2002-978 TOWN OF. QUEENSBURY
742 Bay Road,Queensbury;NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CE RT I F I CAT E O F OCCUPANrA7
Permit Number: P20020978 Date Issued: Friday,October 24,2003
This is to certify that work requested to be done as shown by Permit Number P20020978
has been completed.
Tax Map Number: 523400-290.017-0001-014-000-0000
Location: 3.0 MASTERS COMMON SOUTH
Owner: MICHAEL&YVONNE WILD
Applicant: MIKE WILD
This structure may be occupied as a:
By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Director of Building&Co nfor ent
TOWN OF QUEENSBURY
742 Bay Road,Queensbury;NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P10020978 Applicatioh Number: A20020978
Tax Map No: 523400-290-017-0001-014-000-0000
Permission is hereby granted to: MIKF WILD
For property located at. 7—BEFJTAGE Pt
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans,and other,information hereto filed
and approved and in compliance with-the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: M; Single Family Dwelling 300,000.00
2i� Total Value 300,000.00
Contractor or Builder's Name Address Electric* ection Agency
MTKF WILD
19 FOX HOLLOW LN
OIJFFNSBITRY.NY 12904
Z?
Plans&Specifications
BP 2002-973)M
Lot 4, Housi testers Common South
Construction of a 2, 606 sq. ft. single-family dwelling with 3-car attached garage, one fireplace as per plot
plan and specifications
$312.72 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,December 03,2003
(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 date6)
Dated at the Town of Queensbury; ay December ecember 03,2002
SIGNED BY 17��� for the Town of Queensbury.
Dire adding
Ov a
&� o ading&CoOnflokement
Building Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road, Queensbury,NY
�► _ r518)761-8256
A permit must be obtained before beginning construction, Permit File No. T /
No inspection will be made until applicant has received a Fee Paid 1 $
valid building permit. All applicants' spaces on this Rec. Fee Paid 5
application must be completed and must appear on the
application form. - Reviewed By _ /
VP
Applicant: M1(0?ha Q kAlAX/ _ Owner: �,4ri7[-` Nov
err '�`�
Address: /cg F'�,x A, " Ln Address: ���
col '2:5 2002
OWAIOF
Phone#( 1 ) .%}I -_G(e&3 Phone#(�) - -�Lp�N A UENSgURY
Email Address:,22 rk a r/tt' ty�cz/1r r A7_6 r/el Email Address: CODE!
Property Location: Lot Number: l House Number-e�
Subdivision Name: J, �z G{ i�cet- Tax ar Number: O. /7- /-J
New Building:_. sidence commercial Estimated Market Value of Construction: $
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial )
❑ No change to exterior size: residence J com'l
❑ Other work(describe ) Ef
Check Occupancylnformation V Floor 2 Id Floor Other floor Total
Seloty sq.ft. sq.ft. sq.ft. Square Feet
a�, Single family dwelling Mee
❑ Two family dwellingr
❑ Townhouse
❑. Multifamily dwelling
#of units '
❑ Office
❑ Mercantile
❑ Manufacturing
❑ 1 car detached garage
6 2 car detached garage
❑ 3 car detached garage t
❑ 1 car attached garage s
❑ 2 car attached garage
•.W 3 car attached garage �(fl
❑: Storage building-
commercial -
❑ Storage building-
residential
❑ Other
What is the proposed height of the structure feet lP inches
Will any second-hand or ungraded lumberZbe used? If so,for what?
Type of Heating System: electric/ oil /(gas) wood /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. ah Q 61 / ,40-x O-a-z h V -791-16 3
Plumber v
Mason 6a/btZrt- '1,R'
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 and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall
submit,_prior to a Certificate of Occupancy or Certificate of Coml3liance being issued,as requested by the Zoning
Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location-ot all new construction.
i
SignatuZe. -/�� owner,owner's agent,architect,contractor
'r.
vr
BLDG. PERMIT NO.CZY "9i�l�
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
A TEMPORARY CERTIFICATE OF PCCUP NCY is hereby requested for the property
located at; �� 3
for the following uses:
/149 za ep'5
DATE SIGNATURE OF APPLICANT
TEMPORARY CERTIFICATE OF OCCUPANCY
1
The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby (-6 PROVED
( )DISAPPROVED
with the following conditions:
TEMPORARY CERTIFICATE OF OCCUPANCY EE: 104 0.00 DE'POSI ,: ( 4100.00
r ` CnM
received on
Date of Is ance hector of Bldg. Code Enforcement
THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES DAYS
FROM THE DATE OF ISSUANCE.
NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code.
Enforcement or his designee.
Fire Marshal's Office 'town Of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys .
pp applicable to.solid fuel &vented gas.appliances *O
Date , 20 i� pit
i Application is hereby made to the Building&Codes Office for the issuance Of a Building, U
Permit pursuant to the New York State l•ire 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 requirentents and also will allow all inspectors to enter premises to pel form required inspections.
NOTE to applicant: .Rough-in and Final Inspections are required..
