2002-961 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CE RTL�ICATEOPOCCUPAN , Y.
Permit Number: P20020961 " Date Issued: Tuesday,;May 13,2003
This is to,certify that work requested to be done as shown by Permit Number P20020961
has been completed,
Tax Map Number: 523400-296-008-0001-015-OO1-0QOO, .
Location: . 41 WAVERLY PI
Omer: MICHAELS GROUP LLC TIRE
Applicant: MICHAELS GROUP LLC THE,
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage-2 Cars Attached
Townhouse
Director of Building&Code Enforcement
TOWN OF QTUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development.-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020961 Application Number: A20020961
Tax Map No: 523400-296-008-0001-015-001-0000
Permission is hereby granted to: MTCHAF,LS GROUP HIC THE
For property located at: 41 WAVERLY PI
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. pe of Construction Value
Owner Address: MICHAELS GROUP LLC THE
10 BLACKSMITH.Dr - Fireplace
MALTA,NY 12020-0000 Garage-2 Cars Attached
Townhouse , 172,900.00
Total value 172,900.00
Contractor or Builder's Name/Address Electrical Inspection Agency
MICHAELS GROUP
ST JTTF, 1
10 RLACKSMTTH Dr
MALTA_NY 12020
Plans&Specifications
2002-961
Construction of a 1,584 sq ft townhouse.with a 420 sq ft a 'ohd car garage and one woodstove per plot
plan and specifications.
$263.76 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,November 20,2003
(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 Tow November 20,2002
)SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building -Permit A pplication
Town of Queensbury-Dept Of Community Development, 742 Bay Road, Queensbury, NY
(518)761-8256
A permit must be obtained before beginning construction. Permit rile No. � �
No inspection will he made until applicant has received a Fee Paid $
valid building permit. All applicants' spaces on this Rec. Ucc Paid
application must be completed and must appear on the IZcvicwed By:
application form. e+
Applicant:11AE + As, Owner: Vim.. Nov 1 a 2oQ2
Address: Address: 0wN N QUF
ids-�Zc�_ B"'U!L-t71� G�p C��U��'
Phone#(15e) Alk - Phone#( ) - OE
Property Location: Lot Number: House Number +I
Subdivision Name: �x��A Pt��_'c Tax Map Number:
New Buildii-ig: residence t commercial Estimated Market Value of Construction: $ 1-7';4 ICJCYJ
O Addition: residence I commercial If ari Addition, what will use of new addition be?
❑ Alteration: residence t commercial
O No change to exterior size: residence I coni'l
0 Other work(describe )
Check Occupaucyltfformatiolt 0 Floor 2"` Floor Other floor "Total
Below sq.A. sq. ft• sq.it. Square Feet
❑ Single family dwelling_
, ❑ Two family,dwelling
'I'ownllouse l 5g-E- 1 43
❑ Multilflmlly dwelling
#Of units
❑ Office
0 Mercantile
0 Manufacturing
0 I car detached garage
0 2 car detached garage
0 3 car detached garage
❑ l car attached garage
�r, 2 car-attached garage
❑ 3 car attached garage _
0 Storage building- -
commercial
❑ Storage building-
residential
❑ Other
Will any second-hand or ungraded lumber be used? If so, for what? VAJ11 ,
Type of I leating System: electric/ oil / gas wood /forced hot air/ baseboard/'other:
v
�rLuml?er_o.f_Luc`zlrrces_to_be_ittstalled CG 11.C—Number o{ 1120fhtitp}!G'S-tO-Lie-isastaIled: =-. - - --
List below the person(s) responsible for supervision of work as regards to building codes:
Nante. _ Address Phone Number
A--_
uu„vim.,
Plctnll�crMason
� CQG �lskasn ly-� Cal1 .�_ `=� 'Zt1c
Electricians
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 crone on the described premises and that all
provisions of the Building Code, 111c Zoning Ordinance and all other laws pertaining to the proposed work shall he complied
with,whether specified or noted,and that such work is authorized by the owner. Further, it is understood that Ihvc shall
submit,prior to a Certificate of Occupancy Or Certificate ofCornpfiance being issued,as requested by the Zoning
Administrator or Uircc or of Builc'ng and cs, fis73rrrtt Sur+er by a licensed surveyor;drawn to scale,showing actual
location of all new c n (ruction
