2005-915 TOWN OF QUEENSBURY i L
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20050915 Date Issued: Thursday, August 03, 2006
This is to certify that work requested to be done as shown by Permit Number P20050915
has been completed.
Tax Map Number: 523400-308-007-0001-019-000-0000
Location: 42 WESTBERRY Way
Owner: TRA-TOM DEVELOPMENT, INC.
Applicant: TRA-TOM DEVELOPMENT, INC.
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage - 2 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling
Issuance of this Certificate of Occupancy DOES NOT relieve the 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.
T TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDMG PERMIT
Permit Number: P20050915 Application Number: A20050915
Tax Map No: 523400-308-007-0001-019-000-0000
Permission is hereby granted to: TRA-TOM DEVELOPMENT, INC.
For property located at: 42 WESTBERRY Way
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: TRA-TOM DEVELOPMENT, INC.
667 STATE ROUTE 9 Fireplace
GANSEVOORT, NY 12831-0000 Garage-2 Cars Attached
Single Family Dwelling $340,000.00
Total Value $340,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-915 LOT 28 HSE#42 WESTBERRY WAY
3089 SQ FT SINGLE FAMILY DWELLING
$419.08 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday, December 05, 2006
(If a longer period is required,an application for an extension mast be made to the code Enforcement Officer
of the Town of Qu
�eens
bur
y before the expiration date.)
`Dated at the Tdwn of Q� een ry, o ay,December 05, 2005
vbtlj�I/' s'4
SIGNED BY tl for the Town of Queensbury.
Director of Building&Code Enforcement
Check residential 1Plan R- ieW,- One�&Two Family Dwellings -
Y/NINI
(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.
JGrade,5.0 sq.ft.
J24"(h)x-20"(w)min.
44"Max.Height above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK
Dampproofmg/Waterproofing Materials On Plans
Foundation Drainage On Plans,if required
6"Drop in 10'Exterior Grade
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where
Required
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
Stairway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise ,
Winder Run and Rise
Spiral Not Allowed From 2 Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
Hall Width,36"nun.
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
Sol]Test Results,if required
Septic To Well Or Water Line Separation O ?wl VL�V
All Paperwork Signed
Permit No. O /S
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Pdid
742 Bay Road,Queensbury,NY 12804 Recreation Fee
Dave Hatin,Director codes@aueensbury.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. i
Applicant/Builder Owner:
Address: Address:
Home Phone: Home Phone:
Email Address: P ? Email Address:
Cell Phone: Cell Phone:
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name: I
Address: Phone
Location of proposed construction: Lot No.� �- -- Legal Address: '
c �-- U
Tax Map Number: Subdivision Name:
Estimated Cost of Construction: S.
Proposed construction is for: e idential Use _Commercial Use
Name of Business:
If proposed construction is an addition,what will use of new addition be? -
New Addition Alteration Proposed Construction V Floor 2nd floor Other; Total Proposed
structure (Occupancy Type) Sq.Ft. sq.ft. Sq. Ft. :Square feet Height
Ft.&in.
Single-Family Dwelling
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
Other:
Attached Gara a 1, 2, 3 q
Type of Heating System: Electric,. Oil Gas ood, Forced Hot Air, Baseboard, Other:
If a fireplace and/or woodstove are being installed, please refer to a separate application.
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after f
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement: j
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: Applicant/Builder Signature:
V
The application of F—& z)R I C is hereby approved and:
permission granted for the construction, reconstruction or erati uild n / or accessory structure as set
forth above. I
Date: Authorized Signatu "
L:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit ppion.doc V:12/14/04
i
' I
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION: �aa�/ :........................................................................................................
Office Use
Location of installation: L/c� WLO
File Permit No.
Tax Map No.
Fee Paid
Owner's Name: oTYko 0/-�
Address:
2. INSTALLER'S NAME (%/r� /�_, PHONE NO.
3, RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older _ x 150 gaUbdrm =
1980- 1991 x 130 gal/bdrm =
1991 -present _ x 1-10 gal/bdrm = y
Garbage Grinder Installed yes— J no
Spa or Hot Tub Installed yes_ / no
4: PARCEL INFORMATION: (circle applicable information&indicate measurements)
T a h iHtature Ground Water Bedrock or Imi3ervious Material ater Supply
Flat sand at what depth at what depth municipal
ling- �`tfeet feet
Steep slope clay ��T-«�� if well; water supply
_%slope other .ir 11 from any septic-system
depth: absorption is ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size
of the septic tank andleachffre-I'dtforicach Garbage Grinder, Spa or Whirlpool Tub.
