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2002-882 (' TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 CERal'IFICUATLE OF OCCUPANCY Permit Number: P20020882 Date Issued: Monday,July 21,2003 This is.tocertify-that xequested:to be done as shown by Permit Number P20020882 has'beerf completed. Tax Map Number: 523400-301.007.0002-011-000;0000 Location: 1 CARDINAL Ct Owner: ELLEN KELLY Applicant: STEVE KELLY This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Lap Director of Building& de rcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20020882 -7 ' Application Number: A20020882 o ,P -/1 Tax Map No: 523400-301-007-0002-018-000-0000 Permission is hereby granted to: STFVF KFLLY For property located at: 2 CARDINAL Ct 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. Tempe of Construction Value Owner Address: ELLEN KELLY Single Family Dwelling 180,000.00 11 WILLOW Rd Total Value 180,000.00 QUEENSBURY,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency KFLLY CONSTRUCTION 11 WILLOW ROAD 01 JEFNSBI JRY.NY Plans&Specifications 2002-882 Lot 1, House No. 2 Cardinal Court Partridge Run Subdivision - Construction of a 2400 sq ft single family dwelling with a 576 sq ft attached two car garage and one fireplace per plot plan and specifications. $345.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,October 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 Towoof.Que:;r. October 25,2002 SIGNED BY for the Town of Queensbury. V NQ Director of Building&Code Enforcement Building Permit Application Town of Queensbury-Dept of Community Development, 742 Bay Road, Queensbury,NY L l7:- (518)761-8256 - 2002 A permit must be obtained before beginning construction. - Permit File No. F applicant Fee Paid $ tjs- �p "?'3,•,` - •_ _._ ,., y No inspection will be made until a Iicant has received a :.,valid building permit. All applicants' spaces on this Rec. Fee Paid $ 0 "F:` G application must be completed and must appear on the application form. Reviewed By: Applicant: %3fc'di7P/( Owner: 3 O . Address: %�t� G r%/ce- I'c-Ga d Address: Phone#{ )�- sa Phone# Email Address: Email Address: Property Location: Lot Number: /' t House Number Subdivision Name: Tax Map Number: ` 4 New Building: residence commercial Estimated Market Value of Construction: $,IS2471e aer ❑ Addition: residence/ commercial If an Addition,what will use of new addition be? 0 Alteration: residence/ commercial Q No change to exterior size: residence/com'l Ci Other work{describe ) Check Oeeupancyluformation 1"Floor 2'9 Floor lather floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling Gp n Two family dwelling n Townhouse o Multifamily dwelling #of units n Office ❑ Mercantile a Manufacturing o_.__1-car-detache-d-garage - a 2 car detached garage d 3 car detached garage 1 car attached garage �n i�- 2 car attached garage o 3 car attached garage ❑ Storage building- commercial o Storage building- residential )_ tL o Other What is the proposed height of the structure aT feet inches Will any second-hand or ungraded lumber be used? If so, for what? y/0 Type of Heating System: electric/ oil / gas/ ood /forced hot air/ baseboard/other: Number of Fireplaces to be installed �_ Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address - Phone Number Builder e hA k'e Plumber Mason Electrician Declaration: please sign below after you have`careftilly 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 complefe statement of all proposed work to be done on the described premises and that all provisions of the Building-Code,-th Zoning Ordinance and all other laws pertaining to the proposed work shall be complied withlwhether s pe c , f `r n_oted,and that such work is authorized by the owner. Further,it is understood that Uwe shall submit,prior to a ertf ate of occupancy or Certificate of Compliance being issued,as requested by the Zoning Admamstrator or" ire or of Building a odes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all' tion. / r' ,r Signature.