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2002-787 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICAT E OF OCCUPANCY Permit Number: a20020787 Date Issued: Monday,May 19,2003 :-This is to certify that work requested.to.be done as showmby Permit Number a2002078T has been completed. Tax Map Number: 523400-265-000-0001-005-000-0000 Location: 51 ELLSWORTH Ln Owner: C.DAVID&JANET JENKINS Applicant: JANET JENKINS This structure may be occupied as a: By Order of Town Board Garage- 1 Car Attached TOWN of QUEENSBURY Single Family Dwelling Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: a2002O787 Application Number: a2002O787 Tax Map No: 523400-265-000-0001-005-000-0000 Permission is hereby granted to: JANFT JFNKNS, For property located at: 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 Owner Address: C. DAVID & JANET JENKINS 91 ELLSWORTH LN LAKE GEORGE,N.Y. 12845-0000 Contractor or Builder's Name/Address Electrical Inspection Agency TRI CROSS CONSTRUCTION ti Plans&Specifications 2002-787 Lot 51,House 51 Construction of a 1,152 sq ft single family dwelling with a 280 sq ft attached one car garage per plot plan and specifications. $166.24 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,September 25,2003 (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 To f Queen ury; Yeduesday, September 25,2002 / A.—�lj 17 ` SIGNED BY ------�-jor the Town of Queensbury. g -' 'kh F Lj - Director of Building Co Enforcement Building Permit Application Town of Queensbury-Dept of Community Development,74;Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. - Permit File No. No inspection will be made until applicant has received a Fee Paid $ valid building permit. All applicants' spaces on this Rec.Fee Paid application must be completed and must appear on the Reviewed By' kkp-/ application form. Applicant: . In nt-+ jei,11065 Owner: jant-V _�rwir)-, Address: Cf I !Pjj.�,WD.YAh Address:Lci qj E11SAW*1 Lf.tr)E-- Ve Ge b rQ e, U9 12X4-' IV V-? La ye. 6 e I)ra= Wj 11,2 SK14 OP Phone#(6A)-IC12 - XTn Phone#(513)IC12 -`KTQY Email Address: Email Address: Op Property Location: Lot Nun-Ajer: 57 / House Number Subdivision Name-, U Tax Map Number:: - New Building: residence /commercial Estimated Market Value of Construction: $ ooD u- Addition: residence/ commercial If an Addition,what will use of new addition-be? 0 Alteration: residence/ commercial C3 No change to exterior size: residence com'l ca OthiR�qtwork(describe Check Occupancy1n formation I"Floor 2'd Floor Other floor Total Below sq.ft. sq-ft. sq.ft. Square Feet Single family dwelling X Z C P 0 Two family dwelling C3 Townhouse U Multifamily dwelling #of units 0 Office' o <Mercantile Q: Manufacturing b 1 car detached garage C3 2 car detached garage C3 3 car detached garage (_-7 )K I a=attached garage C30 0 2 car attached garage 0 3 car attached garage 0 Storage building- commercial 0 Storage building- residential U Other What is the proposed height of the structure I feet inches Will any second-hand or ungraded lumber be used? If so,for what? /Vc? Type of Heating System: electric/ oil wood baseboard othet: Number of Fireplaces to be installed Number of Woodstoves to be installed C-)-2 List below the person(s)responsible for supervision of work as regards to building codes: -Name_ ___ Address Phone Number Builder 3C'i2_,05S Coo-, &s- Jkfe. q 3 Acq:v le /u 7,Fb9 &_i ' � 02 S( Plumber -;Z,s4- A. qC-1 S3 Mason eoik-WM 7 91-0(ic>7 Electrician 1 (4 k (7-1 Is � war 4k kn Lr-Jr-P Goortgo 77'43-6-3-_3 'S> -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 bt 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 Ad atr.,ar Director f B Lildi d Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual . f_11 _,n 0' 17 munstr9l r Irec or location, all ew constrac, owner,owner's agent,architect,contractor Sizzig r .1 �A ? �---7V7 Application for Permit—Septic Disposal System. - Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 76I-8256 1. OWNER INl ORMATION: w.................