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2002-958 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 CERTI F I CAT E OF OCCUPANCY Permit Number:. P20020958 Date Issued: Tuesday, June 03,2003 This is to certify that work requested to be done as shown by Permit Number P20020958 has been completed.- Tax Map Number: 523400-308-006-0001.032-000.0000 Location: 18 MICHAELS Dr Owner: DORIS&MARTIN SMITH JR. Applicant: LARRY CLUIE This structure may be occupied as a: By Ordet of Town Board Garage-2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling Directot of Building&Code Enforcement TOWN OF Q VEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20020958 Application Number: A20020958 Tax Map No: 523400-308-006-0001-032=000-0000 Permission is hereby granted to: LARRYCLUTF, For property located at: MICHAELS Dr 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. T. ne of Construction Value Owner Address: JACOB POST INC Garage-2 Cars Attached PO BOX 366 Single Family Dwelling 135,000.00 GARDEN CITY,NY 11530 Total Value 135,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency CLUTE FNTFRPRISES 13 DAWN Rd OIJFFNSBIJRY.NY 12804 Plans&Specifications 2002-958 Construction of a 2,000 sq ft single family dwelling with a 576 sq ft two car attached garage per plot plan, and specifications. $297.60 P.ERMIT 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 thlown sday,November 20,2002 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road, Queensbury,NY (518)761-8256 - A permit must be obtained before beginning construction. Permit File No. No inspection will be made until applicant has received a Fee Paid - $ Paid valid building permit. All applicants' spaces on this Rec.Fee $ application must be completed and must appear on the application form. Reviewed By: Applicant: Owner: N, Address: (D", (z—& Address: Phone# Phone Email Address: Email Address: Property Location: Lot Number: / House Number Subdivision Name: Tax Map Number: New Building. residence�ommercial Estimated Market Value of Construction: $ ❑ Addition: res�commercial❑ Alteration: residence/ commercial If an Addition,what will use of new addition be? ❑ No change to exterior size: residence 1 com'l ❑ Other work(describe } Check Oeeupancylnformation I"Floor 2° Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet _)RC'- Single family dwelling ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ' ED ❑ Office ❑ Mercantile QZ ❑ Manufacturing ❑ 1 car detached garage Tnum OF QUE 1V ❑ 2 car detached garage 8UILDIN ❑ 3 car detached garage ❑ 1 car attached garage 2 car attached garage r"j ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other What is the proposed height of the structure "feet inches Will any second-hand or ungraded lumber be used? If so, for what? ,k-,D c) . Type of Ideating System: electric/ oil gas woo �hotaseboard I otltet: 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 Plumber _ —7�'s��_�� Mason Electrician 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_aan.�Om lete statement of all proposed work to be done on the.described premises and that all provisi>he f th" lfit ding CoA the Zoning Ordinance and all,�gqther laws pertaining to.the proposed work shall be complied wi'Knistrator specified or n•ted and that such work is au dr ed by the owner. Further,it is understood that Uwe shall suo a Certificate fpccupancy or fe of C6mpliance being issued, as requested by the Zoning A or Director of -wilding and it Sury by a licensed surveyor;drawn to scale,showing actual to new constru Signature: owner,owner's agent,architect,contractor Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ..............................................................._....................... Office Use Location of installation: `6 ��-�t c '-•, �y • — 1 File Permit No.L o6 z Tax Map No. ! / Fee Paid Owner's Name Address: 2. INSTALLER'S NAME - � L c �06�-•-�-- PHONE NO. �?7. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrrh = 1980— 1991 x 130 gal/bdrm = 1991 —present x 110 gal/bdrm = !% `E D• Garbage Grinder Installed yes / Spa or Hot Tub Installed yes no NOV 4 2002 T WN.OF QUEENSBURY ' .4. PARCEL INFORMATION: (circle applicable information&indicate measurementUUiLDING AND CODE TooUKaph Soil-Nature Ground Water Bedrock or Im ervious Material Domestic Water SW ply Flat sand at what depth at what,depth unicipal o ing toam feet feet we Steep slope clay if well; water supply _%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 Construction: 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: " (min. size 1,000 gal.) Tile Field: each trench S O ft. 