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RC-000299-2015 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building& Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: RC-000299-2015 Date Issued: Wednesday, May 25, 2016 This is to certify that work requested to be done as shown by Permit Number RC-000299-2015 has been completed. Tax Map Number: 297.10-1-45 Location: 28 Wincoma DR Owner: PAUL DESLAURIERS Applicant: PAUL DESLAURIERS This structure may be occupied as a: SFD 2841 s.f. w/garage, 2 FPs By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the I property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. 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-000299-2015 Tax Map No: 297.10-1-45 REVISED Permission is hereby granted to: PAUL DESLAURIERS For property located at: 28 Wincoma 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 Owner Address: 110 Sagamore Sheet,Apt.5C Single Family-New $280,000.00 Glens Falls,NY 12801 Total Value $280,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency PAUL DESLAURIERS 110 Sagamore Street,Apt.5C Glens Falls,NY 12801 Plans&Specifications SFD 2841 s.f.w/gamge,2 FPs PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,February 5,2016 (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 of QneEnsl ry; / 1 �fhur 5,2015 SIGNED BY: t (~iW3"{V/ /Q( for the Town of Queensbury. Director of Building&Code Enforcement OFFICE USE ONLY I I'-"`� .I ;_ I __ ---------- TAX --Dat ---- - TAX MAP NO._92 . 16 ,{ �� PERMIT NO. C- 2014 FEES: PERMIT�L0RECREATION \I �ENGINEERINGop �C �p ' , PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION, APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER:'+�p OWNER: —_ ADDRESS: C vv a r , ST 1 ,_ j- G ADDRESS: G'-lon"i PHONE NOS. 5 , s '7y •3 o PHONE NOS. `fiO2 3-7`r f's'u JT C-2ji CONTACT PERSON FOR BUILDING 8, CODESMPLIANCE: _ l PHONE: LOCATION OF PROPERTY: c=cm ;/�) HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL . �ES ❑ NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z Lr C7 o U- rn PROJECT Q 00 O U) U F w 3 o w LL LL � w ¢ CL w o J LL O i CJ I- F z Z Q Q r fn N U) O I-i OF � CL e6 SINGLE FAMILY �j 5 TWO-FAMILY MULTI-FAMILY (NO.of UNITS_) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) (y '2 y (0 2,q OTHER >� :3 1 z 3 2 IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: J2-90Prte" FUEL TYPE: kl r HEAT TYPE: Ff,•) 0,1- `HOW MANY FIREPLACE(S): I AND/OR WOODSTOVES(S): N 37 GA : ZONING CATEGORY: R 3 ARE THERE WETLANDS ON THIS SITE? s IS THIS A HISTORIC SITE? PROPOSED USE OF BUILDING OR ADDITION: `Please complete a separate Application for"Fuel Burning Appliances R Chimneys"available In our office B 3-LGL 11.05 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? �lcy I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. i certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all 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 I/we 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,reada 1 tothe Signabovei ed t - c ,a Director of Building & Codes- 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the : described herein in accordance with said zoning Laws of the Town of Queensbury. Application: ; BUILDING & CODES APPROVAL ; ZONING APPROVAL ; DATE DATE QUESTIONS 7 CALL 761.8258 OEEMAIL codes((Dgueensbury Office Use OnlVISIT OUR WEBSITE FOR MORE INTIONOperating Permit Issued: _Yes _No www.gueensbury n Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Q Totem of Queensbury Thomas R. Van Ness 3 Highway Superintendent Highway ✓ J Home(518) 745-0929 Department 742 Bay Road—Queensbury,NY 12801 David Superintendent Duel] Phone: (518) 761-8211 Deputy Highway Srintendent Fax: (518) 745-4466 Home(5 is) 743-0938 DRIVEWAY PERMIT DATE: ,,- APPLICANT NAME: )--,;c 1.2 L r 77 f=s L in U iz e(2 S TELEPHONE NO.: ti l -29S 7 9 y a ADDRESS TO BE INSPECTED: RETURN ADDRESS: al--9W9 FwUt NY 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 ( ) Deep swale ( ) Level with the road ( ) Level with the top of the paved wing Size culvert pipe to be used (if necessary) ( ) 12" ( ) 15" ( ) 18" ( ) 24" ( ) 36" Preliminary inspection completed by: Date: Approval by Highway Supt: (or) Deputy Supt: Upon completion, please resubmit this approved permit for a final approval. STEP 2: ( ) Final Approval ( ) Rejected Date: Thomas R. Van Ness, Highway Superintendent David Duell, Deputy Highway Superintendent 141 &3 I Revised 4/14/2010 APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to the Building&Codes Office for the issuance of a Building & Use Permit pursuant to the New York State Fire Prevention & 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 to perform required inspections. Important Note To Applicant: Rough-in and Final Inspections Are Required:�n1 Owner::y-ywl C-`�Es t%a Ucz I C TZ 4 Installer/Builder: . L l� 1/0 Srysgwiar! Sr /W 3C Address: a"ns Frills Aly 129-0/ Address: C*// gat 5'-74- Phone Nos.: s—/ g 79 3 7 $' v a Phone Nos.: Location of Property: 2 S iy, n aomrl Lr. Subdivision Name: GL�» e hvrj Wry Location of Proposed Construction and/or Installation: r—.9m: 1� 92"am S Lvv%I 1 S j 7—)ea)" Contact Person for Building &Codes Compliance: U Z • G 7a�&l nu rz t r_ a s Fuel Burning Applicance Wood :Coal Pellet Gas Oil Information Stove Fireplace Insert 1 Fireplace,factory built' Fireplace, Masonry Furnace, (Garage Only) If Factory Built, Please Provide: Manufacturer Name: t!•e.a7-a Arlo Model No. Listed By: Number: Chimney Information BLOCK BRICK STONE Masonry" Check One✓ TILE STEEL SIZE IN INCHES Flue Check One ✓ DOUBLE WALL TRIPLE WALL INSULATED DIRECT CHMNEY VENT LINER Chimney Material Check One✓ X " If Non-Masonry, please provide: Manufacturer Name:4ari7d iyo v��` r /; f Model No. Cs000 c 1 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 ' Community Development Office ' 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to the Building &Codes Office for the issuance of a Building & Use Permit pursuant to the New York State Fire Prevention & 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 to perform required inspections. Important Note To Applicant: Rough-In and Final Inspections Are Required: OWner:1_7:�AUZ Installer/Builder: //G olaa dw'e,r_. S i))iJ sc Address: C-Lao is F s I 1 c N%� , 2 a o• Address: Phone Nos.:,k, s, cr ?ry'3 -7`-`I el Phone Nos.: Location of Property: 29 W.ne¢.m4 L64 tr_ Subdivision Name: Location of Proposed Construction and/or Installation: L. 15;- Contact Person for Building & Codes Compliance: _Q4 r; '7 p_s ),ALJ.21 a%1 s Fuel Burning Applicance Wood :Coal Pellet Gas Oil Information Stove )C Fireplace Insert Fireplace,factory built* Fireplace, Masonry Furnace, (Garage Only) ` If Factory Built, Please Provide: Manufacturer Name: Or ec,s 7.'n(- s Model No. j"r,c or P Listed By: Number: Chimney Information BLOCK BRICK STONE 014x4 i"10-0 pnnlo3..