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2003-016 TOWN OFQUEENSBURY FLE ^� 742 BayRoad,Queensbury, 12804 5902 (518)761-8201 ti �� Q rY, Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20030016 Date Issued: Friday, March 03, 2006 This is to certify that work requested to be done as shown by Permit Number P20030016 has been completed. Tax Map Number: 523400-278-020-0001-002-000-0000 Location: 717 MOON HILL Rd Owner: RICHARD DIMICK, MD Applicant: RICHARD DIMICK This structure may be occupied as a: Fireplace By Order of Town Board Garage - 3 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the (---- ekv7P 4 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. BLDG. PERMIT NO. 20 0 3-016 APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; 712 Moon Hilt Road for the following uses: Singe Famkty (R-tchartd Dink.ch) 5/12/0.5 -`" DATE SIGNATURE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby PROVED ( )DISAPPROVED with the following conditions: C€)LC.(iticute 06 Occupancy -to be .ia.bued upon comp L on oi: 1 ) Compee.te utt at.d i.ng 6 -turn 2) Instate pe nianen:t guard na i f. 6 pe r anent step -to /Lean poach 6/Lom hou6 e, .tempowij one, .in p.1!aee. 3) Compete g.inat grade. 4) 1 ns att ba.thnoom fan 4o64-c t iz- t6. 5) Irid:tatt. aLtic access which needs to have. 30" head eeeanance 30" x 22" TEMPORARY CERTIFICATE OF OCCUPAN FE ( 0 EP') (iJ$100.00 received on 5/12/05 Date of Issuance Director of Bldg. & Code En orcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 90 DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement or his designee. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 FON Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030016 Application Number: A20030016 Tax Map No: 523400-278-020-0001-002-000-0000 Permission is hereby granted to: RICHARD DTMTCK For property located at: 717 MOON HILL Rd 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: RICHARD DIMICK 17 OLDE COACH Rd Fireplace Garage-3 Cars Attached DIAMOND POINT, NY 12824-0 Single FamilDwellin $400,000.00 Total Value $400,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency MCKEARNON GROUP MIDDLE DEPARTMENT NY 12804-0000 NY Plans&Specifications 2003-016 Richard Dimick 717 MOONHILL RD, QBY. 3000 SQ FT SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS \ 1 • $437.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Sun y, February 13, 2005 (If a longer period is required,an application for an extension must be made to the code Enforceme Peer-- ___ of the Town of Queensbury before the expiration date.) Dated at the T of Quee bury; T ursday, February 13, 2003 SIGNED BY 4 for the Town of Queensbury. Director of Buildi &Co Enforcement ��` TOWN OF QUEENSBURY 4 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 IF41 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030016 Application Number. A20030016 Tax Map No: 523400-278-020-0001-002-000-0000 Permission is hereby granted to: RICHARD DIMICK For property located at: WALKUP Rd 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: ALAN DIMICK Fireplace 2717 LOCKERBEE Cir Garage-3 Cars Attached BIRMINGHAM,AL 35223-0000 Single Family Dwelling 400,000.00 Total Value 400,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency MOOSE CREEK CUSTOM HOMES MIDDLE DEPARTMENT 555 ROUTE 418 NY WARRENSBURG,NY 12885-0000 Plans &Specifications 2003-016 Richard Dimick 3000 SQ FT SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $437.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, February 13,2004 (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 nsbury; Thursday,February 13,2003 SIGNED BY �-/ / for the Town of Queensbury. 1i Director of Building& f:�e <k ement Building Permit Application • Town of Queensbury Department of Community Development,742 Bay Rd.,Queensbury,NY 12804 (518)761-8256 A permit must be obtained before beginning construction. Permit No.: No inspection will be made until applicant has received a Fee Paid: W 4 3 710-''e-4{ L valid building permit. Form must be completed. Rec.Fee Paid: Reviewed By: Aqi:,(// Applicant: ,�rc oj t' �} Owner: i✓ �) ;�,Address: (t— Address: / } Phone#: l 8-i3 2 �j.� � ill }b 1 = 20; Phone#: \< l i )0 1 i 1 � - Tax Map Number: 3,7 .(VC l — a Subdivision Name: (if applicable) Lot Number: c� /House Number: /Street Name Mc on) ii►1 I le • OR Property Location: Onc l eh.] L 1 4i J /.1 I 4:311.1 (�',.y RECEIVED -! �J 2 3 2003 iY New Building. Residential Commercial Estimated Market Value of Construction: ❑ Addition: Resi ential/Commercial If an Addition,what will use of addition bidOWN OF QUEENSBURY ❑ Alteration: Residential/Commercial BUI�UING AND CODE ❑ No change to Exterior size: Residential/Commercial ❑ Other work: (describe ) Check Below Occupancy Info 1"floor sq.ft. 2"floor sq.ft. Other floor sq.ft. Total Sq.Ft. Single Family Dwelling , /9‘00 Two Family Dwelling Townhouse Multifamily Dwelling #of units Office Mercantile Manufacturing 1 car detached garage 2 car detached garage 3 car detached garage 1 car attached garage 2 car attached garage 3 car attached garage `7 70 if Storage Bldg.,Comm. i Storage Bldg.,Res. Other What is the proposed height of the structure: :j,1. feet O inches Will any second-hand or ungraded lumber be used? If so,for what? No.of Fireplaces to be installed: o` • No. of Woodstoves to be installed: List below the person(s)responsible for supervision of work in regards to Building Codes: Name Address Phone No. Builder 7V,o e. e't k.IC , rt°N i( iJ di ..s bey 6 23-9 c J • Plumber S c (!/ems .5b-i OO 17 Mason DA C GIe 1' 1 I �- Electrician /t<.,_5/cr R Cr 51,..- ?1/ `75 Declaration: Please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this 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 Code,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 Uwe 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 new construction. Signature: Celt"( ` (circle one: owner,owner's agent,architect, ontrac or�, Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: Office Use Location of installation: I4,I 400,j Tax Map No.Z 7S-i) / f / Z File Permit No. Fee Paid Owner's Name: IKjie vd ,t.j,LL Address: t}16 I 6 it, S I el etc _ j wee. 5 eu7, Ai`t:. fLtcf 2. INSTALLER'S NAME : 5 iti1 L i c ceLifct J PHONE NO. f- 1353 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 — rese 1 x 110 gal/bdrm = t:)4.10 Garbage Grinder Installed yes / no Spa or Hot Tub Installed yes / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedrock or Imperviouss Material Domestic Water Supply Flat <itd at what depth at what depth municipal Rolling loam 71 feet 7° feet StfrZEsiie clay W'nm if well; water supply 2. ' %slope other from any septic-system depth: I'-v' absorption is ft. other J#L// Percolation Test: (To be completed by licensed professional engineer or architect) Rate: f,+y;,j '3 Sec 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: 2,5;' gallon (min.size 1,000 gal.) Tile Field: each trench ft. Total System Length: 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: E Oeet- 54:0-1 length and/or size N �J 9491 1:/75 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / 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. Signature of responsible person Date ;a1, 'l'o%vn of (2liconsInti-y Scwt::•a :tltcl Sewage Disposal (at:tplc•t' . , Appttmli x (: • ' A1 .SOR,1'TI(1N IP11;1,I) . . ' SPA'n•1LA'1'lON P.:D.11.311 .11,N ENTS ' • srFtl;NM —k. 85),-1 ----"--/•/: - �.�„ illL • Y : f1•iZ• \ -------`\ je.ii l ./ t t •1 I. ,/ i'� • . \• 1.tou.se !. . V G c‘e 21"/ wt. ..11.0).- liousr... G . . E L_ _AI , (c--;:b '..- 1 gar. . fl • / / 5t;1'ilc. • _.. . 1/•1 SY- \I 1. • 1 U1.1 titml1 iv.1 (r:.. 11"..-3 . 1 ,,xrxt t • 1`10.t.A • i \...„,...1.0 .11 • ,.....�• • _err".-.--"-------" / 7. SIGNATURE &INFORMATION FOR'ItnrvsiausLr,rz.m.wai u„oo.....,...., Fire Marshal's Office Town of Queensbury,742 Bay Road,Queei gbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel vented gas appliances . a Date , '> , 2003 Permit No.a (,. OI ., Application is hereby made to the Building& 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 perform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) 't,/` /" "; 1 .i Stove: wood coal pellet gas Name: / c C,*: c ,-e I/%,,� Fireplace insert Fireplace, factor built: wood ,y Address: . S i ` / ,,, p Y g Fireplace, masonry: wood gas ,),,,tgit4t,..s by-•. ' 1{ Z> ' Furnace: wood gas oil Phone: 6 z 3_ s 9 $ i If non-masonary applicance,please provide «~E k Manufacturer Name: Z Owner: 1 ( , t._ i.,_�--..� af,,)-�_�.c. t,��:,4' � ta,; Address: caw, Model Number: -' r pe,, rx. .tt Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile fateel size: inches Exact Address: L=f z "7$ ,f .. ./tl of construction or installation Factory-Built Manufacturer name: //,.9 ;, - f .c, Model Number: Note: Listed By: Number: T- Construction/Installation must conform to NYS Fire Prevention &Building Indicate (circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple wall J Insulated / Direct venting Chimney Liner Caret haler'rer Dexoswtzn.e t—2`OW.Z2,of Qzzer2,sblU . t -for, f Fire Marshal Code# $Collected $Refunded Received from (refunded to):Slil address: A 173 3389 (190) Public Safety r "{ A 233 2655 (230) Minor Sales DATE: 4 ( `;. ,I �"~M—.., �.+,"1�(€ ' ' +:.w.; ..._ Yigt ;4-LL- 7Ow#L V44h 02 D O White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink PP&Goldenrod(Cashier's Dept.) Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensburyi NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel-& vented gas appliances Date J/ / , 20 i; Permit NocZ.C43 " 4) Application is hereby made to the Building& 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 perfbrm required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: . 'L' t' r, <,4 1 1.„,-a_5 Stove: wood coal pellet gas Fireplace insert Address c I cflt « . Fireplace, factory-built: fa, f gas ) , ,;1` /2 •K Fireplace, masonry: •.. gas Furnace: wood gas oil Phone: 6 Z? -C1 f si t If non-masonary applicance,please provide Owner: " Manufacturer Name: . .. I-LA4 ctoLo Address: Model Number: Chimney Information Phone: (circle appropriate words) Masonry block brick stone e,, Flue tile steed size: inches Exact Address:i t, ` 2 Pluc,,j IL,/ of construction or installation Factory-Built Manufacturer name: / ,:t T1 Model Number: a{a, 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,wall Triple wall Insulated / Direct venting Chimney Liner Caalicba[er'ss Depurtmezt 771cowirAiicAr Quc ezi rbuz-y, .New Z''orli Fire Marshal Code it $Collected $Refunded Received fi•mu (refunded to): ;=� �,,'\ address: A 173 3389 (190) Public Safety A 233 2655 (230)Minor Sales • DATE: - dew White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.) IP to. ,6<. _ W- l C(2-i,-- Queensbury Building & Code Enforcement - Residential Final Inspection 3 ^� Office No.(518)761-8256 // Arrive: D par• • % t . Date Inspection request received: c9` Y� Inspector's Initi /� :�? c / NAME: K 44-4' -e° ` y ,� ERMIT#: G LOCATION: G DATE: 7, TYPE OF STRUCTURE: }-12,i Comm ntsp--1 Yes No N/A ` )-- Building Number/Address visible from road 1/ t ��}� i Chimney Height/"B"Vent/Direct Vent Location l t' G /v -�, Fresh Air Intake 6//Le 3 inch Plumbing Vent through roof minimum 6 inches 11 l r;; ,...___ Roof Complete/Exterior Finish Complete ✓ %'' Platform at all exterior doors / Guards at stairs,decks,patios more than 30 inches above grade , e ' l' Guard at stairwell at 34 inches or more Vii CJG'-re s Guard at deck,porches 36 inches or more G -` Handrail Termination at Newell Post or Wall 1Interior/Exterior Railings 34 inches to 38 inches J Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches J1 Bathroom/Kitchen watertight ,// Safety glazing/Window in stairwells safety glazing , , Interior Smoke Detectors: Every level: Every Bedroom: / Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector i/` 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 sq.ft.vents _ Bathroom Fans,if no window ,/ Plumbing fixtures Foundation insulation / Floor truss,draft stopping finished basement 1,000 sq.ft. / ,/ Emergency egress below grade 7 Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler I Relief Valve(s)installed/Heat Trap/Water Temp 110 ,�! Enclosed Stairs Sheetrock Underside minimum 1/4"Gypsum ,/ Basement stairs closed rise>4 inches ,// Garage Floor Pitched - ✓ Garage fireproofing/3/4 hour fire door/door closer f Duct work Sealed properly , Gas Logs in Sealed or Glass Enclosure I Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker ✓ Site Plan /Variance required ` Flood Plain Certification,if required " Okay to issue C/C or C/01 Tempor / nenia,..---> L:\Building&Codes Forms\Building&Codes\Inspection Forms esidential Final Inspection Form revised_100405.doc Queensbury Building & Code Enforcement - Reside. '. F'• : Inspection Office No.(518)761-8256 Arrive: \ s /el.) ►.:.ar•I a pm Date Inspection request received: 5 I 1 1!a5- Inspector's Initial NAME: Rtc- if -Di M 1 C.K /P• • IT#: Zoo 3 - D( (p LOCATION: -11-1 t •Ct tml )'il LL 42D a ATE: 5 / 12/d5 TYPE OF STRUCTURE: Th ` 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 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 i r Enclosed Stairs Sheetrock Underside minimum '/2" i\ .1'A�Et7� 61A` Gypsum ___________ Grade away from foundation 6 in.with 10 ft. 7 V Handrail Termination at Newell Post or Wall / j . 6 inch clearance to sill plate 7 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 Valve(s)installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/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 24"access, 1 sq. ft.-150 sq. 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 Fl Plain Certification,if require kay to issue C/C or C/O emporar Permanent] 1 > N5 F e L bT F R c -I t-c ,5t..% L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 WWII Queensbury Building & Code Enforcement - Resi• _ 1 ial ' .l Inspection Office No. (518)761-8256 _ Anive: a pm • ••rt: =t p ' .39y„� Date Inspection request received: 51/o f�'S Inspector's Initials: . '/. NAME: R-ACkt-A(7-3) 161 Il t.k Q . P' t4 IT#: .2003-- e31 a, LOCATION: `?t"7 fl-to7 ii Lc- k•-i7 I • TE: 51/i/i;V TYPE OF STRUCTURE: S i Comments Y // N N/A Chimney Ht./"B"Vent/Direct Vent Location -193- , .Q5G, Fresh Air Intake / 3 inch Plumb Vent through roof minimum 6" „/ Pion( CO1-4" Roof Complete/Exterior Finish Complete / ik t up) iO : �' Y1' 6` Guard 30 in. or more(ci)stairs,decks,patios / f �� � 11<51 --`D 0 NI Guard at stairwell at 34 in. or more �/ Guard at deck,porches 36 in.or more i. , EAVcWk J G° 9DVk Exterior Finish Complete ` Interior/Exterior Railings 34 in.to 38 in. I / Platform at all exterior doors 0- L0 t'AVLV CE /Nt,L (b\D` Interior Handrails stairs 2 or more risers If Enclosed Stairs Sheetrock Underside minimum V2" / —i-'g_i Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall / e Q_ \ -'�-'�t_L ppe,,t kow_t:'-v- 6 Gash clearance aranc- fo sill plate ✓✓✓ .M L PEC--M AtJ E1'T Gas Valve shut-off exposed/regulator 18"above grade ,�j Gas Furnace shut-off within 30 ft.or within line of site ✓ �"EP -re Q ERiZ PoQL1� FQt�M Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating ✓, 41-‘0,06 El 'TAM Vb1?-kR-k b 0Fj Low water shut-off boiler V t t• PLc�Ca. Relief Valve(s)installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. / Bathroom/Kitchen watertight �/ , a G O MPL,_ v‘ t3 iskL (--- ' Safety glazing/Window in stairwells safety glazing Interior Smoke DeteS,tors: / 8 % �.11'tL CiPt„TN�®� Every level: ,/ i Every Bed�om: Outside every bedroom rea: �/ / 60'—V Cl— Y- v/ Inter Connected: V / Battery backup: ✓ ``7 e Carbon Monoxide Detector ✓ t0 A LL kx)AtC L}k Bathroom Fans,if no window // i le I' �lG Ia&c 4 = = Plumbing fixtures �// t� Foundation insulation ,/ / Tc H1RJ� CE AQ Floor truss,draft stopping finished basement 1,000 sf �/ Emergency egress below grade C-I.- AZ{\I\C F 30t r Y Z-z 1 Basement stairs closed rise>4 inches Garage Floor Pitched I v i Garage fireproofing/3/4 hour fire door/door closer IDuct work Sealed properly Gas Logs in Sealed or Glass Enclosure / - � `�C_© F Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area ._�>D Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft. vents ,/ Building No./Address visible from road / V eeU P`Y E 43 TKA.N.- Final Electrical I / 6im7,ALE_ k ALL , Site Plan /Variance required / Final Survey Plot Plan �/ Q Ex-TE-'�c H�VbN As Built Septic System/Sewer Dept.Inspection Sticker ,/ Flood Plain Certification, if required/ �T���� Okay to issue C/C or C/O{Temporary/Permanent] V L:\PamW\Building&Codes\Inspection Forms\Res.Final Insp. form 2.docLast printed 2/12/04 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INCQ Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL c 84889 ermtt No. /f Cert. Cut-in Card No. )caner /4��//, /,At!/C V _ocation 4/ A) /✓(L L /ea eery' nstallation Consisting of rl T f O b -r�y / 4-/ I-,,-/e., 6 tie A -�JC�v 1.7.�1�- 1� 5 ?.zr A-44 w Wi /Z! rX nstalled By Pi) Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is :ancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the ntroduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of ma g inspections at any time, and if its ules are violated,the Company shall have the right to re ii ke th s c ifica . )ate C 5 INSPECTOR.... Member N.F.P.A.,I.A.E.I. 4 _ _ 4 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: 1g6 NAME: i C.k. -D I t'^`ck LOCATION) Plaw+i b( PERMIT#: doO3-OIc ' i ll`1 N(oomiAil t Final Survey Plot Plan Approved Denied The attached final survey has been received by the / Dept.of ,,/ Community Development. . Upon review-� - survey has • Craig Broltirs T oning Administrator Notes: FirrAf 5 t 4 (SKI) btokd ..1 , fa / 1 .0 tw (`i L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: �Z'5 rpm�. >.. ': a p Date Inspection request received: - Inspect is Initials . NAME: (Y> L, RMIT#: 9---d/ LOCATION: `Z--� �- //T,t 'lilt DATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake t� ) Pin 3 inch Plumb Vent throw h roof minimum6" ��3(o N t6N Roof Complete xter or Finish Complets' �� f (Z-e%ke,. PoRLtk 0ee:06 &v��W�tL Guard 30 in.or more @ stairs,decks,patios f ti l at+Jfll.E.b Ot M fot.t Mu t- e F y't Guard at stairwell at 34 in. or more 'APT' xte ' Guard at deck porches 36 in. or more // r Finish Complete) T J, e 11�hTALL HOJbt .A9-c its E eT. Interior/Exterior Railings 34 in.to 38 in. ✓ v.. NEATKt+JCS LEFT Eyc.QbbEU Platform at all exterior doors ✓ Interior Handrails stairs 2 or more risers ©1--IJE.ED Ta ADS.3JT GW1/40 . Enclosed Stairs Sheetrock Underside minimum /2" i +�=¢c-T EbT bt D E. or- 6f 2P6E. Gypsum ` T� CET A O0.DP of ls." ►t.� FM..61— Handrail Termination at Newell Post or Wall Grade away from foundation 6 in.with 10 ft. V / p p.�Ai F2_p M -{Ot�b . / tf 6 inch clearance to sill plate J/ �+ M flyt-wietA 6-rep �� E�T- Gas Valve shut-off exposed/regulator 18"above grade V , Q 009- pR-. 61-E.-F5 Tb 69--P 3e- 1.- Gas Furnace shut-off within 30 ft.or within line of site ✓ / S��y t Oil Furnace shut-off at entrance to furnace area ✓ to A FL-• Furnace/Hot Water Heater operating / Low water shut-off boiler .// (tY V,�`S� ‘4,iNtD�i\ 0,3 Relief Valve(s)installed/Heat Trap/Water Temp 110 V Interior privacy/trim/doors/main entrance 36 in. ,bE-f-‘ 4,M7-- 61-4\P-�JBathroom/Kitchen watertight ,;� t��� Safety glazing/Window in stairwells safety glazing (� 3 t y_31 �ityJ0%w f Interior Smoke Detectors: Every level: ✓/ I Every Bedroom: y� Outside every bedroom ,/ / A.t.ci ‘ _\,,74.,,,v\ctm,,e_4\‘ , ���r � � Inter Connected: ,/ / Battery backup: / �/� ��E� ��6«� Carbon Monoxide Detector / o t 47Et-kQAZT P4?.4\t.m .I Bathroom Fans,if no window ✓ tp Ps�Fk R.043 i k F 1L Ate A V 1 -t c 58 (, Plumbing fixtures ,� Foundation insulation ✓ ! -akF-P Y- *coy.. Pr� Fo(Z. M\SSI 13G Floor truss,draft stopping finished basement 1,000 sf , Emergency egress below grade Vi. t 0vA 1 meJ Basement stairs closed rise>4 inches / Garage Floor Pitched Garage fireproofing/'/.hour fire door/door closer t'aN 607- F1P.raDo og_ (�ip,Q.>pcb _ Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure � t/ 79E- . Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area ‘/:- /, J —iekT ___. („D":\f��\.1, 6 '?_1,,`R,‘� Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft. vents _ Building No./Address visible from road ✓/ c-�� lc- k Final Electrical s./ Site Plan /Variance required _\ Final Survey Plot Plan I v-- ► ,�jM \-_ e., 04,, As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if re•uired 4'e° J ` , Okay to issue C/C or C/0 Tempora • /Permanent] J 1D DU L:\ParnW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 141111111k1Apai.kiiTown of Queensbury Fire Marshal 742 Bay Road N � Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 l 4411 Factory Built Gas Fireplace/Stove Inspection Report 9 -// 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. r Permit#O `C I/ Schedule Inspection 1-4'— Time I am pmnytime Inspector 4 M � 1 . fir Name Nc ► ,11 1 C.—K _Address 7/ 7 1 I "i'�lll�l X. ` ( '`C Rough In Final X Appliance Manufacturer_H in i t.VYII yv Model# S z R y rt 7 B - u Direct Vent .Factory Built Chimney Flue Size Double Wall i'S Triple Wall Insulated Yes No N/A Comments Floor Protection At-‘) Clearances to Combustibles (all sides) Firestop(s) Vertical Chasev�. Wall Penetration Dc 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) Ci I tee-lt ` C PS' S L _ Mantel S Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept. Yellow Caber Fink—Fire Miuihal - Queensbury Building & Code Enforcement - Re '.I-n '. inal Inspection /1 L //1" Office No.(518)761-8256 Arrive: k' ►epart: am/ - Date Inspection re uelst received: Inspector's Initi.`. '' /4? NAME: P t IT#: C)3 0/ (o LOCATION: "] �] 'cam 0 E: TYPE OF STRUCTURE: J � Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake / 3 inch Plumb Vent through roof minimum 6" v1 Roof Complete/Exterior Finish Complete -36" 1 1 64 Guard 30 in.or more @ stairs,decks,patios R e-�� iJ gl;:pS 60tPtZR) Guard at stairwell at 34 in.or more �Ly� Guard at deck,porches 36 in. or more V w�t�L - f�tJL� _ Exterior Finish Complete ./yy—� C3 ALA.e5 i-et6 �rC,A Interior/Exterior Railings 34 in.to 38 in. J ,�G`,� gT Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum 1/2" > \�'DI \t_t_ 1ALv�� Gypsum 6NEt't‘ Grade away from foundation 6 in.with 10 ft. • 7 F c� T � LEA AT-\t✓11 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 Valve(s)installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/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 24"access, 1 sq. ft.-150 sq. ft.vents Building No./Address visible from road °I3N 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/0[Temporary/Permanent L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 Town of Queensbury Fire Marshal c . 742 Bay Road 1 Illr "'W, Queensbury,NY 12804 . '11' 761-8205/761-8206 41 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the st ctions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the m acturer's instructions or specifications is allowed. � .coca � ..TLZ___ Permit it D 1 ll,�,'Schedule Inspection 1 -) -O 5 Time IA' )1 p anytime r J M Name ^ \_S.__- • \" , ddress Rough In Final Appliance Manufacturer ii iIYIli!1___ Model# 5\ Direct Vent Factory Built Chimney X.Flue Size. ,\ Double Wall Triple Walt _ _ Insulated Yes No NiA Comments ‘7\ Floor Protection _ - ok —h v4-/' U/) Uoj cYit 1 -a-c Clearances to Combustibles (all sides) (\, pr,,,,,„ 2ero C , - 0k- Firestop(s) Vertical Chase X U U'�1 -✓�'�'� �A vtee - ok Wall Penetration 1 Vent Clearances to Combustibles ad- (;leQ1j aptig- (* Vent/Chimney TerminatioA1 > ( .,— Chimneyf C>k height must be 3 feet above roof gh K l penetration;2 feet above any combustible f construction within 10 feet Gas Shut-Off Valve Ili 3kL4 A //3 ( 1 t o x., Combustion Air \A 4. _4 tau J qq) 4,Q` v -d Hearth Extension (if any) X _ Afro aptiremtiv(v Mantel -- N ' ,Al 4-0 f&I/104 4J km Height above f/p opening 01e 5 Witness Operation X ^ Ai eed- L 1`kl e ye fi&fl7 Tank Placement(if LP) x ..., \I 01-- Z jOCA 1' irn- White—Badlding Dept. _ - - Yellow— e%L1 r /) P —Fire Marshal 4. (3 tk Ai4t �Ji1e O ( /b '` cYNeGic) Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection re• est =.eive• -4141--K. Queensbury Building& Code Enforcement Arrive: : ' s' D:•.„, - 00., •- /r 742 Bay Road, Queensbury, NY 12804 Inspector's Initia s: < NAME: \\M'N C} PERMIT#: _ 3 -Dila LOCATION:—1 -] o� , - INSPECT ON: eT en-/ TYPE OF STRUURE: Y N NSA COMMENTS Framing Jack Studs/Headers V FI? Tv , TC \i wl Bracing/Bridging Joist hangers '�-c, �u.`C�L Jack Posts/Main Beams T Exterior sheeting nailed properly ''Ate- \--'RT_ H.\ !-))-,>i r; l; 12"O.C. Headroom 6 ft. 8 in. S_ _ ^A }-li tL Cu.' Stairwells 36 in. or more EN - \--‘tJ E_ Z..e.V F Headroom 6 ft. 8 in. ��� �' \-\Vc� �olh Notches/Holes/Bearing Walls `/ ��� . hA(X \t h N�- 'i� \ `, F\‘-- h ,t-q C.-- ` - 4\ 2,�C) \.- Metal Strapping for Notches Top Plate 1 'A (w) 16 gauge (8) 16D nails each side ((-��) Draft stopping 1,000 sq. ft. floor trusses c Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall ) Fire separation 1, 2, 3 hours Fire all 2, 3, 4 hour l7� G `1 ti irestopping / � — �1� Penetration sealed �� ��� \ - 16 inch insulation in cavity min. \- Garage Fire Separation _� `C— House side 'A 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 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request c iv : 0 V Queensbury Building&Code Enforcement Arrive: p part: - 742 Bay Road, Queensbury,NY 12804 Inspector's Initi NAME: C) , i C PERMIT #: 0 ---p/ 2 LOCATION: -7 l 7 Aux.,,-. Hi ( ( ('�/ . INSPECT ON: •®G TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents ast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 '/ inch min.Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial LV Cooper,CPVC,Pex One and Two-Family nsulation/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: D -F\A -70 6\--k a_- V_-X= tom_ _ Q3 Nut.6 1 ,6 L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request cei ea Queensbury Building& Code Enforcement Arrive: j t- (�) . • pm fi - ►.rt: a 742 Bay Road, Queensbury,NY 12804 Inspector's Init.:Is NAME: c 'sf)C -;3--..: bra. Cl. ryc PERMIT #: LOCATION: '- i � yQCc d INSPECT ON: ,�'� __ `. TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents C Iron,Copper Drain/Vent/Comm. umbing Vent/Vents in Place Rough Plumbing/Nail Plates CLQA\ i 1 % inch min.Drain Size Washin . hine Drain 2 inch min. Head o • • Supply Test Drain and Ve 1 s 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial Cooper, CPVC,Pex One and Two-Family 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:\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection equest rce. ,ed• Queensbury Building& Code Enforcement Arrive: r (11/ am/pm !-•: : 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: ;,�� V .. & PERMIT#: 0p3--D LOCATION: K c r, LL 9.b c Q INSPECT ON: ,-2.10-e14 TYPE OF STRUCTURE: Y N N/A COMMENTS_ /Framing _� tA�.t� ��� � 1� \N Jack Studs/Header( Bracing/Bridging Joist hangers Jack Posts/Main Beams ► Exterior sheeting nailed properly 12"O.C. �AA Headroom 6 ft. 8 in. �'c��Y_1 �G--- LA—ft-2— Stairwells 36 in. or more -ACC-VE— Headroom 6 ft. 8 in. ��"" Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %s (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 Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side '/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 �1 Nark. Pt\ Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection req -st re, ed: Queensbury Building&Code Enforcement Arrive: a, ► 5 epart: a ors 742 Bay Road, Queensbury,NY 12804 Inspector's Initia , i NAME: V) 1 t4 M t C. PERMIT#: 2_c c -Olio LOCATION: t--itp©p IA 1 LL 4;ZpR(.) INSPECT ON: ce,-Zs---by TYPE OF STRUCTURE: n Y N/A Framing COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers S?M-_` U " Tb N,11-XSIAA-VE Jack Posts/Main Beams �` Exterior sheeting nailed properly '7-'� C pt .-L b C\S %kb 12"O.C. ` / QV Headroom 6 ft. 8 in. _ �� t Stairwells 36 in.or more 1�_ 'i 1"C_ T i\-` \- Headroom 6 ft. 8 in. -V-TW\ r K , Notches/Holes/Bearing Walls ` -�D� R Metal Strapping for Notches Top Plate �� -' 1 1/4(w) 16 gauge(8) 16D nails each side \)2-- 1-J ¶b� QL t_ Draft stopping 1,000 sq. ft. floor trusses ‘.0‘ t ‘ vZi �c ,1 \o %E(- '3 �:o bG_ �� N Anchor Bolts 6 ft. or less on center LL oaf Ice and snow shield 24 inches from wall \- '' 6 gob. _-‘-- Fire separation 1,2,3 hour ��_�t-') -1-7x (LA - 6--\--, (17 Fire wall 2, 3,4 hour Tt,„ Firestopping Eyir R1oR l>JALL1) / Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side Y2 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 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection requ-: ,ece. •. Queensbury Building&Code Enforcement Arrive: a ►ip ►,•;-eart. V140a m 742 Bay Road, Queensbury, NY 12804 Inspector's Initia .: / . / a 7 .: NAME: 1 y n PERMIT#: �,-'— Uf 7(r) LOCATION: “N\c" << -v .` INSPECT ON: CD ,yo(.) TYPE OF STRUCTURE: -sF 0 Y N / N/A COMMENTS raming \(// V -\ Jack Studs/Headers �i�-1 6 t'ZC3'� 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 VN, ikLL A 13 Headroom 6 ft. 8 in. _ Notches/Holes/Bearing Walls U Metal Strapping for Notches Top Plate 1 % (w) 1gauge(8) 16D nailseach side Draft stopping 1,000sq. ft. floor trusses Anchor Bolts 6 ft. or less on center WcW.N Ice and snow shield 24 inches from wall �_ `�.. Fire separation 1, 2, 3 hour Fire wall 2, 3,4 hour Firestopping C/VSNO Penetration sealed �-- 16 inch insulation in cavity min. Garage Fire Separation House side ''A 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 /00._ Rough Plumbing / Insulation Inspection Report tue(Di Office No. (518) 761-8256 Date Inspection requ rec iv Queensbury Building& Code Enforcement Arrive: am/p art: 742 Bay Road, Queensbury,NY 12804 Inspector's itia . 4 . o 3-4/ NAME: Oj DPI is C PERMIT #: LOCATION: Vi\C \ \ INSPECT ON: , — (f TYPE OF STRUCTURE: 1 Y N N/A6:6 -) PVC: R-1, R-2, R-3,R-4 Drain/Vents �,_ Cast Iron, Copper Drain/Vent/Comm. Plum ' g Vent/Vents in Place r -L-- 1 ugh Plumbing/Nail Plates �S�cti / 1 /: inch min.. Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test 40 s.)%4 ,-.7. Drain and Vents 5 PSI or 10 feet above highest � connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial Cooper,CPVC,Pex One and Two-Family Insulation/Residential Check/Commercial Check47 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:\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report doc November 17,2003 0\---N, Prin Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/ part: - am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: c...).. A \ PERMIT NO.: C)3* ) 1Lp LOCATION: '")11 'C''\C L A\ �� INSPECT ON: Q l\ RECHECK: 77 -, Comments and/or diagram Soil Type: Sand/Loam I Cla Type of Water: Municipal/Well Water Waterline separation distance Well separation distance Other wells: Absorption Field: Total lent h ft. Length of each trench ft. s Depth of trenches ft. Cc-- , Pg ind(J S Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type L -1--go(A„ 4PTI Building to tank Tank to Distribute. Box �ji-b W 1 A N I/ �0 T2 ` p Distribution Bo . l field/Pit 1\ t? Opening Seale. N/Partial Location/Separations 'Foundation to tank ft. Foundation to absorption ..ft. Separation of Pits ft. Conforms as per Plot Plan Y_N Location of System on Property: Front Rear Left Side Right Side Middle Fro Middle Rear System Use Stat s: Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ epa • it -K6n/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial NAME: I k& ,f I PERMIT NO.: 69 3 /-0K, LOCATION: cs�o l-k,r ( JQ,I� , INSPECT ON: ` // /c y RECHECK: / Comments and/or diagram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance _ft. Well separation distance ft. Other wells: ft. Abso .tion 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 46I'14L 8/0 Tank to Distribution :.x Distribution Box to F. . /Pit Opening Sealed: Y :artial • Location/Separations Cie 1.ill& L �, Foundation to tank ft. Foundation to absorption ft. I A All- �O ' 6 o Separation of Pits ft. Conforms as per Plot Plan Y—N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: tAp oved rtial Approved and needs to be re-inspected,please call the Building&Codes Office isapproved LASuellemingwayU3uilding.Codes.Inspeetion.FORMS\Septic Inspection Report.doc January 28,2003 ..,0.4. ,f dlr If 1 ii[c44) ' Septic Inspection Report ,r Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ D part: am/pm e 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: R."3 •‘<'- J ' PERMIT NO.: y LOCATION: IN INSPECT ON: — - RECHECK: Comments and/or diagram Soil T . Sa /Loam/ C Type,of ater: Municipalll Water Waterline separation distan ft. 0C�G Aier76 aeJGG(5-/0 Well separation distance ft. Other wells: ft. Absorption Field: Total length 'gree ft. (Pi JcN 0/urr. Length of each trench ft. Depth of trenches — ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping S T1.e Building to tank g—D ' Tank to Distribution Box i' 1 Distribution Box to ' - + /Pit II K e/\i.- Pe- roc,,sTJ, Opening Sealed: Y ' 'artial Location/Separations Foundation to tank /4"ft. Foundation to absorption 7.t ft. Separation of Pits ft. / Conforms as per Plot Plan ' V Y N `f ee- /45 —4 d/Location of System on Property: Front Rear Left Side Right Si �ysf5 At 1 i CAPPv Fv._ S Sf ov Middle Front Middle Rear System Use Status: pproved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:'SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 / / '. 1 / / /� t' /' / 4). ! / P o -.I L.._ - �.-�-�.`_ r -- J;' ; --- '— I : ONSTRUCT10'N)` 49" — ' ' _ 0. J // (Flit'SrOfJOR 384"81 p" MIN. r �t�♦��i�4 -y-y_�'�-1-�� ♦ oa/ ►♦♦ -a oo-_ SEMEN ��♦ �.♦�' _ f....--'_{.. ' P.•0' , 4,,t•1. ..... . : ,• : .: , • , : , , : , . , : .,. . e4,Iii.` A...:+...-Mti, ...I...T-1:r a% .1,4 4 .,, 1,250 GAL. SEPTIC ♦4 t♦�4.1i .. • ' r`Vi♦v♦♦goo ELJEN 1 ♦���♦�4� � ♦ ♦�4 O i ♦�♦�r4G`��♦♦.••♦I••♦♦i♦ UaIST�ki iI G ' INV. 389.4' 4♦•,Vim♦ > .. -- 48.0' Gf1RR \ \392'`<'A i'1'.N�In�Ar mow♦.'?:41�•41 .'•Ir.r1 ,' - '` REQUI ' i r�4,•�♦O�♦44''4♦4,. .461•+4 ,A.,-`•i�►','i:♦:.wig♦♦• _ R EQUI DISTRIBUTION B l,. . — ♦.♦i4•:>��t��♦�♦�4♦�,♦�v♦♦♦e♦v.•4♦♦♦♦ /' .„ —/` No.'. 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EX/SFJNG CULVERT �, ,� ♦>� /' r \\a ," te `\ \ l ��r/41 .,,, {� ,4�♦� M00 ;f , ... , •,, __ 0j r+ ��� CAPE y//4I r- < /" ag ?, �t, IRON FOUR l 1 C. r o7\ i . r tX\ - 7.• � \ � ' UTL.6;7OL 1. 0 Q-A\r\ Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p L Depa pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: `�/ NAME: r' PERMIT#: (r) ,-- LOCATION: + INSPECT ON: TYPE OF STRUCTURE: 7ts 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 Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 oly for 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. L\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p :Depart:fr /Oam/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: c—Ni t-v,._ `, PERMIT#: )3 LOCATION: { r , r, INSPECT ON: ) TYPE OF STRUCTURE: Commen f!1 Y j N N/A V.:041hp Piers Monolithic Slab Reinforcement in Place _-z 1f The contractor is responsible for 1 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 76 mil pqV for wet areas under slab Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHenungway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 :).`.- c 46)-'') Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: ((pit) am/pm Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: D NAME: r C•,; 0` ri 1 ' PERMIT#: 0 3 0/ (3 LOCATION: h� \�C. INSPECT ON: — TYPE OF STRUCTURE: c�.- Comments i 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 • Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 .1 poly for wet areas under slab ill Approval fril A / Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm, , Departs a am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: __ NAME: _ •a x , (PERMIT#: % t — `i LOCATION: *"t�_ c INSPECT ON: _ - I"" ? TYPE OF STRUCTURE: Comments Y N N/A ootings Piers Monolithic Slab Reinforcement in Place Z 41-4 V / 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 Dampproofmg Foundation/Waterproofing Type of Dampproofmg/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. e, A e O 5 � t�U ti r �i P� 7e\i 7-5 F REScheck Compliance Certificate / Checked By One e New York State Energy Conservation Construction 'ode RES check So1£ware Version 3.6 Release la Data filename: \\Server2\company\PROJECTS TMG\2003 Projects\03118 Dimick\Other Documentation\Revised MEC check.rck PROJECT TITIF: Dimick COUNTY:Way STATE: New York HDD: 7635 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE:Non-Elect is WINDOW I WALL RATIO: 0.05 DATE: 01/31/05 DATE OF PLANS: 01/21/00 DES IGNER/CONTRACTOR: The McKemon Group Inc. 176 Ridge Street Glens Falls,NY 12801 COMPLIANCE: Passes Maximum UA=488 Your Home UA=369 Gross Glazing Area or Cavity Cont_ or Door Perimeter R-Value R-Value U-Factor hA Ceiling 1: Flat Ceiling or Scissor Truss 306 49.0 0.0 8 Ceiling 2: Flat Ceiling or Scissor Truss 64 38.0 0.0 2 Ceiling 3: Flat Ceiling or Scissor Truss 40 38.0 0.0 1 Ceiling 4: Flat Ceiling or Scissor Truss 20 38.0 0.0 1 Ceiling 5: Flat Ceiling or Scissor Truss 225 49.0 0.0 6 Ceiling 6: Flat Ceiling or Scissor Truss 72 38.0 0.0 2 Ceiling 7: Flat Ceiling or Scissor Truss 18 49.0 0.0 0 Ceiling 8: Flat Ceiling or Scissor Truss 45 38.0 0.0 1 Ceiling 9: Flat Ceiling or Scissor Truss 50 49.0 0.0 1 Ceiling 10: Flat Ceiling or Scissor Truss 168 49.0 0.0 4 Ceiling 11: Flat Ceiling or Scissor Truss 144 49.0 0.0 4 Ceiling 12: Flat Ceiling or Scissor Truss 144 49.0 0.0 4 Ceiling 13:Flat Ceiling or Scissor Truss 120 49.0 0.0 " 3 Ceiling 14: Flat Ceiling or Scissor Truss 154 49.0 0.0 4 Ceiling 15:Flat Ceiling or Scissor Truss 221 49.0 0.0 6 Ceiling 16:Flat Ceiling or Scissor Truss 360 49.0 0.0 9 Wall 1: Wood Frame, 16"o.c. 108 19.0 0.0 6 Wall 3: Wood Frame, 16"o.c. 63 19.0 0.0 4 Wall 4: Wood Frame, 16"o.c. 63 19.0 0.0 4 Wall 5: Wood Frame, 16"o.c. 45 19.0 0.0 3 Wall 6: Wood Frame, 16"o.c. 45 19.0 0.0 3 Wall 7: Wood Frame, 16"o.c. 45 19.0 0.0 3 Wall 8: Wood Frame, 16"o.c. 45 19.0 0.0 3 Wall 9: Wood Frame, 16"o.c. 45 19.0 0.0 3 Wall 10: Wood Frame, 16"o.c. 45 19.0 0.0 3 Wall 11: Wood Frame, 16" o.c. 77 19.0 0.0 5 Wall 12: Wood Frame, 16"o.c. 270 19.0 0.0 16 Wall 13: Wood Frame, 16"o_c_ 72 19.0 0.0 4 Wall 14: Wood Frame, 16"o.c. 54 19.0 0.0 3 Wall 15: Wood Frame, 16"o.c. 171 19.0 0.0 10 Wall 16: Wood Frame, 16"o.c. 91 19.0 0.0 5 Wall 17: Wood Frame, 16"o.c. 52 19.0 0.0 3 Wall 18: Wood Frame, 16"o.c. 216 19.0 0.0 13 Wall 19: Wood Frame, 16" o.c. 81 19.0 0.0 5 Walt 20: Wood Frame, 16"o.c. 27 19.0 0.0 2 Wall 21: Wood Frame, 16"o.c. 90 19.0 0.0 5 Wall 22: Wood Frame, 16"o.c. 18 19.0 0.0 1 Wall 23: Wood Frame, 16" o.c. 81 19.0 0.0 5 Wall 24: Wood Frame, 16"o.c. 80 19.0 0.0 5 Wall 25: Wood Frame, 16"o.c. 32 19.0 0.0 2 Wall 26: Wood Frame, 16"o.c. 120 19.0 0.0 7 Wall 27: Wood Frame, 16"o.c. 96 19.0 0.0 6 Wall 28: Wood Frame, 16" o.c. 40 19.0 0.0 2 Wall 29: Wood Frame, 16" o.c. 64 19.0 0.0 4 Wall 30:Wood Frame, 16"o.c. 64 19.0 0.0 4 Wall 31: Wood Frame, 16"o.c. 104 19.0 0.0 6 Wall 32: Wood Frame, 16"o.c. 64 19.0 0.0 4 Wall 33: Wood Frame, 16" o.c. 64 19.0 0.0 4 Wall 34: Wood Frame, 16"o.c. 40 19.0 0.0 2 Wall 35: Wood Frame, 16"o.c. 40 19.0 0.0 2 Wall 36: Wood Frame, 16"o.c. 40 19.0 0.0 2 Wall 37: Wood Fume, 16"o.c. 168 19.0 0.0 10 Wall 39: Wood Frame, 16"o.c. 80 49.0 0.0 3 Basement Wall 1: Solid Concrete or Masonry 98 11.0 0.0 7 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0' Basement Wall 2: Solid Concrete or Masonry 56 11.0 0.0 4 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0' Basement Wall 3: Solid Concrete or Masonry 56 11.0 0.0 4 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0' Basement Wall 4: Solid Concrete or Masonry 38 11.0 0.0 3 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0' Basement Wall 5: Solid Concrete or Masonry 38 11.0 0.0 3 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0' Basement Wall 6: Solid Concrete or Masonry 38 11.0 0.0 3 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0' Basement Wall 7: Solid Concrete or Masonry 38 11.0 0.0 3 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0' Basement Wall 8: Solid Concrete or Masonry 38 11.0 0.0 3 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0' Basement Wall 9: Solid Concrete or Masonry 38 11.0 0.0 3 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0' Basement Wall 10: Solid Concrete or Masonry 30 11.0 0.0 2 Wall height: 7.0' Depth below gra 5.0' Insulation depth: 7.0' Basement Wall 11: Solid Concrete or Masonry 76 11.0 0.0 6 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0' Basement Wall 12: Solid Concrete or Masonry 240 19.0 0.0 12 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0' Basement Wall 13: Solid Concrete or Masonry 86 11.0 0.0 6 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0' Basement Wall 14: Solid Concrete or Masonry 38 11.0 0.0 3 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0' Basement Wall 15: Solid Concrete or Masonry 83 11.0 0.0 6 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0' Basement Wall 16: Solid Concrete or Masonry 75 11.0 0.0 5 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0' Basement Wall 17: Solid Concrete or Masonry 53 11.0 0.0 4 4 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0' Basement Wall 18: Solid Concrete or Masonry 30 11.0 0.0 2 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0' Basement Wall 19: Solid Concrete or Masonry 30 11.0 0.0 2 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0' Basement Wall 20: Solid Concrete or Masonry 180 11.0 0.0 0 Wall height: 7.0' Depth below grade: 5.0' Insulation depth: 7.0 Window 1: Vinyl Frame:Double Pane with Low-E 9 0.320 3 Window 2: Vinyl Frame:Double Pane with Low-E 15 0.320 5 Window 3: Vinyl Frame:Double Pane with Low-E 12 0.320 4 Window 4: Vinyl Frame:Double Pane with Low-E 5 0.320 2 Window 5: Vinyl Frame:Double Pane with Low-E 8 0.320 3 Window 6: Vinyl Frame:Double Pane with Low-E 8 0.320 3 Window 7: Vinyl Frame:Double Pane with Low-E 10 0.320 3 Window 8: Vinyl Frame:Double Pane with Low-E 4 0.320 1 Window 9: Vinyl Frame:Double Pane with Low-E 3 0.320 1 Window 10: Vinyl Frame:Double Pane with Low-E 15 0.320 5 Window 11: Vinyl Frame:Double Pane with Low-E 7 0.320 2 Window 12: Vinyl Frame:Double Pane with Low-E 8 0.320 3 Window 13: Vinyl Frame:Double Pane with Low-E 8 0.320 3 Window 14: Vinyl Frame:Double Pane with Low-E 15 0.320 5 Window 15:Vinyl Frame:Double Pane with Low-E 5 0.320 2 Window 16:Vinyl Frame:Double Pane with Low-E 10 0.320 3 Window 17: Vinyl Frame:Double Pane with Low-E 7 0.320 2 Window 18: Vinyl Frame:Double Pane with Low-E 6 0.320 2 Window 19: Vinyl Frame:Double Pane with Low-E 7 0.320 2 Window 20: Vinyl Frame:Double Pane with Low-E 6 0.320 2 Door 1: Solid 4 0.320 1 Door 2: Solid 3 0.320 1 Door 3: Solid 3 0.320 1 Door 4: Solid 2 0.320 1 Furnace 1: Forced Hot Air, 78 AFUE Air Conditioner 1: Electric Central Air, 10 SEER Furnace 2: Forced Hot Air, 78 AFUE Furnace 3: Forced Hot Air, 78 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 attesting that to the best ofhis/her knowledge, belief and professional j -lans or sped are in compliance with this Code. 9 5--- Builder/Designer / — Date —/ —°a "tk e_ lilt.i zZ,,/DN 6-zoo- . 4 RFScheck Inspection Checklist New York State Fnergy Conservation Construction Code REScheck So$ware Version 3.6 Release la DATE: 01/31/05 PROJECT TITLE: Dimick Bldg. Dept. Use Ceilings: [ ] 1. Ceiling I: Flat Ceiling or Scissor Truss, R-49.0 cavity insulation Comments: [ ] 2. Ceiling 2: Flat Ceiling or Scissor Truss, R-38.0 cavity insulation Comments: [ ] 3. Ceiling 3: Flat Ceiling or Scissor Truss, R-38.0 cavity insulation Comments: [ ] 4. Ceiling 4: Flat Ceiling or Scissor Truss, R-38.0 cavity insulation Comments: [ ] 5. Ceiling 5: Flat Ceiling or Scissor Truss, R-49.0 cavity insulation Comments: [ 1 6. Ceiling 6: Flat Ceiling or Scissor Truss, R-38.0 cavity insulation Comments: [ ] 7. Ceiling 7: Flat Ceiling or Scissor Truss, R-49.0 cavity insulation Comments: [ ] 8. Ceiling 8: Flat Ceiling or Scissor Truss, R-38.0 cavity insulation Comments: [ ] 9. Ceiling 9: Flat Ceiling or Scissor Truss, R-49.0 cavity insulation Comments: [ ] 10. Ceiling 10: Flat Ceiling or Scissor Truss, R-49.0 cavity insulation Comments: [ ] 11. Ceiling 11: Flat Ceiling or Scissor Truss, R-49.0 cavity insulation Comments: [ 1 12. Ceiling 12: Flat Ceiling or Scissor Truss, R-49.0 cavity insulation Comments: [ ] 13. Ceiling 13: Flat Ceiling or Scissor Truss, R-49.0 cavity insulation Comments: [ ] 14. Ceiling 14: Flat Ceiling or Scissor Truss, R-49.0 cavity insulation Comments: [ 1 15. Ceiling 15: Flat Ceiling or Scissor Truss, R-49.0 cavity insulation Comments: [ ] 16. Ceiling 16: Flat Ceiling or Scissor Truss, R-49.0 cavity insulation Comments: Above-Grade Walls: [ 1 1. Wall I: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: [ ] 2. Wall 3: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: [ ] 3. Wall 4: Wood Frame, 16"o.c., R-19.0 cavity insulation Comments: [ ] 4. Wall 5:Wood Frame, 16"o.c., R-19.0 cavity insulation Comments: [ ] 5. Wall 6: Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] 6. Wall 7: Wood Frame, 16"o.c., R-19.0 cavity insulation Comments: [ ] 7. Wall 8:Wood Frame, 16"o.c., R-19.0 cavity insulation Comments: [ ] 8. Wall 9: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: [ ] 9. Wall 10: Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: [ ] 10. Wall 11: Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] 11. Wall 12: Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] 12. Wall 13: Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: [ ] 13. Wall 14: Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: [ J 14. Wall 15: Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] 15. Wall 16: Wood Frame, 16"o.c., R-19.0 cavity insulation Comments: [ ] 16. Wall 17: Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] 17. Wall 18: Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: [ ] 18. Wall 19:Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: [ ] 19. Wall 20:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ } 1 20. Wall 21: Wood Frame, 16"o.c., R-19.0 cavity insulation Comments: [ 1 1 21. Wall 22: Wood Frame, 16"o.c., R-19.0 cavity insulation Comments: [ ] 1 22. Wall 23:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] 1 23. Wall 24: Wood Frame, 16" o.c.,R-I9.0 cavity insulation Comments: [ ] 24. Wall 25:Wood Frame, 16"o.c., R-19.0 cavity insulation Comments: [ ] 25. Wall 26:Wood Frame, 16"o.c., R-19.0 cavity insulation Comments: [ ] 26. Wall 27: Wood Frame, 16" o.c.,R-I9.0 cavity insulation Comments: [ ] 27. Wall 28: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: [ ] 28. Wall 29: Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] 29. Wall 30: Wood Frame, 16"o.c., R-19.0 cavity insulation Comments: [ ] 30. Wall 31: Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: [ ] 31. Wall 32: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: [ ] 32. Wall 33: Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: [ ] 33. Wall 34: Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] 34. Wall 35: Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: [ ] 35. Wall 36: Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] 36. Wall 37:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] f 37. Wall 39: Wood Frame, 16"o.c.,R-49.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry, 7.0' ht/5.0' bg/7.0'insul, R-I 1.0 cavity insulation Comments: [ ] 2. Basement Wall 2: Solid Concrete or Masonry, 7.0'ht/5.0'bg/7.0' insul, R-11.0 cavity insulation Comments: [ ] 3. Basement Wall 3: Solid Concrete or Masonry, 7.0' ht/5.0'bg/7.0'insul, R-I 1.0 cavity insulation Comments: [ ] 4. Basement Wall 4: Solid Concrete or Masonry, 7.0'ht/5.0'bg/7.0'insul, R-11.0 cavity insulation Comments: [ ] 5. Basement Wall 5: Solid Concrete or Masonry, 7.0' ht/5.0' bg/7.0'insul, R-I 1.0 cavity insulation Comments: [ ] 6. Basement Wall 6: Solid Concrete or Masonry, 7.0'ht/5.0'bg/7.0'insul, R-11.0 cavity insulation Comments: [ ] 7. Basement Wall 7: Solid Concrete or Masonry,7.0' ht/5.0'bg/7.0'insul, R-11.0 cavity insulation Comments: [ ] 8. Basement Wall 8: Solid Concrete or Masonry, 7.0'ht/5.0'bg/7.0'insul, R-11.0 cavity insulation Comments: [ ] 9. Basement Wall 9: Solid Concrete or Masonry, 7.0' ht/5.0' bg/7.0'insul, R-11.0 cavity insulation Comments: [ ] 10. Basement Wall 10: Solid Concrete or Masonry, 7.0'ht/5.0'bg/7.0' insul, R-11.0 cavity insulation Comments: [ ] 11. Basement Wall 11: Solid Concrete or Masonry, 7.0'ht/5.0'bg/7.0'insul, R-I 1.0 cavity insulation Comments: [ ] 12. Basement Wall 12: Solid Concrete or Masonry, 7.0'ht/5.0' bg/7.0'instil, R-19.0 cavity insulation Comments: [ ] 13. Basement Wall 13: Solid Concrete or Masonry, 7.0'ht/5.0'bg/7.0' insul, R-11.0 cavity insulation Comments: [ ] 14. Basement Wall 14: Solid Concrete or Masonry, 7.0'ht/5.0' bg/7.0' insul, R-11.0 cavity insulation Comments: [ ] 15. Basement Wall 15: Solid Concrete or Masonry, 7.0'ht/5.0'bg/7.0' insul, R-11.0 cavity insulation Comments: [ ] 16. Basement Wall 16: Solid Concrete or Masonry, 7.0'ht/5.0' bg/7.0'instil, R-11.0 cavity insulation Comments: [ ] 17. Basement Wall 17: Solid Concrete or Masonry, 7.0'ht/5.0'bg/7.0'insul, R-11.0 cavity insulation Comments: [ 1 18. Basement Wall 18: Solid Concrete or Masonry, 7.0' ht/5.0' bg/7.0'insul, R-1 1.0 cavity insulation Comments: [ ] 19. Basement Wall 19: Solid Concrete or Masonry, 7.0'ht/5.0'bg/7.0' insul, R-11.0 cavity insulation { Comments: [ ] 20. Basement.Wall 20: Solid Concrete or Masonry, 7.0'ht/5.0' bg/7.0' instil, R-11.0 cavity insulation Comments: Windows: [ ] 1. Window 1: Vmyl Frame:Double Pane with Low-E, U-factor. 0.320 For windows without labeled U-factors, describe fi aturess: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 2. Window 2: Vmyl Frame:Double Pane with Low-E, U-factor. 0.320 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 1 3. Window 3: Vinyl Frame:Double Pane with Low-E, U-factor: 0.320 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] j 4. Window 4: Vinyl Frame:Double Pane with Low-E,U-factor. 0.320 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] F 5. Window 5: Vinyl Frame:Double Pane with Low-E, U-factor. 0.320 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] I 6. Window 6: Vinyl Frame:Double Pane with Low-E, U-factor. 0.320 For windows without labeled U-fictors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 7. Window 7: Vinyl Frame:Double Pane with Low-E, U-factor. 0.320 For windows without labeled U-fictors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] I 8. Window 8: Vmyl Frame:Double Pane with Low-E, U-factor. 0.320 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 9. Window 9: Vinyl Frame:Double Pane with Low-E, U-factor. 0.320 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 10. Window 10: Vinyl Frame:Double Pane with Low-E, U-factor: 0.320 For windows without labeled U-actors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 11. Window 11: Vinyl Frame:Double Pane with Low-E, U-factor. 0.320 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ }Yes [ ]No Comments: [ ] ( 12. Window 12: Vinyl Frame:Double Pane with Low-E, U-factor. 0.320 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] ( 13. Window 13: Vinyl Frame:Double Pane with Low-E, U-factor. 0.320 For windows without labeled U-factors, describe features: #Panes Fiwrie Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 14. Window 14: Vinyl Frame:Double Pane with Low-E, U-factor. 0.320 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 15. Window 15: Vinyl Frame:Double Pane with Low-E, U-actor. 0.320 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 16. Window 16: Vinyl Frame:Double Pane with Low-E, U-factor. 0.320 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 17. Window 17:Vinyl Frame:Double Pane with Low-E, U-factor. 0.320 For windows without labeled U-factors, describe features: ( #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 18. Window 18: Vinyl Frame:Double Pane with Low-E,U-factor. 0.320 For windows without labeled U-f ctors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 19. Window 19: Vinyl Frame:Double Pane with Low-E, U-factor. 0.320 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 20. Window 20: Vinyl Frame:Double Pane with Low-E, U-for. 0.320 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: Doors: [ ] 1. Door 1: Solid, U-factor: 0.320 Comments: [ ] 2. Door 2: Solid, U-factor. 0.320 Comments: [ ] 3. Door 3: Solid, U-factor. 0.320 Comments: [ ] 4. Door 4: Solid, U-factor 0.320 Comments: Heating and Cooling Equipment: [ ] 1. Furnace- 1: Forced Hot Air, 78 AFUE or higher Make and Model Number [ ] 2. Air Conditioner 1: Electric Central Air, 10 SEER or higher Make and Model Number [ ] 3. Furnace 2: Forced Hot Air, 78 AFUE or higher Make and Model Number [ ] 4. Furnace 3: Forced Hot Air, 78 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 tom combustible materials. Ifnon-IC rated, the fixture must be installed with a 3"clearance fom insulation. Vapor Retarder: [ ] Required on the wane-in-winter side ofall 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 6r all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duet 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- [ ] 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, mastitis(adhesives), mastic-plus-ernbedded-fabrics 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). [ ] The HVAC system must provide a means tar 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 fr 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 ofthe 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 ofa 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 onlolfheater switch and require a cover unless over 20% ofthe heating energy is tom non—depletable sources. Pool pumps require a time clock. f Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105°F or chilled fluids below 55 °F must be insulated to the I levels in Table 2. Table I: 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(Fl Up to I" 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/Tempure 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(fir£ed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refigerant, 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) F 1 ri.... _______ t 1 t ,-177/, _ --.---- 6 b 1 f- ‘' . , 6-7280 tt ep Epr:srt 1\ t_ -7r _ ........4: \, . -- 134t` X . 'Kn • -v�i i ri �uu., ��. .�r .,iuL,L..JYul)u rr1UG Cii. \ - f-------) Dzi-vE- i<fa-i N _J Moose�reefic� tso`�m Homes FAX FORM Scott Thomas c "a_mil 3� 1 - _ 555 Route 418 ' Warrensburg, NY 12885 (/V1 I 518.623.9951 Phone/ Fax ---\74----- \` Date: 7/743 0 _ ,�'4A # OF PAGES #10 ____ ._4,9„,,th, INCLUDING COVER (1) = s '. 44. /fr- F-;r-1 CevvCa it ui ►I` ill �_ . ,. .c. , N. e r A L Nk •n 17r it ..► ?.ONSr 1--- 9 '1J 4%).„ 1" yel,nkk5a h (,' Air rh (e,.r rt. 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