�................................................M._ ......._............... Location of installation 5� Tct�sY�orth Lane WK 1co orfi se File Permit No. Tax Map No. _ / ��/ _ ~ 44 Owner's Name:, Q klet JCH1K1. Fee Paid� —'I 20 2 ................_..............................al s.,..& • - .. U/ { ............._.. Address Q e �.J .Wr4b d bl�lft��l NsaQ Y 2. INSTALLER'S NAME : Ellswa }h Ex . at na PHOT-MNO.192•0150 3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No of Bedrooms x Computation = Total Daily Flow 1980 or older x _ 150 gal/bdrm = 1980-1991 x 130 gal/bdrm = 1941 —present x 11 b gal/bdrm = Garbage Grinder Installed yes / no Spa or Whirlpool Installed yes_ / no )K _ 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) Tovoaraishy Soil Nature Groped Water Bedrock or Impervious Material Domestic Water Supply Flat ® at what depth at what depth -municipal Rolling loam feet feet Steep slope clay A*c# *%,a^ ^are if well; water-supply Vo slope other ,. from any septic-system depth: absorption is s2ewo ft. other -Percolation Test: (Fo be completed,by licensed professional engineer or architect) Rate: . minute per inch 5. PROPOSED SY"STEM:'Ibr New Cone rVgti��rn: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a.Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage.Grinder,,Spa or Whirlpool Tub. Septic Tank: 1000 gallon(min. size.l,000 gal.) - Tile Field: each trench ` O Total System Length: Seepage Pit(s): number of size ofeach: f1. by fa Size of Stone to be used: # / depth or thickness feet Bed System Size: _ J d x ab� . J.Alternative System:�,,G'i{ &+0r length and/or-sfze 50 6. HOLDING TANK SYSTEM: (if required) Numberoftanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspe6tioxi-Agency;. - - 7. SIGNATURE &INFORMATION FOR RESPO14SIBLE PERSON(please read) For your protection,please Hate thatpursuasit to Section 136-29 o£the Coda 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 Town of Queensbury:Sanitary Sewage Disposal Ordinance., f. s � 07 Sig store of responsible person Date sttwers.a)l(1 Sewage Disposal Avi)( nciix C. tlli.4it)II.I""ION. PIK-lil.) -9I PAItA' ION ItI'�t2t.JIItI [�1T+:N'I';; S rR, rzY.xmr)x�s 7. SIGNATURE &INFORAIkTION FOR:R-'SYVr4bWl.n. 'wAwo---w-w ENERGY CODE COMPLIANCE APPLICATION RJE(CEj TOWN OF QUEENSBURY, WARREN COUNTY 9000 BEATING DEGREE DAYS SEP 16 2002 '0"OF 9Uc-EIVS13U�,y Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings.(00A"i "'Aui,� 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: Vine. 51 Ellwadh Lane lgVe 6rorge PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:' I Gross Floor Area ............. square feet 2. Type of heat-—Electric Oil ._Gas_Other 3. Is building mechanically cooled?—X--Yes No 4. Percentage of area of windows and doors Over 17% � Under 17% 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: R 3E a,. Roof b. Exterior walls C. Glazed areas R 2.06.— d. Exterior doors R 2.6-- e. Floors over unheated spaces R f, Edge of slab on grade(heated building) R 9. Basement/cellar walls(above grade) R_LL— h. ' Basement/cellar walls(below grade) R It i. Heating/cooling-ducts-piping in unheated space R 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code------- Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL,NOT BE EXEEDED ican�t�'s Sign e Date Phone Number 142-ZIDJ p SP ,CT 'S REMARKS:XMARKS.: 02.--N7 . WAY Richard A.1�Iissita Highway Superintendent PA RTMEN Home{518}-7 127 742 Bay Road • Queensbury,NY 128t14 el F. Travis Off ce Phone: (5-18) 741-8211 MPtq H . }S"rintendent Fax: (518) 745-4466 .