2005-576 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CEIKI"IFICATE (D.-Ar' OCCUPANCY
Permit Number. P20050576 Date Issued: Tuesday, April 29, 2008
This is to certify that work requested to be done as shown by Permit Number P20050576
has been completed.
Location: 6 CLEARVIEW Ln
Tax Map Number. 523400-290-014-0001-010-000-0000
Owner. ROBERT & JEANNETTE JENSEN III
Applicants ROBERT & JEANNETTE JENSEN III
This structure maybe occupied as a:
Residential Addition By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the °
property owner of the responsibility for compliance with Site Plan,
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050576 Application Number: A20050576
Tax Map No: 523400-290-014-0001-010-000-0000
Permission is hereby granted to: ROBERT& JF.ANNF,TTF,JFNSRN III
For property located at: 6 CLEARVIEW Ln
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: ROBERT & JEANNETTE JENSEN I
Residential Addition $6,000.00
6 CLEARVIEW Ln
QUEENSBURY, NY 12804 Total Value $6,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-576
192 SQ FT RESIDENTIAL ADDITION(DINING ROOM)
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, August 19, 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 of 0uAnsb ry; riday, August 19, 2005
f.
SIGNED BY 7 for the Town of Queensbury.
Director of Buil ing&Code Enforcement
WINDOW SCHEDULE
Job Site/A ress: P�v� { (. "� Date:
Owner: j��4 T j P= 2 Application No. - S
Window Window Window Unit or Rough Rough SQ.FT. SQ.FT SQ.FT. Clear Clear Special Hardware
Number or Manufaturor Model/Type Stock Openin Opening Glass/Vis Egress/Cle Opening Opening or Instructions
Letter on Name Numbe g Height ibie Vent ar Width In Height
Plan Call Width Light Opening Inches In Inches
Size
D 0106
,61 f, 7 2�' 7< (2) 30 (a) 2.1
io Sy ° 30 1�5 13 .azS C3� 30 f � 2C
Example Entry
A Andersen Narroline 3062 3' 2 6'6 % 15.30 8.36 6.01 34 2415/35" Tempered
Double 1/3" 11/16 Glazing
Hun
CADocuments and Settings%ue\Local Settings\Temp\Window Schedule.doc
Job Site Address: �r ��V W Date:..
i ���(4-
Owner: �P�1e � Application No. File No. S
Building Permit — Calculation Sheet
Natural Light, Ventilation & Emergency Egress Requirements
Habitable Area of Req. Light Actual Req.Vent .Actual Sq.Ft. Remarks
Room Room 8%of Room Light 4%of Room Vent Opening for
in Area Square Area Square Egress
Square Footage Footage
Feet C
( 0-vu. jq . �o 50 7e2d 25 21 , 77S 1((,,, 37 sf,T-�. E rest
L:\,Suel4emingway\Building.Petm9t.FORMS\NatLight Ventil.Calculation.Sheet.doc
Check Residential Plan Review: One & Two Family Dwellings
Y/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.
Grade,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
Re aired
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
�A Stairway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise
Winder Run and Rise
Spiral Not Allowed From 2d Story
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
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
w F Permit No.
3uilding &Codes Office-Department of Community Development-Town of Queensbury Fee Paid
742 Bay Road,Queensbury,NY 12804 Recreation Fee
Dave Hatin,Director code5@aueensbury.net
'hone: (518) 761-8256 FAX: (518) 745-4437
Principal Structure Building Permit Application
Application & Plans subject to review before issuance of a valid permit for construction.
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application (form. /�
Applicant/Builder 4aL yl� Owner: g013�4 Ji�F41,54 iv'
Address: it/ Address: GGx,Ar� �iF�/ L/f.✓
Home Phone: Home Phone: `I3 " 2'ez S-
Email Address: Email Address:
Cell Phone: Cell Phone:
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name:
Address: 3O�' �✓ Co�2i Al, J Z.p' hone GSY fal"
Location of proposed construction: Lot No._ j Legal #dLkess: e�1 �Ci4ie I��Frr/ Li9�/
S 6,
Tax Map Number: S si Z Subdivision Name:
Estimated Cost of Construction: $ aao', o o
Proposed construction is for: -/Residential Use _Commercial Use ? IQ
Name of Business: a
If proposed construction is an addition, what will use of new addition be? ►✓//V61-V6, ,
New Addition Alteration Proposed Construction 10 Floor 2nd floor Other Total Proposed
structure (Occupancy Type) Sq.Ff. sq.ff. Sq. Ft. Square feet Height
Ft.&in.