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: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanksi / Size-of each: gallons I TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection 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 misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have rea e regulati ns with.respect to this a plication and agree to abide by these and all require ents of the To of Queensbury Sa fy Sewage Disposal Ordinance. g rson ate ' '�I t)LV1l Uf ��1t4t3t1SI)iiry ' S(t-.VCf-% stful ISewtip;r. Di:,$)t)ial Clufq)trt• !lI)I)1-zttii x t r AUSURI'VIONSEPARATION ELI LZI.IIItI;[12I�:[�l'I`;i NS V' S� ✓' fi1}}��,tt't4•J 7-1 st I t. 1 \ �-;''• � c"•+Is "`'•,mot.,,.. t�tY�cr'fw^I t 7. SIGNATURE & INFORivIATIJII FSJt SYVPtt�ss. ,ct.�.,L��,.o,�.�•.,...:, ' 2-- Kne . HIGHWAY RECEIVED RichardA.missit, Highway Superintendent DEPARTMENT NOV 1 *4 2002 Home(518)796-5127 742 Bay Road * Queensbury,NY 12804 MichadE Travis Office Phone: (548) 761-8211 TBUILDING WN OF QNSBY DeP*Highway superintendent ODE Fax: (518) 745-4466 ��O�151�d�MND C� (518)798-0413 DRIVEWAY PERMIT DATE: t S APPLICANT NAME: TELEPHONE NO.: _75 3 I>-7 ADDRESS TO BE INSPECTED: S—c-c" 't-, RETURN ADDRESS: vZ> r Applicant must show exact location and width of driveway(s)to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following actiqn has been taken: . I a STEP 1: Preliminary Approval NEED: O Slight swale Level with the road Deep swale Size pipe to be used(if necessary) )12" ( )1$" ( )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 )Rejected DATE: Richard A. Missita,Highway Superintendent ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAY4E)w 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 AP LICANT'S NAME: PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. 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 _io/o_><Under 17% 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND►TO R VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R RECEIVED b. Exterior walls R \n C. Glazed areas R 2=15 N O V 1 4 2002 d. Exterior doors e. Floors over unheated spaces R��-- TOWN OF QUEENSBURY f. Edge of slab on grade(heated building) R .._ BUILDING AND CODE g, Basement/cellar walls (above grade) R h. Basement/cellar walls(below grade) R- i. Heating/cooling-ducts-piping in unheated space R_ 6. Service(domestic)hot water heating ffi device_ Conforms to minimum efficiency per code Yes No TEMPERA.`I I ONTROL IMUM SETTING 140—WILL NOT BE EXEEDED A icant's S' e Date Phone Number SPECTOR'S ARKS: Project Name, �� .•-' BP Address: i eta t Building Permit Submission S4&farrdly dw#* Tv&fandy d7aedling Checklist All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of QueensburyBuilding Department. If any of the below items are lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed ... ... ... ...... ... ... ... ... ......... . s ❑ no ❑nla 2. Energy Form or Checdate Energy Code Compliance Forms Complete.. no ❑nla 3. Energy Code Inspector's Report from C11eckMate Program.. ... ...... ... s ❑no ❑nIa 4. Septic application completely filled out(if applicable)...... ... ... ............ ! ❑no ❑nla 5. Solid Fuel Burning or Gas Appliance Form... ... ... ... ......... . ... ....Oyes ❑no 6. Electrical Inspection Form... ... ... 7. Two (2)complete sets of structural drawings... .. ... ......... ... ... ...... ... ... . [:]no ❑n/a a) floor plan;b) foundation plan;c) cross sections:d)elevations; e)window and door schedule ' 8. Two(2)site plans showing location of the structure to be built, ... ........CQno Qnla location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new structure ... ... ......... ... ... ........... 'yes Ono ❑nla 10. Setbacks to neighboring wells and septic systems,including onsite well... . Ono ❑n/a and septic systems (if applicable) 11. DrivewayPemut... ... ......... ... ... ... ...... ... ... ... ......... ... ... ... ... ... ... Ono ❑nfa Date: Staff Initial: L:\SueHemingway\&uldin&Permit.FORMS\Generic Checklist.doc Permit Number MECcheck Compliance Report Checked By/Date Proposed New York State Energy Conservation Construction Code AffiCcheck Software Version 3.3 Release lb Data filename:A:\Clute Colonial 2000-Smith 18 Michaels Dr.cck TITLE:2000 Sq.Ft Colonial COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached I or 2 Family RECEIVED HEATING TYPE:Non-Electric DATE: 11/13/02 NOV 14 2002 DATE OF PLANS: 11/13/2002 TOWN OF QUEENSBURY PROJECT INFORMATION: BUILDING AND CODE 18 Michaels Drive Queensbury,NY 12804 COMPANY INFORMATION: Clute Enterprises,Inc General Contractor 13 Dawn Rd. Queensbury,NY 12604 COMPLIANCE:Passes Maximum UA=236 Your Home=214 9.3%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 1040 30.0 0.0 36 Wall 1:Wood Frame, 16"o.c. 1488 19.0 0.0 79 Window 1:Vinyl Frame,Double Pane 93 - 0.490 46 Door 1:Solid 41 0.069 3 Door 2:Glass 41 0.490 20 Floor to Bm: All-Wood Joist/Truss,Over Unconditioned Space 624 ' 19.0 0.0 29 Floor overhand:All-Wood Joist/Truss,Over Outside Air 26 19.0 0.0 1 Furnace 1:Forced Hot Air,82 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. k. Builder/Designer Date MECcheck Inspection Checklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE: 11/13/02 TITLE:2000 Sq.Ft Colonial Bldg. Dept. Use Ceilings: 