2009-574 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,N TY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
CEX'DV"".vtIFICA `rE OF 3CUP.A '�TY
Permit Number: P20090574 Date Issued; Tuesday, January 03, 2012
This is to certify that work requested to be done as shown by Permit Number P20090574
has been completed.
Location: 104 SEELYE Rd
Tax Map Number: 523400-227-017-0002-009-000-0000
Owner: JAMES & ELIZABETH WHITE
Applicant: JAMES &NANCY WHITE
This structure may be occupied as a:
Garage Detached By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property
owner of the responsibility for compliance with Site Plan Variance or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Cade Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090574 Application Number. A20090574
Tax Map No: 523400-227-017-0002-009-000-0000
Permission is herebygranted to: JAMES &NANCY WHITE
For properly located at: 104 SEELYE Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Tyne of Construction Value
Owner Address: JAMES &ELIZABETH WHITE Garage Detached
104 SEELYE Rd Residential Addition $35,000.00
QUEENSBURY,NY 12804-0000 Total value $35,000.00
Contractor or Builders Name/Address Electrical Inspection Agency
Plans&Specifications
2009-574
526 SQ FT RESIDENTIAL ADDITION WITH 1088 SQ FT DETACHED GARAGE
$183.80 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,December 10,2011
(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.)
VeLur�WTh cember 10,2009
Dated at the Town rfQuS BY 0for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Qwensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090574 Application Number. A20090574
Tax Map No: 523400-227-017-0002-009-000-0000
Permission is hereby granted to: JAMES &NANCY WHITE
For property located at: 104 SEELYE Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Tyne of Construction Value
Owner Address: JAMES &NANCY WHITE
P.O. BOX 124 Garage Detached
CLEVERDALE,NY 12820-0000 Residential Addition $35 000
Total Value $35,000.00
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2009-574
526 SQ FT RESIDENTIAL ADDITION WITH 1088 SQ FT DETACHED GARAGE
$183.80 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,December 10,2010
(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 own`b Que buW, y /T rsday,December 10,2009
SIGNED BY 4 for the Town of Queensbury.
Director of Building&Code Enforcement
zj-
4.
OFFICE USE ONLY
„
TAX MAP NO. _ _ _ — PERMIT NO. :F
----- ----
FH
r
FEES. PERMI�4-_- RECREATION____ ENGINEERING_-__ __-____?
----------------------------------
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILD1k PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.APPLICANT/BUILDER:—k., j /� Y� OWNER: �Arr1tG
ADDRESS: IT ~ ADDRESS:
Qi— _
PHONE NOS.�_ ✓5� 2P PHONE NOS.--- --A—A—
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE:
`"� PHONE:�wD�
LOCATION OF PROPERTY:_(D4 VpAQ ,-��(, / �Q
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT Z
APPLY TO YOUR _O j o
PROJECT o U3L
w
w aOU=x
LL� u Q
s C-4Cn O a=eo
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO—)
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
G' `E '2,C) l0$8 lUb� .' to u
OTHER
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:_ AtA
ESTIMATED CONSTRUCTION COST:S� ELiD� FU TYPE:
HEAT TYPE?IIWvxUC.—'HOW MANY FIREPLACE(S)— AND/OR WOODSTOVES(S):—_—_
ZONING CATEGORY:_ �_1AREE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION: �'?I.r(2I
Town of Queensbury•Community Development Office•742 Bay Road, Queensbury,NY 12804
------------------------------------
OFFICE USE ONLY
PROJECT NAME: '
STAFF INITIALS: ;
DATE: ;
BUILDING PERMIT SUBMISSION ,
,
CHECKLIST FOR:
SINGLE FAMILY DWELLING
1. Building Permit Application Completed? YES NO N /A.
I if
3 �: i 3
1 Energy Form or CheckMate Energy Code Compliance j _ / 3
2' Forms Complete? (2-copies) y
3 ` Energy Code Inspector's Report from Checkmate
Program? (2-copies)
-------------
j 1 Septic application completely filled out?