j'32-tom^_
Signature:__ -�—� owner,owner's agent,architect,contractor
HIGHWAY
Richard A.hFissita
d`" e� Highway Superintendent
DEPARTMENT
I� � Home(518)788-5127
742 Bay Road • Queensbury,NY 12804 NOV OF Michael F. Travis
Office Phone: (518) 761-8211 T 1 20p2 Deputy Highway Superintendent
Fax: (518) 745-4466 $Ul Di AtFfVsBURy (518)798-0413
DRIVEWAY PERMIT
DATE: _046Ler ?,1 ,
APPLICANT NAME: K '� r � y5
TELEPHONE NO.: TUB
ADDRESS TO BE INSPECTED:
RETURN ADDRESS: Iola\ -Z-L ►`�
Applicant must show exact location and width of driveway(s)to be connected to the highway by
placing stakes at the specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The
following action has been taken:
STEP I: ( )Preliminary Approval
NEED: ( }Slight swale
{ }Level with the road
{ }Deep swale
Size pipe to be used(if necessary)
{ )12" ( )15" ( )18" ( )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
O Rejected
DATE:
Richard A. Missita, Highway Superintendent
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimney s
applicable to solid fuel & vented gas appliances
Date , 20 � 7,o`Pel itN o� 1� l�f �' '001
It � F
Application is hereby made to the Building& Codes Office for the issuance of a Building anc
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 perform required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: t ` Stove: wood coal pellet gas
Fireplace insert
Address: In Fireplace, factory-built: wood
Fireplace,.masonry: wood gas
Furnace: wood gas oil
Phone: I If non-masonary applicance,please provide
Owner: G��-a � Manufacturer Name:
Address: .Model Number:
Chimney Information.
Phone: (circle appropriate words)
Masonry block ck stone
Flue the steel ize: inches
Exact Address: �CE
of construction or instr latioi: Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction/Installation must
con orrn to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triple wall / !ns•ulated / Direct venting
Chimney Liner
4:7a.>sJk14eX-PAW"4gPA Gx*t WL49" 2"C0VV= +clef Qxx4--OXX wbx x-jr, N+eVAr V-iam►AL
Fire Marshal Code N 5 Collected $Refunded Received from(refunded to):
`} address:
A 173 3389 (190) Public Safety C7( —
A 233 2655 (230)Minor Sales
l l � - V
DATE: �-
d,i OA_wL�— Josvn d"
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.)
i
i
Project Name: s �" BP#,-off
Address:
Building Permit Submission
Multi L-De u zng Cymv-6al Projeas
Checklist
All items below must be checked either yes,no or not applicable prior to submissions 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.
- r
1. Building Permit Application Completed......... ... ......... ............ ..... yes ❑no []n/a
2. EnergyForm or.Checldvhte Energy Dade Compliance Forms.Complete. yes Qno ❑n/a
3. Energy Code Inspector's Report from Checkmate Program... .,.. .. ❑no ❑n/a
4. Septic application completely filled out(if applicable)....... ... ............ Qyes Qno
5. Electrical Inspection Form... ... ............... ❑yes ❑no ❑n/a
6. Two(2)sets of plans showing the following: *......... .......... ......... .... Ono ❑n/a
6a. Floor plan(s):.. ...... ... .:....... ...... ... ... ... ...... ..................
❑yes Qno �n1a
6b. Foundation plan-.'.'....... ... ... ......... .. ... ............ ... ..............Oyes ❑no ❑n/a
6c. Gross section(s)........................ ... ... ... ...... ... ... ............ ... Oyes Ono ❑n/a
6d. Elevations ... .................. ... ...... ... ... ......... ... :..... ... . Qno ❑n/a
❑yam
6e. Design loads including floor,snow load,and wind load...... ❑yes -Ono ❑n/a
. 6f. Seismic design(required after Jan. 1,2003)... ...... ... ...... ... ... ... ❑yes Qno ❑n/a
6g. Plans signed by registered architect or engineer,signed... []yes Ono ❑n/a
and sealed by.a registered architect or engineer
6h. Window and door schedule... ...... ...... ... ............ ...... ...... ❑yes Qno ❑n/a
7. Two(2)site plans showing location of the structure to be built,......... Ono ❑n/a
location of well or water lines,location of septic system or sewer line with
all setbacks and separation distances shown,and all improvements to
the property.