Single-Family Dwelling S"
Two-Family 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, Cher:
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 new construction.
Date: �r2( Applicant/Builder Signature:
The application of dated is hereby approved and
permission granted for t c nstruction, reconstruction or al er o b r g/and o ccessory structure as set
forth above.
Date: -t Authorized Signature: `
L:\Sue Hemingway\Building.P rmit. ORMS\Principal Structure Permit Application.doc V:12/14/04
Queensbury Building & Code Enforcement - Residential I I pection
Office No. (518)761-8256 Arrive: a a l a r E
Date Inspection request received: Inspector's Initia .
NAME: PE IT 6—
LOCATION: D E: Z- —
TYPE OF STRUCTURE: t
Comments"
Yes No WA
4" Building Number Address visible from road
Chimney t/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete I Exterior Finish Com
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at staW#vll at 34 arches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Intedor/Exterior Railings 34 inures to 38 inches
Deck Bras /Handicapped Ramp Com cant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off e !regulator 18 inches above grade
Interior Privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen waterfight
Safety /Window in staaweos safe
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches in aooessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.fL-150 sq.ft.vents
Bathroom Fans,d no window
Plumbing fwtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emer
below grade
Gas Furnace shut-off within 30 feet or within one of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater o
Low water shut-off boiler
Relief Va s installed/Heat TraW Water Temp 110
Enclosed Stairs Sheetroc k Underside minimum W Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Seated or Glass Enclosure
Final Electrical ,
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas NW Bonding
As Built Septic System/Sewer Dept. insp29§2n Sticker
Site Plan /Variance pNgred
Flood Plain Certification,if required
Okay to issue C/C or C 10 Temporary/Permanent
013uilding&Codes Forms1Buftng&Codes\lnspecdon FormslResklential Final inspection Form revised 100405.doc,Revised
January 7,2008
Queensbury Building & Code Enforcement - Residential Fi Inspection
n O fice No.(518)761-8256 Arrive: `�
Date Inspection request received: Inspector's Initials:
NAME: L4 P T M
LOCATION:
TYPE OF STRUCTURE:
FR, Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete `
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access I s . ft.-150 s .ft.vents
_74—
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum''/:"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
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/O Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_I00405.doc
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No.,...
"k, NO 3275Cut-in Card No....................................
Owner...........i,
Location........................................................................................................................6.
Installation Consisting of... ....................
...................Ap.v
.... .......X.J.�.Afd ...........
.................................................................................................................................................................................
InstalledBy.............5AM.6.......................................................Lic.No.................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued i
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon th,
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of m#MYnspections at any time, and if it
I k i s�cei.fi c a t rules are violated,the Company shall have the right r r
..... ...... ............. .........
.............................. INSPECTOR.. .... . ........................... ...............
Member N.F.P.A.,I.A.E.I.
Rough Plumbing / Insulation 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:
NAME: PERMIT #: 09j el
LOCATION: INSPECT ON: X_
TYPE OF STRUCTURE:
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/ chan a of direction
Pressure Test
Drain / Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air / Head
59 P.S.I for 15 minutes
sulation / Residential Check Commercial Check
Proper Vent Attic Vent
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
LAPam Whiting\Building&Codes\lnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date In1pectioest eive .
Queensbury Building&Code Enforcement Arrive: p art: =:aarrxy1pm
742 Bay Road,Queensbury,NY 12804 Inspecto �l
P
p.