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Windows: 1. Window 1: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: 1. Door 1: Solid,U-factor:0.069 Comments: 2. Door 2:Glass,U-factor:0.490 #Panes Frame Type Thermal Break? ]Yes[ ]No Comments:. Floors: 1. Floor to Bm:All-Wood Joist/TrLiss,Over Unconditioned Space,R-19.0 cavity insulation Comments: 2. Floor overhand:All-Wood Joist/Truss,Over Outside Air,R-19.0 cavity insulation Comments: 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. Vapor Retarder: Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: Materials and equipment must be installed in accordance with the manufacturer's installation instructions. Materials and equipment must be identified so,that compliance can be determined. [ ] 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 I 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. I Insulation is not required on return ducts in basements. I I Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics I (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. I 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. 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 I Electric Systems: [ ] i Separate electric meters are required for each dwelling unit. I I Fireplaces: [ ] 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 ofNew-York State,the Residential Code of New York State or the New York City Building Code,as applicable. I I Service Water Heating: [ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the I 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 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/offheater switch and require a cover unless over 20% I of the heating energy is from non-depletable sources. Pool pumps require a time clock. I I Heating and Cooling Piping Insulation: [ 3 I HVAC piping conveying fluids above 105 T or chilled fluids below 55°F must be insulated to the I 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 Mauls and Runouts Temperature(F) U t,�o 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HYAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Pining 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) Residential Final Inspection Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pin Depart: _am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ,-- -t' -7 NAME: >,"7'A I PERMIT M 2-00 LOCATION': r4t&J9 DATE: Ti A TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating -Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: — / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 3/4hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic abCeSS 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq.ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Tern porary C/0(Cert. Of Occupancy) ----------- Okay to issue Permanent C/0(Cert. Of Occupancy) L:\SueHeniingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 2S,2003 Residential Final Inspection Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: m/ art: jL1 a ::Sr _Zvam/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials; NAME: lello�l PERMIT#: LOCATION: cG 946-C'S DATE: TYPE OF STRUCTURE: Comments. Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30,ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed Interior privacy I 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: t Batter ybackup: �oU�� Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emg Sency egress below grade Basement stairs closed rise>4 inches 1/4hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, I-sq. ft.-150 sq. ft.vents -Building No./Address visible from road Final Electrical Site Plan [Variance required Real 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/0(Cert. Of Occupancy) Okay to issue Permanent C/0(Cert. Of Occupanc I/ L:\SueHemingNvay\Buildiiig.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 Residential Final%spection� Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: arn/�epartv' 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME, XN PERMIT#: 0 LOCATION: DATE: TYPE OF STRUCTURE: 4 -V Comments Y N N/A Chimney Ht. "B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30.ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating -Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: — / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector 1A Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 3/4hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24".access,1 sq.ft.-150 sq. ft.vents Building No./AddKps/visijbV from road Final Electrical-,'- - ----- Site Plan /VariancI rVkjujhd. 