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TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: RC-000158-2015 e Q 2,� �2A- Y:E:�
Tax Map No: 289.13-1-17
Permission is hereby granted to: JAMES MACKEY III REVISED
For property located at: 7 Garrett LN
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
Owner Name: JAMES MACKEY III Single Family-New $1,082,000.00
Owner Address: 7 Garrett LN Total Value $1,082,000.00
Lake George,NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Single-Family Dwelling, Garage,and Fireplace
Cross Reference: Legacy Files
Site Plan Review No. 13-2014
Area Variance No. 16-2014
3 lots have been combined: Copy of Deed in file(s)
PERMIT FEE PAID -THIS PERMIT EXPIRES: Sunday, May 17, 2015
(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 Town ueen ry; /'�� hu y 2,2014
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20140155 Application Number: A20140155
Tax Map No: 523400-289-013-0001-019-000-0000
Permission is hereby granted to: JAMES MACKEY III
For property located at: 27 BIRCH Rd
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: GARY WEST Fireplace
7 GARRETT Ln Garage Attached
LAKE GEORGE,NY 12845 Single Family Dwelling $1,082,000.00
Total Value $1,082,000.00
Contractor or Builders Name f Address Electrical Inspection Agency
MICHAEL PHINNEY
PHILLEY DESIGN GROUP
587-7120
142 GRAND Ave
SARATOGA SPRINGS NY 12866-0000
Plans&Specifications
2014-155
SFD 1st Fir 1,970 sq R; 2nd Fir 2,051 sq ft
Garage 756 sq ft; 1 Fireplace(wood burning)
$917.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,May 22,2015
(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 of Qu sbu T y 22,2014
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
"r Office Use Only
Town of Queensbury Buildin g� Odes `�
Tax MOP I
PRINCIPAL.STRUCTURE APPLIOWTIC}�,:r r C� 1 �� - L4
ermitNo
A permit must be obtained before beginning cb struction permit Fee: $
' ,-��.,ni^ti CF C�UEk *Rec Fee: $
Please read: STB resolution 86-2013(1-28-2013): $850 recreation fea fornewdwelling
units, including single-family dwellings,duplexes or two-family dwellings,multipfe family Site Pian No.:
dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No,:
homes,but not including mobile homes, This is in addition to the permit fee.
Date v z°l t -f Applicant -C01,fjMaj L�esk.� r
Tax Map ID Z&I • 13 - r' 1 Address tC,-.e-x ,P A
Zoning w �Axi%_rc>e,
„
Phone lE-mail 5rg• 58 . �tw l,ro,,�. �nna�
�.taM
Property Owner �'•"��' rr �C*'� '`' I`1`��'� Contracto gen T- �."r (;t'�_,f'
Address .59 3 Ski 4W&- +Ja,.. Kvlk� Address �f`* Z C--,,rtAJ,0 P%G
I`'td�ti s rovr' fX:� SPti I s AJ-f r 8GG
Phone/E-mail a - Y 16sc
/ Phone/E-mail
Building Street Address: Z 2 S r P '�°�'° L z� l.`.j G - er-1
Subdivision Name: N A Lot#: Historic Site: —Yes No
Estimated cost of construction: $ 6 82-
Type of Construction:
Check all that apply Please indicate measurements as required below:
1
a 1st Floor 2nd Floor Other Total Height .
Single Family K
Two-Family
Multi-Family(#of
units—)
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial ,
Attached Garages(#_) � _
Other z1 C 7
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 ALm P
�
Uq .
If commercial or industrial indicate name of business
Proposed use of building or addition Rte,p�w-rrA
Source of heat(circle one) Gas Oil Propane olar Other
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" 4 Yes _No
Are there structures not shown on plot plan?
Are their easements on the property?