- owner,owner's agent,architect,contractor Application for Permit—Septic Disposal System r 2002 Town Of Queensbury 742 Bay Road Queensbury,ArY 12804 (518) 761-8256 1. OWNER INFORMATION: -2!,I�m of QUEENSP"U,-",Y f _........_.I......_.................I—. ................ ........... ze Location of installation: Aa ,File Permit No. /V2, Tax Map No. Owner's Name:_Shl-?fM A� 46 Fee Paid ...........................................................----------- ........................ Address- 2. INSTALLER'S NAME PHONE NO. 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 se: No. of Bedrooms x Computation = MMI Daily Flow 1980 or older x 150 gal/bdrjrn = 1980-1991 x 130 gal/bdrm = 1991 -present x 110 gal/bdim = -.6.4 3Aa Garbage Grinder Installed yes no x Spa or Whirlpool Installed yes no of 4.'- PARCEL INFORMATION: (circle applicable information&indicate measurements) Sciil_Nature Ground Watv_�r Bedrock or Impervious Material Domestic Water SiaRj2ly Flat s at what depth at what depth municipal Rolling oam -feet ^ _--feet well Steep slope clay if well;water supply %slope other from any septic-system depth: absorption is_ft. Other Percolation Test: (7"b be completed by licensed professional engineer or architect) Rate: minute per Inch 5. PROPOSED SYSTEM: For New!QongiMcflon: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add250 gallons to the size of the septic tank and leach field for each Qarbage Grinder,Spa or Whirlpool Tub. Septic Tank: /-2.<O gallon(min. size.1,000 gal.) Tile Field: each trench fi Total System Length: Seepage Pit(s): number of size of each: _ft. by_ft Size of Stone to be used: # depth or thickness feet Bed System Size: x Alternative System: lengt-h and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks-, I Size of each: gallons TOTAL Capacity: gallons Note. Alarm System and associated electrical work must be inspected by a Town approved electrical inspe6tion Agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pur,pikant to 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 T7 t9a of Queensb Sanitary Sewage Disposal Ordinance, 000P SignatuFe of rei0orudble person Date ... � � . 'iitw'it t�f t�ucrnwl�a:i•X ' �c��vt�rs .iritl `icwage Disposal (:list{rfc: /1,.hlxmdix (: .�il�:t'�IiLA'I'I�?ICI ILI�C2t.!Iltt;[ti11�:N'I`5 ' PoNt) ►Sous£ G t) f'llovst=. G . sr t•sxc, �^ -r i �.i�''• - �..,__ 1. LJ t9 TitltSirry,.►( A 7. SIGNATURE &INFORMATION FOR MsvuPi`•r.'wjC r- ----...:�:, ` ENERGY CODE COMPLIANCE APPLICATION OPT 1 2002 TOWN OF QUEENSBURY, WARREN COUNTY 9000 BEATING DEGREE DAYS ni Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings (only) Part 6 -Thermal Rating—Component trade Offs 1&2 Family Dwelling; Multi-Family Dwellings (3 Stories or less) Part 4*-Design by Component Performance, Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT'S NAME- PROPERT� L CA ION: V PART 5 JTHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: I 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 1h C. Glazed areas R_L, '7 d. Exterior doors e. 'Floors over unheated spaces f. Edge of slab on grade(heated building) R 9. Basement/cellar walls (above grade) Rj L_ h. Basementicellar walls (below grade) R__Ij_ 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 App h an 's Si nA re Date Phone Number INSPECTOR'S MARKS: • R • HIGHWAY Richard u p rinten e Highway Superintendent DEPARTMENT Horne(518)798-5127 742 Bay Road • Queensbury,NY 12804 Michael F. Travis O face Phone: (518) 761-8211 Dept Highway Superintendent Fax: (518) 745-4466 (518)798-M13 DRIVEWAY PERMIT F. f J DATE: � QrT 1 b 2002 APPLICANT NAME: /J/ �/`ff ° fir fll ( � c S�i1� Mrvz TELEPHONE NO.: -- , jam ADDRESS TO BE INSPECTED: °� `f � .