2003-135 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: P20030135 Date Issued: Tuesday, November 25, 2003
This-is to certify that work requested to be done as shown by Permit Number P20030135 has been completed.
Tax Map Number: 523400-308-008-0001-062-000-0000
Location: 52 BURNT HILLS Dr
Owner: BURNT HILLS LLC
Applicant: CLUTE ENTERPRISES
This structure may be occupied as a:
By Order of Town Board
--Garage - 1 Car Attached TOWN OF QUEENSBURY
Single Family Dwelling
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: P20030135 Application Number: A20030135
Tax Map No: 523400-308-008-0001-062-000-0000
Permission is hereby granted to: CTJJTF,F,NTF,RPRTSF,S
For property located at: 52 BURNT HILLS Dr
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: BURNT HILLS LLC
15 F BIRDIE Dr Garage- 1 Car Attached
Single Family Dwelling $1,274.00
QUEENSBURY,NY 12804-0000 Total Value $1,274.00
Contractor or Builder's Name/Address Electrical Inspection Agency
CLi JTF,F,NTF,RPRTSFS COMMONWF,ALTH F,LFCTRTCAT.T
13 DAWN Rd RON MUMBLO
OTJFF,NSBIJRY.NY 12804
NY 12804-0000
Plans&Specifications
2003-135 LOT#8 HSE#52 BURNT HILLS DRIVE
1274 SQ FT SINGLE FAMILY DWELLING WITH 1-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$188.08 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 14,2004
(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 a Town f Q ns ry; o y,April 14,2003
if
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury Department of Community Development,742 Bay Rd., Queensbury,NY 12804
(518)761-8256 A permit must be obtained before beginning construction. Permit No.: 3—J3
No inspection will be made until applicant has received a Fee Paid:
valid building permit. Form must be completed. Rec.Fee Paid:
Reviewed By:
Applicant: cjwke Owner:
Address: Address:
Phone#: ---Z�3 -7 ao-j Phone#:
Tax Map Number: % ,O"a -- ( r GO
Subdivision Name:
(if applicable) U x F,
Lot Number: /House Number: Street Name r`
OR
APR 0 2 2003
Property Location:
TOWN OF QUEENSBURY
BUli DING D CODE"
New Buildin . Residenti Commercial Estimated Market Value of Construction: 100,Cl'A.
❑ Addition: e ' ial/Commercial If an Addition,what will use of addition be?
❑ Alteration: Residential/Commercial
❑ No change to
Exterior size: Residential/Commercial
❑ Other work: (describe )
Check Below Occupancy Info 1"floor sq.ft. 2°d floor sq.ft. Other floor sq.ft. Total Sq.Ft.
Single Family Dwelling -7 Y
Two Family Dwelling
Townhouse
Multifamily Dwelling
#of units
Office
Mercantile
Manufacturing
1 car detached garage
2 car detached garage
3 car detached garage
1 car attached garage S 3 3-
2 car attached garage
3 car attached garage
Storage Bldg.,Comm
i
Storage Bldg.,Res.
Other
What is the proposed height of the structure: feet inches
Will any second-hand or ungraded lumber be used? If so,for what? -C=>
No. of Fireplaces to be installed:
No. of Woodstoves to be installed: C
List below the person(s)responsible for supervision of work in regards to Building Codes:
1,
Name Address Phone No.
Builder
Plumber
Mason ��7
Electrician
Declaration: Please sign below after you have carefully Aad the statement: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 Building Code, the Zoning Ordinance and all other laws pertaining to
the proposed work shal comp ' d with, whe er specified or noted, and that such work is authorized by
the owner. Furthe is understoo at I/w all su t,,prior to a Certificate of Occupancy or Certificate
of Compliance Bing issued, as r ested the Z mg dministrator or Director of Building and Codes,an
As Built S e by a ' n s yo • awn ,showing actual location of all new construction.
Signt ftZ (circle one: owner,owner's agent,arc 'tect,contractor)
x Date:Job Site Ad&ess:
Owner: Applicalion No, File,No.
