RC-000358-2015 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-000358-2015 Date Issued: Thursday, June 2, 2016
This is to certify that work requested to be done as shown by Permit Number RC-000358-2015
has been completed.
Tax Map Number: 296.15-1-2
Location: 80 GENTRY LN
Owner: Schermerhorn Properties
Applicant: Schermerhorn Properties
This structure may be occupied as a: Townhouse 4-units
Bldg.#4 80 Gentry Ln. By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the n A
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-000358-2015
Tax Map No: 296.15-1-2 RENEWED
Permission is hereby granted to: Schermerhom Properties
For property located at: 80 GENTRY 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: Schermerhom Properties Multi-Family-New $100,000.00
Owner Address: 536 BAY RD Total Value $100,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Richard Schermerhom
536 Queens ury, REVISED
Queensbury,NY 12804
Plans&Specifications
Townhouse 4-units
Bldg.#4 80 Gentry Ln.
PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,June 25,2016
(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 Queens ry; Mod 014
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
. 4
--------------------------- ^opo
OFFICE USE ONLY
TPJ:MAP NO. PERMIT i\O.__�
t
FEES: PERMIT RECREAT ENGINEERINGcabl �
-.-- ..-..._ ------------ Qfappl-
--- --__-._
PRINCIPAL STRUCTURE. APPLICATION FOR ZONING APPROVAL & BUILDING
PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF AAA�,VALID PERMIT FOR CONSTRUCTION_
APPLICANT/BUILDER �YIGHIi �'�RQOPOWNER: 6p6mla
ADDRESS: 6&P 15A`f LAW Z— ADDRESS:
Q �'� 4
PHONE NOS. PHONE NOS.��,
CONTACT PERSON FOR BUILDING&CODES COMPLIAN p_j j,iPHONE: 6JPb _�G�
LOCATION OF PROPERTY:����1�I�j � Lt' � .��'�{ ��J� CAS-i- 1pCp
1{�
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? to YES ❑ N0�81�
IF$0, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z 0 Cf 0 F-
p U CS W LL U)
PROJECT w 0 O J 0 = _
'S F m C! � _ ~ 0UU
z ¢ Q � U) N � 0L LLL a= oa
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS 2�58H 31y2� /_'11 !i /�! 1'i0- 0
TOWNHOUSE l�
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
Town of Queensbury*Community Development Office*742 Bay Road, Queensbury NY 12804
Revised 4/14/2010
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS: -MORLb s,
ESTIMATED CONSTRUCTION COSTS- (m I= . FUEL TYPE: [4jb;r. J�I&G
HEAT TYPE: -HOW MANY FIREPLACE(S):-4---AND/OR WO�OlDSTOVES(S):_ (V
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: Lop ,"%
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
1 acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. 1 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 Uwe 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 and agre/e' tq..t�above.
Signed
Director of Building & Codes- 761-8256 (for questions regarding Building Permits, cons#ruc#ion codes
or septic systems;
Zoning Administrator• 761-8218 (for questions regarding required permits, the permit process.
application requirements or to schedule an appointment)
Town of Queensbury' Community Development Office 3 742 Bay Road, Queensbury NY 12804
Office Use Only
Town of Queensbury Building & Codes Received:
Tax Map ID:
FUEL BURNING APPLIANCE &CHIMNEY APPLICATION Permit No.: La
Permit Fee: $
Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the NYS 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
Date 201k
Owner !� ' .�1 {J } yam Installer/Builder L,I�yy� g
Address Jae Ift-If Z" Address
Phone ►p,�'1R$—�(e4 Phone
Location of proposed construction and/or installation: C4?r a AI LL -b WAyW e,,g p ry
Contact Person for Binding&Codes Compliance: e}W +44 �iiAW A urgtlw
Subdivision Name: 4 .-j LA-,
jlBu(mningance Information Wood Coal Pellet Gas Oil
Insert,facto built- L,Mason Gara eOnl
'If Factory Built,Please Provide: Manufacturer Name: Model No.AL3150
Listed By: Number.
Chimney Information
Masonry" ✓check one _Block _Brick _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.
Signatures:
Print Name: Alivir rAe-1;1 )44440 f i'
tt;t
Signature: Date:
ADDITIONAL NOTE: CONSTRUCTIONIINSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE
AND/OR MANUFACTURER REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING
REQUIRED INSPECTIONS.
COMcheck Software Version 3.9.3
Envelope Compliance Certificate
2010 New York Energy Conservation Construction Code
Section 1: Project Information
Project Type: New Construction
Project Title: New Townhouse Apartment
Construction Site: Owner/Agent: Designer/Contractor:
Cottage Hill Drive Schermerhom Residential Holdings Ethan P.Hall
Queensbury,NY 12804 536 Bay Road Rucinski Hall Architecture
Queensbury,NY 12804 627 Maple Ave
518-798-0674 Saratoga Springs,NY 12866
rich@schermerhomconstruction.com 518-580-1905
ephall@nycap.m.com
Section 2: General Information
Building Location(for weather data): Warren,New York � .,r�� ^�
Climate Zone: 6a ;1 'tp+'Y
Building Space Conditioning Type(s): Residential FM t
Vertical Glazing/Wall Area Pct.: 18% t ems'.@: '0 V
Activity Tvoefsl Floor Area
Multifamily 6165
Section 3: Requirements Checklist
Envelope PASSES: .• code.
Climate-Specific Requirements:
Component Name/Description Gross Cavity Cont. Proposed Budget
Area or R-Value R-Value U-Factor U-Factona)
Perimeter
Orientation:NORTH
Exterior Wall 3:Wood-Framed, 16"o.c. 1070 21.0 0.0 0.062 0.051
Door 17:Insulated Metal,Swinging 18 - - 0.300 0.500
Door 18:Insulated Metal,Swinging 18 - - 0.300 0.500
Door 19: Insulated Metal,Swinging 18 - - 0.300 0.500
Door 20: Insulated Metal,Swinging 18 - - 0.300 0.500
Door 21:Glass(>50%glazing):Nonmetal Frame,Pert.Type:Other 40 - - 0.290 0.350
testingloert.Product ID:,SHGC 0.65(b)
Exterior Wall 4:Wood-Framed,16"o.c. 384 21.0 0.0 0.062 0.051
Orientation:EAST
Exterior Wall 1:Wood-Framed, 16"o.c. 780 21.0 0.0 0.062 0.051
Door 1: Insulated Metal,Swinging 20 - - 0.300 0.500
Door 2: Insulated Metal,Swinging 20 - - 0.300 0.500
Door 3: Insulated Metal,Swinging 20 - - 0.300 0.500
Door 4: Insulated Metal,Swinging 20 0.300 0.500
Door 5:Insulated Metal,Swinging 20 - - 0.300 0.500
Door 6:Insulated Metal,Swinging 20 - - 0.300 0.500
Door 7:Insulated Metal,Swinging 20 - - 0.300 0.500
Door 8: Insulated Metal,Swinging 20 - - 0.300 0.500
Door 9:Insulated Metal,Swinging 20 - - 0.300 0.500
Project Title: New Townhouse Apartment Report date: 06/25/14
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Door 10:Insulated Metal,Swinging 20 - - 0.300 0.500
Door 11:Insulated Metal,Swinging 20 - - 0.300 0.500
Door 12:Insulated Metal,Swinging 20 - - 0.300 0.500
Door 13:Insulated Metal,Swinging 20 - - 0.300 0.500
Door 14:Insulated Metal,Swinging 20 - - 0.300 0.500
Door 15:Insulated Metal,Swinging 20 - - 0.300 0.500
Door 16:Insulated Metal,Swinging 20 - - 0.300 0.500
Exterior Wall 2:Wood-Framed,16"o.c. 624 21.0 0.0 0.062 0.051
Window 1:Vinyl Frame:Double Pane with Low-E,Pert.Type:Other 248 - - 0.290 0.350
testinglcert.Product ID:,SHGC 0.65(b)
Orientation:SOUTH
Exterior Wall 7:Wood-Framed, 16"o.c. 1070 21.0 0.0 0.062 0.051