� 8-0413of f -4-111 DRIVEWAY PERMIT ®*t1�Di1JG DATE: R APPLICANT NAME: TELEPHONE NO:: ADDRESS TO BE INSPECTED: ��SWoc RETURN ADDRESS: 9/ 616cao,44 lone. I.iu_ 6-ez�rje 4-.,r i2,Fqr Applicant must show exact location and width of driveway(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 I: ( }Preliminary Approval NEED: ( )Slight swale ( }Level with the road ( )Deep s%vale Size pipe to be used(if necessary) ( )12" ( )I$" ( )1S" ( )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. lvtissita,Highway Superintendent Project Name: BP# Z66 0 rVV r RYLIT Address: ne 6ea'�P- &Y Building Permit Submission Single fa raly dudirg Tuo-fxdy dwelling Checklist All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of QueensburyBuilding 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 ... ... ... ... ... ... ...... ... ...... ... . 491yes El no El n/a 2. Energy Form or CheckMate Energy Code Compliance Forms Cc)mplete .. yes ❑ no ❑n/a 3. Energy Code Inspector's Report from CheckNlate Program... ... ...... ... .. yes ❑no ❑n/a 4. Septic application. completely filled out(if applicable)... ... ... ... ... ... ... ... yes ❑no ❑n/a 5. Solid Fuel Burning or Gas Appliance Form... ... ... ... ... ... ... ... ...... ... ... .Qyes nno, Fln/a 6. Electrical Inspection Form... ... ...... ... ... ... ... ... ... ... ... ... ... ...... ... ... ...§4yes Flno [:]n/a 7. Two (2) complete sets of structural drawings... .. ...... ... ... ... ... ...... ... .... Ngyes []no E]n/a a)floor plan;b) foundation plan;c)cross sections:d) elevations; e)window anddoor schedule I 8. Two(2) site plans showing location of the structure to be built.... ...... ... Nyes Fjno E]n/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new structure ... ...... ... ... ... ... ...... ... .. Wyes f-Ino Fln/a --A 10. Setbacks to neighboring wells and septic systems,including onsite wen... . X]yes E]no E]n/a and septic systems (if applicable) 11. DrivewayPermit... ... ... ...... ... ...... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Vyes E]no E]n/a Date: Staff Initial. L:\Suel-kmhigway\Building.pemaityoBAE\Generic Checklistdoc A Permit Number MECcheck Compliance Report Checked By/Date Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb Data filename:Untitled COUNTY: Warren STATE:New York HDD: 7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:09/16/02 COMPLIANCE:Passes Maximum UA=366 Your Home 24.7 32.5%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1488 38.0 0.0 45 Wall 1:Wood Frame, 16"o.c. 1548 19.0 0.0 85 Window 1:Wood Frame,Double Pane 51 0.333 17 Door 1: Solid 60 0,100 6 Door 2: Glass 24 0.400 10 Basement Wall 1: Solid Concrete or Masonry,7.5'ht/6.5'bg/7.5'insul 1290 11.0 0.0 84 Furnace 1:Forced Hot Air, 90 AFUE Air Conditioner 1:Electric Central Air, 10 SEER COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the Proposed New York State Energy Conservation Construction Code requirements. Builder/Designer Date MECcheck Inspection Checklist hecklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE:09/16/02 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: Basement Walls: 1. Basement Wall 1: Solid Concrete or Masonry,7.5'ht/6.5'bg/7.Yinsul, R-11.0 cavity insulation Comments: Windows: 1. Window 1. Wood Frame,Double Pane,U-factor:0.333 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: 1. Door 1: Solid,U-factor:0.100 Comments: - 2. Door 2: Glass,U-factor:0.400 #Panes Frame Type Thermal Break? Yes No Comments: Heating and Cooling Equipment: 1. Furnace 1:Forced Hot Air, 90 AFUE or higher Make and Model Number - 2. Air Conditioner 1:Electric Central Air, 10 SEER 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 Type IC rated and installed with no penetrations,or Type IC or non-IC rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials and 3"clearance from insulation. Vapor Retarder: Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: Materials and equipment must be installed in accordance with the manufacturer's installation instructions. Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: Supply ducts in unconditioned attics or outside the building must be insulated to R-11. Return ducts in unconditioned attics or outside the building must be insulated to R-6. Supply ducts in unconditioned spaces must be insulated to R-I I. Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. Duct Construction: I All joints, seams,and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g. (500 Pa). Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. Cooling ducts with exterior insulation must be covered with a vapor retarder. Air filters are required in the return air system. The HVAC system must provide a means for balancing air and water systems. Temperature Controls: Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: Separate electric meters are required for each dwelling unit. Fireplaces: Fireplaces must be installed with tight fitting non-combustible fireplace doors. Fireplaces must be provided with a. source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York State,the Residential Code of New York State or the New York City Building Code,as applicable. Service Water Heating: 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'F 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) Uv to 1 Up to 1.25" 1.511 to 2.011 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 for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(F) 2"Runouts 1"and Less 1.25"to 2" 2.51'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(forfeed 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) RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: .Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart Arn/pm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New Yor 12904 ,!�y NAME PERMIT# C/ 2 LOCATION DATE TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operatin Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers_ Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors. every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) C� oo vi 'd.A I < :2 -oc Z z =wNto 0 Z, o Z. Wp 'ZI 12 0, 3NV7 HidoMS113 0- E (3�vjw)s ilVHdSV) m .00- it Z, 99.gLL 5z m .—7 16 z 0 o Tm x z ' OW10 - 0 owv <,OMZ NOW 0 L,:y 0 Q<,w, -0< <W< z LL V)� :2 0 L, 0 M z +i xw z 0, 0 V) X y "D z ir-T.o 0 Q uj m x U 0 < (0 0 0 co 0 z Z co M m m z z < < z m ui 00 O w 2 X z I W V) wu" zo >V)zo M M. 0, In IS z 5v:) Z C,I < V) �0,,,, E w LGO N 6 . 0 3 6/ < vi Z.`., wz L�'z w VNO , - T?z- lN wcY0i w U, z >�3, m 0 (.) 00- :2 wo�Z L, z 0 D .<�: Z z �0` W. 0,0 W Oz N La o W,�3:E O;z 0 0 Z 0 z cr (i R z 6 Lu Z W 01 uj 0 I < < < E I Z w z m 0 cr C) 0 z 0 W:D.<WT 5�- - M m w <, CL <0 =>fro CL 0 0 Z x uj < C, z �i 0 0 < um m w , u<- 0 x '0 MTN IRS z Residential Final Inspection Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: arnAp — part: pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ' . 0 7 -*7 7 NAME: PERMIT#: ", el LOCATION: DATE: tri TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake - 3 inch Plumb Vent through roof Roof Complete Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away 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 egress below grade Basement stairs closed rise>4 inches -1/4 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, I 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 CoMliance) Okay to issue TemRorary C 0(Cert. Of Occupancy) Okay to issue Permanent C 0(Cert. Of Occupancy) L:\SueHemifigNvay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003 Residential Final Inspection ."Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/: p �ep art: 4L I 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: am/pm NAME: PERMIT#: LOCATION: DATE: Lg — TYPE OF STRUCTURE: Comments Y/ N N/A Chinmey Ht./"B"Vent/Direct Vent Location Fresh Air Intake i, 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,2orches 36 in.or more Exterior Finish Complete Interior/Exterior Railirigs 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or mote 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 fpl Interior Smoke Detectors: Everylevel: _ / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery baLkg: 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 34 hour fire door/door closer Garage fireproofing Duct work Scaled 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./Addresj visible from road Final Electrical D (mil Site Plan /Variance r uir'ed e Final Survey Plot Plan em As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert. Of Compliance) Okay to issue TeLnpoEHy C 0(Cert. Of Occupancy) Okay to issue Permanent C 0(Cert. Of Occupancy) L:\SueHen-dn-gway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 COMMONWEALTH ELECTRI.CAL INSPECTION SERVICE, INC, Main Wee 176 Doe Ran Road -Manheim, PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Pemit Noi iff lliif44 i!llifirifiif!#i44nt4li ill Mi�i+ 1 li�F�" 7 9 5 5 3 Celt-in Card No,}iif N}NHiMifift}ii#! filrfff tfi U 6TkI Ownermumm...., fiiiltNilfflffffili#ii44ii4 r jo1 Tr Aj oCat�on iffl441!#iff}fr iiii4#44#tlilfllf44�iiitiilt4•fiiai44!#/!fli4}}f4i4fi444 n#44lfffi ifirr4ii44#iiif,4fflff44i ii/iiiHi 4f 44ififfiNif}f}N#6464646- ffi((frrff4 6 34i}4I41}}fff Insta atio Consistingo i4}}iff}}}fNM fti!i!f!i jamb fi fiilffitf fitfiiiiilN�jlfffr}ff44iiN ii rj �/ ' ii}flfifr iii}ifliffflN4f 11 fM1f}ii�t!! 4i riff! f f4 !t#iii #fif iiilli tiiiffipfliii4iiittitfpiifi }N itNrfffl44ff 4f11iflifff liii flit if1#iii iillf !f lrffif 4f ! � . 6 f41441iiffi1f444lifff11fi1fif}ililii#fill!rrfii4!!!i###}f11f1ifl41fi#filfrfiiffii444iliiififfitf/fiiiiiiiNilffflrfrifitl4i#ffrffffilfffilffrffifriil}}i}}iNl414li1f1utM4411ilfif Lic. No. Installed By,,,,,,,A##*$ 01#511}fffr 4fff fl !i#tfiiffiflritflifflff ifif!!#4#!ii!!}}III!}ii}44lii}Ili itffrffii!!#41Nfff444f1}ir1111}!}}fflfr„fffiiii! 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 Companyshall have theprivilege of mak' inspections at any tithe, and if its p rules are violated, the Company shall have the right to ke rtific INSPECTOR Date 3#e6fiNlf4flilfi!lfrrf11fi4iii4fi}„IIff1„i1l44iliN INPEC'i'O fNlfiiffififffiff4iiiMilli�fiff!lii4,4fi4illffllffil44liNi•fffliifirffti4#fffifffpifi4filif' Mimho N FRA_. 1.A.F.1. Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received- Queensbury Building&Code Enforcement Arrive: #M/pm Depart: ) I I...........I am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: i'KIMP�t,:, NAME: PERMIT#: 7 79,1 LOCATION: INSPECT ON: l Z7 A51 TYPE OF STRUCTURE: 1-1 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 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 7paration 1,2, 3 hour Fir all 2, 3,4 hour e soo�pp in -Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side V7.inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) r 20 in. (W) 5.7 sf above below grade 5 grade 0 sf . OK Li Framing/ Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive:—am/pm Devart-57Y-4—) am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: A&A- J4),t,)-�; PERMIT#: LOCATION: INSPECT ON: 1-1 .2-11103 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 1 V2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft.floor trusses Anchor Bolts 6 ft.or less on center Ice and snow shield 24 inches from wall Fire separation 1,2,3 hour ire wa112, 3,4 hour \4 Firestopping L Penetration sealed 16 inch insulation in cavity