WINDOW SCHEDULE
MORM h
Window WittdowMfg. Window 'Unit or
Ac or
pq . .
Number'T Nam -Model swcv.
i"qgmpLak - -:i I .- -- u4k" Instrudials
mping'..
'glalin— "'.- R -
ter 1661, ;6,1��c
R'p iL4 8- Y �p
Lei a OrTy Number %R.:- i-2 -
0 pa
V '�j
Plan Ceti size
32 32 '5 Z) 12`
QA�*
C? 1( 3PLOOa ca, 9:gc" Tj
THIS LINE HAS EXAMPLES OF SAIMPLE E-N- TRIES
A NP,
4- 4Z
12-Suel Schedulc.dm
Job Site Address: - Date: . V 7103
Owner: �a L-L�- Application No. ri:.e No.
Buitding Permit— Calculation Sheet
Naftwal Light, Ventilation & Emergency Egress Requirements
Habiiable Area of x' Req.Ligbt Acbmt Req.Vent Actual Sq.Ft. Remarks
Room Room 8%of Raoul Light ,r 4%ofRnom Vent Opening far
in AM Square Area Square � Egress
Square Footage Footage .
Feet
Le
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Project Name: &AtA� )—' LL5 BP# cW±136
Address: 91 A o m4 k-41 L�/
Building Permit 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 are lacking,the permit
will not be accepted until such time as the application is deemed complete for submission.
1. Building Permit Application Completed ... ... ... ... ... ... ... ... ... ... ... ... . Q yes ❑no ❑n/a
2. Energy Form or CheckNfate Energy Code Compliance Forms Complete.. yes ❑ no ❑n/a
(2 copies)
3. Energy Code Inspector's Report from CieckMate Program... ... ... ... ... .. D4s ❑no ❑n/a
(2 copies)
4. Septic application completely filled out(if applicable)... ... ... ... ... ... ... ... yes ❑no ❑n/a
5. Solid Fuel Burning or Gas Appliance Form... ... ... ... ... ... ... ... ... ... ... ... . Ono a
6. Electrical Inspection Form... ... ...
yes Ono ❑n/a
7. Two (2) complete sets of structural drawings... .. ... ... ... ... ... ... ... ... ... ... . L� ❑no ❑n/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. ... ... ... ... /yes ❑no ❑n/a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from property lines to new structure ... ... ... ... ... ... ... ... ... ... .. yes Ono ❑n/
10. Setbacks to neighboring wells and septic systems,including onsite well... . WYes ❑no n/a
and septic systems (if applicable)
11. Drivewa Permit... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Ono [—]n/aY �
Date:
Staff Initial:
L:\SueHemingway\Buflding.Permit.FORNB\GenericChecklist.doc January28,2003
_ w K
Residential Plan Review: One&Two Family Dwellings
Check 3 ' 135
Y/N/N/A , (J
v (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
j Calculations:
Window Schedule with glass size
V Door Schedule/Main Entrance 36"Door
Emergency escape for 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
Vertical Rebar as required by code
i
Dampproofmg/Waterproofing materials on plans
Foundation Drainage on plans,if required
6"Drop in 10' Exterior Grade
J
Framing cross section for each roof line,Vertical Fire Stopping every 10' where required
Ice and Snow shield 24"inside exterior wall
Platforms at exterior doors
Stairway headroom 6 ft. 8 in. all stairs 36"Width
Stair run and rise
Winder run and rise
r
Spiral not allowed from 2° story
Smoke detectors battery backup and proper location
Bathroom Fixtures proper clearance
i
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 height
Safety Glazing Notes for required areas
Garage Fire Separation
Z , Garage Floor Sloped
Attic Access
jRoof 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
r`
All paperwork signed
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256
1. OWNER INFORMATION:
......................................................................................................................................
Office Use
Location of installation: �Z, �w�-.�•� �1 S ,�.
3Dgc File Permit No.
