2002-656 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761.8256'
CC ATE PANC'Y
CE1111IFI F U
Permit Number: P20020656 Date Issued: Tuesday,December 23,2003
This is to certify that work requested to be done as shown by Permit Number P20020656
has been completed.
Tax Map Number: 523400.309-015-0001.044-001-0000
Location: 218 FIFTH ST.EXT.
Owner: CLUTE ENTERPRISES INC.
Applicant: 'CLUTE ENTERPRISES INC.
This structure may be occupied as a:
By Order of Town Board
Garage- 1'Car Attached TOWN of QUEENSBURY
Single Family Dwelling
Direc r o uilding&C ement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020656 Application Number: A20020656
Tax Map No: 523400-309-015-0001-044-001-0000
Permission is hereby granted to: CIJJTFFNTFRPRTSFS INC.
For property located at: 230 FIFTH, EXT St
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: CLUTE ENTERPRISES INC. Garage- I Car Attached
13 DAWN Rd Single Family Dwelling 100,000.00
QUEENSBURY,NY 12804 Total Value 100,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2002-656
1248 Single Family Dwelling with attached I car garage per plot plan and specifications.
$181.76 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 16,2003
(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 Towi(of Q s jb , st 16,2002
-A
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
4
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. Qo4;?- 64,
No inspection will be made until applicant has received a Fee Paid
valid building permit. All applicants' spaces on this Rec. Fee Paid
application must be completed and must appear on the
By-
application form. Reviewed By:
V— AUG 0 5"Zoo'?
Applicant: Owner: 'ro VVIV
Address: \,t-> Address:
AIVO
Phone#(5:M)-7q-S- -7 Phone#
Email Address: e 0- Email Address:
Property Location: Lot Number: House NumberA___a�,
Subdivision Name: Tax Map Number: —LS-cz>�-i.1:t-,
---------------
ltd,New Building: residenc commercial Estimated Market Value of Construction: $ oc->k.
13 Addition: residence/ commercial If an Addition,what will use of new addition be?
c3 Alteration: residence/ commercial
C3 No change to exterior size: residence com'l
C3 Other work(describe
Check OCCUpancyInformation 18'Floor 2"d Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
Single family dwelling
C3 Two family dwelling
U Townhouse
C3 Multifamily dwelling
#of units
U Office
C3 Mercantile
U Manufacturing
0 1 car detached garage
0 2 car detached garage
M 3 car detached garage
W 1 car attached garage -_z,
C3 2 car attached garage
C3 3 car attached garage
C1 Storage building-
commercial
0 Storage building-
residential
0 Other
What is the proposed height of the structure S—feet inches
Will any second-hand or ungraded lumber be used? If so,for what? Vj�
Type of Heating System: electric/ oil<gas_)wood /forced hot air/ baseboard/other:
Number of Fireplaces to be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
---Name Address Phone Number
Builder
Plumber `7D -7
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 spe5�, ted,and that such work is authorized by the owner. Further,it is understood that I/we shall
submit,
Pit '_i Certificate occupancy or Certificate of Compliance being issued,as requested by the Zoning
Admi; by a licensed surveyor;drawn to scale,showing actual
��ato',or Director uild' des,an As Built Survey
* .of
locatt' n of all now cons n.
gnature: er,owner's agent,architect,contractor
V
Application.for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,ivy 12804 (518) 761-s256
1. OWNER INFORMATION:
F .......................................
Location of installation: 5 001
Tax Ma 1 -7
No. File Per&U&o) 5 2002
p
Owner's Name: Q_C,r_r-, Fdd-_P&.'d OF QUEENSBURY
3UILDING AND UU L
.............
...............................................
Address:
2. INSTALLER'S NAME PHONE NO.
3. RESIDENCE INFORMATION: ling, indicate 4 bedroom(s) and multiply# of
. .. (circle year of dwelling,
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation Moa R Ul -ily Flow
1980 or older x 150 gal/bdrim
1980-1991 x 130 gal/bdrm
1991 -present 7-, x 110 gal/bdrm = -Z 3 6
Garbage Grinder Installed yes
Spa or Whirlpool Installed yes
4.'- PARCEL INFORMATION: (circle applicable information&indicate measurements)
_Soil-�ture Ground Water Bedrock or Impervious Material er Sunoly
sand at what depth at what depth munici al
Rolling _76-am feet_ -feet .weZ
Steep slope clay if well; water supply
Yo slope other from any septic-system
depth: absorption Is_ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed
professional engineer or architect(unless installed in a Pl4nning Board approved subdivision).- Add 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub.
