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2004-008 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20040008 Date Issued: Wednesday, June 16, 2004 This is to certify that work requested to be done as shown by Permit Number P20040008 has been completed. Tax Map Number: 523400-308-018-0002-074-000-0000 Location: 10 ROBERTS Ct Owner: HAYES CONSTRUCTION GROUP, LLC Applicant: HAYES AND HAYES This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 3 Cars Attached Single Family Dwelling Director of Building&Code Enforcement T TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040008 Application Number: A20040008 Tax Map No: 523400-308-018-0002-074-000-0000 Permission is hereby granted to: HAYES AND HAVES For property located at: ROBERTS Ct 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 &MARGARET MC DON Fireplace 593 CORINTH Rd Garage-3 Cars Attached QUEENSBURY, NY 12804 Single Family Dwelling $250,000.00 Total Value $250,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency HAYES AND HAYES NY 12804-0000 Plans&Specifications 2004-008 Lot H, House No. 10 Roberts Court, Southern Exposure 2,674 sq. ft. single-family dwelling with 620 sq. ft. 3-car attached garage and one fireplace. $382.88 . PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, January 15, 2005 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To of Qu a sb fJ Thdi s , January 15, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement 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 oor 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 esidential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofing/Waterproofing Materials On Plans undation Drainage On Plans,if required 'Drop in 10' Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where e uired 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 b Winder Run and Rise , A piral Not Allowed From 2na Story Smoke Detectors Battery Backup and Proper Location athroom 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. S fety Glazing Notes For Required Areas Garage Fire Separation arage Floor Sloped Attic Access oof 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 Project Name: BP# Address: 16 Building Pemxnit Submission SFD Checklist 2-Family All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of QueensburyBuilding Department. If any-of the below items ate lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Budding Permit Application Completed ..................................... yes ❑no ❑n/a 2. Energy-Form.or Chedd4ate Energy Code Compliance Forms Complete.. ❑no ❑n/a (2 copies) 3. Energy Code Inspector's Report from Cheda&te Program................. ❑no ❑n/a (2 copies) 4. Septic application completely filled out(f applicable)........................ yes ❑no ❑n/a S. Solid Fuel Burning or Gas Appliance Form............ yes Ono On/a 6. Electrical inspection Form......... [] Q 7. Two(2)complete sets of structural drawings... ..... Ono On/a a)floor-plan;b)foundation plan;c)cross sections:d)elevations; e)window and door schedule 8. Two(2)site plans showing location of the structure to be built............. []no Qri/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new sttuctm................................ Qno On/a 10. Setbacks to neighboiing wells and septic systems,including onsite well yes []no Oi✓a and septic systems Cif applicable) 11, DrivewayPermit..................... ...... ....................................... Ono ❑n/a Date: Staff lni L:\SueHeming��ay\Buildiagl'ernuc101�MS\Gcneric UeMitt_doc January28,2003 Building Permit Application Town of Queensbury-Dept of Community Development,742 Bay Road,Queerisbury,NY (518)761.8256 A permit must be obtained before bnconsucon. File No. on No inspection will be made until applicant has received a Fee Paid $3 " valid building permit. All applicants' spaces on this Rec.Fee Paid $ application must be completed and must appear on the Reviewed By; application form. Applicant: Er Cun r j)J Owner: ftLet 6W 5 t Address: "?615 ICI&(y,Arl h 0 Address: _ Qtlpr�w4 of IZP> 3�7,7 Phone#(5 Le) 912-- I t-+ Phone Property Location: Lot Number: / House Number 1 D / Po Oyvrt Subdivision Name: SAW,. Tax Map Number: - New Building-<5g o /commercial 'Estimated Market Value of Construction: $ '2—5;0 OD 0 Addition: residence/ commercial Addition,what will use of new addition be? O Alteration: reaideaoa/ commercial If ail 0 No change to exterior size: residence/com'1 o Other work(describe ) Cheek OccupancyWormation 1' Floor 2° Floor Other floor . Total Below sq.ft. sq.ft.