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2002-903 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 CERTIFICATE OF OCCUPANCY Permit Number. P20020903 Date Issued: Monday,February 24,2003 This is to certify that work requested to be done as shown by Permit Number P20020903 has been completed. Tax Map Number: 523400-308-008-0002-057-000-0000 Location: 27 HOWARD St Owner: CLUTE ENTERPRISES Applicant: CLUTE ENTERPRISES,INC. This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Director of Building&CqfAement TOWN OF QUEENSBURY 742 Bay Road;Queensbury,MY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020903 Application Number: A20020903 Tax Map No: 523400-308-008-0002-057-000-0000 Permission is hereby granted to: C1.TJTFFNTFRPR1SES- TNC. 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: CLUTE ENTERPRISES 13 DAWN Rd - QUEENSBURY,NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency TARRY CLUTE - 13 DAWN Dr 01JUNSBURY.NY 12904 Plans&Specifications 2002-903 Construction of a single family dwelling per plot plan and specifications. $99.84 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,November 01,2003 (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 ToWr ensbw; Fri ay; 01,2002 ", Aep�-- SIGNED BY T11)II01) - ,N -----.for the Town of Queensbury. Director of Building V Node orcement Building Permit Application Town of Queensbury-Dept of Community Development, 742 Bay Road, Queensbu ry,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: application form. Applicant: Owner: RECEIVED Address: Address: OCT 2'4 2002 Phone#(�) Phone# TOWN OF QUEENS13URY Email Address: c-l�,P.\e- Email Address: BUILDING AND CODE Property Location- Lot Number: House Number It i Subdivision Name: Tax Map Number: a-4:5-7 ' New Building: esidenc /commercial Estimated-Market Value of Construction: $ c3 Addition: residence/ commercial If an Addition,what will use of new addition be? u Alteration: residence/v commercial C3 - No change to exterior size; residence coni'l C3 Other Work(describe Check Occupancyllnformation I"Floor 21d Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling 0 Two family dwelling U Townhouse Q Multifamily dwelling #of units U Office a Mercantile c3 Manufacturing u I car detached garage 6 2 car detached garage c3 3 car detached garage ca 1 car attached garage 0 2 car attached garage o 3 car attached garage U* Storage building- commercial C) Storage building- residential o Other What is the proposed height of the structure feet inches Will any second-hand econd-hand or ungraded lumber be used? If so,for what? N1_9_Q� Type of Heating System: electric/ oil --gas/—)Wo forced�hot air aseboard J othet: Number of Firevlaces 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— Plurnb6i Mason Electrician C-\-V A -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 x Building--Gode,the Zoning Ordinance and all other laws pertaining to the.proposed work shall be complied with,whether .s g,=r note and that such work is authorized by the,owner. Further,it is understood that I/we shall W Certificate submit,p e Sccupancylor Certificate of Conigliance being issued,as requested by the Zoning Ad "'to or Director 13 ildin and odes,an licensed surveyor;drawn to scale,showing actual rm Istro w 0 s .a=6f aIrl ne n igna " owner,owner's agent,architect,contractor Application for Permit-Septic Disposal System Town of Queensbu7y 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ....................... ......................... Location of installation: R E E) Tax Map No;3-0`W-,4/ S-7 File Permit No. L�5 Owner's Name: C it- C-1 CA 1-11� Fee Paid OCT 4 2002 ....................I.................. T­0WN,QFQUEEffS8URy............... Address: BUILDING ANP CODE 2, INSTALLEWS NAME PiioNE No,-7ci S,-1 3-1 ? 