2004-264 r TOWN OF QUEENSBURY
r F`
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040264 Application Number: A20040264
Tax Map No: 523400-308-005-0001-077-007-0000
Permission is hereby granted to: ROBF,RT & AW RAINWATFR
For property located at:. 115 LAUREL Ln
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: . ROBERT &AN ff RAINWATER
BROOKS Residential Addition $14,000.00
Total Value $14,000.00
115 LAUREL Ln
QUEENSBURY,NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-264
576 SQ FT RESIDENTIAL ADDITION(SUNROONVI)
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, June 03, 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 Tow of Q nsb 4t4ime 03, 2004
SIGNED BY. for the Town of Queensbury.
Director of Building&Code Enforcement
Job Site Address: L A-rLec, U4�J� Date: I z
Owner: Application No. File No.
RECEP
Building Permit — Calculation Sheet fviny
Natural Light, Ventilation & Emergency Egress Requirements 0 3 2004
7Olf AI oP rrn Inc ^U
Habitable Area of Req.Light Actual Req.Vent Actual �r q Sq.Ft. Remarls'111 �fU,�� r'�Up
Room Room 8%of Room Light 4%of Room Vent Opening for 0
in Area Square $ Area Square Egress
Square Footage ' Footage
Feet
r�.
rj260 7
i-*r
MY
.M
„t
Nr5. yj}?r
H
L:\SueHemingway\Building.Permit.FORMS�Nat.Light.Ventil.Calculation.Sheet.doc
Job Site Address: LA"j eGr
� Date: c/ z f9
Owner: Application No. File No.
WINDOW SCHEDULE Cd%�r
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L:\SueHemingway\Building.Permit.FORMS\Window Schedule.doc
1
Building Permit Application
Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY
(518)161.8256
A permit must be obtained before beginning construction. Permit File No.
No inspection will be made until applicant has received a Fee paid ,
valid building permit. All applicants' spaces on this Rec.Fee Paid $ .
application must be completed and must appear on the Reviewed B i-.
application form. P
ViED
Applicant: 5 ycz--, ,s�Lj obk t t L Owner: (-a fz> .
Address: zt z,1 AA C` _, �r Address: �; c_eL),mac—c_, 200
G C` N& 4
Phone#(�).�.f3-Z.`i.� Phone*(_) ` Qif�q� Nsgp�V
COP
Property Location: LotNumber: / House Number i [A/ 011/,. �^
SubdivisionName: Tax Map Number: 3o8
a New Building: i commercial 'Estimated Market Value of Construction: $ l
Addition: resid n. ommercial
- If an Addition,what will use of new addition be? _
a Alteration: dence/ commercial L\J G P�'o 1✓l.
O No change to wderlor size: residence/com'1
O Other work(describe
Check OccupancyInforMation i Floor 2° Floor Other floor. Total
Below sq.ft.., sq.ft. sq.St. Square Feet
�I--Single faatil dwelling
o Two fatnily dwellin
o Townhouse ;
o Multifamily dwelling � .`F ..
#of units
o Office ,;r
o Mercantile Y1�"
o Maaufaotut!in NNf4,
0 1 oar detached ge r`.i' -
12 2 car detached gars o ;' f
0 3 car detached prage J s
v 1 car attached garage
c 2 oar attachedg=ge
v 3 car attached garage
e . Storage building- // r
comnmeraial . r
o Storage boil
residential
o er S
lor
What is the proposed height of the structure feet inches
Will any second-head or ungraded lumber be used? If so,for what? -
Type of Heating System: electric/ oil / gas/wood /(brood. a' baseboard/other:
Number of Ftr yjues to be installed Numbeir of woods eves to be installed
List below the person(s)responsible for su envision of work as to to building cod. . :.
Name Address Phone Number
Builder S� �C �u nn 211—Z13 ✓� —�g-t,—?a Et
Pltambor N
Mason 5 C-"\.Cm ko L L fl rIM �-
Electrician 1 ,V 4 v tr. U
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,area true and complete statement of all proposed work to be dote 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 Uwe shall
submit,prior to a Certificate of Occupancy or Ccttificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Building an des,an As Butlr Survey by a licensed surveyor,drawn to scale,showing actual
location of all new constM on.
