2005-486 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: P20050486 Date Issued: Wednesday, October 12, 2005
This is to certify that work requested to be done as shown by Permit Number P20050486
has been completed.
Tax Map Number: 523400-301-019-0001-028-008-0000
Location: 20 EVANNA Dr
Owner: CERRONE BUILDERS INC
Applicant: CERRONE BUILDERS INC
This structure may be occupied as a:
Garage - 2 Cars Attached By Order of Town Board
Single Family Dwelling TOWN OA 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 QUEENSBURY
(EL 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050486 Application Number: A20050486
Tax Map No: 523400 -0 - 000
Permission is hereby granted to CERRONE BUILDERS INC /
For property located at: 324 QUAKER R
in the Town of Queensbury,to con ruct or place
at the above location in accordance wi ';ntoge er with plot plans and other information hereto filed
and approved and in compliance with the NYSorm Building Codes and the Queensbury Zoning
Ordinance. Tyne of Construction Value
Owner Address: LEGACY LAND HONQS, LLC Garage-2 Cars Attached
50 COUNTRY CLUB 'QUEENSBURY NY0,4-0000 Single Family Dwelling $195,000.00
Total Value $195,000.00
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Contractor or Builder's Name /Address j Electrical Inspection Agency
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Plans& ecifications
2005-4 6 LOT 10 HSE#20 EVANNA DRIVE
1544 S FT SINGLE FAMILY DWELLING
t, �A
$225.28 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, July 13, 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 Town of Queensbury; Wednesday, July 13, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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Check Residential Plan Review: One& Two Family Dwellings
/N/N/A
(2)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
Calculations:
Window Schedule With Glass Size
Door Schedule/Main Entrance 36"Door
Emergency Escape Or Bedrooms and Habitable Space
Above/Below grade,5.7 sq.ft.
CGrade,5.0 sq.ft.
24"(h)x 20"(w)min.
44"Max.Height above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK
Dampproofing/Waterproofing Materials On Plans
Foundation Drainage On Plans,if required
6"Drop in 10'Exterior Grade
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where
Required
NA Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
Stairway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise
A- Winder Run and Rise ;
■ � Spiral Not Allowed From Story
�1 Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
Hall Width,36"min.
Handrails More Than One Riser On Open Sides
Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht.
Safety Glazing Notes For Required Areas
Garage Fire Separation
Garage Floor Sloped
I XY—
Attic Access
Roof 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
Application for Permit— Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury, NY 12804 (S18) 761-8256
1. OWNER INFORMATION: ............................................... ....
.......__
Office Use
Location of installation:ZAI /U �'INit/A
File Permit No. . C,
Tax Map No.
�� �� /� Fee Paid
Owner's Name:
Address: A—//8tf
2. INSTALLER'S NAME PHONE NO.
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply #of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdrm =
1980— 1991 x 130 gal/bdrm =
1991 —present x 110 gabbdrm = ��
Garbage Grinder Installed yes_ / no Xr
Spa or Hot Tub Installed yes_ ! no X
4. PARCEL INFORMATION: (circle applicable information& indicate measurements)
Topojua-ohy 5DilNature Ground Water Bedrock or Im ervious Material Domestic Water Su ltiI
Flat sand at what depth ` at what depth municipal
Rolling am feet I feet well
Steep slope clay if well; water supply
�%slope other from any septic-system
depth: absorption is ft
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a 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: 1000 gallon (min. size 1,000 gal.)
Tile Field: each trench 6�5 ft. Total System Length:
Seepage Pit(s): number of size of each: ft. by ft.
Size of Stone to be used: # / depth or thickness feat
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons
i
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATtiRE &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 Queen ry Sanitary Sewage Disposal Ordinance.
Signature of responsible person Date
Principal Structure Building Permit Application
p g
Application & Plans subject to review before issuance of a valid permit for construction.
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
117-
Applicant/Builder (-- 04Y-- 1 & L- Owner:
Address: Address:
Home Phone: Home Phone:
Email Address: Email Address: `' f
Cell Phone: Z---- Cell Phone: `""
FAX Phone: _�G,�. �f1LD� FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
AName: � Phone
Address:
Location of proposed construction: Lot No. A9 Legal Address: 00 iQNI�iQ/�
Tax Map Number: 30 t I Subdivision Name:
10
Estimated Cost of Construction: $Z&,()Ud
Proposed construction is for: v_Residential Use ,Commercial Use
Name of Business: eezo�A,(-- a4w i L
If proposed construction is an addition, what will use of new addition be?
New Addition Alteration Proposed Construction 10 Floor 2nd floor Other Total Proposed
structure (Occupancy Type) Sq. Ft. sq.ft. Sq. Ft. Square feet Height
Ft. 8
Sin i -Family Dwelling
Two-Famt Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached Garage 1 2, 3
Type of Heating System: Electric, Oil, Gas Wood, Forced Hot Air, Baseboard, Other:
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, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance
being issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a
licensed surveyor, drawn to scale, showing actual location of all w consttrr ction.
it r i
Date: � � � Applicant/tu do S 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: C�h Authorized Signature:
L:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04
OCT 12 2005 9: 33AM HP LRSERJET 3200 p. 2
.4
NACE X
ENGINEERING, P.C.
169 Haviland Road, Queensbury, NY 12804
Phone-518-745-4400 Fax -518-792-8511
October 12, 2005
Job 446173
New York State Dept. of Health
77 Mohican Street
Glens Falls,NY 12801
RE: Juniper Hill Subdivision- Queensbury(T) `
20 Evanna Drive (Lot# 10) Septic System
Dear Sir/Ma'am:
This letter is to inform you that 1 inspected the completed septic system for the house at
20 Evanna Drive (Lot#10) in the Juniper Hill Subdivision on October 12, 2005.
The septic system as installed was for a three bedroom house and consisted of a 1,000 gallon
septic tank and 165 lineal feet of absorption trench constructed with stone and perforated pipe.
The system conforms to the requirements of the approved,subdivision design drawings.
Please call me if you have any questions or concerns.
Sincerely,
Thomas R. Center Jr., P.E.
cc: Dave Hatin,Town of Queensbury
Al Cerrone
Queensbury Building & Code Enforcement - Residential Final Inspection,;)--
Office No.(518)761-8256 O Arrive: am/p Depart:�7 �vm
Date Inspection request received: L 1 Inspector's Initials:
NAME: PERMIT#:
LOCATION: DATE: p
TYPE OF STRUCTURE: < r
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 Complete
Guard 30 in.or more a)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 IV above rade
Gas Furnace shut-off within 30 ft.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
Interior privacy/trim/doors/main entrance 36 in. 1
Bathroom/Kitchen watertight
Safety lzin /Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: i Every Bedroom: \
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/.hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 2 "access, 1 s . ft.-150 s . ft. vents
Buildin No./Addrefis vis
b from road
Final Electrical
Site Plan / o c fired
Final Survey Plot
t Plan
VA\ 1—�
As Built Septic System/Sewer Dept. Inspection Sticker Vu
Flood Plain Certification,if required
Oka to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codes\lnspection Forms\Res. Final Inso. form 2.docLast printed 2/12/04
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: k D
NAME: \ ,E2B�►J�
LOCATION:
PERMIT#: 7 oc - L19jo
Final Survey Plot Plan
Approved Denied
The attached final
survey has been
received by the
Dept.of
Community
Development.
Upon review the
curve haj been:
Craig'-grown,Zoning Administrator
Notes:
L:1SueHemingway\Building.Codes.Inspection.FORMS\Fina1 Survey
Zoning Administrator_doc
MAP REFERENCE:
MAP OF A SUBDIVISION MADE FOR
MICHAEL DICKINSON
DATED: JANU ARY 15, 2003
LAST REVISED SEPTEMBER 17, 2003
BY. DAVID J. BOLSTER
FILED IN THE WARREN COUNTY
CLERK'S OFFICE ON OCTOBER 7, 2003
IN PLAT B MAP NO. 238 r/ , /
LOT #9
2 806z� 8„
69
/
N1 32
t -.7.3-- -) 'G9�,
33
GUSHED sT a t LOT #10
}'rl IONS 27, 153 sq ftIL
6. ! 0.62 acres
0
LANDS N/F OF !
SANDRA D. BUSTEED BOOK 1100 PAGE 50
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14,
'48-W
c® ;
LOT #11
�cy/-.qo o
C.
�s4135 LOT #12
o AN
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Date: October 6, 2005
Du s �p ,MNAJM AD KPM L"OR ADDITION TO A IS A Map of a Survey made for Scate 1'=30'
IMP MN OF A LICENSED NANO SURVEYORS.OF TH A
1 pw N°LATIOH OF SEC710"7200.SUB-OIVISfO"Y,OF THE
& NEW VM S AIE EDUCATION UAW.'
'ONLY COPIES FRO/INC OMIYHAL OF INS SURVEY
MAMU VAIN AN ORIOINAL W TIE LAW SURVEYORS
eves SEAL SHALL NE S MIC n H RV YAUD TRUE COPIES. ARY GRACE G 0 U LD S—' 1
EMSIONC
%R,R,GA„ASMWYA DIER�~N „WN DARED S. & M
ENS SURVEY Q PREPARED N ACCORDANCE MIN THE
Land Surveyors 0M s &y SAX Ce"M IM %WLLDRSADDPEE° ,O ,
BY THE NEW YM STATE ASSOMDO N W PROfE55NO&
lAi1D SNt4flfORS.SAD CERTFTf)Al1ON5 SFNALL RIM OLY
70 THE PERSOH FOR MNON 111E SURVEY CS PREPARED.AND
ON HIS BEHAS ID IIE'RM COMPANY.OCAIFANIENEAL
AGDCYAM DMMIM USM •AND Town of Queensbury, Warren County, New York
169 Haviland Road Queensbury, New York 12804 70 THE ASMMS OF INC WONG INBniUAON.- GOULD
(518) 792-8474 New York lAc. No. 50135 1 1 M NO. DATE DESCRIPTION DWG. NO.03283-10
309.19-1-
Septic Inspection Report
Office No.(518)761-8256 Date Inspection requ eiv
Queensbury Building&.Code Enforcement Arrive: a epart:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials
NAME: P IT NO.: / 1
LOCATION: SPECT ON: (�—
RECHECK:
Comments and/or diagram
Soil Type: an la
Type of Water: Well Water
Waterline se aration is ance ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length ft.
Length of each trench 5 ft.
D th of trenches ft.
Size of Stone A7—
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank y 0b CJA
Tank to Distribution Box
Distribution Box ld/Pit `' T QVr—
O nin Seale Partial
End Caps
Location/Separations
Foundation to tank
Foundation to absorption ft.
aration its ft
Conforms as perNot Plan Y
Engineer R o As-Built Y VNEC�tJ
System on Property:
Front Rear Left Side Right Side t
Middle Fr �Middle
System Use Status:
pproved
I al A proved and needs to be re-inspected,please call the Building&Codes Office
is roved
Last revised 1/6/05
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: fli
Queensbury Building & Code Enforcement Arrive: am/ a-� am/pm '
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:am/
NAME: PERMIT #: Vi-
LOCATION: t's,CT � IQ,INSPECT ON: •
TYPE OF STRUUR : '1 �
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent / Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
Pressure Test
Drain / Vent
Air / Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes A),¢
essure Test
r Supply Piping
AijrHead
50S.I for 15 minutes
lation Residential Check / Commercial Check
Proper Vent Attic Vent
Duct / Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
e
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/p epart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: 7/
J
C � �
NAME: 'n PERMIT#: J >
LOCATION: _ - INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
Attic Access 22"x 30"minimum l��a V I
Jack Studs/Headers �� a
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly PC,
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/z w 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1,2,3 hour
Fire wall 2, 3,4 hour
Firestopping L� DR 5
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side t/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
.. Rough Plumbing a Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/p Depart: am/p
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 7.
1 4
NAME: PERMIT #: �� 0
LOCATION: .20 e\) INSPECT ON: 5
TYPE OF STRUCTURE:
lr N N/A
�4ough 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
ressure Test
rl— n / Vent
OAir Head
.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping A)o( � Y
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 proper) / No duct tape
COMMENTS:
LAPam Whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report-revised Nov 17 2003.doc Revised February 15,2005
Framing / Firestopping Ins ectionRe ort
Office No. (518)761-8256 Date Ins ection!re ec ved-
Queensbury Building&Code Enforcement Arrive: e rt:742 Bay Road, Queensbury,NY 12804 Inspector's Initi
NAME: PERMIT#:
LOCATION: INSPECT ON: - �
TYPE OF STRUCTURE: r2�
Framing Y N N/A COMMENTS
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
1 % w) 16 gauge 8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor lts 6 ft. or less on center
Ic nd 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 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
i
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: anv`p
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
_ PERMIT#: (�!
NAME: _._
LOCATION: _ - t 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 y
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Found n/Waterproofing
of Dampproofing/W a r e
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil 2oly for wet areas under slab
1r' +s1
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R- __
Rough Grade 6 inch drop within 10 ft.
L:1SueHemingwa)ABuil ding.Codes,InspectionTORMS\roundation Inspection Report.doc January 28,2003
Foundation Inspection Report �(
1
Office No. (518) 761-8256 Date Inspection request received: 1 .---
Queensbury Building&Code Enforcement Arrive: alru` Depart:azvpm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT PERMIT#: i =
LOCATION: /('j �t,�-„n, # 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 � L— Fi L4 Ac,,J�
enforcement in Place /
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inc above footing
6 1 polyfor wet areas under slab
ckfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASueHemingway\Building.Codes,InspectionTORMSToundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am! /� / Depart: pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: 6V
NAME: PERMIT#: JLQO 5-Ll R
LOCATION: INSPECT ON: —
TYPE OF STRUCTU E:
Comments
--�— Y N N/A
ootings
Piers
Monolithic Slab
Reinforcement in Placej�
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
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 6 inch drop within 10 ft.
I.:\,SueHentingway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003
------------------------------------------------ ------
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JUN c9 0 2005
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DATE
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Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheekSoftware Version 3.6 Release 1
Data filename:Untitled.rck
., .
PROJECT TITLE:CERRONE BUILDERS, INC.
Pu�l
COUNTY:Warren TI)l r%
STATE:New Yorkr
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
WINDOW/WALL RATIO:0.09
DATE:06/22/05
DATE OF PLANS:6-7-05
PROJECT DESCRIPTION:
1543-H
COMPLIANCE:Passes
Maximum UA=332
Your Home UA=242
27.1%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perim etgtR ValueR Value U-F UA
Ceiling 1:Fiat Ceiling or Scissor Truss 776 30.0 0.0 27
Wall l:Wood Frame, 16"o.c. 1980 19.0 0.0 104
Window 1:Vinyl Frame:Double Pane with Low-E 141 0.350 49
Door 1:Glass 40 0350 14
Door 2: Solid 58 0.100 6
Basement Wall 1:Solid Concrete or Masonry 560 11.0 0.0 42
Wall height:7.6'
Depth below grade:6.8'
Insulation depth: 5.0'
Floor 1:All-Wood Joist/Truss:Over Outside Air 8 19.0 0.0 0
Furnace 1:Forced Hot Air,90 AFUE
Air Conditioner 1:Electric Central Air, 10 SEER
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 attesting that to the best of his/her knowledge,belief,and
professional judgment,such plans or specifications are in compliance with this Code.
-44H /Designer Date �5'
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.6 Release 1
DATE:06/22/05
PROJECT TITLE:CERRONE BUILDERS, INC.
Bldg.
Dept.
Use
I
( Ceilings:
[ j ( 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30,0 cavity insulation
( Comments:
(
( Above-Grade Walls:
[ ] ( 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation
( Comments:
{
( Basement Walls:
[ ] ( 1. Basement Wall 1: Solid Concrete or Masonry,7.6'ht16.8'bg/5.0'insul,
( R-11.0 cavity insulation
( Comments:
(
( Windows:
[ ] ( 1. Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.350
( For windows without labeled U-factors,describe features:
( #Panes Frame Type Thermal Break?[ j Yes[ ]No
( Comments:
(
( Doors:
[ ] ( 1. Door 1:Glass,U-factor:0.350
( Comments:
[ ] ( 2. Door 2:Solid,U-factor:0.100
( Comments:
(
( Floors:
[ j ( 1. Floor 1:All-Wood Joist/Truss:Over Outside Air,R-19.0 cavity insulation
( Comments:
(
( Heating and Cooling Equipment:
[ ] ( 1. Furnace 1:Forced Hot Air,90 AFUE or higher
( Make and Model Number
[ ] ( 2. Air Conditioner 1:Electric Central Air, 10 SEER 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
j with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a
I 3"clearance from insulation.
I
Vapor Retarder:
[ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
I
I Materials Identification:
[ ) I 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
I equipment must be provided.
[ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
the building plans or specifications.
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Duct Insulation:
[ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] I Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] I Supply ducts in unconditioned spaces must be insulated to R-11.
[ ] ( Return ducts in unconditioned spaces(except basements)must be insulated to R-
[ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R-2..
Insulation is not required on return ducts in basements.
I
Duct Construction:
[ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives),
I mastic-plus-embedded-fabric,or tapes. Tapes and mastics must be rated UL 181A or UL 181B.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in.w.g.(500 Pa).
[ ] I The HVAC system must provide a means for balancing air and water systems.
I
Temperature Controls:
[ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
I temperature set point of the largest zone.
I
Electric Systems:
[ ] Separate electric meters are required for each dwelling unit.
Fireplaces:
[ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ) I Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction
I provisions of the Building Code of New York State,the Residential Code of New York State or
I the New York City Building Code ,as applicable.
I
Service Water Heating:
[ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of a circulating system.
[ ] I Insulate circulating hot water pipes to the levels in Table 1.
I
Circulating Hot Water Systems:
[ ) I Insulate circulating hot water pipes to the levels in Table 1.
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Swimming Pools:
[ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
3
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
j Heating and Cooling Piping Insulation.
[ ] HVAC piping conveying fluids above io OF or chilled fluids below 55 T must be insulated to the
( levels in Table 2.
r
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pine Sizes
Heated Water No0-Circulating RunaUJA Circulating MAjUs Wd jet gQv
Temperature(Fl Up to 1" j1p 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 h Pipe Sizes
Ping system T es Range E j 2"Runouts 1"and Less 1.25"IQ 2" "
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 I.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)