2007-739 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20070739 Date Issued: Friday, November 14, 2008
This is to certify that work requested to be done as shown by Permit Number P20070739
has been completed.
Location: 25 CEDARWOOD Dr
Tax Map Number. 523400-296-009-0002-023-000-0000
Owner. JOSEPH & CLAIRE TROMBLEY
Applicant: JOSEPH & CLAIRE TROMBLEY
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.
TOWN OF QUE E NSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070739 Application Number. A20070739
Tax Map No: 523400-296-009-0002-023-000-0000
Permission is hereby granted to: JOSEPH &CLAIRE TROMBLEY
For property located at: 25 CEDARWOOD 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 Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: JOSEPH& CLAIRE TROMBLEY Residential Addition $10,000.00
25 CEDARWOOD Dr Total value $10,000.00
QUEENSBURY,NY 12804
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2007-739
68 SQ FT RESIDENTIAL ADDITION
$75.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,December 10, 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
g�
jdlj"�;�; '�0�°d , ecember 10,2007
�. . r
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
,.._..-- -.... ___._-.- FFICE USE ONLY................................
__-__- _- ,-------
0
01
TAX MAP NO. PERMIT NO. z2
0
0 FEES: PER RECREATION ENGINEERING % % " .
(. 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:,EU7'L✓�� /�IICT/v� OWNER:✓DSEP9-f CAAMFE lftm 3LEV
33a?au..c � Ave'p z C��RRx M--bg1.1e.
ADDRESS: dR}� /V Y ADDRESS: Lly 12jyoq_
tw" �SS-0357 3 qo/S
PHONE NOS.PAk � PHON OS.
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: 11I7z APHONE: gSS 035'7
LOCATION OF PROPERTY: a ��d L`T i���►��'
SUBDIVISION NAME: �1�`}L L L'c' , of /3 rw y4:,et„'acus t-ec.,' 12:f
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p a w u-
APPLY TO YOUR ZQQ _� O
OO O PROJECT O i a- .
U. �==z n Z
Q 04 Cr,cr, sa
t
F
GLE 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: �" DWo FUEL TYPE: ---
4044S43 P40,6AND/OR WOODSTOVES(S):__!�' ____
HEAT TYPE:Mff W,07 ?"HOW MANY FIREPLACE(S):_ d_ _.
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? Z4 Q
IS THIS A HISTORIC SITE? Azo
---�
PROPOSED USE OF BUILDING OR ADDITION:_ itl�Q� ?`� 2�'�
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3-LGL 11-05
0- Town of Queensbury • Community Development Office • 742 Ball Road, Oueensburu, NY 12904
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
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 and agree to the above.Signed Lti:��6 -S
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)
...............................I "__ . _______._......""".._..
1 , 1 1
, ,
Permission is hereby granted to the above s This application / proposed action described
Applicant to erect or alter the building ; herein is found to be in accordance with the01
described herein in accordance with said Soo zoning Laws of the Town of Queensbury.
Application: ; 10
I 1 1
, , , 1
1 1 1 1
1
i , 1
1 1 1 1
1 1
1 1 1
1 1
, 1 , 1
1
1 1
/ 1 /
BUILDING & CODES APPROVAL "0 0 ZONING APPROVAL 11
1 1 1
1 1 1 1
1 / 1
1 1 1
DATE ; ; DATE 1
1 I 1
/
(QUESTIONS? CALL 761-8256 OR EMAIL
codes(ftueensbu rv.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No www.queensbu!y.net
Occupancy Type: K�
Construction Classification:
Assembly Occupancy Limit: _
Special Conditions:
Tozvn of Queensbunj • Community Development Office • 742 Bay Road, Queensbury, NY 12804
h - Community Development Office
07141 ofQm'wtsbury • 742 Reel Road• (�nr:nsburu, .`d ;i 1r� .IZ fI�
wxlvDow SCHEDULE
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JOB SITE/ADDRESS: aS ��� �iIIQ;�D cU ��� DATE:
OWNER:, DSE/�f� .� //CE fflGlN9Bl{"r APPLICATION NO.:
UNIT OR
1INDOW CLEAR
WINDOW STOCK ROUGH ROUGH SQ.FT. CLEAR OPENING
NO.OR WINDOW SQ.FT, OPENING SPECIAL HARDWARE OR
MANUFACTURER NUMBER OPENING OPENING EGRESSICLEAR HEIGHT
LETTER NAME MODELITYPE CALL WIDTH HEIGHT VENT OPENING WIDTH IN IN INSTRUCTIONS
ON PLAN SSE INCHES INCHES
r�r�✓in,� 3W -qe, ZV iZ 3.8' `/. 2a
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B?G-I.TR 11-05
-----------------------------------
OFFICE USE ONLY
PROJECT NAME:
STAFF INITIALS:
BUILDING PERMIT SUBMISSION DATE:
CHECKLIST FOR:
-------------------------------------
SINGLE FAMILY DWELLING
............