Applicant Information Fuel Burning Appliance Information
J. (circle appropriate words)
Name: /YI l G�?Q�I �. t•�/'t f'ot! Stove: wood coal pellet gas
-- Fireplace insert
Address:_&OKpy A10/ o a Li Fireplace, factory-built: wood gas
Fireplace,.masonry: wood gas
Furnace: wood gas oil
Phone:
If non-masonary applicance,please provide
Owner: �+f Manufacturer Name: c7� C'LC7
Address: Model Number:P/C'l TRC f
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
Flue the steel size: inches
Exact Address: S C c'ham°
Off constrt�ction or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction/Installation must
con ortn to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triple wall / Insulated / tl'L'Ct 1'e'lltlllo
Chimney Liner
. � �',�,.�.sai�r'�r;Z9�,�p �mt.�acat--�'`4a► crf Q�c�e�.a�,�rbxxzy, .Ne�x�•`le'"ox�.�<
I
Fire}Ntarshal Code S Collected S Refunded eEEed full(1 of ded to): 6Z_�
-.y address: —
.9 173 3389 (190) Public SrrJ ty
A 233 2655 (230)jAV1• or Sa
DATE: �}
yis�socvZ`wt.�— Twn. V[�rE/G P2 C�c�r�.
White(Applicant) / Green(Fire Marshal) i Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.)
now
��� Richard A.1Ilissita
Highway Superintendent
DF. T
PARTM� Home(518)798-5127
742 Bay Road • Queensbury,NY 12804 Michael E Travis
Office Phone: (518) 76 1-8211 Deputy Highway Superintendent
--- Fax: (518) 145-4466 (511D 758-0413
Rsdel V
DRIVEWAY PERMIT
NOV " 15 ZOQ2
DATE: U. / v�C T sy®�,t&VssE
APPLICANT NAME: 1rn ��f � D
TELEPHONE NO.: 791—1 lQ0
ADDRESS TO BE INSPECTED:
RETURN ADDRESS: /emu,
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)
(")I2" ( )15" ( )I$" ( )24" ( )36"
Preliminary inspection completed by DATE
Approval by Highway Supt. Deputy Supt
Upon completion,please resubmit this approved permit for a final approval.
STEP 2: ( )Final Approval
( )Rejected
DATE:
Richard A. Missita,Highway Superintendent
Project Name: BP 0;60
Address:. 'RECEIVED
Building ermit S sion
Sbd_-fangy dvging No V 2 5 2002
Tuofiandy du&g
Checklist TOWN OF QUEENSBURy
BUILDING AND C
ODE
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 pen-nit
will not be accepted until such time as the application is deemed complete for submission.
1. Building Permit Application Completed ... ... ... ... ... ... ... ... ... ......... . yes []no ❑ n/a
2. Energy Form or Check Rate Energy Code Compliance Fo s ❑ no ❑n/a
3. Energy Code Inspector's Report from CheckMa grain... ... ... no ❑n/a
4. Septic application completely filled out(if appli le)A61-d ... ... ... yes ❑ no ❑n/a
5. Solid Fuel Burning or Gas Appliance Form.. nyes Flno [:]n/a
6. Electrical Inspection Farm... ... ... .. . . . ... ...... ... ... .. yes [:]no [:]n/a
7. Two (2) complete sets of structural drawings... .. ... ...... ... ... ... ...... ... ... .. Flno nn/a
a) floor plan;b) foundation plan;c) cross sections:d)elevations;
e) window and do6r schedule
8. T 0(2) site plans location of the structure to be built. ......... ... ❑no E]n/a
loc Ea e or water lines,location of septic tern or sewer line.
9. Setbacks from property lines to new structure ... ... ... ... ... ... ... ... ... ... .. ❑no nn/a
10. Setbacks to neighboring wells and septic systems,including onsite well... . Dyes nno nn/a
and septic systems (if applicable)
11. DrivewayPermit... ... ......... ... ... ... ...... ... ... ... ... ... ... ... ... ... ...... ... - s [-]no Fln/a
Date:
Staff Initial:
L.\Suel-len-iingway\Bufldirig.Pem-iit.FOP,NB\Generic Checkfist-doc
ta
Permit Number
MECcheck Compliance Report Checked By/Date
New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release le
Data filename: C:\Program Files\Check\WCcheck\highland-final.cck
TITLE:Mike Wild Residence REC
COUNTY:Warren
STATE:New York 110V 2 's 2802
HDD: 7635 7'OVVAI o1z