NAME: PERMIT#:
LOCATION: INSPECT ON: — S
TYPE OF STRUCTURE:
Y N N/A COMMENTS
ming
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 �/z w 16 gauge 8) 16D nails each side `
Draft stopping 1,000 sq. ft. floor trusses
Anchor B or less on center
I 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 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
Permit Number
RFScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheck So$ware Version 3.6 Release 2
Data filename: Untitled.rck r,J�itlF(C . 2a13-' �T'601'4-11
6
COUNTY: Warren
STATE: New York i3+�ILDa ?AuY°�k
HDD: 7635
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATING TYPE: Non-Electric
WINDOW/WALL RATIO: 0.18
DATE: 07/26/O5
COMPLIANCE: Passes
Maximum UA= 282
Your Home UA= 277
1.8%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimet R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 960 30.0 0.0 34
Ceiling 2: Flat Ceiling or Scissor Truss 192 30.0 0.0 7
Ceiling 3: Flat Ceiling or Scissor Truss 196 30.0 0.0 7
Wall 1: Wood Frame, 16" o.c. 320 19.0 0.0 16
Window 1: Vinyl Frame:Double Pane with Low-E 14 0.350 5
Window 2: Vinyl Frame:Double Pane with Low-E 14 0.350 5
Window 3: Vinyl Frame:Double Pane with Low-E 14 0.350 5
Window 4: Vinyl Frame:Double Pane with Low-E 14 0.350 5
Wall 2: Wood Frame, 16" o.c. 192 19.0 0.0 12
Wall 3: Wood Frame, 16" o.c. 320 19.0 0.0 19
Window 5: Vinyl Frame:Double Pane with Low-E 8 0.350 3
Wall 4: Wood Frame, 16" o.c. 112 19.0 0.0 5
Window 6: Vinyl Frame:Double Pane with Low-E 36 0.350 13
Wall 5: Wood Frame, 16" o.c. 112 19.0 0.0 3
Window 7: Vinyl Frame:Double Pane with Low-E 14 0.350 5
Door 1: Solid 20 0.350 7
Door 2: Solid 20 0.350 7
—~ Wall 6: Wood Frame, 16" o.c. 96 19.0 0.0 4
Window 12: Vinyl Frame:Double Pane with Low-E 27 0,350 9
—+ Wall 7: Wood Frame, 16" o.c. 128 19.0 0.0 5
--o Window 13: Vinyl Frame:Double Pane with Low-E 41 0.350 14
Wall 8: Wood Frame, 16" o.c. 96 19.0 0.0 3
--® Door 3: Glass 40 0.350 14
Basement Wall 1: Solid Concrete or Masonry 320 19.0 0.0 16
Wall height: 8.0'
Depth below grade: 6.0'
Insulation depth: 8.0'
Basement Wall 2: Solid Concrete or Masonry 192 19.0 0.0 9
Wall height: 8.0'
Depth below grade: 6.0'
Insulation depth: 8.0'
Basement Wall 3: Solid Concrete or Masonry 192 19.0 0.0 9
Wall height: 8.0'
Depth below grade: 6.0'
Insulation depth: 8.0'
Basement Wall 4: Solid Concrete or Masonry 320 19.0 0.0 16
Wall height: 8.0'
Depth below grade: 4.0'
Insulation depth: 8.0'
Window 8: Vinyl Frame:Double Pane with Low-E 6 0.350 2
Window 9: Vinyl Frame:Double Pane with Low-E 6 0.350 2
Window 10: Vinyl Frame:Double Pane with Low-E 6 0.350 2
Window 11: Vinyl Frame:Double Pane with Low-E 6 0.350 2
—� Floor 1: All-Wood Joist/T russ:Over Outside Air 192 30.0 0.0 6
Floor 2: All-Wood Joist/T russ:Over Outside Air 196 30.0 0.0 6
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/hcr knowledge, belief and
professional judgment, such�pjaffD or specifications are in compliance with this Code.
"b Builder/Designer a Date 712,611al
RFScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheck Soilware Version 3.6 Release 2
DATE: 07/26/05
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments:
[ ] ( 2. Ceiling 2: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments:
[ ] 3. Ceiling 3: 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:
[ ] 2. Wall 2: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
[ ] 3. Wall 3: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
[ ] 4. Wall 4: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
[ ] S. Wall 5: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
[ ] 6. Wall 6: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
[ ) ( 7. Wall 7: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
j ] 8. Wall 8: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
Basement Walls:
[ ] ( 1. Basement Wall 1: Solid Concrete or Masonry, 8.0'ht/6.0'bg/8.0' insul,
R-19.0 cavity insulation
Comments:
[ ] ( 2. Basement Wall 2: Solid Concrete or Masonry, 8.0'ht/6.0'bg/8.0' insul,
R-19.0 cavity insulation
Comments:
[ ] 3. Basement Wall 3: Solid Concrete or Masonry, 8.0' ht/6.0' bg/8.0' insul,
R-19.0 cavity insulation
Comments:
[ ] 4. Basement Wall 4: Solid Concrete or Masonry, 8.0'ht/4.0'bg/8.0' insul,
R-19.0 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? [ ]Yes [ ]No
( Comments:
[ ] ( 2. Window 2: Vinyl Frame:Double Pane with Low-E, U-factor: 0.350
( For windows without labeled U-factors, describe Matures:
( #Panes Frame Type Thermal Break? [ ]Yes [ ]No
( Comments:
[ ] ( 3. Window 3: Vinyl Frame:Double Pane with Low-E, U-factor. 0.350
( For windows without labeled U-factors, describe features:
( #Panes Frame Type Thermal Break? [ ]Yes [ ]No
( Comments:
[ ] ( 4. Window 4: Vinyl Frame:Double Pane with Low-E, U-factor 0.350
( For windows without labeled U-factors, describe features:
( #Panes Frame Type Thermal Break? [ )Yes [ ]No
Comments:
[ ] 5. Window 5: Vinyl Frame:Double Pane with Low-E, U-factor: 0.350
( For windows without labeled U-factors, describe features:
( #Panes Frame Type Thermal Break? [ ]Yes [ ]No
( Comments:
[ ] ( 6. Window 6: Vinyl Frame:Double Pane with Low-E, U-fictor. 0.350
( For windows without labeled U-factors, describe features:
( #Panes Frame Type Thermal Break? [ ]Yes [ ]No
( Comments:
[ ] ( 7. Window 7: Vinyl Frame:Double Pane with Low-E, U-fictor. 0.350
( For windows without labeled U-fictors, describe features:
( #Panes Frame Type Thermal Break? [ ]Yes [ )No
( Comments:
[ ] ( 8. Window 12: Vinyl Frame:Double Pane with Low-E, U-fictor. 0.350
For windows without labeled U-factors, describe features:
( #Panes Frame Type Thermal Break? [ ]Yes [ ]No
( Comments:
[ ] ( 9. Window 13: Vinyl Frame:Double Pane with Low-E, U-fctor: 0.350
( For windows without labeled U-factors, describe fixtures:
( #Panes Frame Type Thermal Break? [ ]Yes [ ]No
( Comments:
[ ] ( 10. Window 8: Vinyl Frame:Double Pane with Low-E, U-factor: 0.350
( For windows without labeled U-factors, describe features:
( #Panes Frame Type Thermal Break? ( ]Yes [ ]No
Comments:
[ ) ( 11. Window 9: Vinyl Frame:Double Pane with Low-E, U-factor. 0.350
( For windows without labeled U-factors, describe fiatures:
( #Panes Frame Type Thermal Break? [ ]Yes [ ]No
( Comments:
[ ] ( 12. Window 10: Vinyl Frame:Double Pane with Low-E, U-factor: 0.350
( For windows without labeled U-factors, describe features:
( #Panes Frame Type Thermal Break? [ ]Yes [ ]No
( Comments:
[ ] ( 13. Window 11: Vinyl Frame:Double Pane with Low-E, U-Wor: 0.350
( For windows without labeled U-factors, describe features:
( #Panes Frame Type Thermal Break? [ ]Yes [ ]No
( Comments:
i
Doors:
[ ] 1. Door 1: Solid, U-factor: 0.350
Comments:
[ ] 2. Door 2: Solid, U-fador: 0.350
Comments:
[ J 3. Door 3: Glass, U-factor: 0.350
Comments:
Floors:
[ ] ( 1. Floor 1: All-Wood Joist/Trass:Over Outside Air, R-30.0 cavity insulation
Comments:
[ ] 2. Floor 2: All-Wood Joist/Truss:Over Outside Air, R-30.0 cavity insulation
Comments:
Air Leakage:
[ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be 1)Type IC rated, or 2)installed inside an appropriate air-tight assembly
with a 0.5" clearance from combustible materials. Ifnon-IC rated, the fixture must be installed with a
3" clearance from insulation.
Vapor Retarder:
[ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors.
Materials Identification:
[ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications.
Duct Insulation:
[ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] Supply ducts in unconditioned spaces must be insulated to R-11.
[ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-
[ ] Return ducts in unconditioned spaces (except basements)must be insulated to R-2..
Insulation is not required on return ducts in basements.
Duct Construction:
[ ] I All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives),
mastic-plus-embedded-fabric, or tapes. Tapes and mastics must berated 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 for balancing air and water systems.
Temperature Controls:
[ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point ofthe largest zone.
Electric Systems:
[ J Separate electric meters are required fir 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 Cade, as applicable.
Service Water Heating:
[ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of circulating system.
[ J Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
[ ] ( Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have an on/offheater switch and require a cover unless over 20%
ofthe heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ J HVAC piping conveying fluids above 105 T or chilled fluids below 55 T must be insulated to the
levels in Table 2.
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pine Sizes
Heated Water Non-Circulating Runouts Circulating Mains and R_u
Temperature l F) Un to 1" jjp to 1. " 1.5"to 2.0" Over 2"
170-180 0.5 LO 1.5 2.0
140-169 0.5 0.5 1.0 1.5
100-139 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thidmess in Inches by Pipe Sizes
„ „
Piping System'hypes Range f F) 2"Runouts �, and Less 1,25„to 2„ 2.5„to 4„
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Stearn Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD(Building Department Use Only)