RC-0829-2021 • 1
Office Use Only
ADDITION/ALTERATION PERMIT Permit#:
Town ofQucensbury AP R4 I� n/1 Q
r it Fee:$ �o,�-a ICJ
742 Bay Road,Queensbury,NY 12804 D C u V o ce#: 1 3 7
P:518-761-8256 www.aueensbury.net
NOV 16 2021 o I Zone? Y N Reviewed By:
Project Location: 33 Holly Lane, akT ® Q BURY
BUIYIJIN'G& DES
Tax Map ID#: 239.12-2-\37 Subdivision Name:
PROJECT INFORMATION:
TYPE: X Residential Commercial, Proposed Use:
X Single-Family _Two-Family _Multi-Family(#of units ) _Townhouse
Business Office _Retail _Industrial/Warehouse _Garage(#of cars_)
_Other(describe )
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor: 50
2nd floor: 2nd floor: NA
3rd floor: 3rd floor: NA
Basement(habitable space): Basement(habitable space): NA
Total sq ft: Total sq ft: 50
Scope of work to be done:
Interior alteration.
Installation of dividing wall,shower and cooktop.
Addition/Alteration Application Revised January 2021
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ 3,000
2. Source of Heat (circle one):_Gas _Oil X Propane _Solar_Other
Fireplaces/inserts need a separate Fuel Burning Appliances & Chimney Application
3. Are there any structures not shown on the plot plan? YES X NO Explain:
4. Are there any easements on the property? YES X NO
SITE INFORMATION:
• Is this a corner lot? _YES X NO
• Will the grade be changed as a result of the construction? _YES X NO
• What is the water source? _PUBLIC X PRIVATE WELL
• What type of wastewater system is on the parcel? SEWER X PRIVATE SEPTIC ^�
DECLARATION: \\
1. I acknowle ge that rye construction sha I -
completed within a 12 month period.Any changes to the approved plans prior to/du ing -onstruction will equire
the submittal of amended plans,additional reviews and re-approval g9fftirvg Cnaditi-3
2. If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of
Queensbury.After 1 year from the initial application date, 100%of the fee is retained.
3. Ifthework is not completed by the 1 year expiration date the permit may be renewed, subject to fees
and department approval.
4. 1 certify that the application,plans and supporting materials are a true and a complete statement and/or description
of the work proposed,that all work will be performed in accordance with the NYS Building Codes, local building laws
and ordinances, and in conformance with local zoning regulations.
5. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of
occupancy.
6. 1 also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above:
PRINT NAME: l 1
SIGNATURE: ` DATE:
Addition/Alteration Application Revised January 2021
s
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): Brian Hogan
Mailing Address, C/S/Z: 34 Holly Ln., Lake George, NY 12845
Cell Phone: 518 )424-7872 Land Line: ( 518 )656-3504
Email:brian.hogan34@gmail.com
• Primary Owner(s):
Name(s): Brian and Meredith Hogan
Mailing Address, C/S/Z: 34 Holly Ln., Lake George, NY 12845
Cell Phone: 5( 18 )424-7872 Land Line: 518 )656-3504
Email: brian.hogan34@gmail.com
Check if all work will be performed by property owner only
• Contractor(s): (List all additional contractors on the back of this form)
Contact Name(s):
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone: Land Line: � )
Email:
**Workers' Comp documentation must be submitted with this application**
• Architect(s)/Engineer(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
Contact Person for Compliance in regards to this project: � d&.Y.\
Cell Phone: Land Line: �)
Email:
Addition/Alteration Application Revised January 2021
Generated by REScheck-Web Software
Compliance Certificate
Project 33 Holly Lane
Energy Code: 2018 IECC
Location: Albany, New York
Construction Type: Single-family
Project Type: Alteration
Climate Zone: 5 (6894 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
33 Holly Lane Brian Hogan Brian Hogan
Lake George,NY 12845 34 Holly Lane 34 Holly Lane
Lake George, NY Lake Geore,NY 12845
5184247872 5184247872
Brian.Hogan34@gmail.com Brian.Hogan34@gmall.com
Maximum UA: 0 Your UA: 0
Slab-on-grade tradeoffs are no longer considered in the UA or performance compliance path in REScheck.Each slab-on-grade
assembly in the specified climate zone must meet the minimum energy code insulation R-value and depth requirements.