Septic Tank: allon (min. size 1,000 gal)
Tile Field: each trench ft. _- Total System Length: f.
Seepage Pit(s): number of size of each: ft. by —�`t.
Size of Stone to be used: # / depth or thickness feet
Bed.System Size: -� x
Alternative System: -�- length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / 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) f'
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.
Nor It
Signature of responsible p sore Date
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
P� ...
Date N 6' , 20 c`i? Permit No.
, 1
Application is hereby made to the Building Codea Of fice.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)
Name: "<;' r. 'f. . ?f';'r '.� Stove: wood coal pellet gas
~ Fireplace insert
Address: `` / Fireplace, factory-built: wood� xgasr f
Fireplace, masonry: wood gas
Furnace: wood gas oil
Phone:
If non-masonary applicance, please provide
Owner: Manufacturer Name:
_ a
Address: ' Model Number:
Chimney Information
Phone: (circle appropriate words)
,.• d;� Masonry block brick stone
Flue tile steel size: inches
Exact Address:
of construction 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)) -
Handouts regarding required inspections. Double wall I Triple 14-all / Insulated /"` Direct venting
Chininey Liner I
---
i
Fire Marshal Code# S Collected S Rcf aided Received from (refunded to):
1� r p address:
A 173 3389 (190) Public Safety A'_1
A 233 2655 (230)Minor Sales
DATE: { f.)1 )� C� 4�. ";' v
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink 8`.Goldenrod(Cashier's Dept.)
i .
Town of Queensbury Fire Marshal
`- - 742 Bay Road
Queensbuiy,NY 12804
761-8205/761-8206
fax 7,45-4437
Factory Built Gas Firepi ce/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 i istallation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or spiw9mons is allowed.
Permit# Schedule Inspection Time um pm anytime inspector ,�______/
Address Rough In_,Final__,_
Appliance Manufacturer w_ __ _- Model# _
Direct Vent Factory.wilt Chimney - Flue Size Double Wall Triple Walt Insulated
Yes No NIA Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical f hasc
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chipmey 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 (it'any)
mantel
Height above ilp opening
Witness Operation
Tank Placement(if LP)
White-BntidingDept, YeUow Cwti mer Pink-Fire MarAd
Queensbury Building & Code Enforcement - Residential Final Inspection
• Office No. (518)761-8256 Arrive: �Ini
m/p am/pm
Date Inspection request received: Inspecto < ?�:
NAME: 'f—Ap—eq l--9 C PERMIT#:
LOCATION: 7i DATE:
TYPE OF STRUCTURE:
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
Safe llaazin /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 .ft.-150 s .ft.vents
Bathroom Fans. if no window
Plumbing fixtures
Foundation insulation ✓
Floor truss,draft stopping finished basement 1,000 s .ft. �In_�LG--7G'� /,J5
(J ,�-
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 Tern 110 01
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 as n os e
Final Electrical
final Survey Plot Pla
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/D [Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form—revised-1 00405
Septic Inspection Report
Office No. (518) 761-8256 Date Ins -i r nest received:
Queensbury Building &Code Enforcement Arrive: a /p part: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspect is In- a .
NAME: ROAJ& PERMIT NO.: e�
LOCATION: _ T INSPECT ON:
RECHECK:
Comments and/or diagram
Soil Type: Sand/ Loam/ Clay
-Typeof Water: Municipal/ Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ,
Absorption Field: Total length ft.
Length of each trench fit.
