2004-156 FILL UUFV
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: P20040156 Date Issued: Friday, .September 24, 2004
This is to certify_that work requested to be done as shown-by Permit Number P20040156
has been completed.
Tax Map Number: 523400-315-010-0001-011-000-0000
Location: 28 QUINCY Ln
Owner: MICHAELS GROUP LLC THE
Applicant:. MICHAELS GROUP LLC THE
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Single Family Dwelling d
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building,&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040156 Application Number: A20040156
Tax Map No: 523400-315-010-0.001-011-000-0000
Permission is hereby granted to: M1C 14AF,1,S GRn1TP 1,1,C. THF,
For property located at: 28 QUINCY Ln
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: MICHAELS GROUP LLC THE
10 BLACKSMITH Dr Fireplace
MALTA, NY 12020-0000 Garage-2 Cars Attached
Single Family Dwelling $314,900.00
Total Value $314,900.00
Contractor or Builder's Name /Address Electrical Inspection Agency
MICHAELS GROTJP
SUITE 1
10 BLACKSMITH Dr
MALTA_ NY 12020
Plans&Specifications
2004-156 LOT 11 HSE 28 QUINCY LANE
3143 SQ FT SINGLE FAMILY DWELLING
$456.16 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 13, 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 o eens 4t.April 13, 2004
SIGNED BY �lµ!( for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit .Application
Town of Qucensbury—Dept of Community Development,742 Bay Road, Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit Pile No.'2w L �/:S �C
No inspection will be made until applicant has received a. Fee Paid
valid building permil. All applicants' spucus on this Rec. Fee Paid $
apphcatlon must be completed and must appear on the Reviewed By:
application Ibrm.
Applicant: 1 ' S Owner: —�
Address: Address:
Phone# (15e)mc� Phone##
Property Location: Lot Number: 11 / House Number 2$
Siibdivision Name: Tax Map Number:
XNew Building: residence /commercial Estimated Market Value of Construction: $ 314 1 9 DD
❑ Addition: residence/ commercial If an'Addition, what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/com'I
❑ Other work(describe )
Check Occupancylnformatio❑ i"Floor 2"' Floor Other Iloor Tobil
Below sq.R. sq. rt• sq. 11. Square Feel
Single family dwelling _ 1 to 5 Lp 14ca-7 314 3
❑ Two family dwelling
❑ 'Townhouse
❑ Multifamily dwelling a
of units
• Off-ice
❑ Mercantile .nu
❑ Manufacturnlg
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ l car attached garage
,4 2 car attached garage '7`I O
❑ 3 car attached garage
❑ Storage building-
Commercial _
❑ Storage building-
residential
to Other
Will any second-hand or ungraded lumber be used? If so, for what'?
Type of Heating System: electric/ oil / gas wood / orced hot air baseboard/other:
Number of'Pr•eplaces to be installed 1 Numbcr of Woodstoves to be installed
List below the person(s)responsible for supervision ofwork as regards to building codes:
Nance _ Address Phone Number
PlumberjL �II �U�n� Z�_-. ��V�— -AJ"JIE-) -Z
Electrician At BETS Et—�TRI C go'A '7s F('T wunlr� 3(e 5 � Z t 4$
DcClaratic>n: please sign below after you have enrefully read the slalcmcnL
To the best of my knowledge the statements contained in this application, together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the lhilding Code, till'Zoning(lydln mcc and all ofhcr laws pei alning to the pl'Ol7os(CI work shall he complied
with, whclhcr specified or holed, and Ihnl such work Is authorized by the owner. further, it is undCrstood that i/we shall
submit, prior to a Certificate of OcCupancy or Ccrtificate o[C'omhliance being issued, as requested by the 7_oning
Adminishralor or Director of Building and Codes, an As Bu if Survel by it licensed surveyor;drawn to scale,showing aCtual
localion of all new Conslructi I.
Signature:- _ - - --- owner,owner's agent, archilect,contractor
Check Residential Plan Review: One&Two Family Dwellings
Y/N/N/
(2)FuIl sets of plans
Over 1,500 sq.ft.—Stamped
j7Design Loads On Plans:96 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
mergency Escape Or Bedrooms and Habitable Space
Above/Below grade,5.7 sq.ft.
Grade,5.0 sq.ft.
24"(h)x 20"(w)min.-
44"Max.Height above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK
Dampproofing/Waterproofing Materials On Plans
Foundation Drainage On Plans,if required
vl 6"Drop in 10'Exterior Grade
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where
Re uired
Iee 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
r'
I/A. Spiral Not Allowed From Td Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
Hall Width,36"min.