- sq.ft. Square Feet single pimil dwellin 0 o Two fanail dwellin 0 Townhouse 0 Multifamily dwelling #Of units o Office o Mercantile 0 Marlufacturin - 0 1 car detached garage 0 2 car detached garage 0 3 car detached garage 0 1 car attached garage 0 2 car attached garage X 3 car attached garage 2 D 7-,e7 • 0 Storage building- commercial a Storage building- residential 0 Other What is the proposed height of the structure I 1 feet inches Will any second-hand or ungraded lumber be used? If so,for what? N Type of Heating System: electric/ oil / 9a /wood /f r�het / baseboard/other: Number of to be installed Number of 'to be installed�:�� £ - " l_._ Wood'stoves List below the person(s)responsible for supervision of work as regards to building codes: Name _ Address- ._ - _ ---Phone Number----_- - - - - Builder AjVg - c.7L M55146ki 7ci Z—q:1+Z Plumber Mason Electrician peclaration: please sign below after you have carefully read the statement: To the beat of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/wo shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of 334ding and Codes,an,A.s Bulk Survey by a licensed surveyor;drawn to scale,showing actual location of all new 1tru o Signature: owner, er's agen architect,contractor Application for Permit Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 1280.4 (SM)-761-8256 1. OWNER INFORMATION: ................... ............ ................................................. I D ��ry �vr'� Office Use Location of installation: �+1 File Permit No. y PJ��O Tax Map No. U Fee-Paid- Owner's Name: Vvr' Address: 2. INSTALLER'S NAME PHONE NO. .`j 3. RESIDENCE INFORMATION: ( ircle year of dwelling, indicate#bedroom(s) and multiply#of bedroo s with applicable gallons per bedroom to equal total daily flow) -Year ofHouse-, No of edroom.s x Computation = Total Dg Ul FlQw 1980 or older x 150 gandrm = 1980— 1991 x 130 gal/bdrm = 1991 —present x 110 gal/bdrm = ITT Garbage Grinder Installed ye .__.. ! no'-4 Spa or Hot Tub Installed ye ^ / no �c 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) T o a h Soil Nature ound Water Bedrock or Im ervious Material omrak6W ersmRply sari t what depth at what depth nicipa Rolling loam 7 3Dfeet ?32feet wel Steep slope clay if well;water supply _%slope other from any septic-system depth, absorption is ft. other Percolation Test: (To be complet d by licensed professional engineer or architect) Rate: minute per i ch S. PROPOSED SYSTEM: For Mew Co struction, All individual sewage disposal systems must be designed by a licensed professional engineer or architect"u -es installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for ea Garbage Grinder,Spa or Whixlpool Tub. Septic Tank: 11-5 O gallon(mi , size 1,000 gal.) Tile Field: each trench--�-i-- Total Systerri Length: Seepage Pit(s): number of size of each: ft, by ft. Size�f 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 ass ciated electrical work must be inspected by a Town approved electrical inspection a ericy. 7. SIGNATURE &INFO RMATI N FOR RESPONSIBLE PERSON(please read) For your protection,ple se note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any pe it or approval granted which is based upon or is granted in reliance upon any mate al misrepresentation or failure to make a material fact or circumstance known by r on behalf of an applicant,shall be void. I have read the regulations with espect to this application and agree to abide by these and all requirements of the Town of ensbury Sanitary Sewage Disposal Ordinance. Sign ol re4 noble person ate wtt`uf tZuect�tln�i•y Sutivt:t'� and Rowsia;r. Disltomid �:ttst��tt�t• , a ' A'I�.�it)1.t��;''t'T��)I�1, Ir11�,1at.) •, Is:l'AItA.'1'1L)P+1 It r��L3ZI�1H.,hll1.I� VS POND p ' VIrL1.l. ill tJ(►sp-'R• at tt'rVd . It{ovaE Q t1� • , ,�ta�"' 11�:?u�s�. 4 � � . FQ� ' I -'''' ' • hPar, • t I "� • Sc t't 1c. '� P (r • l�y,�t7RPtti0t t �� trlRt,•Cs � .,...Ire. »••• Rohn 1 • 7. SjgxNAI'I'-UPZ—&_INFD�tMA_'TIS ___ -:_- - � �14 Vi'1��L4I�.+r•�VL�I�ICA�V�VYY�_ 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 Date 'tl ?1 t�l'! -20 C Permit.No. C`" � ��(---•<' Application is hereby made to the Building=&Codes Office for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicabl laws, ordinances, regulations, and all conditions that are part of these requirements and also will al ow all inspectors-to enter premises to perform required inspections_ (� r, e1 NOTE to,,applicant Rough-in and Final Inspections acre required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: �`� %� _t1t� � stove: wood coal pellet gas Fireplace insert Address: i ( rf�a f l', Fireplace,.factory-built: wood g s: Fireplace, masonry: wood gas Furnace: wood rga oil Phone: Jtii-,-- I !4-z� If non-masonary applicance, please provide Manufacturer Name: Owner: > " ° Address: Model Number: t i 1 Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile stele size: '�. 