Site information
a. Dimensions or acreage of lot t5=,` X I Lf r _"
b. Is this a comer lot? D
c. Will the grade be changed as a result of construction: x Yes _No
d. Public water or Private well
e. Sewer or Private Septic System - �t `c—
Value of all work to be performed(labor and materials) $ 1� aS L,o
Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval. I certify that the application, plans,and supporting materials are a true and complete statementldescription of the
work proposed,that ail work will be performed in accordance with the NY State Building Codes, local building laws and ordinances,and
in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a
certificate of occupancy. I also understand that Ilwe are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read agree to the bone.
Signed Date:
FOR OFFICE USE ONLY:
Operating Permit Issued: _Yes _No
Occupancy Type:
Construction Classification:
Assembly Occupancy Limit:
Special Conditions:
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Office Use Only
Town of Queensbury Building & Codes Received:
Tax Map ID:
FUEL BURNING APPLIANCE & CHIMNEY APPLICATION Permit No.:
Permit Fee: $
cv
Application is hereby made to the Building &Codes Office for the issuance of a Building & Use Permit;pursuant-to the NYS'Fire Pre
Building Code, The applicant or owner agrees to comply with all applicable laws, ordinances, regulaio5';!and all conditions that are pa f
these requirements and also will allow all inspectors to enter premises to perform required inspections. t1 f";,y �: 2014
Important Note To Applicant: Rough-In and Final Inspections Are Required: TOUVN GF QUEF�SI UR
t3UILDfNG & CODES Y
Date o'i �� 1 '
OwnerInstaller/Builder T$• p
Address -51-S .s P%C(AJ C. v Address
SYewYi OT O t 4 (ate
Phone 914 - 65c - Y82s& Phone
Location of proposed construction and/or installation: G�Ae4_,c--rr Lac
Contact Person for Building f&Codes Compliance: me-,AN &_e os ll:- t 516 2,2s �t
Subdivision Name: i/
Fuel Burning Appliance Information Wood Coal Pellet Gas Oil
Stove
Fireplace Insert
Fireplace,factory built*
Fireplace,Masonry �
Furnace, (Garage Only)
* If Factory Built, Please Provide: Manufacturer Name: Model No.
Listed By: Number:
Chimney Information
Masonry** ,check one Block Back Stone
Flue ✓check one Tile Steel Size in Inches
Material ✓check one Double Wall Triple Wall Insulated _Direct Vent _Chimney Liner
** If Non-Masonry, please provide: Manufacturer Name: Model No.
ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION & BUILDING CODE AND/OR
MANUFACTURER REQUIREMENTS, CONSULT AVAILABLE Town of Queensbury HANDOUTS REGARDING REQUIRED INSPECTIONS.
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8266
O_(fice Use Only
Received:
Tax Map ID: r
Town of Queensbury Building & Codes Permit No.: .1
SEPTIC DISPOSAL PERMIT Permit Fee: $ P.
A permit must be obtained before beginning construction Approvals:
01 r+ re-.., Instal lerfBuilder g•b• 1014
Applicant: A�nt. s r +"
Address: 51-'5.5 iror, vA A-4,. y (04-x_ Address --
itIPWUT..J 0S 0 vr QU1=tNSBURY
Phone: 11 - 5C. - '("(r" Phone _ CODES
Owner. 5A-.%A1' Location of Installation
Address:
Phone
Contact Person for Building&Code Compliance: JZ-""' Z_D C•1 e-6'_'S(C r Day Phone:
Residence information:
Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow
1980 or older x 150 Garbage Grinder installed? t` i
1981-1991 x 130 - Spa or Hot Tub Installed? ►u
1992-Present 14 x 110 = Pb
Parcel Information:
Topography X Flat Rolling _Steep Slope _%Slope
Soil Nature :,, Sand _Loam _Clay _Other
Groundwater At what depth? GALL A tCA ^rti %
Bedrock/Impervious Material At what depth? GrtCf'-c -'r "-+- i d
Domestic water Supply _Municipal X. Well(if well,water supply from any septic system absorption is ft.)
Percolation Test Rate- 1.S ;A I per minute per inch(Test to be completed by a licensed professional engineer or
architect) SNC.+
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).
