2002-1024 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: P20021024 Date Issued: Thursday, September 25,2003
This is to certify that work requested to be done as shown by Permit Number P20021024
has been coriipleted.
Tax Map Number: 523400-290-017-0001-032.000-0000
Location: 37 MASTERS COMMON NORTH
Owner: MICHAELS GROUP LLC THE
Applicant: MICH.AELS'GROUP LLC THE
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
TOWN-OF QUPENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20021024 Application Number: A20021024
Tax Map No: 523400-290-017-0001-032-000-0000
Permission is hereby granted to: MICHAELS GROUP LLC THE
For property located at: 37 MASTERS CONEWON NORTH
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: MICHAELS GROUP LLC THE Fireplace
10 BLACKSMITH Dr Garage-2 Cars Attached
MALTA,NY 12020 Single Family Dwelling 279,000.00
Total Value 279,000.00
Contractor or Builder's Name Address Electrical Inspection.Agency
MICHAELS GROUP
SUITE I
10 BLACKSMITH Dr
MALTA.NY 12020
Plans&Specifications
2002-1024 Lot 16,House No. 37 Masters Common North
Construction of a 3,142 sq ft single family dwelling with a 397 sq ft two car attached&age and two
fireplaces per plot plan and specifications.
$426.74 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,December 26,2003
(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 tI reTow f Q c bp nR s�pry;V h day,December 26,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit .A,ppliCation
"Town of Qucensbury-Dept of Community Development, 742 Bay Road, Queensbury,NBC'
(518)761-8256
A pet-mit must be obtained before beginning construction. Permit File No:2-A07_—/Q2,
No inspection will be made until applicant has received a Fee Paid $
valid building periniL All applicants' spaces on this Rec. Fee [,aid
application must be completed and must appear on the Reviewed By: Lf
application form. ���-•` tl
Applicant: Irk 1� 11Ct'�S Cam ! Owner: Mii f
Address: �_C���� �Yt1\ Y2y.. Address: t7/`
�0
o',
Phone#(5e)E�fAq- 1 i Phone# D/li/G'I b C ptJR'
Property Location: Lot Number:1( _1 House Number
Subdivision Name: Tax Map Number:
New Building: residence 1 commercial Estimated Market Value of Construction:$
❑ Addition: residence t commercial If an Addition, what will use of new addition be?
❑ Alteration: residence t commercial
❑ No change to exterior size: residence 1 coni'I
❑ Other work(describe )
Check Oecupancyluforination 1"Floor 2"` Floor Other floor 'Total
Below sq.ft. sq. ft. sq.ft. Square Feet
Single family dwelling
❑ Two family dwelling
❑ Townhouse
❑ Multifamily dwelling
#of units
❑ Office
❑ Mercantile
❑ Manufacturing
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ I car attached garage
A 2 car attached garage
a 3 car attached garage
❑ Storage building-
comn-tercial _
❑ Storage building-
residential
❑ Other
Will any second-hand or ungraded lumber be used? If so,for what?
Type of I-leating System: electric/ oil I gas wood /forced hot air 1 baseboard/other:
Number of'FireLinces to be installed -VT-, ?C�) Number of Woodstnnes to be installed JA 41_
List below the person(s)responsible fbr supervision of work as regards to building codes:
Name Address Phone Number
r, -,t. _. i�-
22
Plumber <-4 -
Mason ON5
Electricianc�tlt_lL o`�.$ � . 11—�gZZ
Declaration: please sign below after you have carefully read the statemew:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,arc a true and complete stateinent 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 sliall be complied
with, whether specified or noted,and that such work is authorized by the owner. Further, it is understood that 1/wc shall
submit,prior to a Certificate of Occupancy or CCrtifleate of Compliance being issued,as requested by the Zoning
Administrator or�tructi
�fl
'lding and od ,an As reilt StiryeV by a Iicensed surveyor;drawn to scale,showing actual
location nfall 11
Signature: owner,owner's agent,architect,contractor
i
Fire Marshal's Offi�e Town of Queensbury,742 Bay Road,Queensbury,NY
N (518)761-8205
ii
Application for Fuel Burning Appliances & Chimneys
'1 applicable to solid fuel & vented gas appliances
Datek .a" - r 20 '" Permit No. CG -JI
Y '
Applicatioi is hereby rrtade to the Building& Codes Office for the issuance of a Building and Use
Permit pursuant toz he New York State F ire Prevention and Building Code. .The applicant yr'owner
agrees to eon:ply vuath all applicable laws, ordinances, regulations, and all conditions that are part of
these requireinentsiand also will allow all inspectors to enter premises to perform required inspections.