�oc/i h•2 C', ^r/r� RETURN ADDRESS: z �C�. �UPp6J 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 actign has been taken: , STEP 1: ( )Preliminary Approval NEED: O Slight swale ( )Level with the road ( )Deep swale Size pipe to be used(if necessary) { )12„ ( )1$„ ( )IS,. ( )24„ ( )36„ Preliminary inspection completed by DATE Approval by Highway Supt. Deputy Supt Upon completion,please resubmit this approved permit for a final approval. STEP 2: { )Final Approval ( )Rejected DATE: Richard A. Missita,Highway Superintendent Fire Marshal's Office Town ofQueensbury,742 Bay Road,Queensbury,r.NY~ -- (518)76 1-8205 Application for Fuel Burning Appliances & Chimneys Or7 i 2002 applicable to solid fuel & vented gas appliances Date 20 dam'"~ Permit No. �Q �' c2. , Application is hereby made to the Building&Codes Office for the issuance of.a Building and Use Permit 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 these requirements and also will allow all inspectors to enter premises to peiform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information n (circle appropriate words) // Name: t� /�� r/ Stove: wood coal pellet gas Fireplac f; . Address: wood f oc. Gl•.-� Fire Ala fat u' t: as 11 t ��I � g Fireplace . ; on . wood gas Furnace: gas oil Phone: If non-masonary applicant ,please provide t Owner: Manufacturer Name: ��sp�s C_ Address: Model Number: Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue the steel size: inches Exact Address of construction or installation Factory-Built Manufacturer name: el Number: Note: st Number: Construction l.lnstallation must con orris to NYS Fire Prevention &Building Indicate circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting Chimney Liner C��chi�r'�s��pas�tzne�t�To�ru of Quee�,erbury,New-Y�orl� i Fire Marrhal Corte# S Collected $Rcfunded Received fivin (refunded to): address: A 173 3389 (190) Public Safety - A 233 2655 (230)Minor Sales ^Wpr�. DATE: White(Applicant) / Green(fire Marshal) 1 Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.) Y, e OCT 1 5 2002 Permit Number 0,,,N MECcheck Compliance Report Checked BY/Date Proposed .New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb Data filename:C:\Prograrn Files\Check\MECcheck\KELLY.cck TITLE: COLONIAL HOME COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-EIectric DATE:09/11/02 DATE OF PLANS: SEPT. 11,2002 PROJECT INFORMATION: KELLY HOMES COMPLIANCE:Passes Maximum UA=379 I Your Home=311 17.9%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 840 38.0 0.0 25 Ceiling 2:Flat Ceiling or Scissor Truss 390 38.0 0.0 12 Wall 1:Wood Frame, 16"o.c. 1302 19.0 0.0 '78 Wall 2:Wood Frame, 16"o.c. 1302 19.6 0.0 64 Window 1:Wood Frame;Double Pane with Low-E 112 0.360 40 Window 2:Wood Frame,Double Pane with Low E 11 0.360 4 Window 3:Wood Frame,Double Pane with Law-E 40 0.360 14 Window 4:Wood Frame,Double Pane with Low-E 15 0.360 5 Door 1: Solid 20 0.240 5 Door 2:Glass 13 0.300 4 Door 3: Solid 18 0.150 3 Floor 1:All-Wood Joist/Truss,Over-'Unconditioned-Space 840 19.0 0.0 39 Floor 2:All-Wood Joist/Truss,Over Unconditioned Space 390 19.0 0.0 18 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. BuilderlDesigner �_,. ; r^ , . 'IsG Date 'e'tp7'. (f Y MIECcheck Inspection Checklist Proposed New York State Energy Conservation Construction Code NIECcheck Software Version 3.3 k6lease lb DATE:09/11/02 TITLE:COLONIAL HOME Bldg. Dept. Use Ceilings: 1. Ceiling 1,Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments:MAIN HOUSE 2. Ceiling 2:Flat Ceiling or Scissor Truss,R-38.0,cavity insulation Comments:MAIN HOUSE Above-Grade Walls: 1. Wall 1:Wood Frame; 16"o.c.,R-19.0 cavity insulation Comments: 1st WALLS inc.rim jst. , 2. Wall 2:Wood Frame, 16" o.t.,R-1 9.0 cavity insulation Comments:2nd FL.WALLS inc.rim jst. Windows: 1. Window 1:Wood Frame,Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes[ ]'No Comments: 3-Ox5-6c 2. Window 2:Wood Frame,Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors, descri`be features: #Panes Frame Type Thermal Break? Yes No Comments: 1-80-0 3. Window 3:Wood Frame,Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments:6-Ox6-8 