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2002-976 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 CERTIFICATE OF OCCUPANCY Permit Number: P20020976 Date Issued: Wednesday, October 22,2003 This is to certify that work requested to be done as shown by Permit Number P20020976 has.been completed. Tax Map Number: 523400-295-010.0001.012.000-0000 Location: 9 WO,ODCREST Dr Owner: ROBERT GOVER Applicant: ROBERT GOVER This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage-2 Cars Attached Single Family Dwelling Director of Building&Code Enforcement �t TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P2002097.6 Application Number: A20020976 Tax Map No: 523400-295-010-0001-012-000-0000 Permission is hereby granted to: MILF,S CUSTOM HOMFS. INC. For property located at: WOODCREST 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. Type of Construction Value Owner Address: JAIVIES &EVELYN PARISI 3160 SOUTHERN OAKS Dr Fireplace MERRITT ISLAND FL 32952 Garage-2 Cars Attached Single Family Dwelling 175,000.00 Total Value 175,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency MILF,S CUSTOM HOMES. INC. 6 COTTACTF HILL Rd G1.F,NS FAILS_NY 12801 Plans&Specifications b� 2002-976 <<- Construction of a 2,561 sq ft single family dwelling with a 618 sq ft attach=d two,Icar garage and on fireplace per plot plan and specifications. $369.12 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,November 27,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To ensb W n day,November 27,2002 SIGNED BY for the Town of Queensbury. Director of Building& ode En orcement ---Building Permit.Application Town of Queensbury.—Dept of Community:Development;-742 Bay Road, Queensbury,NY I (518)761-8256 A permit must be obtained before beginning construction. Permit File No. No inspection will be made until applicant has received a Fee Paid $ -valid building permit. All applicants' spaces on this Rec. Fee Paid $ application must be completed and must appear on the Reviewed By: application farm. Applicant:: .�es �ces� -� ,.ems c 6-caner Address: :" moo / Phone#(5-ZA ? - 6t� Phone#(�) - Ee Email Address: Email Address: NOV _P 2t?d2 Property Location: Lot Number: { / House Number $ I UJoo e v Taw C?F - Subdivision Name: c5_+-z3 vu._ u- F-,se" '� -W" �- Tax Map Number ! j aL- BU1LaJ Alp C RY New Building: e5ence /commercial Estimated Market Value of Construction: $ �s,a Vlr ❑ Addition: res / commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial O No change to exterior size: residence t com'l ❑ Other work(describe ) Check OecupancyInformation I"Floor 2""Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling gU pS) ❑ Two family dwelling Ur a Townhouse ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ Manufacturing, ❑ 1 car detached garage ❑ 2 car detached garage . ❑ 3 car detached garage ❑ 1 car attached garage- 6 ` 2 car attached garage 412 t ❑ 3 car.attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other What is the proposed height of the structure cAR ,ffeet ---- inches Will any second-hand or ungraded lumber be used? If so,for what? AM—A Type of Heating System: electric/ oil gas wood orced hot a_ir__., baseboard/othet: Number of Fireplaces to be installed Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder �e 1;-lt s C e_. � 'f/ 7S'3-d'7Pd, s3G1=�2�?z� Plumber j v 4-� 1 - . i�• l2..r �Za« ��` ., 7 4c.? -.r-4 7. Mason �} �a •rff jZ� ra r7— r� G 3.a2 Electrician - ► y?3 --t 9 L3 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 Compliance 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 of all ne ¢ acto'n.i Signature: oog er's agent,archite t,contractor_,.; Application for Permit—Septic Disposal System , )2 -T7(Q_ Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: -0-5 ..... ......_..............................:... .............. ...... ��p� x} (\�► Office Us�*> Location of installation:�T«- File Permit No. NO Tax MapNa.,� 1° Fee PaidU/ O0 2 Owner's Name: et -. t�jfOS�Ily-.. ......._............