min. OF Garage Fire Separation House side inch or 5/8 inch Type X -Piz .4gioc— SC'J('Iq' V2 Garage side 5/8 inch Type X o 1 Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade ��TT AA � Office Use ij-21 ERALINSPECTION UPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request receive]�e2t---k:�, )-60 � Meet: Building& Code Enforcement / At time: 742 Bay Road Queensbur�, NY 12804 ARRIVE amlpm: DEPAR Ib5anilpm Notes: � (518) 761-8256 Inspectors Initials NAME: �� h !h S PERMIT# c�2&��-79 7 LOCATION: /� " /I ur INSPECT ON(date): Cs.7,)&d 3 TYPE OF STRUCTURE: . RECHECK r t N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form 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 Backfill Approval Plumbing Under Slab Plumbins in Place ' u �uml?ing ea g . o - Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- a Pr, ent,A "'c Vent �l oj ac ds/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier _ Fire Separation 1,2,3,hour Penetration Sealed Fire Wa l hour J hest. Sin A19`1 �' t L:\SueHemingwaylBuilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc YOWN OF QUEEKSBURY BUXILDING A CODE ENVORCEMEN-r ;i4-: Bay R"'act Quka-iensbour-y MY X2004 (518�) -761-8256 SEP-rXC DISPOSAL SYSTEM INSPECTION N am e- Date L:;,-, o r-m 1 SOIL -r`YPE:(! Sand- Loam-- 1a-A/- Resul 7ts o-f Per-cola -tion Te-s-t- ( ! I:'- applicable ) Rate-M1nu-ta./1nch TYPE OF SYS-rEM= ABSORP- 'ION` FIEL-D : To-tal Leng-t P Length of:!' each -tv-en,ch -S. Depth of -tr-enches. 25 Size o-F stone SEEPAGE PI-FS : N um e Y-- size -F 7t X. -F-t - Stone size PIPING : 4ype BI dg . to Tank �7 o Tank- to Dist _ Box I-1k Dlst - Box to Field/Pi -t Open -frigs Seal ed yes— JLOCA-F11OH,/SEPARA-r1OMS : Pay-t! al Founda-tion to Tank -F ee-t Founda-tion -to Absorption -Feet Separation o-f P -ff--s Con-For,ms as PO Plo-t Plan es No per LOCA-UION OF SYSTEMM ON PROPER-fY :! f5 ( ci r-cl e 5 0 From t - Rear Rea - Lo-ft Side - Righ-t Side MiddIL-- F t - Micldl *-- Rear- COMMENTS SYSTEM USE APPROVED= YES NO D v-*--qE?a = u - .l_.--•-j wa 1 - 4 � 7dQyd t. - � N . � r r� 0 s� . 0000 0 0 �. � 010 0)� � � � 4- 4- 4- U) 2 Q � H � 0 0 Asss • Iz d' V) I \ d MEN 4-) (0 c co +1 Z I �§ I (A op a) /1 0. )so Z 0 ,, F V U C � I 0 r-L zx �N w W 0 I I�� 1 0 1 4J,C S. �' 4 r Y t , r s o '1} r�y /�' J d ul nw � � � � � a ro +� � � � � ll a � � r Om 0 ro 0 0 E � '�u � x ° � b 0 ,,, c, J r t� S. 0 Z .P F� LL �.?, .QilnV I 0 .1S X r, C O -P O-5 N r I` ti� 14 N Ih I " 0f? '0 U r-, r i j C 4' 0 N N• it< or.0. }•- J � a � 0 i C S. tl? W.0 U LL 0 4 0Y Ir (D) 4) 0 N r•E H U SW (D • JC r a 0 04. o I I Q" Qz 0) 0 4 .O� u. 0 0 C� S: � p ro1P4J 0 � r, S. � IsossI roV) NS.. 0w rov1Pvw 00L4) roIM ' '" ~ uI -•U�6 P •NH Q1 f'� �r c) o C C SCa C N p +. / 4' t� to 0, N 0 X \ U 0 0 0 Q� w� G� C IIlk-MF �""' N LI f• �r 0 0 v7 or •r or. Ih z LL0 4-W -P 0 co 68 4.) 4J 4J E 0 0 1 N I M !1 H r• IS � 3� .0 Q 41 LP ,r l "V V � 0 loss t) �r�-w w ` WGOW0LNCHrn.� +� c� ccro.4. itS. ca E U +j N U14-10CQNwN01roCV) WU :) 0aCU'rO * loom "� �1 0 0 0 0 O�r� M 0 0) r-W -r 4J H r" t<f -r- 0.0� 0 0 QD 00 U So. 'r 0 00mjLLIL0uJ%-I4Zu a"" L � �Q Office Use -GENERAL INSPECTION REPORT Inspector: Town ofQueensbuq Ready at time. Dept. of Community Development Request received: 14� Meet: Building& Code Enforcement At time: 742 Bay Road -�Queensbury, NY 12804 ARRIVE am/pm: .DEPART an 1p m Notes: (518) 761-8256 Inspector's Initials 77 NAME, PERMIT# 2-00 2- 7 l �� - LOCATION: rj, INSPECT ON(date): ItI Z_fh { TYPE OF STRUCTURE: EJ RECHECK pis N/A YE/i NO COMMENTS dq1vI 6 9� ootings/Piers Monolithic Pour Form Reinforcement in Place /Z/ -Ib,, V— 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 Foundati on/ID ampproo ling _ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing HeatingRough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in