Tank size 1,150 gallon(minimum size 1,000 gallons),add 250 gallons to size of septic tank for each garbage grinder,spa or
whirlpool tub
System Type, Absorption Field(with#2 stone) Total length ft. Each trench X
Pit S)(with#3 stone) How many? Size?
terms Bedorothertype? Fr&_fy-70
Holding Tank System Total required capacity? Tank size? #of tanks?
NOTE: 1)Alarm system and associated electrical work must be inspected by a Town approved electrical inspection agency-see Certified
Electrical form on Town website;2)Effective as of March 23,2006 Septic System-As Built Plot Plan: The Building Department will no longer
allow systems to be covered until such time as an As-Built Plot Plan is received and approved by the Building Inspector. The installed
system must match the septic system layout on file. There will be no exceptions.
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 of the Town of Queensbury
Sanitary Sewage Disp-ossa-lOrdinance. +
Print Name: ~— "^ Y '0 " _ Date:
Signature: Date:
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
Office Use Gniy
Received:
Tax Map ID:
Town of Queensbury Building & Codes Permit No.: --
SEPTIC DISPOSAL PERMIT Permit Fee: S
A permit must be obtained before beginning construction Approvals:
Applicant: lnstalferlBuilder -
Address: Address - -
Phone: Phone
Owner: _- Location of Installation
Address:
Phone -
Contact Person for Building&Code Compliance: .... ___— __ _ _... _Day Phone:
Residence Inforination:
Year Built #of Bedrooms x Gallons per bedroom =Total Daify Flow
1980 or older -� x 150 - Garbage Grinder installed?
1981-1991 x 130 Spa or Hot Tub Insla0ed?
1992-Present x 110
Parcel Information:
Topography Flat Rolling Steep Slope _%Slope
Soil Nature Sand _Loam Clay ____Other
Groundwater At vinat depth?
Bedrock/lmpervious Material At what depth?
Domestic water Supply � Municipal —Well(if well,water supply from any septic system absorption is ft.)
Percolation Test Fate per minute per inch(Test to be completed by a licensed professional engineer or
architect)
Pr000sed System for New Construction: Ak individual sewage disposal systems must he designed by a licensed professional Engineer or
architect(unless-installed in a Planning Board approved subdivision),
Tank size gallon(minimum size 1,0100 gallons), add 250 gallons to size of septic tank for each garbage grinder,spa or
whirlpool tub
System Type: Absorption Field(with#2 stone) Total length ft. Each trench X
Seepage Pit(S)(with#3 stone) How many? Size?
Alternative System Bed or other types
Holding Tank System Total required capacity?_ —Tank size? #of tanks?
(VOTE: 1)Alarm system and associated electrical work must be inspected by a Torn approved electrical inspection agency-see Certified
Electrical form on Town website;2)Effective as of March 23,2006 Septic System-As Built Plot Plan: The Building Department will no longer
allow systems to be covered until such time as an As-Built Plot Plan is received and approved by the Building Inspector. The installed
system must match the septic system layout on file. There will be no exceptions.
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 kno;rn
by or on behalf of an applicant,shall be void.
✓1 have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury
Sanitary Sewage Disposal Ordinance.
Print Name: fate:
Signature: ._ Date:
Town of Queensbury Buildina&Codes Prinr_ipa!Slrurinrn Parknf �� 5t8.7 i A255
REScheck Software Version 4.5.0
Compliance Certificate
L/� L J `�J +��• � �' i�'��meq,.
Project Mackey Residence 2014
Energy Code: 2010 New York Energy Conservation C� �R.PN;; {�--{
Location: Warren County, New York 1 G �NSeUay
Construction Type: Single-family ".-f
Project Type: New Construction
Orientation: Bldg. faces 79 deg. from North `
Conditioned Floor Area: 4,021 ft2
Glazing Area 22%
Climate Zone: 6 (7635 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
Garrett Lane James and Kathleen Mackey Phinney Design Group
Queensbury, NY 12804 593 Spring Valley Road 142 Grand Ave.