NOTE to apjplicant; Rough-in and Final Inspections are required.
Applicant:Information Fuel Burning Appliance Information
(circle appropriate words)
Marne:_ � ta�� , _ Stove: wood coal pellet gas
Fireplace insert
Address: �( �, � �� �� "a elate Fireplace, factory-built: wood as
ae 1 t" Fireplace, masonry; wood gas
ij Furnace: wood gas oil
Phone: t }
If non-masonary applicance,please provide
Manufacturer Name:
Owner: ;714Vk.0 {s`
Address: � �I} ,) Xn Model Number:
{ Chimney Information
Phone; (circle appropriate words)
i Masonry block b Xick stone
Flue the steel size: inches
Exact.Address: i� r it t�"rArM -
o nstrxxctxon or installation Factory-Built
Manufacturer name:
Model Number-
Note: ? Listed By: Number:
Construction%Installation tnust�
con orin to NYS Fire Prevention&7uilding Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Double wall / Tri pile wall ! Insulated 1 Direct vermin
. Handouts regarding>jequired inspections. I g
Chimney Liner
�l
Ca ier' Y��pa -tmeut-Z^v�rtsr ,rim Qu � ,�erbxz:�-,New Y-At
Fire Marshal Code 8 � S. Collected S Refunded Received fivrn(refit' ytQo,), `� �,•^r?�r `��a° =' .--.-
address:
,4173 3389 (190) Public Sa"fi ty
A233 2655 (230)Minor Sales �
White(Applicant)�I / Green(Fire Marshal) / Yellow(Bldg. Dept.) l Pink&Goldenrod(Cashier's Dept.)
I
• sJi
Toivii of Queensbury,742,13ay Road,QuieensbuiyAY
Fire Marshal's Office
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel &-vented gas-appliances
Date
_, 20 Permit,t No. L Z
1
Application.is hereby made,to the Building& Codes Office for the issuance of a Building and Use
Permit pursuant te
a the New York State,F-ire Prevention and Building Code. The applicant orowner
agrees to coniply1with all applicable laws, ordinances, regulations, and all conditions that arc-part of
these requirements and also will allow,all inspectors to enter preinises topeiftwin required inspections.
NOTE to ",-'Pplicant: Rough-In and',Final Inspections are required..
Applicant Information Fuel Burning Appliance Information
(circle appropriate words
anie: Stove: wood coal pellet gas
N
.4-'A__T Fireplace insert
-built: Wood
Address: Fireplace, factory (gas
41N\
Fireplace, masonry: wood gas_.l
Furnace: wood - gas oil
Phone:
If non-rhasonary applicance, please provide
owner:
Matiufacturei,Name:
<,—*tv,
M
el Number:
Address: klil
U V_
Chimney Information
Phone:
(circle appropriate words)'
H
Masonry block brick stone
Flue tile Ve size: inches
Exact Address: 117
Factory-Built
Of'. AtrTrcho`n3rh'tsYa1ldkton
Manufacturer name:
Model Number:
Note: Listed By. Number:
6nstniction lInstallation must
con bran to NYS Fir Prevention &Building lffdi*cate(circle) chimney material:
Code. Consult avai6ble Town ofQueensbury
ng required inspectipim., ct venting
Handouts regarding} Double wall Tj- le wall Insulated Ph e
Chinin e),1,Li)jer
0--"t"7t,
14
Fire Marshal Code iRec#vedfi-onz (refunde(tto)
S Collected, t_e,
Al,
address:
A 173 3389 (190) Public Safety
A 233 2655 (230)Minor Sales
DAJ
f;"A
White(Applicant) Green(Fire Marshal) How(Bldg.Dept.) 11ink&Goldcnrod(Cashier's Dept.)
