please provide Owner: ao-I-e- Manufacturer Name: _�w } Address: 5 4t` � Model Number: l } Chimney Information circle appropriate Phone: ��� ( pPriate words p Masonry block brick stone Flue tile steel size; inches Exact Address: 'i of construction or installation Factory-Built Manufacturer nan7e: Model Number: Note.• Listed By: Number: Construction/Installation must con orrn to NYS Fire Prevention &Building Indicate(circle)chimney material: Code. Consult available Town of Queensbuo) --_- -.. Handouts regarding required inspections. Double wall / Triple,vall Insulated l :"Direct venting Chimney Liner C'a.�..�ex-'sr Depaz�tmeYs.t—Z'.cs�z�vaF'Quee�n�b�y, .2'�7"e�`�'or.X� Fire Marshal Code# $Collected x Re firndc�d Received fiorrr(refcurdcd tv):=5' � x �.` < ' .address: A 173 3389 (190) Public Safety -- A 233 2655 (230)Minor Sales DATE + t , � l l :s _ ($,� G t•-, � / `" -�, nR"^k, S �� Prt•d"�ttrt,�� 7gWtU �1�2L q2 �r.A31.t�✓), White(Applicant) / Green(Fire Marshal) 1 Yellow(Bldg. Dept) / Pink&Goldenrod(Cashier's Dept.) O Residential Final Inspection Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: an/pr ,' rt. m/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: P ERIMIT ff: LOCATION: DATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in.or more @'stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 irL or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom. Outside every bedroom area: Inter Connected: Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency epTess below grade Basement stairs closed rise>4 inches 'Khour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq, ft.-150 sq.ft.vents Building No./Address visible from road Final Electrical Site Plan Wariance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C/0(Cert. Of Occiipanc Okay to issue Permanent C/0(Cert. Of Occupan y) cy) L:\SueHeming�vay\Building.Codes.Inspectioii-FORMS\Res.Final Insp.form 2.doc edited January 28,2003 TonFri of Queensbury Fire Marshal 742'Bay Road Queensbury,NY 12804 761.8205/761-8206 fax 74455-•4437 Factory Built Gas Firenlace�/Stove Pnspection Retort Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacture ' instructions or specifications is allowed. 14;.SV�A Permit# 6�603-10 t 5 Schedule Inspection J Tune_ Or*--�Pxtime Insp Name Address ��` e7 ough `n Appliance Manufacturer Pr Model# Direct Vent�Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection C) vim \ Clearances to Combustibles (all sides) Firestop(s) vertical Chase — Wall Penetraation Vent Clearances to Combustibles Vent 1 Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension(if any) Mantel Height above flp opening f Witness Operation J "Tank Placement(if LP) WMte•-Btdiding Dept. Yetiow t^uet cr Pink-Fire Marshal -;Q0 P/11 Residential Final Inspection Office No. (518) 761-8256 Date Inspection re es re iv C!U Queensbury Building&Code Enforcement Arrive: m/, epart: 1 '! am/pra 742 Bay Rd.,Queensbuzy, NY 12804 Inspector's Initi•1 NAME: �~S P VIIT#: LOCATION: TE: i TYPE OF STRUCTURE: <1 - Comments Y N NIA � Chimne Ht.l"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in, or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating , ,Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Dete tors: / Every level: / Every Beda�oom: Outside every bedroo ea: V / / Inter Connected: / Battery backup: ✓ t/ 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/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 10(Cert. Of Occupancy) Okay to issue Permanent C 1 O Cert. Of Occu anc L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2. ac ited January 28,2003 Septic Inspection Re-port Office No. (518)761-8256 Date Inspection req st cc' ed, 06 jreq Queensbury Building&Code Enforcement Arrive: a art: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: -Te- eY'I Okr-k4f, P IT NO.: P?00-3-/0 1.5 LOCATION: "4 SPECT ON: & Q* RECHECK: Comments and/or diagram Soil Typ . San L am/Clay Municipal/Fell Water Waterline separation distance Well separation distance % ft. Other wells: —Aacl ft. Absorption Field: Total length -2 V ft. Length of c ft. Depth of trenches Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Li Building to tank ll6CA wN Tank to Distribution Box r I C, Distribution Box tp.Tfield Pit P\)C— Opening Sealed /Partial Location/Separations Foundation to tank Foundation to absorption PL ft. Separation of Pits Conforms as per Plot Plan Y N Ell Location of System on Property: C—�—A Fron Side Right Side UEAcA F\ FL�) c� Middle Front Middle Rear S stem Use Sat/us: N( Approved Partial Approved and needs to be re-inspected,please call the*Building&Codes Office Disapproved L:\SueHemingway\Buildirig.Codes.Inspection.FORMS\Sep6c Inspection Report.doc January 28,2003 Queensbury Building.,& Code Enforcement -Residential Final Inspection Office No.