3. RESIDENCE INFORMATION:" (circle year of dwelling, indicate 4 bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: --lio- of BedrqoMs x Computation = Total Daily Flow 1980 or older x 150 gal/bdrin = 1980- 1991 x 130 gal/bdrm = 1991 -present x 110gaVbdrm = 2_2 i C) Garbage Grinder Installed yes no Spa or Whirlpool Installed yes_ no 4:- PARCEL INFORMATION: (circle applicable information&indicate measurements) Q2!R&=hy Soil Nature-- Ground-Water Bedrock or Impervious Material ter SuRvly CZ-7at e-­ at what depth at what depth nYciDal Rollin-g feet feet 'well Steep slope clay _ tfwell;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 iongMMSA$Lift_: 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: V3 0 0 gallon (min. size 1,000 gal) Tile Field: each trench ft Total System Length: ft Seepage Pit(s): number Of-----L size of each: ft. by Size of Stone tobe used: # depth or thickness 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:--Alarm System and-associated-electrical-work must be inspected bya Town approved' electrical inspe6tion 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,misrepresentatioil or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read th" gulations i respe this ation and agree to abide by these and all requireme s of the T f Qu Sani ry Sewage Disposal Ordinance. re of responsible person Date 'Iinv.'�t of ury = -a�l:1Vt:1'a ,2J2(I•,:�CWaj,.c. "I)i:,;>a�s2.I t.Its�;tit•t� . • 111;.�t)Ii.�''•�'I()N I�'I IfiI.,I) • S'I:I'AItATION REA11.)l i MNI NN'I`8 . S Tfik:tn1i1 PONo <rt 'u•,.•a N ; G. -- -' .� r•E:tvjz Sc Ic, K,,,,-„ 1 nI,ytttJ.a Jttr•t t - /�f J���t .�I,+at7RJ't1G1 J - . ' fit R1t..LT 7. SIGNATURE &INFORl,IATION FOIi.RESIIvr4;SAoj_r r�swvi� v..�.s••.,....; ; ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY BEATING DEGREE DAYS r V 9000 HE iet) s:Part 5 -Acceptable table Practice-Method— 1&2 Family Dwellings( OCT 4 2002 Compliance Method Part 6*-Thermal Rating—Component trade Offs 1&2 Family D F'QUEEIVSB Multi-Family Dwellings(3 Stories or less) NGAN©'�pp�Y Part 4*-Design by Component Performance,Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT'. NAME: PROPERTY LOCATION: . P RT 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: l. Gross Floor Area square feet 2. Type of heat- Electric Oil--~ � Gas Other 3. Is building mechanically cooled?, 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 \`I C. Glazed areas R :2.'5 d. Exterior doors e. Floors over unheated spaces R f. Edge of slab on grade(heated building) R g. Basement/cellar walls (above grade) R h. Basement/cellar walls(below grade) Rj— i. Heating/cooling-ducts-piping in unheated space R mot. 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code Yes Na iEMp TU CON MAXIMUM SETTING 140—WILL NOT BE EXEEDED pplic is Date Phone Number SPECTOR'S MARKS: qo . HIGHWAY _ - Rickard A.1�lissita Highway Superintendent EPA RTM EN Home(518)798-5127 742 Bay Road• Queensbury,NY 128U Michael E Travis Deputy KghwaY Superintendent Office Phone.- (518) 76�-8$!i - (518)798-0413 Fax: (518) 745-4466 "`! 'DRIVEWAY PERMIT ED / OCT 2 4 2002 DATE: O t i-( ��. TQgU 0�QUEgWS$(J ANp C�pE Y APPLICANT NAME: TELEPHONE NO.: p7a7"7 ADDRESS TO BE INSPECTED: RETURN ADDRESS: 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 s%vale Size pipe to be used(if necessary) ( )12" { )15" { )I8" { )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 Project Name: BP# IREZO Address: ENED Building Permit Submission OCT e 4 2002 S 4&fa n gy du Aig TOWN OF QUEE Tv&fiw9y dudl* BUILDING AN NSBURY 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 anyof the belowitems are lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed ...... ... ......... ... ... ... .......... s El no r]n/a yes 2. Energy Form or Uaeckkdate Energy Code Compliance Forms Complete- C—q 0 no ❑n/a 2 3. Energy Code Inspector's Report from CheckM&te Program.. ... ... ........ VOS El no ❑n/a 4. Septic application completely filled out(if applicable)......... ... ... ... ...... ❑no ❑n/a 5. Solid Fuel Burning or Gas Appliance Form... ...... ......... ... ... ...... ... ....[:]yes Elno a 6. Electrical Inspection Form... ... ... ... ... ... ... ... ... ... ..... ... . [-]no�On/a 7. Two(2) complete sets of structural drawings... ..... ... ...... ... .... yes F-Jn/a a) floor plan;b)foundation plan;c) cross sections:d)elevations; J� yes e) window and door schedule 8. Two(2) site plans showing location of the structure to be built.......... ... r0no F-In/a E r location of well or water lines,location of septic system or sewer line. tW - s 9. Setbacks from property lines to new structure...... ......... ... ....... ... .... s Elno E]no E)n/a s 10. Setbacks to neighboring wells and septic systems,including onsite Well s Ono nn/a and septic systems (if applicable) 11. DrivewayPermit... ... ......... ... ... ...... ......... ... ......... ... ... ... ... ...... s�_-]no [-]n/a Date: Staff Initial: L:\S,el-kming-way\B.ading.Pennit.FORAB\Gcnctic Cheddist.doc F IFIV C Permit Number op row'�'01, MECcheck Compliance Report Checked By/Date NAND t?DE Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb Data filename:C:\Documents and Settings\Larry CIute\Desktop\Meccheck\Clute Raised Ranch 8.12.02.cck TITLE:26x32 Raised Ranch 832 COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family BEATING TYPE:Non-Electric DATE: 10/11/02 DATE OF PLANS: 10/11/02 PROJECT INFORMATION: Thompson Howard St. Queensbury,NY COMPANY INFORMATION: Clute Enterprises,Inc General Contractors 13 Dawn Rd. Queensbury,NY 12604 COMPLIANCE:Passes Maximum UA=227 Your Home= 182 19.8%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Raised or Energy Truss 832 30.0 0.0 27 Wall 1:Wood Frame, 16"o.c. 960 19.0 0.0 58 Wall 2:Wood Frame, 16"o.c. 448 19.0 0.0 20 Window:2'8"x 4'0":Vinyl Frame,Double Pane 43 0.490 21 Window:2'8"X 3'0":Vinyl Frame,Double Pane 32 0.490 16 Door: Steel Insulated: Solid 40 0.069 3 Basement 1: Solid Concrete or Masonry,4.0'ht/3.0'bg/4.0'insul 448 11.0 0.0 35 Floor 1:All-Wood JoistlTruss,Over Outside Air 52 19.0 0.0 2 Furnace 1:Forced Hot Air,82 AFUE COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building x S ' 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 F j 5 MECcheck inspection Checklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE: 10/11/02 TITLE:2602 Raised Ranch 832 Bldg. Dept. Use Ceilings: [ ] 1. Ceiling l:Raised or Energy Truss,R-30.0 cavity insulation Comments:R-38 raised heel truss Insulation must achieve full height over the plate lines of exterior walls. j Above-Grade Walls: [ ] C 1. Wall 1:Wood Frame, 16"o.c.,R 19.0 cavity insulation Comments:Upper floor area wood frame [ ] 2. Wall 2:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments:lower level framed wall Basement Walls: [ ] 1. Basement 1: Solid Concrete or Masonry,4.0'ht/3.0'bg/4.0'insul, R 11.0 cavity insulation Comments:concrete walls below grade Windows: [ ] 1. Window:,2'8"x 4'0":Vinyl Frame,Double Pane,U-factor:0.490 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 2. Window:2'8"X 3'0":Vinyl Frame,Double Pane,U-factor:0.490 For windows without labeled U-factors,describe features: - #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: Doors: [ ] E 1. Door: Steel Insulated: Solid,U-factor:0.069 Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss,Over Outside Air,R-19.0 cavity insulation Comments:Floors overhang 2nd level Heating and Cooling Equipment: [ ] ( 1. Furnace 1:Forced Hot Air,82 AFUE or higher Make and Model Number Air Leakage:' [ ] ( Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 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. I Vapor Retarder: [ j I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ j I Materials and equipment must be identified so that compliance can be determined. [ j I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. C ] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R 11. [ j I Return ducts in unconditioned attics or outside the building must be insulated to R 6. [ j I Supply ducts in unconditioned spaces must be insulated to R 11. [ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. I Duct Construction: C ] 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). [ ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ j I Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] I Air filters are required in the return air system. [ ] I The HVAC system must provide a means for balancing air and water systems. i Temperature Controls: [ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. I Electric Systems: [ ] I Separate electric meters are required for each dwelling unit. I Fireplaces: [ ] I Fireplaces must be installed with tight fitting non-combustible fireplace doors. L j I 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 offew York State or the New York City Building Code,as applicable. I Service Water Heating: [ ] I 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: [ j I Insulate circulating hot water pipes to the levels in Table 1. I Circulating Hot Water Systems: [ j I Insulate circulating hot water pipes to the levels in Table 1. i Swimming Pools: [ ] I All heated swimming pools must have an on/offheater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105 OF or chilled fluids below 55°F 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) U to l" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness 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" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) M z 4 Q N� z 1}++ e �w 1 au o a 0 m0co nN z WA'" A+ zZOH H aH o wwa� al aAz ao� H .4 z WU W ICU C� H W W H H Z. z I I N r zt� Nu E HI E E 0 E 0z z a I N w N z w 0 z U EH W 4 w 0 W Z H z U' W 4 U Q w a 44 0 MA a H a 0 a w z a x w za " a a w a H H W N H t� W H a A Mrs w H x E E a a 0 w N z W a a 14u WW w a 4 ] N aaaNaV) a (nHzfl0 x a a !4E w a N a 0 w 4 a 0 w z U z w x E 0 N 0 a E N z H E U E a 4 4 4 0 , 0 E w N 4 N a 4 d N 0 a 4 U U, H a H .., U > �+ H N z H U 3 4 a > 4 q t H . a U 4 E Z Z W H 4 z N W U 9 W A Q Q E 4 W W W H E > E w w a a w° E z x > W 0 a z N N w H UI a w w w w U N7 a 5 N 0 x 4 0 z H W W a a H a W W W a U) N z EO H L7 aN > H a 0 0 0 4 N a a a 0 , z 0 W 0E >4 z 0 0 0 E 0 0 w � 0 .0 0 E 4 d H W H H 0 z9 W H z H z W N 4 H a 0 A Z p Q N 0 U U U > N Ha z M H a H W a Q aN H W H H H 4 a 0 H W w w W E z z W W H H 0 z W U w W W a E U P N 00 H ] 0 E 4 4 , 0 ] E 0 a a H a H H 4 z z z z E z a 0 4 >4 0z x 4 0 X W w a 0 Z E H H W H X X a 4 4 4 H H H � 4 QZaQEWH Ua9Wx9WWHNwWUWwWaxxZ, 0 MAP REFERENCE: MAP OF A SURVEY MADE FOR KEITH A. & SUZANNE L. EGGLESTON DATED: JANUARY 26, 1989 BY: VAN DUSEN & STEVES IR5 17 � an Du s eh Steves Land Surveyors, LLC 169 Haviland Road Queensbury, New York 12804 (518) 792-8474 New York Lie. No. 50135 AREA 15,276 sq.ft. 0.35 acres 88.47, �QT S7g °37 48 "IF r52.5B r54, 41 �50'or"W *UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY NAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209. SUB -DIVISION Z. OF THE NEW YORK STATE EDUCATION LAW.' 