4. Window 4:Wood Frame,Double Pane with Low-E,U-factor: 0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:3-Qx4-6 'Doors: 1. Door 1: Solid,U-factor: 0.240 Comments:entr. 2. Door 2: Glass,U-factor: 0.300 4 Panes Frame Type Thermal Break? Yes No Comments:sidelite sidelight 3. Door 3: Solid,U-factor:0.150 Comments:3/4 hr. Floors: 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments:MAIN HOUSE 2. Floor 2:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments:MAIN HOUSE 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 is 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. L I I Insulation R-values and glazing U-factorg 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-1 L, 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-1 1. 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. Fxception: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 fight 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 acirculating 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 201/6 of the heating energy is from non-depletable sources. Pool pumps require a time clock. E 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. r f , , Table 1: Minimum Insulation Thickness for Circulating Hot Wafer Pipes. -Insulation Thickness in Inches by Pipe Sizes ` Heated hater Non-Circulating Runouts Circulating Mains and Runouts Temperature(Fl Up to 1" Up to 1.25" 1.5",to 2.011 OveiT' 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 Pi ep Sizes Piping System Types Ran e YJ 2"Runouts 1"and Less 1.25".to 2 2.5"to 4" Heating Systems Law 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) I Project Name: kK, - BP# Address: Building Permit Submission s &fanny d Tvj>faff lydwU OCT 0 8 2002 Checklist All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of Queensbury Building 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 Wesyes ❑no a 2. EnergyForm or CheckMate Energy Code Compliance Forms Complete .. ❑no ❑n/a 3. Energy Code Inspector's Report from CheckMate Program... ... ... ... ..... ❑no ❑nla 4. Septic application completely filled out(if applicable)... ... ... ... ... ...... ... ❑no ❑nla 5. Solid Fuel Burning or Gas Appliance Form... ... ... ... ...... ... ... ...... ... ... . s ❑no Qnla 6. Electrical Inspection Form... ... ... P S 7. Two(2) complete sets of structural drawings... .. ... ... a) floor plan;b) foundation plan;c) cross sections:d)elevations; e) window and dobr schedule ` 8. Two(2)site plans showing location of the structure to be built.... ......... ❑no ❑nla location of well or water lines,location of septic system or sewer line. *s 9. Setbacks from property lines to new structure... ... ... ...... ... ... ......... .. ❑no ❑nla 10. Setbacks to neighboring wells and septic systems,including onsite well... . Ono Qnla and septic systems (if applicable) 11. DrivewayPermit... ... ... ... ... ... ... ... ...... ... ... ... ......... ... ... ... ... ...... ❑no ❑nla Date: 043 0)-- Staff Initial: L:\Suellen ingway\BuM4.Pemut.FOF,NE\Generic Checklist.doc G oroU} � x, xx +c � � � n � � xHN H za > H H H H H 0 x O x z0 p 0 z q z z" z z H H H 1 0 C 0 C g 0 C H 010 ro a n H q m > Ud0ggqm hm0Mzo H m t x x GHc� m > r m H 0 v C H H H N H x P a P H P H 0 z rH H C ro n; n n O N a a z a a H cn z H z H p z 0 H H m b > H 0 0 0 � 0 0 q 0 0 0 z k q 0 N 0 z . 0 C ro� it v 7 0 0 O ro H C p 0 Hm z Vi H z 0 > 0 ro H z r 0 z H k n 1 N z p H z z H 0 n H roi C n H x H H C n H n ' E , C y N �3 0 1 H n H H v 0 [ x N z n c z x 0 z C x" x CO 0 C m 0 v 0 H y x 0 � 0 H n Hi' N N X N p ?00 C X "� t� % 01 C �I th w ro H H r nz 0i� xx � � r Azzo , H ro ` +� � � y �n N 0E x .. W w.a z ro 1 0 co c 4 Cb�CH i Zkmc q z 4kozz 010 H •aN>NN ,,o� ro �Mro czn aa�c woo mk �tl U1 H r z a.'' u .i MAP REFERENCE: MAP OF A SURVEY OF CARDINAL COURT A SUBDIVISION BY KELLY CONSTRUCTION DATED: OCTOBER 3, 1991 REVISED: OCTOBER 22, 1991 BY: VAN DUSEN & STEVES RECEIVED JUL 2 1 3 M N OF QUE RYLDING AN ODE � a9e• 9,29 rg �i •SS I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO, JOHN W. GALLAGHER MARY E. GALLAGHER WEICHERT FINANCIAL SERVICES. ITS 5UGCE55ORS AND/OR A55IGN5 CHIGAGO TITLE INSURANCE COMPANY CERTIFIED BYs--_M__ MATTHEW C. STEVES. LL5 NYS 50135 DATEDl JULY 21. 