2005-142 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. P20050142 Date Issued: Wednesday, July 13, 2005
This is to certify that work requested to be done as shown by Permit Number P20050142
has been completed.
Tax Map Number: 523400-315-010-0001-002-000-0000
Location: 7 QUINCY Ln
Owner. MICHAELS GROUP LLC THE
Applicant: MICHAELS GROUP LLC THE
This structure maybe occupied as a:
Fireplace By Order of Town Board
Garage - 2 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling /f
Issuance of this Certificate of Occupancy DOES NOT relieve the lot
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 QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050142 Application Number: A20050142
Tax 1\Iap No: 523400-315-010-0001-002-000-0000
Permission is hereby granted to: MICHAELS CTR01 P I,I,C THF,
For property located at: 7 QUINCY 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. Type of Construction Value
Owner Address: MICHAELS GROUP LLC THE
10 BLACKSMITH Dr Fireplace
MALTA, NY 12020-0000 Garage-2 Cars Attached
Single Family Dwelling $286,900.00
Total Value $286,900.00
Contractor or Builder's Name /Address Electrical Inspection Agency
MICHAELS CTROITP
SUITE 1
10 BLACKSMITH Dr
MALTA_ NY 12020
Plans&Specifications
2005-142 LOT 2 HSE#7 QUINCY LANE
2666 SQ FT SINGLE FAMILY DWELLING
$374.52 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, March 31, 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 the To ueens ur day, March 31, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code forcement
Check Residential Plan Review: One& Two Family Dwellings !!!
Y/N/N/A
}Full sets of plans
Over 1,500 sq. ft.—Stamped
Design Loads On Plans: 90 Wind Floor Loads 40 psf
70 Ground Snow Load Sleeping Areas and Attics 30 psf
a Calculations:
indow Schedule With Glass Size
Door Schedule/Main Entrance 36"Door
Emergency Escape Or Bedrooms and Habitable Space
Above/Below grade,5.7 sq.ft.
Grade,5.0 sq. ft_
4"(h)x 20"(w)min.
44"Max.Height above floor
esidential Check Paperwork Compliance and Inspectors Checklist: OK
Dampproofing/Waterproofing Materials On Plans
F#andation Drainage On Plans,if required
6"Drop in 10'Exterior Grade
1Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where
*equired
L Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
latforms At Exterior Doors
S irway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise
^1 Winder Run and Rise
l�
,lJ A Spiral Not Allowed From 2nd Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
all Width,36"min.
andrails 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
arage Fire Separation
Garage Floor Sloped
A Access
oof 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
Building Permit Application
Town of Qucensbury-Dept of Conurtunity Development, 742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No. Jy
No inspection will be made until applicant has received a Fee Paid $ '3-7-Cq
�
S
valid building permil. All a plicanls' spaces on this Rec. 'cc Paid $application must be completed and must appear on the Reviewed By:
application form.
Applicant:T"r- 1"`1 1c ,�S l«L1 XJ__� Owner: '!;`f1L-.
Address: ��3ah 'Urzi, Address:
1 N N,
Phone# (5e) C�6 Phone#
Property Location: Lot Number: 2 / House Number -7 / QV,t te,•e L..��
Subdivision Name: Tax Map Number: " ,/n
XNew Building: residence /commercial Estimated Market Value of Construction: $ 2'�-"Co r g O O
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/conr 1 N
❑ Other work(describe )
rr
Check Occuhancylnformation i" Floor 2"` Floor Other Ioor Total -
Below sq.I'L sq. rt• sq. It. `Square Feet
( Single family dwelling - 1410 1 Z5to
❑ Two family dwelling
❑ 'Townhouse
❑ Multifamily dwelling
#of units
❑ omcc
❑ Mercantile
❑ Manufacturing
❑ i car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ I car attached garage
X2 car attached garage
❑ 3 car attached garage
❑ Storage building- -
Commercial
❑ Storage building- --
residential
❑ Other
Will any second-hand or ungraded lumber be used? If so, for what'? .