Signature: owner,owner's agent,architect,contractor
ENERGY CODE.COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
• ����N��ifs.
Compliance Methods:Part 5 -Acceptable Practice Method—1&2 Family Dwellings(014A r
Part 5*-Thermal Rating—Component trade Offs 1&2 Familyywelling;® J 200,4
Multi=Family Dwellings(3 Stories or less) SIN OF
Part 4*-Design by Component Performance,Commercial Bwdi�g �
Rise Residential -
*Requires submission of worksheets
APPLICANT'S NAME: PROPERTY LOCATION:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area J� e square feet
2. Type of heat- Electric . Oil Gas Other
3. Is building mechanically cooled? yes No
4. Percentage of area of windows and doors Over 17% Under 17%
' 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS
SHOWN ON PLANS SUBMITTED:
a: Roof R (Al
`j
b. Exterior walls R. '1-1
C. Glazed areas R.
d. Exterior doors R.
e. Floors over unheated spaces R.
f. Edge of slab on grade(heated building) R.
g. BasementIcellar Ymlls(above grade) R -7,
h. Basement/cellar walls(below grade) R—El,
i. Heatingkooling-ducts piping in unheated space R.
6. Service(domestic)hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140--WILL NOT BE EXEEDED
Applican 's Sig a e Date Phone Number
INSPECT VS REMARKS:
1
Application for Permit=Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION: ...................................................................................................................................i
Office Use 1
Location of installation: LC-�, UiN
File' ermit o. �i I I
Tax Map No. / !
9nnA
Owner's Name: Y7q::�,
T®IN!\l OF Q�E&\ISSUI°'.Y
Address: 11`i -cam lv BUIWNIC71;;6 )f Gnp
2. INSTALLER'S NAME y N LL✓vA,VM PHONE NO. r 3^ o q q
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 Commutation = Total Daily Flow n�
1980 or older x 150 gal/bdrm = V ,
1980— 1991 x 130 gal(bdrm =
1991—present x 110 gal/bdrm = \
Garbage Grinder Installed yes_ / no
Spa or Hot Tub Installed yes— ./ no
4.' PARCEL INFORMATION: (circle applicable information&indicate measurements)
0 o h e Ground Water Bedrock or Impervious Material er Su 1
FI a at what depth at what depthnwmicivao
Rolling oam feet feet
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 fiild for each Garbage Grinder,Spa or Whirlpool Tub.
c �`IT�. a�n min size 1 000 al:Septa Tank: ��g o ( , gal.*)
Tile Field: each trench _ft. Total System Length:
Seepage Pit(s): number of size of each: ft. by ft.
Size cif Stone to be used: # �� / depth or thickness feet
Bed/System Size: x o R
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 d associated electrical or must be inspected by a Town approved
electrical inspection agency.
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.
Z� 11
Signature f sponsible person D to
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7. SIOA[,P►.'Ir'URE &INFORMATION PM'"t"J'U"usLr.0���+�� u+'�"•�••�•••,
b , ,
IL
Queensbury Building & Code Enforcement - Re.' nti Final Inspection
Office No.(518)761-8256 Arrive: m/pm epart:/ JV a
Date Inspection request received: Inspector's Initial
NAME: - IT#: T
LOCATION: ATE: _
TYPE OF STRUCTURM IS
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 Pq
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.