(518)761-8256 Arrive: a m p Wam��- 07Date Inspection request received: Inspect Initi /-5 NAME: RMIT#: _ *� •- .) 0 LOCATION: DATE: I TYPE OF-STRUCTURE: Comments ! Y N N/A Chimney Ht./"B"Vent/Direct Vent Location -Fresh Intake -1 � - 3 inch:Plumb Vent through roof minimum 6" b N ®K-- �� Roof Complete/Exterior Finish Com-fete 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. Platformm at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum'/2" CD tAQ)0 ------ dyPsum Grade away from foundation 6 in.with'10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate i lJ Gas Valve shut-off exposed 1 e ulator 18"above rage Gas'Furnace shut-off within 30 ft.or within line of site � Oil Furnace shut-off atIentrance to furnace area - Furnace ot.Water Heater o eratin ni. © � Low water shut-a oiler 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 glazin& Interior Smoke Detectors:.Every - o -Ever level: J i Eve Bedfoom: Outside every bedroom rea: ,/ „ �lnter Connected: / Batter backii Carbon Monoxide Detector Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss, draft stopping finished basement 1,000 sf - Em6rgeficy egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing 1'/4 hour fire door 1 door closer Duct work Sealed properly --- Gas'La s in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)Inaccessible-area Crawl Spaces 18"x 24"access, 1 s . ft:150 s .ft.vents Buildin No./Address visible from road " Final Electrical V, Site Plan /Variance'required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required ,- Oka to.issue C/C or C/O Temporary 1.Permanent] L:\PamWlBuilding&Codesllnspection FormslRes'.Final Inso.form 2.docLast printed 2/12/04 COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC, Main Office 176 Doe Run Road - Manheim, PA 17545 MUNICIPAL CERTRICAiE - ELECTRICAL APPROVAL o r�, � 7 6 0 r PemitNoo fffiffftiff#lrfffffltlr#lrrf###}}}f}f}f Vei Cut-in Card No. �16 so jam ' ' �i/w +11114i111#1 !#i/i4fiiffiiffl{#{RNI#ii#1#11#1##1lf�fH frrRfr#rfrRll#i1ri1##i#!##i###tff tfftflifHMfi tfilfr##r#{N#1###ilNfif..HN/11#M#litfilff lRi#/ff4#f1##i#i#i Locationi{illalilfffffififi#fffi4rRf1##u1!!f fNR!•if4ifRffff#•fiffffftfffff##ff{#4#f#1#tf#fifi111ffffffffiff##fiff4l##!#i#t##N4NfliR!llaRlif i!ltf4flflfR#fffif jr« Installation Consisting f... ### #114f1###f#i14#1if1f1 i14�4rff!!11lrR11#1 L'I NH1!##flfRfi##ifiylt#1#}.flit.{ffp/fiHffl if to fft# • 4ff {fiffR Nr i#!f{ i}f1i fiffffififfifliNrff4!!!!lf i4lflfilt #!f#ff4## fri!{##!#1flffilftlff f ifftH f!#fli.!!#i#t##Nffff iffiifi4fiffiif#f4ff4ii{i Ni IV I iftfffffflr4liRiiif�lf iN i#1liilt.i#irilfNlHtiNIMHlfIlNllitN#f/f!lt Nttflfflifigfitl{ffRi{#RRl1ilift#iflifififlffH#iiffiN�ii#!!!ftlp#fffr!##t if tiif!!if#ilf rfirf{fii 4 Installed Lie. No. #fff iffiNirf4NRNf4ilrf#1f#!•t!N!!fllfilHllr� The conditions following governed the issuance of this certificate, and any certificate,previously issued i(. cancelled. - This certificate Only covers the electrical equipment and installation conditions as of date. Upon th( introduction of additional equipment or alterations, application shall be promptly made for inspection, Inspectors of this Company shall have the privilege of making i coons at any time, and if its rules are violated, the Company shall have the right t revoke this ce i icatel 4-6) V/ atfffip ir#R}ffrNNilNffll 1#iflif!#rf!#frli.H if INSPECTOR .. Rff#lRffll#{Rf###if 1lfifliitfillfifrfula#!f#ffff•l4fr.