2005-453 �� TOWN OF QUEENSBURY
coro 742 Bay Road, Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20050453 Date Issued: Thursday, October 13, 2005
This is to certify that work requested to be done as shown by Permit Number P20050453
has been completed.
Tax Map Number: 523400-278-000-0001-050-000-0000
Location: 1235 BAY Rd
Owner: KYER LIVING TRUST
Applicant: ROBERT KYER
This structure may be occupied as a:
Residential Addition By Order of Town Board
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 Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
1
TOWN OF QUEENSBURY
`i 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
0)ira
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050453 Application Number: A20050453
Tax Map No: 523400-278-000-0001-050-000-0000
Permission is hereby granted to: ROBERT KYF,R
For property located at: 1235 BAY Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: KYER LIVING TRUST
1235 BAY Rd Residential Addition $75,000.00
Total Value $75,000.00
LAKE GEORGE, NY 12845-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-453
816 SQ FT RESIDENTIAL ADDITION
$97.92 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, July 07, 2006
(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 t of Qu ;Ty; hursday, July 07, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Permit No. SS-Li
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid !
742 Bay Road,Queensbury,NY 12804 Recreation Fee
Dave Hatin,Director codes@aueensburv.net
Phone: (518) 761-8256 FAX: (518) 745-4437
Principal Structure Building Permit Application
Application & Plans subject to review before issuance of a valid permit for construction.
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder RGbcr4 C Vitt- Owner: olo& 4 e Vier
Address: fps 64/ 4r,-D Address: l435
OKaec t5Ktr /A) /L1o`1 Cv nS6o-. A/ Y 12 P°'1
Home Phone: 79 - ( C5 Z Home Phone: 7q 3 &55 2.
Email Address: Email Address:
Cell Phone: Cell Phone:
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name: Ft,4,i.K 1-16 001101
Address: Up (1441a.3/44 Tr A, ; lrt:44 F tiG.� , N Phone 7` S -C76
Location of proposed construction: Lot No. " Legal Address: 4736 13�Y /2a4,)
Tax Map Number: cfl I — So Subdivision Name: AV`/1 RECEIVED
Estimated Cost of Construction: $ 7ST Gcc =�-
JUN202005
Proposed construction is for: X.Residential Use Commercial Use
/ TOWN OF QUEENSBURY
Name of Business: /V/A BUILDING AND CODE
If proposed construction is an addition,what will use of new addition be? C-CF, / 3'+
New Addition Alteration Proposed Construction 10 Floor 2nd floor Other Total Proposed
structure (Occupancy Type) Sq.Ft. sq.ff. Sq.Ft. Square feet Height
Ft.&
Single-Family Dwelling g/(p IV/v'4 i./4 S/(� f -i n. r "
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached Garage 1, 2, 3
Type of Heating System: Electric, Oil, Gas, Wood, orced Hot Air Baseboard, Other:
Is a fireplace and/or woodstove being installed, please refer to a separate application. _Yes No
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the application, together with the plans and
specifications submitted, are a true and complete statement of all proposed work to be done on the described
premises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to the
proposed work shall be complied with,whether specified or noted, and that such work is authorized by the owner.
Further, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance
being issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a
licensed surveyor, drawn to scale, showing actual location of a w construction.
Date: G//�/S Applicant/Builder Signature: ���,,e,` " C 4-3/Rpd
r
The application of dated is hereby approved and
permission granted for the construction, reconstruction or alt ratio of a building/and or accessory structure as set
forth above.
Date: le 01-Authorized Signature: t CLS
L:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION:
Location of installation: a` Office Use
N
Tax Map No. / / 1
File Permit No.
I �
Owner's Name: Foe Paid
Address:
2. INSTALLER'S NAME : PHONE NO.
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdrm
1980— 1991 x 130 gal/bdrm = '
1991 —present x 110 gal/bdrm
Garbage Grinder Installed yes / no
Spa or Hot Tub Installed yes— / no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
Topography Soil Nature Ground Water Bedrock or Impervious Material . Domestic Water Supply
Flat sand at what depth at what depth municipal
Rolling loam feet feet well
Steep slope clay if well;water supply
%slope other from any septic-system
depth: absorption is ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licelnsed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub.