Septic Tank: %_Q!Q iD gallon(min. size 1,000 gal.)
Tile Field: each trench '�O ft Total System Length: ft
Seepage Pit(s): number of size of each- _ft. by ft
Size of Stone to be used: A Z:X depth or thickn&ss feet
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons TOTAL Capacity: gallons
Note.---Alaiin-System atid-astociated electrical wofic-must-be-inspected by a Town-approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please-note that pursuant to Section 136-29 of the Code of the Town
of Queensbury, any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance kn or on behalf of an appli t, shall be void.
I have read regulations respect to this app k n and agree to abide by these and all
requireme of the Town of ensbuj�ysgnita e Disposal Ordinance.
Signature of responsible person Date
' ;'1'ircvn c>f �(2uct�nslrui-y -
,`�`,rivcr5 :arttl SUNV-.* 'e I)isim.Lml (:I Ill irles-
Ammitidix (:
SP:PA RATION ItE'(Z[•I RE1,N]ENTS
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7. SIGNATURE &INFORMATION FOR"5yur4b, x r-r�+��l• �"�'„ •^�"', r
` TOWN OF QUEENSBURY Fee Paid
BUILDING & CODES DEPARTMENT APPLICATION FOR: PORCHES-DECKS- � E(DEBVEDP�-� rmit #
DOCKS & BUATHDUSE�a8r Est. Cost
0 5 2002
8 PERMIT MD3l[ BE OBTAINED BEFORE BEGINNING CON3TRUCTf1�g&4,\1 CPj_L�A,;S�.jA,��KPR,8LL OF THE FOLLOWING:
BUILDINO AND CODE
The undersigned hereby applies for a Building Permf1-`t7d--du-thd-fo-1-1-dw—ilmg work which will be
done in accordance with the description, plans and specifications submitted, d such special
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS
WITH THIS APPLICATION.
Owner of Property:
Property Location 75-"� ax Lap #
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BLTIZ1!�f
Name: Address Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) :
Foundation Material : Width Thickness
Depth of Fo8tfng, below grade: ^ ^
Size of Posts or Studs: x x «_ Long
Size of Floor Joists: �� x x ��'�;X Span
Decking or Flooring Material : ��
How will Porch or Deck be fastened to building?
If Roof Will Be Installed, Answer Fnllowing.Quastions:
Size of Posts or Studs: u o VC- Long
Roof Rafters: u 8panfng Span
Roof Trusses (pre-engineered spacing): �^ Span OL�4 ^
Type ofRoof: Flat Shed Other (Circle one)
Material of Roof: "
' ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto, showing clearly/ipd distinctly all buildings, whether existing or proposed and
indicate all set back dimensions from property lines. 3how ,locatinn of water supply and
location and configuration of septic disposal area,
a -J, -� " '
Size of Property: ft,' u ft.
Existing buildfng(s): Size ft. x ft.
Size ft. x ft.
Use of Existing buiCding(s):
Proposed structure, distance from property line:
Frbfit Y-A_fd ft. - ' - Rear yard- J5<�,_+_ ft. '-
Side yards ft. and 04S7 ft.
If on corner, setback from side street: ft.
DECLARATION
To the best of my knowledge and belief 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 de 7 provisions f the
Building Code, the Zoning Ordinance, and all other l
shall be complied with, whether specified or not,
owner.
DATE: 6 SIGNATURE 0 6:er���r's(Ageno, Architect, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DA 3IGNAT&E-
ENERGY CODE COMPLIANCE APPLICATION C;�td
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING 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 AUG 0 5 ,,
Rise Residential
*Requires submission of worksheets ®WN®F QUE P%�'SE)(JR Y C ILDING P,zn4a D�
APPLICANT'S NAME: PROPERTY LOCATION: #"
� -16.1
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Grass Floor Area square fee
2. Type of heat-- Electric Oil Gas Other
3. Is building mechanically cooled? yes X' No
4. Percentage of area of windows and doors Over 17% ,e, Under 17%
5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TOR VALUES AS ,
SHOWN ON PLANS SUBMITTED: -
a. Roof R 7 0
b. Exterior walls R V 9
C. Glazed areas R
d. Exterior doors R
e. Floors over unheated spaces R t 9
f. Edge of slab on grade(heated building) R --•
g. Basement/cellar walls (above grade) R °--
h. Basement/cellar walls (below grade) R
i. Heating/cooling-ducts-piping in unheated space R Ada S
6. Service(domestic)hot water heating device
Conforms to minimum efficiency per code '__ Yes No
T PERATU ONTROL AXIMUM SETTING 140—WILL NOT BE EXEEDED
Applic is ' n r Date Phone Number
INSPECTOR' MARKS:
now
haA.
