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2002-781 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 (Eft"'I'IFICATE .Of OCCUPANCY Permit Number; P20020781 Date Issued: Tuesday,June 10,2003 a This is to cettif that work requested to be done as shown by Permit Number P20020781 has been completed. Tax Map Number; 523400-265-000.0001-016.000.0000 Location; 80 ELLSWORTH Ln Owner:, MICHAEL&CINDY TROMBLEY Applicant., MICHAEL&CINDY TROMBLEY 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 Building Permit Application Town of Queensbury-Dept of Community Development,742 Bay Road, Queensbury,NY (518)761-8256 L A permit must be obtained before beginning construction. Permit File No. No inspection will be made until applicant has received a Fee Paid $ xU valid building permit. All applicants' spaces on this Rec. Fee Paid 00 application must be completed and must appear on the Reviewed By:k__. application form. U, Applicant: Micbael anq I 0-k Cincid6 T m re jo Address: C11 jSNA[Dr LdX)f Address: C1 _ ffiLCL IeGMa4 LaY-e- Go-or NIU Q--T4-6eJ Phone#(5 4-7) - ()A-,3;T_ -j Phone# (tj�)-143- Email Address: 5 Email Address: Property Location: Lot Number: House Number Subdivision Name: A�IA­ Tax Map Nu-r_ribZE,;k(oS-I (o < 0' New Building: residence commercial Estimated Market Value of Construction: $ /00, oz2e)� Li Addition: residence/ commercial o Alteration: residence/ commercial If an Addition,what will use of new addition be? E3 No change to exterior size: residence/com'l 13 Other work(describe Check OccupancyInformation 1"Floor 2"d Floor Other floor Total Below e ow sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling 11-70 1-7 70 U Two family dwelling U Townhouse U Multifamily dwelling #of units 13 Office 13 Mercantile c3 Manufacturing U I car detached garage U 2 car detached garage U 3 car detached garage U 1 car attached garage 10 2 car attached garage 5'7(o 0 3 car attached garage 0 Storage building- commercial 0 Storage building- residential M Other What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? If so, for what? No Type of Heating System: electric/ oil wood /zla�QQd_h a r f baseboard f othet: 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 --Builder 717YI M 5'D CD W6Cwntij Pru 43. Plumber sle,4k ArN-w, -aA. V-+- rcl -7 4-7 V193 Mason QC..&-Lo M ekso IY gi [je,org Electrician Trj) btRI J�_ItCA14C -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 prernises and that all provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new cqnstraction. Signature: owner,owner's agent,architect,contractor -6Z--V Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 I. OWNER INFORMATION: _........................... ..............,.................. Office Use„ i` Location of installation: 430 File Permit No. t 2002 Tax Map No. �1 . � / t{� Owners 1p��C�c,� 3 ry Fee Paid ' Name: -� ` Address: 9t L-llStvoc-0. L n,2 Lcky-Q G-eo(Q Q ll1 y ► 2-S`{S 2. INSTALLER'S NAME : C:t ks c va-AAN '(, y_ ra 02g1E I C g PHONE NO.-1 q�?-C�1 Sb 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 Bedrooras x Cgmputation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980- 1991 x 130 gaVbdrm = 1991-present _Z x 110 gal/bdrm Garbage Grinder Installed yes_ / no Spa or Whirlpool Installed yes_ / no 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) Topo>7ranhv Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Su,Qply Flat an at what depth at what depth m icipal Rolling oam feet - feet el Steep slope clay ����,t- u� G�ems{ n G A:+- - tf well;water supply _%slope other (N:), from any septic-system depth: absorption isiC�ft other Percolation�Test:� (To be completed by licensed professional engineer or architect) Rate: -_s¢ �minute per inch " 5. PROPOSED SYSTEM: For New Cons$Mo2n: 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: JQ= gallon (min. size 1,000 gal.) Tile Field: each trench ft. Total.System Length: b fi Seepage Pit(s): number of size of each: ft. by ft Size of Stone to be used: # / depth"or thickness feet Bad System Size: SO x S Alternative System: length and/or size SOS 6. HOLDING TANK SYSTEM: (if required) Number of tanks; / Size of each: gallons /TOTAL Capacity: gallons -Note: Alarm System and associated electrical work must be-inspected by a Town approved electrical inspecition agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuantto Section 136-29 ofthe 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 Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person Date ;'<nvrt of (Its cell-'s Dui-y :Srtvcrs stnc! :icw:i ; _ / 4 I)i:,j>tr..al (:lia{pit•=' Aj)pgmdix (: At#St)I 11.1'1ON Ii'I1;1,1.) SI+:1'ARA`1'ION 1tl;t2l.!Iltl;[ti11!:N'1` i n YtStt_ t.s tltiss*'R- tc*IV.) . •tk}tts r�Snt�; -��..... - 171 -- -- . t¢ 2a_ r tY i r SniiyG C '1 .t•�Jt7ttP tN71 1 f`tAt,J�a 7. SIGNATURE &INFORN4ATIoN FoF,Kt�srur4busi.