Project Name: BP#
Address:
L14.Pd.)g ,,,nm5�ttS-'ubnussion
Singl--favdy dudes
Twfartgy du&g
Checklist
All items below must be checked either yes,no or not applicable prior to submission of any building
permit to the Town of Queensbury Building Department. If any of the below items are lacking,the permit
will not be accepted until such time as the application is deemed complete for submission.
1. Building Permit Application Completed ... ... ......... ... ... ... ... ... ...... . s F]no ❑n/a
2. Energy Form or Check�date Energy Code Compliance Forms Complete yes [I no ❑n/a
3. Energy Code Inspector's Report from Chec"te P M... ... ... ... ..... s [:]no ❑ n/a
Yes E'
0
n
n
s n
4. Septic application completely filled out(if applic�a e ... .. .. ... ... ... s 0
c
E]yes [:]no
5. Solid Fuel Burning or Gas Appliance Form . ... ... ...... ... ..
61 -- -ev .
6. Electrical Inspection Form...... ... ... ... .............. . . ... ... ......... ... ..... On/"�[':Jn/a
7. Two(2) complete sets of structural drawings... ........ ... ...... ... ...... ... ... . Ono [-]n/a
a)floor plan;b)foundation plan;c) cross sections:d) elevations;
e)-window and door schedule
8. Two(2)site plans showing location of the structure to be built. ... ...... ... E]no rJn/a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from property lines to new structure... ...... ... ... ... ... ...... ... .. Ono E]n/a
10. Setbacks to neighboring wells d s systems,including onsite well nno Fln/a
w�m neighboring
C
and septic systems (if ap
11. DrivewayPermit...... ... . . ... ... ... ......... ... ...... ... ... ... ...... ... ... Ono E]n/a
Date:
Staff Initial:
L-\SueHemingway\Bading.Pennit.FOFIZ\Generic Checklist.doc
Permit Number
MECcheck Compliance Report Checked By1Da�te� �
Proposed New York State Energy Conservation Construction Co
MECcheck Software Version 3.3 Release lb
Data filename: C:\Program Fjles\Check\MECcheck\completed works\37 Masters Common io athxck TITLE:Hiland Savannah 725
y
COUNTY:Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
BEATING TYPE:Non-Electric
DATE: 12/12/02
DATE OF PLANS: 10 December 2002
PROJECT INFORMATION:
The Molvar Residence
37 Masters Common North
Queensbury,NY 12804
COMPANY INFORMATION:
The Michaels Group
10 Blacksmith Dr.
Malta,NY 12020
NOTES:
Pella proline series windows
COMPLIANCE:Passes
Maximum UA=581
Your Home=511
12.0%Better Than Code
Gross Glazing
Area or Cont. or Door
Perimeter =e R-Value U-Factor UA
Ceiling 1:Raised or Energy Truss 1802 30.0 0.0 58
2nd Story Walls:Wood Frame, 16"o.c. 1872 19.0 0.0 101
Bed 2(E):Wood Frame,Double Pane with Low-E 30 0.340 10
MBath(Q):Wood Frame,Double Pane with Low-E 16 0.340 5
MBed(B):Wood Frame,Double-Pane with Low-E 33 0.340 11
MBed(U):Wood Frame,Double Pane with Low-E 30 0.340 10
Bed#4(E):Wood Frame,Double Pane with Low-E 30 0.340 10
Foyer(R):Wood Frame,Double Pane with Low-E 16 0.340 5
Bed#3(S):Wood Frame,Double Pane with Low-E 34 0.340 12
Bath(K):Wood Frame,Double Pane with Low-E 7 0.340 2
First Floor Walls:Wood Frame, 16"o.c. 1802 30.0 0.0 71
Dining(P):Wood Frame,Double Pane with Low-E 24 0.340 8
Dining(L):Wood Frame,Double Pane with Low-E 15 0.340 5
Living(G):Wood Frame,Double Pane with Low-E 31 0.340 11
Study(E):Wood Frame,Double Pane with Low-E 30 0.340 10
Kitchen(D):Wood Frame,Double Pane with Low-E 17 0.340 6
Brkfst(S):Wood Frame,Double Pane with Low-E 17 0.340 6
Brkfst(T):Wood Frame,Double Pane with Low-E 33 0.340 11
Brkfst(A):Wood Frame,Double Pane with Low-E 21 0.340 7
Family(N):Wood Frame,Double Pane with Low-E 28 0.340 10
Family(H):Wood Frame,Double Pane.with Low-E 11 0.340 4
Family(J):Wood Frame,Double Pane with Low-E 21 0.340 7
Family(F):Wood Frame,Double Pane with Low-E 55 0.340 19
Door Util(6):,Solid 19 0.230 4
Door Foyer(dr): Solid 37 0.350 13
Basement Wall 1:
Solid Concrete or Masonry,7.6'ht/6.6'bg/6.0'insu1 1428 0.0 11.0 93
Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 52 19.0 0.0 2
Furnace 1:Forced Hot Air,80 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
plans,specifications,and other calculations submitted with this permit application. The proposed systems have
been designed to meet the Proposed New York State Energy Conservation Construction Code requirements.
Builder/Designer Date
AIEECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck.Software Version 3.3 Release lb
DATE: 12/12/02
TITLE:Hiland Savannah 725
Bldg.
Dept.
Use
Ceilings:
1. Ceiling 1:Raised or Energy Truss,R-30.0 cavity insulation
- Comments:
Insulationmust achieve full height over the plate lines of exterior walls.
-
Above-Grade Walls:
1. 2nd Story Walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation
[ ] i Comments:
2. First Floor Walls:Wood Frame, 16"a.c.,R-30.0 cavity insulation
Comments:
Basement Walls:
1. Basement Wall 1:Solid Concrete or Masonry,7.6ht/6.6'bg/6.0'insul,
R-11.0 continuous insulation
Comments:
Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
Windows:
1 Bed 2(E):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:
2. M[Bath(Q):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:-
3. MBed(B):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:
4. MBed(U):WoodFrame,DoubleJ ,:lane with Low ,U-factor.—0.340 ,
For windows without labeled U-factors,describe features:
#Panes -_ -Frame Type -Thermal Break? Yes No
Comments:7
5. Bed#4(E):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:
6. Foyer(R):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:7. Bed#3(S):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:
8. Bath(K):Wood Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Pane's Frame Type -Thermal Break? Yes No
Comments:9. Dining(P):Wood Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes — Frame Type L Thermal Break? Yes No
Comments:-
10. Dining(L):Wood]Frame,Double Pane with Low-E,U-facto ii)l CI.1 340
For windows without labeled U-factors,describe features: �
#Panes Frame Type�—_Thermal Break? Yes No
Comments:
11. Living(G):Wood Frame,Double Pane with Low-E, - actor: 0.340
For Windows without labeled U-factors,describe features:
#Panes Frame Type._Thermal Break? Yes No
Comments:
—
[ ] j 12. Study(E):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:
13. Kitchen(D)TWood—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
Comm6nt—s-.