HIGHWAY Highway Superintendent
EPARTMENT Nome(518)798-5127
742 Bay Road » Queensbury,NY 128W Mickael E Traufs
ice Phonet (5-f8) 761.s2ll Deputy Highway superintendent
Fax: (518) 745-4466 (518)798-0413
DRIVEWAY PERMIT
DATE:
APPLICANT NAME: AUG 0 5 2O02
TELEPHONE NO.: 22-7-7. TOWN OF C1UTa—F tilEl3U5'(
PaND CODE
�,�. '
ADDRESS TO BE INSPECTED: '
RETURN ADDRESS:
Applicant must show exact location and width of.drive_way(s)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 has been,taken:
STEP 1: ( )Preliminary Approval
NEED: ( )Slight swale
( )Level with the road
( )Deep swale
Size pipe to be used(if necessary)
{ )12" ( )i 5" ( )IS" ( )24" ,( )36"
Preliminary inspection completed by DATE
Approval by Highway Supt Deputy Supt
Upon completion,please resubmit this approved permit for a final approval.
STEP 2: ( }Final Approval
( )Rejected
DATE:
Richard A. Missita,Highway Superintendent
Residential Final Inspection94
Office No. (518) 761-8256 Date Inspection request recei ed:
Queensbury Building&Code Enforcement Arrive: am/p, epart: pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: DATE:
TYPE OF STRUC
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away 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 Valves 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: {J
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"acce s, 1 s .ft.-150 s .ft.vents
Building No./Address ivisiblfi from road
Final Electrical .
Site Plan /Varian e r ire
Final Survey Plot Plan O'?,
As Built Se tic System/Sewer D t.Ilispection Sticker
Flood Plain Certification,if required
Okay to issue C/C Cert. Of Compliance)
Okay to issue Temporary C/O(Cert. Of Occupancy)
Okay to issue Permanent C/O(Cert. Of Occu anc
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
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MAP REFERENCE:
MAP OF A SURVEY MADE FOR
VILNIS NEILANDS
DATED AUGUST 31, 1994
LAST REVISED SEPTEMBER 18, 1996
BY VAN DUSEN & STEVES
LAND SURVEYORS
. XTFNSIoN , „ E
REST E 5
.H ST I.R.• 3 2 .P.F.
FIFTH Z.Z��NE LANDS OF
1 1 I.P.F. DUBOIS
419-384
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Fd to O Q Ohs p 0 0 tr 00 Z 3 O x
N o cP Qp N i a= ro Q J Co � LANDS OF
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LANDS OF LANDS OF r' z 0 w N -' m HUNZIKER
WILISON r o 4 o -66
BRIGGS "Timms
IMMS o N 875Z
874-172 915-47 oc
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Ste, N 36 52„ E
s?:3j2 x 6,E N 200.09 W LANDS OF
N 83'41 2 I.P.F. Lo NEILANDS
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75.01 680-1073
I.P.F. 129.74' o
�\ LANDS OF
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458-283
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LANDS OF
BISHOP
224- 452
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: JAMES R. AiKEN
HEATHER E. SORENSEN—AIKEN
WELLS FARGO HOME MORTGAGE, INC.,
IT'S SUCCESSORS AND/OR ASSIGNS
NORTHEAST TITLE AND ABSTRACT
CERTIFIED BY:
MATTHEW C. STEVES, LLS NYS 50135
DATED: DECEMBER 11, 2003
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Map of a Survey made for
Rough Plumbing 1 Insulation I spection Report
Office No. (518)761-8256 Date Inspection requp64recewpd:
Queensbury Building&Code Enforcement Arrive: art: am/i m
742 Bay Road,Queens i.buly,NY 12804 Inspector's Init s-
a p
I �r s.
oNAME: PERMIT#: Q— (0
LOCATION: INSPECT ON: ()_3
TYPE OF STRUCTURE:
Y `7\�Fie ptpzk3i,-��
PVC: R-1,R-2,R-3,R-4 Drain Vents
Cast Iron,Copper Drain/Vent,/Comm.