�( rn Masonry" Check One,/ U "'d TILE STEEL SIZE IN Xor soP®u+T d INCHES �J�jN•ryrnncr. Flue Check One ✓ DOUBLE WALL TRIPLE WALL INSULATED DIRECT CHMNEY VENT LINER Chimney Material Check One,/ g '* If Non-Masonry, please provide: Manufacturer Name: tl r t S1a�s. Model No. en r•' 1141 Teat has log Fr G-T Cral�a7t.nri 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 * Community Development Office*742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 OFFICE USE ONLY TAX MAP NO. PERMIT NO. H4031 PERMIT FEE APPROVALS: ZONING TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT. A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OFF A VALID PERMIT. OWNER: /—,.) , -/ C+ -�Dt=> L19C tZ 11c 12S INSTALLER: ADDRESS: // r, ail O iq U r S T ADDRESS: PHONE NOS. ' I 7 s 7 a-cr f- PHONE NOS. c,u $b2 S74r b70•� - LOCATION OF INSTALLATION: RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW BEDROOMS Gallons Perbedroom GARBAGE GRINDER 1980 or older X 150 = INSTALLED? A/C . 1981 -1991 X 130 = SPA OR HOT TUB�J -� 1992-present X 110 INSTALLED?—r' -�— PARCEL INFORMATION: TOPOGRAPHY: FLAT ROLLING STEEP SLOPE_ %SLOPE_ SOIL NATURE: SAND_ LOAM_ CLAY_ OTHER_ GROUNDWATER: AT WHAT DEPTH? ✓ BEDROCKIIMPERVIOUS MATERIAL: AT WHAT DEPTH? DOMESTIC WATER SUPLY: MUNICIPAL_ WELD(If well:water supply from any septic system absorption is: ^ ft V PERCOLATION TEST: RATE IS PER MIINUTE PER INCH[mp7 (Test to be completed by a licensed professional engineer or architect) 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: 12 ti U GALLON(MIN.SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder,spa or whirlpool tub. SYSTEM TYPE: }9s T�-k S, T. pl, " 730 d 24' 2Y4/ ❑ABSORPTION FIELD(WITH NO.2 STONE) Total length It Each trench X ❑SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size? �n✓yin S7�T:� VALTERNATIVE SYSTEM Bed or other type? C4,� «Int fl.J wr, ,Y Cw.'ro,.�+.�+ ❑ HOLDING TANK SYSTEM Total required capacity) Tank size? Number of tanks? s r- NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. 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 fad 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 QUESTIONS? CALL 761-8256 OR EMAIL Sanitary Sewage Disposal Ordipance. codesCntaueensbury.net M O `Y�� I VISIT OUR WEBSITE FOR MORE INFORMATION www.oueensbury.net Signature ofPerson Responsible Date Town of Queensbury. Community Development Office` 742 Bay Road, Queensbury NY 12804 Foundation Inspection Report ` Office No. (5 19)761-8256 Date InspectionFrrved- Queensbury Building&Code Enforcement Arrive. °. Depart:742 Bay Rd., Queensbury,NY 12804 Inspector's hu NAME: ��5LiV nt?✓ LOCATION: � ���/ I itR �9 INSPECT ON: ` TYPE OF STRUCTURE: Comments Y N N/A �rootings 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 Footing Dowels or Keyway in place Foundation Dampproofing Foundation 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. L:\Building&Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/9/2014 Foundation Inspection Report Office No.(518)761-8256 Date on ue Queensbury Building&Code Enforcement Arriv in Depart: 'ahh am/ m 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: 6"13Q 11F—r S ERMIT#: Iq -6-31 LOCATION: 7—c6 W t kY r-,M tj_ INSPECT ON: TYPE OF STRUCTURE: Comments Y 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 Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil p2ly for wet areas under slab BaokSll Approval Plumbing Under Slab VC/Cast/Copper FoundationInsulE Llterior r _R ,, Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspecdon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No. (518) 761-8256 Date Inspectionrequest erved: ��2� I�tS Queensbury Building&Code Enforcement Arrive: � / in Depart: °11iLYL 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial NAME: k"X,i e t/S PERMIT#: 14 - �,>I 1 LOCATION: INSPECT ON: I46 Z.QX , TYPE OF STRUCTURE: S� 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. oundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation 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. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/9/2014 / �1/ Foundation Inspection Report Office No.(518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/ Depart/ am/ m 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ak�—J? NAME: I�..✓ ,l�f �7 PERMIT#: �� l`tQ 3 LOCATION: Z f S W i J' L INSPECT ON: '— 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 Footing Dowels or Keyway in place Foundation Dampproofmg Foundation 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. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection ReporL.doc Last printed 12/9/2014 Town of Queensbury Building &Code Enforcement w� Office No. (518) 761-8256 Framing 1 Firestopping Inspection Report Inspection request received: gI1 S 12015 Name: Inspected on: �'' I 20 ,5 i Location: A6 W Iviun mil Arrive: a.m.I p.m. Permit No.: '701 Inspector's Initials: TYPE OF STRUCTURE: Y N NIA COMMENTS: Framing Attic Access 22"x 30"minimum �I Jack Studs I Headers f V�S Truss Specification Provided Bracing/Bridging Joist hangers Jack Posts I Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft.8 in. Stairwells 36 in.or more Exterior Deck Bracing Headroom 6 ft.8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %:(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq.ft.floor trusses Anchor Bolts 6 ft.or less on center Ice and water shield 24 inches from wall Fire separation 1, 3 hour Fire wall 2,3,4 hour _ Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side''/,inch or 518 inch Type X Garage side 518 inch Type X Ceiling/wall Windows Habitable Space I Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Design Professional Sign-off,if required Framing I Firestopping Inspection Report / Town of Queensbury Building & Code Enforcement Tum Office No. (518)761-8256 Framing / Firestopping Inspection Report Inspection request received:t25 )�►S Name: rxSLa.Uri4.v1 Inspected on: g`2�v�2QhS Location: 'Z� YV I✓)L!OVV 4 !�Y�Xykj Arrive: 7 —a.m,1p.m. Permit No.: (03 1 Inspector's Initials: 6.