Septic Tank: gallon (min.size 1,000 gal)
Tile Field: each trench ft. Total System Length: ft
Seepage Pit(s): number of size of each: ft. by ft.
I i
Size,"
Stone to be used: # / depth or thickness feet
Bed System Size: x
Alternative System: length and/or, size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: gallons /TOTAL Cpacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
i t
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 ofithe Code of the Town
of Queensbury, any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abi4e by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
I
Signature of responsible person bate
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Queensbury Building & Code Enforcement - Residential Final Inspection /JQ �
Office No.(518)761-8256 Voliv,S" Arrive: am/prl epart: /���pm
Date Inspection request received: 4a�/ Inspector's Initials:NAME: �2.1 �— PERMIT#: '^ ��
LOCATION: ---� (:`j .� i ! DATE: / �/,./i7
TYPE OF STRUCTURE: _ -��; `U3�� ��L C ,,�c(_, �, , j
�41:,SCu r Comments
Y N N/
Chimney Ht./"B"Vent/Direct Vent Location //
Fresh Air Intake ✓
3 inch Plumb Vent through roof minimum 6" ' ,
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios r/
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete / /
Interior/Exterior Railings 34 in.to 38 in. AI C-tj RA.)1.— oC 012e Le' v
Platform at all exterior doors �/
Interior Handrails stairs 2 or more risers ,/
Enclosed Stairs Sheetrock Underside minimum '/2" /
Gypsum /
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall lir
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade ✓i
Gas Furnace shut-off within 30 ft.or within line of site 0
Oil Furnace shut-off at entrance to furnace area � �/
Furnace/Hot Water Heater operating 7
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110 /ill
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing /
Interior Smoke Detectors: +� j
Every level: / Every Bedroom: './/
Outside every bedroom area:
Inter Connected: / Battery backup: /
Carbon Monoxide Detector t/
Bathroom Fans, if no window / / /
Plumbing fixturesFoundation insulationFloor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade ✓/
Basement stairs closed rise>4 inches ✓/
Garage Floor Pitched
•
Garage fireproofing/'/.hour fire door/door closer v
✓Duct work Sealed properly }
Gas Logs in Sealed or Glass Enclosure ✓ /
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area J
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft. vents
Building No./Addre visi eirom road
Final Electrical QJ
Site Plan /Varia req ired I
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required i
Okay to issue C/C or C/0 [Temporary/Permanent] I
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/p e art: 3. 7-)am/pm
Date Inspection request received: Inspector's Initials: l
NAME: t� &f� �� 7 PERMIT#: Glo
LOCATION: DATE: V /0/
TYPE OF STRUCTURE:
Comments
Y N N/Al�—
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" - C_—o/2 iZ '-T/O 5
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %Z"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/.hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft. vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart: /19 ,U�n
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:6 )
NAME: PERMIT #: 05, [15
LOCATION: 81 R INSPECT ON: 53 -I 1 -Ow
TYPE OF STRUCTURE: 160,1
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/ Vents in Place
1 1/2 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. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ He
50 P . for 15 minutes
I lation / Residential Check/ Commercial Check
Proper Vent, Attic Vent
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: Gorrk.
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: /{ k,(1) T'
05-115_3
NAME: PERMIT#:
LOCATION: a P39 � INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z (w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall , 3, 4 hour
F. stopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/4 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
/()_/(4/D1-1-,..