14. Brkfst(S):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--
15. Brkfst(T):Wood Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type L_Thermal Break? Yes No
Comments:
16. Brkfst(A):Wood Frame,Double Pane:�-v�AhLow�-EU-fa�ctor.- 0.�340 .
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
17. Family(N):Wood Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeledU-factors,describe features:
#Panes . Frame Type�-_Thermal Break? Yes No
Comments:
18. Family(H):Wood Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes, Frame Type 'No
Thermal Break? Yes
Comments:
[ ] i 19. Family(J):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:
20. Family(F):Wood Frame,Double Pane with L:1 oil E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
1. Door Util(6): Solid,U-factor: 0.230
Comments:
2. Door Foyer(dr): Solid,U-factor: 0.350
Comments:
Floors:
1. Floor 1:All-Wood Joist/Tmss,Over Unconditioned Space,R-19.0 cavity insulation
Comments:
[ ] i Heating and Cooling Equipment:
1. Furnace 1:Forced Hot Air,80 AFUE or higher
Make and Model Number
Air Leakage:
Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
r
S
[ ] I Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC
rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible
materials and 3"clearance from insulation.
Vapor Retarder:
[ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
I
Materials Identification:
[ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] i Materials and equipment must be identified so that compliance can be determined.
Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] I Insulation R values,glazing U-factors,and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
[ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] I Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] I Supply ducts in unconditioned spaces.must be insulated to R-11.
[ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
Insulation is not required on return ducts in basements.
I
Duct Construction:
[ ] I All joints,seams, and connections must be securely fastened with welds,gaskets,mastics
(adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted.
Exception: Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in.w.g.(500 Pa).
[ ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] Air filters are required in the return air system.
[ ] I The HVAC system must provide a means for balancing air and water systems.
I
Temperature Controls:
[ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
I
Electric Systems:
[ ] Separate electric meters are required for each dwelling unit.
Fireplaces:
[ ] I Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction
provisions of the Building Code of New York State,the Residential Code of New York State or
the New York City Building Code,as applicable.
Service Water Heating:
[ ] 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.
[ ] Insulate circulating hot water pipes to the levels in Table 1.
I
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
I
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 105°F or chilled fluids below 55°F must be insulated to the
levels in Table 2.
Table]: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pine Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(F) up to 1" Up to 1.25" 1.511 to 2.011 Over 211
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.3 0.5 1.0
Table 2: Minimum Insulation Thickness for HVACPipes.
Fluid Temp. insulation Thickness in Inches by Pipe Sizes
Piping System Types Range(.F) 2"Runouts 1"and Less 1.25"to 2" 2.51'to 41'
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD(Building Department Use Only)
Residential Final Inspection
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: m/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: -G--.
NAME: o'(4.4--4S 6-,V40 - PERMIT#:
LOCATION: ? G DATE: C."1
TYPE OF STRUCTURE:
Comments
Y NJA
ChimneyHt./"B"Vent/Direct Vent Location
Fresh Air Intake ,^_+► 1 `�L _
3 inch Plumb Vent through roof --�
Roof Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in.or more
.iJ
Guard at deck,porches 36 in.or more Z r �Lk
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 Iine of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Bathroom Fans, if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4 hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 2 in.x 30 in. ht. In accessible area
Crawl Spaces 18"x 24"access, 1 s .ft.-150 s . ft.vents
Building No./Address isib from ro
Final Electrical
Site Plan /Varian r u' ed
Final Survey Plot Plan /
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,if required G
Okay to issue C/C(Cert. df Compliance)
Okay to issue Temporary C I O(Cert. Of Occupancy)_
'.ay to issue Permanent C/0(Cert. Of Occupancy)
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MAP REFERENCE;
MASTER'S COMMON NORTH
DATED: AUGUST 26, 1987
BY: VAN DUSEN & STEVES
FILED: MARCH 10, 1988
DRAWER 17 FOLDER 1
a �►- D u
&
Steves
Land Surve37ors
169 Haviland Road Queenabury, New York 12804
;518) 792-8474 New York Lie. No. 50135
-s -7 � 5 C-e1� '-C" i. v v
CERVY THAT THIS MAP WAS PREPARED
ACTUAL FEW SURVEY.
TI IGATI N SHALL RLIN ONLY TO THE PERSONS
)M THE %XVeY WAS PREPARED. AND ON THER
rO THE TITLE COMPANY. GO1R.liN MENTAL AGENCY
)ING HSTI UTION LISTED HEREON.