_._---- Address: 2. INSTALLER'S NAME PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House- No of Bedrooms x Computation —= Total Daily Flow 1980 or older x 150 gallbdrm = 1980— 1991 x 130 gal/bdrm = 1991 —present x 110 gal/bdrm = � Garbage Grinder Installed yes / no Spa or Whirlpool Installed. yes�t �/ no ✓' 4. PARCEL INFORMATION: (circle applicable information&.indicate measurements) _ T—OROgraph Soil Nature Ground Water Bedrock or impervious Material Do Water SUPP1 Flat rEhe at what depth at what depth municipal Rolling P feet _ ?feet we ' Steep.slope� if well;water supply o s ope from any septic-system : 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 Held for each Garbage Grinder, Spa or Whirlpool Tub. .Septic Tank: j � gallon(min. size 1,000 gal.) Tile Field: each trench ft. Total System Length: Z=Z J ft Seepage Pit(s): number of size ofeach: _ft. by_moo ft Size of Stone to be used: # 02 f depth or thickness feet Bed System Size: x Alternative System: length andlor size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: 1 Size of each: gallons /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 read the regulations with respect to this application and agree to abide by these and all: requirements ofthe Town of Queensbury Sanitary Sewage Disposal Ordinance. �, It /0�- Signature of responsible person Date ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 BEATING DEGREE DAYS Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings (only) Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwellings 7 Multi-Family Dwellings(3'Stori6s or Commercial Buildin less) s-, I op Part 4*-Design by Component Performance, 9 Rise Residential *Requires submission of worksheets CA APP CANTIS NAME: PROPERTY LO L XTION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE I Gross Floor Area- square feet 2. Type of heat-_Electric oil Z,- Gas—Other 3. Is building mechanically cooled?--�es No 0 4. Percentage of area of windows and doors—Over 17 0 Under 171/o 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND To R-VALUES AS SHOWN ON PLANS SUBMITTED: R -79 a. Roof R /90 b. Exterior walls C. Glazed areas R J,,S" d. Exterior doors e. Floors over unheated spaces R f. Edge of slab on grade (heated building) R 9. Basement/cellar walls (above grade) R// h. Basement/cellar walls (below grade) i. Heating/cooling-ducts-piping in unheated space R d,--Z- 6. Service (domestic)hot water heating device Yes No Conforms to minimum efficiency per code 1�1� TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED App * t,s Si nature Date Phone Number ,22c /1,/-Z x � g,?,9o, 3 61—Z 7 7b , INSPECTOR'S REMARKS: TOWN OF QUEENSBURY A. Rickard toHIGHWA Highway Supedifenden t DEPARTMENTHome(518)798-5127 742 Bay Road - Queensbury,NY 12804 Michael F. Travis Deputy Highway Superintendent Off:ce Phone: Sib+ ) 761-8211 (518)798-0413 Fax: (518) 745-4466 DRIVEWAY PERMIT Nov ,, DATE: Jt/i I a 7'OVVN . - 2002 � BUI(p��U�FNSeUR APPLICANT NAME:. .Ss TELEPHONE NO.: ADDRESS TO BE INSPECTED: s(4t U)O D"`Cr RETURN ADDRESS: 1Rd (aC\xxl. Applicant must show exact location and width of driveway(s)to be connected to the highway by placing stakes at the specified.location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: STEP 1: { )Preliminary Approval NEED: { }Slight swale { )Level with the road { )Deep swale Size pipe to be used(if necessary) ( )12„ ( )15" ( )IS" ( )24" ( )306" -Preliminary inspection completed by DATE Approval by Highway Supt. Deputy Supt Upon completion,please resubmit this approved permit for a final approval. STEP 2:" { }Final Approval ( }Rejected DATE: Richard A. Missita,Highway Superintendent Fire Marshal's office Town of Queensbury,742 Bay Road,Queepsb f?ty (S18)-761-8265 Appliances & Chimneys : /V A Application for Fuel Burning pp � �,& applicable to solid'fuel & vented gas appliances T(j 20pZ Date 20 0 - Peirnit No C� U Nsg 1v0�p Y Application is hereby made to,the Building& Codes Office for the issuance of a Building and Use P&tnit pursuant to the New York State Fire Prevention and-Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances;regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises toperfrrin required inspections. NOTE to applicant: Rough-in and. Final Inspections are required. Applicant Information Fuel Burning Appliance Infor' mation (circle appropriate words) Name: � �s. �-�!