Rough Plumbing / Insulation Inspection Report
.Report,
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/prp2 pepart: , �--am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: JI��
/4er
NAME: PERMIT #: 7:13LOCATION: /-2= 1� Ri) INSPECT ON: 5 /JTYPE OF STRUCTURE: `�
_ Y/N N/A
ough Plumbing Nail Plates
• n / Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
ressure Test
Fk in / Vent
u4i / Head
.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Wat- ciply Piping
Air/
•
50 P.S. or 15 minutes
Insulation / Residential Check/ Commercial Check
Proper Vent, Attic Vent
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing / Firestopping Inspection Report 9,..__ /(Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/p De am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
i
NAME:= '1 PERMIT#: 05 3
LOCATION: l�3 j bC R INSPECT ON: IS
TYPE OF STRUCTURE:
Y N N/A CO M TS
raming
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2 (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side % inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHerningway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping InspectionP in Report
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Office No. (518) 761-8256 Date Inspection re ....- d:
Queensbury Building& Code Enforcement Arrive: : ,i: r e 'epart: .:'Or!J
742 Bay Road, Queensbury, NY 12804 Inspector's Init '' I
NAME: )4' \.,' r(-
PERMIT#: ,C")V `- 3LOCATION: 03 S •,, INSPECT ON: : — in
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 1/2 (w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
chor Bolts 6 ft. or less on center
ce and snow shield 24 inches from wall ,
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
C/ N
Foundation Inspection Report ?......7/0
;=
Office No. (518) 761-8256 Date Inspection request received: '
Queensbury Building&Code Enforcement Arrive: am/ Depart: 'ni/p
742 Bay Rd.,Queensbury, NY 12804 Inspector's Initials
NAME: --- 9 PERMIT#: 04.51 5-3.
LOCATION: \3,4' % INSPECT ON: — —
TYPE OF STRUCTURE:
Comments
Y I 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
einforcement in Place
Foundation Dampproofing / .
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil ►: i or wet areas under slab _ _
Bac. ' 1 Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
I
L:\3ueHemingway\Building.Codes,Inspcction.FORMS\Foundation Inspection Report.doc January 28,2003
T:V1C
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection reque t received:/ �
Queensbury Building &Code Enforcement Arrive: am/p G"`i Depart:
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: \�, z� PERMIT#: 00c=_ 415
LOCATION: U I 3 c) INSPECT ON: _ 7 -/1-
TYPE OF STRUCTURE:
Comments
-- Y I N N/A
:czot7si'onolithic Slab
Reinforcement in Place1.7"
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 _ -T
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/ 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 I _
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
I.1SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
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Rough Plumbing I Insulation 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:
NAME: PERMIT #:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing ent/ Vents in Place
1 1/2 inch min' um Drain Size
Washing Machine ► .in 2 inch minimum
Cleanout every 100 feet hange of direction
Pressure Test
Drain / Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection • 5 minutes
Pressure Test
Water Supply Piping
Air / Head
50 P.S.I for 15 minutes
Insulation / Residential -eck/ Commercial Check _
Proper Vent, Attic Ve'
Duct / Hot Water• ping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
e 5CSe�
60-A-1)
8/25
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
•
. t Code Compliance and Informational Sheet for Permit Use
5 Queensbury Dept. of Community Development
Project for: R-st�E►.1'T» 1�� Permit No. 2005 45
Applicant Name: - Zoning Administrator
Tax Map No. 02-3`i5 . OD - 1 - 5--U APPROVED
A..li A-tion
Lot# House #_ - epflAacrAf101/PrI ,005
robed, street Z
Lot Size: 43 •�`-1•:A `IL.
ironing Ad"s trator
Mobile Home Park: OWN OF QuEENSBURY
Business Plaza:
Planned Unit Dev.
Subdivision: Phase/Section
Effective Year Zoning Designation
Zoning Ordinance
Prior to 1967, July 10 Subject to current setback requirements at time of development.
Section 179-20-10,B
Subsequent to Development of lots within subdivisions subsequent to July 10, 1967
July 10, 1967 shall use the setback requirements in place at the time of the
approval of the subdivision.
1967
1982, June 11.
1988,September 19
Corner lot rule Prior to Nov.23, 1992 approved subdivisions * (see note on back of form)
2002, April 9
Road Name Setbacks Existing Required i Proposed 1 Difference
i ; Front 1 s;. t 1 I
Front 2
Side l I
ego '
Side 2
1 Rear l c30 '
j ' Rear 2 I
.,-- �'' Shoreline
- ` Travel I l
Cooridor
Overt° Zone
Buffer
Yes No
meets depth,width,&square footage requirements
preexisting,nonconforming lot with proper setbacks
required frontage on public road
has required off-street parking
permeable area is adequate (Requirement is %)
building does not exceed maximum height(Max. ft.)
Is lot in a Flood Zone?