Plumbing Vent/,Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply Test
Dfain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
Copper Commercial
Co per,CPVC,Pex One&Two Family
:-IV AS 1 Check/Commercial Check
=mnt
-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 29,2003
Rough Plumbing / Insulation Inspection Pepcxrt
Office No. (518) 761-8256 Date Inspection re u rec A
' �1 lo
Queensbury Building &:. Code Enforcement Arrive: a p
a p
742 Day Road, Queensbury, NY 12804 Inspector's IlEniti
LOCATION: �fW4 n-TSP1FC'r ON:
-r-YPF- OF S'1'B-T-TCrTJR-F-:
PVC: P-1, P-2, P-3, P--4 Drain} Vents
Cast Iron, Copper ]Drain /Vent Comm.
Plumbing Vent/ Vents in Place
Rough Plumbing /Wail Plates
Mead or.Fair Supply Test C-jC>v--1P'C-
]Dfain and Vents
5 PSI or 10 ft. above highest JeD N—VA\*--3�
Connection for 15 minutes
Water Supply Piping
Copper Commercial
1-e�o�per,)CPI%7C, Pex One &-- Two Family 1C)
uld -nercial Check V-17
(Ins tioxi-111-F-esidential Check/ Corm vo�
Proper Vent, Attic Vent
]Duct/ Hot Water Piping Insulation
If required -unheated spaces
Combustion Air Supply for Furnace
]Duct Work Sealed Properly
> >
-L--\Suel4emingway\J3uilding.Codes-Inspection.F0221\4S\aoi.igh Plumbing Insulation aaport.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: a J, part.Z, . pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initial5Z ,.�
NAME: PERMIT#:
LOCATION: STK r�,. �'r, --- INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in.or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 1z(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
Fire wall 2, 3,4 hour
Firestopping
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
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: amip Depart: m/pm -- f - .'
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: r'= �
NAME: PERMIT#:
LOCATION: s INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
V R ugluRtu mbfn l.tTail Plates
actor Air-.Supply Test
}
'Drazh:aidUents_
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
- t
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
CONtl1'IENTS:
L:\SueHemingtvay\l3wilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Framing/Firestopping Inspection Report
Office No. (518)761-8256 Date Ins e re est received:
Queensbury Building&Code Enforcement Arrive: m Depart:
742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials:
NAME: �73)"�t
PERMIT#: -C .
LOCATION: '-' INSPECT ON: --
TYPE OF STRURC—TiW-
Y N :N/A CON MENTS
graiiunng
Jack Studs I Headers v kVe--'P-1)
Bracing!Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in. l
Stairwells 3 6 in.or more 0 J '�-� ��5
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Me trapping for Notches Top Plate
/2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft, floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire se aration 1, 2, 3 hour
Fir all.2, 3,4 hour /
�Flrestopping, (. i > �12,4 A)
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. (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
Septic Inspection Report
Office No. (518)761-8256 Date Inspection reque e* ed: 03
c
Queensbury Building&,Code Enforcement Arrive: faepart: a_ pm pm
742 Bay Rd., Queer�s-bury,NY 12804 Inspector's Initials,
P
NAME: P RMIiTNO.-
P CT 0
LOCATION: OT30 W-1 P�or SPECT ON: 9AM0 3
RECHECK:
Comments and/or diagram
Soil Type: Sand Loam/Clay
Type of Water: Municipal/Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length
Length of each trench
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
-Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box nield Pit
Opening Sealed:(Y 1 Partial
Location Se arations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.A
Conforms as per Plot Plan Y__VN
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
System Use Status:
A ved
arfial Approved and needs to be re-inspected,please call the Building&Codes Office
Di8approved
LASueHerningway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (5 18)761-825 6 Date Inspection request received: A ze�
Queensbury Building&Code Enforcement Arrive: ani/p Depart/ am/pm-
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON: 6
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 DrainStone:
12 inch width
6 inches above footing
6 mil of for wet areas under slab
Backfill Approval
Plumbing Under Slab
C-/Cast/Copper
��
Foundation Insulati n Interi Brio
V R-
Rough Grade 6 inch rNQgwthin ft.