Morristown, NJ 07960 Saratoga Springs, NY 12866
518-587-7120
Compliance: Passes using UA trade-off
Compliance: 2.4% Better Than Code Maximum UA: 703 Your UA: 686
The%Better or Worse Than Code Index reflects haw close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Envelope Assemblies
Gross Area Cavity Cont. Glazing
Assembly or or Door UA—
Perimeter
Ceiling 1: Cathedral Ceiling 2,642 49.0 0.0 0.022 58
Wall 1: Wood Frame, 24" o .c. 1,370 38.5 0.0 0.042 45
Orientation: Front
Window 1: Wood Frame:Double Pane with Low-E 225 0.300 68
Orientation: Front
Window 2: Wood Frame:Double Pane with Low-E 14 0.290 4
Orientation: Unspecified
Window 10: Wood Frame:Double Pane with Low-E 7 0.280 2
Orientation: Unspecified
Door 3: Glass 50 0.280 14
Orientation: Unspecified
Wall 2: Wood Frame, 24" D.C. 560 38.5 0.0 0.042 18
Orientation: Left side
Window 3: Wood Frame:Double Pane with Low-E 50 0.300 15
Orientation: Unspecified
Window 4: Wood Frame:Double Pane with Low-E 78 0.300 23
Orientation: Unspecified
Window 5: Wood Frame:Double Pane with Low-E 15 0.290 4
Orientation: Unspecified
Wall 3: Wood Frame, 24" o .c. 1,547 38.5 0.0 0.042 46
Orientation: Back
Window 6: Wood Frame:Double Pane with Low-E 79 0.300 24
Orientation: Unspecified
Project Title: Mackey Residence Report date: 04129/14
Data filename: ZA13104 Mackey ResidencelConstruction DocumentslEnergy Compliance.rck Page 1 of 2
GrossGlazing
Cavity !
Assembly or or Door
Perimeter U-Factor
Window 7: Wood Frame:Double Pane with Low-E 74 0.290 21
Orientation: Unspecified
Window 8: Wood Frame:Double Pane with Low-E 60 0.300 18
Orientation: Unspecified
Door 4: Glass 242 0.300 73
Orientation: Unspecified
Wall 4: Wood Frame, 24"o .c. 513 38.5 0.0 0.042 18
Orientation: Right side
Window 9: Wood Frame:Double Pane with. Low-E 68 0.300 20
Orientation: Unspecified
Door 5: Glass 23 0.300 7
Orientation: Unspecified
Wall 5:Wood Frame, 24" o .c. 223 57.5 0.0 0.036 8
Orientation: Right side
Wall 6:Wood Frame, 24" o .c. 156 57.5 0.0 0.036 5
Orientation: Front
Door 1: Solid 20 0.140 3
Orientation: Unspecified
Basement Wall 1: Insulated Concrete Forms 297 30.0 0.032 10
Orientation: Front
Wall height: 4.9'
Depth below grade: 4.4'
Insulation depth: 4.9'
Basement Wall 2: Insulated Concrete Forms 153 30.0 0.035 5
Orientation: Left side
Wall height: 4.9'
Depth below grade: 2.1'
Insulation depth: 4.9'
Door 2: Solid 22 0.140 3
Orientation, Unspecified
Basement Wall 3: Insulated Concrete Forms 278 30.0 0.033 9
Orientation: Back
Wall height: 4.9'
Depth below grade: 3.8'
Insulation depth: 4.9'
Basement Wall 4: Insulated Concrete Forms 150 30.0 0.032 5
Orientation: Right side
Wall height: 4.9'
Depth below grade:4.7'
Insulation depth: 4.9'
Floor 1:All-Wood JoistrTruss:Over Unconditioned Space 576 30.0 0.0 0.033 19
Floor 2: All-Wood Joistfrruss:Over Outside Air 113 30.0 0.0 0.033 4
Floor 3: Slab-On-Grade:Unheated 201 10.0 0.684 137
Insulation depth: 4.0'
Compliance Statement: The proposed building design described hese is consistent with 1'e building plans, specifications, and other
calculations submitted with the permit application.The prop ' ed bL ildinig has b en detig ed to meet the 2010 New York Energy
Conservation Construction Code requirements in REScheck V n 4. .0 an t m ith the mand tory requirements listed in
the REScheck Inspection Checklist.