'ONLY COM IRCM THE ORIGINAL OF THIS SEW" MARFN WITH AN ORIGINAL Cr THE WD SURVEYORS SEAL SHALL BE CONSIBOERED ,O BE VAUD TRUE COPIES.' 'CERTIFICATIONS INDICATED HEREON SIIRFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EOOSONG CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YOM STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR TRRON THE SURVEY IS PREPARM AND ON IRS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING MSTITUITION LISTED HEREON. AND TO IM ASSIGNm OF THE LeNDING INSTITUTION.' IPF E'" W W IRF Map of a Survey made for CLUTE ENTERPRISES, INC. Town of Queensbury, Warren County, New York NO. I DATE A LEGEND: O IPF = IRON PIPE FOUND O IRF = IRON ROD FOUND O CIRF = CAPPED IRON ROD FOUND OIRS = IRON ROD SET/TO BE SET = UTILITY POLE — o = WOOD FENCE aeon-qD3 RECEIVED FEB 2 1 2003 F TOWN OF QUEENSBURY BUILDING AND CODE Hof NEy� y c r DESCRIPTION .uocrei NU V LP Scale 1'=20' S-1 0 SHEET 1 OF 1 CLUTE C856 DWG. NO. 02371 rl- LO I CV I 00 06 0 M I r- I 0 cV 120-1-31 /308.8-2-57 COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. Main Of ee 176 Doe Run Road - Manheim, PA 1754 � 41, �j MUNICIPAL CERTIFICATE ov ELECTRICAL APPROVAL Permit No, NiHNNttfiN 0 8" 18 7 8 cut-in card No, .. A'.' qil-1, 1�f jl �. t f*n +(�4 !Ii ii iiP.# s i • itififiiiiittittiYlitfli4#i!!!!li Rliiiil If itflttffflN+if�lttttl�li iit R R ! Pots1ti�lHlIfYtliilii N#hifi!llliltt/lY#!RR ! ,Lat10n 11!!Rlii�r f Mttlttfl {!4Y fiitll1111i{NilNHif#!i#lNt4Hiliil Oro ii/tiiiiiiiii/titt Ito liiH# iili !{! #!#TR�iit ittilifliill 00 InstallationConsistingof ! tRi i.0.6#ltHf t►#.li iflftl{ l/l�rflil !� j itt/f►I140 itq, !! 14114 . 4 t1!! fti/1 i ltiti I gave (f�f 1tl11 #i111# !1 #) !i1ll ff# Itt ii # 1#4194114119ii4folslyti tt7 tf illi itti ittiiiNlttliilt#iti./it litili}iliiiitttitif/ii1i11iiitl cif.J'iA RfiitliHiiiltiftffffflf Milliif•Ittftlllll lfliRtlitf Nlliftii11 ti1Ufptf ililitiiilfit#IIfi1#tlttiitliNi!lliiit1i111111 ii itfi i i1 ii iii 111114H4l1lrR{tilitfH 4 t t{f�Installed l yli#lift #iiiiiifl i i� .t�s.�irii...i�.t.1/i ilti4tr 111i•ti.1#calf iillii Lic. #'1F . { 0 # of## of The conditions following governed the issuance of this certificate, and any certificate previously issued i cancelled; � I � ' t This certificate only covers the electrical equipment and installation conditions as t i th( introduction of additional equipment or alterations, application shall be made for inspection, i Inspectors of this Company shall have the privilege of making ins aam -PURN An 0 shallhaver ING AN CODE rules are violated the Com an shy the i ht to revoke this cert�fp yg Date,,, i1J1�tia0q!�#Ott it{I{!1!r{ilittRl l4 INSPECTOR sit i1f1 !t 11i i # t f liitillRit4RllRi/iiretf iiltiftili MpmhAr N.F R A..1.A.F;.t. Residential Final Inspection Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depaxt: 742 Bay Rd., Queensbiry,NY 12804 Inspector's Initials: NAME: PERMIT#: Cl LOCATION: DATE: TYPE OF STRUCTURE: Comments 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 am/pm O Guard at stairwell at 34 in. or more zr 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 V 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: I / Battery backup: Bathroom.Fans,if no window A121 P6 Carbon Monoxide detector A/ Plumbing fixtures V1011 Foundation insulation 47-oa e Floor truss, draft stopping finished basement 1,000 sf V Emergency egress below grade Basement stairs closed rise>4 inches 3/4hour fire door/door closer Garage fireproofing z Duct work Sealed properly V Attic access 30 in.x 24 in.x 30 in.