Depth of trenches ft,
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field Pit
Opening Sealed: Y N Partial
End Ca
Inlet/Outlet Pipes&Baffles Y N
Location/ Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits
Conforms as per Plot Plan Y N
Engineer Report and As-Built VY_ N A5 d
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear
System Use tatu a�
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 021006
Last revised 1/6/05
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: pra art• am/pm
Date Inspection request received: Inspector's Initials: �%
NAME: lclirnsqe, PERMIT#: 6Q 5 fs
LOCATION: I`✓`C DATE:
TYPE OF STRUCTURE:
Commean s c7—�"y
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, 1 s . ft.-150 s .fl.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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/a 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/® [Temporary/Permanent] S
y
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doe
Town of Queensbury Dire Marshal
742 Bay Road
Queensbur i,NY 12804
761-82051761-8206
fax 7454437
Factory Built Gas Fireplace/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 acc panying the appliance.No deviation from the manufacturer's
q / instructions or a ' na is allowed.
Permit#—OS / / Schedule Inspection Time am pm anytime Inspector
Name t45 -t Address Rough In Final
Appliance Manufacturer _ _A Iodel#
Direct Vent Factory Built Chimney Fine Size Dasble Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
F'irestoP( )
s Vertical Chase ✓
WaII Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension(if any)
Mantel
Height above Up opening
Witness Operation
Tank Placement(if LP)
Pink—Fire Marshal
White—Building Dept. _ _ YeIlow tbst r
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
W&WO&that the electrical..wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National.Electrical'Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions.
Owner: Farone Date: 07/27/2006
Occupant: Unknown Location: 42 West Berry Way
Queensbury, Warren Co'." NY
Occupancy: Single. Family Dwg.
1 -�915
Applicant: Immanuel Electric _ ,��ry
2 Mohawk. Ave. REC� fW ®
Alplaus, NY 1200'�` r E
PAID CODE
No 14 3 0E�
�1b� ' � . '
Equipment: [` r p,
4
An inspection,, has been made of the. .exposed electfrica., equipment in the
premise i dicated o obvious unsatisfactory coo d1- on as found.
10' ' NM AAG
Yj
u�
C&T-0
This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and
above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership
inspection. No warranty is expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and void.
ciency or fitness of the equipment for-any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions,
be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department
system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle
ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation
any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service.
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
Date received: .- 3/ —e!5)9
NAME:
LOCATION:
PERMIT#:
Final Survey Plot Plan
AwDroved Denied
The attached final
survey has been
received by the
Dept. of
Community
Development.
Upon review the
survey has been
ryu�
Craig Brown, Zoning Administrator
Notes:
L:\.SueHemingway\Building.Codes.Inspection.FORMS\Final Survey
Zoning Administrator.doc
MAP REFERENCE:
5UBDIVISION PLAN
RICHARD P. 5CHERMERHORN
DATEDT FEBRUARY 11. 2003
LA5T REVI5ED+ MARCH 17. 2004
BY: VAN DU5EN + 5TEVE5
g0
LOT 291G 1g
LOT 31
UTILITIES
N06 O p7 155"E
180,05
ASPHALT
" DRIVE
y�1 N26 LOT 32
►�1 N
i�1
CIO
z 2 STORY
E`+f v WOOD FRAMED LOT 28
nc HOUSE
W ( ` 34,221 sq. ft.
0. 79 acres
45.53,
•�tK
J 11 4j�
98,
S06007155DW
LOT 26
LOT 27
C.
sr
CANO
j� Date: July 27, 2006
an L u ,S' P BEARING
A L wmunoN OR ADDITIOSURVEYORS
S A SURVIS A Ma of a Survey made for Scale 1'=30'
MAP BEN OF A LICENSED LAND SVR4EYORS SEAL IS A P y
&�/. .. NgATION OF SECTION 7209.SUB—DIVL90N 2 OF THE
NEW YORK STATE EDUCATION LAW.'