Handrails More Than One Riser On Open Sides
ling and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in M.
afety Glazing Notes For Required Areas
Garage Fire Separation
Garage Floor Sloped
Attic Access
Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access
Carbon Monoxide Detector Lowest Sleeping Level
Soil Test Results,if required
Septic To Well Or Water Line Separation
All Paperwork Signed
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 4_ � � , 20 C + Permit Nor-
Application is hereby made to the Building& Codes Of for the issuance of a Building and U.se
Permit pursuant to the New York State Fire Prevention anal Building Code. The applicant or owner
agrees to comply with all applicable laws; ordinances, regulations, and all conditions that are part of
these requirernenis and also will allow all inspectors to enter premises to perforin required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
-- 'C Stove: wood coal pellet gas
Name: �Y, r 1 t t� 4_ z I_Zl ou'p
Fireplace insert
Address: �.1 k r i 'F,j E Fireplace,factory-built: wood (kas)
t � •� X1,-, 1?0 zc�) Fireplace, masonry: wood gas
Furnace: wood gas oil
Phone:
If non-masonary applicance, please provide
Owner: Manufacturer Name:
Address: Model Number:
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
Flue tile s�,,teel size: inches
Exact Address:
of construction or instalkition Factory-Built
Manufacturer flame:
Model Number:
Note: Listed By: Number:
Construction/Installation must
conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbug
Handouts regarding required inspections. Double ivall / Triple wall Insulated / <1 irect verrtrng
Clihnney Liner
Ca�srhfex-'ter X3049 tie"t-ToWrrn of Xox-h- —
Fire Marshal Code# .S'Collected ,$Refrnded Receiied from (refiunded to):
address:
A 173 3389 (190) Public Safety
A 233 2655 (230)Minor Sales
DATE:
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / V Pink li• Goldenrod(Cashier's Dept.)
Application for Permit=Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12864 (519) 761-8256
1. OWNER INFORMATION: .................................
Office Use
Location of installation: Z
cj�Z
File Permit No.
Tax Map No. I I
1Fee Paid
Owner's Name: �� -4 .11 S 11
.................................................................................................................................
......
Address: 10 l/#,1l5L,
2. INSTALLER'S NAME 4 ]'HONE NO. 4— Jr/
3. RESIDENCE INFORMATION:- (circle year of dwelling,indicate#bedroom(s) and multiply#of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdrm =
1980— 1991 x 130 gandrm =
1991—present /4 x 110 gal/bdrm. = 46
Garbage Grinder Installed yes_ / no' x.
Spa or Hot Tub Installed yes'_ / no --
4: PARCEL INFORMATION: (circle applicable information&indicate measurements)
Tanogra-phv Soil Nature Ground Water 'Bedrock or Im ervious Material . D is Water Su 1
lat o san at w at depth. at w at depth munici al
ling loam feet feet we
Steep slope clay if well, water supply
_%slope other 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 and leach field for each Garbage Grinder,Spa or Whirlpool Tub.
Septic Tank: 1 Z 6'a gallon(min. size 1,000 gal.)
Tile Field: each.trench -570 ft. Total System Length: 2aa ft.
Seepage Pit(s): number of size of each: ft.by ft.
Size of Stone to be used: '# t depth or thickness feet
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: u u�'' % Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
.electrical inspection agency.