Floor Area Ratio worksheet required?Zone: WR-1 A
Town of Queensbury
Code Compliance and Informational Sheet for'Permit Use ;.. Y:_,
I:7) Queensbury Dept. of Community Development
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Z *Corner Lot Information for Subdivisions Approved Prior to November 23, 1992
Section 179-30.1 which requires front yard setbacks on both roads for a corner lot was not enacted
until November`23,1992. Therefore,prior to November 23, 1992 parcels within approved
subdivisions have one (1}front yard,two (2) side yards,and one(1) rear yard setback.
I Review Type ! File No. Action Resolution Date
�
1 Zoning Board of Appeals I 1
1 Planning Board
1 Town Board
I
I Check List ! Yes No
Recreation Fee Paid
1 Engineering Fee Paid.
1 Site Plan Maps on Fite
Subdivision Mylar Signed and
I Filed with County
Application appears to conform to the requirements of Section(s) of the local
Town Code:
Application requires additional review for the following:
Zoning Board of Appeals
Planning Board
Town Board of Health
Town Board for Mobile Home Outside of a Mobile Home Park
Other
•
Reviewed by Staff Date —1 Notes
� I
Town of Queensbury
aoos-
Permit Number
REScheck Compliance Certificate Checked By/Date
2000 IECC
REScheckSoftware Version 3.6 Release 1
Data filename: C:\Program Files\Check\REScheck\KYER.rck
PROJECT'ITiLE:KYER
CITY: Glens Falls
STATE:New York RECEIVED
HDD: 7635
CONSTRUCTION TYPE: Single Family JUN 2 0 200
WINDOW/WALL RATIO:0.18
TOWN OF QUEENSBURY
DATE:06/16/05 AND CODE
DATE OF PLANS: 6-13-2005
PROJECT DESCRIPTION:
ADDITION
COMPLIANCE:Passes
Maximum UA=203
Your Home UA= 164
19.2%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value E-Value U-Factor jj®
Ceiling 1:Flat Ceiling or Scissor Truss 816 38.0 0.0 24
Wall 1:Wood Frame, 16"o.c. 736 19.0 0.0 36
Window 1:Wood Frame:Double Pane with Low-E 88 0.330 29
Door 1:Glass 44 0.330 15
Basement Wall 1: Solid Concrete or Masonry 736 13.0 0.0 60
Wall height:8.0'
Depth below grade: 1.5'
Insulation depth: 8.0'
Furnace 1:Forced Hot Air,92 AFUE
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications,and other calculations submitted with the permit application. The proposed building has been designed to
meet the 2000 IECC requirements in REScheckVersion 3.6 Release 1 (formerly MECchecl* and to comply with the
mandatory requirem 'sled in the RESchec on Checklist.
Builder/Designer C I Date
REScheck Inspection Checklist
2000 IECC
REScheckSoftware Version 3.6 Release 1
DATE: 06/16/05
PROJECT TITLE: KYER
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:
Above-Grade Walls:
[ ] 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Basement Walls:
[ ] 1. Basement Wall 1: Solid Concrete or Masonry, 8.0'ht/1.5'bg/8.0'insul,
R-13.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 1: Wood Frame:Double Pane with Low-E,U-factor: 0.330
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ [Yes[ ]No
Comments:
Doors:
[ ] 1. Door 1: Glass,U-factor:0.330
Comments:
Heating and Cooling Equipment:
[ ] 1. Furnace 1:Forced Hot Air,92 AFUE or higher
Make and Model Number
Air Leakage:
[ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be 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,the fixture must be installed with a
3"clearance from insulation.
Vapor Retarder:
[ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
[ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
[ ] Ducts in unconditioned spaces must be insulated to R-5.
Ducts outside the building must be insulated to R-8.0.
Duct Construction:
[ ] All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives),
mastic-plus-embedded-fabric,or tapes. Tapes and mastics must be rated UL 181A or UL 181B.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in.w.g. (500 Pa).
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] Thermostats are required for each separate HVAC system. A manual or automatic means to
partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided.
Service Water Heating:
[ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of a circulating system.
[ I Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the
levels in Table 2.
.
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
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
140-160 0.5 0.5 1.0 1.5
100-130 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" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
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