Envelope Assemblies
Gross Area Cavity Cont. Prop. Req. Prop. Req.
Perimeter
Ceiling:Cathedral Ceiling
--- --- --- --- --- --- ---
Exemption: Framing cavity not exposed.
Wall:Wood Frame,16"o.c.
--- --- --- --- --- --- ---
Exemption: Framing cavity not exposed.
Floor:Slab-On-Grade(Heated) 576 10.0 0.550 0.645 0 0
Insulation depth:4.0'
Project Notes:
Interior Alterations to Workshop.
Project Title: 33 Holly Lane Report date: 11/16/21
Data filename: Page 1 of 9
REScheck Software Version : REScheck-Web
Inspection Checklist
Energy Code: 2018 IECC
Requirements: 0.0% were addressed directly in the REScheck software
Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each
requirement,the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
/��/.'; �: -'/
/ ;(plans Verified,, ;Eii31i!Verified
#; -P,re-ln's' ecfiion Plan-Review,: <s o, Coin`( s� ; ;:;'Comma is sum" tioois,%
—� . �Yalue- ;;J� ��.;�iii„ v�s�i�;�,
�,,.Sri!i /„y c„
:
103.1, Construction drawings and j� :: :%Q% yv % :. ❑Complies
, .,
103.2 ;documentation demonstrate '"�/,,�///„ '��--`�- ':'��� %F,;'"="-�°���f" ❑Does Not
//
[PR1]1 ;energy code compliance for the
;building envelope.Thermal [:]Not Observable ,
;envelope represented on
❑Not Applicable
licable ;
construction documents.
103.1, ;Construction drawings and ❑Complies
103.2, ;documentation demonstrate ❑Does Not
,
403.71 energy code compliance for ,�' ,
r .: i- "w,//// ❑Not Observable ,
[PR3] ,lighting and mechanical systems. °�ie�oaia/� `,-.'''-:..:":`��,:;-.,,.,/ .,,y�� ,
'" ❑Not Applicable
"Systems multiple �� ;'�"�:'y-% "-'''%-,'-.:.,y,/�� ;
!,dwelling
9 P %%/ /. "
!dwelling units must demonstrate
'compliance with the IECC
(Commercial Provisions.
,:, Heating and cooling equipment is Heating Heating: ;❑Complies ,
sized per ACCA Manual S based Btu/hr r Btu/h ❑Does Not
[P j2 on loads calculated per ACCA
Cooling: ; Cooling: 1ElNot Observable ;
Manual J or other methods Btu/hr Btu/hr
j approved by the code official. ;❑Not Applicable ;
S/
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2. Medium Impact(Tier 2) Low Impact(Tier 3)
Project Title: 33 Holly Lane Report date: 11/16/21
Data filename: Page 2 of 9
{ ;
m`Desk ,..CommentslAs"sumptipns
402.1.2 iSlab.edge insulation R-value. ! R- I R- iLJComplies I See the Envelope Assemblies
[FO3]1 ;❑ Unheated ;❑ Unheated 'E]Does Not (table for values.
r ' I ❑ Heated ❑ Heated ❑Not Observable
❑Not Applicable
3
• i I i I
402.1.2 !Slab edge insulation I _ft ft OComplies ;See the Envelope Assemblies
[F03]1 !depth/length. ! '(Does Not ;table for values.
: i
❑Not Observable ;
❑Not Applicable
3,} '2 1;-.`A protective covering is installed % %�� w? ;;"-;'.- ;%y �� ❑Complies I
"• ;Sto protect exposed exterior %�ii�////�%,/�!�/��/„��/.� .- ;,❑Does Not ;
insulation and extends a
°s minimum of 6 in.below grade. Not Observable
EINotApplicable
4"03:9 " Snow-and ice-meltingsystem %i�" r%: vy / ""%y'. ❑Complies ;
[F012]z:.-°:controls installed. �' ' :. ���'� ❑Does Not
i.,%;: -'x3� j� ���/�,i/'ii' ,o,v.•,',,:`s;..::. "..`ii Not Observable 1
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2; Medium Impact(Tier 2) 3.: Low impact(Tier 3)
Project Title: 33 Holly Lane Report date: 11/16/21
Data filename: Page 3 of 9
UFI-� 1!