Y 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 of the Code of the Town
of Queensbury, any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant, shall be.void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature o esponsible person Oate
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Queensbury Building & Code Enforcement - Residential Final Inspection `s
Office No.(518)761-8256 Arrive: am/pm Depart: m/pm
Date Inspection request received: Inspector's Initials: \`
NAME: � PERMIT#:
LOCATION: ��� t, �� 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 minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in. or more @ stairs,decks,patios `
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in. to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %Z"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief 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 Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 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 10 Temporary/Permanent
L:\PamW\BuildinQ&Codes\Inspection Forms\Res. Final Inso. form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 nn Arrive: am/nMA Depart: �am/pm
Date Inspection request received: o�� ® Inspector's Initials:
NAME: PERMIT#: OQ " /.5&
LOCATION: W- JJA=A4= DATE: '100 I TYPE OF STRUCTURE: �` I
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake Cnil JZT
3 inch Plumb Vent through roof minimum 6" 1 '
Roof Complete/Exterior Finish Complete �` 4q —
Guard 30 in. or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more �3 B�)uaoj
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 %2"
G sum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s) installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched _
Garage fireproofing/'/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 2 "ac ess, 1 s . ft,-150 s . ft.vents
Building No./Ad s yislbjt froth road
Final Electrical
Site Plan /Variancgfeg4rdd
✓
Cn���
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&CodesUnspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
TOWN OF QUT�SNSBURY
BUILDINGj'3 CODE ENFORCEMENT
.742 BPfY. ROADS
QUEENSBURY NY 12804
(' (518) 761-8256
ARRIVE: DEPART: INSP: v
FINAL INSPECTION REPORT - RES133D NTI L�r,,
DATE INSPEC ION/ REQUESTREC^EIIVED: Lr' gal
NAME
LOCATIO ( A
DATE C�� PERMIT
TYPE F STRUCTURE i
FOOTINGS_ FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIO INSULA ON
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/IiEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK PORCH STEPS RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM PRIVACY DOORS -
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
�I
PLUMBING FIXTURES
FOUNDATION INSULATION --�i
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE RED.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C O OR C C
MAP REFERENCE: gwavc
QUINCY LANE SUBDIVISION
THE MICHALES GROUP
BY: VAN DUSEN & STEVES
DATED: APRIL 15, 2003
LAST REVISED: JUNE 10, 2003
LOT 10 r�
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E
I
i
ICY L
Cp. p o
pr)
N M
M
� 54.67' Z
j LOT 11
I 2 STORY 1.01 acres
WOOD FRAME 43,953 sq.ft.
ED oo HOUSE
o^o
a
i
106.62'
------
RECEIVED
2 Z004
SOWN OF QUEENS3URY
° u j BUILDING AND CODE
p
M 00
tb
00 Ui
260.44'
N N16'26'30itE
. of NE .
� NC.9Pc;L1YW, � b9�
1,5k LOT 12
GAW
Du (Date: AUGUST 7, 2004
'all 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY Scale 1'=30'
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A Map of a Survey made for
VIOLATION OF SECTION nOfl,sue-DIVISION 2.OF THE
NEW rant STATE EDUCATION LAW
'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL SE CONSIDERED TO 9E VAUO TRUE COPIES'
t e V ec IS SURVEY
U V Y WAS INDICATED IN ACC DANCE THAT W i 11 i s rr� R. & Patricia F. Foltz
— 1
THIS TINGCO WAS PREPARED W ACCORDANCE WITH 1NE
ETOSNG CODE Of PRACTICE FOR LAND SURVEYORS ADOPTED
BYTE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
a n �a.r V e y ors TO T SURVEYORS SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR VMOM THE SURVEY IS PREPARED,ATO
ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL T
AGENCY AND LENDING WSTITUITION USTEO HEREON,AND Townl of Queensbury, Warren County, New York
169 Haviland Road Queensbury, New York 12804 TO THE ASSIGNEES OF THE LENDING INSTnUTION. FOLTZ
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 02333-11
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p D part• ,Q7 am/pm
742 Bay Road, Queensbu>y,NY 12804 Inspector's Initials:
NAME: G PERMIT#:
LOCATION: L INSPECT ON: 1C, 6
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing 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
Copper Commercial
Copper, CPVC,Pex One &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
COMMENTS:
L:\SueHemingway\3uilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request r eived:
Queensbury Building& Code Enforcement Arrive: a e art: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
I"
NAME: PERMIT #: O
LOCATION: INSPECT ON: --q1 D
TYPE OF STR CTORE:
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
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
Co er, CPVC,Pex One and Two-Family
I lation/Residential Check/Commercial Chec 14/Ark6e— Xult/4'.
,fro per Vent,Attic Vent I Ar)6 a c 7-5 le
Duct/Hot Water Piping Insulation �� S
If required unheated spaces
�Copbustion Air Supply for Furnace
uct work sealed properly/No duct tape
COMMENTS:
L:\SueHemingway%Building.Codes.Inspection.FORM SUtough Plumbing Insulation Report.doc November 17,2003
1
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection requ st received: 5 00 om
Queensbuiy Building&Code Enforcement Arrive: am/p m
art: am/pm
742 Bay Road, Queensbuiy, NY 12804 Inspector's Initials.
NAME: t p/ PERMIT#:• Q CO
LOCATION: R 91 QlWilrU INSPECT ON: '4;00�
TYPE OF STRUCTURE: 1
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm. ���L(��
Plumbing 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
Copper Commercial
Copper, CPVC,Pex One &Two Family
Insulation/Residential Check/Commercial Check �/�l�l�L— /ti 5 U� �C .,f�
Proper Vent, Attic Vent
c.i S �i�J ►f`t�,S
Duct/Hot Water Piping Insulation �i S
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
-0U ( tj
COMMENTS: �� � cco,e
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
1
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: an meepart am/pm
),V
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
- s (nNAME: JD PERMIT#:
LOCATION: INSPECT ON: 3. 1✓
TYPE OF STRUCTURE:
Y IN 11 N/A ing COMMENTS
F m
Jack Studs/Headers 'FRO V V �
p C Q!v G All .