1 ��U inches Exact Address: of construction or installation Factory-Built Manufacturer name: ( 1 Model Number: i Not Listed By: Number: Construction/Installation must con orin to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury .-`• Handouts regarding required inspections. 1050� le Ivall Triple wall / Insulated / Direct venting Chimney Liner Ca,�r �r'�Departmeurzt—To. of X1'43"rh: Fire Marshal Code# $Collected S Rif aided Received from(refunded to): ! " L s - -- address: ---- A 173 3389 (190) Public Safety A 233 2655 (230� Mir or Sales DATE t' �' L !" _ . , 'l White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / fink&Goldenrod(Cashier's Dept.) c H TOWN OF QUEENSBURY BUILDING '& CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (518)745-4447 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT COMMERCIAL ------ MULTIPLE DWELLING (hotel, motel, apt. complex) DATE INSPECTION REOUEST RECEIVED: NAME LOCATIO /�(( //ll DATE �lJ� PERMIT A ` V TYPE OF STRUCTURE JFOOTINGS _BACKFILL_ FRAMING_ PLUMBING_ INSULATION N/A YES NO CHIMNEY "B" VENT HEIGHT PLUMBING VENT FIXTURES ROOFING EXTERIOR FINISH HEATING NOT WATER RELIEF VALVES FLOORS FOUNDATION INSULATION INTERIOR STAIRS RAILINGS STOCKROOM ENCLOSURE FIRE DEMISE WALLS PENETRATION FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS PLATFORM ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL SITE PLAN VARIANCE RE . F SURVEY'PLOT PLAN IF RE OK TO ISSUE C/O OR C C ! MAP REFERENCE: PROPOSED MODIFICATION TO AN APPROVED SUBDIVISION SOUTHERN EXPOSURE SUBDIVISION DATED: MAY 1994 LAST REVISED: JULY 22, 1994 BY: VAN DUSEN & STEVES LAND SURVEYORS SSO 4s 2�16 " c� < 0 O LOT G . LOT H 4) 20,67E sq. ft. O N Z i5.4' ti�ti c 'oo �, GSF��F A If O / UnunES +D1 C 000 1 HEREBY CERTIFY THAT THIS P WAS PREPARED FROM AN ACTUAL FIELD SURVEY. LOT I THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS O FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. iaIiNEW CERTIFIED TO: WILLIAM & GINA CRAIG C SSG QUICKEN LOANS, INC., IT'S SUCCESSORS AND\OR ASSIGNS �ct> UNITED GENERAL TITLE INSURANCE COMPANY CERTIFIED BY: ` 7;t ` MATTHEW C. STEVES, LLS NYS 50135 DATED: JUNE 14, 2004 A ate: NE 14, 2004 V—� � � �� UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY Scale 1"-3D� MAP BEARING A UCENSED LAND SURVEYORS SEAL IS A b[ap of a Survey made for VIOLATION OF SECTION 7209,SUB-DIVISION 2,OF THE NEW YORK STATE EDUCATION LAW.' 'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED SHALL 1 AN ORIGINAL OF THE LANDSURVEYORSTRUE S t e v e s �SRVE�CONSIDERED TO BE"�°,R�COPIES,' WILLIA�M & GINA CRAIG CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EASTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED Land Surveyors LA THE NEW YORK STATE ASSOCIATIONSH PROFESSIONAL LAND SURVEYORS SAID CERTIFICATIONS SHALL RUN ONLY Tb THE PERSON FOR MMOM THE SURVEY IS PREPARED,AND 1 OF 1 ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL I SHEET AGENCY AND LENDING INSTITUPON USTED HEREON,AND Town of QuE;ensbury, Warren County, New York 169 Haviland Road Queensbury, New York 12804 TO THE ASSIGNEES OF THE LENDING INSTITUTION.- CRAIG (518) 792-8474 New York Lic. No. 50135 NO. DATE DESCRIPTION DWG. NO. SE—H Residential Final Inspection Office No. (518) 761-8256 Date Inspection request received: t Queensbury Building&Code Enforcement Arrive: am/p ,.Dep rt: am/pm 742 Bay Rd., Queensbuiy,NY 2804 Inspector's Initials: NAME: t PERMIT#: r � LOCATION: S DATE: O TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in. or more @ stairs, decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in. to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30.ft. or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Sa tyglazing__ . dow in stairwells safety glazing terior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 3/4 hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents Building No./Address visible from road F"al Electrical . 