Name-Title Signature Date
Project Title, Mackey Residence Report date:. 04/29114
Data filename; 2:113104 Mackey Residence\Construction Docurnents\Energy Compliance.rck Page 2 of 2
2010 New York
Energy Conservation
Construction Code
Energy Efficiency
Certificate
Insulation Rating R-Value
Wall 38.50
Floor 30.00
Ceiling / Roof 49.00
Ductwork (unconditioned spaces):
Glass&Door Rating U-Factor SHGC
Window 0.30
Door 0.30
Cooling
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments
REScheck Software Version 4.5. Q _ L
Inspection Checklist MAY z � z
014
Energy Code: 2010 New York Energy Con ervation Construction-Code
Requirements: 0.0% were addressed directly in the REScheck so ware S
Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen, For each
requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
Section Plans Verified Field Verified
# Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions
&Re .ID
103.2 Construction drawings and ❑Complies
[PR1]1 documentation sufficiently ❑Does Not
0 demonstrates energy code ❑Not Observable
compliance for the building
envelope. ❑Not Applicable
103.2, Construction drawings and _ ❑Complies
403.7 documentation sufficiently ❑Does Not
[PR3]1 demonstrates energy code
compliance for lighting and ❑Not Observable
mechanical systems. Systems ❑Not Applicable
serving multiple dwelling units
must demonstrate compliance
with the commercial code.
403.6 Heating and cooling equipment is Heating: Heating: ❑Complies
[PR2]2 sized per ACOA Manual S based Btu/hr Btulhr ❑Does Not
on loads per ACCA Manual J or Cooling: Cooling: ❑Not Observable
other approved methods. Btulhr Btulhr ❑Not Applicable
Additional Comments/Assumptions:
111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Mackey Residence Report date: 05/12/14
Data filename: 2:113104 Mackey ResidencelConstruction DocumentslEnergy Compliance.rck Page 1 of 6
2010 New
York Foundation Inspection PiloComs? Comments/Assumptions
Ener y � —]
303.2.1 Exposed foundation insulation ❑Complies
[F011]2 protection. ❑Does Not
❑Not Observable
❑Not Applicable
403.8 snow melt controls. ❑Complies
(F012]2 ❑Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 Medium impact(Tier 2) 3 Low Impact(Tier 3]
Project Title: Mackey Residence Report date: 05/12/14
Data filename: Z:113104 Mackey Res denceWonstrucLon Docurnents\Energy Compliance.rck Page 2 of 6
section Plans Verified Field Verified f
# Framing/Rough-In Inspection Value value Complies? Comments/Assumptions
& Re .ID
402.4.4 Fenestration that is not site built ❑Complies
[FR2011 is listed and labeled as meeting ❑Does Not
AAMA/4AIDMA/CSA 101/I.S.2/A440
or has infiltration rates per NFRC ❑Not Observable
400 that do not exceed code ❑Not Applicable
limits.
402.4.5 IC-rated recessed lighting fixtures ❑Complies
[FR16]2 sealed at housing/interior finish ❑Does Not
Q and labeled to indicate&It;= 2.0 [-]Not Observable
cfm leakage at 75 Pa.
❑Not Applicable
403.2.1 Supply ducts in attics are R- R- ❑Complies
[FR12]1 insulated to R-8.All other ducts R_ R- ❑Does Not
in unconditioned spaces or [-]Not Observable
outside the building envelope are.
insulated to R-6, Not applicable if ❑Not Applicable
all systems are ductless.
403.2.2 All joints and seams of air ducts, ❑Complies
[FR13]1 air handlers,filter boxes, and ❑Does Not
building cavities used as return ❑Not Observable
ducts are sealed.