0 Ae, os Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C(Cert. Of Cop2pliance) Okay to issue Temporary C 0(Cert.Of Occupancy) Okay to issue Permanent C 0(Cert. Of Occupancy) L:\SueHeming%vay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 / r Town of Queensbury � Fire Marshal's Office (� 742 Bay Road Queensbury, NY 12804 Q Phone (518) 761-8205 Fax(518)745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received: Permit# () As INSPECTION ON: Name: l �� A PM ANYTIME Location: ' APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGHIN FINAL CHIMNEY FACTORY BUILT ROU IN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGHIN FINAL FIREPLACE MASONRY ROUGH IN OK THIS:DTE OK FOR CO NOT OK FINAL FIREPLACE FACTORY BUILT ROU IN INSPECTED BY FINAL COMDEV/CHRISJ/WORD/LETTERS2001/FIREMARSHALI NSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Residential Final Inspection *V Office No. (5 18) 761-8256 Date Inspection request received: C-/, Queensbury Building&Code Enforcement Arrive. am/lom ' Depart. /am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERIMIT#: LOCATION: N 54 ANA DATE: TYPE OF STRUC RIT Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in.or more oo, Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers 01 Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall C, P, 8 inch clearance,to sill plate Gas Valve shut-off exposed/regulator 18"above grade t" (f 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 5-r D P-5 t-\ -Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: _ / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector lot �N5-r4cl— -4-60L- Plumbing fixtures .41 Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches GilAc� 3/4hour fire door/door closer Garage fireproofing L 4- KN-7� Duct work Sealed properly Co Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, I sq. ft,-150 sq.ft.vents Building No./Address visible from road Final Electrical . V/ I I KWA-z- &,6-6- - Site Plan Wariance required Final Survey Plot Plan rilvX, �Voev&l As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert. Of Compliance) Okay to issue TwTorary C 0(Cert. Of Occiipancy) Okay to issue Permanent C 0(Cert. Of Occu ancy) L:\SueHerringway\Building.Codes.Inspectioii.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 i4 Rough Plumbing/ Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received:1 -9 1=7 2� Queensbury Building&Code Enforcement Arrive: am/pmDepart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: 3�c- NAME: PERMIT#: LOCATION: Gm, INSPECT ON: -• TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron,Copper Drain/Vent 1 Comm. Plumbing Vent/Vents in Place j 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 FamilyJ/9'�L S Insulation/Residential Check/Commercial Check 1 Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated 'spaces Combustion Air Supply for Furnace Duct Work,Sealed.Properly COMMENTS: L:\PamW\Wbiting\Rougb Plumbing Insulation Report.doc Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Ins ec d- Queensbury Building& Code Enforcement, Arrive: am/pm Dep pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: a00 )--9 S LOCATION: INSPECT ON: TYPE OF STRUCKT(JR N N/A 7 COMME S taming Jack Studs Headers Bracing Bridging O/MME 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 I V2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1,2,3 hour Fire wall 2 3 4 hour g1w7ping- Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side V2inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in, (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LAS ueHennin gway\Bui Idin.-.Codes.Inspection.FORM STranni ng 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 SCHEDULE Received: Permit#1� INSPECTION ON: Name: AM pm ANYTIME Location: � DIZ APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM , , COMMENTS HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN___, • FINAL / CHIMNEY 5PMQJ-11' 5T P, I FACTORY BUILT UGH IN L) FINAL WOOD . STOVE ROUGH IN FINALVENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN S rim R CO NOT 0 FINAL FIREPLACE 1 FACTORY BUILT V(066GH IN INSPECTED BY FINAL COMDEV/CHRISJMORDILETTERS2001/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY A�,V Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: -1 �d Queensbury Building&Code Enforcement Arrive: am/pm Depart: •.,. t pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: c=%� LOCATION: /' S t - INSPECT ON: TYPE OF STRUCTURE: Y N /A COMMENTS min v, Jack Studs/Headers ` C Bracing/Bridging Joist hangers Jack Posts/Main Beams 1�,1 V 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 Fir wall 2, 3,4 hour ire op 2 zng Wenetration sealed LIX % -' � 16 inch insulation in cavity min. Garage Fire Separation House side '/2 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 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#-O-Z INSPECTION ON: Name: AM PM ANYTIME] Location: L/AAcAA-,CA c, milli APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS NORMAL BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN MASONRY ROUGH IN' ' CHIMNEY FINAL CHIMNEY 4) FACTORY BUILT :ROUGH IN' . FINAL WOOD . STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE 7 MASONRY ROUGH IN OK THIS DATE OK FOR OCR :NOT: FINAL FIREPLACE FACTORY BUILT ROUGH IN INSPECTED BY .