011 ite Plan /Variance required Final Survey Plot Plan IdV►C As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C/O(Cert. Of Occupancy) Okay to issue Permanent C/O(Cert. Of Occupancy L:\SueHeniingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28, Residential Final Inspection Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ m Depart am//pm 742 Bay Rd., Queensbuty,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in. or more @ stairs,decks,patios p T Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Intenior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill late Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30.ft. or within line of site it Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: i � / / l�,p� � Outside every bedroom area: �C I • /�0 ( A/��r�.:D A� 6C/.c—J7 Inter Connected: / Batter backu : Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergenc-y egress below grade Basement stairs closed rise>4 inches %hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s .ft.-150 s . ft. vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification, if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C/O(Cert. Of Occupancy) Okay to issue Permanent C/O(Cert. Of Occupancy) L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 Residential Final Inspection Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/}�m Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: _ . NAME: fA PERMIT#: LOCATION: b DATE: Q TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in. with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30.ft. or within line of site Oil Furnace shut-off at entrance to fiunace area Furnace/Hot Water Heater operating Low water shut-off boiler . .Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Saf y glzin W dow in stairwells safety glazing nterior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: _ V Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 3/o hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(lit.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents Building No./Address visible from road final Electrical . Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C/O Cert.Of Occupancy) Okay to issue Permanent C/O(Cert. Of Occupancy) L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003 Tovirl of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Facts Built Gas Fireplace/Stove Inspection Regort Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions specifications contained in the Installation Manual accompanying the appliance.No deviation from the nmanufact er's instructions or specifications is allowed.,,, P /V10U A " permit## c � 'Z " � Schedule Inspection� /`f 0 f Time am pm anytime Insp Naive _ `(\/ _ � - Address Rough bR__ al Appliance Nlata acturer_�� _ � � Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall '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 above roof penetration;2 feet above any combustible construction within 10 feet Gas Sheet-OOP Valve - Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept. — _---� Yellow Csst er Pink—Fire Mmshal Queensbury Building & Code Enforcement -4: ., al 1 Inspection Office No. (518)761-8256 J Arrive: e t: a Date Inspection request received: �l l Inspector's InitiNAME: #:LOCATION: TYPE OF STRUCTURE: ' ? colnmend( Y N N/A Chimney Ht./"B"Vent/Direct Vent Location W � Fresh Air Intake _ 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete V\c Guard 30 in. or more rr,stairs, decks,patiosIj' Guard at stairwell at 34 in. or more (� Guard at deck,porches 36 in. or more _ Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %" Gypsum Grade away from foundation 6 in. with 10 ft. bJ Handrail Termination at Newell Post or Wall J �o 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area \viZ) ±D Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke De t ctors: Every / Every n4droom: Outside every bedroom a a: Inter Connected: / Battery backup: Carbon Monoxide Detector _ Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss, draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/'/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access'30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft. vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification,if required Okay to issue C/C or C/O Temporary/Permanent] L:\PamW\Building&Codes\Inspection Forms\Res. Final Insn. form 2.docLast printed 2/12/04 3 Septic Inspection Report Office No. (518) 761-8256 Date Inspection requ�received: Queensbury Building&Code Enforcement Arrive: VD a` V4 e`• rt: � ?, a pin 742 Bay Rd., Queensbuiy,NY 12804 Inspector s Initial's: ;!' i NAME: PEP- ECT IT NO.: LOCATION: % J IN ON: — — a RECHECK: Comments and/or diagram Soil T e• San /Loam/Clay Type of Water:Wunicipa7 Well Water Waterline separation is a ce Well separation distance Other,wells: ft. Absorption Field: Total length ft. Length of each trench Depth of trenches Size of Stone Seepage Pits: Number Size: x Stone Size: • v Piping Size Type Building to tank Tank to Distribution Box Distribution Box t6 'eld/Pit ZA -Opening Sealeji- Y/ Partial Location/Separations Foundation to tank ft. Foundation to absorption " "' ft. Separation of Pits Conforms as per Plot Plan Y N Location of System on Property: Front Rear Left Side Right Side . Middle Front id�Rear � System Use St us: Approved . Partial Approved and needs to be re-inspected,please call the Building z o es Mee -Disapproved LASueHemingway\3uilding.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection req r ceiv ' Queensbury Building&Code Enforcement Arrive: pm D am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initi Is- NAME: L PERMIT#: V �f LOCATION: ,y en - INSPECT ON: TYPE OF STRUCTURE: v Y N 'N/A _ CO ENTS Framing G1 ��1� � "�+�`1-�' Jack Studs//Header's 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 Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall,2, 3,4 hour `k__ ,Firestoppingti.A Yu Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side ''/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7.sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 -C Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection req rec ive Queensbury Building&Code Enforcement Arrive: m/pm e a n 742 Bay Road, Queensbury,NY 12804 Inspector's In'�ls-'�I NAME: C PERMIT LOCATION: ) ,/ - , ;' INSPECT ON: TYPE OF STRUCTURE: a� Y NTN/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm.. lumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water/Supply Piping �} pper Commercial V op per, CPVC,Pex One &Two Family (j L sulation/Residential Check/Conunercial Check �XT Proper Vent,Attic Vent �LJ Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection reqqestcei : Queensbury Building& Code Enforcement Arrive: e rt: �"r' 1/am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initia NAME: M G Nlpj� l ,J PERMIT #: 2,DC L — CMG LOCATION: /0 9-f"8 -e--T-S Cov r 1 INSPECT ON: 2 �' TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. lumbin Vent/Vents in Place ou h Plumbing/Nail Plates 1 % inch min.Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial Cooper, CPVC,Pex One and Two-Family Insulation/Residential Check/ Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Framing /Firestopping Inspection Report ) Office No. (518)761-8256 Date Inspection reque eceived: Li� G Queensbury Building&Code Enforcement Arrive: a De a 742 Bay Road, Queensbury,NY 12804 Inspector's Initial NAME: I` c G 6-0 PERMIT#: LOCATION: (2-i S Gay,2 INSPECT ON: ' 1744D TYPE OF STRUCTURE: Y N/A C®NMENTS Framing Jack Studs/Headers Bracing/Bridging Joist hangers �� V Jack Posts/Main Beams slr: 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 N� 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 Bolts 6 ft. or less on center Ice and snow shield 24 inches fiom wall Fire separation 1, 2, 3 hour Fire wall 2, 3,4 hour *1restopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side t/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 L:\SueHemingway\Building.Codes.In spection.FORMS\Framing Firestopping Inspection Report.doe January 28,2003 Firestopping Framing / toppz g Inspection i n p ct o Report Office No. (518) 761-8256 Date Inspection re st rece'ved: Queensbury Building&Code Enforcement Arrive: m/p art: a 742 Bay Road, Queensbury;NY 1.2804 Inspector's Init'als- NAME: PERMIT#: DLIl — o LOCATION: J ts INSPECT ON: D TYPE OF STRUCTURE: Y N N/A COMMENTS Framing 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 %2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses AnchVBolts 6 ft. or less on center e and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3,4 hour r 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 LASueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing /Firestopping Inspection Report 1 Office No. (518) 761-8256 Date Inspection req s re i e / Queensbury Building&Code Enforcement Arrive: a p; art: 742 Bay Road, Queensbury,NY 1.2804 Inspector's Initial NAME: PERMIT#: — � LOCATION: INSPECT ON: —Q TYPE OF STRUCTURE: � \n Y N N/A Framing COMMENTS 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 %2(w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Ancho-Bolts 6 ft. or less on center and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 11/2 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 LASueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 dam,! �� Vi� �' �•'y["�.