❑Nat Applicable
403.2.3 Building cavities are not used as ❑Complies
[FR15]3 ducts or plenums. ❑Does Not
.14 ❑Not Observable
❑Not Applicable
403.3 HVAC piping conveying fluids R R- ❑Complies
[FR17]2 above 105 QF or chilled fluids ❑Does Not
below 55 QF are insulated to R-3. ❑Not Observable
❑Not Applicable
403.4 Circulating service hot water R- R- ❑Complies
[FR1B]2 pipes are insulated to R-2. ❑Does Not
4 ❑Not Observable
❑Not Applicable
403.5 Automatic or gravity dampers are s ❑Complies
[FR19]2 installed on all outdoor air ❑Does Not
intakes and exhausts. ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 FHigh Impact(Tier 1) 2 [Medium Impact_(Ter 2) 3 Low Impact(Tier 3)
Project Title: Mackey Residence Report date: 05/12/14
Data filename: Z:113104 Mackey Residence\Construction Documents\Energy Compliance.rck Page 3 of 6
2010 New
York Insulation Inspection Complies? Comments/Assumptions
EneEgy
303.1 All installed insulation labeled or ❑Complies
[IN1312 installed R-values provided. E]Does Not
1. [Not Observable
ONot Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 11 Low Impact(Tier 3)
Project Title: Mackey Residence Report date: 05112/14
Data filename: 2:1,13104 Mackey Residence\Construction DocumentsllEnergy Compliance.rck Page 4 of 6
Section plans Verified Field Verified
# final Inspection Provisions Value Value Complies? Comments/Assumptions
& Re .ID
402.4.2, Building envelope tightness ACH 50 = ACH 50 — ❑Complies
402.4.2.1 verified by blower door test result ❑Does Not
[1`11711 of<7 ACH at 50 Pa.This
u requirement may instead be met ❑Nat Observable
via visual inspection, in which ❑Not Applicable
case verification may need to
occur during Insulation
Inspection.
402.4.3 Wood-burning fireplaces have ❑Complies
[FI8]2 gasketed doors and outdoor ❑Does Not
it, combustion air. ❑Not Observable
❑Not Applicable
403.2.2 Duct tightness via post- cfm cfm ❑Complies
[F1411 construction with maximum ❑Does Not
leakage of 8 cfm to outdoors, or ❑Not Observable
12 cfm across systems. For
rough-in tests, verification may ❑Nat Applicable
need to occur during Framing
Inspection, with maximum
leakage of 6 cfm across systems
and 4 cfm without air handler. _
403.1.1 Programmable thermostats ❑Complies
[FI912 installed on forced air furnaces. ❑Does Not
i
[-]Not Observable
❑Nat Applicable
403.1.2 Heat pump thermostat installed ";❑Complies
[1`11012 on heat pumps. ❑Does Not
❑Not Observable
❑Not Applicable
403.4 Circulating service hot water ❑Complies
[1`11112 systems have automatic or ❑Does Not
accessible manual controls. ❑Not Observable
❑Not Applicable
403.9.1 Readily accessible switch on ❑Complies
[F112]3 heaters for swimming pools. ❑Does Not
V ❑Not Observable
[]Not Applicable
403.9.2 Timer switches on pool heaters ❑Complies
[FI19]3 and pumps are present. ❑Does Not
[-]Not Observable
❑Nat Applicable
403.9.3 Heated swimming pools have a ❑Complies
[F120]3 cover.Covers on pools heated ❑Does Not
over 90 4F are insulated to R-12.
[-]Not Observable
❑Not Applicable
401.3 Compliance certificate posted. a ❑Complies
[F1712 ❑Does Not
) ❑Not Observable
❑Not Applicable
303.3 Manufacturer manuals for ❑Complies
[FI18]3 mechanical and water heating ❑Does Not
U, equipment have been provided. ❑Not Observable .