3 4' ! (if applicable) '
complete?
5. " Electrical Inspection Form ' ✓
I
6. ` Two (2) sets of the plans each of the following: YES NO N /A
a. Floor plans (s)?
1 b. Foundation plan?
1 c. Cross sections (s)? 71V
F
Lx
's
i
d. Elevations?
f
t I _
e. Window and door schedule?
g. Plans signed and sealed by registered architect or ? 1
engineer? --
h. Window and door schedule?
Two (2) site plans showing location of the structure to be
7. built, location of well or water lines, location of septic
i system or sewer line?
I
8. 1 Setbacks from property lines to new structure? i
Setbacks to neighboring wells and septic systems,
$' including onsite well and septic systems (if applicable)?
f
9. 1 Driveway Permit?
- Town of Queensbury - Community Development Office • 742 Bay Road, Queensbury, DIY 12804
Queensbury Building & Code Enforcement - Re - ential Final Inspection
1\44office No. (518)761-8256 Arrive: am/p Depart�am/pm
Date Inspection requ st received: Inspector's Initials:
NAME: 14PERMIT#:
LOCATION: V n 24 DATE:
TYPE OF STRUCTURE:
Comments:
Yes No NIA
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete t3 — � -
Platform at all exterior doors
Handrail 4 or more risers ArT "4-%-)
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazigg
Interior Smoke Det ors/Carbon M noxide D ectors
Every level: Eve Bed :
Outside every bedroom ea:
Inter Connected: EBattery backup:
Attic access 30 inches 122 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-1 50 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site oe
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler 00
Relief Valves installed/Heat Trap/Water Terri 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Gamna fire roofin /%hour fire door/door closer
as Logs in ealed or Glass Enclosure
Final Electri ;En o
Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C I C or C 10 Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
vkc), ).I? 0"j— L/
CONINIONWEA6 rEITRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheirn,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No........................................Cert. N2 19053 Cut-in Card No.....................................
Owner.......-7.-/.... !T7
Locationlai/............. .. D/4e_-P.
...... . ... ....... ........
Installation Consisting pf..0. ......$4t/f7h4
............................................
/Z
.............................................................................................................................................................
InstalledBy....... ..................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 vo making ienons at any time, and if its
th
is
rules are violated,the Company shall have the right to s ce MicaDate....
.......... INSPECTOR.....
.............................. .. .......................................................
/ - � �111
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: a ' !l
Queensbury Building &Code Enforcement Arrive: am/pm Depart: athlorn
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 4w�
NAME: D'� PERMIT#:
LOCATION: 1 U� INSPECT ON: c�
TYPE OF STRUCTURE:, AA-11 11-5�-
Y N NIA
Rough Plumbing I Nail Plates
Plumbing Vent/Vents in Place
1 %" minimum Drain Size
Woong Machine Drain 2 inch minimum
Cieanout Val 100 feet I chap a of direction
Pressure Test
Drain I Vent
Air/Head
5 P.S.I. or 10 ft. above h' hest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
r 15 minutes
nsu estdentiai Check I Commercial Check
k or Similar Exterior Sealant
Proper Vent, Attic Vent
Door 1 Window Sealed No Insulation
Duct I Hot Water Piping Insulation