Bracing ridging lv/� II
of angers �yZ S 5 e-C►� LAC D�C
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
Ice and snow shield 24 inches from wall p N ` L C—
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping _.
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LASueHemingway\Building.Codes.Inspection.FORNIS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestoppi'ng Inspection Report C
Office No. (518) 761-8256 Date Inspection request received: Q "��jllYyl,
Queensbury Building&Code Enforcement Arrive: amNK Dgpart: am/pm II
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: f`�® 4VW
°
NAME: PERMIT#: .5jli
LOCATION: INSPECT ON: - ;QQ
TYPE OF STRUCTURE:
'Framing Y IN N/A COMMENTS
Jack Studs/Headers ✓ C� v 5 6 eACC-
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 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
irestopping
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
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Rough Plumbing / Insulation "Inspection Report
Office No. (518) 761-8256 Date Inspection request received: Q QO
Queensbury Building& Code Enforcement Arrive: am/p epart. am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT #:
LOCATION: A INSPECT ON: Oor-
TYPE OF STRUCT 11
I
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
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
45�
Town of Queensbury Fire Marshal
742 Bay Road
Queensbuay,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Wood Burning 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 accompanying the appliance.No deviation from the manufacturer's
/ instructions or specifications is allowed.
Permit# �U�"�0�� Schedule Inspection 215 L Time pni anytime Inspecto
Name Address A 1'.1 I hough In Final
Appliance Manufacturer Y"\�(�5�'� Model# -�,Ce 3 b V'R k tJ
Masonry Chimney Factory Built Chimney VIFlue Size Double Wall Triple Wall Insulated,^
Yes No N/A Comments
Floor Protection
3-
Clearances to Combustibles (all sides)
Safety Strip Installations (fireplaces only)
Firestop(s) Vertical Chase
Wall Penetration
Chimney Clearances to Combustibles
Chimney Termination
3 feet above roof penetration;2 feet above
any combustible construction within 10 feet
Combustion Air
Hearth Extension
Mantel(height above f/p opening)
Fireplace Doors /Screen (required)
White—Building Dept. yell. —Cust mer Pink—Me Marshal
I Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: a m epart: aIn/pm
742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials.
NAME: PERMIT#:
LOCATION: PJ C INSPECT ON: O U
TYPE OF STRUCTURE:
Framing Y N N/A 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
,Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall.2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side ''/z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LASuellemingway\Building.Codes.In spection.FORMS\Framing Firestopping Inspection Report.doe January 28,2003
c. Rough Plumbing / Insulation Inspection Deport �-n
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p RepaW m/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials.
NAME: \i U PERMIT #: v�
LOCATION: Gl INSPECT ON:
TYPE OF STRUCT
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
Washigg Machine Drain 2 inch min.
He or Air Supply Test
\ rain 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 Repoit.doc November 17,2003
► , ► ► ►.
169 Haviland Road, loueensbury, NY 12804
Phone-518-745-4400 Fax -518-792-8511
July 28, 2004
Job #46176
New York State Dept. of Health
77 Mohican Street
Glens Falls,NY 12801 01 / M
RE: Quincy Lane Subdivision- Queensbury(T)
28 Quincy Lane (Lot# 11) Septic System
Dear Sir/Ma'am:
This letter is to inform you that we inspected the completed septic system for the house at 28
Quincy Lane(Lot#11) in the Quincy Lane Subdivision on July 26 , 2004.
The septic system as installed was for a three bedroom house and consisted of a 1,250 gallon
septic tank and 200 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., EI
cc: (IDa_v_e4___.atin,=Tovwri of Queensbury,
Eric Wilson, The Michaels Group
CV /
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/pIn Depart: g am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT NO.:
LOCATION:RECHECK; INSPECT ON: —
0
Comments and/or diagram
Soil Type: Sa lay
Type of Water: (MunicipaV Well Water
Waterline se ara ' istance 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 Sizq p T e
Building to tank LYO
Tank to Distribution Box y N
Distribution Box Field/Pit � N
Opening Sealed Y N/Partial
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Location of Sys"on Property:
Front ear Left Side Right Side
Middle Front Middle Rear
System Use Status
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:\SueHemingway\Building.Codes.[nspection.FORMS\Septic Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
�.