Tax Map No.
r Fee Paid
Owner's Name: �`,,�—r.-�� 41t. U.c—
Address:
2. INSTALLER'S NAME C A ' s �Qc�J�� PHONE NO. �7�J3 7.17 7
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 gal/bdrm =
1991 —present 3 x 110 gal/bdrm = _33
Garbage Grinder Installed yes_ / no ?<
Spa or Hot Tub Installed yes_ / no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
Topogrgphy Soil Nature Ground Water Bedrock or impervious Material Domestic Water Su 1
<Z aN—t> sand at what depth at what depth municipal
Rolling oam 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: pc�.o gallon (min. size 1,000 gal)
Tile Field: each trench 70 ft. Total System Length:
Seepage Pit(s): number of size of each: ft. by ft.
Size of Stone to be used: # / depth or thickness feet
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
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 re ons v . resp t to this app ' ation and agree to abide by these and all
requiremen the Town of Qu sbu Sanit ewage Disposal Ordinance.
Sig re of responsible person Date
. t•
y
h(-wl:l-1 :dill Sews'�;c: I)iti{sa:.:t1 (:Ilslt)tt•1•
Appendix C.
n .�►t�� �'��tc� INI-I,1.)
SE'P 1 RNI'fL)IN ItEt 1.l11 1 a I N'1':i
n
ISOtJ SE G QE ,}!�s>•• (��:?l1St: G , E
j 1. .1 •� Sct�tic,
• r�Y3+TRPl1G!
�1 SIGNATURE
NAT( RE &INFORMATION
A ram{ N p Mi v
J .
T
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings(only)
Part 6*- Thermal Rating—Component trade Offs 1&2 Family Dwelling;
Multi-Family Dwellings(3 Stories or less)
Part 4*-Design by Component Performance, Commercial Buildings-Hi
Rise Residential
*Requires submission of worksheets
/A'PPLICANT''S NAME: PROPERTY LOCATION::
rE.
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
l. Gross Floor Area- 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 3 0
b. Exterior walls R.
C. Glazed areas R
d. Exterior doors R 1
e. Floors over unheated spaces R_Ag_
f. Edge of slab on grade(heated building) R
g. Basement/cellar walls (above grade) R --
h. Basement/cellar walls(below grade) R
i. Heating/cooling-ducts-piping in unheated space RL5'
6. Service(domestic)hot water heating device
Conforms to minimum efficiency per code 1,: Yes No
4NSPECT'OTR'S
AU CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED
na Date Phone Number
REMARKS:
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept. of Community Development Arrive am/pm Depart id
Town of Queensbury Inspector's Initials (/�®
742 Bay Road
Queensbury,New York'12804
7 i
NAME ��1 C� PERMIT# 1 J 5
LOCATION DATE_ I -
TYPE OF STRUCTURE
N/A YES NO COMMENTS 9
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete / —r✓ ���— C�
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,Ianding 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area-
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical 00,
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)
� 1
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p art "5'Zm/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: UkA Q PERMIT
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A 2�
ChimneyHt./"B"Vent/Direct Vent Location ��ylt L /` �
Fresh Air Intake N�5
3 inch Plumb Vent through roof _
Roof Complete �,�v �, G��"� d �<e-D C�
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 41
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers V, 5 V ROV 1 PC-- �Sr-e5 F (-Z
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 ade VS,44,c, L- T—
Gas Furnace shut-off within 30 ft. or within line of
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler I
Relief Valve(s)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:
Outside every bedroom area:
Inter Connected: / Battery backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures 100
Foundation insulation
Floor truss,draft stopping fmished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4 hour fire door/door closer
Garage fireproofingr
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./Addre s visible from road
Final Electrical .
Site Plan /Variance iequiled
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C(Cert. Of Com liance)
Okay to issue Temporary C/0 (Cert. Of Occupancy)
Okay to issue Permanent C/0 (Cert. Of Occu anc )
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.forni 2.doc edited January 28,2003
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT
(hotel, motel, apt. complex)
DATE INSPECT N REQUEST RECEIVED:
NAME
LOCATION
DATE 1 - PERMIT #
TYPE OF STRUCTURE 5�S.n
FOOTINGS _BACKFILL_ FRAMING_ PLUMBING_
INSULATION
N(A YES NO
CHIMNEY/"B" VENT/11EIGHT
PLUMBING VENT FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT 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 REQ.