LMuelierningway\Buildin g.Codes,Inspection.rORNISToundati on Inspection Report.doc January 28,2003
17�
Foundation Inspection Report
Office No. (5 1'8)761-825 6 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: .am/p D4,aW3_:'5(�apm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: &-]L�SPECT ON: !�t43/-Q 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
wet areas under slab
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHen ingway\Building.Codes.Inspecdon.FORMS\Founda don Inspection Report.doc January 28,2003
Fcundation Inspection Report
Office No. (518)761-8256 Date Inspection request received: l3)j-
Queensbury Building&Code Enforcement Arrive: - am/p Depart In
742 Bay Rd,, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: ��
LOCATI N: 0 INSPECT ON:
TYPE OF STRU�U
Comments
Y N N/A
Footings
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 4P
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASuellerningway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc, January 28,2003
a
Jam.
Window&Door Schedule for: 25 x 26 Colonial
Modern View 4200 Series
(6) 3040 single hung
(2) 2030, single hung
(1) 3030 single hung
Modern View
(1) 3131 patio door
Benchmark
(2) 3' stecl entrance
OIL-/
Permit Number
MECcheek Compliance Report Ctiedced ay/Dze
New York State Enemy Conservation Construction Code
MECcheck Softwero Version 3.3 Release 1c
Data filename:C:1My DoctuncnlslAdvanned Home&Energy%#,CcITck tilcslClutc Colania18.12.02.cck
T=: 1300 Sq.Pt Colonial
COUNTY:Warren
STATE:New York
ADD:7635
CONSTRUCTION TYPE:DMC110d 1 of 2 Family
HEATING TYPE.Non-Electric
DATE:OW13/02
DATE OF PLANS:8/13107
PROJECT INFORMATION
51h Street
Qwnsbury,NY
COMPANY`1NFORMATiON:
Clute EnWquises,Lac
Gancral Contractor
13 Dawn Rd.
Queensbury,NY 12604
COMPLIANCE:Passes
Maximum UA=270
Your Home v 201
27.20/a Better Than Code
Grass Glazing
Area or Cavity - Cont or Doan
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Umd or Energy Truss 650 38.0 0.0 16
Wall 1:Wood nrame, 16"-a.c. 1616 19.0 0.0 86
Window 1:Vinyl Frame,Double Pane 93 0,490 46
Door 1:Solid 41 0-069 3
Dots 2:Glass 41 0.490 20
Inver to Brit:.
All-Wood Joist/Truss,Over-Unconditionod Space 624 19.0 0.0 29
Floor overband:All--Wood JoiW1 rw,Over Outside Air 26 19.0 0.0 1
Furnace 1:Forced Hot Air,92 AFUE
COMPLI ANCE STATEMENT: The proposed building represented in this dwiment is consistent with the building
plans,spefflsstions,and other calculations submitted with this permit application. The proposed systems have been
designed to roast We New York State Energy Conservation Construction Code requirements, When a Registered
Resign Prnfessianal Us stamped and signed this ryas,they are aWting that tD the best at`NOW knowledge,beliet
and professimal judgmut,such plans or speGtficatiOus arc in cc►npltasrce with this Cads.
Builder/Designer Date --�---
MECcheck Inspection Checklist
'New York Mate Energy Conservation Construction Code
' MECcheck Sotlware Version 3.3 Reteaso to
DATE;08(13102
TITLE: 1300 Sq.Ft Colonial
Bldg- I
Dept- 1
Use 1
tCCllln
[ 1 1 1. Ceiling 1:Raised or'Energy ThIss,R-38,0 cavity.insulation
{ Comments:
I Insulation must achieve full height over the plate lines of exterior walls.
I
Above-Crude Walls:
[ 1 I L Wall 1:Wood Frutno, 16"o.c.,R 19.0 cavity inOU10000
1 Comments:
I
Window&
[ ] 1 1. Window 1:Vmyl Frame,Double Pads,UAactor:0.490
1 For windows without labeled U-factors,-describe il:atim:
1 #pane__Frame Typo Thermal Break' [ Yes 1 1 No
1 Comments. _....
I
1 Moors:
[ l I 1, Door k Solid, li ktor:0.069
[ 1 1 2. Door 2;Glass,LT440or;0.490
4 Panes Prame Ty''pee . -
,Thcrm*Brook?[ 1 Yes 1, 1 No
I Catupaents: ....._.
I
I 1+loor:4:
[ ! I L Floor to Bm; All-Wood 3oistlTr ws,Over Unconditioned Space,R-19.0 cavity insulation
Comments:
[ 1 1 2. Floor overhand.All-Wood 7oistffruss,Over Outside Air,R-19,0 cavity insulation
I
Comments: _..