195,
la
tW
550 Val
402.4.1.1 Air barrier and thermal barrier Ucomplies
I:FR23]1 :installed per manufacturer's 0Does Not
[]Not Observable I
E]Not Applicable
402.4.3 i Fenestration that is not site built E]Complies
[FR20]1 1 is listed and labeled as meeting 'a E]Does Not
400 that do not exceed code E]Not Applicable
14 recessed lighting fixtures Elcorn
plies
d at housing/interior finish
E]Not Observable
403.3.1 :Supply and return ducts in attics ElComplies"
>=3 inches in diameter and>=
E]Not Observable
R-6 where<3 inches.Supply and
E]Not Applicable
return ducts in other portions of
:,the building insulated >=R-6 for
403.3.2 'Mucts,air handlers and filter ElComplies
[FR13]1 :boxes are sealed with OW,
E]Does Not
!joints/seams compliant with []Not Observable
International Mechanical Code or
International Residential Code,as E]Not Applicable
cavities are not used as Elcomplies
[FlR1`S11:`5 ducts or plenums. LJDoes Not
E]Not Applicable
Ducts declared to be within the ElComplies
conditioned space are either 1)
E]Does Not
completely within the continuous
E]Not Observable
air barrier and within the building
thermal envelope,2)buried E]NotApplicable
within ceiling insulation in
accordance with Section
R403.3.6 and the air handier is
located completely within the
1continuous air barrier and within
Ithe building thermal envelope
;and the duct leakage is<= 1.5
I,cfm/100 square feet of
,conditioned floor area served by
the duct system,or 3)the ceiling
insulation R-value installed
st and above the insulated
iF2,,z;,fig again
duct
to the proposed ceiling
insulation R-value,less the R-
value of the insulation
on the
HVAC
above 105 QF or chilled fluids T]Does Not
below 55
9F are insulated to 2:11-
3.
ID Not Applicable
EFR2411 'piping. ODoes Not
E]Not Observable
E]Not Applicable
1 High Impact(Tier 1) Medium Impact(Tier 2) Low impact(Tier 3)
Project Title: 33 Holly Lane Report date: 11/16/21
Datafilemame: Page 4of 9
am
IE]Not Observable
![]Not Applicable
Automatic or gravity dampers are ...';E]Complies
installed on all outdoor air
ElDoes Not
es and exhausts. [-]Not Observable
EINot Applicable
Additional
'
1 High Impact(Tier 1) [2�]Medium Impact(Tier 2) ILow impact(Tier 3)
�
Project Title: 33 Holly Lane Report date: I1/15/21
Datafi|ename: Page 5cf 9
dirliled Field Viiriftid,�
e4; iion
We
;insulation Insp
#Section t* u6 -,�CdrnplieW Coin6i60"1As*umpt1ohs..
Val
AeclM
All installed insulation is labeled ElComplies
IINIV`�/',/,.�or the installed R-Valuesiii/ ElDoes Not
;a—
provided.
[]Not Observable 0
E]NotApplicable
402.1.1, lWall insulation R-value. If this is a! R--- R- ;,E]Complies See the Envelope Assemblies
402.2.5, !mass wall with at least V2 of the E Wood EJ Wood ':E]Does Not table for values.
402.2.6 :wall insulation on the wall E] mass E] mass
;E]Not Observable
[IN3]1 exterior,the exterior insulation
0 Steel ❑0 Steel !E]Not Applicable
requirement applies(FR10).
SO
303.2 Mall insulation is installed per Complies
[IN4]1 :manufacturer's instructions. DDoes Not
E]Not Observable
MKI.4-Applicable
Additional Comments/Assumptions:
I High Impact(Tier 1) Medium Impact(Tier 2) Low Impact(Tier r 3)
Project Title: 33 Holly Lane Report date: 11/15/21
Data filename: Page 6 of 9
# ` Einalhnspection;P!rov al'ue isions Pans Verified`` eld Verified .=.'Complies? Comments%Assumptions
o.
' <Va ue
402.1.1, !Ceiling insulation R-value. R- R- ;❑Complies ;See the Envelope Assemblies
402.2.1, ;❑ Wood ;❑ Wood ;❑Does Not table for values.