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
FurnaceJhi r to m
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/%hour fire door/door closer '`
Duct work Sealed properly -v
Gas Logs in Sealed or Glass Enclosure i `4 1�1
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area l�� / 1' Q
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 ` W
Oka to issue C/C or C/O Temporary/Permanent V1
L:\PamW\Building&Codes\Inspection Fortes\Res. Final Inso. form 2.docLast printed 2/12/04
AJ
Rough Plumlbin / Insulation l�l v
� � o Inspection Deport
Office No. (51 8) 761-8256 Date Inspection request - d: a" 0-S
Queensbury Building&Code Enforcement Arrive: pm D a a m
742 Bay Road, Queensbury,NY 12804 Inspector's Initi Is'.
G
NAME: ,lzi PERMIT #: '�
LOCATION: S INSPECT ON: 4 a 0 S
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2, R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 % inch min.Drain Size
Washing Machine Drain 2 inch min.
Bead 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
Coo er, CPVC,Pex One and Two-Family
Insulatio 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 ro erl /No duct tape
COMMENTS:
L:\SueHemingway\Building•Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Dough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/p part: �' am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: ` o� . , PERMIT #: 0
LOCATION: INSPECT ON: Z 1d5
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2, R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/ Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 % inch min.. Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Coope ommercial
C er, CPVC,Pex One and Two-Family 00
(� 1
sulation/Residential Check/Commercial Chec
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
j
Combustion Air Supply for Furnace UV`U 97✓�
Duct work sealed properly/No duct toe
COMMENTS:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Rough Plumbing / Insulation Inspection Report 1 i ° �,
Office No. (518) 761-8256 Date Inspection request r eiv
Queensbury Building& Code Enforcement Arrive: U p Dp am Um
742 Bay Road, Queensbury,NY 12804 Inspector's Initia S,
NAME: r „,� �G ERMIT #: v
LOCATION:) INSPECT ON:ra
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 % inch min. Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
C er, CPVC,Pex One and Two-Family
sulation/Residential Check/Commercial Check
Proper Vent, Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation eport.doc November l7,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection reques rec 'ved�
Queensbury Building& Code Enforcement Arrive: pm "a m
742 Bay Road, Queensbury, NY 12804 Inspector's Initi /�—
NAME:. VA;N 1V PERMIT #:
LOCATION: I L '?v / L INSPECT ON:
TYPE OF STRUCTURE:
YY 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
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:
LASueHemingway\Building.Codes.Inspection.FORM S\Rough Plumbing Insulation Report.doc November 17,2003
"�111\ - /o-/a
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection requ t re eive .
Queensbury Building& Code Enforcement Arrive: am/p a ;,��am�
742 Bay Road, Queensbury,NY 12804 Inspector's Ini '
NAME: PERMIT #:
LOCATION:— 5 kc�'- 3 r INSPECT OIL: -
TYPE OF STRUCTURE: , �-�-
Y N N/A
PVC: R-1,R-29 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
sulation/Residential Check/ Commercial Check
Proper Vent, Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supp!y for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
Zt uJ �
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 eque t rece e
Queensbury Building&Code Enforcement Arrive: arn/ arm: o a
742 Bay Road, Queensbury, NY 12804 Inspector's Im 'a
NAME: L�`I Pic 'C�.L:h�,.l� PERMIT#:
LOCATION: 1 l i. C� INSPECT ON:
TYPE OF STRUCTURE: , '� y7y�
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 %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
irest ppin �i'.Z��(�
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation.
House side %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LASucHerningway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: and pa m/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: —
� ,
NAME: 7 PERMIT#: 0 q —
LOCATION: INSPECT ON: W_
TYPE OF STRiJCTURE:
Y N N/A
I ramiilg_; CO ENZ'S
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor 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
Firesg_
Penetration sealed
16 inch insulation in cavity rAin.
Garage Fire Separation
House side '/2 inch or 5/8 inch Type X
Garage side 5/8 inch 1�pe 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 r'` CN �=
Office No. (518) 761-8256 Date Inspection refit eit recei e .