If uired unheated Maces
Combustion Air Su for Furnace
Duct work seams properly/No duct tape
COMMENTS: ^�� - - ��`�211
Rough Plumbing lnsulabon Repoit.revised Nov 17 2003,revised February 15,2005,revised January?,2008
Rough Plumbing / Insulation lnsp�tion Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Say Road, Queensbury, NY 12804 Inspector's Initials: ��
-")
NAME:—.1A 4PERMIT
LOCATION: INSPECT ON: -
_X
TYPE OF STRUCTURE: L i
Y N N/A
EMS-A PkmnbiMf Nail Plates
Plum /Vents in Place
1 r4 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout 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.1 for 15 minutes
Insulation/Residential Check/Commercial Check
Tyyek or Similar Exterior Sealant
P r Vent,Attic Vent
Door/Window Sealed No insulation
Duct i Hot Water Piping insulation
If Tguired unheated aces
Combustion Air Supply for Furnace
Duct work seal! pmp2rly/No duct tape
COMMENTS:
Roush Numbing Insuiabon Reportrevised Nov V 2M,revised Fshwy 15,2005, revised January 7,2008
Framing / Firestopping Inspection Report �—
Office No. (518)761-8256 Date I
Queensbury Building&Code Enkwwnent Arrive: rt: a
742 Bay Road, Queensbtuy, NY 12804 tnspecor`s mitt
NAME: MIT P
LOCATION: 1 SPECT ON: _7LL3
TYPE OF STRUCTURE:
Y a W.A C-ONCHTS:
r2imi � - • •---
Attic Access 22"x 30"minimum
Jack Studs/
Joist hangers
Jack Posts/Main Beams ,c��(�— c�a i r�� �
Exterior sheering nailer!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
Mend Strapping for Notches Top Plate
1 % w 16 8 16D name each side
Draft stopping 1,000 sq.1t.floor trusses tz�
Anchor Bolts 6 ft. or less on center
lee 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's inch or 518 inch Type X
Garage side 5/8 inch Type X
Callinatwall
Windows Habitable Space/Bedrooms
24 In. (H)
20 in. (W)
5.7 sf above/below grade
5.0 of grade
L:16uikke&Codes Fams-0LdrBuOM&C0de8VMPedion Fwft\Fwft Frnstopphrp hnpaction R%Mtdoc RwbW January 7,2=
Foundation Inspection Report
==&
8256 Date hopection request received:
Code Enforcement Arrive: am/pm Dep am/pm
742 Bay Rd.,Queensbury,NY 12904 Inspector's Initials:
NAME: I ��. PERMIT#:
LOCATION: _ INSPECT ON:
TYPE OF STRUCTURE:
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 purpEw on site.
Foundation/Wallpour
Reiaforcoment 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
BwAM Approval
Phmib' Slab
4VV
C/Cast iCaPT
Foundati gin"Wation Ite or/Exterior
Rough Grade 6 inch drop within 10 ft.
L: BulkftN&Codes Forrns\Building&CodeQnspettlon Forn Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspwfion Report
Office No.(518)761-8256 Date Inspection request received:
Quaensbury Building 8t Code Enforcement Arrive: _am/pm Depart: pm
742 Bay Rd.,Que eenssbury,NY 12904 b"pector's Initials:
-7
NAME: W�' PERMIT#: 7_S
LOCATION: &Z INSPECT ON: —
TYPE OF STRUC
Footings
ers
Monolithic Slab
VAbbMaoin 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/Walipour
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 poty for wet areas under slab
BackfiQ Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:1SuftM&Codes FonyoXeuiiding&Codesunspection Fo mAft ndation Ins ion Report.doc
Last pdrftd 12/20/2005 9:24:00 AM
Foundation Inspection Report - L �
Office No.(518)761-8256 Date Inspec ' st received t
Quaensbmy Building&Code Enforcement Arrive: 5 Depart. am/pm
742 Bay Rd.,Queensbury,NY 12904 Inspector s Initials.
NAME: IAJ PERMIT#: Z� �
LOCATION. INSPECT ON: 1
TYPE OF STRUCTURE:
Piers
Monolithic Slab
Reinforc na d in Place r
The contractor is responsibler
Pvviding Peon from freezing
for 48 hours following the plaaemont
of the concrete.