1. Building Permit Application Completed? YE NO N /A
2. Energy Form or CheckMate Energy Code Compliance
Forms Complete?(2-copies)
Energy Code Inspector's Report from Checkmate
Energy
3. P
I rogram? (2-copies) ✓
4. Sep tic application completely filled out?
I (if applicable)
.................................-.................-------------
5. TElectrical Inspection Form complete?
V/
6. j Two (2) sets of the plans each of the following: YES NO N /A
a. Floor plans (s)?
V/
b. Foundation plan?
c. Cross sections (s)?
d. Elevations?
___.__---..._.__.._.--..______.._...__._a_.._.._._..-__.__.__
e. Window and door schedule?
g. Plans signed and sealed by registered architect or
engineer?
h. Window and door schedule?
Two (2)site plans showing location of the structure to be
7. built, location-ofAvelt-or-vvater line location..of septic
sltEe -or sewer-hrie?--
8. Setbacks from property lines to new structure?
8. Setbacks to neighboring wells and septic systems,
including onsite well and septic systems (if applicable)?
T
9. Driveway Permit?
V/
Town of Queensbury- Community Development Office - 742 Bay Road, Queensbury, NY 12804
PROJECT NAME: OFFICE USE ONLY
STAFF INITIALS:
BUILDING PERMIT SUBMISSION % DATE:
CHECKLIST FOR: '
MULTIPLE DWELLING or COMMERCIAL PROJECTS
1. ! Building Permit Application Completed? YES NO N /A
�Forms
.__.
.. .............2. gy Form or CheckMate Energy Code Compliance
Complete? (2-copies)
Energy Code Inspector's Report from Checkmate
3.
Program? (2-copies)
r--- ' Septic application completely filled out?
4' (if applicable)
5. Electrical Inspection Form complete?
6. Two (2) sets of the plans each of the following: YES NO I N /A�
I f
a. Floor plans (s)?
b. Foundation plan?
c. Cross sections (s)?
I d. Elevations?
e. Design loads including floor, snow load, and wind
load?
f. Seismic design (required after January 2003)? —j
g. Plans signed and sealed by registered architect or
engineer? _
i � 1
I h. Window and door schedule? i !
i
Two(2) site plans showing location of the structure to be
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?
i
8. Solid Fuel Burning or Gas Appliance Form (if applicable)? E
f
I 9. Driveway Permit
j
Town of Queensbury• Community Development Office • 742 Bay Roml, Queensbury, NY 12804
t Coygntt1Uty Deyelopyient Off c
Twon of Quecusbury• 742 Bay Rd.
r Queensburil, Nezv York •12804 PLOT PLAN
Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines.
SIDE PROPERTY LINE
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Queensbury Building & Code Enforcement - Re ential Final Inspection
Office No. 518 761-8256 -,
( ) Arrive: ,�,�aml= Depart: am/pm
Date Inspection request received: Inspector's Initials:
NAME:
PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" 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 Com fete/Exterior Finish Complete Iff
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs deckspatios 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 Wail
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 glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 s .ft.vents
Bathroom Fans if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency ress below grade
Gas Fumace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Game fire roofin /%hour fire door/door closer
Duct work Sealed Properlv
Gas LW*in Sealed or GlaslEndbsure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
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/C or C 10 1 Temporary/Permanent
L.\Building&Codes Forms\Building&Codes\lnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08
a ,
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions.