{ TYPE OF STRUCTURE: S� Y N NIA COMMENTS: Framing Attic Access 22"x 30"minimum Jack Studs/Headers CY-)Y- S Truss Specification Provided Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly �\Q�j� V`t 12"O.C. Headroom 6 ft.8 in. l r y>1S1p 1''�y�S Stairwells 36 in.or more Exterior Deck Bracing Headroom 6 ft.8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 Yz(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 water 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''/�inch or 5/8 inch Type X �� Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space I Bedrooms ,\\� c "' / Dv ��'7n� L �✓ l 24 in. (H) 20 in. (W) 5.7 st above/below grade 5.0 sf grade Design Professional Sign-off,if required Framing /Firestopping Inspection Report Town of Queensbury Building &Code Enforcement l o S C7 / Office No. (518)761-8256 C/i Framing 1 Firestopping Inspection Report Inspection request received: Name: Inspected on: Location: Arrive: M. Permit No.: Inspector's Initials: TYPE OF STRUCTURE: Y N NIA COMMENTS: Framing Attic Access 22"x 30"minimum Jack Studs I Headers Truss Specification Provided Bracing I Bridging Joist hangers Jack Posts I Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft.8 in. Stairwells 36 in.or more Exterior Deck Bracing Headroom 6 ft.8 in. Notches I Holes I Bearing Walls Metal Strapping for Notches Top Plate 1 Y2(w) 16 gauge(8)16D nails each side Draft stopping 1,000 sq.ft.floor trusses Anchor Bolts 6 ft or less on center and water 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%inch or 518 inch Type X Garage side 518 inch Type X Ceiling/wall Windows Habitable Space I Bedrooms 24 in.(H) 20 in.(W) 5.7 sf above/below grade 5.0 sf grade Design Professional Sign-off,if required Framing/Firestopping Inspection Report Town of Queensbury Building &Code Enforcement Office No.(518)761-8256 t Framing 1 Firestopping Inspection Report Inspection request received: 61?->l 2a►S Name: Inspected on: Location: Arrive: a.m./p.m. Permit No.: Inspector's Initials: TYPE OF STRUCTURE: Y N NIA COMMENTS: Framing Attic Access 22"x 30"minimum Jack Studs I Headers L/Vl Yl S )b y Truss Specification Provided Bracing I Bridging ✓ Joist hangers Jack Posts I Main Beams Exterior sheeting nailed properly 5-4;S 12"O.C. �J Headroom 6 ft.8 in. Stairwells 36 in.or more Exterior Deck Bracing Headroom 6 ft.8 in. Notches I Holes I Bearing Walls Metal Strapping for Notches Top Plate 1 Y2(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 water shield 24 inches from wall Fire separation 1,2,3 hour Fire wall 2,3,4 hour Firestopping Penetration sealed 16 inch insulafion in cavity min. Garage Fire Separation House side Y2 inch or 518 inch Type X Garage side 518 inch Type X Ceiling/wall Windows Habitable Space I Bedrooms 24 in.(H) 1(/ 20 in.(W) 5.7 sf above I below grade 5.0 sf grade Design Professional Sign-off,Krequired Framing I Firestopping Inspection Report �� Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 Factory Built Wood Burnine 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 instructions or specifications is allowed. ,�_ Permit# ' -tP 3 I Schedule Inspection 14& � Timeam � Y`ytime Inspector 1 y_' n Y� Name 0� -SLayat1 m5 Address Q6 Lj ,i n^LL !Jr\IIIG Rough ln_Final_ Appliance Manufacturer 41I—,A t - N— (PIC.? Model# I"' `t4-Y c M �/ Masonry Chimney_ Factory Built Chimney_ Flue Size O Double Wall Triple Wall_Insulated_ Yes No N/A Comments Floor Protection x Clearances to Combustibles (all sides) Safety Strip Installation (fireplaces only) Firestop(s) Vertical Chase Wall Penetration Chimney Clearances to Combustibles Chimney Termination ✓`I� \ \1 3 feet above roof penetration; 2 feet above any combustible construction within 10 feet Combustion Air Hearth Extension Mantel (height above f/p opening) / Fireplace Doors/Screen (required) Carbon Monoxide Detection White—Building Dept. Yello —Cust mer Pink—Fire Marshal Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: I I am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: /{h&,� NAME: . zS AL-xZ9% PERMIT #: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Lgf� Y N NIA Rough Plumbing/ Nail Plates Plumbing Vent/Vents in Place 1 '/s inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation / Residential Check/ Commercial Check Tyvek or Similar Exterior Sealan Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape us cr f` -Tc>)� COMMENTS: Rough Plumbing Insulation Report revised Nov 17 2003, revised February 15,2005, revised January 7,2008 ��" Town of Queensbury Building &Code Enforcement Office No.(518)761-8256 Framing 1 Firestopping Inspection Report Inspection request received: *t I'�'+S Name: 9—VI Inspected on: I I S IS Location: W%n L-OY)(XA by%Y f) Arrive: ! a.m./p.m. Permit No.: 10:S1 Inspector's Initials: TYPE OF STRUCTURE: Y N NIA COMMENTS: Framing Attic Access 22'x 30"minimum Jack Studs/Headers Chr 1 S j b (p Truss Specification Provided Bracing I Bridging Joist hangers Jack Posts I Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft.8 in. Stairwells 36 in.or more Exterior Deck Bracing Headroom 6 ft.8 in. Notches/Holes I Bearing Walls Metal Strapping for Notches Top Plate 1 '/2(w)16 gauge(8) 16D nails each side Draft stopping 1,000 sq.ft.floor trusses Anchor Bolts 6 fL or less on center Ice and water 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%inch or 518 inch Type X Garage side 518 inch Type X Ceiling/wall Windows Habitable Space I Bedrooms 24 in.(H) 20 in.(W) 5.7 sf above I below grade 5.0 sf grade Design Professional Sign-off,if required Framing/Firestopping Inspection Report ��� i 1-x1.1 I�Avv) Rough Plumbing I Insulation Inspection Report Inspection request received 6tl C1 CA1 :> Name SLCU" Inspected on I Location 'l�j �N Y 1 Y Arrive am 1 pm Permit No. Inspector's Initials Type of Structure COMMENTS y N NA Plumbing under slab 1{b 51 Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 Y: inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent n Air/ Head �K T� 5 P.S.I.or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air /Head 50 P.S.I for 15 minutes Insulation / Residential Check / Commercial Check Window Sealing Tyvek or Similar Exterior Sealant Proper Vent,Attic Vent Door/Window Sealed(No Insulation) Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly /No duct tape Blower Door Test Air Sealing Town of Queensbury Building & Code Enforcement Office No. (518) 7618256 �� Rough Plumbing I Insulation Inspection Report Inspection request received Name _ (L Inspected on r Location Arrive — am/pm Permit No. ti Inspector's Initials Type of Structure COMMENTS Y N NA Plumbing under slab Rough Plumbing/Nail Plates Plumbing Vent/Vents in Place I Y, inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test /��tA�' Drain /Vent I Air / Head 5 P.S.I.or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation / Residential Check/ Commercial Check Window Sealing Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape Blower Door Test Air Sealing Town of Queensbury Building & Code Enforcement Office No. (518)761-8256 ��i' N1,0 CJ Rough Plumbing I Insulation Inspection Report 1 i Inspection request received ) Z C(S Name S UV%' Inspected on cA ) . 