2007-519 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE ().'r' OCCUPANCY
Permit Number. P20070519 Date Issued: Tuesday, December 11, 2007
This is to certify that work requested to be done as shown by Permit Number P20070519
has been completed.
Location: 9 LANCESTIRE Dr
Tax Map Number. 523400-301-020-0001-049-000-0000
Owner. JOAN COUNTER
Applicant: JOAN COUNTER
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, `_ P
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 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070519 Application Number. A20070519
Tax Map No: 523400-301-020-0001-049-000-0000
Permission is hereby granted to: JOAN COUNTER
For property located at: 9 LANCESTIRE Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the QueensburyZoning
Ordinance. Type of Construction Value
Owner Address: JOAN COUNTER
9 LANCESTIRE Dr Residential Addition
QUEENSBURY,NY 12804 Total vane
Contractor or Builder's Name/Address Electrical Inspection Agency
HILLTOP CONSTRUCTION
51 CROWLEY Rd
HUDSON FALLS,NY 12839-0000
Plans &Specifications
2007-519
384 SQ FT RESIDENTIAL ADDITION
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,August 21,2008
(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 T of eens ry *1y',—August 21, 2007
SIGNED BY /� for the Town of Queensbury.
Director of Building&Code Enforcement
� 7
r ,
r ,
"T0077ueens
ity Development Office
bury - 742 Bay Road - Queensbury, New York -12804
Date Stamp
Marilyn Ryba, Executive Director-David Hatin, Director of Building&Codes i
Craig Brown,Zoning Administrator-Michael J.Palmer,Fire Marshal
r ,
r-------------------E.i
APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS
Application is hereby made to the Building &Codes Office for the issuance of a Building &Use Permit
pursuant to the New York State Fire Prevention &Building Code. The applicant or owner agrees to comply
with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and
also will allow all inspectors to enter premises to perform required inspections.
IMPORTANT
/NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED.
OWNER: INSTALLER/BUILDER:
ADDRESS: h C eJ 1 re, O % \le- ADDRESS5 1 C I`oLti I e�j 'd n G-11 S
PHONE NOS.��/-- 1� PHONE NOS. /-1 n -0,3
LOCATION OF PROPERTY:C[ La n r r e S 4 1 k-e 4SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: (_
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: 1 OtY1 �`6 reG-kL PHONE:
FUEL BURNING APP 1A'N[0
✓ WOOD COAL °�PELLET GAS< OIL,
INFORMATION
STOVE
FIREPLACE INSERT
FIREPLACE,FACTORY BUILT*
FIREPLACE,MASONRY
FURNACE (GARAGE ONLY) rn
*IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: I ' IGZ 1�5� I MODEL NO.
LISTED BY: NUMBER: QUESTIONS?
CALL 761-8205 or 761-8206
CHIMNEY INFC.EA ;-T:1 ;1 CICKI�'IOI" TC91E" OR EMAIL:
firemarshakcDgueensbury.net
MASONRY" CHECK ONE ✓ VISIT OUR WEBSITE
�� it jy FOR MORE INFORMATION
11LE ST netI NC
FLUE CHECK ONE ✓
_ DOUBLE TRIPLE WALL INSULATED DIRECT VENT LINER
G� S�EY
WALL
CHIMNEY MATERIAL CHECKONE ✓
**IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO.
ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR
MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED
INSPECTIONS.