�F7NL SURVEY PLOT PLAN IF RE
OK TO ISSUE C/O OR C C
i
MAP REFERENCE:
BURNT HILLS SUBDIVISION
DKC HOLDINGS, INC.
DATED: JULY 23, 2001
LAST REVISED: JANUARY 17, 2002
BY:
LAND"S RVEYORSSLLC S NIAGARA MOIHAWK POWER CORPORATION
k
d
S88°13'50'E
100.00'
{
i
�yr
W 4
8 a
N
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20,000 sq.ft.
0.46 acres
12q.g7'
LU 3
og $ o 7
9
O Cm
2 y
1
2B.G7'
i
2 5T ORY
WOOD FRAME
HOUSE
PORCH 2q.15'
IGRU5HE17�
STONE I j
I DRIVE ( 1
40.g4'
❑ I
UTILITIES ) I ❑ UTILITIE5
100.00'
HEREBY GERTNrY THAT THIS MAP WAS PREPARED
N86°13'S0'W FROM AN ACTUAL fRLD '
I I THIS GERM"TION SHALL RUN ONLY TO THE PERSONS
fOR WHOM THE SURVEY WAS PREPARED.AND ON THER
BEHALF TO THE TRLE GOMPANY. GOVER MWAL AGENCY
AND LENDNG INSTITUTION LISTED HEREON.
BURNT HILLS DRIVE GERTPiGATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
N SUB STInAlONS OR SEO.UENT OWNERS.
GERTIM TOB WENDY E. SINGLE
COUNTRYWIDE HOME LOANS. NO.
IT'S SUCCESSORS AND/OR ASSNGS
• . CHICAGO TITLE NSLRANCE GOMPANY
GERTM BY
• MATTHEW G. STEVES. LLS NYS SOBS
57J1 DATED MAY 23. 2003
. • 1AW
a ei
Scale 1'=30'
'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
A S �, }-� MAP BEARING A LICENSED LAND SURVEYOR¢SEAL n A Map of a Survey made for
v D- VIOLATION OF SECTION TZOS,SW-OMION 2.OF THE
(Z NEW YORI STATE EDUCATION LAW �/yy
t V V e S ONLY COFS'9fICMMDNGIIW Of,1,S SURVEY - S
LNABNm wNm AN ORIGNtlA R TNe WD BMIVE�C�D
SEAL SHALL VALID ME N• Wendy E. Single
CERTIF1CAl40NS,DILATED HEREON SIGNIFY THAT
INS SRVEY WAS PREPARED BN ACCORDANCE VBTN THE
E705 -CODE OF PRACTICE ION LAD SURVEYORS ADOPTED
Land Surveyors BY D S NEW YDRI STATE ASSOCIATION OF LL RU ONAL
LY
LAND SURVEYORS.SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR YMOY'P E SURVEY IS PWARED,AND
LENDING N NC�"'""°" RTNE N�µT'°° "`
A Town of Queensbury, Barren County, New York
AGENCY AID WSTTUI7ICN LISTED HwEON,AND CLUTE
169 HavUand Road Queensbury, New York 12804 TO THE ABBNpQB or Ul NNDBIB BIBRMION.•
LNO. DATE DESCRIPTION DWG. NO. 99241-8
(518) 792-8474 New York Lfc. No. 50135
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pV Depart: '� am/pm
742 Bay Road, Queensbuly,NY 12804 Inspector's Initials:��,•JJ_
NAME: L- r `' PERMIT
LOCATION: INSPECT ON:
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 tee,046, K
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\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Rough 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: C,C—C, f G-� PERMIT#: �5
LOCATION: v 5 INSPECT ON: l 4)rs
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
/&Pper, CPVC, Pex One.&Two Family
Xinsulation/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\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ part: n*m
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME:
PERMIT#: 0+
LOCATION: kip INSPECT ON:
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
opper Commercial
Co per, CPVC,Pex One&Two Family
sulat n/Resideiktial C eck/Conunercial Check
Proper Vent,Attic Vent �j
Duct/Hot Water Piping Insulation
If required unheated spaces I
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
L:\,SueHemingway\Buildin;.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/piI� Depart•/ am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ODI
��
NAME: ,l PERMIT#: / ,
LOCATION: a INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N/A