•
8. Solid Fuel'Burning or Gas Appliance Form(if applicable). .. ...... yes Qno nn/a
9. DrivewayPermit... ... ...... ....... ❑ o ❑ a
Date: llll`! ma -----
Staff Initial:
L.\SueHemingway\Building.Pernut.FORAC\Generic Checklist.doc
-q & (
I-L602,
Permit Number
MECcheck Compliance Report Checked By/Da C
f
'Proposed New York_
State Energy Conservation Construction Code . VED
ME Ccheck Software Version 3.3 Release lb Nov , 8 2002
Data filename:F:\SRARE\NMCcheck\Waverly\41 Waverly place.cck TO VVN OF QqEsNss
TITLE:41 Waverly place y
COUNTY: Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached I or 2 Family
HEATING TYPE:Non-Electric
DATE: 11/1 V02
DATE OF PLANS:November 6,2002
PROJECT INFORMATION:
41 Waverly place
COMPANY INFORMATION:
The Michaels Grop
10 Blacksmith Dr.
Malta,NY 12020
COMPLIANCE:Passes
Maximum UA=505
Your Home=445
11.9%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 1532 30.0 0.0 49
1st fi walls @ 9':Wood Frame, 16" o.c. 1939 19.0 0.0 99
I x Master-A:Vinyl Frame,Double Pane with Low-E 34 0.340 12
2x Kitchen-K:Vinyl Frame,Double Pane with Low-E 21 0.340 7
Ix Dining-A:Vinyl Frame,Double Pane with Low-E 34 0.340 12
Ix Family-D:Vinyl Frame,Double Pane with Low-E 28 0.340 10
2x Family opt.-X:Vinyl Frame,Double Pane with Low-E 10 0.340 3
Ix Family opt.-F:Vinyl Frame,Double Pane with Low-E 6 0.340 2
Ix Study-C:Vinyl Frame,Double Pane with Low-E 27 0.340 9
1x Bath-R:Vinyl Frame,Double Pane with Low-E 6 0.340 2
lx Bed#2-C:Vinyl Frame,Double Pane with Low-E 27 0.340 9
Porch door-#7: Glass 40 0.660 26
Entry door-#IA: Glass 30 0.660 20
Garage door-#2 1: Solid 19 0.350 7
Master bed opt.bay:Wood Frame, 16"o.c. 116 19.0 0.0 4
opt.bay IC&2K:Vinyl Frame,Double Pane with Low-E 48 0.340' 16
M
Study opt.bay: Wood Frame, 16"o.c. 117 19.0 0.0 4
opt.bay-2K&A:Vinyl Frame,Double Pane with Low-E 55 0.340 19
Bed#2 opt.path.bay wall:Wood Frame, 16" o.c. 116 19.0 0.0 4
opt.bay-2K&P:Vinyl Frame,Double Pane with Low-E 38 0.340 13
Bed#2 opt.-M: Vinyl Frame,Double Pane with,Low-E 11 0.340 4
Bed#2iopt.path ceiling:Cathedral Ceiling(no attic) 193 30.0 0.0 7
Basement Wall 1:
Solid Concrete or' Masonry,7.6'ht/6.6'bg/6.0'insul 1573 0.0 11.0 102
3x Basement window:Vinyl Frame,Double Pane 9 0.560 5
Furnace 1:Forced Hot Air,92 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
plans,specifications,and other calculations submitted with this permit application. The proposed systems have been
designed to meet the Proposed New York State Energy Conservation Construction Code requirements.
Builder/Designer Date
MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
DATE: 11/11/02
TITLE:41 Waverly place
Bldg.
Dept.