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/p 1 D part: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON: '�,�, p - ;00
TYPE OF STRUCT
(il;ooar, I J
Framing Y N N/A 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 PON
Anchor Bolts 6 ft. or less on center Wee and snow shield 24 inches from wall1 /`f
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
3_
Foundation Inspection Reporto'
Office No. (518) 761-8256 Date Inspection request received: S d
Queensbury Building&Code Enforcement Arrive: am/p �epar . wpm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: - 1 PERMIT#:
LOCATION: INSPECT ON: 6 (Aj2 C)-al/-
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
Foundatio ampproofin
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
oly for wet areas under slab
- - ackfill ,p oval-
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: `
Queensbury Building&Code Enforcement Arrive: am/pn part: rn/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: C �6-),&AO PERMIT#: /
LOCATION INSPECT ON: - t
TYPE OF STRUCTU �F
Comments
Y N N/A
otings
Piers
Monolithic Slab
Reinforcement in Place I `� I r,,j
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
s
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.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received-
Queensbury Building&Code Enforcement Arrive: an-d / Depart: d (Am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: O
LOCATION: ( "�hiL.'y (_.v INSPECT ON: 5-117 D
TYPE OF STRUCTURE:
Comments
Y N N/A
ootings
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:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: '
Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm
742 Bay Rd., Queensbwy,NY 12804 Inspector's Initials:
NAME: G ---c, �► 1 PERMIT#:
LOCATION: V tje-, INSPECT ON: S Oi
TYPE OF STRUCTURE:
Comments
Y N N/A _
4Footings
Piers 1 I
Monolithic Slab C
Reinforcement in Place (/
The contractor is responsible fo
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:\SueHeningway\Building,Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
1
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Facto tg Built Gas FireRlace/Stove In'suection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed.
Permit#o� `7 Schedule Inspection Time am lain anytime Inspector
Naive ( ��PJj�Address_�� `-��'t IVY W�.° --_� Rough In Final_
Appliance Manufacturer __ _ _ Model##
Direct Vent _ Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Y 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 Shut-Off'Valve
Combustion Air
Hearth Extension(if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LP)
White—lledidingDept. ���� 'Yellow ('.vet er Pink—Fire Marshal
Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release lc
Data filename:F:\SHARE\Design\Energy Calc\Quincy Lane\28 Quincy.rck
TITLE: QL724 Hastings
COUNTY:Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE: 04/01/04 � t�;r ��
ISO
DATE OF PLANS:April 1,2004 c ,_�� C.�o'� , •
PROJECT INFORMATION: "� � g r°' 4 t, R 2 O
a
28 Quincy Lane t rlTrItr C{U�C�S�Q
Queensbury,NY r � ��- ➢ k ,`; OF �®CO
3
COMPANY INFORMATION: c.