Heating and CoolingRquipment:
t ! 1 1. Furnace 1:Forced Hot Air,92 AFUE or higher
1 Make and Model Niunber
i
j Air Leakage:
17 1 joints,,perretmt pas,atad all other such openings in the building e&elope that are sources of air
1 leakage must be staled.
1 l I Recessed lights must;bc 1.)Type IC rated,or 1)installed inside an apprg6aic air-tight assembly
I with a o,s"clearance from combustible materials.If ilon-IC sated,Ilia fixture trust be t nstatled w(th a
1 3"cicaiancc from insulation.
{
I Vapor Retarder:
( ! 1 Required on the warm-W-winter side of all noti-veritcd tires ceilings,walls,and floors,
• 1
1 Materials Identifications
[ ) 1 Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
] 1 I Materials and equipment must be idera fled so tlmt cunWiiunce can be dctarminW-
t ] I Manufacturer manuals for all installed heating and coaling equipment and service water heating
I equipment must be provided.
E ] I insulation R values,glaring U-factow,and heating equtpruent efficiency must be clearly mailicd on
the building plans or specifications.
Duct Insulation;
] I Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
I ] I Return duals in unconditioned attics or outside the building must be insulated to R-6.
[ 1 I Supply ducts it unconditioned sprees must be Insulated to R 11.
} 1 I Return ducts In unconditioned spaces(except Naements)must be insulated to R-2.
Insulation is not required on return ducts In basements.
I Duct Construction:
[ 1 I Ali joints,instils,and connections must be securely tined with welds,ga+s wu,mastics
tadlicsives),mastic-plus-cmbcdded.-Wrlc,or tapes. Dwt tape is not permittvd.
I E=pliun-Continuously welded and locking-type longitudinal Joints and noes on ducts
I operating at less than 2 in.w,g,(500 Pa).
E 1 i Ducts shall be supported every 10 feet or in accordance with the inatlufactttrees instructions.
[ 1 I Cooling dugs with Oxlerior insulation must be covered with a vapor retarder.
l ] I Air filters an required in the return air system.
I l I The HVAC system must provide a means for balancing air and water systertts.
I Temperature Controls:
[ J { Each da+relling twit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the 16MOst zone,
I Electric Systemre
] I Separate electric meters tine TCquiri d for each dwelling unit
I .
Fiiepiz►CetE:
I 1 I Fireplaces must be instilled with tight fitting non-COrt1bitstilile MbPlacc doors.
] ) I Firoplaces must be provided with a sounx of combustion air,as required by the Fireplace construction
I provisions of the Buildirri,Code of New York State,the Restdendat Code ofNew York tale or
I the New York City Building Code,as applicable.
f
Service Water Heating.
] I Witter butm with vertical pipe risers must Nva a heat trap on bout the inlet and outlet 1111108S the
I water heater has an integral heat trap or is,part of a cimulatirtg system.
1 l I Insulate circulating hot water pipes to the levels in Table 1.
I
Chculatinp Hot Water system:
} 1 I insulate circulating hot water pipes to the levels In Table 1.
{
SwiJimo g Poolx
( ] I All'heated swimming pools mast have an otdofi heater switch and require a cover unless over 20%
} of the heating energy is from non-deepletable sources, Pool pumps requite a time clock.
Heating surd Cooling Piping insulation:
t ] I HVAC piping Con,veyirrg fluids above 105 OF or chilled fluids below 55*F must be insulated to the
} levels In Table 2.
Table 1: Minimum Insultdon T hlchnew fur Cireukdag Hug Winer Pipes,
Insul 'Qn'1'hickness in inches!a PiiM:Si;r
rHeated Water Non-Circid,kU pg Kunouls Circultt#1ng Mains and Runouts
Temombire, Up to 1" Up p 1.25" 1,5"to 2.0" Over.2.',
170-180 0.5 1.0 1.5 2.0
140-10 0,5 0,S 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 1 Minimum tnsuledion Tkkknass for NVAG'.Foes
F1t:i4 Temp. Insula i n Thickness in Incites SiLes
P_ping Svs#czn Types RAnj e i Fl 2"Ruuouts t"and I 1.25"to 2" 2.5, ",tQA"_
Heating systems
Low PressurelTempmtute 201-750 1-0 1,5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1 A 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigemat, 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)