= ------- 20 01-7C// 1 TOWN OUEENSBURY �ltE ! Richard A.11rIissitu =�� .. HIGHWAY Highway Superintendent SEl� 1 � 2002 Home DEPARTMENT. , 742 Bay Road • Queensbury,NY 12804 1 C'}l i ni' '' i ' ;'; ( Michael F. Travis Deputy Highway Superintendent Office Phone: (518) 761-8211 (518)798-0413 Fax: (518) 745-4466 DRIVEWAY PERMIT DATE: APPLICANT NAME: MiChad and 0-infd�l lrnr�bl—� TELEPHONE NO.: ADDRESS TO BE,INSPECTED: RETURN ADDRESS: Qi t11SWOY' 1 lAY1e, E�i' ,1�C ia8�5 .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 1: { )Preliminary Approval NEED: { )Slight swale { )Level with the road { )Deep swale Size pipe to be used(if necessary) ( )12" ( )15" ( )18" ( )2¢" ( )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 �o�,--� T ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY WARREN COUNTY__ 9000 HEATING DEGREE DAYS V- I_� Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings (only I P 2002 Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dweking; r 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: �Cc7M ` 60 ��1Slu�c �� ���CXk-0 G Gbrq IQ �y 12S,4" PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: l. Gross Floor Area- t-1-l0 square feet 2. Type of heat- Electric Oil _Gas Other 3. Is building mechanically cooled?--9—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: a. Roof R b. Exterior walls R Z 1 C. Glazed areas R2.96 d. Exterior doors R 2-S- e. Floors over unheated spaces R f Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R it h. Basement/cellar walls (below grade) R. 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 A 1�'icaz is ,"'g ture Date Phone Number ` -cZ-0Q- -743-033? INSPECTOR'S REMARKS: Fire Marshal's Office Town of Queensbury,742 Bay Road,Queetisbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date 24 Q:; Permit No. Application is hereby made to the Building& Codes Office for the issuance of a Building and Use Perinit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of the4,e requirements and also will allow all inspectors to enter premises to pe?jbrm required inspections_ �,J,N- 63 to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) C Sfdve, i�qqd -coal pellet S Name: X�fr_7 �A Fireplace insert' Address: _t -_J wood (--k*> Fiteplace, masonry: wood ga,&. J wood ( gas= oil Phone: 7 q.? 033 If non-masonary applicance, please provide Owner: Manufacturer Name:, Address: Model Number: Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile' steel size: inches e Exact Aadress: L, k.(, of construction 4r hjstallatiolf 1­-' Factory-Buitt., Minufacturer name: Model Number: Note: Listed By: Number: Construction lInstallation must con f orin to NYS Fire Prevention &Building Indicate(circle) chimney material: Consult available Town of Queensbui), Handouts regarding required inspections. Double ivall Triple wall Insulated Direct venting Chimney Liner Fire Marshal Code# S Collected S Refiinded Received ftom (refunded to): iv address: A 173 3389 (190),Public SafLty A 233 2655 (230)1'Minor i ales DA T& Vkv White(Applicant) Green(Fire Marshal) Yellow(Bldg. Dept.) I Pink&Goldenrod(Cashier's Dept.) Project Name: j • ' / BP# Address: Building Permit Submission Mudtiple•Dudlirg & Ca mrrdd P7geaS 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...... ... ... ... ......... .............. yes []no [:]nla 2. EnergyForm or Checld&te Energy Code Compliance Forms Complete ... Ono ❑nla 3. Energy Code Inspector's Report from Checkmate Program.. ... ... ... ... [:]no nnla 4. Septic application completely filled out(if applicable)...... ... ... ... ...... Qno [ln./a 5. Electrical Inspection Form... ... ... ... ... ... ... ...... ......... ... ... ... ... .. Ono Qnla 6. Two (2) sets of plans showing the following: ... ............ ...... ... ...... Qno nn/a 6a. Floor plan(s)... ...... ... ...,... ... ...... ...... ...... ... ... ... ... ... ... . . ❑yes ❑no Qn/a 6b. Foundation plan...... ... ...... ... ...... ... ... ...... ... ... ....... ......... ..[]yes Qno Elnla 6c. Cross section(s)...... ... ...... ... ...... ... ... ... ...... ... ... ... ... ...... ... ❑yes Qno []n/a 6d. Elevations ... ...... ... ...... ... ......... ... ... ... ...... ......... .... ❑yes ❑no []n/a 6e. Design loads including floor,snow load,and wind load... ... ❑yes [:]no []nla 6f. Seismic design(required after Jan. 1,2003)... ... ... ... ...... ...... ... []yes Qno E]nla 6g. Plans signed by registered architect or engineer,signed... ....... ❑yes [:]no Qnla and sealed by a registered architect or engineer 6h. Window and door schedule... ... ... ... ... ... ......... ... ... ... ... ... Oyes Qno [-]n/a 7. Two(2) site plans showing location of the structure to be built,... ...... �Q s' Ono Qnla location of well or water lines,location of septic system or sewer line 1 all setbacks and separation distances shown,and all improvements to -he property. (�. 4:',- �,,Solid Fuel Burning or Gas Appliance Form.(if applicable)... ... ... ....... t" yes Qno Qnla 1�z-"/DrivewayPermit... ... .... ... . ... .. ... ......... ... ... ...... ... ... . ... .... s [:]no Elnla ate: Staff 11a1. L:\SueHemingway\Building.Perrrit.FORMS\Generic Checklist.doc 2 C E�'V E DO-) SEP 12 2002 -'2,00 2---7V Permit Number TO"'I'll OF ;FENSr",f.[,'W MECcheck Compliance Report Checked By/Date Proposed New York State Energy Conservation Construction Code NIECcheck Software Version 3.3 Release lb Data filename:Untitled TITLE:Mike Trombley COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family BEATING TYPE:Non-Electric DATE:09/12/02 DATE OF PLANS: 9/12/02 PROJECT INFORMATION: 80 Ellsworth Ln. COMPLIANCE:Passes Maximum UA=408 Your Home=301 26.2%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Cathedral Ceiling(no attic) 752 38.0 0.0 20 Ceiling 2:Flat Ceiling or Scissor Truss 740 38,6 0.0 22 Wall 1: Wood Frame, 16"o.c. 1720 19.6. 0.0 89 Window 1: Wood Frame,Double Pane 61 0.333 20 Door 1: Solid 60 0.100 6 Door 2: Glass 120 0.400 48 Basement Wall 1: Solid Concrete or Masonry, 8.0'ht/7.0'bg/8.0'insul 1528 11.0 0.0 96 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 c MECcheck Inspection Checklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE: 09/12/02 TITLE:Mike Trombley Bldg. Dept. Use I Ceilings: f ] I 1. Ceiling 1:Cathedral Ceiling(no attic),R 38.0 cavity insulation. Comments: [ ] I 2. Ceiling 2:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: I Above-Grade Walls: [ ] I 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: I Basement Walls: [ ] I 1. Basement Wall 1: Solid Concrete or Masonry,8.0'ht17.0'bg/8.0'insul, R-11.0 cavity insulation Comments: Windows: L ] I 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: I Doors: [ I I 1. Door 1: Solid,U-factor: 0.100 Comments: [ ] I 2. Door 2: Glass,U-factor: 0.400 #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: I Heating and Cooling Equipment: 1. Furnace 1:Forced Hot Air,90 AFUE or higher I Make and Model Number [ ] I 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher Make and Model Number I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. C ] I 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 I materials and 3"clearance from insulation. Vapor Retarder: f ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. r • Materials Identification: j ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. j ] 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 E the building plans or specifications. Duct Insulation: [ ] ( Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] Supply ducts in unconditioned spaces must be insulated to R-11. E ] E Return ducts in unconditioned spaces(except basements)must be insulated to R-2. E Insulation is not required on return ducts in basements. Duct Construction: j ] 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. j Exception: Continuously welded and locking-type longitudinal joints and seams on ducts € operating at less than'2 in.w.g. (500 Pa). j ] E 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 retiisn air system. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: j ] 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. E ] 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. a 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 T or chilled fluids below 55 T must be insulated to the levels in Table 2. Table I: Minimum Insulation Thickness for Circulating Hot Water Pipe Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(1) UP to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 i Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Law Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Bblow 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) Residential Final Inspection Office No. (518)761-8256 Date Inspection request received: J Queensbury Building&Code Enforcement Arrive: a opar�*_ pin Pin 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: * NAME: 7 . I plealAce' PERMIT#:r LOCATION: _12T?�_, 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 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 Fumace/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 -Plumbiag fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches %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 sq.ft.-150 sq.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 Tem2orary C 1 0(Cert. Of Occiipancy) Okay to issue Pennanent C 0(Cert. Of Occupancy) L:\SueHemingway\Building.Codes.Inspection.F,ORMS\Res.Final Insp.form edited January 28,2003 �J - Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received: Permit# 2 �� INSPECTION ON: (> Name: 4 A'/ AM PM ANYTIME Location: APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN C IMNEY SONRY ROUGHIN FINAII CHIMNEY FACTORY BUILT ROUQIIN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE r SONRY ROUGHIN OK THIS DATE OIKFOR�C NOT OK FINAL FIREPLACE .OIL FACTORY BUILT ROUGH-IN INSPECTED BY IT tr/INAL COMDEVICHRISJ/WORD/LETTERS2001/F IRE MARS HALINS PECTIONRE PORT11022001 WHITE--BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Residential Final Inspection Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 'Inspector's Initials: (S - i NAME: 60Y PERMIT 761 LOCATION: C—tAfie66sqx-k LA.T DATE: TYPE OF STRUCTURE: Comments, Y N N/A Chimney ft.T"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 Ftimace 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 '/4hour 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 Kal Electrical orSite 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 Temporary C t 0(Cert.Of Occupancy) Okay to issue Permanent C 10(Cert. Of Occupancy) L:\.SueHeningNvay\Building.Codes.Inspectioii.FORMS\Res.Final Insp.form 2.doe edited January 28,2003 LANDS NOW OR FORMERLY OF IRDN DS JESSE JENKINS FO SK. 1277, PG. 94 S 8126'00" E DIRT DRIVE - t TURN AROUND AREA - STONE MASONRY WALL / O f \ / TURN AROUND CASDANT RONTO THE TOW Of QUIIINSOURY ROOD 1 AS NOTED ON MAP REFERENCE FOUND 1 NO. 1. END OF TOWN ROAD AS SHOWN ON — MAP REFERENCE NO.1 LANDS NOW OR FORMERLY OF JEFFREY M. JENKINS BK. 1277, PG. 251 I LANDS NOW OR FORMERLY OF CHARLES & SHIRLEY STEVENSON BK. 448, PG. 591 ONLY COPIES MADE FROM THE ORIGINAL OF THIS SURVEY MAP Wi#p1 ARE MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS EMBOSSED SEAL AND i WARING THE SURVEYORS ORK*IAL. SIGNATURE IN & RED W, O 41 SE CONSIDERED TO BE VALID AND TRUE COPIES. UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP SEARING A UCEN D LAND SURVEYORS SEAL IS A VIOLATION O OF SECTION 7209 SU88MSION 2. OF RO D THE NEW YORK STATE EDUCATION LAW. FOUND END OF ASPHALT SURFACE POURED CONCRETE FOUNDATION N rn IRON ROD FOUND 104., DRILLS WELL 0 WALL LANDS NOW OR FORMERLY OF ANDREW T. & LINDA A. DOBROSKI BK. 951, PG. 174 315.95' SEPTIC TANK W 0 0 D E D Of �OOpS F , E L D lu., x I I I I I I I I LEACH FIELD IIII 1 1184 LANDS OF MICHAEL S. & CINDY LYNN MARIE TROMBLEY N 81'21'33' W 1) "MAP OF A SURVEY MADE FOR MICHAEL S. TROMBLEY", MADE BY VAN DUSEN & STEVES, LAND SURVEYORS, DATED SEPTEMBER 12, 2001, REVISED FEBRUARY 20, 2002 AND FILED IN THE WARREN COUNTY CLERK'S OFFICE ON MARCH 28, 2002 IN PLAT CAB. B, SLIDE 193. TAX MAP REFS SECTION: 265.00, BLOCK: 1, PARCEL: 16 6.97 ACRES± IRON S 81'38'00" E 233.17' FOUND STONE WALL 6" MAPLE I� x . 