{-e Stove: wood coal pellet Fireplace insert Address: c-��e_ /f xQ Fireplace, factory-built: wood gas Fireplace,masonry: wood gas Furnace: wood gas oil Phone: 7T_? " 80OR , �3�/- 770 If non-masonary applicance,please provide Uwner� Manufacturer Name: e- Address: Model Number: to Chimney J�formation Phone: 3 "33's-1 (circle appropriate words) Masonry block •brick stone Flue tile steel size: inches Exact Address: V- f*/a of construction or installation Factory-Built Manufacturer name: c- Model Number: Note: Listed By: Number: Construction/Installation'gust can orm to NYS Fire Prevention,&Building Indicate(circle) chimney material: Code. Consult available Town of Queensbur), Handouts regarding required inspections: Double wall / Triple wall I Insulated / Direct venting -Chimney Liner C�,®�i�[ex-'ier Dep�rtr�iezit--To�itcrn. of Qsaceea,e�buzy, .�?r8�Yorl3: - r Fire Marshal Code# $Collected $Refunded Received fi oni(refunded to): S. �— A-" .. acldres:s: _ A 173 3389 (190) Public Safety A 233 2655 (2 0)Minor Sales DATE 10j 0 .,cv�wu- Tww VLGL/o om d7 White(Applicant) t Green(Fire Marshal) / Yellow(B1dg..Dept.) 1 Pink R Goldenrod(Cashier's Dept.) 2,60 2--q Permit Number RECEIVED MECcheck Compliance Report Checked By/Date'10V 2 1 2002 New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release I c OWN OF QUEENSBtiny Data filename:C:\Program Files\Check\MECcheck\Gover.cck BUILDING AND CODE TITLE:Family Residence COUNTY: Warren STATE:New York BDD: 7635 CONSTRUCTION TYPE:Detached I or 2 Family BEATING TYPE:Non-Electric DATE: 11/11/02 DATE OF PLANS: 11/11/02 PROJECT INFORMATION: Gover Queensbury,N.Y. COMPLIANCE:Passes Maximum UA=591 Your Home=479 19.0%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Raised or Energy Truss 1508 • 38.0 0.0 38 Wall 1:Wood Fratne,'16"o.c. 1885 19.0 0.0 113 Wall 2:Wood Frame, 16"o.c. 1200 19.0 0.0 36 Window 1:Wood Frame,Double Pane with Low-E 538 0.340 183 Door 1: Solid 65 0.110 7 Basement Wall 5:Masonry Block with Integral Insulation,7.6'ht/6.2'bg/7.6'insul 1599 11.0 0.0 102 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 Professional has stamped and signed this page,they are attesting that to the best of his/her knowledge,belief,and pr9f Ks6onal Jud ent,such Aans or specifications are in comp7n,7,this Code. DIder esigner Date Residential Final Inspection —/0 Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: a rt:/Jl R.)lam/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials. .,f -y— NAME: Q1AR-r1A PERMIT LOCATION: !i-A \KOO KA�-2—�y k--)V 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/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: / Batter ybackup: Bathroom Fans,if no window Carbon Monoxide detector f Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf ELnergenc egress below grade Basement sernent stairs closed rise>4 inches 1/4 hour fire door/door closer Garage fireproofing Duct work Scaled 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 8uilding No./Address visible from road Final Electrical Site Plan [Variance required Final Serve Plot Plan 1 jo..4j pelrZ- As Built Septic System/Sewer Dept.Inspection Stick6r 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-dng%vay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,21/3 Residential Final Inspection Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: 'am/pmDepart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: ✓ j ?7; LOCATION: 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(L)installed Interior privacy/trim/doors/main entrance 36 m' . Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery back-up: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stoppina finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches %hour fire door/door closer Garage fireproofing Duct work Scaled pwperly Attic access 30 in.x 24 in.x 30 in.(ht)In accessible area Crawl Spaces 18"x 247 access, I sq.ft.-150 sq.ft.vents Building No./Address visible from road Final Electrical lan /.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 1 0(Cert. Of OccLipancy) Okay to issue Permanent C 0(Cert. Of Occupanc L:\SueHeninpvay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003 Mi o I.R.F. o I.P.F. O I.R.S. ,a:, • W.F.P. -ohw- n/f Ala B LR.F I.R.F. NOTES: 1) THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF AN ABSTRACT OF TITLE AND IS THEREFORE SUBJECT TO ANY EASEMENTS, COVENANTS OR RESTRICTIONS OF RECORD ANY STATEMENT OF FACTS SUCH DOCUMENT WOULD DISCLOSE. 2) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUB -DIVISION 2, OF THE NEW YORK STATE EDUCATION LAW. \GE 48 ZEN COUNTY CLERK TION TWO STONECROFT THREW" STEVES L.L.S. A-SUDE 57 ZEN COUNTY CLERK SUCCESSORS AND/OR ASSIGNS COMPANY ED FROM AN ACTUAL FIELD ;H 10, 2003. FICATIONS HEREON SHALL BE )R PARTIES HEREON NAMED AND ADDITIONAL INSTITUTIONS OR THAN AS MAY BE OR 97c--lp" 3) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. �.�va Residential Final Inspection loo Office No. (518) 761-8256 Date Inspection request received: A3// A3 Queensbury Building&Code Enforcement Arrive: atn/p Depart: anVpm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: 3 " 0--7- 3--�!,0 f-9ma � NAME: PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: Of V Comments Y YN N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake IT 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 Railh�gs 34 in.to 38 in. 40rfoes 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 Vol' 8 inch clearance to sill plate poll Gas Valve shut-off exposed/regulator 18"above grade t/ Gas Furnace shut-off within 30,ft. or within line of site Oil Furnace shut-off at entrance to furnace area V/ Furnace/Hot Water Heater operating -Low water shut-off boiler Relief Valve(s)installed VO( N -7 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight T—A-tjf< Safety glazig-� 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 insulationC/"�"fLt3'�G' �O�lVtV Floor tniss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 1/4hour fire door/door,closer Garage fireproofing V11 1,r4 C 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 vi4iblelfrom road, Final Electrical 9 124 1'C2 71 VV,- I A Site Plan /Variance r6'qkrcdt Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Stic-rer Flood Plain Certification,if required Okay to issue C/C(Cert.Of Compliance) Okay to issue Temporary C 10(Cert. Of Occupancy) Lo Okay to issue Permanent C 10(Cert. Of Occupancy) L.\SueHen-dn'gway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 Town of Queensbury Fire Marshall G fCJ� 742 Bay Road Queensbury,NY 12804 cY� 761-8205/761-8206 fax 7454437 Factory milt Gas Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's —7 instructions or specifications is allowed. w_--- Permit# / Schedule Inspection 1 d / 3 Time m anytime In Name Address hough In Fin Appliance Manufacturer Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wald Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if'LP) White—Building Dept. Yellow Cask mer Pink—Fire Marshal Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: a' in part—: am/pm. 