1'?-Q tS Location Z - �'�� Arrive 'am/pm Permit No. Inspector's Initials !_ Type of Structure Splb COMMENTS Y N NA Plumbing under slab Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place I Y, Inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/Head 5 P.S.I.or 10 ft.above highest connection for 15 minutes Pressure Test Water Supply Piping Air /Head 50 P.S.I for 15 minutes Insulation / Residential Check/ Commercial Check Window Sealing T vek or Similar Exterior Sealant Proper Vent. Attic Vent Door/Window Sealed (No Insulation) 5 � Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape Blower Door Test Air Sealing Town of Queensbury Building & Code Enforcement Office No. (518)761-8256 TOWN OF QUEENSBURY FIRE MARSHAL 742 Bay Road, Queensbury, NY. 12804-5902 761-8205 / 761-8206 Fax: 745-4437 Factory Built 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 instructions or specifications is allowed. Permit#: 114-U3 I Name: IF'5/0 UluS nS Inspection Date: I0-(o- 1 Address: _� L.J,r tCun.4 l n,oG Time: ,00 Rough-in Final: Appliance Manufacturer: ML^I0oM-14— Model#: 0-kV DTL/'L Direct Vent _Factory Built Chimney _Flue Size _Double Wall _Triple Wall _Insulated Yes No N/A Comments Floor Protection ai C)" Clearances To Combustibles all sides , Firestop(s) Vertical Chase Wall Penetration Vent Clearance to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet f Gas Shut-off Valve Combustion Air Hearth Extension(if any) Mantel-height above Up opening Witness Operation Tank Placement(if LP) CO Detection CSST Bonding Pink-Fire Marshal ne�nrtmant Yellow-Customer Town of Uueensbury Building &Code Enforcement Office No. (518)761-8256 10 -1 z Septic Inspection Report Inspection request received: 10 e 'LOA r7—, Name: Inspected on: tbI j2Qa5 Location: 96 wtnC. vyw Arrive: a.m.lP.M. Permit No.: 3 t Inspector's Initials: Comments and/or diagram Soil Type: Sand f Loa I Cla Type of Water. MWdpal I e ater Waterline separation distan ft. Well separation distance ft. Other wells: ft. Well Casing Length 50'+/- _Y_N_NIA [150'to well required if NO] Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number 1 VV Size: 4.4 x Stone Size: Piping Size Type Building totank Tank to Distribution Box Distribution Box to Field I Pit L` Opening Sealed: _ End Cap Y N InleVOUtiet Pipes&Baffles _N Manholes 12°or less below grade _Y_N [provide extension collar if Yes] Y_N Location lSeparators Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan _ Engineer Report and As-Built _Y � LTA j— c>C�� R'�p/Z ETU Maintenance Contract provided _Y_N Locatio S stem n Pro e : Fron Rear Left Side Right addle Front Middle Rear System Use Status: Use Parti roved and needs to be re-inspected, please call the Building&Codes Office Disapproved G? Septic Inspection Report COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNIICCIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No.LC.'./2..!..1..��!rJ....C,ert�Nl® 42888 Cut-in Card No..................................... Owner...............Ce......f � ',,/✓................................................................... .............................. . Location�A �'(i�. .x..A/.............................................. .��. .... ....... Installation Consisting of.. .r �!�G. �.. L .(p.. � 5........ .................................................................................................................................................................................... InstalledBy....... .A.M- '................:...........................................Lic.No................................................... The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making ' s ctions at any time, and if its rules area violated,the/Company shall have the right to r e thi c if t Date..`.... � ....1... ............. INSPECTOR........ .._.. ..................... Member N.EP.A.,LA.E.I. RES heck Software Version 4.6.0 Compliance Certificate Project Lot #58 FILE COPY Energy Code: 2010 New York Energy Conservation Location: Saratoga County, New York Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 2,978 ft2 Glazing Area 15% Climate Zone: 5 (7244 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Rolling Ridge Estates Paul G. DesLauriers Douglas W.Adams Queensbury,NY 12804 230 Ridge Street Saratoga Engineering&Design Glens Fails, NY 12801 74 Rolling Hills Drive 518-793-7840 Gansevoort, NY 12831 pldvtny@yahoo.com 518-683-6899 saratogaengndesign@nycap.rr.com Compliance: Passes using UA trade-off Compliance: 12.4%Better Than Code Maximum UA: 452 Your UA: 396 The%Better or Worse Than Code Index reflects how 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. Envelopes Assemblies Gross Area cavity Cont. Glazing Assembly or R-Value R-Value or Door UA Perimeter U-Factor Wall 1:Wood Frame, 16"D.C. 1,316 21.0 3.8 0.046 47 Comment: 1st floor perimeter(146'4""*9'),includes 3/4"Greenboard(r-3.75) Window 4-TW2852:Wood Frame:Double Pane with Low-E 15 0.330 5 Comment: QTY.=1 Window 5-DHT3010/rW1852/DHP3042: Wood Frame:Double Pane with Low-E 36 0.300 11 Comment: QTY.=1 Window 6-2020FX:Wood Frame:Double Pane with Low-E 8 0.310 2 Comment:QTY.=2 Window 7-TW38210: Wood Frame:Double Pane with Low-E 24 0.330 8 Comment: QTY.=2 Window 8-TW2652:Wood Frame:Double Pane with Low-E 58 0.330 19 Comment: QTY.=2 Window 11-TW2452:Wood Frame:Double Pane with Low-E 28 0.330 9 Comment: QTY.=2 Door 1-FWG6068:Glass 42 0.320 13 Comment: QTY.=1 Door 2-FW03168: Glass 21 0.320 7 Comment: QTY.=1 Door 3:Solid 63 0.140 9 Comment:QTY.=3, ENTRY DOORS Wall 2:Wood Frame, 16"o.c. 1,706 21.0 3.8 0.046 70 Comment: 2nd floor perimeter(213'4""*8'), includes 3/4"Greenboard(r-3.75) Project Title: Lot#58 Report date: 09/06/15 Data filename: C:\AutoCad Drawings\Paul & Linda DesLauriers\6-5-2015 Revisions\140-13 Page 1 of 7 REScheckRl.rck Assembly Gross Area avity Cont Glazing or or Door UA Window 1-TW210410-2:Wood Frame:Double Pane with Low-E 60 0.330 20 Comment:QTY.-2 Window 2-TW210410: Wood Frame:Double Pane with Low-E 60 0.330 20 Comment: QTY.=4 Window 3-TW2935:Wood Frame:Double Pane with Low-E 9 0.330 3 Comment: QTY.=1 Window 12-TW2448:Wood Frame:Double Pane with Low-E 22 0.330 7 Comment:QTY.=2 Window 13-TW2646:Wood Frame:Double Pane with Low-E 25 0.330 8 Comment: QTY.=2 Ceiling 1:Raised or Energy Truss 1,572 49.0 0.0 0.020 31 Comment: entire roof,r30+r19 CRAFT FACED INSULATION Basement Wall 1: Solid Concrete or Masonry 1,383 21.0 0.0 0.045 62 Wall height: 9.0' Depth below grade: 7.0' Insulation depth:9.0' Comment:GRADE VARIES,CONCRETE WALL ONLY Basement Wall 2:Wood Frame 378 21.0 0.0 0.060 16 Wall height: 9.0' Depth below grade:0.0' Insulation depth: 9.0' Comment:WOOD WALL ONLY Window 9-TW2852:Wood Frame:Double Pane with Low-E 31 0.330 10 Comment: QTY.