Materials for this purposeon 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 pk for wet areas under$lab
BackBll Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
JA
L:\eu1MMg&Codes Forms\6u11d1ng&is cxW\tnspecioo Form,Aftndatlon Inspectbn ReportAm
Last p t ted 12/20/2005 9:24:00 AM
ion In pection Report
Rough Plumbing l lneula
Offiice No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm art:-2 z::: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT #: 1z' /Z
LOCATION: 1014 INSPECT ON: t -,%L
i
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing/Nail Plates
PlurnbN Vent/Vents in Place
1 %inch minimum Drain Size
Washi29 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 h' hest connection for 15 minutes
Pressure Test
Water Supply Piping
r
50 P.S.I f 15 minutes
Insulation tnesidential Check/Commercial Check
Tyvek grSimilar Exterior Sealant
Prop&Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If mguired unheated Maces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised Febmary 15,2005, revised January 7,2008
Framing / Firestopping Inspection ROport
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart:L�m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's initials:
NAME: PERMIT#:
LOCATION: Z,041INSPECT ON:
TYPE OF STRUCTURE:
-�
Y N NtA COMMENTS:
Framing
' ss 22"x 30" minimum
Jack Studs/Headers
Bracing I Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheering 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 S ��
1 % w 16 gagge 8 16D nabs each side
Draft stopping 1,000 sq.IL 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 Fire Separation
House side%inch or 5/8 inch Type X G
Garage side 5/8 inch Type X
Ce7ilingAN811
Windows Habitable Space/Bedrooms
24 in. (H)
20 in.
5.7 sf above/below grade
5.0 sf grade
L:1Buildit&Codes Forms-01-Mupding&Cod®sNnspection FonMTnunin9 FffedoppMq Inspection RsporLdoe Rev16ed January 7,2WO
Foundation Inspection Report
Office No.(518)761-8256 Date In n uest received:
Queensbury Building&Code Enforcement Arrive; pt part: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector s Initials.
NAME: z PERMIT#: r- 5-7�
LOCATION: Jn 4f INSPECT ON: -2 a-Za OF STRUCTURE:
Commenb
Y N NA
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 '
6 mil l for wet areas un slab
PI bmg Under Slab
Z!V—C/Cast/Copper
Foundation Insulatio Inte 'or/Exterior
R-
Rough ade 6vnch within 1 a ft.
L:\Bufiding&Codes Forms\Bufiding&Codes\lnspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
P� �
Office No.(518)761-8256 Date Ins request r32eceived:
Queensbury Building&Code Enforcement Arrive: am/p part: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto 's Initials•
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
�Co�m�nb
Y N NA
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
cre
rials fo 's se on site. ►
Fo dation/Wallpour7�
orcement
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 8.
t_:\Building&Codes Forms\Buitding&Codes\Inspecction Forms\Foundatlon Inspec0on Report.doc
Last printed 12/20/2005 9,24:00 AM
)6
Foundation Inspection Report ldlaL.
Office No.(518)761-8256 Date Inspection request received: E a'0 ! d
Queensbury Building&Code Enforcement Arrive: am/p Depart: r pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials-
NAME: � PERMIT :
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
( j
Y N NA
Footings
iers
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 �Z,2-k —
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12vnch 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 12/20/2005 9:24:00 AM
. 3
REScheck Software Version 4.3.0CNJ( ��-
Compliance Certificate
Project Title: Renovations to the Residence
Energy Code: 2007 New York Energy Conservation
Construction Code
Location: Warren County,New York
Construction Type: Detached 1 or 2 Family
Heating Type: Non-Electric
Glazing Area Percentage: 14%
Heating Degree Days: 7635
Construction Site: Owner/Agent: Designer/Contractor:
104 Seeley Road Jim&Beth White Ethan P.Hall
Queensbury,NY 12804 104 Seeley Road Rucinski Hall Architecture
Queensbury,NY 12804 627 Maple Ave
656-9536 Saratoga Springs,NY 12866
518-580-1905
ephall@nycap.rr.com
Comphancei Passes
Compliance: Maximum UA:214 Your UA:175
Gross Cavity Cont. Glazing UA
Assembly Area or R-Value R-Value or D..