36" W OAK — POND — I I e 6" OAK x x `�'D x— x— x -- x -- x M�FtE xFENCE — x—x—x—�x—x 16" MAPLE 18" W OAK 10" OAK LANDS NOW OR FORMERLY OF NICKOLE M. & TRACY B. STEVENSON BK. 1139, PG. 155 565.07' [pia1:t27:1;11, JESSE L. JENKINS TO MICHAEL S. TROMBLEY & CINDY LYNN MARIE TROMBLEY DTD. JULY 22, 2002 RCD. JULY 26, 2002 BK. 1277, PG. 255 ;. LANDS NOW OR FORMERLY OF LAURA A. MABEY & JOHN G. FEDOROWICZ 8K. 1278, PG. 240 NOTES 1) THIS MAP IS BASED ON THE SURVEY MAP REFERENCED HEREON AS MAP REFERENCE NO. 1. THE PRIMARY PURPOSE OF THIS MAP IS TO SHOW THE EXISTING SITE IMPROVEMENTS ON THE PREMISES, AND OF WHICH WERE FIELD LOCATED BY THIS OFFICE ON DECEMBER 19, 2002. 2) THIS MAP WAS PREPARED WITHOUT BENEFIT OF AN UP—TO—DATE TITLE REPORT OR ABSTRACT OF TITLE AND IS THEREFORE SUBJECT TO WHATEVER FACTS MAY BE REVEALED BY THESE SAID DOCUMENTS. I HEREBY CERTIFY TO: 1) MICHAEL S. TROMBLEY & CINDY LYNN MARIE TROMBLEY, _ 2) PIONEER SAVINGS BANK, ITS SUCCESSORS AND/OR ASSIGNS, ROD 3) CHICAGO TITLE INSURANCE COMPANY, ITS SUCCESSORS AND/OR ASSIGNS, FOUND THAT THIS MAP WAS PREPARED FROM AN ACTUAL SURVEY PERFORMED ON THE PREMISES ACCORDING TO RECORD DESCRIPTIONS AND THAT IT SHOWS THE CORRECT LOCATION OF THE SITE IMPROVEMENTS ON THE PREMISES. DEC. 19, 2002 DATE DONALD L. PID40N, Jr N.Y.S. LIC. NO. 5037 3 MAP g SHOWING EXIS77NG SITE IMPROVEMENTS LANDS OF MICHAEL S. TROMBLEY IRON AND F CINDY LYNN MARIE TROMBLEY Sl WA 7ED IN TOW OF WMVS X,, WARREV COMM, NEW Y MPIK SCALE 7" = 50' SURVEY do MAP BY DOINALD L PADGEOIN, vI►. UUNSED LAND SURVEYOR N. Y.S. LICENSE NO. 50372 16 MICHAEL ROAD FORT EDWAM NEW YORK 12828 (518) 792-4146 0-129-1 Residential Final Inspection Office No. (518) 761-8256 Date Inspection request received: AA, Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm ,/sv 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: 3MPZ� NAME: D PERMIT#: LOCATION: e—,Cv5V#40f DATE: (e I Q,1 612 TYPE OF STRUCTURE: Comments Y A N NIA Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Com plets 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,Bailin gs 34 in.to 38 in. V/ Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade awa from foundation 6 in, with 10 ft. y 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 Fumace/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: 1 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, %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./Addreis ydiblt from road A Final Electrical . Site Plan /Variance'reqtired 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 Tea orary C 0(Cert. Of Occupanc Y) Okay to issue Permanent C 0(Cert. Of Occupancy) L:\SueHeri-ing%vay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28 20 A4 or COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. Main Office 176 Doe Run Road - Manheim, PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL PestNo,.}!.i/t114i.4lt}�ff►!,•••..4.44./..n.. r • �+ut-in Card "•illtftt11f1ii.liii.Ni4.1..4{.4.4/ �✓��{�iYr...#ni..ii.. iu i 1.11i1t1llif/# 4•#1}iiNip i.ilfli i41111i1111i4 Iif.lHiil.l}N1.1444i41441f11#.1#iil,}p{{..i..i.iiil►#NlIIIIfI#!i!i#ii!#i../ i4ltflti#ltf Locatl/�'`�y,/py t �l ion 4{.,i {N44,.4.. tt .4t4!!i iltf ! /p4 4.{.44. .i4t.lt4. 441!}!4fl604,l14 off 11}144►t►►•t•1••}•}}}}i}.Iof161111#11111tf if4,nu Mt4.t...f/ Lb/ &r,r4 6yQzt?, 6?)q Installation Consisting of.t4i11!#!1►li lf4i#i114tu.,t#ti,tu nt.{,tt1*.il}}}....}}414 5640141u1114 it.ti4Ntt.t.i4lots}i}Nf1141 Off J1610# t.}t}}tiiiituit4 fN 4#iLit .4 H.44tp1fq/illfH!!{N.i !{.44 H4titl4ffit• f►o, ftiHNN!!#,4►ii iO## i4,eltoteMo ! 4f Ni r4.4.4iH4.it..ilit#tiOi tt,itl4t...t.1 4 Jj!(} ��� l4f. 1 11i*!lO•1{44.O4t{fi/i.i 444... tiltiifONN444.4.44Ht.t4.t.iiHt4 t4/..i.Nt4i 1ii 4iiii.i/t4tiitii#41i14.#i ISO 4ii4,i.ti444i44/M.if44t44.4.44t114Mitif4t44141M4414.,.4.. Installed ....44.4.{Ntft.t44t.tN4ti4t i4ti.4t Ltd• No. }}}44N/4t}t too ttt41/1 t}}4}}}}1.4t!!#.11.1t#►t•4 The conditions following governed the issuance of this certif cate, 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 he promptly made for inspection, Inspectors of this Company shall have the privilege of ,Makin ' ections at any time, and if it rules are violated, the Company shall have the right to r oke thi } icate DateINSPECTOR 4u4.titNitai4t..iatpt4lltl•{ 4.4u,444t..t4u4i4t4iilt#lat4i./tt4tt4f4444utt41lt4i441 Momhar N.R.P A.. 1.A.r+..1. Rough Plumbing /Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: / Queensbury Building&Code Enforcement Arrive: am/p Depar 5 am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials:re; NAME: �, DL��j[_G�7 PERMIT LOCATION: INSPECT ON: �} TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents I Cast Iron,Copper Drain/Vent/Comm. l Plumbing Vent/Vents in Place Rough 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 Acopp_erZ&V apper Commercial C;Tex One&Two Family / �sEalativ IZesiderif"� Check/Commercial Check t n Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace D•ct Work Sealed Properly 00i U�j " COMMENTS: L:\PamW\Whiting\Rough Plumbing Insulation Report.doc Rough Plumbing/ Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received-, Queensbury Building&Code Enforcement Arrive:_am/pin Depart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: POO /— NAME: PERMIT#: 0 LOCATION: INSPECTON: 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 Air Supply Test Dram* and Vents ' 5 PSI or 10 ft. above highest Connection for 15 minutes 5'rUFF-- 012`5 Wol)" Water Supply Piping Copper Commercial T-\) Copper,-QEKQ-jq?c One&Two Family V/ Lx Qv,, .1wWAV"TE&Aal Check/Commercial Check Mr-oper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace 1p6ct Work Sealed Properly r. ` MNMENTS: e,7 kTVk CASE ' L:\PamW\Whiting\Rough Plumbing Insulation Report.doc Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request 0 SCHEDULE Permit#0 r t Received: INSPECTION ON: A Name: AM PM ANYTIME] Location: APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE -COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE C e- 4,v 6�-S EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGHIN ZIFINAL CHIMNEY V/ FACTORY BUILj /ROUGH IN FINAL k.4�V iN�, 1��; �2Df� u2 WOOD STOVE ROUGH IN 7 c-Q) FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK THIS DATIi OK FOR CO NOT OK FINAL /FIREPLACE yl FACTORY BUILT XROUGH IN INSPECTED BY FINAL COMDEVICHRISJIWORDILETTERS20OI/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY f Rough Plumbing 1 Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Cade Enforcement Arrive: am/p % art: am/pm 80 742 Bay Road,Queensbury,NY 124 Inspector's Initials:_ eT NAME: PERMIT#: LOCATION: W o&T ` L,-g e INSPECT ON: -r 110 16 _ TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft.above highest Connection for 15 minutes Water Supply Piping Copper Commercial C opper, CPVC,Pex-One&Two Family Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent 't Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: L:\Pamw\whiting\Rough Plumbing Insulation Report.doe Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received:��v— Queensbury Building&Code Enforcement Arrive: a *Cp "am1pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: ,Art: NAME: PERMIT / 7451 LOCATION: Cc- tZ rl-t L-J INSPECT ON: —*16 t TYPE OF STRUCTURE: I 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.- I 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 : Fi7 wall 2, 3,4 hour W,- &irestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side V2inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling4all Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above below grade 5.0 sf grade Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: /./t Queensbury Building&Code Enforcement Arrive: am/ art: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initial,: NAME: PERMIT t LOCATION: INSPECT ON: Ll TYPE OF STRUCTURE: Framing Y N N/A co TS 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 wall 2, 3,4 hour v/ Firestopping ca,-IF— A-L lit,I Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side V2inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling4all 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: "I Queensbury Building&Code Enforcement Arrive: . —Lam/pm Depa am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: VZ6101 Nr 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 1 Comm. Plumbing Vent/Vents in Place Rough 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 COMNMNTS: , L:\PamW\Whiting\Rough Plumbing Insulation Report.doc Town of Queensbury Fire Marshalls,Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE 3 Received: Permit#2 INSPECTION ON: Name: r'n I K fttl& AM PM ANYTIME Location: L-a APPROVED N/A YES NO C OMMENTS EXITS < > a- 3& AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGHIN FINAL A-T Z) CHIMNEY FACTORY BUILT `ROUGH IN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGHIN FINAL FIREPLACE MASONRY ROUGHIN '-OK THIS DATE OK FOR CO NOT OW' FINAL FIREPLACE FACTORY BUILT- Vk000H IN