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT NO.: LOCATION: INSPECT ON: 3 X RECHECK: Comments and/or diagram Soil Type: Sand Loam Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance Other wells: ft. Absorption Field: Total length Length of each trench Depth of trenches ft. Size of Stone -Seepage Pits: Number Size: - x Stone Size: Piping Size Type Building to tank Tank to Distribution Box istribution Box to Field Pit Opening Sealed: Y/NI Partial Locati on/Separations Foundation to tank Foundation to absorption Separation of Pits ft. Conforms as_per Plot Plan Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear stem Use Stati I S '�1" -- : Approved Partial Approved and needs to be re-inspected,please call the'Building&Codes Office Di8approved LASuallerningway\Building.Codus.Inspection.FORMS\Septic inspection Report.doc January 28,2003 Septic Inspection Report Office No. (518)761-8256 Date Inspection request received, Queensbury Building&Code Enforcement Arrive: am/ m //Depart: - �m 742 Bay Rd.,Queensbury,NY 12804 Inspector's InitialsC -`� NAME: Gm-� PERMIT NO.: P LOCATION: R 0 INSPECT ON: -- 1 RECHECK: �— Comments and/or diagram Soil T e: an 1 la Type of Water: unici a Well Water _Waterline se ara on istance ft. Well separation distance ft, Other,wells: ft, Absorption Field: Total length Length of each trench ft. Depth of trenches ft. Size of Stone .� See a e Pits: Number Size: x Stone Size: Piping Si e Type, Building to tank Tank to Distribution Box y i Distribution Box to F' /Pit �i t't -Opening Sealed: Y N/ artial Location/Separations Foundation to tank Foundation to abso tion t. Separation of Pits ft. Conforms as_per Plot Plan Y N ' .�/.- 4 Locatio o stem on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: pproved Partial Approved and needs to be re-inspected,please call the Building&Codes Office -Disapproved L:iSueHemingway\Building.Codes.Inspection,FORMSLSeptic Inspection Report.doc January 28,2003 "t a xr 4� �.,•. �Y �'y- ��.,a .l£'—__ •_�` v eYc a r� �"..c`�':�CE�'r.98� .`_'_�'.r eyff.+�`�a� �-- :. , yfii r�'+��3'2.`�.�•. "�` T�� '�'�s,w a !�t..ir..^IE=�^��.�,v�� t .gartii .`kl %' x '` ;v,,.•5. t"`•` zti i t,•„ Fz+ic H, cs'y.,t f,�, .'r.ra. .,�v. ry . al'r'�'i�.��.d��!=Y '�•_3r _�/� `�� ,,��JJ,�� :� �� ( j}y .� i {lX- L� t "I have see or observed, or believe 1.saw evidence of, ig rk �-t^ CiE# ��tJ�¢�i� s r tl}}i[� (� t flt{' t (� }�(� f i- �Y Yhyx' tt,4 t 1` .^. vleJeJ, pir�S{Sj trees, fences, etc., ry Ishowr1 Oil 90 �;r r.,atefifi. f also represent that I �ti fid distaues set forth on fth •� �5 � N 200 Ov IGN. TIRE 4zr Jnin-1 1, 24J` u Y '�1 TO p x ,•,r r,• 3 e;t i rUkk4s,� '�; 'gin rr•��- ,;tr zoAZ - " sY4r „ F 13 14 Y � AT ER K, rt .N,+'a 0y�• '"`Kaie;3ir5_ NIM fry, .tm£� y,� �ytL5"`sz•i i .. Fi`Y"-� cv'r C• 5+�'.�'"m 9 F.s,, r S {.y'S h Z -.0 d M k 1 og O.M 13 uj +E:, ` 10 .s .+ MIN. 77 Mgg gt � ��` ,Mpg 15 �,,,x,-�' rY i.-,�•,ai,.Y+. 1t MRA s Res ' S f 9 16 15 100.5,7 14 10 If `'`',�`�fl'"7"''5.9'.`• .a'3�'Sa"'�vp'4' i 7�4 �'7 t:.. ♦ff lY %0 Town of-Queensbury Fire Marshal's Office 742 Bay Road V Queensbury, NY 12804 , 1 Phone (518)761-8205 Fax(518)745-4437 r Fire Marshal's Inspection Report Request SCHEDULE l p Received: Permit# P INSPECTION ON: `Q Name� � I V A!t!1 PM ANYTIME Location: K_��_ C�a I2-A_�� 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 "I COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN p/ '7� /�,� C IMNEY c�L"J �V ✓(ec SON ROUGH IN CHIMNEY FINAL D2417jq j, FACTORY BUI T ROUGH IN C n1 FINAL WOOD STOVE ROUGHIN FINAL NTED GAS APPLIANCE ROUGH IN FIN L FIREPLACE MASONRY ROU H IN tK THIS DATE K FOR CO NOT OK FINAL FIREPLACE , FACTORY BUILT OUGH IN' J INSPECTED BY FIN8LL_, 71, COMDEV/CHiUSJMlORD/LETTERS2001/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY' YELLOW-OCCUPANT COPY Rough Plumbing Insulation Inspection Report Office No. (518)761-8256 Date Inspection reqfst received:, Queensbury Building&Code Enforcement Arrive:-a_ Dopart: pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: r,nF"71 NAME: U PERMIT#: LOCATION: INSPECT ON: 7A) Y TYPE OF STRUCTURE: N N/A PVC: R-1,R-2,R-3,R-4 Drain Vents Cast Iron,Copper Drain/Vent Comm. Plumbing Vent Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes r"'S Water Supply Piping Copper Commercial Pex One&Two Family Insulation/ sidential