�f� r� f��flift41fill44f44f 1 Member NIEL ILA-E-It '7 l� 51 ioo Septic Inspection Report � 2 Office No. (S 18)761-8256 Date Inspection requ r ce• e _ Queensbury Building&Code Enforcement Arrive: p part: =D1�7 a in 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial . �- NAME: IT NO.: LOCATION: ��� ��� _� PECT ON: - — RECHECK: Comments and/or diagram Soil T San Loam/Clay Type of Water: Municipal/ ell Wat Waterline separation distance ft. Well separation distance Other,wells:Absorption Field: Total length } ft. Length of each trench , Depth of trenches ft. Size of Stone -Seepage Pits: Number Size: x Stone Size: t Piping Size Type Building to tank 1AZ Tank to Distribution Box Distribution Box iel Pit F%ulwmca Opening Seale Y /Partial Location/Separations Foundation to tank ft, �'�= � +�11L� Foundation to absorption Separation aration of Pits Conforms as per Plot Plan Y N Location of System on Property: Front ear eft Side Right Side Middle Front Middle Rear System Use Status: Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:1SueHemingway\Huilding.Codes.Inspection.FORMSISeptic Inspection Report.doc January 28,2003 2 r\ Septic Inspection Report Office No.(518)761-8256 Date Inspection request ce' e Queensbury Building&Code Enforcement Arrive: 4�cp am/ m part: a pm 742 Bay Rd., Queensbuiy,NY 12804 In ector's Initials: � NAME: � � Gl PE IT NO.: , LOCATI IN ECT ON: } --- RECHECK` Comments and/or diagram Soil Type:CLand Loam/Cla _Type of Water: Munici all ell Wat Waterline separation distance _ Well separation distance ft. Other wells: ft, p-t- 1% Absorption Field: .Total length ft, Len h of each trench ft. Depth of trenches ft. Size of Stone -Seepage Pits: Number Size: x Stone Size:. Pi in Size Type Building to tank �� - Tank to Distribution Box 1 Distribution Box to Field/Pit C -i{- 1 " alp-ATCOD Opening Sealed: Y/N/Partial Location!Separations (� �,.-, t�� V'�RC �Foundation to tank ft. (5'T" Foundation to absorption ft. vp'LtA -70 ma_'Ao 'Separation of Pits u3 Ltd } Conforms as..per Plat Plan Y N Location of System on Property: G ��� = Front ear Left Side Right Side T�t� E T!'�s� l t3Ct'�1101� � Middle Front Middle Rear System Use Status: Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office ........... Disapproved L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003.- Framing/ Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p part: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERM LOCATION: INSPECT ON: TYPE'OF STRUC ._ Y N/A COMMENT I9 Framing,.__..:,_ Jack S.'ds/Headers Ztzacmg/Bridging oist-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 Wails Metal Strapping for Notches Top Plate 1 %z(w) 16 gauge(8) 16Dnails 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 wall2, 3,4 hour -Fizestopp ng',----- 1 �C��, _ Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space I Bedrooms 24 in. (H) 20 in. (W). 5.7 sf above/below grade 5:0 sf grade r 1 Rough Plumbing/ insulation Inspection Report Office No."(518)761-8256 Date Ins ectio equ e' _ Queensbury Building.&Code Enforcement = Arrive: �Y a rl ep ; a' a y pm 742 Bay Road,Queensbury,NIA 12804' _Inspectors Imtl�' �` NAME: PERMIT#: LOCATION: 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. Plumbing Vent/Vents.in-Place Rough Plumbing/Nail.Plates Head or Supply Test. . D . and Vents , I 192d49_L f PSI or 10 ft.above highest Connection-far 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 COMMENTS: 1-\SueHemingwuylBui1ding.Cales.Inspection.F0RMS\Rough Plumbing Insulation Report-doe January 28,2003 Rough Plumbing /Insulation Inspection Report — Office No. (518)761-8256 Date Inspection re u st eceived: Queensbury Building&Code Enforcement Arrive: fi�1pm D a m 742 Bay Road,Queensbury,NY 12804 Inspector's Initi s: - `. NAME: -CLr ~ 5 PERMIT#: LOCATION: 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. Plumbing Vent 1 Vents in Place gh Plumbing/Nail Plates 4- Head or Air Supply Test Drain and Vents L 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping 4; Copper Commercial per,CPVC,Pex One&Two Family sulation/Residential Check/Commercial Check -Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated s aces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection re e rec vld: Queensbury Building&Code Enforcement Arrive: a p Depart: 742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initial NAME: ` P RMTT#: � LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A otings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump. Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Back fill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003 Rough Plumbing 1 Insulation Inspection Report Office No. (518)761-8256 Date Inspection request eceived: 7 _ Queensbury Building&Code.Enforcement Arrive: lm/p Depa �' am/ 742 Bay Road,Queensbury,NY 12804 Inspector's Ini als: NAME: PERMIT#: (/��:.r-� / _5 LOCATION: INSPECT ON: TYPE OF STRUCTURE: �Y t� Y ' N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron,Copper Drain/Vent/Comm. Plumbing Vent I Vents in Place RougYPlumbing/Nail Plates He d or Air Supply Test " Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping ��Vsu�laation—/ per Commercial per,(-PVC,Pex One&Two Family Residential Check/Commercial Check .Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated s aces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: 3 L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003 Framing IF opp I�specti n poN�� / l Office No. (518)761-8256 Date Inspection reques received:) ,r Queensbury Building&Code Enforcement Arrive: am6pm De� A:—�'• - a 742 Bay Road, Queensbury,NY 12804 Inspector's Initial --�, NAME: ;- c-` ` PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: 5�17 / Y N NIA COMMENTS aming Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. .Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '12(w) 16.gauge($) 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 Fir all.2, 3,4 hour irestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %Z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Rough Plumbing Insulation Inspection Report ke No. (518)761-8256 Date Inspection r uest re e' ed: Queensbury Building&Code Enforcement Arrive: M part: a 742 Bay Road,Queensbuiy,NY 12804 Inspector's Initi s: NAME: S ERMIT#: 01-S LOCATION: R5 91 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. Plu ing Vent/Vents in Place V Vq- Xough Plumbing/Nail Plates 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 COAMENTS: -L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003 Framing /Firestopping Inspection.Report ; Olffice No. ('518)761-8256 Date Inspection request received-", h V Queensbury Building&Code Enforcement Arrive: Lo Lam/pm Depart: a pm- 742 Bay Road, Queensbury,NY 1.2804" Inspector's Initials.:'�.U/k _ NAME: 1__ -- _ PERMIT#: LOCATION: Lv7' � yYY 44 _1l- INSPECT ON: : p TYPE OF STRUCTURE: �.ke Y -N- fX COI�rIMENTS Framing ; t Jack Studs I Headers Bracing/Bridging `t f ?-l✓ sr1t. j',SG Y�'� -. r' �,f � Joist hangers ' Jack Posts/Main Beams Exterior sheeting nailed properly ;', �fac Headroom.6 ft. 8 in. � Stairwells 36 in.or mare Headroom 6 ft. 8 in. - V_ ; Notches/Holes/Bearing Walls '' Metal Strapping for Notches Top Plate 1 lz w) 16gauge(8)-16D nails each side Draft stopping 1,000 sq. ft. floor trusses Frzicf Anchor Bolts 6 ft. or less on center ri'•..:`( r ff • ��cry. ;�, E con, cM�' Ice and snow shield 24 inches from wall,' Fire separation 1,2,3 hour 1' Fire wall 2,3,4 hour 'I:\, Firestopping f Penetration.sealed . 16 inch•insulation in.cavity min. Garage Fire Separation',;'/,.- ' House side ''/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilin wall Windows Habitable Space/Bedrooms 24 in: (H) .. 20-in: (VW). 5.7 sf above 1 below grade 5.0 sf grade L:\,SueI-temingway\Building.Codes,Inspedion.FORMSTraming Firestopping Inspection Report.doc 3anuaty 28,2003 z�ry P/V , Foundation Inspection Report Office No. (5 18)761-825 6 Date Inspection request rtceived: 4-ol-5 16 Queensbury Building&Code Enforcement Arrive: am/7j Dena in 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION INSPECT ON:q WA TYPE OF STRUCTURE: Comments Y x", 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. - I Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Danipproofing/Wateiproofing 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 Toundation Insulation Interior 1 Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.hispection.FORMS\Foundation Inspection ReporLdoe January 28,2003 Rough Plumbing/ Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: DQVart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: )NIS NAME: PERMIT#: LOCATION: Gi M-9 INSPECT ON: -7— TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain Vents Cast Iron,Copper Drain/Vent Comm. P u Bing Vent/Vents in Place Xough Plumbing/Nail Plates l,� Head or Air Supply Test Dfain 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 COMARNTS: -L:\Sueliemingway\Building.Codes.Iiispectioii.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Framing/Firestopping Inspection Report J J 'f Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ epart: m/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: .