Type of Ideating System: electric/ oil / gas wood / orced hot an' baseboard/other:
Number of Fireplaces to be installed I Number of 11'oorlstones to be installed tA&
List below the person(s) responsible for supervision of work as regards to building codes:
Ns1n1e ^ddress t Phone NUniber
�.����,,�`� ��t''.C�S�-t'`�"•-�'�`^
Pliln,bcr _ `-_ S�Of1b��t`+y� �1��Tt �'s-11`-`�-- -2
Mason J b e0uo helz- SOX 2 toe �}RA.NYt�-LE b'32 - 91$S
Electrician 60-A '70 FORT HUNTER :a c 5 - 214$
Ucctaralic�;ti: please sign below after you have ettrefrally read the statement•
To the best ormy knowledge the statements contained in this application,together with the plans and specifications
submilted, are a line and complcle stalcment of all proposed work to be done on the described premises and that all
provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall he complied
with,wh�lhcr spccilicd or noted,and that such work is authori�,cd by the owner. Purllier, it is understood lhat l/wc sliall
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 its Builfyriripej by a licensed surveyor;drawn to scale,showing actual
location ol'all new cons action
Signahne: - - owner,owner's agent,architect,contractor
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION:
1 Location of installation: v i�.c ✓a-� Office Use
File Permit No. 'ILf
Tax Map No.
Owner's Name: . t c. �. ��oL.0 Fee Paid
Address: -7 Qv tiN,C-y L A-tNL s
2. INSTALLER'S NAME :_ i ��`S v n - PHONE NO. �f
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 gandrm =
1980- 1991 x 130 gal/bdrm =
1991 -present _ x 110 gal/bdrm. = �} s
Garbage Grinder Installed yes_ / no_.X
Spa or Hot Tub Installed yes_ / no _
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
Toi)ozraDhv Soil-Nature Ground Water Bedrock or hWervious Material . Domestic Water Supply
lat sand at w at depth at w untcipa t depth m
olling loam feet feet we
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 licensed
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: I Zt:ry' gallon(min. size 1,000 gal.)
Tile Field: each trench_!!;;-o ft. Total System Length: 2-00 ft.
Seepage Pit(s): number of size of each: ft. by ft.
Size of 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: l� 1 Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 of the 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 abide by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
V 3/Z- d
Sig atu6 o responsible person Datef
w
.' ,ow, ct Of Queellsbui•y
so-vc:l-4 and Sc;wstJ;cs Disposal Clinviel.
Appondix. C.
FI Rl1.1i.)
' fiI:I'1�ItA,'I'IC)At ttI.�ZLJ�ItI�i�ll�.l�l'1`;R '
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SICTNA'X'tJRE &INF�RMATI{�1 F RY'tJi�llLr.�w �, ' ': ;'.•::
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Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances
Date t , 20 S Permit No.c 00
Application is hereby made to the Building do Codes Office for the issuance of a Building and Use
Permit pursuant to the New York State Fire Prevention and 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 per form required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: T}.1 F L4 t C1~l& t=j Stove: wood coal pellet gas
Fireplace insert
Address: 10 ( a A L K `6 N I �4 TT,tz ,U Fireplace, factory-built: wood 4ggb l
-t Lx t 7 ( 7 Q Fireplace, masonry: wood gas
Furnace: wood gas oil
Phone:
If non-masonary applicance, please provide
Owner: `, �,, Manufacturer Name:
Address: Model Number:
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
Flue tile esreiel size: inches
Exact Address: � t�.:��.:.��..: c..-� LAt�.I�
of construction or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction/Installation must
conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double ivall / Triple wall / hisulated / irec•t venting
Chimney Liner
i
CA&MINAlaw" t—Toww�12 oP QIM a4e_" rbury, 1wAgmar Yor K -
Fire Marshal Code# $Collected S Refunded Receivedfixon (refunded to):
address:
A 173 3389 (190) Public Safety ---- ----__.