Use
Ceilings:
1. Ceiling 1:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve fall height over the plate lines of exterior walls.
2. Bed#2 opt.cath ceiling:Cathedral Ceiling(no attic),R-30.0 cavity insulation
Com,ments:
Above-Grade Walls:
1, lst fl walls @ 9': Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
2. Master bed opt.bay: Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
3. Study opt.bay:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
4. Bed#2 opt.cath.bay wall:Wood Frame, 16" o.c.,R-19.0 cavity insulation
Comments:
Basement Walls:
1. Basement Wall1: Solid Concrete or Masonry,7.6'ht/6.6'bg/6.0'insul,
R-11.0 continuous insulation
Comments:
Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
Windows:
1. Ix Master-A:Vinyl Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
2. 2x Kitchen-K:Vinyl Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
3. 1 x Dining-A:Vinyl Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
4. Ix Family-D:Vinyl Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
5. 2x Family opt.-X:Vinyl Frame,Double Pane with L6w-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
6. Ix Family opt.-F:Vinyl Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
7. 1 x Study-C:Vinyl Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
8. ix Bath-R:Vinyl Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
9. Ix Bed#2-C:Vinyl Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
XPanes Frame Type Thermal Break? Yes No
Comments:
10. opt.bay 1C&2K:Vinyl Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
W Panes Frame Type Thermal Break? Yes No
Comments:
11- opt.bay-2K&A:Vinyl Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
12. opt.bay-2K&P:Vinyl Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
13. Bed#2 opt.-M:Vinyl Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
14. 3x Basement window:Vinyl Frame,Double Pane,U-factor: 0.560
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
I. Porch door-#7: Glass,U-factor:0.660
#Panes Frame Type Thermal Break?[ Yes No
Comments:
2. Entry door-#IA: Glass,U-factor: 0.660
#Panes Frame Type -Thermal Break? [ Yes No
Comments:
3. Garage door-#21: Solid,U-factor: 0.350
Comments:
Heating and Cooling Equipment: -
1. Furnace 1:Forced Hot Air,92 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.
r
Vapor Retarder:
[ ] I Required on the warn-in-winter side of all non-vented framed ceilings,walls,and floors.
I
Materials Identification:
[ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] I Materials and equipment must be identified so that compliance can be determined:
[ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] 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.
[ ] I Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] 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:
[ ] 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
I 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.
[ ] 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: .
[ j I Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] 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 of New 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.
[ ] I Insulate circulating hot water pipes to the levels in Table 1.
I
Circulating Hot Water Systems:
[ ] I Insulate circulating hot water pipes to the levels in Table 1.
I .
Swimming Pools:
[ ] I 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.
I
Heating and Cooling Piping Insulation:
[ ] I HVAC piping conveying fluids above 105°F 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) UI)to lot 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 HVA C Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range(F) 2"Runouts I"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)
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MAP
REFERENCE:
WAVERLY
PLACE SUBDIVISION
DATED
AUGUST 24, 2000
LAST REVISED
JANUARY 19, 2001
BY VAN
DUSEN & STEVES
LAND
SURVEYORS, LLC
Nr--oao.` E
of NE*�;
w r
YAGINivi"o
lQ0CQ--%/
RECEIVE®
I -MY 12 2003
TOWN OR OUEENSBURY
-QP- ILDING AND CODE
Du S el.
((��
S e V e S
Land Surveyors
169 Haviland Road Queensb ury, New York 12804
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CERTIFlCA,NINS ,m 01 AON SIAMM,NAT
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CYNTHIA A. DAVIS
Town of Queensbury, Warren County, New York
I
Dcxtei MAY , 2001
Scale 1"=30'
S -1
sFEET � �,
oaws
DWG. No. 99312_21
(518) 792-8474 New York IAic. No. 50135
NO.
DATE
DESCRIPTION
Town of Queensbury
Fire Marshal's Office
742 Say Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit# J INSPECTION ON:
t
Name: r-,�rz-3�a C) A ANYTIME
Location: MA�
;kPPROVED
W/A YES NO I 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
CHIMNEY
rAASONRY ROUGHIN
FIN L
CHIMNEY A
FACTORY BUILT RO4,GH IN
/FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGHIN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS DATE D FO OK K CO NOT OK
FO
FINAL
FIREPLACE
FACTORY BUILT ROUOH IN INSPECTED BY
/FINAL 7Z
COMDEV/CHRISJ/WORD/LETTERS20011FIREMARSHALINSPECTIONREPORT11022001
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: J 9-L
NAME; M PERMIT#: l
LOCATION: DATE:
t
TYPE OF STRUCTURE:
Comments
YN 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 01
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 rade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety lzin
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
3/<hour fire door/door closer
Garage fireproofing
Duct work Sealed propqrl
Attic access 30 in.x 24 in.x 30 in.(ht,)In accessible area
Crawl Spaces 18"x 24"access, 1 s .ft.-150 s .ft.vents
Building No./Addre vis" le from d
Final Electrical . 0 •1/,
Site Plan /-Varian re fired
Final Survey Plot Plan j
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C(Cert.Of Compliance)
Okay to issue Tem ora C 1 O(Cert. Of Occupancy)
Okay to issue Permanent C/O(Cert. Of Occu anc (ill
L:\SueHemingway\Building.Codes.Inspection.FORMSIItes.Final Insp.form 2.doc edited January 2$, 003
Rough Plumbing/Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request receivedK�- -
Queensbury Building&Code Enforcement Arrive: am/pm epa —a pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE..
