2007-484 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
4z Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20070484 Date Issued: Monday, October 15, 2007
This is to certify that work requested to be done as shown by Permit Number P20070484
has been completed.
Location: 36 STEPHANIE Ln
Tax Map Number. 523400-308-012-0002-062-000-0000
Owner. PATRICIA CRANS
Applicant: PATRICIA CRANS
This structure maybe 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&CWe EnT&rernent
Planning Board 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: P20070484 Application Number. A20070484
Tax Map No: 523400-308-012-0002-062-000-0000
Permission is hereby granted to: PATRICIA CRANS
For property located at: 36 STEPHANIE 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. Tyne of Construction Value
Owner Address: PATRICIA CRANS
36 STEPHANIE Ln Residential Addition $19,800.00
QUEENSBURY,NY 12804-0000 Total value $19,800.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2007-484
564 SQ FT RESIDENTIAL ADDITION
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,August 13, 2008
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To eensb y,August 13,2007
SIGNED BY for the Town of Queensbury.
Director of Building&Code E orcement
.............................................. ...,......................,_......, �..............,..,.__..
OFFICE USE ONLY
TAX MAP NO. "' PERMIT NO.
FEES: PERMIT RECREATION ENGINEERING
(If applicable)
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER:&IS)G" OWNER: ?h4,'--- C<4*7v S
ADDRESS: 1� �U ' J ,t': ADDRESS: 56/injc 6*vc
PHONE NOS. � � PHONE NOS. 7- —.640
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: PHONE:
LOCATION OF PROPERTY:
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p o O U_
co
APPLY TO YOUR Z !- � O Cn d U) j_ W
PROJECT O 0O H OJ F 0 O = =
W emu- _ju- W Q a � Z
W Q J W Cj °z U F' I- O 1- Ix W —
Z Q Q :- fn cV to O U. f- W
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: 19, goo FUEL TYPE:
HEAT TYPE: /46T I4'(Z*HOW MANY FIREPLACE(S): AND 1 OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE? /C�
PROPOSED USE OF BUILDING OR ADDITION:
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3_LGL 11-05
Town of Queensbury - Community Development Office - 742 Bats Road. Oueenshurv_ NY 7,)RSA
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY? Al)
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read a e to he abo
Signed.
Director of Building &Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
...................................................; .....................
;` ,
Permission is hereby granted to the above 0 This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
o
Application:
' 01 '
N
' 0 '
, 1 I
BUILDING &CODES APPROVAL S , ZONING APPROVAL
,
, , ,
' '
DATE ; DATE
, ,
..................................................... ................................_...._..............�
QUESTIONS? CALL T61-8256 OR EMAIL
cod@s(a-gu@@nsburY.n@t
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No WWW.gU@@nSbUTV.n@t
Occupancy Type:
Construction Classification:
Assembly Occupancy Limit:
Special Conditions:
Town of Queensbury - Community Development Office - 742 Bay Road, Queensburyj, NY 12804
----------------- ------------------
0 OFFICE USE ONLY
PROJECT NAME: ���1�/�fJ-�/� �9�✓�
STAFF INITIALS:
DATE:
BUILDING PERMIT SUBMISSION ,
CHECKLIST FOR: :_____
SINGLE FAMILY DWELLING
1. Building Permit Application Completed? YES 1NO N /A
F
2 Energy Form or CheckMate Energy Code Compliance ✓ I
Forms Complete? (2-copies)
I Energy Code Inspector's Report from Checkmate
S. � 9 (2-copies)
Pro ram?
1
j 4 ( Septic application completely filled out? — j}
I (if applicable) �''
5. ! Electrical Inspection Form complete?
6. Two (2) sets of the plans each of the following: YES NO N /A
a. Floor plans (s)?
I b. Foundation plan?
i
c. Cross sections (s)?
i
d. Elevations?
i
I e. Window and door schedule? �' 3
1
g. Plans signed and sealed by registered architect or I
engineer. '
;
h. Window and door schedule?
V
( E Two (2) site plans showing location of the structure to be
7. built, location of well or water lines, location of septic I
I system or sewer line?
8. Setbacks from property lines to new structure? V
8 ° Setbacks to neighboring wells and septic systems,
including onsite well and septic systems (if applicable)?