CONSTRUCTION TYPE:Detached 1 or 2 Family
BEATING TYPE:Non-Electric
DATE: 11/21/02
DATE OF PLANS:November 2002
COMPLIANCE:Passes
Maximum UA=629
Your Home=619
1.6%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 1988 13.0 0.0 138
Velux FS306(2):
Metal Frame with Thermal Break,Double Pane with Low-E 16 0.370 6
Velux FS 106 M-BR:
Metal Frame with Thermal Break,Double Pane with Low-E 6 0.370 2
foyer wall:Wood Frame, 16"o.c. 60 13.0 0.0 3
Door 2: Solid 20 0.390 8
Study wall(left):Wood Frame, 16"o.c. 60 13.0 0.0 5
Study wall Front:Wood Frame, 16"o.c. 130 13.0 0.0 7
CW16-3:Wood Frame,Double Pane with Low-E 43 0.340 15
M-Bath wall(front):Wood Frame, 16"o.c. 30 13.0 0.0 2
M-Bath,M-BR wall:Wood Frame, 16"o.c. 330 13.0 0.0 26
AR5 1:Wood Frame,Double Pane with Low-E 7 0.340 2
CW 14:Wood Frame,Double Pane with Low-E 10 0.340 3
M-BR wall(back):Wood Frame, 16"o.c. 160 13.0 0.0 10
CW 14(2):Wood Frame,Double Pane with Low-E 19 0.340 6
AR61 fixed:Wood Frame,Double Pane with Low-E 19 0.340 6
Great Room wall(back):Wood Frame, 16"o.c. 180 13.0 0.0 5
CXW155 (2):Wood Frame,Double Pane with Low-E 32 0.340 11
P5045:Wood Frame,Double Pane with Low-E 27 0.290 8
P3030 (2):Wood Frame,Double Pane with Low-E 18 0.290 5
P5030:Wood Frame,Double Pane with Low-E 15 0.290 4
AFFW504:Wood Frame,Double Pane with Low-E 20 0.310 6
CTQA3 (2):Wood Frame,Double Pane with Low-E 11 0.300 3
Breakfast wall(back):Wood Frame, 16"o.c. 120 13.0 0.0 7
FWG6068:Wood Frame,Double Pane with Low-E 39 0.330 13
Kitchen wall(back):Wood Frame, 16"o.c. 140 13.0 0.0 10
C235:Wood Frame,Double Pane with Low-E 14 0.340 5
Kitchen wall(left):Wood Frame, 16"o.c. 140 13.0 0.0 11
Kitchen wall(front):Wood Frame, 16"o.c. 140 13.0 0.0 11
Utility wall(left):Wood Frame, 16"o.c. 230 13.0 0.0 19
Utility wall(front): Wood Frame, 16"o.c. 120 13.0 0.0 8
Door 3: Solid 17 0.390 7
Dining wall(left):Wood Frame, 16"o.c. 20 13.0 0.0 2
dining wall(front):Wood Frame, 16"o.c. 120 13.0 0.0 6
CW16-3:Wood Frame,Double Pane with Low-E 43 0.340 15
Dining wall(Right):Wood Frame, 16"o.c. 20 13.0 0.0 2
2nd Foyer wall:Wood Frame, 16"o.c. 54 13.0 0.0 3
P3540:Wood Frame,Double Pane with Low-E 14 0.290 4
2nd Great Room wall(right):Wood Frame, 16"o.c. 333 13.0 0.0 27
2nd Great Room wall(back):Wood Frame, 16"o.c. 162 13.0 0.0 13
2nd BR I wall(back):Wood Frame, 16"o.c. 96 13.0 0.0 7
CW235:Wood Frame,Double Pane with Low 16 0.340 5
2nd BR 1 wall(left):Wood Frame, 16"o.c. 296 13.0 0.0 24
2nd Storage wall(front):Wood Frame, 16"o.c. 104 13.0 0.0 8
CW135:Wood Frame,Double Pane with Low-E 8 0.340 3
2nd BR 2 wall(left):Wood Frame, 16"o.c. 16 13.0 0.0 1
2nd BR 2 wall(front):Wood Frame, 16"o.c. 96 13.0 0.0 6
CW235:Wood Frame,Double Pane with Low-E 14 0.340 5
AFVW206:Wood Frame,Double Pane with Low-E 3 0.320 1
Basement Wall 1:
Solid Concrete or Masonry,8.0'ht/6.0'bg/8.0'insul 1672 13.0 0.0 106
Window 1:Wood Frame,Double Pane with Low-E 6 0.360 2
Door 1: Solid 17 0.390 7
Furnace 1:Forced Hot Air,90 AFUE
Air Conditioner 1:Electric Central Air, 10 SEER
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the
building plans, specifications,and other calculations submitted with this permit application. The proposed systems
have been designed to meet the New York State Energy Conservation Construction Code requirements. When a
Registered Design Prof Tonal has stamped signed this page,they are attesting that to the best of his/her
knowledge,belief, -1.1essionaijudg cifications are in compliance with this Code.
Builder/Design rr_ Date 10-21
059460
OPES jot'APON,
MECcheck Inspection Checklist 4
4
New York State Energy Conservation Construction Code C?D
MECcheck Software Version 3.3 Release lc
DATE: 11/21/02
TITLE:Mike Wild Residence
"ECSjVeD
Bldg. I Nov 2 %5 2002
Dept.