F Ings �,,�
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 Dampproofmg/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.InspectionTORMSToundation Inspection Report doc January 28,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ m Depart: am/pm
742 Bay Road,Queensbuly,NY 12804 hispector's Initials:
C
NAME: (,U PERMIT#:
LOCATION: nJ !w5 INSPECT ON: iZ 0
TYPE OF STRUCTURE: I IV
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
umbing Vent/Vents in Place
Rah Plu ip-''Head or Air Supply Test 7
� Drain ncl Vert�s -� l
p-m or 0 t. abo e-liiguest
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\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
V
Rough Plumbing/ Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received: ---
Queensbury Building&Code Enforcement Arrive: am/ // art: V am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials1�
NAME: �-� PERMIT#: 0-z,
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
P tubing Vent/Vents in Place
rRoii- -Plumbing/Nail Plates
01
Rk,ad-o ir-Supply Test
am':Drand 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\Building.Codes.Inspection•FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received: �°I v 3
Queensbury Building&Code Enforcement Arrive: am/,m Depart: am/pm
742 Bay Road, Queensbuly,NY 12804 Inspector's lniti s:
NAME: PERMIT#: 3 (3
LOCATION: / �S� kNSPECT ON: 7 D D
TYPE OF STRUCTURE:
Y N N/A S,
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 I
Drain and Vents �A t-
5 PSI or 10 ft. above highest
Connection for 15 minutes C�
lyater Supply Piping
Copper Commercial
==QgMMNEnC VC Pex One &Two Family
s_ t 2.�e dential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping insulation
If required unheated spaces
Combustion Air Supply for Furnace
uct Work Sealed Properly
C,,7,,IWT_ lu
OIVIMEN S:
•L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Ins -i r-reQueensbury Building&Code Enforcement Arrive , a (91742 Bay Road, Queensbuly,NY 12804 Inspector's InitiNAME: 1, /3C
LOCATION: �� INSPECT ON: _ d3
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
ough Plumbing/Nail Plates ��✓"
Head or Air Supply Test ��
Drain and Vents �i
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 r
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly /
COIdIIVIEleTTS: ,
1
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
— K)DC)
Framing / Firestopping InspeAon
Office No. (518) 761-8256 Date Inspection re es receiv d:
Queensbury Building& Code Enforcement Arrive: p De t
742 Bay Road, Queensbury, NY 12804 Inspector's Initi s: /3-5
t/
�
NAME: C PERMIT#: O�
LOCATION: Ll INSPECT ON: —/ 03
TYPE OF STRUCTURE:
Y N N/A COMMENTS
raming
Jack Studs/ ers
Bracing Bridging
Joist han 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 % (w) 16 gauge (8) 16D nails each side
op 000 tr
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
f
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:\SueFIemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP:
CAI-
FINAL INSPECTION REPORT
COMMERCIAL ------ MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE INSPECTION REQUEST RECEIVED:
NAME
LOCATION
DATE C Q- PERMIT # �
TYPE OF STRUCTURE
FOOTINGS _BACKFILL_ FRAMING_ PLUMBING_
INSULATION
N/A NO
CHIMNEY/"B" VENT HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT 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
SIT PLAN VARIANCE REQ.