,42332655 (230)Minor Sales
DATE:
yi�n.cc�wl a— T wn. ('flue%oa. DD.P.47
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.)
Queensbury Building & Code Enforcement - Residential Final Inspection
t �
Office No.(518)761-8256 Arrive: am/p Depart:�. —S am/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#: s oZ
LOCATION: i k r\r--- r tA DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent throw h roof minimum 6"
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 '/2"
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 Valves installed/Heat Trap/Water Temp 110
Irprior rivacy/trim/doors/main entrance 36 in.
athroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: ; Battery backu :
Carbon Monoxide Detector
Bathroom Fans,if no window
F 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/'/4 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 s . ft,-150 s . 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/O Temporary/Permanent
L:\PamW\Buildint;&Codes\Inspection Forms\Res. Final Inso. form 2.docLast vrinted 2/12/04
11
Town of Queensbury Fire Marshal y 1
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
FactorBuilt Gas Fireplace/,Stave Insyectiga deport
Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance,No deviation from the manufacturer's
instructions or specifications is allowed. I/!141—�7
Permit# 1 qJ Schedule Inspection - - �� 'IYme I^t am pm?anytime Inspector
Nameic� .: +� �f Address t_�% ;t� _ Rough In_ Final
Appliance Manufacturer-- 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)
Firestop(s) Vertical Chase _
Wall Penetration
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 Vp opening
Witness Operation
Tank Placement(if LP)
W We—BMMMS Dept Yellow r Pink—Fire Marshal
Queensbury Building & Code Enforcement - Residential Final Inspection
No.(518)761-8256 Arrive: am/ epart: r�pm
Date Inspection request received: Inspector's Initials:
NAME. SN\ i c-N- t� �.�. PERMIT#: Ll
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Com lete
Guard 30 in.or more @ stairs,decks, atios
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 Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight f
Safe lzin /Window in stairwells safety glazing *-17
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/3/4 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"accf ss, 1 s . ft.-150 s . ft.vents
Building No./Addles visi le frpm road
Final Electrical
Site Plan /Variance re uir d
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codes\lnsvection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection re est ive .
Queensbury Building&Code Enforcement Arrive: m/p part: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initia
NAME: CJ IT NO.:
LOCATION: — SPECT ON: --
RECHECK:
Comments and/or diagram
Soil Type: Sand/Loam/Clay
Type of Water: Municipal/Well Water
Waterline separation distance $.
Well separation distance $.
Other wells: ft.
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field/Pit
Opening Sealed: Y/N/Partial
End Caps
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N
_Engineer Report and As-Built Y N
Location of System on Property:
Front Rear Left Side Right Side
Middle Front fiddle Rear
System Use St s:
Approved
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
Last revised 1/6/05
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received.
NAME: i
a'. 0Qn
LOCATION: 7� 'Q��
PERMIT#:
Final Survey Plot Plan
Aimroved Denied
The attached final
survey has been
received by the /
Dept.of /
Community
Development.
Upon review
survey has be
Craig Brown, toming Administrator
Notes:
L:4SueHemingwaylBuilding.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart: _ . an
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT #: 1 �2-
LOCATION:_=7au ii1.GA- (mot-rIC- INSPECT ON: P one.