S T OILY OOPIVAIN A OR THE OF THE
OF D U SURVEY
EYM
V MARKED VAISE&SHALL N AN DR{IDERE OF THE LAND suRVEYOPI
BE�DE�D,N ACOORBE �,RUE�Es' THOM:AS J. �'ARONE Sc SON
CERTIFICATIONS MWED HEREON SI NFY THAT
ADOPTED
THIS SURVEY CO Ol PREPARED IN ACCORDANCE YOR THE
Land Surveyors NYM DF �E A S0 LAro ZONAL
BY TEE NEW ORS. SAME ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS.SAD CERTFICAT)GIS SHALL RIAd ONLY
TD THE PERSON FOR NHCM THE SURVEY IS PREPARED,AND SHEET 1 OF 1
ON HIS BEHAIr TO THE TINE COMPANY,GOVONAENTAL
ADEHCY AND LENDING-W-IJON US=HEREON.AND Town o f ueensbur Warren Count New York
169 Haviland Road Queensbury, New York 12804 TO THE ASSIGNEES OF THE LENDING IRSnTUDON.• Q y y
FARONE
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 02392-28
Septic Inspection Report
Office No. (518)761-8256 Date Inspec_tion uest received:
Queensbury Building&Code Enforcement Arrive: am/ epart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector s Initials:
NAME: PERMIT NO.:
LOCATION: --- ��- �L>c�Ti � INSPECT ON:
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.
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box
Distribution Box to Field/Pit
Opening Sealed: Y/N/Partial
End Cap3
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits
Conforms as per Plot Plan N
Engineer Report and As-Built Y N
Location of System on Property:
Front Rear Left Side Right Side G� 4-5 — U jc-j
Middle Front Middle Rear
System Use Status:
pproved
Partial Approved and needs to be re-inspected,please call the Building& Codes Office
Disapproved
Last revised 116105
169 Haviland Road, Queensbury,NY 12804
Phone-518-745-4400 Fax -518-792-8511 -
RECEIVED
March 15, 2006
MAY 1 0 2006 Job 446175
TOWN Ci;=tiir i�;s�URI'
New York State Dept. of Health BUILDING AND CODE
77 Mohican Street
Glens Falls,NY 12801
RE: Pine Ridge Subdivision- Queensbury (T) �I
42 Westberry Way(Lot#28) = Septic System
Dear Sir/Ma'am:
This letter is to inform you that we inspected the completed septic system for the house on 42
Westberry Way(Lot 928) in the Pine Ridge Subdivision on February 27, 2006.
The septic system as installed was for a five bedroom house and consisted of a 1,500 gallon .
septic tank and 232 lineal feet of absorption trench constructed with stone and perforated pipe.
The system conforms to the requirements of the approved subdivision design drawings.
Please call me if you have any questions or concerns.
Sincerely,
Thomas R. Center Jr. , PE
cc: 'Dave Hatm, Town of Queen bury
Tom Farone
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspec ions equrest-received: �11&ylo e
Queensbury Building& Code Enforcement Arrive: ')tm/piE Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspe or's Initials:`FK
NAME: PERMIT #: '
LOCATION: &,c r 4,y�y INSPECT ON:—.' C�
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1, R-2, R-3,R4 Drain/Vents
Cast 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 1
Cleanout every 100 feet/change of direction I
Water Supply Piping
Cooper Commercial
Coo er, CPVC,Pex One and Two-Family
Ctisulation/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: .
LASueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Framing/ Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection j4st received:
Queensbury Building&Code Enforcement Arrive:�.L.� Depart; am/pm
742 Bay Road, Queensbury,NY 12804 Inspect r s Initials:
NAME: PERMIT#:
LOCATION: p INSPECT ON: -
TYPE OF STRUCTURE:
i�
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 U
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 I/z w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1,2, 3 hour
Fire wall 2, 3,4 hour
Firestop�p�in�g
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
f
Town of Queensbury Fire Marshal /
742 Bay Road /
Queeaasbury,NY 12804
761-8205/761-8206
fax 745-4437
Facto Built Gas Fireplace/Stove Inspection Re_Rort
Notice:Nea',York State requires that all UL Listed,factory built appliances be installed according to the instruction
specifications contained in the Installation manual accompanying the appliance.No deviation from the manufacturer
instructions or specifications is allowed.
lberpnit# n Schedule Inspection � `�)l�Tirne �- _area pm anytime Inspecto�
Names - , _ Address °- c�, �A � Q �� L L lough In W Final_
1
i
Appliance M7uFactory
itrtrr Q ( �� k�. Model# D 5Direct Vent Built Chimney Flue Size Double W all Triple Fall -- -- Insulated
-- Yes No N/A Comments
Floor Protection.