Owner: Joe Trombley Date: 11/12/2008
Occupant: House Location: 25 Cedarwood
Occupancy: Single Family Dwg. Queensbury, Warren Co. NY
Applicant: 7
Joe Trombley a. w
25 Cedarwood
woe
OF
Queensbury,NY 1.213
(— �� J
Raymond A. No�k
m
No. -- —- 31804 -
-
Equipment:
11 - Switches; 16 - RecepAples, 1 , FC ecep ace; Fixtures, 1"=wryer, 1 - mp. eptacle; 1 - Ceiling Fan
�^
This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and
above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership
inspection. No warranty is expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and void.
ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions,
be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department
system to which this certificate applies be altered in any way,including but not limit- Inspection Agency, Inc. An application for inspection must be submitted to Middle
ed to, the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation
any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service.
/1 UJ Y -(U
Rough Plumbing / Insulation Inspection Re ort
Office No. (518) 761-8256 Date Ins ct' guest received: l 02 o
Queensbury Building & Code Enforcement Arrive: S am/!JJ _ epart: m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: vv
NAME. /T) PERMIT#:
LOCATION: 02_ Pcxs INSPECT ON:
TYPE OF STRUCTURE: � v l
Y N NIA
�R,ough Plum in /Nail Plates
P um in ent/Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
leanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/ Hot Water Piping Insulation
If required unheated spaces
CorWustion Air Supply for Furnace
D ct work sealed properly/No duct tape
Y�✓�i�l�
COMMENTS:
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
aTr4&,A-C jj
Rough Plumbing j Insulation Inspection Rep,go rt
Office No. (518) 761-8256 Date Inspect' �r est received: ma s
Queensbury Building & Code Enforcement Arrive: am/pm D art: am/pm
742 Bay Road, Queensbury, NY 12804 Insp or's Initials: A4
NAME:_ PERMIT #: 07�7
LOCATION:_ INSPECT ON: fd
TYPE OF STRUCTURE:
Y N N/A
Rough-Plumbing Nail Plates 617-c�- Cull
Plumbing Vent Vents in Place Qv
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/ Head
50 P.S.I for 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:
LAPam Whiting\Building&CodesUnspection FormsURough Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005
Rough Plumbing / insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/ art: i , am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: 0 PERMIT #:
077—
LOCATION: INSPECT ON: F -- 5`'- �''
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing/Nail Plates
Plumbing Vent I Vents in Place
1 Y2 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
50 P.S.I for 15 minutes
Insulation IAPsidential Check/Commercial Check
Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
-2A
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firestopping Inspection Repo
Office No. (518)761-8256 E:M:is
Queensbury Building &Code Enforcement part: am/pm
742 Bay Road, Queensbury, NY 12804
NAME: PERMIT#:
LOCATION: INSPECT ON: — —
TYPE OF STRUCTURE:
Y-1 N WA COMMENTS:
Framing
c ccess 22° x 30" minimum
Jack Studs/Headers
Bracing f Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches f Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/ w 16 gauge 8 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
t�chor 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 paivity min.
Garage Fire Separation
House side %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilingtwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes Forms-01.131Building&Codesunspedion Fams\Fmn*q Firestopping inspection ReporLdoc Revised January 7,2008
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:,A_
NAME: PERMIT#: +Q
LOCATION: f7 INSPECT ON:
TYPE OF STRUC .
Comments
Y N NIA
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is respo ible for ,
providing protection m freezin R"
for 48 hours following a placeme t
of the concrete.
Materials for this p se on site.
Foundation/Wallpour "
Reinforcement in Place
Footing Dowels or Ke mty in place
Foundation Dampproofu
Foundation Waterproofing
Footing Drain Daylight or Sum
Footing Drain Stone:
12 inch width
6 inches above footin
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\Bullding&Codes\Inspedtion Forms\Fou Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
s IUO l Vlc °r/'�
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart-2 rbn am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: A�
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 mil poly for wet areas under slab
royal
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
p �, - to Q
Foundation Inspection Rep
Office No.(518)761-8256 Date Inspection request received: (0 la 6FF
Queensbury Building&Code Enforcement Arrive: am/pm Depart. \7 am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: Er /
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRU
�Tt �``� _" Comments
Y N N/A
Footings N J Piers + ,
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
s purpose on site.
po
Reinforcement in Place
Footing Dowels or Keyway in place oe
Foundation Dampproofmg
Foundation Waterproofing r `
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
�0
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received: Q-r D 9"
Queensbury Building&Code Enforcement Arrive: am/pm Depart am/pm
742 Bay Rd.,queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: - 739
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footin
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.