INSPECTED BY FINAL COMDEV/CHRISJAfVORD/LETTERS200I/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT CO Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/:!T Lp Depart; am/p 742 Bay Road, Queensbury,NY 12804 ' Inspector's Initials CA?A--J' PERMIT#: '� NAME: \IX j LOCATION: (I )O�r� -Illn-J INSPECT ON: TYPE OF STRUCTURE: Y N N/A COM NTS M, .. g Vj' ac tij, Headers acin V 1� 'S ridging 4T(W- e* i angers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate I V2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2 3, 7'1u�Ir�� 0. s�ffl7posprimn—g 4- P,(�— 46C 04P WRO 0fenetration sealed 16 inch insulation in cavity min. Mt" Garage Fire Separation House side V2inch 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 R-777- LAS ue Herningway\13 ui Id ing.Codes.Inspection.FO RMSTrarnin g Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report "Pm Office No. (518)761-8256 Date Inspection request received:Queensbury Building&Code Enforcement Arrive: arru' �,- �epartf= 9� 742 Bay Road,Queensbury,NY 12804 Inspector's Initials:� �' C NAME: } PERMIT#: c^ ;09,— 7 LOCATION: } INSPECT ON: (zg,7—U� TYPE OF STRUCTURE: 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 mare Headroom 6 ft. 8 in. Notches/Holes/Bearing Wal Metal Strapping for Notches Top late 1 '/z(w) 16 auge($ 16D nails e� side Draft stopping 1,000 sq. ft.floin es Anchor Bolts 6 ft.or less on c nter Ice and snow shield 24 inches from walt Fire separation 1,2,3 hour Fire wall 2, 3,4 hour Firestopping X4 { Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side YZ inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Septic Inspection Report Office No. (518)761-8256 Date Ins ection request received/ �7 f Queensbury Building&Code Enforcement Arrive: /a _amlpm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: wk e, P NO.: LOCATION: Q INSPECT ON: RECHECK: Comments and/or diagram Soil T�ype: ,Sand Aoarn Type of Wakrl.'Municipal/k\VeILWater Waterline separation distance'— ft. Well separation distance r=ft. Otherwells: ft. Absorption Field: Total length ft. Length of each trench Depth of trenches Size of Stone Seepage Pits: Number Size: X Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box4o.Viield.4 Pit 1—\ 9 VVC/ Opening Sealed! Xje/�Tq/Partial Z Location/Separations Foundation to tank Foundation to absorption ft. Separation of Pits Conforms as per Plot Plan Y ft. Location of System on Property: Front Rear LleftSid --Right Side Middle Front fiddle Rear System Use Status: ,Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved t-3 Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbuty Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART /Pm Notes: (518) 761-8256 Inspector's Initials NAME: L&1 PERMIT# LOCATION: INSPECT ON(date): TYPE OF CTURE: RECHECKs7 Footings/Piers . N/Af YE COMMENTS 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 Plumbing Vent/Vents in Place Rough Plumbing_ Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling 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\Biiiiding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe office Use -GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time:: Dept. of Community Development Request received,- 2, Meet: Building& Code Enforcement At time: 742 Bay Road Notes: Queensbury, IVY 12804 ARRIVE am1pm:,DEP,4RT am/pm (518) 761-8256 Inspector's Initiaisr—s NAME: rr, PERMIT# 2-- 7D LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO/ COMMENTS -yFootings/Piers . t/ 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 "FoundationfWallpour Reinforcement in Place Foundation/Dampproofing_ Backfill Approval Plumbing Under Stab Plumbing Vent/Vents in Place Rough Plumbing________ Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling 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 Scaled Fire Wall 2,3,41ours— Firestopping L:ISueHemingwayauilding.Codes.Inspeeflon.FORMS\GENERAL INSPECTION REPORT.4oc i� Office Use .GENERAL INSPECTION UPORT Inspector: Town of Queensbury Ready at time:'-' : Dept. of Community Development Request received: 7-1t-3Z6 Meet: Building& Code Enforcement At time: 742 Bay Road a I Queensburj), AT 12804 ARRIVE am/pm: DEPARZY/PMIn Notes: (518) 761-825d Inspector's Initials NAME: PERMIT LOCATION: INSPECT ON(date): 16/0 LW-s� TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection frown