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet alcove roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shunt-Off Valve
Combustion Air
Hearth Extension(if any)
Mantel
Height above Up opening
Witness Operation
Tank Placement{if LP)
White—Building Dept. - — — �--- 'Yellow t.t er I Pink—lire MarA ml
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection requ s ive 7 U
Queensbury Building&Code Enforcement Arrive: °'QD a p Depart: = a
742 Bay Rd., Queensbury,NY 12804 In
Initia
NAME: P RMIT#:
S - 916
LOCATION: SPECT ON: D
TYPE OF STRUCTURE:
Comments
Y N N/A
Foo ' gs l
� 2l
iers
\1/ Monolithic Slab
u
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 mil poly for wet areas under slab
Bacicfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\B uilding.Codes,Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
ANION-
s ®
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: `
Queensbury Building& Code Enforcement Arrive: am/ pa : am/ m
2?�
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME:
PERMIT #:
LOCATION: _ _ �,j`�r INSPECT ON:
TYPE OF STRUCTURE:
\Ij
Y N N/A n�
PVC: R-1,R-2,R-3,R4 Drain/Vents /--
Cast Iron, Copper Drain/Vent/ Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Dail Plates
1 % inch min.Drain Size
Washing Ha4l;hine Drain 2 inch min.
Head r it Supply Test
,E
w and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout Vie` 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\$uilding.Codes.inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
f
Septic Inspection Report
Office No.(518)761-8256 Date Inspec%tt
Queensbury Building&Code Enforcement Arrive: ( (� a m
742 Bay Rd., Queensbury,NY 12804 Inspector's
NAME: EAP�U�I�(= r�� '.1"7LOCATION: 1- USC,6-mc-_ tR�a M '-- Z -
RECHECK:
Comments and/or diagram
Soil Type: Sand /Clay
Type of Wate Munici al ll Water
Waterline separation distance —ft.
Well separation distance ft.
Other wells:
Absorption Field: Total length
Length of each trench Z w ( ft. — � � �}EV.1(=�C� 1 tDIJc Depth of trenches -z_- ft. _
Size of Stoned
Seepage Pits: Number 1 �
Size: x
Stone Size:
Piping Size Type
Building to tank i 1 l
Tank to Distribution Box
Distribution Box to Field/Pit H11 \,
Opening Sealed artial
End Caps 4
Location/Separations f I
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft !
Conforms as per Plot Plan Y jKV /J
Engineer Report and As-Built i Y N
Location of System on Property:
�` f
Front Rear..,-'L-eft Side �ight Side,_ ,�)
Middle Front Middle Rear
System Use Status:
Approved
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
Last revised 1/6/05
Septic Inspection Report
Office No. (518)761-8256 Date Inspection req, es t chive
Queensbury Building&Code Enforcement Arrive: p part: "
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi Is:
NAME: �Zy C/op P IT NO.: S- / .S
LOCATION: L 0 7— � � t-/Z(�pS�l3er(y� S ECT ON: �.Z Z
RECHECK:
Comments and/or diagram
Soil Type: ands Loam•/Clay
Type of Water: , cipaV/Well Water
Waterline separation distance V ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length �:fZU ft
Length of each trench f6ey
Depth of trenches
Size of Stone {- �
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank ' o
Tank to Distribution Box L'
Distribution Box t field/Pit
c JC—
r
Opening Seale Y artial
End Caps
Location/Separations
Foundation to tank
Foundation to absorption ft.
Separation of Pits ft. �Q
C-onforms-a er Plot Plan------'
h
En ineer Re or)and,-As-Bui Y t
Location of System on Property:
Fron Rear Left Sid Right Side
Middle Front Middle Rear
System Use Status:
Approved
�� artial Approved and needs to be re-inspected, please call the Building& Codes Office
Disapproved
Last revised 1/6/05
Framing / Firestoppirig Inspection Report
Office No. (518) 761-8256 Date Insp ion quest received:
Queensbury Building&Code Enforcement Arrive: e am/pm
742 Bay Road, Queensbury,NY 12804 Inspector s I i s:
NAME: PERMIT#: 052-96
LOCATION: INSPECT ON: —
TYPE OF STRUCTURE:
Y N N/A COMMENTS
Framing
Attic Access 22"x 30" minimum
Jack Studs/Headers �f r 0
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/2 w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor olts 6 ft. or less on center
-,. Ice nd water shield 24 inches from wall
Fire separation 1,2, 3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Foundation Inspection Report `
Office No. (518) 761-8256 Da7cior's
c#ion �st received:
Queensbury Building c&Code Enforcement Ar -�5 am/pm, Depart: am/pm
742 Bay Rd., Queensbury, NY 12804 Ins Initials. �0
NAME: �� PERMIT#:
LOCATION: INSPECT ON: tp
TYPE OF STRUCTU E:
Comments
Y v N/A -�J
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.