� NAME: PERMIT#: ----_ LOCATION: INSPECT ON: TYPE OF STRUCTURE: g- Y N N/A COMMENTS 4CF, Ace- #,ov-4 - F min - � . 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/Moles/Bearing Walls Metal Strapping for Notches Top Plate 1 'l2(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 Fir a112, 3,4 hour '4irestopping_ Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation 's / l � 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:tSueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (51$)761-8256 Datednsp_ection•request received: Queensbury Building&Code Enforcement Arrive: ` ) am/pin Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: J �' NAME: PERMIT#: LOCATION: r INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing _ for 48 hours following the placement of the concrete. -Materials for this purpose on site. Foundation/Wallpour Rein>oKentin Place datiori Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump. Footing Drain Stone: 12 inch width 6 inches above footing 6 mil polyfor wet areas under slab r Backfill Approval Plumbing Under Slab PVC!Cast!Copper Foundation Insulation Interior I Exterior R- - Rough Grade 6 inch drop within 10 ft. L.45ueHemingway\Building.Codes.Inspection,F RMS\Foundation Inspection Report.doc January 28,2Qp3 Foundation Inspection Report Office No. (518)761-8256 Date Inspection re ecejlom- Queensbury Building&Code Enforcement Arrive: pm Depart: 742 Bay Rd.,Queensbury,NY 12804 Inspector's lhtii 'a�ls- - 7 NAME: ERMIT#: - -UC)3 LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A /Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. 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 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:�Suel-lemingway\Building.Codes.luspectioii.FORMS\Foundation inspection Reportdoc January 28,2003 Per4bBy' REScheck-Compliance Certificate Che 2000 IECC REScheckSoBware Version 3.5 Release Id Data filename:C:\Program Files\Check\REScheck\Harris.rck PROJECT TITLE:Harris Project CITY:Lake George STATE:New York, HDD:7377 CONSTRUCTION TYPE:Single Family, DATE: 12/22/03 DATE OF PLANS: 12/8/03 PROJECT DESCRIPTION: 2355 sf 2 story Colonial House DESIGNER/CONTRACTOR: Bean Design COMPLIANCE:Passes Maximum UA=375 - Your Home UA=374 0.3%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 1285 30.0 0:0 45 Wall 1:Wood Frame, 16"o.c. 2528 -19.6 0.0 131 Window 1:Wood Frame:Double Pane with Law-E 353 0.390 138 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1285 19.0` 0.0 60 COMPLIANCE STATEMENT: The proposed building design described here is consistent with.the building plans,specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000-IECC requirements in RES checkversion 3.5'Release Id (formerly MECcheci)and to comply with the,mandatory requirements listed in the RES checkInspection Checkli t. Builder/Designer Date �� D F - REScheek Inspection Checklist 2000 IECC REScheckSoflware Version3.5 Release I DATE: 12/22/03 PROJECT TITLE:Harris Project Bldg. Dept. I Use I Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R 30.0 cavity insulation Comments: I Above-Grade walls: [ ] I 1. Wall 1:Wood Frame, 16"o.c.,R 19.0 cavity insulation Comments: Windows: [ ] I 1. Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.390 For windows without labeled U-factors,describe features: I #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: I Floors: [ ] I 1. Floor l:All-Woad Joist/Truss:Over'Unconditioned Space,R 19.0 cavity insulation Comments: I Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed.. [ ] I Recessed lights must be 1)Type IC rated,or2)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 I 3"clearance from insulation. Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating I equipment must be provided. [ ] I Insulation R values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: [ ] I Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to.R 8.0. I Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics I (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. F-rception:Continuously welded and locking-type longitudinal joints and seams on ducts I operating at less than 2 in.w.g.