=2 Door 4-FWG6068:Glass 42 0.320 13 Comment:QTY.=1 Door 5:Solid • " —� Comment:QTY.=1 ,, �OF hiEI.L .\ 0.140 6 L Compliance Statement: The proposed building design described riS\fsteq,t i _ g plans,specifications, and other calculations submitted with the permit application.The proposed, i i a e si et the 2010 New York Energy Conservation Construction Code requirements In REScheck Versi an yd w$ t ndatory requirements listed In the REScheck Inspection Checklist. p Douglas W. Date/ � Name-Title Ign 6 e I u`( 30,31 \�� ��F�%�SSIOTST -1 Project Title: Lot#58 Report date: 09/06/15 Data filename: C:WutoCad Drawings\Paul & Linda DesLauriers\6-5-2015 Revisions\140-13 Page 2 of 7 REScheckRl.rck REScheck Software Version 4.6.0 Inspection Checklist Energy Code: 2010 New York Energy Conservation Construction Code Requirements: 0.0% were addressed directly in the REScheck software 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-Inspectlon/Plan Review Value ! Value Complies? Comments/Assumptions &R .ID I i 103.2 Construction drawings and ❑Complies [PR111 documentation sufficiently ❑Does Not a demonstrates energy code ❑Not Observable compliance for the building envelope. ❑Not Applicable 103.2, Construction drawings and ❑Complies 403.7 documentation sufficiently ❑Does Not [PR311 demonstrates energy code compliance for lighting and ❑Not Observable mechanical systems.Systems ❑Nat Applicable serving multiple dwelling units must demonstrate compliance with the commercial code. '.403.6 Heating and cooling equipment is Heating: Heating: ❑Complies [PR212 sized per ACOA Manual S based Btu/hr— Btu/hr— ❑Does Not on loads per ACOA Manual J or Cooling: Cooling: ❑Not Observable other approved methods. Btu/hr— Btu/hr ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2J Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Lot#58 Report date: 09/06/15 Data filename: CAAutoCad Drawings\Paul & Linda DesLauriers\6-5-2015 Revisions\140-13 Page 3 of 7 REScheckRI.rck 2010 New York Foundation Inspection Complies? Comments/Assumptions Energy 303.2.1 Exposed foundation insulation ❑Complies (F01112 protection. ❑Does Not ❑Not Observable ❑Not Applicable 403.8 Snow melt controls. ❑Complies IF012]2 ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Lot#58 Report date: 09/06/15 Data filename: CAAutoCad Drawings\Paul &Linda DesLauriers\6-5-2015 Revisions\140-13 Page 4 of 7 RE5checkR1.rck Section plans Vered Field Verified # Framing/Rough-In InspeMion 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/WDMA/CSA 101/1.5.2/A440 or has infiltration rates per NFRC ❑Not Observable 400 that do not exceed code ❑Not Applicable limits. IC-rated recessed lighting fixtures - - ❑Complies sealed at housing/interior finish —❑Does Not and labeled to indicate Mt:=2.0 - ;d".�❑Not Observable cfrn leakage at 75 Pa. .❑Not Applicable 403.2.2 Ali joints and seams of air ducts, ❑Compiies V111311 air handlers,filter boxes,and ;{❑Does Not 0 building cavities used as return ducts are sealed. -[]Not Observable ❑Not Applicable 403.2.3 Building cavities are not used as 7OComplles [FR1513 ducts or plenums. ❑Does Not ❑Not Observable ❑Not Applicable 403.3 HVAC piping conveying fluids R-_ R-_ ❑Complies (FR171' above 105 OF or chilled fluids []Does Not below 55 of are insulated to R-3. ❑Not Observable ❑Not Applicable 403.4 Circulating service hot water R-_ R-_ ❑Complies [FR181' pipes are insulated to R-2. ❑Does Not ❑Not Observable ❑Not Applicable 403.5 Automatic or gravity dampers are: _ - -;❑Complies I FR 191 installed on all outdoor air -',❑Does Not intakes and exhausts. - ❑Nat Observable _ ❑Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Lot#58 Report date: 09/06/15 Data filename: C:\AutoCad Drawings\Paul &Linda DesLauriers\6-5-2015 Revisions\140-13 Page 5 of 7 REScheckRI.rck 2010 New York Com Insulation Inspection plies? Comments/Assumptions Ener_pi 303.1 All installed insulation labeled or ❑Complies [IN13)' installed R-values provided. []Does Not ❑Not Observable _ ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Lot#58 Report date: 09/06/15 Data filename: CAAutoCad Drawings\Paul & Linda DesLauriers\6-5-2015 Revisions\140-13 Page 6 of 7 REScheckRl.rck Section Plans Verified Field Verified # Final Inspection Provisions Value value Complles7 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 [FI1711 of&lt,,7 ACH at 50 Pa.This requirement may instead be met ❑Not Observable via visual inspection,in which []Not Applicable case verification may need to occur during Insulation Inspection. 403.2.2 Duct tightness via post- _cfm _dm ❑Complies IF1411 construction with maximum ❑Does Not leakage of 8 cfm to outdoors,or 12 cfm across systems.For ❑Nat Observable rough-in tests,verification may ❑Not 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 [F1912 installed on forced air furnaces. []Does Not ❑Not Observable ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies (FI1012 on heat pumps. ❑Does Not ❑Not Observable ❑Not Applicable 403.4 Circulating service hot water ❑Complies [1711112 systems have automatic or ❑Does Not accessible manual controls. ❑Not Observable ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies IF1712 ❑Does Not �l ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for ❑Complies IFI1813 mechanical and water heating ❑Does Not equipment have been provided. ❑Not Observable ❑Not Applicable Additional comments/Assumptions: 1 High Impact(Tier 1) Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Lot#58 Report date: 09/06/15 Data filename: C:\AutoCad Drawings\Paul & Linda DesLauriers\6-5-2015 Revisions\140-13 Page 7 of 7 REScheckRl.rck Akh, 169 Haviland Road Queensbury, NY 12804 Hutchins Engineering Phone:(518)745-0307 Fax: (518)745-0308 October 20, 2015 Town of Queensbury Building Department 742 Bay Road Queensbury, NY 12804 Re: Septic System Installation Paul DesLauriers 28 Wincoma Drive, Tax Map ID: 297.10-1-45 Our office prepared a wastewater replacement design for Paul DesLauriers at the above- referenced property. The system consists of a 1,250-gallon precast concrete septic tank and a Presby absorption field containing four laterals at 55 feet each for 220 LF of trench. A representative from our office visited the site during system installation. Based upon our site inspection and our discussions with the installer, it is my opinion that, with the exception of surface finishing and turf establishment, the system was installed in general conformance with the approved plan and that attached record drawing. Please contact me