9. Driveway Permit?
v-
Town of Queensbury- Community Development Office - 742 Bay Road,Queensbury, NY 12804
4
---------
PROJECT NAME: OFFICE USE ONLY
STAFF INITIALS:
, DATE:
BUILDING PERMIT SUBMISSION ,
CHECKLIST FOR: %--------_------____________________1
MULTIPLE DWELLING or COMMERCIAL PROJECTS
1. Building Permit Application Completed? YES NO N /A j
2 Energy Form or CheckMate Energy Code Compliance j f
Forms Complete? (2 copies) 3
3 ! Energy Code Inspector's Report from Checkmate
I
Program? (2-copies)
44Septic application completely filled out? — — '
(if applicable) f
5. Electrical Inspection Form complete?
6. Two (2) sets of the plans each of the following: ! YES 1 NO N /A
f j
i
i
a. Floor plans (s)?
- � 4
b. Foundation plan? I
c. Cross sections (s)?
t
d. Elevations?
I ? e. Design loads including floor, snow load, and wind
load?
f. Seismic design (required after January 2003)?
gPlans signed and sealed by registered architect or
engineer?
h. Window and door schedule?
j I
3 Two (2) site plans showing location of the structure to be I
built, location of well or water lines, location of septic
€ 7' ! system or sewer line with all setbacks and separation
distances shown, and all improvements to the property?
8. Solid Fuel Burning or Gas Appliance Form (if applicable)? I I
9. ; Driveway Permit
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
v
tNIA
Residential Plan Review: One& Two Family Dwellings
YI
sets of plans
1,500 sq. ft.—Stamped
n Loads On Plans: 90 Wind Floor Loads 40 psf
70 Ground Snow Load Sleeping Areas and Attics 30psf
Calculations:
Schedule With Glass Size
,flbwr Schedule/Main Entrance 36"Door
4 Emergency Escape Or Bedrooms and Habitable Space
Above/Below grade,5.7 sq.ft.
Grade,5.0 sq. ft.
24"(h)x 20"(w)min.
44"Max...Height above floor
esidential Check Paperwork Compliance and Inspectors Checklist: OK
Xproofing/Waterproofing Materials On Plans
6�/Yp-]Xop
ation Drainage On Plans,if required
in 10'Exterior Grade
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where
uired
ce and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
1/11
Stairway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise
4 Winder Run and Rise
Spiral Not Allowed From 2nd Story
ke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
Pall Width,36"min.
Oiandriil More Than One Riser On Open Sides
Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht.
Safety Glazing Notes For Required Areas
Garage Fire Separation
Lparage Floor Sloped
VI[Attic Access
41110of over 30"—22"x 30"/Crawl Spaces 18"x 24"Access
Carbon Monoxide Detector Lowest Sleeping Level
Soil Test Results, if required
Septic To Well Or Water Line Separation
All Paperwork Signed
---------- -i s---
1 1
1 /
Community Development Office
own of Queensbury • 742 Bay Road - Queensbury, New York •12804
1
--Z • David Hatin, Director of Building&Codes
Craig Brown,Zoning Administrator ; 00
BUILDING PERMIT CALCULATION SHEET:
NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS
REQUIRED AC ACTUAL
ACTUAL LIGHT REQUIRED SQUARE FOOT
AREA OF ROOM IN LIGHT VENTILATION
HABITABLE ROOM SQUARE FEET 8°%OF ROOM SQUARE VENTILATION•4% SQUARE OPENING FOR REMARKS
AREA FOOTAGE OF ROOM AREA FOOTAGE EGRESS
QUESTIONS? CALL 761-8256 OR EMAIL
codes(&gueensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
www.guensbury.net
B 10-LTR 11-20
Community Development Office
own of Queensbury • 742 Bay Road • Queensbury, New York •12804
• David Hatin, Director of Building&Codes ;
Craig Brown,Zoning Administrator
WINDOW SCHEDULE ' ......
JOB SITE/ADDRESS: 24-
ram DATE: C`
l OWNER: ��'<�-, a C/�'r},� �
APPLICATION NO.:
WINDOW-
UNIT OR CLEAR CLEAR
WINDOW STOCK ROUGH ROUGH SQ.FT. OPENING
NO.OR WINDOW SQ.FT. WIDTH IN OPENING SPECIAL HARDWARE OR
VENT*MODEL
MANUFACTURER NUMBER OPENING OPENING EGRESS/CLEAR HEIGHT
LETTER NAME MODEL/TYPE CALL WIDTH HEIGHT VE OPENING I IN INSTRUCTIONS
ON PLAN SIZE NCHES INCHES
,U r rr
` / 'r: Z
7
B 26-LTR 11-05
Community{Development Office
"r Town of Queensbury • 742 Bay Rd.