(500 Pa). [ ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] Air filters are required in the return air system. [ ] The HVAC system must,provide a means for balancing air and water-systems. Temperature`Controls. . [ ] Thermostats are required'fok each separate HVAC system. A manual or.'automatic means to partially restrict or shut off the Beating and/or cooling-input to each zone or floor shall be provided. Service!Water Heating: Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the . ' .water heater has an integral heat trap or is.part of-a circulating system �= Insulate circulating hot water pipes to the levels in Table 1. 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'°F must be insulated to the levels in Table 2. Table 1: Minimum.Insulation Thickness far Circulating Hat Water Pipes. Insulation Thickness in Inches-by Pipe'Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts. Temperature{F) _Up to V Up.to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 -140-160 0.5 0.5 1.0 .1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness far 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 Law PressurelTemperature 201-250 1.0 1.S 1.5 2.0 Law Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any LO 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) Engineering Evaluation of Residential Building Plans Submitted by : Bean Design, 3 sheets for: Harris Project, Bay Road, Queensbury, New York 1. This is a 2-story residence with an attached 2-car garage. 2. Floor joists 2"x1 0", #2 SPF or better, 16" O.C. will support total-dead and live loads of 50 PSF living areas and 40 PSF sleeping areas with a maximum deflection of 1/360 span. Since the floor joists in the Family Room area are borderline, it is recommended that every 2,d.joist be doubled in this area to stiffen the floor.. 3. Roof support is by pre-engineered trusses 24" O.C. with a pitch of 7" in 12". - The truss manufacturer shall be responsible for the. design and construction of all trusses to support a live load corresponding to a 70 PSF ground snow load and a dead load of 20 PSF. 4. Basement girders of triple 1 %" x 11 V4" Micro Lam beams with a span of 10'-0" post-to-post is adequate support for the two floors, above. The 6"x6" PT posts on 30"x30"x12" concrete pads reinforced with 3 #4 rebars each way will provide satisfactory support for the girders. 5. Front porch construction of 2"x6"rafters, 24"O.C. with 2"x6" ceiling joists, 24" O.C. supported at the house by 2"x6" headers &joist hangers with a pitch of 5" in 12" and supported outboard by double 2"xl 0"PT(stagger joints) and 4"x4"PT posts on a 4"thick concrete slab, 8" concrete frost wall and a reinforced concrete footing is'satisfactory. 6. The 8" concrete foundation walls on reinforced 16"x8" concrete footings is adequate. All concrete walls shall be doweled or keyed to the footings and all walls shall comply with the current edition of the Residential Code of New York State. 7. Concrete floors in main house and garage to be minimum of 4"-thick concrete reinforced with 6x6-10-10VWF. Floors should be placed upon 6 mil poly and 4"-6"compacted stone or gravel. 8. All walls common to the garage and the residence shall have at least a% hour fire rating and all connecting doors shall have a%hour fire rating and be self-closing. 9. All insulation shall comply with the latest edition of the Energy Conservation Construction Code. 10. All design and construction shall comply with the latest editions of the Energy Conservation Construction Code, the Residential Code of New York State, The National Electric Code and with any applicable local building codes and/or regulations. JWOSION41 William E. Montgomery Jr.PE' Dated: December 22, 2003 Z$ SO: Work No. 03-12-A IP. 01 t 0370 <� 7-HE S 5p, Project Name: f dlf 1 �K"C1� BP# Address: Building Permit SubMissiOn SF Checklist - amily All items below mast be checked either yes,no or not applicable prior to submission of any building permit to the Town of QueensburyBw7ding Department, If any,of the below items are lacking,the permit will not be accepted unntA such time as the application is deemed complete for submission. 1. Building Permit Application Cbmnpleted ................:.................... yes ❑no ❑n/a 2. EnerUFc rm or CheckMate Energy Code Compliance Forms Complete.. yes Ono ❑da (2 copies) 3. Energy Code Inspector's Report from CheckMate Program................. yes Ono ❑n/a (2 copies) 4. Septic application completely filled out(if applicable)........................ Ryes, 0 no ❑n/a Gas fiance Form..................................... yes []no a 5. Solid Fuel Burning or Al'P I' 6. Electrical Inspection Fenn........................................................ Wyes Ono On/a 7. Two(2)complete sets of structural drawings .....:..................... Ono On/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,............ Wyes Ono []n/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new structure....................I............ Mrs Ono. Om✓a 10. Setbacks to neighboiing wells and septic systems,including onsite wen... Ono On/a and septic systems(if applicable) 11. DmivewayPem it..................... ............................................. [Ayes Ono n/a c G Date: i Staff Initial: L\$ueHetningNray\Bvildiag.PernutFOr\j&\Generic CbeckLE.doc Janmvy2&,2003 A M ' Job Site Address: ru LVC, Date: 1200 Owner: )A40 PLg,�' �� Application No, File No. ? W, NDOW SCHEDULE, �} �'�u. ���G��Z�R�!''i;"•����r•'�U:i,'�'. '�d,�ln+d+r'"n$:~;..."��.;s�.°: Window; Window Mfg, Window Unit or Y: 4„?�;��;µ' . °f r, ' `" ;� ��, S C�e�r Special Hardware or Number or Name Model Stock ;t �` 't a �"' " axa "� �� � + aighG Instructions Letter on Or Type g d �8� d a,� r apt a ati 1 fp ar 9 d r, �t ,G e Number ;SiV Plan Call Size };;',;y +,.•�ibaA a. fpt � g. d,r �!pa p�7a,,q{�; p � �' '=;1• a :c":• ia,t;as a J �S aiihtaR��'ll�,� d,,.q� �a.�;an ^p as�R Ca , �.a 34 ^p��i'�^, ''�`xyr� ttc pro '�:' a�u 91'•� � 9a8'.i�a�i, r l�4auPa�; 4 ,��i'sq � :8dl,i al,�d o .ig��C4?N au' ,a�'a t4;d., .t ( P G [ 6W�4 gi 23 � it rrr + ` rll �1 � P 2 D�"rl t -THIS LICE HAS.EXAMPLES OF SAMPLE ENTRIES I .6`5" Tempered ,� .y Glazing � .�� F' � i 111t 1� R � t �"I''�• �••" i• k'rt rR 4�r t ��., } i t � ter. '"`�� '�t {`r• i�id i't•� w 'P F� � '' y;t. �w!7"Gt�' ••G 'Yd. P 'P+d7•r�,^ ,m',1•�ilM�i�" `\jl P11.: .f`.i ". a�'i' : ' 'r+a 'n�.N,' ror Jr�t o•�. �. L',SueHemingwaySuilding,Permit.FORMS1Window Schedule,doc Cheek Residential Plan Review: One Two Fagnily Dwellings Y/N/ A Over 1,500 sq. ft.-Stamped j / Design Loads On Plans: 90 Wind Floor Loads 40 psf / 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. Grade,5.0 sq_f3. V 24"(h)x 20"(w)min. 44"Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK Dainpp aa,fing:!WaterproofingMaterials-On_Plans - RI - Foundation-Drainage-On Plans;-ifxequired �`"-m"' _�"- "" -" . 6'--'-Drop Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where -r---r Required - - Ice-and Snow shield 24-Ins<de Etenor_Wall!24"Iiiside`Knee Walls w _ Y'A Platforins_At�`Exterior Doors tn -StaiiwayHeadroom-,6'-8-All-Stairs_36"-Width -_ Winder Run and Rise Spiral Not Allowed From 2n Story - S e Detectors.Battery Bac and Proper:Location-.._:r, -` Bathroom Fixtures Piop`er Clearance H I Width,36".min. _. s. Open Sldesw Railing and_Gaaids->30"%Basem-ait-'Stairs-Included./_Closed Risers Mare-Than 4"in Ht. Safety-Glazing Notes F_.d`r Requued Areas, : C t13 E '_Garage Floor Sloped _ _ 'Y e - ca �O �_ttic Acc":ss --- ���._,.�— - - f over307 X 3WN Crawl Spaces 18"x 24"Access �---=- - y CarlionMon`axidx e Detector L-d-wes Sleeping Soil Test Results,if required Septic To Well Or Water Line Separation All Paperwork Signed 1 Septic System Design for 958 Bay Road, QueensburL NY 12804 Notes: /0/IS 1) Design Basis: 4 bedroom house 520 gallons per day(130 gallons x 4 bedrooms) Percolation Rate(maximum)=2 minutes per inch Length of Absorption Field(based on a 2 ft.wide trench)=216 feet(minimum) Septic tank capacity=1,250 gallons(minimum) 2) Separation Distances(Min.) Septic Tank&Effluent Line to Well,Stream,Lake,Watercourse or Wetland: 50 feet Septic Tank&-Effluent Line'to Dwelling;Property Line: 10 feet -.._-. _._._._... Distribution Box to Well,Stream,Lake,Watercourse or Wetland: 100 feet Distribution Box to Dwelling: 20 feet Distribution Box to Property Line: 10 feet Absorption Field to Well,Stream,Lake,Watercourse or Wetland: 100 feet Absorption Field to Dwelling: 20 feet Absorption Field to Property Line: 10 feet House Sewer to Well,Stream,Lake,Watercourse or Wetland: 50 feet House Sewer to Dwelling,Property Line: 10 feet Plot Plan showing septic layout provided by Builder, Plot plan shall also show 50% future expansion capability(108 ft), 3) House sewer to lay on a firm foundation at a minimum grade of 114 inch per foot 4) Septic tank access covers/manhole covers shall be within 12 inches of final grade. Septic tank shall be placed on at least a three inch bed of sand or pea gravel. A five inch