RW
Permit No,
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid a
742 Bay Road,Queensbury,NY 12804 Recreation Fee
Dave Hatin,Director codesQaueensburv.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 for -{-
Applicant/Builder 1 Z I15 r r(,uG�►OYj Owner: G- Cit ► 2 t'L
Address: L,-) 00 Address: V)e25 t^ i Z
Sorb s.Ny 1�g3`� k c_ u S'3
Home Phone: _ '�1`f S-033�c —' Home Phone: 6'1 to
Email Address: _ Email Address:
Cell Phone: 2 - ` Cell Phone:
FAX Phone: 7q - a Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name: 71r1- k\(}ce_ , ` + 7
Address: 1 Lc:, e o art Cx S Phone oZ -e /e V
Location of proposed construction: Lot No. Legal Address:
Tax Map Number: I - lY I Subdivision Name:
Estimated Cost of Construction: $� 0 0
Proposed construction is for: (!Residential Use _Commercial Use
Name of Business: 1
If proposed construction is an addition,what will use of new addition bet CC. V �`�} c C) k'n
New Addition Alteration Proposed Construction 10 Floor 2^a floor Other Total Proposed
structure (Occupancy Type) Sq.Ft. sq.ff. Sq.Ft. Square feet Height
Ft.&in.
Single-Family Dwelling
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturin
Other:
Attached Garage 1, 2, 3
Type of Heating System: Electric, Oil, Gas, Wood, Forced Hot Air, Baseboard, Other: f 7` t et 1d Lo 7U!fo l't, Got,,-
-If a fireplace and/or woodstove are being installed,please refer to a separate.application.
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,if 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 yry yor,drawn to scale,showing actual location of all new construc'on.
Q
Date: vN bi Applicant/Builder Signature: & )
The application of dated is hereby approved and
permission granted for the construction,reconstruction or alteration of a building/and or accessory structure as set
forth above.
Date: Authorized Signature:
L:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Applicafion.doc V:12/14/04
Town of Queensbury Fare Marshal
742 Bay Road
Queensbury,NY 12804
761-SM/761-8206
fax 745-4437
Factory Built Gas Fireplace/ftve Inspection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
spermcations contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
-ry instructions or specifications is allowed. f��
Permit# l '�� Schedule Inspection 0 Owe lQ-1 am pm anytime Inspector!
Name l.0 l�Q�� Address ! G Rough In Fine
Appliance Manufacturer l�v /��I ��� Model ?
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Fit estop(s) Vertical Chase.
Wall Penetration r
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion.Air
Hearth Extension(if any)
Mantel
Height above fip opening
Witness operation
Tank Placement(if LP)
WMte—tiWU&xDept. ---- Yenow r Ph&—FhVNur"
(At� I k-ee f- -,�
, /C) , /,q--P),�
Queensbury Building & Code Enforcement - Residential Final In ection (p
Office No. (518)761-8256 Arrive: , aml De am/pm
Date Inspection request received: Inspector's Initials:---�� _G
NAME: PERMIT#: 0� " ' be
LOCATION: DATE: i Th2�Ut"`
TYPE OF STRUCTURE:
Comments
Yes No N/A o
Building Number/Address visible from road -
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake e-f
3 inch PlumbingVent through roof minimum 6 inches C �r
Roof Complete/Exterior Finish Complete 1Y-1
Platform at all exterior doors ��
Guards at stairs,decks,patios more than 30 inches above grade c e ..
Guard at stairwell at 34 inches or more J
Guard at deck,porches 36 inches or more y , '�" 033�
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''/z"Gypsum
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 las cl sure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required `
oe
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
_Z_/
Rough Plumbing J Insulation I spection Report
Office No. (518) 761-8256 Date Inspection request received: 2
Queensbury Building & Code Enforcement Arrive: Z-= am/fir _ depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: !