if you have any questions or if you require additional information. Best Regards, G. Thomas Hutchins, P.E. RECEIVED Enclosure I� v2 15 Cc: Mr. Paul DesLauriers G.Thomas Hutchins,P.E. THERMAL A== Quality. Comfort. Satisfaction. Thermal Associates —a00299- 2ot,5 21 Thomson Ave.Glens Falls, NY 128o1 518.798.550o Fax 798.5620 Patten Property Management ; ': f 04 2016 7 Jackson Road South Glens Falls, NY 12803 VV 518-796-4654 We, Thermal Associates, performed a blower door test at the project at 28 Wincoma Lane, Queensbury, NY, to determine the air changes per hour, for Patten Property Management on December 30, 2015. Testing procedure performed as per ASTM E779. The result of the test is: ( 1,810 CFM50 x 60 Minutes) / ( 34,596 cubic feet ) _ 3.14 ACH50 1102.4.3.1 Testing option. Building envelope tightness and insulation installation shall be considered acceptable when tested air leakage is less than seven air changes per hour(ACH)when tested with a blower door at a pressure of 33.5 psf(50 Pa)as verified using instruments and procedures specified in ASHRAE/ASTM E779. The test shall be conducted by a qualified person,who shall demonstrate competence to the satisfaction of the code enforcement official for the conduct of such tests. For the purpose of this section, ACH50 shall mean air changes per our of infiltration into a house as measured with a blower door at 50 pascals of pressure,in accordance with SHRAE/ASTM E779. Testing shall occur after rough in and after installation of penetrations of the building envelope, including penetrations for utilities,plumbing, electrical, ventilation and combustion appliances. During testing: 1. Exterior windows and doors, fireplace and stove doors shall be closed, but not sealed; 2. Dampers shall be closed,but not sealed, including exhaust, intake, makeup air,back draft and flue dampers; 3. Interior doors shall be open; 4. Exterior openings for continuous ventilation systems and heat recovery ventilators shall be closed and sealed; 5. Heating and cooling system(s) shall be turned off, 6. HVAC ducts shall not be sealed; and 7. Supply and return registers shall not be sealed. Adam DeVit Blower Door Tester Thermal Associates www.thermalassociates.com G GreenGuard® "'still thesamn Kings am just a new name... Kingspan Insulation LLC 2100 lliverEdge Parkway,Suite 175 Atlanta, Georgia 30328 Tel:678 589 7300 Fax:678 589 7325 info@kingspaninsulatioi..us www.ldngspaninsulation.us www.ki n g s pa n i n s u l a t i o n.c a Date: September 9,2015 To: To Whom It May Concern From: Craig Lynch/Manager,Specification&Architectural Sales Subject: Kingspan Insulation Products This letter is to inform any interested party that it is not a requirement to tape the seams in our GreenGuard xps insulation board unless the product is being used as a water resistive barrier. FILE COPY %b 'Z ®Kingspan,the G Device and the Lion Device aro Registered Trademarks of the Kingspan Group plo in the US,Canada and other countries.All rights reserved. ®GreenGuard is a Registered Trademark of the Kingspan Group plc in the US.All rights reserved. insulation SGD u ZU1 Rrst Issue 2015 ff U LU J FILE CO TOWN OF OUEENSBURY BUILDING & CODES GGreenGuard° Type 4 XPS Insulation Board FOR RESIDENTIAL APPLICATIONS • R-Value of 0.88/25mm(5.0 per inch)of thickness • Available with compressive strength of 210 kPa(30 psi)or e 276 kPa(40 psi) .r?. „ <,. ��X,G� • Meets or exceeds Type 4 and r r Types 1,2,and 3 specifications Lightweight, easy to cut with a knife • Does not absorb moisture • Retains insulating properties over time • Can be used to meet code requirements for continuous r insulation when installed directly o; over studs or over wood x / sheathing • Reduces energy loss through the - ® foundation and helps control >., moisture inside the basement l G Water resistance makes it an •. ,. excellent choice for foundation ;- and below-slab use Ki ni1� gs an. GGreenGuard' Type 4 XPS Insulation Board Description Product Data Kingspan GreenGuard'Type 4 XPS Insulation Board Property Test Method Value comprises 1/2"to 3"thick closed-cell polystyrene(XPS)with a minimum compressive strength of 30 psi.R has high water General resistance and an R-Value of 0,88/25 mm(5.0 per inch)of Thickness Millimeter 13,20, 50 76 thickness. It is available in a square edge board or ship-lap edge 25 38 board. 50,76 Compliance Thickness Inch 1/2,3/4, 2 3. 1,1 1/2, Intertek CCRR-1021; 2,3 CCMC 12722-L; Type, CAN/ULC-S701 4 4 4 MN Dept. of Energy Chapter 7640; Ogrtpesg„e slterglh Mh. FM Approvals-see RoofNav Roof System Listings; (kPa a 10%Deflection) 210 276 276 UL LLC.- See Classification Certificate At 84; (psi®10%Deflection) 30 40 40 UL LLC-Canada, File R11183; Water Absorption Max. ASTM C 272 I%by volume) 0.7 0.7 0.7 Handling & Storage 9 Water Vapor Permeanca ASTM E 96 When stored outdoors,all product should be protected from n9/Pa.s m2 (Desiccant Method) 60 60 60 exposure to direct sunlight using the original packaging or an Perin 1 1 1 opaque,light-colored tarp.Material that has been unwrapped Dimensional stability Max. ASTM D 2126 should be covered and rewrapped. (linear%Change) 1.5 1.5 1.5 Lkniting Oxygen Index Min. ASTM D 2863 WARNING:This product is combustible.A protective barrier or % 24 24 24 thermal banner is required as specified in the appropriate building Re lural Stength ASTM C eat code.Protect it from exposure to open flame or other ignition (kPa) 350 414 414 sources during shipping,storage and installation. (psi) 50 60 60 Health & SafetyService Temperature Max. 'F 165 165 165 Kingspan GreenGuard'Type 4 XPS Insulation Board is made of Thermal synthetic materials that are generally not recognized as providing a Thermal Resistance ASTM C 518 food source for insects,fungus mold or mildew.It should always be R-value' iwa•x�,,.ao,a„e properly installed and stored. (m.°C/W) .88 1.76 2.64 per 25mm The product should not be used as an exposed interior surface ("F ft'hr/Btu) 5.0 10.0 15.0 in buildings where people can be expected to be present.An per inch approved fie protection barrier,such as 1/2"gypsum wallboard or +,e, rr,,,�,,,xial„mBo„dmies«bizexs,Tm„ equivalent,should be applied between this product and the interior r.F.and a of such buildings.Fire and building codes should be followed. 