Door 28:Insulated Metal,Swinging 18 - - 0.300 0.500
Door 29:Insulated Metal,Swinging 18 - - 0.300 0.500
Door 30:Insulated Metal,Swinging 18 - - 0.300 0.500
Door 31:Insulated Metal,Swinging 18 - - 0.300 0.600
Door 32:Glass(>50%glazing):Nonmetal Frame,Pert.Type:Other 40 - - 0.290 0.350
testingloert.Product ID:,SHGC 0.65(b)
Exterior Wall 8:Wood-Framed,16"o.c. 384 21.0 0.0 0.062 0.051
Orientation:WEST
Exterior Well 5:Wood-Framed,16"o.c. 780 21.0 0.0 0.062 0.051
Window 2:Vinyl Frame:Double Pane with Low-E,Perf.Type:Other 217 - - 0.290 0.350
testing/cert.Product ID:,SHGC 0.65(b)
Door 22:Insulated Metal,Swinging 20 - - 0.300 0.500
Door 23:Insulated Metal,Swinging 20 - - 0.300 0.500
Door 24:Insulated Metal,Swinging 20 - - 0.300 0.500
Door 25:Insulated Metal,Swinging 20 - - 0.300 0.500
Door 26:Insulated Metal,Swinging 20 - - 0.300 0.500
Door 27:Insulated Metal,Swinging 20 - - 0.300 0.500
Exterior Wall 6:Wood-Framed,16"o.c. 624 21.0 0.0 0.062 0.051
Window 3:Vinyl Frame:Double Pane with Low-E,Perf.Type:Other 496 - - 0.290 0.350
testing/cert.Product ID:,SHGC 0.65(b)
Orientation:UNSPECIFIED ORIENTATION
Roof 1:Attic Roof with Wood Joists 3507 38.0 0.0 0.027 0.027
Floor 1:Slab-On-Grade:Unheated,Vertical 4 ft. 529 - 10.0 - -
(a)Budget U-factors are used for software baseline calculations ONLY,and are not code requirements.
(b)Fenestrations product performance must be certfied in accordance with NFRC and requires supporting documentation.
Air Leakage,Component Certification,and Vapor Retarder Requirements:
❑ 1. All joints and penetrations are caulked,gasketed or covered with a moisture vapor-permeable wrapping material Installed in accordance
with the manufacturers installation instructions.
❑ 2. Windows,doors,and skylights certified as meeting leakage requirements.
❑ 3. Component R-values&1.1-factors labeled as certified.
❑ 4. No roof insulation is installed on a suspended ceiling with removable ceiling panels.
❑ 5. 'Other components have supporting documentation for proposed U-Factors.
❑ 6. Insulation installed according to manufacturers instructions,in substantial contact with the surface being insulated,and in a manner that
achieves the rated R-value without compressing the insulation.
❑ 7. Stair,elevator shaft vents,and other outdoor air intake and exhaust openings in the building envelope are equipped with motorized
dampers.
❑ 8. Cargo doors and loading dock doors are weather sealed.
❑ 9. Recessed lighting fixtures installed in the building envelope are Type IC rated as meeting ASTM E283,are sealed with gasket or caulk.
❑ 10.Building entrance doors have a vestibule equipped with self-closing devices.
Exceptions:
❑ Building entrances with revolving doors.
❑ Doors not intended to be used as a building entrance.
❑ Doors that open directly from a space less than 3000 sq.ft.in area.
❑ Doors used primarily to facilitate vehicular movement or materials handling and adjacent personnel doors.
❑ Doors opening directly from a sleeping/dwelling unit.
Section 4: Compliance Statement
Project Title:New Townhouse Apartment Report date:06/25/14
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Compliance Statement: The proposed envelope design represented in this document is consistent with the building plans,specifications
and other calculations submitted with this permit application.The proposed envelope system has been designed to meet the 2010 New York
Energy Conservation Construction Code requirements in COMcheck Version 3.9.3 and to comply with the mandatory requirements in the
Requirements Checklist.
When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of his/her knowledge,belief,and
professional judgment,such plans or specifications are in compliance with this Code.
Ethan P.Hall-Architect
Name-Title Signature Date
Project Title: New Townhouse Apartment Report date:06125/14
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COMcheck Software Version 3.9.3
Interior Lighting Compliance
Certificate
2010 New York Energy Conservation Construction Code
Section 1: Project Information
Project Type: New Construction
Project Title : New Townhouse Apartment
Construction Site: Owner/Agent: Designer/Contractor:
Cottage Hill Drive Schermerhom Residential Holdings Ethan P.Hall
Queensbury,NY 12804 536 Bay Road Rucinski Hall Architecture
Queensbury,NY 12804 627 Maple Ave
518-798-0674 Saratoga Springs,NY 12866
rich@schermerhomconstmction.com 518-580-1905
ephall@nycap.rr.com
Section 2: Interior Lighting and Power Calculation
A B c D
Area Category Floor Area Allowed Allowed Watts
(ft2) Watts I ft2 (B x C)
Multifamily 6165 0.7 4316
Total Allowed Watts= 4316
Section 3: Interior Lighting Fixture Schedule
A B C D E
Fixture ID:Description I Lamp/Wattage Per Lamp I Ballast Lamps/ #of Fixture (C X D)
Fixture Fixtures Watt.
Multifamily(6165 sq.ft.)
Compact Fluorescent 1:Spiral 23W:Electronic: 1 68 32 2176
Total Proposed Watts= 2176
Section 4: Requirements Checklist
Interior Lighting PASSES: .- 50%better than code.
Lighting Wattage:
F1 1. Total proposed watts must be less than or equal to total allowed watts.
Allowed Watts Proposed Watts Complies
4316 2176 YES
Controls,Switching, and Wiring:
Lj 2. Daylight zones under skylights more than 15 feet from the perimeter have lighting controls separate from daylight zones adjacent to
vertical fenestration.
O 3. Daylight zones have individual lighting controls independent from that of the general area lighting.
Exceptions:
❑ Contiguous daylight zones spanning no more than two orientations are allowed to be controlled by a single controlling device.
❑ Daylight spaces enclosed by walls or ceiling height partitions and containing two or fewer light fixtures are not required to have a
separate switch for general area lighting.
F1 4. Independent controls for each space(switch/occupancy sensor).
Project Title: New Townhouse Apartment Report date: 06/25/14
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Exceptions.,
L] Areas designated as security or emergency areas that must be continuously illuminated.
C] Lighting in stairways or corridors that are elements of the means of egress.
O 5. Master switch at entry to hotel/motel guest room.
❑ 6. Individual dwelling units separately metered.
❑ 7. Medical task lighting or art/history display lighting claimed to be exempt from compliance has a control device independent of the control
of the nonexempt lighting.
❑ 8. Each space required to have a manual control also allows for reducing the connected lighting load by at least 50 percent by either
controlling all luminaires,dual switching of alternate rows of luminaires,alternate luminaires,or alternate lamps,switching the middle
lamp luminaires independently of other lamps,or switching each luminaire or each lamp.
Exceptions:
L] Only one luminaire in space.
Lj An occupant-sensing device controls the area.
L] The area is a corridor,storeroom,restroom,public lobby or sleeping unit.
L] Areas that use less than 0.6 Wattslsq.ft.
Lj 9. Automatic lighting shutoff control in buildings larger than 5,000 sq.ft.