-FINAL 7- COMI)EV/CHRISJIWORDIMTTERS20OI/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Rough Plumbing/ Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: t Queensbury Building&Code Enforcement Arrive: am/wn Depart: a pm 742 Bay Road,Queensbury,.NY 12804 Inspector's Initials: 6 NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain Vents ast Iron,Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place ug umbinj7 Nail Plans Head or Air Supply Test qW k I 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 COMMEENTS: L:\PamW\Whiting\Rough Plumbing Insulation Report.doc Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: e� Queensbury Building&Code Enforcement Arrive: am/p Depa r; m/p 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: - 6 NAME: �G 7��h T"'---J PERMIT LOCATION: s INSPECT TYPE OF STRUCTURE: Y N /A Frarni g COMME ' S ac Studs/Headers Bracing/Bridging Pe6- Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. P Stairwells 36 in.or more Headroom 6 ft. 8 in." I'"t--d� Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 12 1 (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 I;:2,3 hour. -.Fire wall 2,3,4-hour X/ i (✓ enetration sealed . / 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilingtwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade 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: 3 Permit# INSPECTION ON: Name: 11 V1 i A PM ANYTIME Location:_ APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGHIN FINAL CHIMNEY FACTORY BUILT ROUGHIN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN / FINAL FIREPLACE /MASONRY ROUGHIN OK THIS DATE OK FOR COL O�TOK FINAL FIREPLACE FACTORY BUILT ROUGHIN INSPECTED BY FINAL COMDEV/CHRISJNVORDILETTERS2001/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Rough Plumbing Insulation Inspection Report office No. (518) 761-8256 Date Inspection request receipvedart: N Queensbury Building&Code Enforcement Arrive: am/pn;i, ,part am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: <A) NAME: PERMIT#: LOCATION: �`F QVz - 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. CL Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test �/i'�t-~ � 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:\PamW\Wbiting\Rough Plumbing Insulation Report.doe Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE �m PA t.r a m Notes; (518) 761-8256 Inspector's Initials '� NAME: �� _._ 'l PERMIT# LOCATION:— —� �—�.- �.1i� INSPECT ON(date): _,"` —67 TYPE OF STRUCTURE: � •�,J _ -Z. 2iF _� RECHECK NIA I 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 Poundation/Wallpour Reinforcement in Place Foundation/Dampproofmg Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place \ Rough Plumrobingbing 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\SueHemingwaylBuilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc (0 4J -P -P0 a ,00 ro 4- 4. �. o F� V) �, a� W t Z 4J c .0 �. 4- .� W ` � 1 0 0 r o 40 C � f � N � g ,,, N (D � � ( W W ro" a 4-) it � c co w z I V) 1 0 1 t S. ow i E +" 0U a) XIA 0 M Jal 1 0 I� cl o c +" O WE U � '"' � to LL tL N r- W M U c m �. ,� (D 0. o Z� Ul Q A� W 0 cU C {� � '� 0 0 4- aV) 1 Q ' c c � O ro CL 4J 4J Cr000 A ►, 4- U 0 � �w v E�,� �' 41 W V) L N ro Q � .� W 0' V) 4� wA, N Q � a 4 roo c 0 W a � 0 © 4" a m, 0 4 z r- m Z41 .co 1 . ' „cNro. roro0Hr~, 4)Z �� bro �. ow u -Pr-W W E ro 1 Z W 0 M'p c l� tn� +J c< c c rn'4- 9 c .0 u M 04-L0caNW 'N0 rocv, a) UZ � pcv �r0 � � N ro 0 o Q1�r~ Q1 N �r- W ,r- 4J N r-- (3 q.~ 0.0 0 4 0 0 o U 0 -0� V) S� u. oR Office use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at timer- Dept. of Community Development Request received: Meet: Building& Code Enforcement At 742 Bay Road Queensbury, NY 12804 ARRIVE am 1pm:-7 EP -7;�70an4� ,Notes: (518) 761-8256 Inspector's Initidils- NAME, PERMIT _0 2-- �f LOCATION: INSPECT ON(date): j 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 Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing- 44Backfill Approval_ -Plumbing Under Slab Plumbing Vent/Vents in Place RoughPlumbing_ Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in . unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:\SueHemiiigway\Building.Codes.hisl)cction.FORMSIGF-NE.RAL INSPECTION REPORT.doc Offwe 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 am/pm: DEPARTS am/pm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# Z,c)o2-- jLt LOCATION: INSPECT ON(date): 2 TYPE OF STRUCTURE: "CHECK. N/A i YE 1 COMMENTS _71tootings/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/Dampproofing_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing_ Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R­ Ceiling R- Duct work or piping in . unheated spaces R- Proper Vent,Attic Vent_ Framing__ Jack Studs/Headers Bracing/Bridging- Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4-hour_ Firestopping_ L:\SueHemingway'@uilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe