2005-802 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUP-A-N- CY
Permit Number. P20050802 Date Issued: Friday, June 16, 2006
This is to certify that work requested to be done as shown by Permit Number P20050802
has been completed.
Tax Map Number. 523400-227-013-0002-053-000-0000
Location: 58 ROCKHURST Rd
Owner. DENNIS & SHARON BUCKLEY
Applicant: DENNIS & SHARON BUCKLEY
This structure maybe occupied as a:
Fireplace By Order of Town Board
Residential Alteration 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 E e t
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: P20050802 Application Number: A20050802
Tax Map No: 523400-227-013-0002-053-000-0000
Permission is hereby granted to: DENNIS & SHARON BUCKLEY
For property located at: 58 ROCKHURST 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. Tyne of Construction Value
Owner Address: DENNIS & SHARON BUCKLEY
1592 BROOKFIELD Dr Residential Alteration $60,000.00
NEWTOWN, PA 12940-0000 Total Value $60,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-802
780 SQ FT RESIDENTIAL ALTERATION
$78.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, October 27, 2006
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queenshury before the expiration date.)
Dated at t e To of Q e ns day, October 27, 2005
1 •
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
P rmit No.
Building &Codes Office-Department of Community Development-Town of Queensb Fee Paid
742 Bay Road, Queensbury, NY 12804 lids ! Ft=�J Recreation Fee
Dave Hotin,Director c odesQaueensbury.net
Phone: (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. --���- ®y l C Owner: -
Address: o . /3 „ 3e e Address:
Home Phone: Home Phone:
Email Address: Email Address:
Cell Phone: i2 2 one: a1/.s�- 80/
FAX Phone: _ - _ _ -__w._. ...._....__._.FAX-Phone.
1
Person responsible for supervision of wor respect to building-e�codes compliance:
Name: • e4<<r
Address: oa W o .ae,s-Phone 4EC-3sYY
Location of proposed construction: Lot No. R Legal Address:-Y-e /Aepc
Tax Map Number: �'� 7' !3 �'1 _ 3�-3 Subdivision Name:
y
Estimated Cost of Construction: $ moo. e e o
Proposed construction is for: (_Residential,Use _Commercial Use
Name of Business:
If proposed construction is an addition, what will use of new addition be? �I< <�•ir'.. ..�'
New Addition Alteration Proposed Construction 10 Floor 21d floor Other Total Proposed
structure (Occupancy Type) Sq. Ft. sq.ft. Sq.Ft. Square feet Height
Ft.&In.
Single-Family Dwelling spi
Two-Famity Dwelling
Townhouse
Multifamily Dwelling L I
Number of Units:
Office \\\ J b
Mercantile
Manufacturing
Other: f
I .Attached Garage 1, 2, 3
Type of Heating System: Electric, il, Gas, Wood,- arrced Hot Air, Base bo Other:
Is a fireplace and/or woodstove being installed, please 4er to a separate application. 7)!- Yes No
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: ie1-41-- e Applicant/Builder Signatur
The application of dated is hereby approved and
permission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set
forth above.
Date: (Oh- Authorized Signature
L:\Sue Hemingway\Building,Permit,FORMS\Principal Structure Permit Application.doc V:12/14/04
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances
g ^` g
Date ✓z- , 20 s Pe
rmit No.
Application is hereby made to the Buildin & Codes Of f ce for the issuance of a Building and Use
Permit pursuant to the New York State Fire Pre, Ition 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)
Stove: wood coal pellet gas
Fireplace insert
Address: `=' ,� r Fireplace, factory-built: Cawood' gas
�� � � {ft �M,,� ,� #.,�� Fireplace, masonry: wood gas
Furnace: wood gas oil
Phone: '�=• � - ,3,,'Y
, r if non-masonary applicance,please provide
Owner: .t; s f ;. , Manufacturer Name:
Model Number:
Address, --
} — Chimney Information
Phone: �'! = 2.:?/ - t (circle appropriate words) -
Masonry block brick stone
Flue the steel )size: _ inches
Exact Address: ° "a'i , r s
of co •truction or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction IInstallation must
conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbur)r
Handouts regarding required inspections. 'Double wall / Triple wall t Insulated / Direct venting
_.