Use 'OVNIV OF QUFE/VSgURY
BU1LDr
J Ceilings: NG��ID CODE
[.{] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-13.0 cavity insulation
Comments:
!! Above-Grade Walls:
[ J] 1. foyer wall:Wood Frame, 16"o.c.,R-13.0 cavity insulation
j Comments:
[ ] 2. Study wall(left):Wood Frame, 16"o.c.,R-13.0 cavity insulation
Comments:
141 3. Study wall Front:Wood Frame, 16"o.c.,R-13.0 cavity insulation
Comments:
141 4. M-Bath wall(front): Wood Frame, 16"o.c.,R-13.0 cavity insulation
Comments:
[,4] 5. M-Bath,M-BR wall:Wood Frame,16"o.c.,R-13.0 cavity insulation
Comments:
[ ] 6. M-BR wall(back):Wood Frame, 16"o.c.,R-13.0 cavity insulation
Comments:
[ ] 7. Great Room wall(back):Wood Frame, 16"o.c.,R-13.0 cavity insulation
Comments:
[ ] 8. Breakfast wall(back):Wood Frame, 16"o.c.,R-13.0 cavity insulation
Comments:
[ ] 9. Kitchen wall(back): Wood Frame, 16"o.c.,R-13.0 cavity insulation
Comments:
[ ] 10. Kitchen wall(left):Wood Frame, 16"o.c.,R-13.0 cavity insulation
Comments:
[ ] 11. Kitchen wall(front):Wood Frame, 16"o.c.,R-13.0 cavity insulation
Comments:
[ ] 12. Utility wall(left):Wood Frame, 16"o.c.,R-13.0 cavity insulation
Comments:
[ 13. Utility wall(front):Wood Frame, 16"o.c.,R-13.0 cavity insulation
Comments:
[ ] 14. Dining wall(left):Wood Frame, 16"o.c.,R-13.0 cavity insulation
/ Comments:
15. dining wall(front):Wood Frame, 16"o.c.,R-13.0 cavity insulation
Comments:
[ ] 16. Dining wall(Right):Wood Frame, 16"o.c.,R-13.0 cavity insulation
Comments:
[ ' ] 17. 2nd Foyer wall:Wood Frame, 16"o.c.,R-13.0 cavity insulation
Comments:
[ ] 18. 2nd Great Room wall(right):Wood Frame, 16"o.c.,R-13.0 cavity insulation
Comments:
[ ] 19. 2nd Great Room wall(back):Wood Frame, 16"o.c.,R 13.0 cavity insulation
Comments:
[� { 20. 2nd BR 1 wall(back):Wood Frame, 16"o.c.,R-13.0 cavity insulation
{ Comments:
[ ] { 21. 2nd BR 1 wall(left):Wood Frame, 16"o.c.,R-13.0 cavity insulation
J Comments:
22. 2nd Storage wall(front):Wood Frame, 16"o.c.,R-13.0 cavity insulation
[JJ Comments:
{ 23. 2nd BR 2 wall(left):Wood Frame, 16"o.c.,R-13.0 cavity insulation
{ Comments:
[ ] J 24. 2nd BR 2 wall(front):Wood Frame, 16"o.c.,R-13.0 cavity insulation
i Comments:
Basement Walls:
[ ] { 1. Basement Wall 1: Solid Concrete or Masonry, 8.0'ht/6.0'bg/8.0'insul, l"
{ R-13,0 cavity insulation
J Comments:
1
{ windows:
[ ] ( 1. CW 16-3:Wood Frame,Double Pane with Law-E,U-factor: 0.340
For windows without labeled U-factors, describe features:
{ #Panes Frame Type Thermal Break?[ ]Yes[ ]No
{ Comments:
[ ] ( 2. AR51:Wood Frame,Double Pane with Low-E,U-factor: 0.340
i For windows without labeled U factors,describe features:
{ #Panes Frame Type Thermal Break?[ ]Yes [ ]No
{ Comments:
[ ] ( 3. CW14:Wood 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
I ( Comments:
[J ] { 4. CW 14(2):Wood 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
i Comments:
[ ] { 5. AR61 fined:Wood 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
i Comments:
[ ] { 6. CXW 155(2):Wood Frame,Double Pane with Low E,U factor:0.340
For windows without labeled U-factors,describe features:
i #Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] { 7. P5045:Wood Frame,Double Pane with Low-E,U-factor:0.290
i For windows without Iabeled U-factors, describe features:
{ #Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] J 8. P3030(2):Wood Frame,Double Pane with Low-E,U-factor: 0.290
J For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
{ Comments:
[ ] ( 9. P5030:Wood Frame,Double Pane with Low-E,U factor:0.290
{ For windows without labeled U-factors,describe features:
J #Panes Frame Type Thermal Break?[ ]Yes[ ]No
i Comments:
[ ] ( 10. AFFW504:Wood Frame,Double Pane with Low-E,U-factor: 0.310
{ For windows without labeled U-factors,describe features:
{ #Panes Frame Type Thermal Break?[ ]Yes[ ]No
/ Comments:
[ ] I 11. CTQA3 (2):Wood Frame,Double Pane with Low-E,U-factor:0.300
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
12. FWG6068:Wood Frame,Double Pane with Low-E,U-factor:0.330
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
13. C235:Wood 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:
[ ] I 14. CW16-3:Wood 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
f I Comments:
[J] I 15. P3540:Wood Frame,Double Pane with Low-E,U-factor:0.290
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] I 16. CW235:Wood 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:
17. CW 135:Wood 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:
[ ] I 18. CW235:Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ j Yes[ j No
Comments:
[J] 19. AFVW206:Wood Frame,Double Pane with Low-E,U-factor: 0.320
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] I 20. 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:
I
J I Skylights:
1. Velux FS306(2):Metal Frame with Thermal Break,Double Pane with Low-E,
U-factor:0.370
For skylights without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 2. Velux FS106 M-BR:Metal Frame with Thermal Break,Double Pane with Low-E,
U-factor:0.370
For skylights without labeled tf factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
I
Doors:
[ ] I 1. Door 2:Solid,U-factor:0.390
Comments:
[ 2. Door 3:Solid,U-factor:0.390
Comments:
[, ] 3. Door 1: Solid,U-factor:0.390
Comments:
Heating and Cooling Equipment: _ 1
[ ] 1. Furnace 1:Forced.Hot Air,90 AFUE or higher
Make and Model Number
[ ] 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher
Make and Model Number
Air Leakage:
[ j Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
with a 0.3"clearance from combustible materials.If non-IC rated,the fixture must be installed with a
3" clearance from insulation.