(1u.)In accessible area Crawl Spaces 18"x 24"access, I sq.ft.-150 sq. ft.vents v- 8uilding No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan V tt 6V As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert. Of Compliance) Okay to issue TeLnporary C 1 0(Cert. Of Occupancy) Okay to issue Permanent C 0(Cert. Of Occupancy) L:\SueHemingNvay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003 ;j RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart Z p Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York*12904 NAME PERMIT LOCATION aw WD DATE TYPE OF STRUCTURE NIA YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof du Roof Complete ExteriorFinish 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 C� ��� 1 t� j�Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating 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" 1 Floor Finish Bathroom/Kitchen watertight__ Interior Handrails Balconies/mding 18 in.or more Railing across window in stairwells Smoke Detectors: every level ("o 0 t,0 S 6 te-o 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 lies0rorn floor Final Electrical C6A f2' 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) Framing/ Firestopping Inspection Report (fJJjj Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/nrn pa am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: l��C PERMIT#: LOCATION: INSPECT ON: 3 TYPE OF STRUCTURE: o-- ...� . . :r . .a Y N NIA COMMENTS nun. 10 'Tack 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 %z(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft.floor trusses Anchor Bolts 6 ft.or less on center Ice and snow shield 24 inches from wall Fire separation 1,2,3 hour Fire wall 2, 3,4 hour Fes in — enetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %inch or 5/8 inch Type X ' Garage side 5/8 inch Type X Ceilin 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: IA Queensbury Building&Code Enforcement Arrive: am/ D (Am/pm Clr- 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: ! NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents or Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place h I'll /yi�TaiLPlates 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 Iirsu ation/'Res4lential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: L:IPamW\Whiting\Rough Plumbing Insulation Report.doc Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: r --- Queensbury Building&Code Enforcement Arrive: ami m Depart: r, a /pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: ' r.. NAME: LU C PERMIT#: LOCATION: `t INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R 1,R-2,R-3,R-4 Drain/Vents Cast Iron,Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place' Rough Plumbing/Nail Plates Head or 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 Familyq f, Insulatio esi ntial Check/Commercial Check ' -Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: j L:\PamW\Whiting\Rough Plumbing Insulation Report.doc TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMEN-F _742Ba_v Rclacj . Quot-_nsbur-.y MY 12004 (518) 7c>1-825c5 SEPTIC DISPOSAL SYSTEM INSPECTION Name c" - /- - L ot c--a Z i on Date v-m 1 -t # SOIL T-Yp Sand- aam-clay- oam Resul -ts 0-F Pel-cola-tican 7es-t- ( 1 -F applicable ) Rate-Minu-te/ Inch -TYPE OF SYSTEM= ADSORPTION FIELD : Total Long-th Length a-F each trench Depth of trenches Size o-F stone SEEPAGE PX,�[- N le �� : umb Size - -t - x -t Stone size PIPING: S ' Le ype BI dg . to Tank -ran k to Field/ - D-Ir Openings Sealacf ? ye No _ Part ia1___ EOCA-TION/SEPARAYIO Founda-tion -to Tank Founda-tion -to Absc>r-p -tion