Check/Commercial Check -'Proper Vent,Attic Vent Duct/Hot Water Piping insulation If required unheated spaces Combustiori Air Supply for Furnace Duct Work Sealed Properly, COMMENTS: -L-\SucHemingvva)iBuilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Dat6 Inspection request received: Queensbury Building& Code Enforcement Arrive: am/p Dpart: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: 2 770 LOCATION: INSPECT ON: 410///7/0 TYPE OF STRUCTURE: Y N N/A azning V COMMENTS —haXcliuds/Headers 111—tz V5 racing racing/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 V2(w) 16 gauge(8) 16D nails'dach side Draft stopping 1,000 sq. ft. flo o r-trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall 4 Fire separation 1,2, 3,hour z ire wall 2, 3 4 houf Z Penetration sealed—� 16 inch insulation in ca ty min. Garage Fire Separation S V House side .inch r 5/8 inch Type X Garage side 5/8/ich Type X Ceiling/ 11 Windows Habi le Space/Bedrooms 24 in. (H 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report,doc January 28,2003 Framing )e 7ciKh:�e p�t Framing In Office No. (518) 761-8256 Date Inspection re t recei Queensbury Building&Code Enforcement Arrive: re Vtrelcei, art: 742 Bay Road, Queensbury, NY 12804 Inspector's Initi I NAME: G c>\�-y_- PERMIT#: -7. -p-50-7,�-1 LOCATION: INSPECT ON: — IZ7— >r— TYPE OF STRUCTURE: Y N N/A COMMENTS Framing 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 1�4:57 Metal Strapping for Notches Top Plate ON 1 2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1,2, 3 hour Fire wall 2, 3,4 hour XjkA irestopping /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 %t7 Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHeniingway\Buildin-..Cc)des.inspection.FORMS\Framin.-Firestoppin.-Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Ins ection u rec Queensbury Building&Code Enforcement Arrive: epa 742 Bay Road, Queensbury, NY 12804 Inspector's Initi NAME: PERMIT#: LOCATION: !IG INSPECT TYPE OF STRUCTURE: Framing .. Y N N/A COMMENTS Jack Studs Headers Bracing Bridging Joist hangers \-2 Jack Posts/Main Beams Exterior sheeting nailed properly OVN L-1 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. CID vc� 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 Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 1/2 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 L:\SucHemingway\Building.Codes.Inspection.FORMS\Fi-amingFirestoppiilg Inspection Repor"t.doc January 28,2003 Report Rough Plumbing/Insulation Inspection Office No. (518) 761-8256 Date Inspection requ c ed- A Queensbury Building&Code Enforcement Arrive:VZ_a a 742 Bay Road,Queensbury,NY 12804 Inspector's Initial NAME: PERMIT C, �'_D=oo;L LOCATION: INSPECT ON: -D-, TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain Vents Cast Iron,Copper Drain 1 Vent Comm. Plumbing Vent Vents in Place V/ I ��ugh Plumbing/Nail Plates q—V X\—C_� Head or Air Supply Test Dfain and Vents va 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commerci Copper,C-PVC ex One&Two Family Insulation/Residen—illa T=hecMom�mercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces 1K Combustion Air Supply for Furnace n I Duct Work Sealed Properly v CONMENTS: L:1SucHemingwa3ABuilding.Codes.Inspection.FORMS\Rotigh Plumbing Insulation Report.doe January 28,2003 �S,�-�- raining /F 7- --t o-p p ing Inspection eport Office No. (518) 761-8256 Date In pection reques Queensbury Building&Code Enforcement Arrive: a pm art- Q ?.,� a p 742 Bay Road, Queensbury', NY 12804 Inspector's Init' NAME: PERMIT#: r5m&4�_ ' LOCATION: �-1 LC_ _txe 9— INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS Framing Jack Studs/Headers Bracing/Bridging Joist hangers 25WCA�6 6,1-_.) 