Vapor Retarder:
[ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
[ j Materials and equipment must be installed in accordance with the manufacturer's installation
in tructions.
[ ] Materials and equipment must be identified so that compliance can be determined.
[ j Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] Insulation R-values,glazing U factors,and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
[ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] Supply ducts in unconditioned spaces must be insulated to R 11.
[ j Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
Insulation is not required on return ducts in basements.
j 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
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. �7
[ ] 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:
[ ] 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.
Swimming Pools:
[ ] I All heated swimming pools must have an on/offheater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
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) Up to I" 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 Thicknessfor HVA C Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System ypes Range T 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)
s.
Item# QTY Description unit size Notes
1 Velux F8306 2 2-Kitchen 30.1181Ix 38-112" Type EDL
2 Velux FS106 1 Master BR 21.11211x 46.3/8" Type EDL
3 CW155-3 2 Study,Dining 7'1-318"x 5'4-13116" 12.8*3=38A sq ft--center unit CEIVEI
fixed
4 AN31 1 Master Bath 2'11.13116"x 1'-8112" NOV 2 200�
5 CW14 3 Master BR 2'4-318"x 4'0"
6 AR61 (fixed) 1 Master BR 5'11-718"x 1'5" TOWN OF QUEENSBUF
7 CXW155 2 Great Room 2'11.15116"x 5'4-13116" Extension Jambs for 2x8 wall BUILDING AN-BODE
8 P5055 1 Great Room 4'11-718"x 5'4.13116" Extension Jambs for 2x8 wall
9 P3030 2 Great Room 2'11.15116"x 2'11.15/16" Extension Jambs for 2x8 wall wl
colonial trim
11 P5030 1 IGreat Room 4'11.718"x 2'11.15116" Extension Jambs for 2x8 wall
12 AFFW504 1 Great Room 4'11-114 x 4'7.13/16 Extension Jambs for 2x8 wall
13 CTQA3 2 Great Room 2'11.15116"x 2'11.15116" Extension Jambs for 2x8 wall wl
colonial trim
15 FWG6068R 1 Breakfast 5'11.1/4"x 6'7-112" Estate hardware this unit only wl
solid bright brass
16 ICR235 1 Kitchen 2'9-314"x 3'4.13116"
17 P3540 1 Foyer 3 4.13116"x 4'0"
18 CW235 2 BR1 &BR2 4' -112"x 3'4.13116"
19 AFCW206 1 BR2 4' -112"x 1'1-1116" above CW235(1-only)
20 CW135 1 Storage 2'4.318"x 3'4.13116"
21 P3040(200) 3 Garage 200 Series 2'11-13116"x 4'0" 200 series fixed units
NOTE;
All units 400 series except p3040
Sandstone Exterior color
Stone Metro Hardware except for FWG6068R
Screens on all operable units
Extension jambs for 2x4 walls except where noted(unfinished) I N
Arch and circle top casings-colonial style+plinth blocks �l �®
�Fo 069a60
AR�FESSt��Pti
1�/ -
Residential Final Inspection
Office No. (518)761-8256 Date Inspection reque receive .—
Queensbury Building&Code Enforcement Arrive: e am!
M/
742 Bay Rd.,Queerisbury,NY 12804 Inspector's Initi'6zs'.: P
NAME: T#: IP r
LOCATION: A PT :
TYPE OF STRUCTtHeS:
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 glazmg
Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: 1 Battery backup:
Bathroom Fans,if no window Y
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
-Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
-/4hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.{ht.)In accessible area
Crawl Spaces 18"x 24"access, I sq. ft.-150 sq. ft.vents
Building No./Address visible from road
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 Temporary C 10(Cert. Of Occupancy) ..............
Okay to issue Permanent C J 0(Cert. Of Occupancy) \1
L:\SueHeniingNvay\Buildiiig.Codes.Inspectioii.FORMS\Res.Final Insp.forni 2.doe edited January 28,2003
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MAP REFERENCE:
MASTER'S COMMON SOUTH
DATED AUGUST 26, 1987
FILED IN THE WARREN COUNTY
CLERK'S OFFICE ON MARCH 10, 1988
IN DRAWER 17 FOLDER 1
REVISED
LOT 3
0 .
REVISED �'����•
LOT 4
30,967 sq.ft.
a,
0.71 acres
30 - Q \
� O
N
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LOT 5
to
r �
N �
tT 'J
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� 49
V Q
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CXA
Ste-ves
Land Survey ors
169 Havlland Road Queensbury, New York 12804
(518) 792-8474 New York Lie. No. 50135
•UAU,I RED ALTERATION OR AM" TO A SURVEY
YM BEARING A LICENSED LAM SURVEWRS SEAL IS A
MAIM OF SEC710N 7M. SUB-DINSION Z. OF THE
NEW NOW STATE EDUCATION LAW."