ON: Solo
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain Vents
Cast Iran,Copper Drain/Vent Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply Test
Drain and Vents R�q
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
Co*over Commercial
2!S-'E—errLG—P�V- x One&Two Family
�s'Ma-fiTH/Reside if Check/Commercial Check V/
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work�Seaed operly /r
0000TMMEKTS:
CD LVIT
:L:\SueHemingwayNBuilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Framing /Tirestopping Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury,Building&Code Enforcement Arrive: am/p epa am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: v PERMIT#: W
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N COMMENTS
Jack Studs/Headers 1")
Bracing 1 Bridging }� Z-- Pt'�-�� v ktp
Joist hangers ®`s
Jack Posts/Main Beams
Exterior sheeting nailed properly.
12"Q.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes J Bearing Walls .
Metal Strapping for Notches Top Plate
1 %2 (w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft.or less on center"
Ice and snow shield 24 inches from wall
Fire separati .n 1,2,3 hour
Fire 2, 3,4 hour
r �PPi� 414(�
Penetration sealed
It
16 inch insulation in cavity min. � t
Garage Fire Separation
Hou side 'l2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space 1 Bedrooms
24 in. (H)
20 in. (W)
5.7 sf.above 1 below grade
5.0 sf grade
L:\SueHemingway\Building.Codes:Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
"-" 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 I 9 6 SCHEDULE
Received: Permit# �1 IN PEC ON ON: 5=r2
Name: �0 v 1i AM PM ANYTIME
Location: a)D,,V,0,A, P 2 h , — I I
AfTROVED
N/A YES I 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
CHIMNEY
M ONRY ROUGH IN
CHIMNEY
FACTORY BUILT -O-U-G-H- IN
LR�� � C-_ry l FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
11-1 FINAL
EPLACE
Vi MASONRY ROUGH IN OK THIS DATE OK FOR CO NOT OK
FINAL
FIREPLACE
FACTORY BUILT LLUGH IN
INSPECTED BY
FINAL
COMDEV/CHRISJ/WORD/LETTERS2001/FIREMARSHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Rough Plumbing/Insulation fnspecti6n Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/� mWep rt: am/pm
'4
742 Bay Road,Queensbury,NY 12804 Inspector's Initials;
N LOCATION: 41 Uk)mi e,0—S:�_ P�)�C_s PERMIT#: -9(4�_AME: �Wc- � INSPECT ON:
TYPE OF STRUCTURE: 11Y
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
Gugh Plumbing/Nail Plates
Head or Air Supply Test
Dfain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
Copper Commercial
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:\SucHeminglva)`,Building.Codes.Inspection,FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request cei
Queensbury Building&.Code Enforcement Arrive: am/ tepart: (j a
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial
NAME' t PERMIT#:
L
LOCATION: u INSPECT ON: 3 -
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this p ose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation,Dampproofmg
Foundation/Waterproofing
Type ampproofm terproofing
/ Footm rain Daylight or Sump
4l Footing Drain Stone:
12 inch width
6 inches above footing
6 1 poly for wet areas under slab
ckfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
Offike 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
Queensbury, NY 12804 ARRIVE amlpm: DEPART W am/pm Notes:
(518) 761-8256 Inspector's lnitiaSCA_112_�
NAME: PERMIT#
LOCATION: INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
NIA i iNo COMMENTS
tin
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible fo_r,
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
il-
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
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