U Building&Codes Forms\Building&Codes\lnspecdon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report �1
Office No.(518)761-8256 Date InsM%on�e„quest received:
Queensbury Building&Code Enforcement Arrive: pm epart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: '��'�f 'C r�.4!. ? PERMIT#:
LOCATION: 2 -4p,4) e -'&,q 0 R INSPECT ON: 6 0 7
TYPE OF STRUCTURE:
Comments
Y N N/A c �� U &s'-
Footings
Piers
Monolithic Slab
Reinforcement in Place t h(l 1/ "N
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\lnspecdon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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Compliance Certificate
Project Title: Trombley Addition
Report Date: 11/01/07
Energy Code: New York State Energy Conservation
Construction Code
Location: Warren County,New York
Construction Type: Detached 1 or 2 Family
Heating Type: Non-Electric
Glazing Area Percentage: 5%
Heating Degree Days: 7635
Construction Site: Owner/Agent: Designer/Contractor:
25 Cedarwood Dr Trombley Patrick Burke
Queensbury,NY 12804 Patrick Burke Construction Inc.
936 Bay Rd
Queensbury,NY 12804
518-222-9765
pat@pbcatwork.com
Compliance:
777
Assembly Cavity R-Value Cont. R-Value Glazing .
Door U-Factor
Ceiling: 38.0
Wall: 21.0 0.0
Window: 0.300
Door: 0.350
Floor: 30.0
Other Boiler.80 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 meet the New York State Energy Conservation Construction
Code requirements.When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of
his/her knowledge,belief,and professional judgment,such plans or specifications are in compliance with this Code.
Name-Title Signature Date
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Inspection Checklist
Date: 11/01/07
Ceilings:
❑ Ceiling:R-38.0 cavity insulation
Comments:
Note:The ceiling R-values do not assume a raised or oversized truss construction.If the insulation achieves the full insulation
thickness over the plate lines of exterior walls,R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be
substituted for R-49 insulation.Ceiling R-values represent the sum of cavity insulation plus insulating sheathing(if used).
Above-Grade Walls:
❑ Wall:R-21.0 cavity insulation
Comments:
Note:Wall requirements apply to wood-frame wall constructions.Metal-frame wall or mass(concrete,masonry,log)wall equivalent
R-values can be found in the Help User's Guide.
Windows:
❑ Window:U-factor:0.300
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Note:Up to 1%of the total allowed glazing area may be excluded from the U-value requirement.For example,3 ft2 of decorative
glass may be excluded from a building design with 300 ft2 of glazing area.
Doors:
❑ Door:U-factor:0.350
Comments:Front door exempt
Note:Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken
from the door U-factor table in the Help User's Guide.If a door contains glass and an aggregate U-factor rating for that door is not
available,include the glass area of the door with your windows and use the opaque door U-factor to determine compliance for the
door.One door may be excluded from this requirement(i.e.,may hav a U-factor greater than 0.35).
Floors:
❑ Floor:R-30.0 cavity insulation
Comments:
Note:The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements or garages).
Floors over outside air must meet the ceiling requirements.
Note:Add an additional R-2 for heated slabs.The insulation must extend 1)down from the top of the slab,or 2)down from the top of
the slab to the bottom of the slab and then horizontally underneath the slab,or 3)down from the top of the slab to the bottom of the
slab and then horizontally away from the slab,with pavement or at least 10 inches of soil covering the horizontal insulation.
Heating and Cooling Equipment:
❑ Other Boiler::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:
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Ll 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 and glazing U-factors are dearly 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:
Lj Supply ducts in unconditioned attics or outside the building are insulated to R-11.
Return duds in unconditioned attics or outside the building are insulated to R-6.
Lj Supply ducts in unconditioned spaces are insulated to 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:
Lj 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 181 B.
Exceptions:
Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa).
Lj 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.
Lj 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.
El 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:
Ll 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:
LI HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2.
Trombley Addition Page 3 of 4
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
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 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)
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