2003 an D u s �, Steve s Land Surveyors 169 Haviland Road Queensbury, New York 12804 ;518) 792-8474 New York Lie. No. 50135 2 o01 AZ 0 go 9 LOT1 43,973 sq ft 1.01 acres .. �' IMP :j� �' • • c.'� .s 4A. Srw� a • i 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUB-DIWSION !, OF THE NEW YORK STATE EDUCATION LAW.' 'ONLLY(XMR M THE ORIGINAL OF THIS SURVfY MARIQW WITH AN ORIGMUL OF TM WD SURVM7RD SHALLBE S PREP RE BE VALID ,RUE COPIES. 'ME J 0 H N W. & MARY E. GALLAGHER CERTNICATKMIS INDICATED HEREON SICNMFY THAT MS SURVEY WAS PREPARED I1 ACCORDANCE WIN THE EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAID SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR W406 THE SURVEY IS PREPARED, AND ON MIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITIA710N LISTED HEREON, AND M IM ASSIGNIMS OF THE LENDING INSTITUTION.' i 218, 04' S47°2N3 0NW POTTER y 00% N hho / e. P) �S� O o o� O� r � �7T C 49.70 H A LCRUSHED STONE DRIVE v 0 Map of a Survey made for Town of Queensbury, Warren County, New York L„' y ROT Scale 1'=30' S-1 SHEET 1 OF 1 KELLY C 1049 I NO. DATE DESCRIPTION DWG. No. 91229-1 ec6fResidential Final Inspection Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am{ art:4-j -Ap!m Depart: 742 Bay Rd., Queer�isbury,NY 1280.1 �4/ Inspector's Initials: NAME: PERMIT LOCATION: DATE: TYPE OF STRUCTURE: Comments , Y N N/A Chimney Ht./"B"Vent/Direct Vent Location JAXI Fresh Air Intake 13 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 a)W 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 finmace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector 2lumbing fixtures V Foundation insulation Floor truss,draft stop in finished basement 1,000 sf Emergency eEess below grade Basement stairs closed rise>4 inches %hour fire door/door closer j4arage 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 j( 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 1 0(Cert.Of Occupancy) Okay to issue Permanent C 1 0(Cert. Of OccLipancy) 0 /wkvcri� Af PAWk L:\SueHenin'gway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 29,2003 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 Factory Built Gas Fireplace/Stove inspection Report Notice; New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or s eeifncations is allowed. Permit# 7- Schedule Inspection 03 Time am pm anytime Inspector) Name Address � ��[ Bough In_,Final Appliance Manufacturer Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sues) Firestop(s) Vertical Chase / Wall Penetration Vent Clearances to Combustibles Went/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction.within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension(if any) Mantel Height above f/p opening Witness Operation 'rank Placement(if LP) White—Building Dept. Yellow Cost er pink—Firemanlud Residential Final Inspection Office No. (518)761-8256 Date Inspection request received: 103 Queensbury'Building&Code Enforcement Arrive: am/p De rt: am/pm 742 Bay Rd., Queembury,NY 12804 Inspector's Initial NAME: PERMIT LOCATION: DATE: TYPE OF STRUCTURE: �Irb Comments Y /N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete /,41 ALL 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 1774t(-- 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 V -Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. 01 Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: Ever.y Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation /�iW4- Floor tniss,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 Vol' c/ r Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 2,4"gecess, 1 sq.ft.