Queensbury Building&Code Enforcement Arrive: fn/p'rn _ �e art: a p�
742 Bay Road, Queensbury, NY 12804 Inspector s Initia�
� 1
NAME: � / PERMIT#: V
LOCATION: 9, Y INSPECT ON:
TYPE OF STRUCTU
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 %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:\SueHerningway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
,l
Septic Inspection Report
Office No. (518)761-8256 Date Inspection re. est r eiv
Queensbury Building&Code Enforcement Arrive: am/p epart: a
742 Bay Rd.,Queen§bury,NY 12804 Inspector's I -�
NAME: C P IT NO.:
LOCATION: LOQU MQ PECT ON:
RECHECK:
Comments and/or diagram
Soil Type: Sand/Loam/Clay
Type of Water: Municipal/Well Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total lengthft,
Len th of each trench ft.
Depth of trenches ft.
Size of Stone
-Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
-Building to tank
Tank to Distribution Box
Distribution Box to Field/Pit
Opening Sealed: Y/N/Partial
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft l�
Conforms as per Plot Plan Y N
Location of System on Property:
Front Re Le t Side ight Side
Middle nt Middle Re
System Use Statu
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
U\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
Septic Inspection Report
Office No. (518)761-8256 Da e Inspec ' requ re ei ed:
Queensbury Building&Code Enforcement Arrive: �/p art: p�a
742 Bay Rd., Queensbury,NY 1,2804 Inspector's Ini �
NAME: nr.�,� G\ -2�,/ P NO.:
0 Z,I
LOCATION: ..C A-, 1 a, ti�Z SPECT ON: fir' — L
RECHECK:
Comments and/or diagram
Soil Type: Sand/Loam/Clay
Type of Water: Municipal/Well lWater
Waterline separation distance
Well separation distance
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
2
Stone Size:
Piping Size T e
Building to tank
Tank to Distribution Box
Distribution Box to Field/Pit /
Opening Sealed: Y/N/Partial /
r
Location/Separations
Foundation to tank
Foundation to absorption ft.
Separation of Pits
Conforms as per Plot Plan/I Y N A
Location of System one'Property:
Fro R� e�Left S' e Right Side
Middle Front Middle Rear
_System Use Status:
pproved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:\SueHemingway\Buildino.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection re est ei /,Lox—
Queensbury Building&Code Enforcement Arrive: ni/p Depart: m
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi
NAME: CCu h ` �' ERMIT#:
LOCATION: _ 115 �( _ INSPECT ON:
TYPE,OF STRUCTURE-
Comments
_ —_--^ Y N N/A
Footings ,.
Piers �l
Monolithic Slab
Reinforcement in Place
The contractor is responsible for providing protection from freezing
for 48 hours following the placement ��� Dr � 'V
of the concrete. �\22
Materials for this pu_pr ose on site.
Foundation/Wallpour
0 enforcement in Place
undation 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:1SucHemingway\Building.Codes.Inspection.PORMS1Poundation Inspection Report.doc January 28.2003
Foundation Inspection Report
Office No. (518) 761-82.56 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: anqp Depart: __am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initia
0
NAME: _ \i `?>" PERMIT#:
LOCATION: I i r� _ INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N NIA
Footings ^^
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
M -ials for this purpose on site.
ndation/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 SIab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASucl-Icmingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection je
e i d:
Queensbury Building& Code Enforcement Arrive: epart: �� a
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi NAME: v NO.:LOCATION: T ON:
RECHECK:
Comments and/or diagram
Soil T : San oa Cla
Type of ater: ,, _p Well Water
Waterline sepa nce ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length ft. -!-
Length of each trench Z ft. -i
Depth of trenches Na—140 ft. t
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size T e
Building to tank
Tank to Distribution Box ti 47"
Distribution Box to Field/Pit
Opening Sealed: Y/N/Partial
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Confonns as per Plot Plan Y VN
Location of System on Property: K6_ v —r---
Front ear Left Side fight Side ( c — �
Middle Front Middle Rear C-2- 6i5l S3 OiL�L�b 1-C>
System Use Status-
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L SueHemingway\3uilding.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 ��\
Septic Inspection Report o
Office No. (518)761-8256 Date Inspection re st re e' e [y O b �n-
Queensbury Building& Code Enforcement Arrive: p part: a in
742 Bay Rd., Queensbuly,NY 12804 Inspector's Initi s:
NAME: P T NO.:
LOCATION: [15 SPECT ON: '' b
RECHECK:
Comments and/or diagram
Soil Type: Sand/Loam/Clay
Type of Water: Municipal/Well Water ��
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length ft. }-
Length of each trench
-Depth of trenches
Size of Stone
Seepage Pits: Number \
Size: x
Stone Size:
ripin.9 Size Type
Building to tank
Tank to Distribution Box _ LIT)
Distribution Box to Fie Pit r b Lg
Opening Sealed: Y/ artial
Location/Separations
Foundation to tank
Foundation to absorption
Separation of Pits ft.