j j Q �u�Lo
The Michaels Group
10 Blacksmith Drive
Malta,NY 12020
NOTES:
Pella Proline Windows
COMPLIANCE:Passes
Maximum UA=680
Your Home UA=575
15.4%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Raised or Energy Truss 1831 0.0 30.0 57
Wall 1:Wood Frame, 16"O.C. 1854 i9.0 0.0 83
2x(D)Dining:Wood Frame:Double Pane with Low-E 31 0.340 11
Ix(C)Dining:Wood Frame:Double Pane with Low-E 31 0.340 11
4x(D)Living:Wood Frame:Double Pane with Low-E 62 0.340 21
2x(AH)Study:Wood Frame:Double Pane with Low-E 28 0.340 10
Ix(D)Study:Wood Frame:Double Pane with Low-E 16 0.340 5
2x(CY)Family:Wood Frame:Double Pane with Low-E 23 0.340 8
2x(DA)Family:Wood Frame:Double Pane with Low-E 6 0.340 2
2x(CZ)Family:Wood Frame:Double Pane with Low-E 27 0.340 9
2x(CS)Family:Wood Frame:Double Pane with Low-E 7 0.340 2
2x(CJ)Breakfast: Wood Frame:Double Pane with Low-E 26 0.340 9
Ix (BY)Breakfast:Wood Frame:Double Pane with Low-E 33 0.340 11
s
Ix(BX)Breakfast:Wood Frameoouble Pane with Low-E 17 0.340 6
lx(AS)Kitchen:Wood Frame:Double Pane with Low-E 15 0.340 5
lx(DB)Family:Wood Frame:Double Pane with Low-E 13 0.340 4
#20 Mud:Solid 19 0.240 5
#lb Entry: Glass 37 0.350 13
#34 Breakfast: Glass 18 0.350 6
#40 Family:Glass 54 0.350 19
Wall 2:Wood Frame, 16"o.c. 1500 19.0 0.0 77
Ix(DQ)Foyer:Wood Frame:Double Pane with Low-E 12 0.340 4
Ix(EA)Living:Wood Frame:Double Pane with Low-E 16 0.340 5
2x(D)Bed#4:Wood Frame:Double Pane with Low-E 32 0.340 11
2x(CB)Master Bed:Wood Frame:Double Pane with Low-E 19 0.340 6
lx(EB)Master Bed:Wood Frame:Double Pane with Low-E 22 0.340 7
lx(D)Master Bed:Wood Frame:Double Pane with Low-E 16 0.340 5
2x(DC)Master Bath:Wood Frame:Double Pane with Low-E 47 0.340 16
1x(C)Bed#3:Wood Frame:Double Pane with Low-E 31 0.340 11
Ix(BE)Bed#2:Wood Frame:Double Pane with Low-E 30 0.340 10
Basement Wall 1: Solid Concrete or Masonry 1854 0.0 12.0 124
Wall height: 8.6'
Depth below grade:7.0'
Insulation depth: 6.0'
Basement Windows:Wood Frame:Double Pane with Low-E 5 0.340 2
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 York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and
signed this page,they are attest' g that to the best of his/her knowledge,belief,and professional judgment,such plans or
specifications are in compli e with this
Builder/Designer Date t 0
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release lc
DATE:04/01/04
TITLE: QL724 Hastings
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1:Raised or Energy Truss,R-30.0 continuous insulation
Comments:
Insulation must achieve full height over the plate lines of exterior walls.
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,8.6' ht/7.0' bg/6.0' insul,
R-12.0 continuous insulation
Comments:
Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
covers the exposed(above-grade).insulation and extends at least 6 in.below grade.
Windows:
[ ] 1. 2x(D)Dining:Wood Frame:Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 2. Ix (C)Dining:Wood Frame:Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 3. 4x (D)Living:Wood Frame:Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ )No
Comments:
[ ] 4. 2x(AH)Study:Wood Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 5. lx (D)Study:Wood Frame:Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 6. 2x (CY)Family:Wood Frame:Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 7. 2x(DA)Family:Wood Frame:Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[. ] 8. 2x(CZ)Family:Wood Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 9. 2x(CS)Family:Wood Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 10. 2x(0)Breakfast:Wood Frame:Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 11. lx(BY)Breakfast:Wood Frame:Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ ] 12. lx(BX)Breakfast:Wood Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 13. lx(AS)Kitchen:Wood Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ] Yes [ ]No
Comments:
[ ] 14. lx(DB)Family:Wood Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:
[ ] 15. lx(DQ)Foyer:Wood Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 16. lx(EA)Living:Wood Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ ] 17. 2x(D)Bed#4:Wood Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes [ ]No
Comments:
[ ] 18. 2x(CB)Master Bed:Wood Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ ] 19. lx(EB)Master Bed:Wood Frame:Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ ] 20. lx(D)Master Bed: Wood Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal,Break? [ ]Yes [ ]No
Comments:
[ ] 21. 2x(DC)Master Bath:Wood Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ J 22. lx(C)Bed#3:Wood Frame:Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type
Thermal Break? [ ]Yes[ ]No
Comments:
[ ] 23. Ix(BE)Bed#2:Wood Frame:Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:
[ ] 24. Basement Windows:Wood Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
Doors:
[ ] 1. #20 Mud:Solid,U-factor: 0.240
Comments:
[ ] 2. #lb Entry: Glass,U-factor:0.350
Comments:
[ ] 3. #34 Breakfast:Glass,U-factor:0.350
Comments:
[ ] 4. #40 Family: Glass,U-factor: 0.350
Comments:
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.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,glazing U-factors, 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-2.
Insulation is not required on return ducts in basements.
Duct Construction:
[ ] 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.
'A � 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:
[ ] y 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:
[ ] 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 T or chilled fluids below 55 OF must be insulated to the
levels in Table 2.
J
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 17' 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 b 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)