� ��"..a.y �4 -- Framing / Firestopping Inspection Report l_ Office No. (518)761-8256 Date Inspection reques cei ) —� Queensbury Building&Code Enforcement Arrive: am/2 Die ft. am/ 742 Bay Road, Queensbury,NY 12804 Inspector's Initials- /` v NAME: PERMIT#: LOCATION: 10 .� INSPECT ON: — TYPE OF STRUCTUR : ® Y -71N :N/A COMMENTS \ /Framing Jack Studs/Headers Joist hangers v/ 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 Bolts 6 ft. or less on center _IeCand snow shield 24 inches from wall Fire separation 1, 2, 3 hours `' Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side11/2 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 L:\SueHemiugway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doe January 2g,2003 /M� Framing/ FirestpP� spection Report Office No. (518) 761-8256 Date Inspection requ t receive2) ueensbu Building&Code Enforcement Arrive: ,"am/rh e o % m Q rl' g P,. per:�` p 742 Bay Road, Queensbury,NY 12804 Inspector's ltials?�" . NAME: � PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS Framing Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams ��vL7'j �?� ; 1 �, Exterior Oor sheeting nailed properly Headroom 6 ft. 8 in. Stairwells 3 6 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 Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall L l V% 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 1/2 inch or 518 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 LASueHemingway\Building.Codes,Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003 �'Pl or Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: - Queensbury Building&Code Enforcement Arrive: am/pm Depart: m/p 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: 0 4 1 00 LOCATION: _ INSPECT ON: -- --0 TYPE OF STRUC URE: Comments / Y N N/A F frogs SY Pie onolithic 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:\SueHemingway\Biii]ding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (51'8) 761-8256 Date Inspection req t eceive.. Queensbury Building &Code Enforcement Arrive: a p epart: m 742 Bay Rd., Queensbury, NY 12804 Inspector's Initi s: NAME: zC-.C)L,�)�ti)M Dk R RMIT#: Z�(�►-4 --� LOCATION: , �1�L`^ `_lam ( �� 1_ INSPECT ON: 2 TYPE OF OF STRUCTURE: Comments Y '1 N/A Footings Piers Monolithic Slab Reinforcement in Place - E\ ! The contractor is responsible for providing protection from freezing 1VV 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. LASueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 February 19 2004 FILE COPY (--� Daniel W. Ryan, P.E. (4' Hayes Construction Group 395 Big Bay Road �L' j� RECEIVED Queensbury, NY 12804 �� FEB �,:"O 2004 Town of Queensbury TOWN OF QUEENSBURY Building &Codes Department BUILDING AND CODE 742 Bay Road Queensbury, NY 12804 RE: 10 Robert's Court(04-008) Footing Subgrade As requested here is my letter stating that I-did verify the subgrade below the footings for the above referenced project. On the day the concrete footings were poured (February 16, 2004) there was no evidence of frost in the existing sandy soils.-Calcium Was spread as an added measure to prevent potential frost before and after concrete placement. Additionally, I previously provided pictures-which show the steel reinforcing installed prior to concrete placement since no Town of Queensbury inspection was conducted. Please do not hesitate to call if you have any questions. I can.be-contacted at 792-9142. Thank you for your time and consideration in this matter. Sincerely Daniel yan, P.E. OF NE�1iY � OP y92'per �...' w A 4,0 9 PROFESSIONAL SEAL 1 Foundation Inspection Report v P P Office No. (518) 761-8256 Date Inspection requ ceive Queensbury Building&Code Enforcement Arrive: a p Depart: ' a m 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial . NAME: ' �-- ERMIT#: —LOCATION: i!C) fS 1N_ SPECT ON: a 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 G� \ 0A Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing -'1 6 mil poly for wet areas under slab � - // Backfill Approval .111 Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: 0 LOCATION: o e 1 INSPECT ON: 2- TYPE OF STRUCTURE: Comments Y N _ N/A Footings .Piers � ' 'UGC Monolithic Slab Reinforcement in Place / The contractor is responsible for 1\,.ee eV ��,x- providing protection from freezing' for 48 hours following the placement �`��F ¢u�/�K �,�,.