'ate .aged"Ismed I aaxtln Mn ft FTC HJe„6(Sq Pen 46bwN ASMA C 578. Al assemblies should be evaluated for effectiveness and location of vapor retarders to avoid condensation and subsequent damage to structures(ASHRAE Handbook of Fundamentals.)Since foam sheathings are non-structural,they must be installed over adequately braced framing in accordance with local building codes. \ WARNING:Do not stand on or otherwise support your weight on this product unless d is fully supported by a bad bearing surface. Kings �m For more information on specific building product recommendations and installation guidelines,contact your IGngspan Insulation LLC representative. For the most current product and compliance information go to Kingspan Insulation LLC www.kingspaninsulation.us 2100 RiverEdge Parkway,Suite 175,Atlanta,Georgia 30328 l4rgspan insulation LLC believes the snforreafion and reammendaions herein be he eaurae info®kingspaninsulation.us anal reliable.None ver,since use anmnuns as at wank,as antral.Ikingspan Inswazron tic 1-800-241-4402 bees not guarantee results brain me of such pradmds gamer intermission hares,arM disdains wwlnr,kingspaninsulation.us all liahilily Brom any resulfing damage or lass.No wananry,express ar implied,is given as to the memtabanaax fteaafor pamalar purpose,or bareness,men nesped to the products 7etened0 www.kingspaninsulation.ca PS-TYPE 4 RES 9gnmpx,,she G coma win ma knn Dema ae Ragatered Tredernad®Dane xnwan Grax p x n ate US,CareOa vW otnerauntaea.N rghb,assned. 'Grew,Guard,a a naglstered Tmdav, led the Igngspan G=p pa in the US.M lights reserved. Paul G DesLauriers F=Copy 110 Sagamore St. Apt 5C Glens Falls, NY 12801 Feb 1 2015 Re. Building permit 28Wincoma drive Queensbury, NY 12804 Town of Queensbury Dept. Of Building & Codes Att John O' Brien, As per your request I am choosing Grajny Consulting to perform the Air sealing and blower test on our proposed construction at 28 Wincoma Lane Queensbury, NY. I believe this satisfies all requirements for the building permit for this site. _J Respectfully yours, Paul G D'esLL ers REScheck Software Version 4.6.0 Compliance Certificate I`Y _03 Project Lot #58 Energy Code: 2010 New York Energy Conservation Location: Saratoga County, New York EEC 15 2014 Construction Type: Single-family Y Project Type: New Construction Conditioned Floor Area: 2,841 ft2 Glazing Area 16% Permit Date: 5 (7244 HDD) FILE COPY Permit Date: Permit Number; Construction Site: Owner/Agent: Designer/Contractor: Rolling Ridge Estates Paul G.DesLauriers Douglas W.Adams Queensbury,NY 12804 230 Ridge Street Saratoga Engineering&Design Glens Falls,NY 12801 74 Rolling Hills Drive 518-793-7840 Gansevoort, NY 12831 pldvtny@yahoo.com 518-683-6899 saratogaengndesign@nycap.rr.com Compliance: Passes using JA trade-off Compliance: 4.6%Better Than Code Maximum UA: 392 Your UA: 374 The%Better or Worse Than Code Inde.reflects how 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 R Value or Door UA Wall 1: Wood Frame. 16"o.c. 1,529 21.0 0.0 0.057 70 Comment: 1st floor perimeter(169'10"'9') Window 4-TW2852: Wood Frame:Double Pane with Low-E 61 0.330 20 _ Comment: QTY.=4 Window 5-DHT3010fTW1852/DHP3042: Wood Frame:Double Pane with Low-E 36 0.300 11 Comment:QTY.=1 Window 6-A21:Wood Frame:Double Pane with Low-E 8 0.310 2 Comment: QTY.-2 Window 7-TW38210:Wood Frame:Double Pane with Low-E 24 0.330 8 Comment: QTY.=2 Window 8-TW2842: Wood Frame:Double Pane with Low-E 13 0.330 4 Comment:QTY.=1 Window 10-TW731010:Wood Frame:Double Pane with Low-E 4 0.300 1 Comment: QTY.=1 Window 11-TW2452: Wood Frame:Double Pane with Low-E 28 0.330 9 Comment: QTY.=2 Door 1-FWG6068: Glass 42 0.320 13 Comment:QTY.=1 Door 2-FW03168:Glass 21 0.320 7 Comment:QTY.-1 Door 3:Solid 63 0.140 9 Comment:QTY.=3,ENTRY DOORS Project Title: Lot#58 Report date: 10/27/14 Data filename: C:\AutoCad Drawings\Paul & Linda DesLauriers\140-13 REScheck.rck Page 1 of 7 F Assembly Gross Area Cavity Cont. Glazing or I I or Door UA Wall 2:Wood Frame,16" o.c. 1,029 21.0 0.0 0.057 52 Comment: 2nd floor perimeter(128'7""8') Window 1-TW210410-2:Wood Frame:Double Pane with Low-E 60 0.330 20 Comment:QTY.=2 Window 2-TW210410: Wood Frame:Double Pane with Low-E 30 0.330 10 Comment: QTY.=2 Window 3-TW28210: Wood Frame:Double Pane with Low-E 9 0.330 3 Comment: QTY.=1 Window 12-TW20410: Wood Frame:Double Pane with Low-E 22 0.330 7 Comment:QTY.-2 Ceiling 1: Raised or Energy Truss 1,572 50.0 0.0 0.020 31 Comment: entire roof Basement Wall 1: Solid Concrete or Masonry 1,152 21.0 0.0 0.045 52 Wall height: 9.0' Depth below grade: 7.0' Insulation depth: 9.0' Comment: GRADE VARIES, CONCRETE WALL ONLY Basement Wall 2:Wood Frame 378 21.0 0.0 0.060 16 Wall height: 9.0' Depth below grade:0.0' Insulation depth: 9.0' Comment:WOOD WALL ONLY Window 9-TW2852:Wood Frame:Double Pane with Low-E 31 0.330 10 Comment:QTY.=2 Door 4-FWG6068:Glass 42 0.320 13 Comment: QTY.=1 Door 5:Solid _42 0.140 6 Comment•.QTY.-1 OF Compliance Statement: The proposed building design described here ii g plans,specifications,and other calculations submitted with the permit application.The proposed buil §ig r the 2010 New York Energy Conservation Construction Code requirements in REScheck Version ago co wit9 datory requirements listed in the REScheck Inspection Checklist Douglas W. /O-Z3 Name-Title a #� Date `DA 03031 9�FfSSIONN\- �� Project Title: Lot#58 Report date: 10/27/14 Data filename: CAAutoCad Drawings\Paul & Linda DesLauriers\140-13 REScheck.rck Page 2 of 7 CREScheck Software Version 4.6.0 �J( Inspection Checklist Energy Code: 2010 New York Energy Conservation Construction Code Requirements: 0.0% were addressed directly in the REScheck software 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 [PR1j1 documentation sufficiently ❑Does Not ® 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 0 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 ACCA Manual S based Btu/hr Btu/hr ❑Does Not ,0 on loads per ACCA Manual j or Cooling: Cooling: ❑Not Observable other approved methods. Btu/hr_ Btulhr_ ❑Not Applicable Additional Comments/Assumptions: 1 I High Impact(Tier 1) Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Lot#58 Report date: 1027/14 Data filename: CAAutoCad Drawings\Paul & Linda DesLauriers\140-13 REScheck.rck Page 3 of 7 20107 ew YorFoundation Inspection Complies? Comments/Assumptions Ener 303.21 Exposed foundation insulation [ Complies IF01112 protection. ❑Does Not 3, - []Not Observable ❑Not Applicable 403.8 Snow melt controls. ❑Complies IF01212 ❑Does Not []Not Observable []Not Applicable Additional Comments/Assumptions: ti 1 High Impact Cher 1) Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Lot#58 Report date: 10127/14 Data filename: C:\AutoCad Drawings\Paul & Linda DesLauriers\140-13 REScheck.rck Page 4 of 7 Section Piens Verified Field Verified # Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions & Req.lD I I _ 402.4.4 Fenestration that is not site built ❑Complies [FR2011 is listed and labeled as meeting ❑Does Not AAMA(WDMA(CSA 101/1.5.2/A440 ❑Not Observable or has infiltration rates per NERC 400 that do not exceed code ❑Not Applicable limits. IC-rated recessed lighting fixtures ❑Complies sealed at housingfinterior finish ❑Does Not and labeled to indicate&It:=2.0 []Not Observable chn leakage at 75 Pa. []Not Applicable _ 403.2.2 All joints and seams of air ducts, ❑Complies [FR1311 air handlers,filter boxes,and ❑Does Not building cavities used as return []Not Observable ducts are sealed. ❑Not Applicable 403.2.3 Building cavities are not used as ❑Complies [FR1513 ducts or plenums. ❑Does Not 4) ❑Not Observable ❑Not Applicable HVAC piping conveying fluids R-_ R-_ ❑Complies above 105 of or chilled fluids ❑Does Not below 55 OF are insulated to R-3. ❑Not Observable ❑Not Applicable Circulating service hot water R- R- ❑Complies pipes are insulated to R-2. ❑Does Not ❑Not Observable ❑Not Applicable Automatic or gravity dampers are;" 'trA'' `*'""� '`''` ";'".