NAME: PERMIT #:
LOCATION: .�rc_ hc INSPECT ON:
t
TYPE OF STRUCTURE:
Y N N/A
Rou h Plumbin Nail Plates
Plumbing Ventl 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
AO P.S.I d .�15 minutes �/
Insulation LAesidential Check Commercial Check
ant Attic Vent
Duct/ Hot Water Piping Insulation
If required 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.doe Revised February 15,2005
Framing/ Firestopping Inspection Report
Office No.(518) 761-8256 Date tnspection request received:
Queensbury Building&Code Enforcement Arrive: 1 • ` am/pm Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials
NAME: 7 PERMIT#: �7 J
LOCATION: INSPECT ON: u ,-)V, �
TYPE OF STRUCTURE:
1' N N/A COMMENTS
aming
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate '
i
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
ce and water shield 24 i hes from wall
Fire separation- , our
Fire wall 2, 3,4 hour
Firestoppin
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
9 6A)
lu
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initialse—" ,
NAME: r PERMIT#: 09—�4V
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Piers
MonoTithic 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 Fonms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
�o - l2
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:l ;��lu--am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
1 6t�19
NAME: PERMIT#:
1
LOCATION: r� INSPECT ON:
TYPE OF STRUCTURE: <71
Comments
Y N N/A
outings
iers � g `-
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 Fors\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 Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pg Depart: �am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:C r
NAME: PERMIT#: I
LOCATION: INSPECT ON:
TYPE OF STRUC
Comments
Y 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 se 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 12/20/2005 9:24:00 AM
.. ONSTRU .1oB �a.,� ,w�T��v 07
'(Op G CT/0A' n � �
` ���� ADty Of 'V CO SHEET NO.'{ LA,-M. `,I�oL1J.F:�O OF {9
Affirecht Management Corp. CALCULATED BY�6 �y DATE_ "15^ 07
51 CROWLEY ROADMUDSON FALLS,NY 12839
(518)798-0338 FAX:(518)798-0338 CHECKED BY DATE
SCALE
T 1NN OF G?UEENSBURBL I
ILC1ING & C DES DEBT,
Re Aew
Da e• r
I !f �r
X /Z. t•IAOY_
/ Y4 ply :
C I`c1.w t 6 (..
_ e e� $ av^
AFT PAPER INSULATI-m v' ,
RED_ 1 Nod-�,O�,�M$�S,4F
N
/ I
6ne��.®( Yl-
�OF QUE
TGVVh E � L �x;l 1,s4t� LI
l2 snot , B sRd bn our lsmstcd t x 1�in�son,
c s sp!iarsce_wim our_cotnmerit� shall
not be ccnsmed as snd;caftng the
gains and sificatBuilding Codes of
ions are in felt
_ . con,plivice With I M.
'z�51 tom/ N011`cur
PRnnuri gnn-,mnnle 5heets1205-11Padded)
P GpNSTRUCT� A' JOB 7n CK 0 7 —57
1\�\'�p A Div.Of O'V CO SHEET NO. � i EA, 4 t-:e S i OF C_P
Albrecht Management Corp. CALCULATED BY f^� � DATE
51 CROWLEY ROAD/HUDSON FALLS,NY 12839 Q
(518)798-0338 FAx:(518)798-0338 CHECKED BY DATE
SCALE
1►.
Z -..�3/�J—x- a (�/a`-ematovJ'�-gren
/ C(rn�
0
GR5 co
1 M
s
34 q ,
3i Z
Z24
f
(,J;yI J10 u S
0 r2.
3 34 74:2—
.......
7RnnI ICT Ina-1 N 1.Sha.kl 9AS-1 W dAMI
i
GpNSTRUC
\�\l A Div.Of rlO'V CO SHEET NO._� { G� N C.�/�5�f C� OF o+
Affirecht`Management Corp. CALCULATED BY P DATE
51 CROWLEY ROADMUDSON FALLS,NY 12839
(518)798-0338 FAX:(518)798-0338 CHECKED BY ! DATE
SCALE /!!!j6—r ✓ukin
'I +
43r.74 Aoo1rrR�
Z _ z
a►
mnniu:r 9ns1 is.ro uWftl X&I ffldWi
0-7-
Epp CONSTRUCrloV JOB J m �, �--M /�)
\�\' A Div.Of ' CO SHEET NO. Le��K Cdw ,.n C OF Lt
ACbreC(tC Management Corp. CALCULATED BY�F JN DATE /
51 CROWLEY ROADMUDSON FALLS,NY 12839
(51 8)798-0338 FAX:(518)798-0338 CHECKED BY DATE
SCALE
__.. ........ _ _ S �,
_... :.... ........_ ,O __. _ _.