►TIONS ARE NOT TRANSFERABLE TO ADOITIONAL
AS OR SI ISEQUE NT OWNERS.
TOs ALLEN E. + LMA 0. MOLYAR
FLEET NATIONAL BAW
IT'S SUCCESSORS M0/01t ASSIGNS
C VAGO TITLE INSURANCE COMPANY
CERTnw BYs— _
MATTHEW C. STEWS LLS NYS 50LW
DATED+ JLLY 1& 2003
AUGUST 14. 2003
xm,W � A.Mrer Scale
a„� °°,� �;14 Map of a Survey made for
wo I= X MIE MUCAT M LW
ow aonm =m ea araw ar ne smw
AMRt9MM All CNOML M UC LAIDSNOCM
"°CAMMH=°"SOWY MAMM%M Allen E. &Linda D. l�tolvar
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m fl1E R MipN folt r11oY W wway B ""mm Alp
a" H° 49"F 00~. aoNOMRa 2 8✓2G/03 CI1AWZ N CERTIFICATIONS BH T l OF -I
a. AM Town of Queenebury, Warren County, New York
i 8/13/03 DRIVEWAY LOCATION
MOLYAR
NO. DATE DESCRIPTION DWG. NO. MCN-16
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: a
Queensbury Building& Code Enforcement Arrive: am/ m DQpart:T.-'1, Pm
0 - ?W
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
0 2-
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
COMMENTS
Framing
Jack uds/Headers
-.Vra�cing/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 Y2inch 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:\SucHemiiigway\Building.Codes.Iiispection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
.., Rough Plumbing /Insulation Inspection Report '
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: amlpm Depart: am/pm
742 Bay Road, Queensbuiy,NY 12804 Inspector's Initials:
NAME: > ' '� PERMIT it:
LOCATION: INSPECT ON: 3
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
Plum ing Vent/Vents in Place
ough Plunling/Nail Plates
HeadoJAitSllppyTest
-Iran-and Verits�
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
Copper Commercial
Copper,CPVC,Pex One&Two Family
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
C0-M`1 WNTS:
L.SueHemingwayU3uilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Framing / Firestopping Inspection Report 3�
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: an pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A C MMENTS
'ra 'ng
Jack Studs/Headers---
eaders, _ C ` tom'' L V 0
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 t2(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
ire separation 1, 2, 3 hour
Fire wall 3,4 hour
i)✓ sfopi�n�
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Ty e X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/B drooms
24 in. (H)
20 in. (W) ,
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing �-estopping Inspection Report.doc January 28,2003 Lips
t 0(o 17
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received: 1 t
Queensbury Building&Code Enforcement Arrive: - am/p epart: m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ..
f0LV
NAME: PERMIT#: C%
LOCATION: _ C �2 ECT ON: ZYj
TYPE OF STRUCTURE: r-
Comments
Y N N/A
Footings .
Piers
Monolithic Slab
Reinforcement in Place .F �(
The contractor is responsible or
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 Dampprooting/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 Gi ade 6 inch drop within 10 ft.
L:\.SueHemingway\Building.Codes,Tnspection.FORMS\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No, (5 18)761-825 6 Date Inspection r st e
st
Queensbury Building&Code Enforcement Arrive: a Depart: a
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi(a Psl
NAME:
P IT#:
LOCATION: P E fCT 0
TYPE OF STRUCTURE:
Comme s
y N N/A
Footings
Piers
Monolithic Slab
Reinforcement iti-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 Dampproofing/Waterproofing
/Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 in es above footing
`I of for wet areas under slab
.111r-11-fill Approval
Plumbing Under Slab.
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.Inspection.FORMS\FoundatioiI Inspection Report.doc January 28,2003
MAP REFERENCE:
0"E
MASTER'S COMMON NORTH N05'04'5 u
DATED: AUGUST 26, 1987 21116'
BY: VAN DUSEN & STEVES DFc I tS 2007.
FILED: MARCH 10, 1988 ----
DRAWER 17 FOLDER 1 _ i 'tl
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