INAL SURVEY PLOT PLAN IF RE
OK TO ISSUE C/O OR C C
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: +
Queensbury Building&Code Enforcement Arrive: a n part: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials. <
NAME: - v I c� PERMIT#:
LOCATION: INSPECT ON:
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 %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
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
169 Haviland Road, Queensbury, NY 12804
Phone-518-745-4400 Fax -518-792-8511
May 30, 2003
Job #46145
Mr. Glenn Bruso
New York State Dept. of Health
77 Mohican Street Glens Falls,Falls,NY 12801
RE: Burnt Hills Subdivision -. Queensbury (T)
Lot# 8 Septic System
Dear Glenn:
This letter is to inform you that I inspected the completed septic system for the house on Lot #8
in the Burnt Hills Subdivision on May 27, 2003.
The septic system as installed was for a three bedroom house and consisted of a 1,250 gallon
septic tank and 196 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: Dave Hatin, Town of Queensbury
Larry Clute, Clute Enterprises
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection re t re c ued:
Queensbury Building& Code Enforcement Arrive: z epart: a
742 Bay Road, Queensbury, NY 12804 Inspector's In s:
J
NAME: v PERMIT#: / 3S
LOCATION: INSPECT ON: -- —Q�
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
ce 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 �(�L�. _
Windows Habitable Space/Bedrooms ��- ` `tom
24 in. (H) ���
20 in. (W) � V.
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
1�
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p D part: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: Uve VP
ERMIT NO.:
LOCATION: ,� U I 'I S NSPECT ON:
RECHECK:
Comments and/or diagram
Soil T , Sa o Clay
Type of ate : Munici 1/Well Water
Waterline sepa Istance ft.
Well separation distance ft.
Other.wells: ft.
-Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches y ft.
Size of Stone ?/
-Seepage Pits: Number
Size: x
Stone Size:
Piping Si e Type
Building to tank ljL n
Tank to Distributi n Box w
Distribution Box PAaield/Pit •�
Opening Sealed: Y/N/Partial
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan VY N
Location of Syste on Property:
Front ea Left Side Right Side
Middle Front iddle Rear
System
Use Stat s:
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:'\SueHemingway\Building.Codes.Inspection.FORMS\.Septic Inspection Report.doc January 28,2003
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Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received: Q 3
Queensbury Building&Code Enforcement Arrive: am/pm De art: a -dpm
742 Bay Road, Queensbuly,NY 12804 Inspector's Initials: _ !!
NAME: �l. ri�- PERMIT
LOCATION: INSPECT ON: 0
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3, R-4 Drain I 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
CPVC,Pex One &Two Family
Itiulatio, / esidential Check/Commercial Check
Proper Vent,At"MO 4 ent !�
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
uct.Work Sealed Properly -yam
COMMENTS:
ASueHemingway\I3uilding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doe January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p epaH r am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: .
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
r
(� 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
Foundatio oofing
Type f Dampproo g/Waterproofirig
Fo ing Drai aylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
oL_for wet areas under slab
Bat 1411 A.���al
Plumbing Under Slab
PVC/Cast/Copper
Fundatiorl�"Is''ulatio i Interior Exterior
Rough Grade 6 inch within 10 ft,
L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
LATE
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection requ rec iv
Queensbury Building&Code Enforcement Arrive: a pm art: 'L am/
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi
NAME: ERMIT#: '�
LOCATION: l.01 V d i [4 (i 5 „-. INSPECT ON: LATE A vA No,n1p�
TYPE OF STRUCTURE: ��
Comment
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
�. Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
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 Glade 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 reque e Iv d: .>a o 3
Queensbury Building&Code Enforcement Arrive: a Depart:
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi
NAME: (�G ERMIT#: X 3—I
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: ��
Com ents
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
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 sl
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Inte I
r/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASueHemingway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003
g
` c
Foundation Inspection Report
p P
Office No. (51 8)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ Depart: �Iamffi/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: r( PERMIT#: JCJ —�
LOCATION: �TSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N/A
F mgs �
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for l
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
Bacicfill 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
4 ,
rmit Number
MECcheck Compliance Report Checked By/Date
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
Data filename:A:\Lot#8.cck
TITLE: 1274 Colonial
COUNTY: Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE:04/01/03
DATE OF PLANS:04/01/2003
PROJECT INFORMATION:
Lot#8
52 Burnt Hills Drive
Queensbury,NY 12804
COMPANY INFORMATION:
Clute Enterprises,Inc
General Contractor
13 Dawn Rd.
Queensbury,NY 12604
COMPLIANCE:Passes
Maximum UA=269
Your Home=205
23.8%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 650 38.0 0.0 20
Wall 1:Wood Frame, 16"o.c. 1616 19.0 0.0 86
Window 1:Vinyl Frame,Double Pane 93 0.490 46
Door 1: Solid 41 0.069 3
Door 2:Glass 41 0.490 20
Floor to Bm:
All-Wood Joist/Truss,Over Unconditioned Space 624 19.0 0.0 29
Floor overhand:All-Wood Joist/Truss,Over Outside Air 26 19.0 0.0 1
Furnace 1:Forced Hot Air,90 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
plans,specifications,and other calculations submitted with ermit application. The proposed systems have been
designed to meet the Proposed New York State Energy Conservation Construction Code requirements.
Builder/Designer Date
MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release I
DATE:04/01/03
TITLE: 1274 Colonial
Bldg.
Dept.
Use
Ceilings:
[ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:
Above-Grade Walls:
[ ] 1. Wall 1: Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 1:Vinyl Frame,Double Pane,U-factor:0.490
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
Doors:
[ ] I 1. Door 1: Solid,U-factor:0.069
Comments:
[ ] I 2. Door 2:Glass,U-factor:0.490
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:
I
Floors:
[ ] 1. Floor to Bm:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation
Comments:
[ ] 2. Floor overhand:All-Wood Joist/Truss,Over Outside Air,R-19.0 cavity insulation
Comments:
Heating and Cooling Equipment:
[ ] I 1. Furnace 1:Forced Hot Air,90 AFUE or higher
Make and Model Number
I
Air Leakage:
[ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] I Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC
rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible
materials and 3"clearance from insulation.
i
Vapor Retarder:
[ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
I
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.
i
[ ] 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:
[ ] 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.
Fxception: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 RVAC 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:
[ ] 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°F 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 Circulatiniz 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)
FT. ...... 71
...........
It
V
OP
.... .......
..........
C,q J
have seen-or;obser, 6d -or believe I saw-evidence-of; :V ous mells,treesi-feneds, etcq.� ,
all object -S! 0 u s u
d t I.a
shown on Is 0 e repres hat.!-have. .. .....
Pe TsQ n r easu a tans ffo h on the diagram:'
"
�77 I A DATE
T U RF�/
....... ......
. .. ..........
. ..........
r
MINI-MUM PICTURE CLEARANCES
:L
15' 4' INN. -I' IkN. ?" WN.
IN,
210 MIN.CLERRANCE
@ LAVATORIES
21" MIN.CLEARANCE
� WC AND TUBS
MAP REFERENCE:
BURNT HILLS SUBDIVISION
DKC HOLDINGS, INC.
DATED: JULY 23, 2001
LAST REVISED: JANUARY 17, 2002
BY: VAN DUSEN & STEVES
LAND SURVEYORS, LLC NIAGARA MOHAWK POWER CORPORATION
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Land Surveyors BY YN°CODNEW
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BY THE NEW YORE STAIE ASSOCIATION OF PROFESSIONAL
LAND SU**YOK SAID C0707"YTONS SMALL RUN ONLY
TO IM PERSON FOR*W TTf"%TY R PREPARED.AND BFEET 1 M"1
ON MIS INNA►TO THE TOLE COMPANY.GOVERNMENTAL
169 Havfland Road Queensbury, New York 12804 TO"p"°`�'Of "S11111Y01"�°.- A"° Town of Queensbury, Warren County, New York
To m Aaelalm a"Loom SIBIIIv7IOMI.•
GLUTE
(518) 792-8474 New York Uc. No. 50135 NO. DATE DESCRIPTION DWG. NO. 99241-8
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