^MY COPIE! nMOM THE ORIGNAL MTRS SURVEY
S MRL9 WRN AN ORINWER1• M L BE VALID 1
SEAL SHML EE S INDICATE TO RE N SIG 1RlE COPIES.^
bER71ACA110NS INDICATED HEREON SIGMFY THAT
INS SURVEY WAS PREPARED IN ACCORDANCE WTH THE
DOOS7ING CODE OF PRACTICE ► N LAN) SURVEYORS ADOPTED
BY THE NEW YW STATE ASSOCIATION OF PROFESSIONAL
A
IS P RUN ONLY
OM THE SURVE1IONSY
TD THE PERSON FOR RNON THE SURVEY rs PREPARED. AND
M T SURVEYORS FOR
ON HIS BEHALF TD THE TITLE COMPANY. GOVERN UTAL
AGENCY AND LENDON R+D INSTITUTLISTED HEREON. AND
TO m ASBIGI m OFT! IA m IOTRNION.•
Map of a Survey made for
MI C HAE L WILD
Town of Queensbury, Barren County, New York
iia-tel MAKUH dZ), dUU.J
Scale 1'=30'
S_ 1
�T I W I
WILD
DWG. NO. M05-4
N0.
DATE
DESCRIPTION
t46-1-4
Residential Final Ins ecti0n �� ` i
A
Office No. (518)761-8256 hate Inspection re s eceive L' ,Zr3 4J ri
Queensbury Building&Code Enforcement Arrive: :D p ep r a m
742 Bay Rd.,Queensbury,NY 12804 1 Inspector's Ini •als:
NAME: 1 ke- kil P T#: 7-0-0'z r ?f S
LOCATION: 10 tp C S , D
TYPE OF STRUCTURE: />• ll�
Ca is
Y N N/AChimne It./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in.or more P,stairs,decks,patios ARW�EZ
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 VA
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 Valves installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen waterti ht
Safety glazing
Window in stairwells safety lazin
Interior Smoke Det tors:
Every level: Vt t Every Beclfoom:
Outside every bedroom a{ea: �
Inter Connected: I Battery backup:
Bathroom Fans,if no window V
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 01 `D
1/4 hour fire door/door closer \0
Garage fireproofing
Duct work Sealed prioperly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, I s .ft.-150 s .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 Com fiance)
Okay to issue Temporary C/O Cert.Of Occupancy)
Okay to issue Permanent C/0(Cert. Of Occupancy)
L:1SueHemingrvay\13uilding.Codes.Inspection.FORMS\Res.Final Insp.forW.doe edited January 28,2003
Residential Final Inspection
Office No. (518)761-8256 Date Inspection requ r ved:
Queensbury Building&Code Enforcement Arrive: %$ D al/
�
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: I ERIMIT
LOCATION: -AZ r*Am n V,� -"Z,5-0 iA- 0 Mi=f4f� DATE:
TYPE OF STRUCTURE-: U3 Z-CAV,
toe-EEIL� .,At 0®R� L6A\-A-M ex-LComments
N N/A
Chimney Ht./"B"Vent/Direct Vent Location V/.
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
V
Guard at deck,porches 36 in.or more
Exterior Finish Cornplete IF
Interior/Exterior RaiH#gs 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. j
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade V U3 ALL
Gas Furnace shut-off within 30.ft.or within line of site
Oil Furnace shut-off at entrance to furnace area CP6
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 glEmj �
Interior Smoke Detqctors:
Every level: V / Evem:
Outside every bedroom area: Bee
Inter Connected: / Battery baqjLiM:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping fmished 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./Address visible from road
Final Electrical
Site Plan Wariance required
Final Survey Plot Plan
As Built Septic System/Sejye 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 Occupancy)
L:\SueHen-dngNvay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003
Rough Plumbing / Insulation Inspecti Report
Office No. (518)761-8256 Date Inspection requ received: G
Queensbury.Building&Code Enforcement Arrive: p e art: p
742.Bay Road,Queensbury,NY 12804 Inspector's Initia s:
NAME: E L PERMIT#: C�—e� -!A /
LOCATION: INSPECT ON: 3
TYPE OF STRUCTURE:
rbCVK—
PVC: R-1,R-2,R-3,R-4 Drain/Vents l �t'� CAy,e— /'3 10P
-` .Cast Iron, Copper Drain/Vent/Comm. _
Plumbing Vent/Vents in Place ..� ,�,G
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
CPVC,Pex One&Two amily
Insulation/ sida�,C ec ommercial Check
)�a V cJD
-Proper Vent, Attic Ve
Duct/Hot Water Piping Insulation
If required unheated spaces -�
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
L:1.SueHemingway\I3uilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Rough Plumbing/ Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request receiv d:
Queensbury Building&Code Enforcement Arrive:-a M p p
742 Bay Road, Queensbury,NY 12804 Inspector's Initia
NAME: JJ11V A el- D PERMIT#: A
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: I
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain Vents
Cast Iron, Copper Drain/Vent Comm.