Exceptions:
❑ Sleeping units,patient care areas;and spaces where automatic shutoff would endanger safety or security.
LI 10.Photocell/astronomical time switch on exterior lights.
Exceptions:
Ll Lighting intended for 24 hour use.
11.Tandern wired one-lamp and three-lamp ballasted luminaires(No single-lamp ballasts).
Exceptions:
L] Electronic high-frequency ballasts;Luminaires on emergency circuits or with no available pair.
Section 5: Compliance Statement
Compliance Statement: The proposed lighting design represented in this document is consistent with the building plans,specifications
and other calculations submitted with this permit application.The proposed lighting system has been designed to meet the 2010 New York
Energy Conservation Construction Code requirements in COMcheck Version 3.9.3 and to comply with the mandatory requirements in the
Requirements Checklist.
Ethan P.Hall-Architect
Name-Title Signature Date
Project Title: New Townhouse Apartment Report date:06/25/14
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COMcheck Software Version 3.9.3
Exterior Lighting Compliance
Certificate
2010 New York Energy Conservation Construction Code
Section 1: Project Information
Project Type: New Construction
Project Title :New Townhouse Apartment
Exterior Lighting Zone: 2(Residentially zoned area)
Construction Site: Owner/Agent: Designer/Contractor:
Cottage Hill Drive Schermerhom Residential Holdings Ethan P.Hall
Queensbury,NY 12804 536 Bay Road Rucinski Hall Architecture
Queensbury,NY 12804 627 Maple Ave
518-798-0674 Saratoga Springs,NY 12866
rich@schermerhomconstmction.com 518-580-1905
ephall@nycep.rr.com
Section 2: Exterior Lighting Area/Surface Power Calculation
A B C D E F
Exterior Area/Surface Quantity Allowed Tradable Allowed Proposed
Watts Wattage watts Watts
I Unit (B x C)
Main entry 4 it of door width 20 Yes 80 256
Total Tradable Watts'= 80 256
Total Allowed Watts= 80
Total Allowed Supplemental Watts"= 600
Wattage tradeoffs are only allowed between tradable areas/surfaces.
A supplemental allowance equal to 600 watts may be applied toward compliance of both non-tradable and tradable areas/surfaces.
Section 3: Exterior Lighting Fixture Schedule
A B C D E
Fixture ID:Description I Lamp I Wattage Per Lamp I Ballast Lamps/ #of Fixture (C X D)
Fixture Fixtures Watt.
Main entry(4 it of door width):Tradable Wattage
Compact Fluorescent 1:Spiral 23W:Electronic: 1 8 32 256
Total Tradable Proposed Watts= 256
Section 4: Requirements Checklist
Lighting Wattage:
O 1. Within each non-tradable area/surface,total proposed watts must be less than or equal to total allowed watts.Across all tradable
areas/surfaces,total proposed watts must be less than or equal to total allowed watts.
Compliance:Passes using supplemental allowance watts.
Controls, Switching,and Wiring:
❑ 2. All exemption claims are associated with fixtures that have a control device independent of the control of the nonexempt lighting.
Lj 3. Lighting not designated for dusk-to-dawn operation is controlled by either a a photosensor(with time switch),or an astronomical time
switch.
Lj 4. Lighting designated for dusk-to-dawn operation is controlled by an astronomical time switch or photosensor.
Li 5. All time switches are capable of retaining programming and the time setting during loss of power for a period of at least 10 hours.
Project Title: New Townhouse Apartment Report date:06/25/14
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Exterior Lighting Efficacy:
❑ 6. All exterior building grounds luminaires that operate at greater than 100W have minimum efficacy of 60 lumen/watt.
Exceptions:
❑ Lighting that has been claimed as exempt and is identified as such In Section 3 table above.
Q Lighting that is specifically designated as required by a health or life safety statue,ordinance,or regulation.
LJ Emergency lighting that is automatically off during normal building operation.
❑ Lighting that is controlled by motion sensor.
Section 5: Compliance Statement
Compliance Statement: The proposed exterior lighting design represented in this document is consistent with the building plans,specifications
and other calculations submitted with this permit application.The proposed lighting system has been designed to meet the 2010 New York
Energy Conservation Construction Code requirements in COMcheck Version 3.9.3 and to comply with the mandatory requirements in the
Requirements Checklist.
Ethan P.Hall-Architect
Name-Title Signature Date
Project Tile: New Townhouse Apartment Report date: 06/25/14
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COMcheck Software Version 3.9.3
Mechanical Compliance Certificate
2010 New York Energy Conservation Construction Code
Section 1: Project Information
Project Type:New Construction
Project Title:New Townhouse Apartment
Construction Site: Owner/Agent: Designer/Contractor:
Cottage Hill Drive Schermerhom Residential Holdings Ethan P.Hall
Queensbury,NY 12804 536 Bay Road Rucinski Hall Architecture
Queensbury,NY 12804 627 Maple Ave
518-798-0674 Saratoga Springs,NY 12866
rich@schermerhomconstruction.com 518-580-1905
ephall@nycap.rr.com
Section 2: General Information
Building Location(for weather data): Warren,New York
Climate Zone: 6a
Section 3: Mechanical Systems List
Quantity System Type&Description
1 HVAC System 1 (Single Zone):
Heating: 1 each-Central Furnace,Gas,Capacity=60 kBtu/h
Proposed Efficiency=93.00%Et,Required Efficiency=80.00%Et
Cooling:1 each-Field-Assembled DX System,Capacity=45 kBtu/h,Air-Cooled Condenser
No minimum effidency requirement applies
Fan System: None
1 HVAC System 2(Single Zone):
Heating: 1 each-Central Furnace,Gas,Capacity=60 kBtu/h
Proposed Efficiency=93.00%Et,Required Efficiency=80.00%Et
Cooling:1 each-Field-Assembled DX System,Capacity=45 kBtu/h,Air-Cooled Condenser
No minimum efficiency requirement applies
Fan System: None
1 HVAC System 3(Single Zone):
Heating:1 each-Central Furnace,Gas,Capacity=60 kBtu/h
Proposed Efficiency=93.00%Et,Required Efficiency=80.00%Et
Cooling: 1 each-Field-Assembled DX System,Capacity=45 kBtu/h,Air-Cooled Condenser
No minimum efficiency requirement applies
Fan System: None
1 HVAC System 4(Single Zone)
Heating: 1 each-Central Fumace,Gas,Capacity=60 kBtu/h
Proposed Efficiency=93.00%Et,Required Efficiency=80.00%Et
Cooling: 1 each-Field-Assembled DX System,Capacity=45 kBtu/h,Air-Cooled Condenser
No minimum efficiency requirement applies
Fan System: None
1 Water Heater 1:
Electric Storage Water Heater,Capacity:40 gallons
Proposed Efficiency:89.00 EF,Required Efficiency:0.88 EF
1 Water Heater 2:
Electric Storage Water Heater,Capacity:40 gallons
Proposed Efficiency:89.00 EF,Required Efficiency:0.88 EF
1 Water Heater 3:
Project Title: New Townhouse Apartment Report date: 06/25/14
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Electric Storage Water Heater,Capacity:40 gallons
Proposed Efficiency:89.00 EF,Required Efficiency:0.88 EF
1 Water Heater 4:
Electric Storage Water Heater,Capacity:40 gallons
Proposed Efficiency:89.00 EF,Required Efficiency:0.88 EF
Section 4: Requirements Checklist
Requirements Specific To: HVAC System 1 :
❑ 1. Equipment minimum efficiency: Central Furnace(Gas): 80.00%Et(or 78%AFUE)
❑ 2. Specified equipment consists of field-assembled components-efficiency documentation provided
Requirements Speck To: HVAC System 2 :
El 1. Equipment minimum efficiency: Central Fumace(Gas): 80.00%Et(or 78%AFUE)
Ll 2. Specified equipment consists of fieldassembled components-efficiency documentation provided
Requirements Specific To: HVAC System 3 :
i7 1. Equipment minimum efficiency: Central Furnace(Gas): 80.00%Et(or 78%AFUE)
Lj 2. Specified equipment consists of field-assembled components-efficiency documentation provided
Requirements Speck To: HVAC System 4 :
1. Equipment minimum efficiency: Central Fumace(Gas): 80.00%Et(or 78%AFUE)
2. Specified equipment consists of field-assembled components-efficiency documentation provided
Requirements Specific To:Water Heater 1 :
1. Water heating equipment meets minimum efficiency requirements: Electric Water Heater efficiency: 0.88 EF(241 SL,BhA(if>12
kW))
2. First 8 fi of outlet piping is insulated
3. Hot water storage temperature controls that allow setpoint of 90°F for non-dwelling units and 11 O°F for dwelling units.