freezing for 48 hours following the placement of the concrete. Materials for this purpose on site 'Foundation/Wallpour Reinforcement in Place Aoundation/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- Ceiling R- Duct work or piping in . unheated spaces R- Proper Vent,Attic Vent Framing__ Jack Studs/Headers Bracing/Bridging 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:\SucHem(iigwayTuilding.Codes.Inspection,FORMS\GENERAL,INSPECTION REPORTAOC Office Use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road in Notes: Queensbury, NY 12804 ARRIVE am/pm: DEPART P (518) 761-.8256 Inspector's Initials MINI NAME: PERMIT# OZ, INSPECT ONT(date): oil- LOCATION: TYPE OF STRUCTURE: RECHTpCK N/A i YE 40 COMMENTS /ootings/Piers V. Monolithic Pour Form Reinforcement in Place Ile contractor is responsible far' 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/Dampproofmg_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place 7 Rough Plumbing_ Heating Rough-In `" Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in . unheated spaces , R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging___ Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Scaled Fire Wall 2,3,4-hour stopping_ ay\Building.Codes.inspection.FORMS\GFNFRAL INSPECTION REPORT.doe offke Use GENERAL INSPECTIONREPORT f Inspector: -116-0-1 Town of Queensbury Ready at time Dept. of Community Development Request received: Z Meet: Building& Code Enforcement At time: 6 742 Bay Road Queensbut3,, NY 12804 ARRIVE am/pm: DEPARYZ am/pm Notes: (518) 761-8256 Inspector's Initials NAME: (eu PERMIT# LOCATION: INSPECT ON(date): V- TYPE OF STRUCTURE: RECHECK NIA O COMMENTS tC otingsip—ic—is onolithic Pour Form A)o PC)o k Reinforcement in Place' Y- It/ © op!� The contractor is responsible POF providing protection from freezing for 48 hours following the placement of the concrete. .141- Materials for this purpose on site Reinforcement in Place Foundation/Dampproofing­ 'O"ys Backfill Approval Plumbing Under Slab PlumbingVentlVents in Place Rough Plumbing_ Heating Rough-In To R)0,/,g Foundation Walls Interior Foundation Walls Exterior R- Floors R- Walls R- Cailing R- Duct work or piping in . unheated spaces R- Proper Vent,Attic Vent Framing__ Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier J Fire Separation 1,2,3,hour Penetration Scaled Fire Wall 2,3,4 hour_ Firestoppin L-.\SueHemiiigway',Buildiiig,Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc (Office Use GENERAL WSPECTION REPORT Inspector: Town of Queensbury 6 Ready at time:. Dept of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road ARRIVE am/pm: ml Notes: Queensbury, NY 12804 pm: DEPART f pm (518) 761-8256 Inspector's Initials NAME: pv-rn'b PERMIT# 2 0Q7---78'1 LOCATION: TO INSPECT ON(date): /0 7 TYPE OF STRUCTURE: RECHECK 2 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/D ampproofing_ CA-L L— 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- cailing R- Duct work or piping in . unheated spaces R- Proper Vent,Attic Vent Framing__ Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4hour Firestopping_ L:\SueHemiiigway\Buildiiig.Codes.Inspection.FORMS\GF.NERAL INSPECTION REPORTAOC Off Use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time; Dept of Community Development Request received- Meet: Building& Code Enforcement At time: 742 Bay Road In Notes: Queensbui3,, NY 12804 ARRIVE am/pm: DEPARh— ilp (518) 761-8256 Inspector's Initials'. NAME: PERMIT# LOCATION: INSPECT ON(date): /ZV-5 Q 2- f 7/77 TYPE OF STRUCTURE: 121 j102- RECHECK N/A YES N1 COMMENTS -kootings/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/W allpour 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- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing_ Jack Studs/Headers Bracing/Bridging 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'Suilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc 2-ICO'Z-- if L Dennis MacElroy,P.E. S E P 1 2 2002 112 Sunset Trail Queensbury,NY 12804 dinacelLoyi&delphi:a-netSeptember 10,2002 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—4V4minutes/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./bdrin 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 s 'may 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 levelers 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.