Plumbing Vent Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply Test
Dfain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
Copper Commercial Y, &Two Family
,�,C P One�
sulatiod/ esidential Che Commercial Check
Proper Vent,Attic Vent-
Duct/Hot Water Piping Insulation 0K).
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
CONMENTS:
L-,\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003
Framing I Firestopping Inspection Report
1 U
Office No.: (518) 761-8256 Date Inspection request received: _
Queensbury Building&Code Enforcement Arrive: a m m
742 Bay Road, Queensbury,NY 12804 Inspector's Initi s:
t
NAME: i PERMIT#: a�
LOCATION: INSPECT ON: — -Q
TYPE OF STRUCTURE:
Y N N/A CtJ�ENTS
Framing �7�
Jack Studs/Headers
Bracing/Bridging
*Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6-ft.-8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2(w)l6 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
Firestopping .
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 518 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
L:1SueHemingway\Building.Codes.Inspection.FORMSTraming Firestopping Inspection Report.doc.January 28,2003
Rough Plumbing I Insulation Inspection Report C)VK
Office No. (518)761-8256 Date Inspectio4,requeStjgqeived:
Arrive:J��an
Queensbury Building&Code Enforcement jqlm.
742 Bay Road, Queensbury,NY 12804 Inspector's Initi s:
NAME: PERMIT#-.
LOCATION: PLA-F-cF-p- C rmi-k n INSPECT ON:
TYPE OF STRUCTURE:, AM 1 2- C-AL Liek--,
Y N N/A
PVC:- R-1,R-2,R-3,R-4 Drain Vents
Cast Iron, Copper Drain/Vent Comm.
Plumbing Vent Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply Test
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 s2aces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMWNTS:
!L-.\SueHemingway\Building.Codes.inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Z- 0 b' on ,OOV��
1V 0�7
Framing / Firestopping Inspection
Office No. (518)761-8256 Date Inspection requea�ro ei
Queensbury Building&Code Enforcement Arrive: p
742 Bay Road, Queensbury,NY 12804 Inspector's hiit* is
NAME: PERMIT#:
LOCATION: h%67EjE2, r n tA INSPECT ON:
TYPE OF STRUCTURE: 6 L,31 7-
Framing Y N _N/A COMMENTS
Jack Studs Headers
Bracing Bridging :CO E/NTS
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 V2 (w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses.
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
AFire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side V2 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
LAS ucHeming-,vay\13u ildin.-.Codes.Inspection.FO RMSTrarning 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
i � �
Req t Fire Marshal's Inspection Report
SCHEDULE
INSPS Received: Dtj —Permit# ON ON: U.
y AM (fM
Name: 16L o ad� ANY71ME
Location: Z6
APPROVED
N/A YES NO COMMENTS
EXITS "ry
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM z-X
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
COMMENTS
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 ROUGH IN
FINAL
WOOD
STOVE ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN DA R NOT OK
FINAL
FIREPLACE IN,
FACTORY BUILT ROUGH IN
4NSPE TE
FINAL
COMDEV/CHRISJNVORD/LETTERS20011FIREMAR HA iNSPECTIONREPORT11 2001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Framing/Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection reque e'
Queensbury Building&Code Enforcement Arrive: a in art:
_am6pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initia
NAME: 0-Yl A PERMIT#:
LOCATION:
INSPECT ON:
TYPE OF STRUCTURE:
Y N 7 f N/A COMMENTS
,Warning
Jack Studs Headers
Bracing Bridging
Joist hangers V/
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C. to
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) l6gauge(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
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side V2 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 reques ecei 40 6
Queensbury Building&Code Enforcement Arrive: ',t a ep a04 mm�
742 Bay Road,Queensbury,NY 12804 Inspector s Initia
NAME: tL4 4 e- tol PERMIT#: 7<!r
LOCATION: QUTW INSPECT ON:
TYPE OF STRUCTURE:
Y N 000/A COMA&NTS
rEaniing -
mi 4�1�0
Jack
Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts!Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in.or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
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
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side V2 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
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept m of Community Development Request received.
4 0 Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensburj; NY 12804 ARRIVE am/pm: DEPARTV��lpIn Notes:
(518) 761-8256 Inspector's Initi als
NAME: PERMIT# 9-o6 2-.---
LOCATION-136 Ai�Mr (c,,,r-c)vYic 'S
ryl INSPECT ON(date): IrL41
TYPE OF STRUCTURE:
RECHECK
N/A YES i NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
'FoundationfWallpour
Reirgfilreement in Place
Vr�ndation/Dampproofing_
alckfill 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 it-
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
Firestoppin
L;\SueHemiiigway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORTAOC
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet: .0/,
Building chi Code Enforcement At time: V\.