Ej 4. Heat traps provided on inlet and outlet of storage tanks
Requirements Specific To: Water Heater 2 :
n 1. Water heating equipment meets minimum efficiency requirements: Electric Water Heater efficiency: 0.88 EF(241 SL,Btu/h(If>12
kW))
Ej 2. First 8 it of outlet piping is insulated
F1 3. Hot water storage temperature controls that allow setpoint of 90°F for non-dwelling units and 110'F for dwelling units.
4. Heat traps provided on inlet and outlet of storage tanks
Requirements Specific To: Water Heater 3 :
Ej 1. Water heating equipment meets minimum efficiency requirements: Electric Water Heater efficiency: 0.88 EF(241 SL,Btuth(if>12
kW))
2. First 8 ft of outlet piping is insulated
3. Hot water storage temperature controls that allow setpoint of 90°F for non-dwelling units and 110°F for dwelling units.
I] 4. Heat traps provided on inlet and outlet of storage tanks
Requirements Specific To: Water Heater 4:
1. Water heating equipment meets minimum efficiency requirements: Electric Water Heater efficiency: 0.88 EF(241 SL,Btu/h(if>12
kW))
2. First 8 R of outlet piping is insulated
3. Hot water storage temperature controls that allow setpoint of 90°F for non-dwelling units and 110°F for dwelling units.
Lj 4. Heat traps provided on inlet and outlet of storage tanks
Generic Requirements: Must be met by all systems to which the requirement is applicable:
❑ 1. Plant equipment and system capacity no greater than needed to meet loads
Exception(s):
Standby equipment automatically off when primary system is operating
Multiple units controlled to sequence operation as a function of load
❑ 2. Minimum one temperature control device per system
❑ 3. Minimum one humidity control device per installed humidification/dehumidification system
4. Load calculations per ASHRAE/ACCA Standard 183.
5. Automatic Controls:Setback to 55°F(heat)and 85°F(cool);7-day dock,2-hour occupant override,10-hour backup
Exception(s):
❑ Continuously operating zones
❑ 6. Outside-air source for ventilation;system capable of reducing OSA to required minimum
Project Title:New Townhouse Apartment Report date: 06/25/14
Data filename:Y:\Schermerhom\Cottage Hill Apartments\4-plex\Cottage HIII-4.cck Page 9 of 11
7. R-5 supply and return air dud insulation in unconditioned spaces
R-8 supply and return air dud insulation outside the building
R-8 insulation between ducts and the building exterior when duds are part of a building assembly
Exception(s):
I] Ducts located within equipment
L] Ducts with interior and exterior temperature difference not exceeding 15°F.
❑ 8. Mechanical fasteners and sealants used to conned duds and air distribution equipment
9. Ducts sealed-longitudinal seams on rigid duds;transverse seams on all duds;UL 181A or 1818 tapes and mastics
10.Hot water pipe insulation: 1.5 in.for pipes<=1.5 in.and 2 in.for pipes>1.5 in.
Chilled water/refrigerantlbdne pipe insulation: 1.5 in.for pipes<=1.5 in.and 1.5 in.for pipes>1.5 in.
Steam pipe insulation: 1.5 in.for pipes<=1.5 in.and 3 in.for pipes >1.5 in.
Exception(s):
I] Piping within HVAC equipment.
Fluid temperatures between 55 and 105'F.
Fluid not heated or cooled with renewable energy.
Piping within room fan-coil(with AHRI440 rating)and unit ventilators(with AHRI840 rating).
Runouts<4 it in length.
11.Operation and maintenance manual provided to building owner
12.Therrnostatic controls have 57 deadband
Exception(s):
❑ Thermostats requiring manual changeover between heating and cooling
❑ Special occupancy or special applications where wide temperature ranges are not acceptable and are approved by the authority
having jurisdiction.
❑ 13.Balancing devices provided in accordance with IMC 603.17
14.Demand control ventilation(DCV)present for high design occupancy areas(>40 pemon11000 ft2 in spaces>500 ft2)and served by
systems with any one of 1)an air-side economizer,2)automatic modulating control of the outdoor air damper,or 3)a design outdoor
airflow greater than 3000 cfm.
Exception(s):
p Systems with heat recovery.
LI Multiple-zone systems without DDC of individual zones communicating with a central control panel.
Q Systems with a design outdoor airflow less than 1200 cfm.
E) Spaces where the supply airflow rate minus any makeup or outgoing transfer air requirement is less than 1200 cfm.
15.Motorized,automatic shutoff dampers required on exhaust and outdoor air supply openings
Exception(s):
Gravity dampers acceptable in buildings<3 stories
LJ 16.Automatic controls for freeze protection systems present
17.Exhaust air heat recovery included for systems 5,000 cfm or greater with more than 70%outside air fraction or specifically exempted
Exception(s):
LJ Hazardous exhaust systems,commercial kitchen and clothes dryer exhaust systems that the International Mechanical Code
prohibits the use of energy recovery systems.
❑ Systems serving spaces that are heated and not cooled to less than 60°F.
Fl Where more than 60 percent of the outdoor heating energy is provided from site-recovered or site solar energy.
❑ Heating systems in climates with less than 3600 HDD.
Q Cooling systems in climates with a 1 percent cooling design wet-bulb temperature less than 64°F.
I] Systems requiring dehumidification that employ energy recovery in series with the cooling coil.
I] Laboratory fume hood exhaust systems that have either a variable air volume system capable of reducing exhaust and makeup air
volume to 50 percent or less of design values or,a separate make up air supply meeting the following makeup air requirements:
a)at least 75 percent of exhaust flow rate,b)heated to no more than 2'F below room setpoint temperature,c)cooled to no lower
than WF above room setpoint temperature,d)no humidification added,e)no simultaneous heating and cooling.
Section 5: Compliance Statement
Compliance Statement The proposed mechanical design represented in this document is consistent with the building plans,specifications
and other calculations submitted with this permit application.The proposed mechanical systems have been designed to meet the 2010 New
York Energy Conservation Construction Code requirements in COMcheck Version 3.9.3 and to comply with the mandatory requirements in the
Requirements Checklist.
Ethan P.Hall-Architect
Project Title: New Townhouse Apartment Report date: 06/25/14
Data filename:Y:\Schernerhom\Cottage Hill Apartments\4-plex\Cottage Hill-4.cck Page 10 of i 1
Name-Title Signature Date
Section 6: Post Construction Compliance Statement
EI HVAC record drawings of the actual installation,system capacities,calibration information,and performance data for each equipment
provided to the Owner.
HVAC O&M documents for all mechanical equipment and system provided to the owner by the mechanical contractor.
Written HVAC balancing and operations report provided to the owner.
The above post construction requirements have been completed.