� �L�1Ir of the concrete. Materials for this purpose on site. C6 Foundation/Wallpour `j r Reinforcement in Place ��e�t. �..tGiJ ��o /a.i X0' Foundation Dampproofing.l �' - Foundation/Waterproofing Type of Dampproofmg/;Waterproofing L Footing Dram Daylight or Sump Footing Drain Stone:- �0 12 inch width 11, 6 inches above'footing 6 mil of for vaet 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.Inspection.FORMS\Foundation Inspection Report doc January 28,2003 Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release lc Data filename:C:\Documents and Settings\Dan Ryan\My Documents\Hayes Construction Group\Drawings\Building Plans\Two-Story\ColonialBonus\colonialmscWrck TITLE: Colonial with Bonus Room COUNTY: Warren STATE:New York HDD: 7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE:01/09/04 DATE OF PLANS: 1/4/04 COMPANY INFORMATION: Hayes Construction Group COMPLIANCE:Passes Maximum UA=461 Your Home UA=425 7.8%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1506 38.0 0.0 45 Ceiling 2: Cathedral Ceiling(no attic) 200 30.0 0.0 6 Skylight 1:Vinyl Frame:Double Pane with Low-E 15 0.320 5 Wall l: Wood Frame, 16"o.c. 1404 19.0 0.0 70 Window 1:Vinyl Frame:Double Pane with Low-E 158 0.320 51 Door 1: Glass 67 0.340 23 Door 2: Solid 20 0.140 3 Wall 2:Wood Frame, 16"o.c. 1372 19.0 0.0 73 Window 2:Vinyl Frame:Double Pane with Low-E 162 0.320 52 Basement Wall 1: Solid Concrete or Masonry 1216 11.0 0.0 83 Wall height:7.8' Depth below grade:6.0' Insulation depth:7.8' Window 3:Wood Frame:Double Pane with Low-E 8 0.360 3 Floor 1: All-Wood Joist/Tmss:Over Unconditioned Space 320 30.0 0.0 11 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in compliance with this Code. t7 pate ,uldetlD�'�ei B y NEVV J, Qq u P� A�OF E S S\o� REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release lc DATE:01/09/04 TITLE: Colonial with Bonus Room Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R 38.0 cavity insulation Comments: [ ] I 2. Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: I Above-Grade Walls: [ ] I 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] I 2. Wall 2:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: I Basement Walls: [ ] I 1. Basement Wall 1: Solid Concrete or Masonry,7.8'ht16.0'bg/7.8'insul, R-11.0 cavity insulation Comments: I Windows: [ ] I 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: [ ] I 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 I Comments: [ ] I 3. Window 3:Wood Frame:Double Pane with Low E,U factor:0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: I Skylights: [ ] I 1. Skylight 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.320 For skylights without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: I Doors: [ ] I 1. Door 1:Glass,U factor:0.340 Comments: [ ] I 2. Door 2: Solid,U-factor:0.140 Comments: I Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: t 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.If non-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-2. Insulation is not required on return ducts in basements. Duct Construction: I l I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g. (500 Pa). [ .] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] Air filters are required in the return air system. [ ] 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 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 a 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: I l All heated swimming pools must have an on/off heater 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 OF or chilled fluids below 55 OF 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(F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(F) 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/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) OS I have seen or observed, or hai'�vqiaw'91111 " t� � ,�i1Cv G`iall objects such as houses, weiis,treesces1e�c. "n t r ant. i also re r2se�c That 9 h �, ri��s aocume p have - Personaiiy. measured the distances set ort Ov s a,;g;am." s{ f SIC{ �// _ .r � � �� ice. �C • ^ GI t ) 419 �. •y 04,\ .x. . s { C:I any Q OD ' 01 1 • /` =� �O C1 0 ri1 o V y 03 x N EREC8� ® _ � � .yam TOWN-OF QUEENSBU � .� Aj BUILDING AND x �+ 4)Co • ON o-.. � � ,,� ^ .O • , _ •2► ed it believe I saw evidence of, e Ssi•or lUus a+ waelis, frees, fences, etc., fi r!,, Jk I also re�rese!�r il;at l have aS , ur he d!Siai Ce5 set TOr�r �1it the r11,"