Separa-tion of' - Pi -ts e--t Can-Forns as per Plc>t- Plan No I(_c0iCA- FIr 3YS-FEM ON PROPERr rcl Front Le-Ft Side - Right Side Middle Front - Middle Rear C074MEN-TS : SYS-UEM - USE APPROVED -- YES No Office Use GENERAL INSPECTION UPORT Inspector: Town of Queensbury 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 m/pm Nate 4 (518) 761-8256 Inspector's Initials'i V1(.,1 NAME: PERMIT# LOCATION: INSPECT ON(date): Plv-lo-2-Pk. 812 E TYPE OF STRUCTURE: SO RECHECK 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 'FoundationiWallpour Reinforcement in Place t on,1Qmppa roofing__ I 410-11 A"ppr, val___ Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing__ Heating Rough-ln -40r-nsuffltl� oo-- FounJaill"o"r alls lnlerior� 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/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hou __ Penetration Sealed Fire Wall 2,3,4 hour Firestoppin L:\SueHemitigway'auilding.Codes.fiispection.FORMS\GENERAL INSPECTION REPORT.doe offlee'use -GENERAL INSPECTION REPORT Inspector: Ready at time':­ .,.-jown of Queensbury Dept. of Community Development Request received.- Meet: Building& Code Enforcement At time: PLIJ 742 Bay Road � Notes: Queensbury, NY 12804 ARRIVE am T a (518) 761-8256 Inspector's Int al EP NAME: PERMIT Z-90 LOCATION: i, INSPECT ON(date): TYPE OF STRUCTURE: RECHECK 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 </ Reinforcement in Place Foundation/Darnpproofing_ Backfill Approval Ilk lumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing_ Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls it- Ceiling R- Duct work or piping in . unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/1-leaders Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation t,2,3,hour Penetration Scaled Fire Wall 2,3,4 hour___ Firestoppmg__ L:\SueHemiiigway\Buildiiig.Codes.Inspection.FORMS\GF-NE.RAL INSPECTION REPORT.doc �+ Office Use GENERAL ENER INSPECTION REPORT � Inspector: Town of Queensbury Ready at time- Dept. of Community Development Request received. G� $ Meet: Building chi Code Enforcement At time: 742 Bay.road Queensbury, NY 12804 ARRIVE "J� a EAR m Notes: (518) 761-8256 .Inspector's Initials . NAME: X PERMIT# GY�2 LOCATION:�� �� INSPECT ON(date): 6Z. TYPE OF STRUCTURE: �Wb 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. Materials for this purpose on site Foundation/Wallpour r Reinforcement in Place Foundation/D ampproofing 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:\SueHemingway\Building.Codes.Inspectioa.FORMSIGENERAL INSPECTION REPORT.doc ---- Office Use ,GENERAL INSPECTION REPOaj� 2,- Inspector: Town of Queensbury Ready at time: Dept of Community Development Request received.- Z- Meet: Building& Code Enforcement At time: 742 Bay Road Queensburj,, NY 12804 ARRIVE amlpm: DEPAR T A am/pm Notes: (518) 761-8256 Inspector's Initials NAME: ()(Pl PERMIT# 2Z LOCATION: Q—(Uj- INSPECT ON(date): ttl q1 6 2- t TYPE OF STRUCTURE: RECHECK 713-7277' N/A YES O COMMENTS �Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsib le 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/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 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 Scaled Fire*Wall 2,3,4 hour Firestopping_ L:\SueHemiiigway'Muildiiig.Codes-Inspection.FORMS\GENERAL INSPECTION REPORT.doe � , ' ii I � i ► ii � ; ; I I i I i I II i I I i I f a I s rve ,o�pl1 e eve sew etlide�ce f, j j E oneI nre h ' Is n� s t ,arch ( ,i '0 - ' , j ! I ! i j , I I I i � � i I I ! I I � !;.•u�I---- I , i_ ���`"'i ! f } I I-- j --�~-~~i i �i -�I---- � I - ` ;�I ! � iillEli � I ill� llli � l , 111 � ! � illl , i � l I i IIllii '� 1111 !