Principal Mechanical Designer-Name Signature Date
Project Title:New Townhouse Apartment Report date: 06/25/14
Data filename:Y:\Schermerhom\Cottage Hill Apartments\4-plex\Cottage Hill-4.cck Page 11 of 11
• Pte• • 'v`�` •?sc�lS
III! GRAMY onsulting, LLC
MAY 31 2016 U 69 Hayden Point Loop
TOU I4 ofu _NsuRY Diamond Point, NY 12824
SUILDiNG Cor 518 221 3240
05/31/2016
Mr. Rich Schermerhom
Schermerhorn Real Estate Holdings
536 Bay Road Ste.2
Queensbury,NY 12804
Inspection Address: 80A Gentry Lane, Queensbury, NY 12804
Report Number: 0531165
Dear Rich:
At your request, the Blower Door Inspection to verify infiltration rate of the subject
property, as per requirements of the NYS 2010 Energy Conservation Construction Code
was performed on 05/31/2016. GRAJNY Consulting, LLC is pleased to submit the
following report.
The following data was provided:
- Square Footage of the apartment,including I"and 2"d floor= 1,408 SF
- Volume of the apartment,including 1"and 2nd floor= 11,876 CF
Based on above,the following test data was collected:
- Infiltration Rate of the apartment at 50 Pascal= 1,059 CFM
- ACH50,Actual Changes per Hour at 50 Pascal= 1,059X60/11,876=5.4<7
The Instruments used for test were provided by the Energy Conservatory Digital Gauge
DG-3 rated accuracy=+/- I%, calibrated minimum once per year.
Thank you for selecting our company. We appreciate the opportunity to be of service.
Please call this office if there are any questions.
Sincerely,
Sfa�Graj"
Stan Grajny, PE
RESNET HERS Energy Rater 5609922
NYS PE 065406-1
GRAJNY Consulting, LLC
69 Hayden Point Loop
Diamond Point, NY 12824
518 221-3240
05/31/2016
Mr. Rich Schermerhorn
Schermerhorn Real Estate Holdings
536 Bay Road Ste. 2
Queensbury,NY 12804
Inspection Address: 80B Gentry Lane, Queensbury, NY 12804
Report Number: 0531166
Dear Rich:
At your request, the Blower Door Inspection to verify infiltration rate of the subject
property, as per requirements of the NYS 2010 Energy Conservation Construction Code
was performed on 05/31/2016. GRAJNY Consulting, LLC is pleased to submit the
following report.
The following data was provided:
- Square Footage of the apartment, including 1"and 2nd floor= 1,408 SF
- Volume of the apartment, including 1"and 2"d floor= 11,876 CF
Based on above,the following test data was collected:
- Infiltration Rate of the apartment at 50 Pascal= 1,199 CFM
- ACH50,Actual Changes per Hour at 50 Pascal= 1,199X60/11,876=6.1 <7
The Instruments used for test were provided by the Energy Conservatory Digital Gauge
DG-3 rated accuracy=+/- 1%,calibrated minimum once per year.
Thank you for selecting our company. We appreciate the opportunity to be of service.
Please call this office if there are any questions.
Sincerely,
Siu.w Gvaj"
Stan Grajny, PE
RESNET HERS Energy Rater 5609922
NYS PE 065406-1
RAJNY onsulfing, LLC
69 Hayden Point Loop
Diamond Point, NY 12824
518 221-3240
05/31/2016
Mr.Rich Schermerhom
Schermerhorn Real Estate Holdings
536 Bay Road Ste.2
Queensbury,NY 12804
Inspection Address: 80C Gentry Lane, Queensbury, NY 12804
Report Number: 0531167
Dear Rich:
At your request, the Blower Door Inspection to verify infiltration rate of the subject
property, as per requirements of the NYS 2010 Energy Conservation Construction Code
was performed on 05/31/2016. GRAJNY Consulting, LLC is pleased to submit the
following report.
The following data was provided:
- Square Footage of the apartment, including 1"and 2'floor= 1,408 SF
- Volume of the apartment,including 1"and 2nd floor= 11,876 CF
Based on above,the following test data was collected:
- Infiltration Rate of the apartment at 50 Pascal= 1,113 CFM
- ACH50,Actual Changes per Hour at 50 Pascal= 1,113X60/11,876=5.6<7
The Instruments used for test were provided by the Energy Conservatory Digital Gauge
DG-3 rated accuracy=+/- 1%, calibrated minimum once per year.
Thank you for selecting our company.We appreciate the opportunity to be of service.
Please call this office if there are any questions.
Sincerely,
Stagy.Graj"
Stan Grajny, PE
RESNET HERS Energy Rater 5609922
NYS PE 065406-1
RAJNY onsulting, LLC
69 Hayden Point Loop
Diamond Point, NY 12824
518 221-3240
05/31/2016
Mr.Rich Schermerhom
Schermerhorn Real Estate Holdings
536 Bay Road Ste.2
Queensbury,NY 12804
Inspection Address: 80D Gentry Lane, Queensbury, NY 12804
Report Number: 0531168
Dear Rich:
At your request, the Blower Door Inspection to verify infiltration rate of the subject
property, as per requirements of the NYS 2010 Energy Conservation Construction Code
was performed on 05/31/2016. GRAJNY Consulting, LLC is pleased to submit the
following report.
The following data was provided:
- Square Footage of the apartment,including 1"and 21 floor= 1,408 SF
- Volume of the apartment,including 1"and 21 floor= 11,876 CF
Based on above,the following test data was collected:
- Infiltration Rate of the apartment at 50 Pascal=952 CFM
- ACH50,Actual Changes per Hour at 50 Pascal=952X60/11,876=4.8 <7
The Instruments used for test were provided by the Energy Conservatory Digital Gauge
DG-3 rated accuracy=+/- I%,calibrated minimum once per year.
Thank you for selecting our company. We appreciate the opportunity to be of service.
Please call this office if there are any questions.
Sincerely,
Sfaw Graf"
Stan Grajny, PE
RESNET HERS Energy Rater 5609922
NYS PE 065406-1
R-c.• 358 • Zd ys
RUCINSKI HALL ARCHITECTURE ����
Ronald Richard Rucinski
Ethan Peter Hall �y�
L�
134 Dix Avenue �J,
Glens Falls NY 12801
Voice 518 741 0268
Fax 518 741 0274
Email ephall@nycap.rr.com
Special Inspection Report
To: John O'Brien - Town of Queensbury—Code Enforcement Officer
From: Ethan Hall
Date: 31 May, 2016
Re: Schermerhorn Residential Properties—Cottage Hill Townhouse Apartments —80 Gentry
Lane
At the above referenced project location this office performed periodic on site observations of the
construction. All items appear to be installed in accordance with the construction drawings.
If there are any questions please contact our office.
Regards,
Ethan P. Hall—Architect 0
Rucinski Hall Architecture o270,y�
MAY 31 Z�lfi U
TOWN OF QUEENSB'JRY
BUILDING & CODES
\\RI1A-FS\acad\Schermerhom\Cottage Hill Apartments\PapeRyork\Special Inspection Lcttcr-80 Gcntry lane-31 May 2016.doc 1
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit NoI`....-2...>5.....b.24 i5 Cert. N 43000 Cut-in Card No.....................................
........ .......
Owner........p... � !.
....................
Location...D„.U.... '/If... ......................................................... ... ................
Installation onsisting of...�0... ..1... �..f..Z� �.. N.� J......
.... .... ............. ........ ....... .....
.. ..1-f.. s�... �:-1..r ..v.. , ..............................
....................................................................................................................................................................................
InstalledBy....FiPl<....`G.Z..... '.........................................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 i tions at any time, and if its
rules are violated,the Company shall have the right to re o this c ific
Date....G..-.43:��............. INSPECTOR....... .. .. .... .:.........................................................
Member N.F.P.A.,I.A.E.I.