❑Complies installed on all outdoor air ❑Does Not intakes and exhausts. []Not Observable W-7,' _ - ❑Not Applicable Additional Comments/Assumptions: 1 I High Impact(Tier 1) Medium Impact(Tier 2) 3 1 Low Impact(Ter 3) Project Title: Lot#58 Report date: 1027/14 Data filename: C:\AutoCad Drawings\Paul & Linda DesLauriers\140-13 REScheck.rck Page 5 of 7 2010 New York Insulation Inspection Complies? Comments/Assumptions Ener_ All installed insulation labeled or ❑Complies . installed R-values provided. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 I High Impact(Tier 1) Medium Impact(tier 2) 3 Low Impact(Tier 3) Project Title: Lot#58 Report date: 1027/14 Data filename! C:\AutoCad Drawings\Paul &Linda DesLauriers\140-13 REScheck.rck Page 6 of 7 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID 402.4.2, Building envelope tightness ACH 50=_ ACH 50=_ ❑Complies 402.4.2.1 verified by blower door test result ❑Does Not [FI1711 of&It;7 ACH at 50 Pa.This ❑Not Observable requirement may instead be met via visual inspection,in which ❑Not Applicable case verification may need to occur during Insulation Inspection. 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 ❑Not Applicable need to occur during Framing Inspection, with maximum leakage of 6 cfm across systems and 4 cfm without air handler. Programmable thermostats ❑Complies installed on forced air furnaces. ❑Does Not ❑Not Observable ❑Not Applicable Heat pump thermostat installed ❑Complies on heat pumps. ❑Does Not ❑Not Observable ❑Not Applicable Circulating service hot water ❑Complies systems have automatic or ❑Does Not accessible manual controls. ❑Not Observable ❑Not Applicable Compliance certificate posted. ❑Complies ❑Does Not ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for ❑Complies [FI18]3 mechanical and water heating ❑Does Not 6 equipment have been provided. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium impact(Tier 2) 3 Low Impac!(Tier 3) Project Title: Lot#58 Report date: 1027/14 Data filename: CAAUtoCad Drawings\Paul & Linda DesLauriers\140-13 REScheck.rck Page 7 of 7 BearnChek v2012 licensed to:Doug Reg#4009-67706 Date: 10/20/14 Selection I (3) 1-3/4x 11-1/4 1.9E TJ Microllam LVL Lu=0.0 Ft Conditions NDS 2005 Min Bearing Area R1=4.8 in' R2=4.8 in' (1.5)DL Defl= 0.11 in Data Beam Span 13.0 ft Reaction 1 LL 2599# Reaction 2 LL 2599# Beam Wt per ft 15.18# Reaction 1 TL 3564# Reaction 2 TL 3564# Bm Wt Included 197# Maximum V 3564# Max Moment 11584'# Max V(Reduced) 3050# TL Max Defl L/240 TL Actual Deb L/487 LL Max Defl L/360 LL Actual Dee L/757 Attributes Section ink Shear(in) TL Defl(in) LL Defl Actual 110.74 59.06 0.32 0.21 Critical 53.00 16.05 0.65 0.43 Status OK OK OK OK Ratio 48% 27% 49% 48% Fb(psi) Fv(psi) E(psi x mil) Fc-L(psi) Values Reference Values 2600 285 2.0 750 Adjusted Values 2623 285 2.0 750 Adjustments CF Size Factor 1.009 Cd Duration 1.00 1.00 Cr Repetitive 1.00 Ch Shear Stress N/A Cm Wet Use 1.00 1.00 1.00 1.00 CI Stability 1.0000 Rb=0.00 Le=0.00 Ft Loads Uniform LL:400 Uniform TL: 533 =A Uniform Load A R1 =3564 R2=3564 SPAN= 13 FT Uniform and partial uniform loads are lbs per lineal ft. I N �� / �1� I DEEDREFERENCE.- O�' Lands Now or Formerly of / / 1. Conveyance to Paul G. DesLauriers by deed dated Stockwell February 13,2006,filed in the Warren County Clerks Office on February 16,2006 in Book 1493 of Deeds atpage Book 1294 Page 158 182 Mc-- � / Utility', / MAPREFERENCES. Pole 1. Map entitled'AMF of survey of bnds ofPaul G. DesLauriers';prepared by Charles T.Nacy,L.S.,last revised December27,2013, unfVed. Copyprovided by f client. 2so?ooh // •oo, Blacktop Well yDrive Ekc 000 Meter r ` o Garage S i GO otic :)7 �q Area =501 _ - —--- — - - - -- - --- --- �� Of s - - ,00 Lands Now or Form sq. �1y t e o PP Pt�c ,_ perContractorb - - Town of Queensbury Book 904 Page 104 0 NIAPNOTES o �� 1. Boundaryinformation shown hereon from Map Reference 1,and an actual field survey conducted on july 8,2015. N1% 0Improvements shown hereon per a field visit on October 5,2015 2. North orientation and bearing base per Map Reference 1. 3. Warren County taxparce1297.10--1-45. �6g�2po 4. The location of underground improvements or encroachments,if any exist,oras shown hereon,are not certified Lands Now or Formerly of ?solo There may be other underground utilities, the existence of which are unknown. Srze andlocation of all underground utilities must be verified by the appropriate authorities The Underground Facilities Protective Organization must be Town of Queensbury notified prior to conducting test borings,excavation and construction. Book 904 Page 104 5. This survey was prepared without the benefit of an up to date abstract of title. 6 Reproduction or copying of this document may be a violation of copyright la w unless permission of the author and or copyright holder is obtained 7. A copy of this document without a proper application of the surveyor's embossed seal should be assumed to be an unauthorized copy, KRISTIN M.0803 DARRAH050803ODATE REVISIONS RECORD/DESCRIPTION DRAFTER UNAUTHORIZED ALTERATION OR Map of a Fina l Surve ADDITION TO THIS DOCUMENT IS A y VIOLATION OF SECTION 7209 ✓ SUBDIVISION 2 OF THE NEW YORK Lands Now or Formerly of - STATE EDUCATION LAW. � � _ t © 20,6 Paul G. DesLauners Darrah Land Surveying, PLLC ,IV r'4-� TOWN OF QUEENSBURY WARREN COUNTY,NEW YORK 7�F '4 f t., APPROVED.KMD t '.*� DRAFTED.- KMD Darrah Land Surveying, PLL CHECKED.-DCD - 1 L�034 2 PROj No. 15035 3764 North Shore Road,Hadley,NY 12835 Tlolce. (518)798-4692 SHEET: 1 OF "ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOSSED �. ,. •'` u_ SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S :: E `a''✓'' SCALE: 1 _30 ORIGINAL WORK AND OPINION." t ` N yam DATE: 01/05/16 PROjNO.• 15035