Queensbury, New York -12804 PLOT PLAN
Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines.
A SIDE PROPERTY LINE
_._ . .. . _. .__... . .. i ..._ .. ..
g i
_ ...
- --
} �.: i
LU
t
;_ I {
Z 1 l i I ' z
k
{
- - - I
_. ; L_. O
LU
.....__ 1..._ . �- -- -- - - —rt - -
i
I
..... i.
I - _
_...... ll . 1 Z
- M
_ . I
�....a. { -
_ i _i I
I _.
41
i
ii.. t .....'.
SIDE PROPERTY LINE
1 SQUARE = FT.
/0-/-. ��D
Fi Queensbury Building & Code Enforcement - Residential Inspection
Office No. (518)761-8256 Arrive: . 8? am/p am/pm
Date Inspection request recei d: Inspector's Initials:
NAME: PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTU
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors Zoe
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
Interior Handrails @ stairs 2 or more risers
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 glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet 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 Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum Y2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in SealedDr/Glais Enclosure
Final Electrical
Final Survey Plot P n
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/O[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
... 3213
. . Cut-i,Card No.....................................
Permit No....� .....I............... Cert. N 2
Owner...............1.................. .................................................................................................................................
Location ..... .............& .........................................( ..... ..
�
............. ............
Installation Consisting of../
r 5 ........ .. ' l.. 112............A../... ..... . ....................
3. ,*AJ5
.......... ...I............................................I.......................I......I............................................................................................................................................................................................................................................................................
Installed B ...�.e.. S e0X1
.. .. � 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 makq'Ao,inspections at any time, and if its
rules are violated,the Company shall have the right to ev e th s certkicate-,
..... ....... .... ..... .....................
Date.... ................ INSPECTOR
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection requ t received f 7 07 _ .
&Code Enforcement Arrive: art: am/ m
tueensUury 13urldms o p��� r r
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: �� PERMIT#: ( — ( C-
4
LOCATION: 4 INSPECT ON: 7
TYPE OF STRUCTURE:
Comments
Y N
outings ��
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\Ir Forms\Foundation Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
7"', U
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection regpest received: Ll (,1166
Queensbury Building & Code Enforcement Arrive: D: am/p Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: C-r,kN ) PERMIT #: D 7 _ 4S C1
LOCATION: `�r„ S 'z f'j INSPECT ON:
TYPE OF STRUCTURE:
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
P.S.I. or 10 ft. above highest connection for 15 minutes C� ►L�
renHead
t
Wly Piping Q
A5 15 minutes
nsuiatlon Residential Check Commercial Check
9Proper Vent Attic Vent
Duct/ Hot Water Piping Insulation
If re uired unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
LAPam Whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
�'- )/ e-Vurs
Rough Plumbing / Insulation Inspect6iol Repo
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: , ' am/p . Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspect is Initials:
NAME: � PERMIT #:
LOCATION: S INSPECT ON:
TYPE OF STRUCTURE:
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
in / Vent
Ai / Head
.S.I, or 10 ft. above highest connection for 15 minutes
Pressur Test
Wait ly Piping
Air Head
0 A r 15 minutes
Insulation Residential Check Commercial Check ' k
Proper Vent Attic Vent
Duct/ Hot Water Piping Insulation
If re uired unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
LAPam Whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report-revised Nov 17 2003.doc Revised February 15,2005
Z "jd
Framing / Firestopping Inspection Report
r
Office No. (518) 761-8256 Date Inspectio request received:
Queensbury Building&Code Enforcement Arrive:t am//ppi ��D�ep�art: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: ��'" PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Fr ng �
dc17cc x 30"minimum
JaW 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 1
Metal Strapping for Notches Top Plate
1 %s w 16 gauge 8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses j
Anchor Bolts 6 ft.or less on center
Ice and water shield 24 inches from wall
Fire separation 1,2, 3 hour
f
Fire 2 3 ur
Firestopping `
ene a ion sealed {�{
16 inch insulation in cavity min. I
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,
s
raining / Firestopping Inspection eport
Office No. (518)761-8256 Date Inspectionrequest received:
Queensbury Building&Code Enforcement Arrive: am/p a rt: am/pm
742 Bay Road, Queensbury,NY 12804 Inspect is Initials:
NAM PERMIT#:
LO TION: i�.. INSPECT ON: --
T E O FF STRUCTURE:
Y N N/A COMMENTS
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging (i�S��Q'L�— v '¢�` 77 4-r
Joist hangers � U
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 stowing 1,000 sq. ft. floor trusses
chor Bolts .or less on center I
Ice and water sh' Id 24 inches from wall
n 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
��-/D rrJd-7 - -
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pmm Dep m/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: E' /
NAME: PERMIT#: `Y _
LOCATION: INSPECT ON: _3
TYPE OF STRU
Comments
Y N N/A
Footings
PiersJC..-
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
eF!o-un!d!a!tion�Daimnp�proofimng�
in place
Foundation Waterproofing'
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
Doting
6 mi ly for we areas under slab
Backfill Approval
P um mg 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
D A-1 -
Foundation Inspection Report
Office No.(518)761-8256 Date Inspectio request received:
Queensbury Building&Code Enforcement Arrive:7 It am/ptlt Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials. �1_ ,k
NAME: PERMIT#: ^
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
tM
s
thic Slab
nt 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 Waterproofmg
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 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspeptioniequest received:
Queensbury Building&Code Enforcement Arrive: am/pm �,`/ Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspecto s Initials: � ice"
NAME: C k _ PERMIT#: —
LOCATION: 15 iE"10OtL tl—,* INSPECT ON: Q
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
R ' orcemen ' Place
Foot' ow or Keyway in place
Foundation Dampproofmg
Foundation Waterproofmg
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 Fors\Building&Codes\Inspecdon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
07
REScheck Software Version 4.0.1
Compliance Certificate
Project Title: PAT CRANS
Report Date:06/11/07
Data filename: Untitled.rck
Energy Code: 2000 IECC
Location: Glens Falls,New York
Construction Type: Single Family
Glazing Area Percentage: 19%
Heating Degree Days: 7635
Construction Site: Owner/Agent: Designer/Contractor:
STEPHENIE DR
QUEENSBURY,NY 12804
comphance:Passes UAi 138 Your Home UA:130—5.8% Better .. •
Gross Cavity Cont. Glazing UA
Assembly Area or R-Value R-ValUe or D..
Perimeter U-Factor
Ceiling 1:Flat Ceiling or Scissor Truss: 900 38.0 0.0 27
Wall 1:Wood Frame,16"o.c.: 608 21.0 0.0 28
Window 1:Wood Frame:Double Pane with Low-E: 95 0.310 29
Door 1:Glass: 19 0.320 6
Basement Wall 1:Solid Concrete or Masonry: 608 0.0 11.0 40
Wall height:8.0'
Depth below grade:7.0'
Insulation depth:6.0'
Air Conditioner 1:Electric Central Air:13 SEER
Boiler 1:Gas-Fired Steam:80 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
REScheck Version 4.0.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Name-Title Signature Date
REScheck Software Version 4.0.1
Inspection Checklist
Date: 06111/07
Ceilings:
❑ Ceiling 1: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:
Basement Walls:
❑ Basement Wall 1:Solid Concrete or Masonry,8.0'ht/7.0'bg/6.0'insul,R-11.0 continuous insulation
Comments:
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.
Windows:
❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.310
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
❑ Door 1:Glass,U-factor:0.320
Comments:
Heating and Cooling Equipment:
❑ Air Conditioner 1:Electric Central Air:13 SEER or higher
Make and Model Number:
❑ Boiler 1:Gas-Fired Steam:80 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:
❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions.
❑ 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 clearly marked on the building plans or specifications.
❑ Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a
manner that achieves the rated R-value without compressing the insulation.
Duct Insulation:
Ducts in unconditioned spaces are insulated to R-5.Ducts outside the building are insulated to R-8.0.
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 181 A or UL 181 B.
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:
Thermostats exist 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 is provided.
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 pipes are insulated to the levels in Table 1.
Circulating Hot Water Systems:
Circulating hot water pipes are insulated to the levels in Table 1.
Swimming Pools:
Lj 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 clock.
Heating and Cooling Piping Insulation:
Lj HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2.
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness in Inches by Pipe Sizes
Non-Circulating Runouts Circulating Mains and Runouts
Heated Water Up to 1" Up to 1.25" 1.5"to 2.0" Over 2"
Temperature(°F)
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
Insulation Thickness in Inches by Pipe Sizes
Fluid Temp. 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4"
Piping System Types Range(°F)
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 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)