INSPECTION WORKSHEET (FM-003366-2016)
Town of Queensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal
Case Number: RC-000358-2015 Case Module: Permit
Inspection Date: 06/02/2016 Inspection Status: Passed
Inspector: Gary Stillman Inspection Type: OCC-Inspections
Job Address: 80 GENTRY LN Parcel Number: 296.15-1-2
Queensbury,NY 12804
Contact Type Company Name Name
Applicant [Schermerhorn Properties]
Architect [Rucinski-Hall Architecture]
Granted Permission [Schermerhorn Properties]
Primary Owner [Schermerhorn Properties]
Contractor Schermerhorn,Richard
Checklist Item Passed Comments
F.D.Signage-FC510 YES
Interior Finishes FC803-804 YES
Electrical Wiring Enclosed/Labeled FC605.3.1 YES
CO Detectors FC610 YES
Occupancy Cycle YES R
FIRE ALARM Annual YES
Clearance to Electrical FC 605.3 YES
Knox Box:installed/checked FC506 YES
Sprinkler FDC YES
Fire Marshal YES Fire Marshal final
Truss ID Signage FC505.3 YES
Exterior Storage FC315.3 YES
Clearance to Sprinkler/Ceiling FC315.2.1 18"/24" YES
Emergency Disconnect FC2203.2 YES
Smoke Detectors FC907 YES
Combustibles in Equipment Rooms FC 315.2.3 YES
Sprinkler System Annual YES NFPA 13 letter from Firetek
Stillman,Gary(Inspector)
Jun 02,2016 Page(5)
, . - 05/31/2016 08:18 5182382E08 ALLTEK ENERGY/FIRETE PAGE 03/03
•
itFIR! ..ts 1 T__sl 0
SPR Y Y ' ' ;S, . '14,•i:,._..
58 Hudson River.Rd. 'Waterford.NY 1218a
Phone:(518)244-37`72 Fax:(518)238 2608
5/27/16
Mr. Mike Palmer
Fire Marshall
Town of Queensbury
742 Bay Rd.
Queensbury,NY 12804
RE: Cottage Hill Apts.
80 Gentry Lane
Queensbury,NY
Mike,
The installation of the fire sprinkler system, at the above address, has been completed. The system is on and
operational. To the best of my knowledge the installation.conforms to NFPA, 13R. Should you require anything
further,please give me a call.
Sincerely,
e----'iqejafeafsgi:ata1/4.
Richard E Boucher
Vice President
{-C •' JO. '/O1FL
l 11 „� Lc
r
1 . -� ii ;
Ill MAY 312016 iI
TOWN OF QUEENS URY
„.., NG , CODt S
INSPECTION WORKSHEET (FMGAS-003365-2016)
Town of Queensbury-Building and Codes-Fire Marshal
742 Bay Road-(518)761-8256 Building(518)761-8206 Fire Marshal
Case Number: RC-000358-2015 Case Module: Permit
Inspection Date: 06/02/2016 Inspection Status: Passed
Inspector: Gary Stillman Inspection Type: Gas Fireplace/Stove
Job Address: 80 GENTRY LN Parcel Number: 296.15-1-2
Queensbury,NY 12804
Contact Type Company Name Name
Primary Owner [Schermerhorn Properties]
Applicant [Schermerhorn Properties]
Architect [Rucinski-Hall Architecture]
Contractor Schermerhorn,Richard
Granted Permission [Schermerhorn Properties]
Checklist Item Passed Comments
Floor Protection YES
Building Inspection notes YES
Hearth Extension(if any) YES
Mantel-height above fp opening YES Ok
Clearances to Combustibles(all sides) YES
Witness Operation YES Ok
Vent Chimney Termination YES
Combustion Air YES
Vent Clearance to Combustibles YES
Gas Shut-off Valve YES
CSST Bonding YES
CO Detection YES Verified operation
Firestop(s)-Vertical Chase YES
General Comments YES 4 fireplaces in units A-D
Firestop(s)-Wall Penetration YES
Stillman,Gary(Inspector)
Jun 02,2016 Page(5)
r. +
Please input agency related information you want to display on the generated reports
Cellphone:XXX-XXX-XXXX.Address:XXX XXXXX BLVD XXXX
Case Number: RC-000358-2015 Case Module: Permit
Inspection Date: 11/18/2015 Inspection Status: Scheduled
Inspector: Gary Stillman Inspection Type: Gas Fireplace/Stove
Job Address: 80 GENTRY LN Parcel Number: 296.15-1-2
Queensbury,NY 12804 / 7
Contact Type Company Name 11 Name
Primary Owner [Schermerhorn Properties]
Contractor Schermerhorn,Richard
Granted Permission [Schermerhorn Properties]
Applicant [Schemerhorn Properties]
Architect [Rucinski-Hall Architecture] Hall,Ethan
Checklist Item Passed Comments
Clearances to Combustibles(all sides) -Clearances to Combustibles YES
(all sides)
Building Inspection notes-Building Inspection Notes YES 80 Gentry Ln.
Serial#A151085639,A1 5101 1 841,A151085644,A151085642
Firestop(s)-Vertical Chase -Firestop(s)-Vertical Chase YES
Vent Chimney Termination -Vent Chimney Termination YES
CO Detection-CO Detection NO Return to verify
Gas Shut-off Valve-Gas Shut-off Valve YES
Floor Protection-Floor Protection YES
CSST Bonding-CSST Bonding NO Return to verify
Vent Clearance to Combustibles-Vent Clearance to Combustibles YES
General Comments-General Comments YES Fireplace inspections for 80 Gentry Ln.,four units
Mantel-height above fp opening-Mantel-height above fp opening NO Return to verify
Combustion Air-Combustion Air YES
Firestop(s)-Wall Penetration -Firestop(s-Wall Penetration YES
Witness Operation-Witness Operation NO Return to verify
D Davis Stillman,Gary(Inspector)
Nov 18,2015 Page(6)
Innovative Hearth Products Installation
SuperiorTM ORT2000 and ORC2000 Direct-Vent Gas Fireplaces 900004-00,04/2015
Table 7:Horizontal vent termination clearances for buildings with combustible and noncumbustible exteriors
made comer Oetslde Cerner Reuased location
See Table 6 8 / Ni/ —y
o _, -G rI— r�7 /� ���� �i t/7�/,j/
F fBl lul ltJ
axed e 0 \ I / ii.ril
ose• II] F xed Balcony with No Side Wall Balcony with Panoendbobr Side Wan
;..... \''
ClosedIll k l i l l l l l4
—F—� Openable --I- 'evlfl
L B 4 7
a 4- T 11::: M 1 ®
B— Al
A M \ 1 Q M V
I _,—__0—K-0 VI —
❑V TERMINATION CAP O AIR SUPPLY INLET ElGAS METER Q RESTRICTED AREA \
(TERMINATION PROHIBITED)
U.S.Installation** Canadian Installation*
A Clearance above grade,veranda,porch,desk,or balcony 12"(300 mm)** 12"(300 mm)
B Clearance to window or door that may be opened 6"(150 mm) 6"(150 mm)
for fireplaces<10,000 Btu/h(3 kW), for fireplaces<10,000 Btu/h(3 kW),
9"(230 mm) 12"(300 mm)
for fireplaces>10,000 Btu/h(3 kW),and<50,000 Btu/h for fireplaces>10,000 Btu/h(3 kW)
(15 kW),
12"(300 mm)
for fireplaces>50,000 Btu/h(15 kW)**
C Clearance to permanently closed window 9"(229 mm) 12"(305 mm)
recommended to prevent window condensation recommended to prevent
window condensation
D Vertical clearance to ventilated soffit located above the 18"(458 mm) 18"(458 mm)
termination within a horizontal distance of 18"(458 mm)
E Clearance to unventilated soffit 12"(305 mm) 12"(305 mm)
F Clearance to outside corner 5"(127 mm) 5"(127 mm)
minimum minimum
G Clearance to inside corner 6"(152 mm)minimum 6"(152 mm)minimum
H Clearance to each inside of center line extended above 36"(910 mm) 36"(910 mm)
meter/regulator assembly within a height of 15 ft above the meter/regulator assembly** within a height of 15 ft above the meter/
regulator assembly*