I unheated spaces R- Proper Vent,Attic Vent Framing_ Jack Studs/Headers Bracing/Bridgmig— Joist Hangers _ Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4-hour Firestopping_ L:1SueHemii)gwa3lBuilding.Codes.hispection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: I/ Y Meet: Building& Code Enforcement At time: 742 Bay Road Queensburj,, AT 12804 ARRIVE amlpm: DEPART ,- amlpm Notes: (518) 761-8256 Inspector's Initials NAME: ��kptle_4_ Le L, s PERMIT#-c2zv,)-7 LOCATIO INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES i NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. e hi n t ' 0 site M r thi 0 site daii n a r lel-nforcement in Place Fow(dation/Dampproofing t,Rakckfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing HeatingRough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- CeiliAg R- Duct work or piping in . unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridgmig- Joist Hangers Jack Posts/Main Beam, Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour- Firestopping_. L:\SueHemingway'Building.Codes.Enspecdon,FORMS\GENERAL INSPECTION REPORT-doc Office Use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready attime.". Dept, of Community Development Request received. Meet: Building& Code Enforcement f At time: Y 742 Bay Road Queensbu?y NY 12804 ARRIVE am/pm: DEPART mlpm Notes: (518) 761-8256 Inspector's Initials NAME:, PERMIT 2,6 6 -7 AL6,z, INSPECT ON(date): L L6 2, LOCATION: ZS 1, TYPE OF STRUCTURE: r-,D RECHECK N/A i YES i X/01 COMMENTS 00tingsFpiers Monolithic Pour Form Reinforcement in Place' The contractor is responsible or 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_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing_ Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Coiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridgmig- Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:\SueHemiiigway\Buildiiig.Codes.Inspection.FORMS\GENERAL INSPECTION REPORTA00 Dennis MacElroy,P.E. 112 Sunset Trail Queensbury I,NY 12804 RECENED dmacekoy@,adelphia.net SEP 16 2002 September 10,2002 TOWN OF QUEENSBURY BUILDING AND.90DE Michael Trombley Ellsworth Lane Queensbury,NY 12804 Re: Perc Tests Dear Mike: At your request I have conducted percolation tests at the site of proposed septic system absorption fields for two lots off of Ellsworth Lane. The tests were completed in compliance with the standards of the Town of Queensbury On-Site Sewage Disposal Ordinance—Appendix F. The results are as follows: Lot I —51 Ellsworth Lane Stabilized rate of percolation—4V4minut&inch Lot 2—80 Ellsworth Lane Stabilized rate of percolation—61/2minutes/inch Based on the minimum standards as prescribed by the New York State Department of Health and the Town of Queensbury,the following design standards are required. Septic Tank capacity: 3 bedroom home— 1000 gallons 4 bedroom home— 1250 gallons Absorption Field size: Based on new construction with water saving fixtures— 110 gal./bdrm 51 Ellsworth Lane-<5 min/inch perc rate, 3 bedroom design— 138 If(min.)of 4"lateral 4 bedroom design- 184 If(min.)of 4"lateral { ti t JJJ! Absorption Field size: (cont'd) 80 Ellsworth.Lane—6-7 min/inch perc rate 3 bedroom design— 165 If(min.}of 4"lateral 4 bedroom design—220 if(min.)of 4"lateral This should provide the basic parameters of your system design. I would recommend that your contractor install an effluent filter in the discharge tee of the septic tank and speed Ie"velers in the inverts of the lateral pipes within the distribution box. If you have any further questions please give me a call. Sincerely, Dennis MacElroy,P.E. �k LLy' JAC 1 k--- 6a' u 451 4.5 01 � E O c cu ti c � ' Lu (Z)- z n J � 'c°" . �Qns., �E r 6 2002 "°BURY 2"'o O-Z,,, -, -7 7 1 RECOPY