-150 sq.ft.vents Building No./Addr s Jisible fro rmnroad Final Electrical Site Plan /-Variance rrekuire-d Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if regyired Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C/0(Cert.Of Occupancy) Okay to issue Permanent C/0(Cert. Of Occupancy) L:\SueHeniingway\Building.Codes.Inspection.FORMS\Res.Final Insp.farm 2.doc edited January 28,2003 Septic Inspection Report Office No. (518)761-8256 Date Inspection re u t ec ive - u ec Queensbury Building&Code Enforcement Arrive: a p epart: am/pm 742 Bay Rd.,Queensbury',NY, 12804 Inspector's Initial MIT 0.. NAME: V, P eRMITNO.: LOCATION: Cn R-,!D-I M E C. 7V- INSPECT ON: (a to-—0:3? RECHECK: Comments and/or diagram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: Absorption Field: Total length Length of each trench Depth of trenches ft. Size of Stone Seepage Pits: Number Size: Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field Pit Qpening Sealed: Y/NI Partial Location/Separations Foundation to tank ft. Foundation to absorption Separation of Pits Conforms as per Plot Plan Y N Location of System on Property: Front Rear Left Side Right Side Middle Fron Middle Rear Sy stem 4 Use e St us: Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved Y 01 NIN a� � N � w � 1 / seen or ob ects such as I on this do orally mea Septic Inspection Report Office No. (518)761-8256 Date Inspection req ed: 3 Queensbury Building&Code Enforcement Arrive: p D M 742 Bay Rd., Queensbuiy,NY 12804 Inspector's Ini I NAME: IT NO.: LOCATION: SPECT ON: o3 RECHECK: Comments and/or diagram Soil Type: Sand o am Clay\ DTe of W . Unici Well Water Waterline separation distance Well separation distance ft. Other wells: Absorption Field: Total length Length of each trench Depth of trenches Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Side e Type Building to tank sLTO Tank to Distribution Box /) Distribution Box WVfield Pit �4 Nd-' Opening Sealed: yfN/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits fV Conforms as per Plot Plan y:�7, —N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Approved Partial Approved and needs to be re-inspected,please call the'Building&Codes Office Di8approved L:'\SueHemingway\Buildin-..Codes,lnspection,FORMS\Septic Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/prn Depart: Oa&pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: ge PERMIT#: a LOCATION: Lea NPOK"-3 INSPECT ON: 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 .Gbpper, CPVC,Pex One&Two Family Sul I ential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace ct Work Sealed Properly .J COMMENTS: L-.\PamW\Wbiting\Rough Plumbing Insulation Report.doc Framing /Firestopping Inspection Report c. Office No. (518)761-8256 Date Inspection request received: 3!N Queensbury Building&Code Enforcement Arrive: am/pm De art am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: Do Dc) -� dam_ LOCATION: INSPECT ON: aoZ TYPE OF STR �Q- 1 YZ N N/A CO NTS ranting � 00"K 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 our„- r restoin "� Pen tration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 12 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 Framing /Firestopping Inspection Report / Office No. (518)761-8256 Date Inspection request received:; 4 Queensbury Building&Code Enforcement Arrive: am! Depart r am/p. 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: ? NAME: C -�'! PERMIT#: LOCATION: INSPECT ON: Z 1 107' TYPE OF STRUCTURE: V - - Y N N/A COMMENTS ,anon V Jack Studs/Headers Bracing/Bridging '_LY-35 �5 'ZL 5" 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($) 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 wa112 3 4 hour irest opPin LPe"negation sealed 16 inch insulation in cavity min. �� Garage Fire Separation House side %inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall , Windows Habitable Space/Bedrooms } 24 in. (H) 20 in. (W) 5.7 sf above!below grade 5.0 sf grade Rough Plumbing/ Insulation Inspection Report Pj ez 9 