TYPE OF STRUCTURE: SPT-) a7
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
.S.I. or 10 ft. ove highest connection for 15 minutes
ressure 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:
L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
MAP REFERENCE: ,�,►,
QUINCY LANE SUBDIVISION ry psR
THE MICHALES GROUP etst�
BY: VAN DUSEN & STEVES
DATED: APRIL 15, 2003
LAST REVISED: JUNE 10, 2003
LOT 3
S150:11'30'w
2&D.00'
151.24' _ W
N
1.250 gsl. �
SEPTIC TANK
DISTRIBUTION 24.1'
BOX 0 o —
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W ABSORPTION }a N
p TRENCM5 0 N
IN 4048'EA• � "'o0
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Land Surveyors °� ` �`STANAM `"'° M&
BY Tiff fEw YgMC STATE ASSOCIATKMI�PROFESSIONAL
LAND&ME t"I SAD CER7IFK:A7WNS SHALL RUN ONLY
70 7HE PETESON FOR wwEl THE SURVEY 6 PREPARED.AHD
ON HIS K.-LF TD ".mLE OOYPANY.°Dy "lmTAL
169 Haviland Road Queensbury, New York 12804 "°�"°"A"°`�'°"°"�""'�''"�"'�°""'D To-im of Queensbury, Warren County, New York
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518 792-8474 New York Lie. No. 50135 r NO. DATE DESCRIPTION DWG. No. c
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection re est e i d:
Queensbury Building&Code Enforcement Arrive: m/p epart: ate!
742 Bay Rd., Queenssb(}ury,NY 128044 Inspector's Initial . y
NAME: ' '! )C l Yl( .
S A� P IT NO.: /
LOCATION: J_ IN ECT ON:
RECHECK:
Comments and/or diagram
Soil T San /Cla
Type of Munic' ell Water
Waterline se archon distance p ft.
Well separation distance / ft.
Other wells: ft.
Absorption Field: Total length 2jc ft-
Length of each trench ft.
De th of trenches Z ft.
Size of Stone
7—
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank 6-LA LAu
Tank to Distribution Box
Distribution Box t ield/Pit
Opening SealeCV NI Partial
End Caps
Location/Separations
Foundation to tank ft.
Foundation to absorption 2 ft. T-O
Separation of Pits ft.
Conforms as per Plot Plan Y N
Engineer Rpport and As-Built Y N
Location of System on Property:
Front Rear Left Side Right Side
Middle Fro iddle Rear
System Use Status:
Approved
rtial Approved and needs to be re-inspected,please call the Building& Codes Office
=2513isapproved
Last revised 1/6/05
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/ a rt: r m/
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
v
NAME: PERMIT #: t
LOCATION: INSPECT ON:
TYPE OF STRUCTU E:
Y N NIA
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/ Head v
50 .S.I for 15 minutes
sulation Residential Check Commercial Check
Proper Vent Attic Vent
Duct / Hot Water Piping Insulation
If re uired unheated spaces
C mbustion Air Supply for Furnace
uct 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
Framing / Firestopping Inspection Report
Zj �r
Office No. (518) 761-8256 Date Inspection request received•
Queensbury Building&Code Enforcement Arrive: _ _a p art: m/pm
s
742 Bay Road, Queensbury, NY 12804 Inspector' Initial
NAME: PERMIT#:
LOCATION: �,� INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Fra ing
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
Fir wall 2, 3, 4 hour
restopping I ✓��i /,-C
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 I
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\Sue Hemingway\Building.Codes.Inspection.FORMS\Framng Firestopping Inspection Report.doc January 28,2003
K, NuS*,01 vH - 79S`d/
,- Rt)ugh Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request ceived:
Queensbury Building & Code Enforcement Arrive: am/p a art: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials.
NAME: �� ,c��o � > CNc��� PERMIT #: 0
LOCATION: INSPECT ON: _ - 19 - Q,7-
TYPE OF STRUCTURE: l
Y N N/A
ou h Plumbin / Nail Plates /-
bin Vent/ Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet / change of direction �/��4 ►'JS
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&Codes\lnspection FormslRough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Rough Plumbing / Insulation Inspection iepo
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am��part: m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: �\\i PERMIT #:
LOCATION: INSPECT ON: /9-05
TYPE OF STRUCTURE:
Y N N/A
R h P m ' Nail Plates
Plu bing Vent / Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
leanout every 100 feet/ change of direction
Pressure Test
eC
/ Vent
Head
.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
OP.S.I
/ Head
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&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: _am/pm DepartC7:T>nj
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: .