402.2.2, , ❑ Steel ;❑ Steel UNot Observable
402.2.6 I ;
[FI1]1 ! ; 'El Not Applicable ;
I NF„ %a,F >r o- .v,:.:,,,.,.; ❑Com lies
303.1.1.1,!Ceiling insulation installed per °'��=". �� y�%%�- �%�%„�=;���,•-
303.2 ,manufacturer's instructions. -"y�' ;,:;r,;;, % 4:,,;�F� y�„ ❑Does Not
FI2 1 !Blown insulation marked every1300 ft2.
�/� .';,. ❑Not Observable
❑Not Applicable
402.2.3 Vented attics with air permeable ,s, ❑Complies r
[Fi22R insulation include baffle adjacent / j/' ° 'X '��� y % / ❑Does Not
to soffit and eave vents that
❑
Not Observable
y
'extends over insulation. ;<' � ;""',.,r,,,, Mai/��j. ;,f?��.,'.:
% i/ y . .;. .,,:' %: ////��❑Not Applicable
402.2.4 ;Attic access hatch and door ; R- ; R- ;❑Complies
[FI3]1 I insulation>_R-value of the s❑Does Not
!adjacent assembly.
1❑Not Observable ;
❑Not Applicable
402.4.1.2 ;Blower door test @ 50 Pa. <=5 ; ACH 50= ; ACH 50=_ ;❑Complies
[FI17]1 ;ach in Climate Zones 1-2,and I !❑Does Not
I<=3 ach in Climate Zones 3-8.
❑Not Observable ;
❑Not Applicable
403.3.3 ;Ducts are pressure tested to cfm/100 cfm/100 i❑Complies ;
[FI27]1 !determine air leakage with I ftz ft2 ;❑Does Not
;either: Rough-in test:Total
I leakage measured with a i[]Not Observable
:pressure differential of 0.1 inch I !❑Not Applicable ;
;w.g.across the system including
;the manufacturer's air handier ! ;
,enclosure if installed at time of I ;
;test. Postconstruction test:Total
leakage measured with a ! ;
,pressure differential of 0.1 inch
w.g.across the entire system
including the manufacturer's air ;
handier enclosure.
403.3.4 ;Duct tightness test result of<=4 ; cfm/100 i cfm/100 ;❑Complies ;
[F14]1 cfm/100 ft2 across the system or ftz ft2 ❑Does•Not
<=3 cfm/100 ft2 without air
;handler @ 25 Pa. For rough in ;❑Not Observable
'tests,verification may need to I ; ❑Not Applicable ;
;occur during Framing Inspection.
403.3.2.1 ;Air handler leakage designated ❑Complies
[FI24]1 1 by manufacturer at<=2%of �`f "' ,%�i/%� "� /'❑Does Not
!design air flow.
�%�/i/ :...;' ❑Not Observable '
❑Not Applicable '
403.]`:'t, Programmable thermostats / � / ❑Comp
lies /
[FI9],. installed for control of primary -, � /,;i/- ;-;,:.,�-,;:%''` ;-;%-..:;':��•G b<❑Does Not
heating and cooling systems and. 9 9 Y
❑Not Observable ,
initially set by manufacturer to
Not Applicable
-'.codes ecifications.
403,1:2~' Heat pump thermostat installed , ,,� '-��N����❑Complies ,
FI10 2:.; on heat pumps. x/ %' v':;";;.
P P �� x �//i�%/, ,�yf%��. ❑Does Not ;
/
Not Observable
ElNot Applicable
❑Complies
4Q3.5.1 Circulatingservice hot water ;
[FI11]?„ systems have automatic or ❑Does Not
3
accessible manual controls.�j ❑Not Observable
❑Not Applicable
1 High Impact(Tier 1) J"',,7,J Medium Impact(Tier 2) ;3<; Low Impact(Tier 3)
Project Title: 33 Holly Lane Report date: 11/15/21
Data filename: Page 7 of 9
' ,ladsVie. . , Fieltl;Verifei#'
Final,inspertiori;'Provis"ions; " / : Gomp"'lwil Comments As"sumo bons
#- '`°4;Velue ,.Value
:IDS Re . ,, .ir' is „'�E, •, ,.