Chinmey Liner
I Ca�aclzier'�r Z2�px�a+�>E'—Tos�.0 oaP$u�e�n,e�bzzxsy, N�e�7['or�ic^- --
i
Fire Marshal Code# $Collected $Rcf tnded Received fi-otn (refunded to): N
A 173 3389 (190) Public Safety
A 233 2655 (230)M" or Sales
Lam'
r DATE:
White(Applicant) / Green(Dire Marshal) / Yellow(Bldg.Dept.) ! Pink&:Goldenrod(Cashier's Dept)
Queensbury Building & Code Enforcement Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm De art: %�am/pm
Date Ins cfion request received: ®( Inspector's Initials: - i
ll L
NAME: l t ..f e tC�t PERMIT#: c '
LOCA I DATE: G
TYPE OF STRUCTURE:
Co men s
Yes No N/A
BuildingNumber/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,porcbes 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 backu :
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, 1 s .ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency egress below Eade
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 Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fire roofin /1/4 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\lnspection Forms\Residential Final Inspection Form revised_100405.doc
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm Depart:Z��am/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#: . _�
LOCATION: DATE:
TYPE OF STRUCTURE: "
Comments
Yes No NIA
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, atios 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 zf
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, 1 s .1-150 s .ft.vents
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 Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%:"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enc sure
Final Electrical
Final Surve Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification
Okay to issue C/ C Ter
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc
j
Framing/ FirestoPPin. Ins ection Report `
Office No. (518) 761-8256 Date Tnspe tao g(lest received:
Queensbury Building&Code Enforcement Arrive: (, n/p epart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspecto ' itials:
NAME: PERMIT#:
LOCATION: c�,k4t U 7- to INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in. I
Notches/Holes/Bearing Walls f
Metal Strapping for Notches Top Plate
1 %z w 16 gauge 8) 16D nails each side ^ A �"JLC
Draft stopping 1,000 sq. ft. floor trusses ter l
chor Bolts 6 ft.or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in 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
Framing/ FirestoPPm. Inspection Report
Office No. (518)761-8256 Date Inspeptio quest received:(, <9 lo�'
Queensbury Building&Code Enforcement Arrive: m/e_part: m/pm
742 Bay Road, Queensbury,NY 12804 Inspect s In ials:
NAME: PERMIT#: C?
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams i
Exterior sheeting nailed properly i
12"O.C. i
Headroom 6 ft. 8 in. }
Stairwells.36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft.floor trusses
Anch _- '��I�
Ice and water shield 24 inches from wall 5
Fire separation 1, 2,3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Town of:Qp*nsbury Fire Marshal /
742 Bay Road
Queensbury,NY 12804
7614W5/761-8206
fax 745407
Factory Built Wood Burning /Stove Inspection Report
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.
J
Permit#�(Sd O 'Schedule Inspection te"' Time- l U am pm anytime inspector Ck')
Name_ Address ... Rough>a Final
Appliance Manufacturer d --- Model#
Masonry Chimney Factory Built Chimney VFlue Sixel\ilk Double Wall Triple Wall Insulated
Yes Ao N/A Comments
Floor Protection
Clearances to Combustibles(all sides)
Safety Strip Installation(fireplaces only)
Firestop(s) Vertical Chase
Wall Penetration
Chimney Clearances to Combustibles
Chimney Termination
3 feet above roof penetration;2 feet above
any combustible construction within 10 feet
Combustion Air
Hearth Extension
Mantd(height above f/p opening)
Fireplace Doors/Screen(required)
White--Baimut DePL Y —C Pink—Fhv Marshal
V-- 10 oLr-r--
Rough Plumbing O Insulation Inspection Re oft
Office No. (518) 761-8256 Date Inspection request received: A/C)�"
Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: evw�
NAME: PERMIT #: _
LOCATION: INSPECT ON: O
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 / change of direction
ead
5 P.S.I.jor 10 ft. above highest connection for 15 minutes
e Test
Water Supply Piping
-
Air/ Head
50 P.S.I for 15 minutes
Insulation / Residential Check/ Commercial Check l5 c:3
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:
N
LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005
Town of Queensbury Fire Marshal
742 Bay Road _-
Qucensbury,NY 12804 /
761-8205/761-8206
fax 745-4437
Factory Built Wood Burnipg Fireplace/Stove Insaection Resort
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.
Permit Q Schedule Inspection- S - ime 21 /5 pm ytime Inspect
Name Address -e�- � U` Rough In Final
Appliance Manufacturer Model# �i c tS / _
Masonry Chimney Factory Built ChimmeyX Fine Size fY Double Wall Triple Wall_Insulated
Yes No NIA Comments
Floor Protection
Clearances to Combustibles (all sides)
Safety Strip Installation (fireplaces only)
Firestop(s) Vertical Chase
Wag Penetration
Chimney Clearances to Combustibles
Chimney Termination
3 feet above roof penetration;2 feet above
any combustible construction within 10 feet
Combustion Air
Hearth Extension X
Mantel(height above f!p opening) J jrtcl�y�-
Fireplace Doors/Screen(required)
White-Birilding Dept.
Yen- -C —r. Pink-Fire Mashed
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT #: 0,
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents . � 9 }
Cast Iron, Copper Drain/Vent/Comm. ' J
-PlumbingVent/Vents in Place -�-
Rou Plumbing/Nail Plates O _
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
0o er,CPVC,Pex One and Two-Family
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:
L:\SucHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Framing / Firestopping Inspection Report ��
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arriv�:r�_am/pm Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspectors Initials: r
NAME: J�;I C�i PERMIT#: — C�
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: ( - r
Vi N N/A COMMENTS
Framin
Attic Access 22'x 30"minimum
Jack Studs/Headers i ,i^ f ---�`"�"•' (�,�j c'
Bracing/Bridging , 3v m4 I
,
Joist hangers
Jack Posts/Main Beams �", �� `�
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 % w 16 gauge 8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping --
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side % inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart:C - 'am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: w
NAME: PERMIT#: �
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N .,. /A COMMENTS
aming
Attic Access 22"x 30"minimum o Z
Jack Studs/Headers j
Bracing/Bridging
Joist hangers I
Jack Posts/Main Beams
Exterior sheeting nailed properly
V-
12"O.C.