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Mackey Residence Report date: 05/12/14
Data filename: 2:113104 Mackey Res idencelConstruction Docurnents\Energy Compliance.rck Page 5 of 6
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Mackey Residence Report date: 05/12/14
Data filename: ZA13104 Mackey Residence\Construction DocumentslEnergy Compliance.rck Page 6 of 6
i
MAP REFERENCE
LANDS N/F OF MAP OF A SURVEY MADE FOR
WILLIAM MfNSMANN GARY A. & JUDITH A. WEST
DATED MAY 16, 1996
BY VAN DUSEN & STEVES
ADN. BUILDING I.
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;' s0uL[1Ep � 'S 8102610 '11, ,jo
wove ~ 1 IC, 7' +/-TO SHOPF
i! IPF
C LANDS NIF OF !Al ~ If
SINABA!_DI ROSSI Qj f 0
AREA f
n _ _• �� I ` 22201.6 Sq. Feet t i
hoTTua 0.51 Acres
f _
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c� \ ciff
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\ FST y j 2 STOp\Y WOOD z !~
HOUSE z %jcltj
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CO
.49
GLEN LAKE
LANDS N I F OF j'" 't ~_= '� c D
WILLIAM CHASE
i-�
9T<W DPIPES !'
ICV
NOTE:
I! SPF i IMPROVEMENTS OTHER THAN HOUSE
CIPS / ARE STILL UNDER CONSTRUCTION
%j AT TIME OF HOUSE LOCATION.
f' 147. 00' . '
N g1�51 ,3811 W ��
j / G' +/-TO 5HOPE
CIPF LEGEND
IPF = IRON PIPE FOUND
IRF = IRON ROD FOUND
.. ., . LANDS NIF OF
• , "^.
WILLIAM CHASE r
CIRF = CAPPED IRON ROD FOUND
CIRS - CAPPED IRON ROD SET
UTILITY POLE
MjY212015 = WELL
IPF BUILDING CODES
Date: OCTOBER 14, 2013
r 'UNAUTHORIZED ALTERATION OR AUDITION TO A SURVE'f `�
^ qr { 'Scale 1"=. O'
$p MAP 9EARiNG A LICENSED�JJID SUR4'EYORS SEAL IS A Map of d Survey made for - --
'fi4{ yIOLA(ION OF SECTION 7209,WB-IMSION 2,OF hIE
NEW YORK STATE EDUCATION LAW.*"ONLY CGPIES FROM THE OPIGiNAL OF THIS SURtiEY
"^$ MARKED W1TH AN ORIGINAL OF jHE LAND SURVEYORS a
SEAL SHALL EE CONSIDERED TO DE VAUD (RUECOPIES' -_
'GER11FICATIONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED jIj ACCORDANCE Vd1H THE
'$�' S "' E% IH 0 CODE OF PRACTICE FUR LAND SURVEYGRS Ay; AUOPI'EO
James Macke
BY
1}1E NEW YORK STATE �UCIATION OF PROFESSIONAL V
�j .1 5'i.tl. ' id u veyors LAND SURVEYORS.SAID CERTIFICATIONS SHALL RUN ONLY 1
TO THE PERSON FOR'WHOA TFIE SURVEY IS PREPARED,AND SHEET 1 OF I
'N Hi
S DEIIALF TO THE TIRE gCMPANY,CO`lERNMENTAL rg ' Warren
fir �'s 'p,� �J
i p�'Y ;;aa �j Y. [p((yy,p AGENCY AND LENDING INSTITyIIION LISTED HEREON.AND
Town O Queensbury, iT C�.�'Y� County,9p 1"I�. T York 05/15/15
^T /} /�} - :-.,.._R-..� -,6, „,.,-.•:,..•_.�..�.•»•.�.:.."'�,
169 Havila Road Queensbury, New York 12804 I TO THE ASSIGNEES OF THE LgjUING INSTITUTION.' II 1 � L/� i>� I� HOUSE LOCATION PHINNEY DE51GH GROUP C2770
(51 3) 7�J
New York Lie. No. 50135 � ? 9 ND. DATE DESCRIPTION DWG. NO. 9GO09-2013
289.13-1-19, 17, 1 G