......... ...
cs
............................ .............
.......... ..........
............
PRODUCT 204-0 f5innle Shmts1205-1IMAM
6!t ()7 _ J 7
,� ,o•£a l .
• ��,,.� o .�y� I v t H
�A
-t U
J .
WCb
_
.10o•P161
Permit#
Permit Date
REScheck Software Version 3.7.3 -
Compliance Certificate
Project Title:Addition
Report Date:08/08/07
Data filename:C:\Program Files\ChecMREScheck\Counter.rck
Energy Code: 2000 IECC
Location: Glens Falls,New York
Construction Type: Single Family
Glazing Area Percentage: 17%
Heating Degree Days: 7635
Construction Site: Owner/Agent: Designer/Contractor:
9 Lancestire Drive .Joan Counter Tom Albrecht
Queensbury,NY 12804 9 Lancestire Drive Hilltop Construction
Queensbury,NY 12804 51 Crowley Road
Hudson Falls,NY 12839
798-0338
t' ..
Assembly
r
Ceiling 1:Flat Ceiling or Scissor Truss: 384 38.0 0.0 12
Wall 1:Wood Frame,16"o.c.: 192 21.0 0.0 8
Window 1:Wood Frame:Doubte Pane with Low-E: 12 0.280 3
Window 2:Wood Frame:Double Pane with Low-E: 12 0.280 3
Door 1:Glass: 32 0.280 9
Wall 2:Wood Frame,16"o.c.: 128 21.0 0.0 7
Window 3:Wood Frame:Double Pane with Low-E: 12 0.280 3
Wall 3:Wood Frame,16"o.c.: 128 21.0 0.0 7
Window 4:Wood_Frame:Double Pane with Low-E: 4 0.280 1
Window 5:Wood Frame:Double Pane with Low-E: 4 0.280 1
Floor 1:All-Wood Joist/Truss:Over Unconditioned Space: 384 30.0 0.0 13
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 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Builder/Designer Company Name Date
Addition Page 1 of 4
REScheck Software Version 3.7.3
Inspection Checklist
Date:08/08/07
Ceilings:
❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:
Above-Grade Walls:
❑ Wail 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:
Windows:
❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor.0.280
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.0.280
For windows without labeled U-factors,describe featunes:
#Panes Frame Type Thermal Break? Yes_No
Comments:
❑ Window 3:Wood Frame:Double Pane with Low-E,U factor.0.280
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.0.280
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 5:Wood Frame:Double Pane with Low-E,U-factor.0.280
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes-No
Comments:
Doors:
❑ Door 1:Glass,U-factor:0.280
Comments:
Floors:
❑ Floor 1:Ail-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation
Comments:
Air Leakage:
❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed.
❑ Recessed tights 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.
Addition �! Page 2 of 4
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 and glazing U-factors must be dearly marked on the building plans or specifications.
Duct Insulation:
❑ Ducts in unconditioned spaces must be insulated to R-5.Ducts outside the bulding 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 1818.
Exception:Continuously welded and kicking-type longitudinal joints and seams on duds 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.
❑ 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 swiruning pools must have an ontoff 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 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table
2:
Addition Page 3 of 4
Table f: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 21
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 T hIckness for HVAC Pipes
Fluid Temp. Insulation Thickness In InchealwPipe Sizes
Piping System Types Range(°F) 2"Runouts 1 and Less 1.25"to 2.0" 2.5"to 4"
Heating Systems
Low Pressureffemperature 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-W 0.5 0.5 0.75 1.0
Brims- Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD:(Building Department Use Only)
Addition �_ ��'� .^-�� -� - - - � - Page 4 of 4