F undation/Wallpour /
Reinforcement in Place _
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
noting Drain Stone:
12 inch width
6 inches above footing
6ydil poly for wet areas under slab
B fill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASueHemingwaylB Lid ding.Codes,Inspection.FURMSToundation Inspection Report.doc January 28,2003
Foundation Inspection Report /
( o
Office No. (518) 761-8256 Date Ins fi Kgquest received:
Queensbury Building &Code Enforcement Arrive: 5am/p D part: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspect r s Initials:
NAME: NC1��� _ PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTUR
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinfo ement in Place
e contractor is responsible for
providing protection from freezing
r 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil oly 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.
L:1SueHemingway\I3uilding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspectiol equest received:
Queensbury Building &Code Enforcement Arrive: I m/p'ml Depart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector' In' ials:
NAME: �1�_� PERMIT#:
LOCATION: /� ��c�/2� ,y s INSPECT ON: iAk e&
TYPE OF STRUCTURE;
Comments
_—� Y �TN N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
provi ing protection from freezing
fo 8 hours following the placement
Athe concrete.
aterials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab _
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date In rtion�est received:
Queensbury Building&Code Enforcement Arrive: . i am/ Depart: am/pm
742 Bay Rd.; Queensbury,NY 12804 Inspector's InrtraIs.
NAME: _ FA R010 PERMIT#: ®_ 5 ?/5
LOCATION: <4 Aj INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place /� —
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12inch 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.
LASucHetningway\Building.Codes.Inspccti on.FORMS\Foundation Inspection Report.doe January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Insp ctio request received:
Queensbury Building&.Code Enforcement Arrive: ' 'ON am/p ,r/ Depart: am/pm
742 Bay Rd., Queensbury, .NY 12804 Inspecto s Initials: e�L�
NAME: _ � <P—-b�� -- PERMIT#:
LOCATION: _ �2.�C>S G�� a FNTSPECT ON: ®5_^
TYPE OF STRUCTURE:
Comments
----_ --- Y N NIA
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:
12inch width
6 inches above footing
6 mil poly for wet areas tinder slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Suel-lcmingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28.2003
Foundation Inspection Report
Office No. (518) 761-8256 Date In pact. n equest received:
Queensbury Building&Code Enforcement Arrive: anvpm Depart: —am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: _ __ mil �� _ PERMIT#:
LOCATION: _ 1 �5-(��� / INSPECT ON:
TYPE OF STRUCTURE: T i
Comments
X N N1E1
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 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.
L:\,SucBemingway\Buil ding.Codes.Inspection.FORMSToundation Inspection Report.doe January 28,2003
Foundation Inspection Report
Office No. (51"8) 761-8256 Date Inspec�tio equest received:
Queensbury Building &Code Enforcement Arrive: Kn Depart: anv` m
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials.
NAME: PERMIT#: _ S — _S
LOCATION: We 5-r INSPECT ON: Z
TYPE OF STRUCTURE: r
Comments
Y N N/A
)Eting—S
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 inil_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.
L:\SueHeminga-ay\Building.Codes.Inspection.FORIv1S\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Ins (c quest received:
Queensbury Building&Code Enforcement Arrive: am,/ I Pf Depart: — pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: V Y�
�Y�crv�-l',
NAME: _ PERMIT#: O� ( S
LOCA`fIUN: �� ��S P,,e INSPECT ON:'
TYPE OF STRUCTURE ��--
Comments
_---- --- �' N N/A
ootings PR�V(P&
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 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.