Conforms as per Plot Plan Y
Location of System on Property:
Front �RearLeSid ight Side
j�
Middle Front Middle Rear
System Use Status-
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
ODisapproved
L:\SueHemingway\Bui]ding.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 .
c�
Foundation Inspection Report
Office No. (518) 761-82.56 Date Inspection request received: //� Q y
Queensbury Building&Code Enforcement Arrive: anv'p�n,� / Depart: pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ��1�
NAME: _ �_/k�i N w�l T��� PERMIT#: -� �1�
LOCACION: — S �- ✓i2e L `t7' � lI�TSPECT ON: _
TYPE. OF STRUCTURE:
Comments
-�--- _ y N N/A
otings
Piers
Monolithic Slab
Reinforcement in Place /
The contractor is responsible Io
providing protection from freezin
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.
LASucTlcmingway\Building.Codes.Inspection.PORMSwoundation Inspection Report.doc .January 28,2003
Z7t Nu be
y p lyJ�� 0 � r
REScheck Compliance Certificate ecked By/Ji P/,V0 2004
New York State Energy Conservation Construction Cod
REScheckSoftware Version 3.5 Release le
Data filename:C:\Program Files\Check\REScheck\RAINWATER.rck
PROJECT TITLE:ROB&AMY RAINWATER
COUNTY:Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE:04/24/04
DATE OF PLANS:03/15/2004
PROJECT DESCRIPTION:
576 SQ FT ADDITION
DESIGNER/CONTRACTOR:
SERVICES UNLIMITED
COMPLIANCE:Passes
Maximum UA=110
Your Home UA=110
0.0%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 580 38.0 6.5 14
Skylight 1:Wood Frame:Double Pane with Low-E 38 0.280 11
Wall 1:Wood Frame, 16"o.c. 467 21.0 6.5 13
Window 1:Vinyl Frame:Double Pane with Low-E 160 0.280 45
Door 1:Glass 21 0.310 7
Basement Wall 1: Solid Concrete or Masonry 576 21.0 6.5 20
Wall height: 8.0'
= Depth below grade:7.0'
Insulation depth:-8.0'
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 complian a with 's Code.
Builder/Designer Date ['04
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release le -
DATE:04/24/04
PROJECT TITLE:ROB&AMY RAINWATER
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,
R-3 8.0 cavity+R-6.5 continuous insulation
Comments:
Above-Grade Walls:
[ ] 1. Wall 1:Wood Frame, 16"o.c.,R-21.0 cavity+R-6.5 continuous insulation
Comments:
Basement Walls:
[ ] 1. Basement Wall 1:Solid Concrete or Masonry,8.0'ht/7.0'bg/8.0'insul,
R-21.0 cavity+R-6.5 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. Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.280
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ }No
Comments:
Skylights:
[ } 1. Skylight 1:Wood Frame:Double Pane with Low-E,U-factor:0.280
For skylights without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
Doors:
[ ] 1. Door 1:Glass,U-factor:0.310
Comments:
Air Leakage:
[ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be 1)Type IC rated,or,2)installed inside an appropriate air-tight assembly
with a 0.5"clearance from combustible materials.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 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:
[ J 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:
[ ] 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.
H
Table i s Minimum Insulation Thickness for Circulating Hot Water!-m---
Insulation Thickness in Inches by Pine sw.
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"
Beating 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)