All mechanical ventilation system ��;-;":;; ';,//�-;;,,,���i;,� �;,,;,�///,jy,�-; ,;� �%�;�;j❑Complies ,
[FI25+j -' fans not part of tested and listed ❑ I
Does Not
HVAC equipment meet efficacy
°and airflow limits per Table �j; :'.,. ;, > ;y" %// /❑Not Obse able
" // ❑Not Applicable
Hot water boilers supplying heat % ❑Complies ;
[F,126]?" through one-or two-pipe heatin ❑
99 Does Not
/,,: ;' lsystems have outdoor setback ,,- y,< ,`, ;
Not Observable
I�/ control to lower boiler water ' " %'%' -�''%%' '%�;% ❑
❑Not Applicable
%-",,temperature based on outdoor ,'i
'j ;temperature.
'%�!3;;>', .:�%;:-; .r/ ;: '�/�/❑Complies ;403.5aa:.j Heated water circulation systems ;,;,�;;,. . ��/, ., ��
�F2 pump. /j:.'.. `% /j �//'! /❑Does Not
28 r / have a circulation um The y� '
system return pipe is a dedicated N t Observable
return pipe or a cold water suPPIY/�%//' %'°i-%"'' !��%,� ;�"�%;�;,. �'�
pipe. Y /O/ /�/ /
h. �';;,.t. - Gia";-��'';�,..�;�' / ❑Not Applicable
i e.Gravit and thermos- � � :,' ' �� '�y/
�%- 3 syphon circulations stems are
not present.Controls for
circulating hot water system
Pumps start the pump with signal ;W
"'/1'r
for hot water demand within the
occupancy.Controls
automatically turn off the pump
when water is in circulation loop //%� '%�%.��% ="y �'%'~• �,,;�/%` '%'
is at set-point tem erature and
no demand for hot water exists. ��;',
air„
4U3 5;2 2 �Electric heat traces stems ���;°' ',y,����.;- �;- ��%.;,>�s;. ❑Complies
IF12,94]?,%; :comply with IEEE 515.1 or UL %�� ,.. !//////S`, G /��j//- %/////j/ ❑Does Not
" .�,,',:;:515.Controls automatically
❑Not Observable '
4; I adjust the energy input to the
❑Not Applicable
heat tracing to maintain the '%• . �,''h�%ii�%�� �"°€-�li%%. ,/,,.,.y PP ,
desired water temperature in the
403 52 ;Demand recirculation water / �/ , y,o� ❑Complies
systems have controls that j °i 'rO,g ' ❑Does Not
manage operation of the pump ' /, ",.�
and limit the temperature of the / Gy/ ," / '� `%! ❑Not Observable '
/ i� r
,/// ;NAn,.g/i ' /,a.., t
water entering the cold water .;,,,,�y��.-:.'"���''''�iai,,r~_��' ❑Not Applicable
piping to<—1049F
403 S 4 Drain water heat recovery units iy��, ;jy�j ,,// %/ 9 �❑Complies ,
jF132] nested in accordance with CSAj, %y r� '� / ❑Does Not
B55.1. Potable water-side Qr, , °i/ y/ /i� , / i
pressure loss of drain water heat ! % = % : •% r=`%%%'///❑Not Observable ,
recovery units<3 psi for °'`/�'��- ��i%:ter', y��!= �F�/ /❑Not Applicable
individual units connected to one j '-�%�/�; ,', /,, ,,,j„•j,;%,si
,rFy or two showers. Potable water-
;side pressure loss of drain water
r x!r s`heat recovery units<2 psi for y '
individual units connected to
-�i'•;�,��%�jthree or more showers.
404.1 1190%or more of permanent //%,:, y j-y-y, %�/% - " A-ElComplies
/ ��/ .
[FI6]1 Mixtures have high efficacy lamps /i/%� ���� ;,'/ / %y; ❑Does Not '
❑Not Observable
❑Not Applicable
4,04`:11F=,biS Fuel gas lighting systems have /%/% ❑
:` "'%/ ° �/ Complies ;
LF123]3 :o;Y sno continuous pilot light. j%% ❑Does Not
;
<.
[]Not Observable '
";i';fi,; :�,s,.57 j ;/> :%,k %/Oi /%/ may, �.