LASuel-iemingway\Bui Win g.Codes.Inspection.FURMS\Foundation Inspection Report.doe January 28,2003
r
P ber
A
RFScheck Compliance Certificate hecked By/D to
New York State Energy Conservation Construction Co
REScheck Software Version 3.6 Release 2
Data filename: C:\Program Files\REScheck\REScheck\2729-02 FARONE-STONEBRIDGE-LOT 28-42 WESTBERRY
WAY, QUEENSBURY.rck
PROJECT TITLE: PLAN NO. 2729-02 STONEBRIDGE \�
COUNTY: Warren
STATE: New York
HDD: 7635
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATING TYPE: Non-Electric
WINDOW/WALL RATIO: 0.13
DATE: 11/07/05
DATE OF PLANS:NOVEMBER 7, 2005
PROJECT DESCRIPTION: CY
THOMAS J. FARONE AND SONFILE ', -01
LOT 28-42 WESTBERRY WAY
QUEENSBURY, NEW YORK
DESIGNER/CONTRACT OR:
WILLIAMS &WILLIAMS DESIGNERS
509 GLEN STREET
GLENS FALLS, NEW YORK 12801
COMPLIANCE: Passes
Maximum UA= 598
Your Home UA=454
24.1%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter -Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 1719 30.0 0.0 60
Wall 1: Wood Frame, 16" o.c. 1491 19.0 0.0 72
Window 1: Vinyl Frame:Double Pane with Low-E 189 0.320 60
Door 1: Glass 42 0.330 14
Door 2: Solid 22 0.130 3
Door 3: Solid 35 0.130 5
Wall 2: Wood Frame, 16" o.c. 1622 19.0 0.0 87
Window 2: Vinyl Frame:Double Pane with Low-E 180 0.320 58
Basement Wall 1: Solid Concrete or Masonry 1296 11.0 0.0 89
Wall height: 8.0'
' Depth below grade: 6.0'
Insulation depth: 8.0'
Door 4: Solid 22 0.130 3
Floor 1: All-Wood Joist/Truss:Over Outside Air 78 30.0 0.0 3
Furnace 1: Forced Hot Air, 92 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
plans, specifications, and other calculations submitted with this permit application. The proposed systems have been
designed to meet the New YA&State Energy Conservation Construction Code requirements. When a Registered Design
Professional has st ped d i ed this page, they are attesting that to the best ofhis/her knowledge, belies; and
professional jud suc p ans o eclfications are in compliance with this Code.
i Date �Q�I
1 �
RFScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheck So$ware Version 3.6 Release 2
DATE: 11/07/05
PROJECT TITLE: PLAN NO. 2729-02 STONEBRIDGE
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments:
Above-Grade Walls:
[ ] 1. Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
[ ] 2. Wall 2: 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-11.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 1: 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:
[ ] 2. Window 2: 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:
Doors:
[ ] 1. Door 1: Glass, U-factor. 0.330
Comments:
[ ] 2. Door 2: Solid, U-factor. 0.130
Comments:
[ ] 3. Door 3: Solid, U-factor. 0.130
Comments:
[ ] 4. Door 4: Solid, U-factor. 0.130
Comments:
Floors:
[ ] 1. Floor 1: All-Wood Joist/Truss:Over Outside Air, R-30.0 cavity insulation
Comments:
L <P
e
Heating and Cooling Equipment:
[ ] 1. Furnace 1: Forced Hot Air, 92 AFUE or higher
Make and Model Number
Air Leakage:
[ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be 1)Type IC rated, or 2)installed inside an appropriate air-tight assembly
with a 0.5" clearance from combustible materials. 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, glazing U-fictors, and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
[ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] Supply ducts in unconditioned spaces must be insulated to R-11.
[ ] Return ducts in unconditioned spaces (except basements)must be insulated to R-
[ ] 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 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 of the largest zone.
Electric Systems:
[ ] Separate electric meters are required for each dwelling unit.
Fireplaces:
[ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction
provisions 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 heater;with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
L °J
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/ofheater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 105 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.
r Insulation Thickness in Inches by Pi en Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(Fl Un to 1„ Un 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 Thickness in Inches by Pipe Sizes
Piping System Types Ran e F 2"Runouts 1" and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)