1po5,,-bA Office No. (518)761-8256 Date Inspection request received; ,;l-) 3 Queensbury Building&Code Enforcement Arrive: arn/pm. 12egart:.7 eam/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: '41 rfl - e241011 PERNUT M LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain Vents Cast Iron,Copper Drain/Vent Comm. � umbing Vent/ nts 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 COMMENTS: L:TamW\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 SCHEDULE Received: Permit# INSPECTION ON: Name: AM m YTIME )n.Location: VE 17 APPIkO -6 N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM PP l <j FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE t�w COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING NX, UNITS CLEARANCE TO ELECTRICAL___ REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN -- CHIMNEY MASONRY ROUGHIN FINAL CHIMNEY FACTORY BUILT ROUGHIN WOOD . FINAL STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGHIN /OK THIS DATE. - 0 co NOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN IN!9PECT 7Y FINAL COMDEV/CHRISJANORD/LETTERS20011FIREMARSHALI PECTIONREPORT11 22 01 WHITE-BUILDING DEPARTMENT COPY aYE _OCCUPANT COPY Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: lot ti NAME: AJ2/0� i`, PERMIT#: " LOCATION: (LcQ INSPECT ON: A — TYPE OF STRUCTURE: Y N N/A COMMENTS FaXI217AWW a ds/Headers 'G 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 lq ng Walls R 6 Metal Strapping fol Notches Top Plate 1 'lz(w) 16 gauge(N) P D nails each side Draft stopping 1,000 sq. I.floor trusses \ Anchor Bolts 6 ft.or less n center Ice and snow shield 2,4 from wall Fire separation 1,2,3 hour ri Fire wall 2,3 4- ix'r ices 1�p ' 'L> if""'ion sealed ;1 16 inch insulation in cavity mm. Garage Fire Separation tl House side '/z inch or 5/8 inch Type X Garage side 5/8 inch Type X 1 Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Office Use .GENERAL INSPECTION REPORT Inspector: Town ofQueensbury Ready at time:. De Request received: Dept. of Development Meet: Building& Code Enforcement At time: 742 Bay Road Notes: Queensbury, NY 12804 'ARRIVE am/pm: DEPART am/pm (518) 761-8256 Inspector's Initials NAME: PERMIT# 7 2- A I LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES O COMMENTS toting le onolith* ic'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 k- 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 B earn Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping__ L:\SueHemiiigwa)Buildiiig.Codes.Inspcction.FORMS\GENERAL INSPECTION REPORT-doc �v Office Use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time:: Dept. of Community Development Request received: f G 14 f-� Meet: Building& Code Enforcement At time: G`i _T 742 Bay Road y Queensbur}; NY 12804 ARRIVE am/pm: DEPART z/pm Notes: (518) 761-8256 .Inspector's Initials NAME: PERMIT# Z— LOCATION: � / ii,� 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 FoundationlWallpour Reinforcement in Place Foundation/Dampproofmg ` ackfill 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 f Framing / Jack Studs/Headers f BracingBridging 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:ISueHemingway\Building.Codes.Inspectioa.FORMSIGENERAL INSPECTION REPORT.doe Office Use -GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: U(14-162-, Meet: Office Use :e Building& Code Enforcement At time: P-01 742 Bay Road am/pm Notes: Queensbury, NY 12804 ARRIVE am/pm: DEPART (518) 761-8256 Inspector's Initials NAME: PERMIT# 'ZOO 2,- X LOCATION: INSPECT ON(date): TYPE OF STRUCTURE:- RECHECK N/A i YE NO COMMENTS !Footings/Piers 7'- Monolithic Pour Form Reinforcement in Place ti 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 FoundatioryDampproofing_ 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 FireSeparation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestoppin L.\SueHemii)gway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc lwl- �� .RECEIVED OCT 1A 2002