NAME: C PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRU TURF:
Framing Y N N/A COMMENTS
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
Anch Its 6 ft. or less on center
ce and snow shield 24 i hes m w 11
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
LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Reporte-1)0
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/p art: �am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
VV1-�NAME: �.. Ccnmk—oPERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
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
Anc r Bolts 6 ft. or less on center
ce and snow shield 24 inches from wall /7r(—
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 %2 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
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/ �n Dep4 ' an
742 Bay Rd., Queensbury, NY 12804 Inspector's InitialsL
NAME: k�` ERMIT#: 1 l
LOCATION: a'' r x n� INSPECT N:
TYPE OF STRUCTU f J 4�
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
Reinfore ntin Place
undation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
!� 12 inch width
6 inches above footing
6 mi PoLvfior.wet areas under slab
Ba Approval fit''
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
I.:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request re eived:
Queensbury Building& Code Enforcement Arrive: anvp Depart: _a pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials. —
NAME: _ � ���P� �jP PERMIT#: �J �/ / f
LOCATION: _ U �"L L_ _ INSPECT ON: _cX '4119
TYPE OF STRUCTURE:
Comments
_ Y N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place 2— —
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 i
Reinforcement in Place
Foundation Dampprooiing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing I
Footing Drain Dayiight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfrll Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASueHen-iingway\Building.Codes.InspectionTORNSll=oundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 76 1-825b Date Inspection request aS received:
Queensbury Building &Code Enforcement Arrive: am/p Depart: anv'pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME. �: C-b, "a S E r a i PERMIT#: ^� — �
LOCATION: :_ ��� INSPECT ON: LS
TYPE OF STRUCTURE:
Comments
-- Y N I N/A
,footings
Piers
Monolithic Slab _ Y6 7
Reinforcement in Place
The contractor is responsib or
—7/-
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement 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 poly for wet areas under slab _
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation insulation Interior/Exterior
R-
Rough Grade b inch drop within 10 ft.
LASueHerningway'Building.Codes,Inspection.FORMSToundation Inspection Report.doe January 28,2003
Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release lc
Data filename:F:\SHARE\Design\Energy Calc\Quincy Lane\7 Quincy.rck
TITLE: QL546 Washington
COUNTY:Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric 3,
DATE:03/16/05
DATE OF PLANS:March 16,2005
PROJECT INFORMATION:
7 Quincy Lane
Queensbury,NY
COMPANY INFORMATION:
The Michaels Group
10 Blacksmith Dr.
Malta,NY 12020
NOTES:
Pella proline windows
COMPLIANCE:Passes
Maximum UA=652
Your Home UA=487
25.3%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Raised or Energy Truss 1619 30.0 0.0 52
1st Floor walls:Wood Frame, 16"o.c. 1806 19.0 0.0 91
2x Family(AP):Vinyl Frame,Double Pane with Low-E 28 0.340 10
1x Family(AQ):Vinyl Frame,Double Pane with Low-E 25 0.340 9
2x Brkfst(AR):Vinyl Frame,Double Pane with Low-E 21 0.340 7
Brkfst#7: Glass 40 0.350 14
lx Kitchen(AS):Vinyl Frame,Double Pane with Low-E 15 0.340 5
lx DIning(AD):Vinyl Frame,Double Pane with Low-E 30 0.340 10
3x LIving(AP):Vinyl Frame,Double Pane with Low-E 42 0.340 14
Foyer#1B: Solid 37 0.350 13
lx Study(BC):Vinyl Frame,Double Pane with Low-E 31 0.340 11
Mud#20: Solid 19 0.240 5
2nd Floor wall:Wood Frame, 16"o.c. 1657 19.0 0.0 90
lx Bath(N):Vinyl Frame,Double Pane with Low-E 7 0.340 2
ti lx Bed#3(AZ):Vinyl Frame,Double Pane with Low-E 18 0.340 6
Ix Mbath(AT):Vinyl Frame,Double Pane with Low-E 14 0.340 5
1x Mbath(N):Vinyl Frame,Double Pane with Low-E 7 0.340 2