Perimeter U-Factor
Ceiling 1:Cathedral Ceiling(no attic) 142 38.0 0.0 4
Ceiling 2:Flat Ceiling or Scissor Truss 114 38.0 0.0 3
Ceiling 3:Flat Ceiling or Scissor Truss 131 38.0 0.0 4
Ceiling 4:Flat Ceiling or Scissor Truss 100 38.0 0.0 3
Wall 1:Wood Frame,16"o.c. 273 21.0 0.0 14
Window 1:Wood Frame:Double Pane with Low-E 21 0.340 7
Wall 2:Wood Frame,16"o.c. 172 21.0 0.0 7
Window 2:Wood Frame:Double Pane with Low-E 14 0.340 5
Door 1:Glass 40 0.340 14
Wall 3:Wood Frame,16"o.c. 297 21.0 0.0 15
Window 3:Metal Frame:Double Pane with Low-E 22 0.340 7
Door 2:Solid 20 0.300 6
Wall 4:Wood Frame,16"o.c. 240 21.0 0.0 11
Window 4:Wood Frame:Double Pane with Low-E 25 0.340 9
Door 3:Glass 20 0.340 7
Floor 1:Slab-On-Grade:Heated 86 10.0 59
Insulation depth:4.9
Boiler 1:Other(Except Gas-Fired Steam)93 AFUE
The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted
with this permit application.The proposed systems have been designed to me e --York Energy Conservation Construction
Code requirements.When a Registered Design Professional has stamped y are attesting that to the best of his/her
knowledge,belief,and professional judgment,such plans or specificati s Code.
Name-Title Si Date
Project Notes:
Res-check provided for new addition only. 7o '
Project Title: Renovations to the Residence Report date: 11/19/09
Data filename:Y:\Whke Resdience\Residence Const.Dwg\White.rck Page 1 of 5
CREScheck Software Version 4.3.0
NJ( Inspection Checklist
Ceilings:
❑ Ceiling 1:Cathedral Ceiling(no attic),R-38.0 cavity insulation
Comments:
❑ Ceiling 2:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:
❑ Ceiling 3:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:
❑ Ceiling 4:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:
Above-Grade Walls:
❑ Wall 1:Wood Frame,16"o.c.,R-21.0 cavity insulation
Comments:
❑ Wall 2:Wood Frame,16"o.c.,R-21.0 cavity insulation
Comments:
❑ Wall 3:Wood Frame,16"o.c.,R-21.0 cavity insulation
Comments:
❑ Wall 4:Wood Frame,16"o.c.,R-21.0 cavity insulation
Comments:
Windows:
❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor.0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 2:Wood Frame:Double Pane with Low-E.U-factor.0.340
For windows without labeled U-factors,describe features:
Vanes Frame Type Thermal Break? Yes No
Comments:
❑ Window 3:Metal Frame:Double Pane with Low-E,U-factor.0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 4:Wood Frame:Double Pane with Low-E.U-factor.0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
❑ Door 1:Glass,U-factor:0.340
Comments:
❑ Door 2:Solid,U-factor:0.300
Comments:
(Q Door 3:Glass,U-factor.0.340
Project Title: Renovations to the Residence Report date: 11/19/09
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}
Comments:
Floors:
❑ Floor 1:Stab-On-Grade:Heated,4.0'insulation depth,R-10.0 continuous insulation
Comments:
Slab insulation extends down from the top of the stab to at least 4.0 ft.OR down to at least the bottom of the slab then horizontally for a
total distance of 4.0 ft.
Exterior insulation has a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade)insulation and extends
at least 6 in.below grade.
Heating and Cooling Equipment:
❑ Boiler 1:Other(Except Gas-Fired Steam):93 AFUE or higher
Make and Model Number:
Air Leakage:
❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed.
❑ Recessed lights are 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible
materials.If non-IC rated,fixtures are installed with a 3"clearance from insulation.
Vapor Retarder:
❑ Installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification and Installation:
❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions.
❑ Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value.