Headroom 6 ft. 8 in. t L `�(--tZ-� , j . ✓'
Stairwells 36 in. or more
Headroom 6 ft. 8 in. -.
Notches/Holes/Bearing Walls
Metal Strapping for Notches To Plate
1 1/2w 6p ( )
gauge 8 16D nails each side ���
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft.or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping A \
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side % inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
doe Roul;e:
(518)656.3544
Pax(518)636.9901
Box 301,Cleva)Me,NY 12820
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Permit Number RECEIVE[
OC i 2 2005
REScheck Compliance Certificate Checked By/Date TOWN OF QUEENSBUM
New York State Energy Conservation Construction Code BUILDING AND CODE
REScheck Soiiware Version 3.6 Release 2
Data filename: C:\Program Files\REScheck\REScheck\080805 ROULIER-BUCKLEY RESIDENCE-58 ROCKHURST,
CLEVERDALE.rck
PROJECT TITLE: PLAN NO. 080805
COUNTY: Warren
STATE: New York
HDD: 7635
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATING TYPE: Non-Electric
WINDOW /WALL RATIO: 0.15
DATE: 10/26/05
DATE OF PLANS: OCTOBER 5, 2005
PROJECT DESCRIPTION:
ROULIER-BUCKLEY RESIDENCE
58 ROCKHURST ROAD
CLEVERDALE, NEW YORK 12820
DESIGNER/CONTRACTOR:
WILLIAMS & WILLIAMS DESIGNERS INC.
509 GLEN STREET
GLENS FALLS, NEW YORK 12801
COMPLIANCE: Passes
Maximum UA= 172
Your Home UA= 165
4.1%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-ValueR ValueU Factor
Ceiling 1: Flat Ceiling or Scissor Truss 389 38.0 0.0 12
Ceiling 2: Cathedral Ceiling(no attic) 550 38.0 0.0 15
Wall 1: Wood Frame, 16" o.c. 1175 21.0 0.0 56
Window 1: Wood Frame:Double Pane with Low-E 136 0.340 46
Door 1: Solid 22 0.130 3
Door 2: Glass 40 0.350 14
Floor 1: All-Wood Joist/Truss:Over Outside Air 778 30.0 10.0 19
Furnace 1: Forced Hot Air, 78 AFUE
L
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 tate Pergy Conservation Constriction Code requirements. When a Registered Design
Professional has st p and si ed t is e they are attesting that to the best ofhis/her knowledge, belied and
pro£ssional judgm t, s h 1 s or cations are in compliance with this Code.
esign Date
s
R +' check Inspection Checklist
New York State Energy Conservation Construction Code
REScheck Sofware Version 3.6 Release 2
DATE: 10/26/05
PROJECT TITLE: PLAN NO. 080805
Bldg.
Dept.
Use
Ceilings:
[ ] ( 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-38.0 cavity insulation
Comments:
[ ] 2. Ceiling 2: Cathedral Ceiling(no attic), R-38.0 cavity insulation
Comments:
Above-Grade Walls:
[ ] 1. Wall 1: Wood Frame, 16" o.c., R-21.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 1: Wood Frame:Double Pane with Low-E, U-fctor. 0.340
For windows without labeled U-fictors, describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
Doors:
[ ] 1. Door 1: Solid, U-factor. 0.130
Comments:
[ ] 2. Door 2: Glass, U-factor. 0.350
Comments:
Floors:
[ ] 1. Floor 1: All-Wood Joist/Truss:Ovcr Outside Air,
R-30.0 cavity+ R-10.0 continuous insulation
Comments:
Heating and Cooling Equipment:
[ ] 1. Furnace 1: 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 from combustible materials. Ifnon-IC rated, the fixture must be installed with a
3" clearance from insulation.
Vapor Retarder:
[ ] Required on the wane-in-winter side ofall non vented famed ceilings, walls, and floors.
Materials Identification:
[ J Materials and equipment must be installed in accordance with the manufacturees 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 duds 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 be rated UL 181A or UL 18113.
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:
[ ] Separate electric meters are required fDr each dwelling unit.
Fireplaces:
[ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction
provisions of the Building Code of New York State, the Residential Code of New York State or
the New York City Building Code, as applicable.
Service Water Heating:
[ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of circulating system.
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have an on/ofheatcr 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:
[ ] HVAC piping conveying lluids above 105 T or chilled fruids 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 Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature Fl Up to 1" Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-169 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 Thickmess in Inches by Pipe Sizes
Piping System Types Range(F) 2"Runouts 1" and Less 1.25"to 2" .52 "to 4„
Heating Systems
Low Pressure(Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD(Building Department Use Only)
Joe (518)656-3544
Fax(518)656-9901
/ Box 301,Cleverdale,NY 12820
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