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 vV\ Fire separation 1, 2, 3 hour ire wall 2, 1, 4 hour R �0, topping 11P Penetration sealed vtc� 16 inch insulation in cavity min. —kD Garage Fire Separation House side Y2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall C) Windows Habitable Space/Bedrooms c) 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LAS ueHemin gway\Buildin&Codes.Inspection.FORM S\FramiDg Firestopping Inspection Report.doc January 28,2003 ZL'17 0 Foundation Inspection Report Office No. (518)761-8256 Date Ins4ecn reques Queensbury Building&Code Enforcement Arrive: a D part: � An 74TBay Rd.,Queensbury,NY 12804 Inspectotials: NAME: 1 P PERMIT#: — LOCATION: INSPECT ON: -r - TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the,placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofmg Foundation/Waterproofing e of D p roofu�. Waterproofing Footing Drain Daylight or Sump � J � Footing Drain Stone: 12 inch width 6 inches above footing ✓`` mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. 0 Foundation Inspection Report Office No.(518)761-8256 Date Inspection re a r ve Queensbury Building&Code Enforcement Arrive: n a Depart: � 'rD, in 742 Bay Rd,,Queensbury,NY 12804 Inspector's Init als: NAME: } ERMIT#: 7 � / �Q LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers 40 Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofrng/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: '! .I Queensbury Building&Code Enforcement Arrive: —am/p De it: l am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: 1;^ ' INSPECT ON: — TYPE OF STRUCTURE: Comments Y N N/A ,'Footings Piers Monolithic Slab Reinforcement in Place Z 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 Dampproofmg Foundation/Waterproofing Type of Dampproofmg/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper , Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. G. Peter Jensen 17yWest Road .,South Glens Falls New York 12803 � RECEIVSD t-t. " 4 Np V 2002 November 14, 2002 TOWN OF QU6E I�56U BUILDING AND CODS Y To Whom It May Concern: I have reviewed a set of single-family residence plans, submitted by Steven Miles, for the Gover Residence to be constructed in the Town of Queensbury, Warren.County State of New York: The 8"poured concrete foundation walls on lb"X 8" reinforced concrete footings is adequate to support the imposed loads, assuming the 2 ton per square foot presumptive soil bearing capacity is the basis for the-design. The built up beam(4 pc 2 X 12)spanning approximately 7 feet, on steel columns, on 24"X 24"X 12"reinforced footings is adequate to support the loads imposed, A Bearing wall on a 24'X 12" continuous footing reinforced with 3 #4 bars will be required at the'V' stairs. The floor system consisting of/4"T&G sub floor over 2 X 12 joist is adequate for the spans indicated. All of the load bearing,headers appears to be adequately sized to f carry the loads imposed.upon them. The roof system;consisting of shingles, on felt paper, on 5/8 sheathing, on pre-engineered trusses,is adequate;providing the trusses are :..k designed for the snow load anticipated for Queensbury. d ..The insulation shown as R 38 in the ceiling(with raised heel trusses)and R-19 in the sidewalls,will be adequate, however,R 19 insulation will have to be added to the first floor joist since,the basement area will not be heated. The R 11 insulation at the basement perimeter walls is not required by the energy code. ' It/would appear that the placement of the smoke detectors is adequate. The fire separation between the.garage and the dwelling is appropriate. The square footage of glass is adequate to satisfy the 8%requirement. Each living space is provided with an emergency egress opening. Sincerely, G. Peter Jensen �� Fz'..� ,�2 �.. �'+.t l,.:.a.', ?r-;�r""�'u�, '� .it"�. 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C NO V 1 2002 V IGN TUBE TO T Ql1 'BURY F�'�-tom+' y v '�r" "Ray x✓ "'" G N z� e ��aSs�• IN 3.00 IN yam-* "ten # �.�_ • 13 -33— 2i92 -A(C) ' �A�"`'• w��f�.�!*'p+f'*t3_"yk�'�.'z' ¢ Y � r ��{j 15 15 100-57 �g,�c,`S�?� �mow" ;/. � '` •+ 1� 08 14 LO S 61 � ar r10 s'j �� L� y M- -'r �Y 10