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART �am/pm Notes:
(518) 761-8256 Inspector's Initials IL
NAME: I(,ic) PERMIT#
LOCATION: 36 C
INSPECT ON(date): b-z—t/t 102—
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
roundation/Dampproofmg
dattion/Wallpour —Z
enforcement in Place
VBackfill Approval V
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing___
Heating Rough-In_
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridgmig—
Joist Hangers_
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firesto in
ppmg—
L.-\SueHemingway\Building.Codes.Inspection.FOP,NIS\GENERAL 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 BayRoad
Queensbury, NY 12804 ARRIVE amlpm: DEPARTI-0 ' )Ilpm Notes:
(518) 761-8256 Inspector's Initials,��,.P--��
NAME: PERMIT
LOCATION: q MiA��COKWILO)n 6LA-'f F� INSPECT ON(date): 62
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
Poundation/Wallpour
Reinforcement in Place
f
dation/Dampproo mg—Y RQ
to2fill Approval
Plumbing Under Stab
Plumbing Vent(Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls
Ceiling R-
Duct work or piping in
. unheated spaces P,
Proper Vent,Attic Vent
Framing__
Jack Studs/Headers
Bracing/Bridgmig--
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestoppig—
L:\SueHemiiigway'Ouilding.Codes.Iiispection.FORMS\GENERAL INSPECTION REPORTAGe
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbuty Ready at,time:
Dept. of Community Development Request received: Meet: P
Building& Code Enforcement At time: V
742 Bay Road
Queensbury, NY 12804 ARRIVE-amlpm: DEPAR73L-ft-am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: 13 ILn PERMIT#
LOCATION: INSPECT ON(date): 1'2-
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
undation/Damppro
Nffackfill 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-\SueHemin-,Way\Btiilding.Codes.Inspection.FORMS\GF.NERAL INSPECTION REPORT.doc
office Use
.GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:: .:`
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At
742 Bay Road
Queensbury, AT 12804 ARRIVE am/pm: DEPARPrl anilpm Notes:
(518) 761-8256 Inspector's Initials
NAME: IIA4 ((P-- W S PERMIT#
LOCATION? INSPECT ON(date): t Ztl 2,1d
-h4,,WA=-�6v 0 . ( I
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 A
-Y'FoundationVaUpour (I
Reinforcement in Place'
Foundation/Dampproofing
Backfill Approval
Plumbing Under Stab
Plumbing Vent/Vents in Place
Rough Plumbing__
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R
Floors R-
Walls It-
Ceiling R-
Duct work or piping mi
. 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.Inspection.FORMS\GENERAL INSPECTION REPORT-doe
Office Use
-GENERAL INSPECTION REPORT Inspector: Rio-r_
Town of Queensbury Ready at time,.','
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbu.,,3; NY 12804 ARR[VE am/pm: DEPART am/pm Notes.
(518) 761-8256 Inspector's Initials
NAME: PERMIT# .2-6o ?v"
LOCATION:_��c) Mas4elu Can � INSPECT ON(date): L 044,k7
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
0 8F r--h=lgithiciP�ou�r Voi;�--
Reinforcement hi Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing_
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
I 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\]3uilding.Codes.Inspectioa.FORMS\GFNERAL INSPECTION REPORT.doe
GENERAL INSPECTION REPORT
(-518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive J;ig am/pm Depart_am/pm
Inspector's Initials09-:--
NAME: PERMIT# 07--P6
LOCATION: DATE: 12 6A-
TYPE OF STRUCTURE:
RECHECK 2
N/A YES NO COMMENTS
Footings/Piers OF
Monolithic Pour Form 'S
Reinforcement in Place
The contractor is responsible for 6,
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundatio ur
Reinforcement in Place
Foundation/Dampproofing-
Bacidill 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
Frami
Jack Studs/Headers
Bracing/Bridging-
Joist Hangers
JackPosts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Scaled
Fire Wall 2,3,4 hour
Firestopping_
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbuiy Ready at time:
Dept. of Community Development Request received:
0 Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbuty, NY 12804 ARRIVE am/pm: am/pm Notes,
(51$) 761-8256 Inspector's Initials \Sfze:--�
NAME: PERMIT#
11zl'
LOCATION: 7 INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK ,
N/A YES O COMMENTS
Footin s/Pioecr
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 -Z'
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
Ceiling R
Duct work or piping mi
unheated spaces R-
Proper Vent,Attic Vent
Framing__
Jack Studs/Headers
Bracing/Bridging_
Joist Hangers
Jack Posts/Main Bearn
Air Infiltration Barrier
FireSeparation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_
L:\SueHemii)gway\Buildiiig.Codes.Inspection.FORMS\GF,NERAL INSPECTION REPORTAOC
Office Use
GENERAL INSPECTION REPORT Inspector:
Town ofQueensbuty Ready attime:
Dept. of Community Development Request received:
Meet: 077
Building& Code Enforcement fi At tirn
742 Bay Road
C
Queensbury, NY 12804 ARRIVE am/pm: .DEPART anilpm Notes:
(518) 761-8256 Inspector's Initials=l.
NAME: i, PERMIT#
LOCATION: & CCKn 2-INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES NI COMMENTS
tofings/Piers ifonolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
'Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place-,
Rough Plumbing-. -
Heating Rough-In�_
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R_
Ceiling R-
Duct work or piping in
. unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridgmig_
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_
L:\SueHemiiigway,Building.Codes.Iiisp.ection.FORMS\GENIERAL INSPECTION 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
Queensbuty, NY 12804 ARRIVE a m 7/ - A�Wcoam/C Notes:
(518) 761-8256 Inspector's Initials
NAME: PERMIT# aZ-- q-72�
LOCATION: 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
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing_
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestoppmg_
L-.\SueHemingwaylBtiilding.Codes.hispection.FORMS\GENERAL INSPECTION REPORT.doe