Ix Mbr(BC): Vinyl Frame,Double Pane with Low-E 31 0.340 11
lx Foyer(AE):Vinyl Frame,Double Pane with Low-E 14 0.340 5
Ix Bed#2(BC):Vinyl Frame,Double Pane with Low-E 31 0.340 11
1x Bed#4(BC):Vinyl Frame,Double Pane with Low-E 31 0.340 11
Basement Wall 1:Solid Concrete or Masonry 1370 0.0 11.0 89
Wall height:7.6'
Depth below grade:6.6'
Insulation depth:6.0'
3x Std Bsmt Wins:Wood Frame,Double Pane 5 0.560 3
Bed#4&Foyer:
All-Wood Joist/Truss,Over Unconditioned Space 227 19.0 0.0 11
Furnace 1:Forced Hot Air,92 AFUE
COMPLIANCE STATEMENT: 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 sting that to the best of his/her knowledge,belief,and professional judgment,such plans or
specifications are in com lance wit i Code.
Builder/Designer Date w o 5
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release lc
DATE:03/16/05
TITLE: QL546 Washington
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1:Raised or Energy Truss,R-30.0 cavity insulation
Comments:
Insulation must achieve full height over the plate lines of exterior walls.
Above-Grade Walls:
[ ] 1. 1st Floor walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
[ ] 2. 2nd Floor wall:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Basement Walls:
[ ] 1. Basement Wall 1:Solid Concrete or Masonry,7.6'ht/6.6'bg/6.0' insul,
R-11.0 continuous insulation
Comments:
Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
Windows:
[ ] 1. 2x Family(AP):Vinyl Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 2. lx Family(AQ):Vinyl Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 3. 2x Brkfst(AR):Vinyl Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 4. lx Kitchen(AS):Vinyl Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 5. lx Dlning(AD):Vinyl Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 6. 3x Llving(AP):Vinyl Frame,Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ ] 7. 1x Study(BC): Vinyl Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 8. Ix Bath(N): Vinyl Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 9. Ix Bed#3(AZ):Vinyl Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ )No
Comments:
[ ) 10. Ix Mbath(AT):Vinyl Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ )Yes[ ]No
Comments:
[ ] 11. Ix Mbath(N):Vinyl Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 12. 1x Mbr(BC): Vinyl Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 13. lx Foyer(AE):Vinyl Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 14. lx Bed#2(BC):Vinyl Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 15. Ix Bed#4(BC):Vinyl Frame,Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] 16. 3x Std Bsmt Wins:Wood Frame,Double Pane,U-factor:0.560
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ J Yes[ ]No
Comments:
Doors:
[ l 1. Brkfst#7:Glass,U-factor:0.350
Comments:
[ J 2. Foyer#113: Solid,U-factor:0.350
Comments:
[ ] 3. Mud#20:Solid,U-factor:0.240
Comments:
Floors:
[ ] 1. Bed#4&Foyer: All-Wood Joist/Truss,Over Unconditioned Space,
R-19.0 cavity insulation
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:
[ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] Supply ducts in unconditioned spaces must be insulated to R-11.
[ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
Insulation is not required on return ducts in basements.
Duct Construction:
[ ] All joints,seams,and connections must be securely fastened with welds,gaskets,mastics
(adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in.w.g.(500 Pa).
[ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ] Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] Air filters are required in the return air system.
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
Electric Systems:
[ ] Separate electric meters are required for each dwelling unit.
Fireplaces:
[ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] Fireplaces must be provided with 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 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 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 OF or chilled fluids below 55 OF must be insulated to the
levels in Table 2.
i
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)