I Clearance to service regulator vent outlet 36"(910 mm)** 36"(910 mm)*
J Clearance to nonmechanical air supply inlet to building or 6"(150 mm) 6"(150 mm)
the combustion air inlet to any other fireplace for fireplaces<10,000 Btu/h(3 kW), for fireplaces<10,000 Btu/h(3 kW),
9"(230 mm) 12"(300 mm)
for fireplaces>10,000 Btu/h(3 kW)and<50,000 Btu/h(15 kW), for fireplaces>10,000 Btu/h(3 kW)
12"(300 mm)
for fireplaces>50,000 Btu/h(15 kW)**
K Clearance to a mechanical air supply inlet 36"(910 mm)above if within 10 ft(3 m)horizontally** 72"(1830 mm)*
L Clearance above paved sidewalk or paved diveway located 84"(2130 mm)$ 84"(2130 mm)$
on public property
M Clearance under veranda,porch,deck or balcony 12"(300 mm)*$ 12"(300 mm)'$
N Depth of alcove(maximum) 72"(1830 mm)** 72"(1830 mm)*
0 Clearance to termination(alcove) 6"(15.2 mm)e* 6"(15.2 mm)'
P Width of alcove(minimum) 36"(910 mm)** 36"(910 mm)*
0 Clearance to combustible above(alcove) 18"(457 mm)** 18"(457 mm)*
' In accordance with the current CSA-B149.1 National Gas And Propane Installation Code
** In accordance with the curent ANSI Z223.1/NFPA 54 National Fuel Gas Codes
# A vent shall not terminate directly above a sidewalk or paved driveway which is located between two single family dwellings and serves both dwellings
*# Only permitted if veranda,porch,deck,or balcony is fully-open on a minimum two sides beneath the floor
13
Innovative Hearth Products Installation
Superior1M DRT2000 and DRC2000 Direct-Vent Gas Fireplaces 900004-00,04/2015
MINIMUM CLEARANCES TO COMBUSTIBLES
Fireplace And Vent Clearances
The fireplace is approved with zero clearance to combustible materials on all sides (Table 8),with the following
exception:The unit may not be recessed (allowance made for mantel legs/side trim in Figure 6).When the unit is
installed with one side flush with a wall,the wall on the other side of the unit must not extend beyond the front edge
of the unit(Figure 6).
Table 8:Minimum Clearances *
1"(26mm)to wrapper for 45"model,all
Back others 1/2"(13mm)to wrapper
0"(0 mm)to Spacers
Sides 1/2"(13 mm)to wrapper
0"(0 mm)to Spacers**
Top Standoffs 0"(0 mm)to top standoffs
Floor 0"(0 mm)
From Bottom of Unit to Ceiling 64"(1626 mm)
Vent 3"(76 mm)—Top****
1"(25.4 mm)—Sides and Bottom
Front Service Clearance— 36"(914 mm)
clearance immediately in front of viewing area(s)
*3"(76 mm)above any horizontal/inclined vent component.
**See Page 19 for clearance requirements to the nailing flange located at each side of the unit and any screw heads adjacent to it.
***Top vent clearance can be reduced to 2"on horizontal runs when first elbow is located at least 6 ft above the fireplace.
The fireplace must be mounted on a fully supported base extending the full width and depth of the unit.The fireplace
may be located on or near conventional construction materials. However, if installed on combustible materials,such
as carpeting,vinyl tile or other combustible material other than wood flooring,the appliance shall be installed on a
metal or wood panel extending the full width and depth of the appliance.
Hearth Extension
A hearth extension is not required with this fireplace. If a hearth extension is used, do not block the lower control
compartment door.Any hearth extension used is for appearance only and does not have to conform to standard
hearth extension installation requirements.
Shelf Height
To provide for the lowest possible shelf surface, use the rear vent model. For top vent models,the venting attached
to the top vent should be routed in a way to minimize obstructions to the space above the fireplace. Do not insulate
the space between the fireplace and the area above it (Table 9 and Table 10).The minimum height from the base
of the fireplace to the underside of combustible materials used to construct a utility shelf in this fashion is shown in
Table 9 and Table 10.
Table 9:Combustible Shelf Height—Top Vent
Top Vent with one 90°Elbow
Model
Secure Vent® Secure Flex®(flex elbow)
DRC2033/DRT2033 44"(1118 mm) 46"(1168 mm)
DRC2035/DRT2035 47"(1194 mm) 49"(1245 mm) I � �(�.combustibles
DRC2040/DRT2040 52"(1321 mm) 54"(1372 mm) or insulation
Shelf Height in the shaded
DRC2045/DRT2045 50"(1270 mm) 52"(1321 mm) (see table) area between
the appliance
and the shelf
above it.
14
Innovative Hearth Products Installation
SuperiortM DRT2000 and DRC2000 Direct-Vent Gas Fireplaces 900004-00,04/2015
Table 10:Combustible Shelf Height--Rear Vent
Rear Vent with two 90°Elbows
Model >_3"clearance from shelf to
Secure Vent° Secure Flex®(flex elbow) top of fireplace and/or vent
DRC2033/DRT2033 34"(864 mm) 34"(864 mm) pipe,whichever is higher
DRC2035/DRT2035 35 1/2"(902 mm) 351/2"(902 mm) I " eam
DRC2040/DRT2040 401/2"(1029 mm) 401/2"(1029 mm) , ,No
Shelf Height combustibles
DRC2045/DRT2045 45 1/2"(1156 mm) 451/2"(1156 mm) (see table) or insulation
in the shaded
area between
/// the ape and the shelf
above it.
Figure 6:Combustible Side Clearances Figure 7:Mantel Height
At 6"minimum
side wall
clearance,a Mantel depth
combustible
wall can project // Top View of \\ 18(457)
�� —
Fireplace ` �z.
to any length.
\ 16(406)
45° Combustible materials 14(356)
3 1/2" allowed in shaded area
6 (89 mm) "Safe Zone". 12(305)
Combustible walls 10(254)--
shown in dark gray
8(203)
j Combustible mantel
tl legs may project
beyond either side of (305)--{-(203)-+-(102) - Hood
the fireplace opening 10 6 2
as long as they are kept
within the shaded area in.(mm) (254) (152) (51) A r
_ -r-i-1 r-1- illustrated here. Fireplace
6"
(152 mm)
Wall Finishes/Surrounds/Mantels
NOTE: Combustible wall finish materials and/or surround materials must not be allowed to encroach the area defined
by the fireplace front face (black sheet metal). Never allow combustible materials to be positioned in front of or
overlapping the fireplace face (Figure 41).
Non-combustible materials,such as surrounds and other fireplace trim,may be installed on the fireplace face,but they
must not cover any portion of the removable glass panel or control compartment.
Vertical installation clearances to combustible mantels vary according to the depth of the mantel (Figure 7). Mantels
constructed of non-combustible materials may be installed at any height above the fireplace opening. However, do
not allow anything to hang below the fireplace hood.
Minimum clearance requirements include any projections such as shelves, window sills, mantels, etc. above
the fireplace.
NOTE:To avoid heat-related finish damage,use finish materials rated 175°F,or higher,on the underside of the mantel.