bed of aggregate(314 to 1112 inches in diameter)may be ed in lieu of the above. Septic tank shall meet the requirements of New York State Sanitary Code Appendix 75-A. 0 NE ASH M, �p Designed by Ken Koza,P.E.License No.070971-1 Page 1 of 3 518-899-3405 113104 "^, °10A41., ��� \\ P ik Septic System Design for 958 Bay Road QueenshrL NY 12804 Notes; 5) Distribution box cover shall be located not more than 12 inches below grade. Distribution box must be set on a bed of sand or pea gravel at least 12 inches deep. A 12 inch bed of aggregate(314 to 1112 inches in diameter)may be used in lieu of the above if speed levelers are used on all outlets, The drop between inlet and outlet inverts shall be at least two inches. The Distribution box may be used on a sloped site provided the inverts of the outlets are all at the same elevation and the first ten feet of the outlet lines have the same slope or speed levels are used. Drop manholes with distributions lines and outlet levers may be used on moderate to steep slopes. 6) Non-perforated pipe(minimum of two feet in length)shall be used to connect the distribution box to the absorption facility. 7) Absorption field trenches shall be constructed parallel to the ground contours. Adjacent absorption field trenches shall be separated by at least 4 feet of undisturbed soil. Absorption trenches shall beat least 2 feet wide with the trench bottoms constructed essentially level. Maximum length of an individual trench shall be 60 feet. Absorption field trenches shall meet the requirements shown on page 3. 8) Gravelless leaching chambers or perforated distribution pipe(4"diameter meeting ASTM standards for septic systems)shall be used in the trenches. Gravelless leaching chambers shall be installed in accordance with the manufacturer's instructions. Perforated distribution pipe shall be installed as shown on page 3. Maximum length of an individual leaching chamber or perforated pipe shall be 60 feet. Y 9) Builder shall provide homeowner with a final"as built"sketch of the sewage disposal system including reference dimensions to existing structures. Designed by Ken Koza,P.E.License No.070971-1 '�ti Page 2 of 3 518-899-3405 113104 TOP SOB FOR SETTLING N ' " EARTH BACKFILL z To PERMEABLE GEOTEXTILE UNTREATED BUILDING PAPER OR 4'HAYISTRAW o VO a ©° b D TRENCH DESIGN 0 �p 0 2'MIN,dQ ° 00 gip. 44d D d D 4' C O a Opaaad�p� a q� bpp bbda G " z 0 a d a D MIN. 0 DISTRIBUTOR r BACKFILL A BACKFILL D 0 0 PERFORATION JOINT SOIL SOIL F, Od a a 44 0 r 4dO d a a Da b'MlN40 q90ad O 0400 00 mqa 0 dqdD D ad 0 40Otid d D SLOPE ttib'-it32'PER Ff, � Q a 2"MIN, p i�..J! Q r o° D p n Dopa o 0 o o b o e Daop a a 4 00 Q o° i do 4 �9 / / b nn 4 pd N 4 �Yp 24' SPACINGOF " Y GG EG E4 fi'MIN, (t GGRE ATI z CRUSHED STONEV4-1-U2' d ABSORPTIO! RENCH wASHED GRAVEL N GROUND WATER,BEDROCK OR 24° 4'MIN, 24' IMPERVIOUS LAYER USABLE SOIL z cRosssEcnoNALVIEw LONGITUDINALVIEw //j/ 2 1-60 MINANCH PERCOLATION RATE x xx x x xx PERMEABLE GEOTEXTILE UNTREATED GROUNDWATER,BEDROCK OR IMPERMEABLE SOIL " BUILDING PAPER OR4'HAY/STRAW ��'�BN. A=PERMEABLE GEOTEXTILE,UNTREATED BUILDING PAPER,OR 4'OF HAY OR STRAW, n0aa Da0D04aa0 ab 6aaQDa00D4aa 0 D Op 4 as0 O=LATERAL 0 101 o ° DD dadgo pd0p n Dp ddd0 g04odn°a0 0D©dopD0 noOD dDod0 0ap0q n Od 40 n oa0 pD 613 d0o 00OOr,4pag 00a ° Dd0 a ° a60pOnD.4da00 o D 0 (� NEWY LEVELTRENCHBOTTOM �• tiSHMO� SLe'-IlrT PER F OA PIPE '! 1t18'-11a2'PER FOOT TRENCH PROFILE tw NOTE, DO NOT INSTALLTRENCHES INWET SOL IT INSTALLTRENCHESPARALLELTOCONTOURS, INSTALL T RENCHES AS SHALLOW AS POSSIBLe wHICH MEET ABOVE NOTED MINIMUM DEPTHS, RAKE SIDESANDBOTTOMOFTRENCHPRIORTO PLACING GRAVEL ENDS OFALLOISTRIBUTOR PIPES MUSTBECAPPED A,1 pyre 17 J�A Abeo�IlanTrenthDefeB `+rV `$` rL Page 3 of 3 r r„ U Percolation Test Customer Name: lA04 It C Z CL Location: �5� t��9 X �°�}t9 D� Q u���S�u��y�All I�Fcl Note: Time recorded is the amount of time rewired for water to drop from a 6 inch depth to a five inch depth, Test Location#I: Ist a i to F1 Q 1 = I minutes ..---� 2nd F,'03 to _ minutes P°9 D 3rd to F,109 _ minutes Test Location#2: Ist $! '" to Fil A 6, minutes 2nd a Ax to ',' ' _ minutes 3rd '; to S = minutes Test Location#3: Ist D to F,,33 = minutes i 2nd 3 t to — a minutes ri 3rd S.' G 7 to ; _ minutes �P r �3 . TtV N— 15` Njo Performed By: l Ken Koza,P.E.License No. 070971-1 , a. Date: 4"1 03 ��ES51d