❑ Materials and equipment are identified so that compliance can be determined.
❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided.
❑ Insulation R-values,glazing U factors,and heating equipment efficiency are dearly marked on the building plans or specifications.
Duct Insulation:
❑ Supply ducts in unconditioned attics or outside the building are insulated to at least R-11.
❑ Return duds in unconditioned attics or outside the building are insulated to at least R-6.
❑ Supply ducts in unconditioned spaces are insulated to at least R-11.
❑ Return ducts in unconditioned spaces(except basements)are insulated to R-2.Insulation is not required on return ducts in basements.
Duct Construction:
❑ All joints,seams,and connections are securely fastened with welds,gaskets,mastics(adhesives),mastic-plus-embedded-fabric,or
tapes.Tapes and mastics are rated UL 181A or UL 181B.
Exceptions:
Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa).
❑ The HVAC system provides a means for balancing air and water systems.
Temperature Controls:
❑ Each dwelling unit has at least one thermostat capable of automatically adjusting the space temperature set point of the largest zone.
Electric Systems:
❑ Separate electric meters exist for each dwelling unit.
Fireplaces:
❑ Fireplaces are installed with tight fitting non-combustible fireplace doors.
❑ Fireplaces have a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York
State,the Residential Code of New York State or the New York City Building Code,as applicable.
Service Water Heating:
❑ Water heaters with vertical pipe risers have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or
is part of a circulating system.
Circulating Hot Water Systems:
❑ Circulating hot water pipes are insulated to the levels in Table 1.
Heating and Cooling Piping insulation:
❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2.
Project Title: Renovations to the Residence Report date: 11/19/09
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° Swimming Pools:
All heated swimming pools have an on/off heater switch and a cover unless over 20%of the heating energy is from non-depletable
sources.Pool pumps have a time dock.
- -Project Title: Renovations to the Residence Report date: 11/19/09
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' Table 9:Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness In Inches by Pipe Sizes
Non-Circulating Runouts Circulating Mains and Runouts
Heated Water Temperature(°F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-169 0.5 0.5 1.0 1.5
100-139 0.5 0.5 0.5 1.0
Table 2:Minimum Insulation Thickness for HVAC Pipes
Fluid Temp. Insulation Thickness in inches by Pipe Sizes
Piping System Types Range(°F) 2"Runouts 1"and Less 1.25'to 2.0" 2.5"to 4"
Heating Systems
Low Pressuretfemperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.6
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0
Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD:(Building Department Use Only)
Project Title: Renovations to the Residence Report date: 11/19/09
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ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?—_—_A0— — — —
'Please complete a separate Application for Fuel Burning Appliances&Chimneys available in our office
-------------•.........1 .-.---- ----------.-------•--•-----------••---•-----•-•----
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/ i
description of the work proposed, that all work will be performed in accordance with the NY
State Builidng 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 read agopgre to a Va.
i Signed: — l� Ad �
---------------------------
Director of Building&Codes: 761-8256(for questions QUESTIONS? CALL 7B1-82"OR EMAIL
regarding Building Permits,construction codes or septic codes(a_nueen.burv.net
systems)
VISIT OUR WEBSITE FOR MORE INFORMATION
Zoning Administrator: 761-8218(for questions regarding www•gueensbury.net
required permits,the permit process,application requirements or to
schedule an appointment)
Permission is'hereby granted to the above This application/proposed action described herein is
Applicant to erect or alter the building described ; found to be in accordance with the zoning Laws of
herein in accordance with said Application: ; the Town of Queensbury
;
BUILDING&CODES APPROVAL
ZONING APPROVAL
; ----------
DATE DATE ;
___ _____-_ --------------------
Office Use Only
Operating Permit Issued: Yes No
Occupancy Type:
Construction Classification: _ t"�f'1
Assembly Occupancy limit: a f
Special Conditions:
Revised 9/22/09
Town of Queensbury•Community Development Office• 742 Bay Road, Queensbury, NY 12804