INSTALLATION PREPARATION
The fireplace is shipped with all gas controls and components installed and pre-wired. Before installing the fireplace,
follow these steps:
1. Remove the shipping carton, and retain the front of the carton (used to protect the fireplace during construction).
2. Remove the shipping pad, exposing the front glass door.
3. Remove the glass door(Page 57).
NOTE: Place the glass door on the shipping carton to protect its surface.
15
Town of Queensbury Building &Code Enforcement
'Office No. (518)761-8256
t Framing / Firestopping Inspection Report
(� i
`i
Inspection request received: —1 —1 —`,S—
Name: t 2A — Inspected on:
Location: GL-0C-s#1A — A' EArrive: a. m.
Permit No.: l — 2-(D F Inspector's Initials:
TYPE OF STRUCTURE:
Y 1V N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Truss Specification Provided
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12'0.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 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 insulation in cavity min.
Garage Fire Separation
House side%inch or 518 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
Design Professional Sign-off,if required
Framing/Firestopping Inspection Report
RUCINSKI HALL ARCHITECTURE
Ronald Richard Rucinski
Ethan Peter Hall �5
C?
627 Maple Avenue
Saratoga Springs NY 12866
Voice 518 580 1905
Fax 518 584 5012
Email ephallQa nycap.rr.com
Special Inspection Report
To: John O'Brien -Town of Queensbury—Code Enforcement Officer
From: Ethan Hall
Date: 14 September, 2015
Re. Schermerhorn Residential Properties—Cottage Hill Townhouse Apartments— Building#4
At the above referenced project location this office performed on site observations of the shear wall
installations prior to insulation. All items appear to be installed in accordance with the construction
drawings.
If there are any questions please contact our office.
Regards, ti g y
Ethan P. Hall—Architect
Rucinski Hall Architecture
170AN
Y1Scherr1erhorn\C0ttage Hill Apartments\PapeMork\Special Inspection Letter-Bldg,t-14 Sept 2015.doc 1
11�
KD
Rough Plumbing I Insulation Inspection Report
Inspection request received $ l uytS
Name ��� n Inspected on 8 7-0 =
Location Ct4 4ft 80 Arrive a m
Permit No. l _ 2 S Inspector's Initials
Type of Structure
MMENTS
y N NA
Plumbing under slab
Rough Plumbing/ Nail Plates
Plumbing Vent/Vents in Place
1 %: 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
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
-F"
13
Rough Plumbing 1 Insulation Inspection Report
Inspection request received j 2c�
Name
,DcVy-vVNcr n Inspected on til I 2 c'
LocationC" �}d AdDoc
Arrive
Permit No. j ' - b 5 Inspector's Initials _
Type of Structure
MMENTS
Y N NA
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 %: 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
ylir F.Head
50 P.S.I for 15 minutes L[.,
idential Check �'LI LOI�LLJ
Window Sealing R_38 C-4FIUrJ6,
Tyvek or Similar Exterior Sealant
Proper Vent,Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces 1� c�-
6mbustion Air Supply for Furnace
etWe* ,, ;1;No ducF 4ape 4
Blower Door Test'
Air Sealing
Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256
Town of Queensbury Building &Code Enforcement
Office No. (518) 761-8256 1 3
Framing 1 Firestopping Inspection Report
Inspection request received:
Name: �scIyXn 1Gvl1CVW1 Inspected on: Tlapi 12015
Location: l.v�r� C71RX�1 Ui' Arrive: ^ a.m.
Permit No.: Z01g ' 212`J 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 1 Bridging
Joist hangers
Jack Posts/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 %(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
24 in.(H)
20 in.(W)
5.7 sf above I below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing I Firestopping Inspection Report
Rough Plumbing 1 Insulation Inspection Report
Inspection request received zp(5
Name SCJ- c.y Inspected on
Location (Z ,A1(( Sp Arrive amlpm
Permit No. l9 - 2,(e5 Inspector's Initials
Type of Structure
COMMENTS
Y N NA
Plumbing under slab `/� � 2 -95VQ
Rough Plumbing /Nail Plates r�
Plumbing Vent/Vents in Place
1 Yz 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
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
Rough Plumbing / Insulation Inspection Report /— 3�a-,,
Office No. (518) 761-8256 Date Ins ecti n equest received:
Queensbury Building & Code Enforcement Arrive: %I a /p
742 Bay Road, Queensbury, NY 12804 Inspector's Initia S,
NAME: Stw1z ��rti� PERMIT#:
LOCATION: �2 ti-/FIS �' INSPECT ON: i5
TYPE OF STRUCTURE: T p�
Y N N/A
Plumbing under slab Il �
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
11/2 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. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
1. for for 15 minutes
Insulatio Residential Check/Commercial Check (1r
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
COMMENTS:
Rough Plumb ing_Insu lation Inspection-02 05 13
Town of Queensbury Building&Code Enforcement —TY3-U
Office No. (518)761-8256 V0-12,
Rough Plumbing I Insulation Inspection Report
Inspection request received: 22 ti
Name: _ Inspected on: 7.3V'2ZAct)
Location: Lcan b�dc, 4 Arrive: \� a. M.
Permit No.: 5 Inspector's Initials:
Type of Structure:
COMMENTS
Y N NA
Plumbing under slab 1
Rough Plumbing/ Nail Plates
Plumbing Vent/Vents in Place
1 '/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air I Head
5 P.S.I.or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air I Head
50 P.S.I for 15 minutes -\
Insulation I Residential Check I 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
Rough Plumbing/Insulation Inspection Report
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: \ am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: �Lj T�\
NAME: PERMIT A 4l 2(,o6—
LOCATION: INSPECT ON: 2
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS:
Attic Access 22" x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/ Bearing Walls
Metal Strapping for Notches Top Plate
1 'h w 18 gauge 8 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Botts 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 'A inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilingfwall
Windows Habitable Space/ Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\Building&Codes Forms-0LDSulidug&CodesUrepection ForrnsTraming Firestopp ft Insped ion Reportdoc Revised January 7,2008
er ua� /4D Q m
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:f am/p
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: (" PERMIT 8: PSI—el to
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
J 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 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
Foundat on 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 12/18/2013 2:44:00 PM
�- l0
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Ins ecti n r quest received:
Queensbury Building & Code Enforcement Arrive: � am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initi Is:�l
NAME: SG�� �4rn �t`Ct2-l\I PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: R
Y N N/A
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
11/2 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. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I. for 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
COMMENTS:
Rough Plum hing_Insulati on Inspection-02 0513
Foundation Inspection Report
�z-
Office No. (518)761-8256 Date Ins ectionNv 1,91116reques e' _ff
�
Queensbury Building&Code Enforcement Arrive: Depart: in
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial /
NAME: /� /D IT#: y—
LOCATION:
LOCATION: � �t k// INSPECT ON:
0
TYPE OF STRUCTURE:
Comments
mac;
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 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
ackfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulati n Interio terior
(�f R
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/18/2013 2:44:00 PM
Foundation Inspection Report
Office No. (518) 761-8256 Date InspectionFERMrr#:
�2Queensbury Building&Code Enforcement Arrive: " % Depart:5�a /742 Bay Rd.,Queensbury, NY 12804 Inspector's InitiNAME: q &Ahah &tom �
LOCATION: D 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 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 12/18/2013 2:44:00 PM
Tues
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection requ ei
Queensbury Building&Code Enforcement Arrive: pm epart: 3-fe-F pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials
NAME: (4)0,Ah j-4* Q. ) s AC, RMIT#: a Iles
LOCATION: D 6--om.:h N A O. INSPECT ON: 30 y
TYPE OF STRUCTURE:
r
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 Report.doc
Last printed 12/18/2013 2:44:00 PM
0 e:) %-.14
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: Depart: m
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: &4N .m Q N P RMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: ALdq
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 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 12/18/2013 2:44:00 PM