%Js '��i �/�/�/, �/' y..��.,:%% ❑Not Applicable
„o / :>.. i i' /G„ ❑Com lies 4Q1�3 lCompliance certificate osted. yl%����% �,%��%�/'; .%%%;'.'� � p P //jam, �%..,..,, ��%
❑Does Not
❑Not Observable '
, ;,,. � G �. �:�/ -, %%/.. ii��•.:� . Not Applicable
1 High Impact(Tier 1) 2; Medium Impact(Tier 2) 'A Low Impact(Tier 3)
Project Title: 33 Holly Lane Report date: 11/15/21
Data filename: Page 8 of 9
,310 Manufacturer manuals for % complies
mechanical and water,heating OIlDoes'Not
systems have been provided.
EINot Observable
AE]Not Applicable
Additional Comments/Assumptions:
I High Impact(Tier 1) 2 Medium Impact(Tier 2) ILow Impact(Tier 3)
Project Title: 33 Holly Lane Report date: 11/15/21
Data filename: Page 9 of 9
2018 IECC Energy
Efficiency rti Ica
Above-Grade Wall 0.00
Below-Grade Wall 0.00
Floor 0.00
Ceiling/Roof 0.00
Ductwork(unconditioned spaces):
r ..
Window
Door
Heating,System:
Cooling:System:
Water Heater•!
J�
Name: Date:
Comments
NEW ENGLAND SYSTEMS & SOFTWARE
Alarm Activity Report
From 11/21/2021 to 11/22/2021
NEW ENGLAND SYSTEMS & SOFTWARE
92265 HOGAN—BRAN; CS/D:24005200 UL Grade:
Event Occurred Condition Description Signal ID Zone Area User User Name
Mon 11/22/21 1:01:28 AM Test Periodic Test Report-CANCEL CODE E602 000 1
92654 TOWN OF MALTA -COMMUNITY CENTER(FIRE); CS/D:24005201 UL Grade:
Event Occurred Condition Description Signal ID Zone Area User User Name
Sun 11/21/21 11:26:32 PM Test IN TIMER TEST 3 0 1
11/22/2021 5:02:55 AM Alarm Activity Report 5.1.32.44 Page 1
NEW ENGLAND SYSTEMS & SOFTWARE
Alarm Activity Report
From 11/21/2021 to 11/22/2021
NEW ENGLAND SYSTEMS & SOFTWARE
92265 HOGAN-BRIAN, CSID:24005200 UL Grade:
Event Occurred Condition Description Signal ID Zone Area User User Name
Mon 11/22/21 1:01:28 AM Test Periodic Test Report-CANCEL CODE E602 000 1
92654 TOWN OF MALTA-COMMUNITY CENTER(FIRE); CSID:24005201 UL Grade:
Event Occurred Condition Description Signal ID Zone Area User User Name
Sun 11/21/21 11:26:32 PM Test IN TIMER TEST 3 0 1
11/22/2021 5:02:55 AM Alarm Activity Report 5.1.32.44 Page 1
TOWN OF QUEENSBURY ' �.u•-,,.. ;��;���r
BUILDING DEPARTMENT
Based on our limited examination,compliance ; C O
with our comments shall not be construed as
indicating the plans and specifications are in
full compliance with the Building Codes of _ p z
New York State. O
0 ;c Q°T rJ
m28 SR!' Z79TP �-0, .y�Vi7S 3D' '79 �'� me•ar,
CA) Z scar mQ = j - -- - - -�- - m Z
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pallnb �° Q CO
mloeg (i1W
�i Cl�Jc3lul a oM
IM a outs lld
Ixouow uoglso'3 s10}oalap � ana
•juawassq 10 lellay o ua- 1pe
loot} 4089 10 pu0 swoalpaq 1
° 'swoolpaq ul pa.nnbal a1n slo�oa ap a�louaS
Egress, Ventilation and Glazing - 11 19 x 1213 Bedroom
"M 111711 Exit door to Living
Area
Exit door to Garage
.. . . ......
Required
11.5
6
IOU
25 87" High Doorway> 1/10th Floor Area
..........
quic p r gi 5.8
............
I'll.. ..........
3
741
p in 25 87" High Doorway>1 A Oth Floor Area
Dealer ID: 1432
Central Station Primacy: 844-845-4267 /5200
Central Station Secondary:631--569-8113 /5200
MODEL 17
Last inspection Name License EXPAKSJfa'y
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