2003-438 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: P20030438 Date Issued: Tuesday,January 27,2004
This is to certify that work requested-to be done,as shown-by Permit Number P20030438 _.
has been completed.
Tax Map Number: 523400.308-018.0001--068-000-0000
Location: 39 NORTH CHURCH Ln
Owner: DOUGLAS&ROBIN KIRKPATRICK
Applicant: DOUGLAS&ROBIN KIRKPATRICK
This structure may be occupied as a:
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
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: P20030438 Application Number: A20030438
Tax Map No: 523400-308-018-0001-068-000-0000
Permission is hereby granted to: DOUGLAS &ROBIN KIRKPATRICK
For property located at: 39 NORTH CHURCH 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. T Value
-_Ve of Construction
Owner Address: DOUGLAS &ROBIN KIRKPATRIC Residential Addition $115,000.00
39 NORTH CHURCH Ln Total Value $115,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
ACTION CRAFT CONSTRUCTION
HUDSON FALLS,NY 12839-0000
Plans&Specifications
2003438
1520 SQ FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATION
$182.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June-23,2004
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Tow, eensb e 23,2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256 _.
-x
A.permit must be obtained before beginning construction. Permit File No. c `'
No inspection will be.made until applicant has received a Fee Paid
valid building permit.All applicants' spaces on this Rec.Fee Paid
application must be completed and must appear on the Reviewed B ~ ~~
application form.
Applicant:
Owner: o b o� - i: : a tf C. [�
Address: -o a Address: 3g
��� ���39 Qonea : sc.�. 'Ad `y J.)A0V _
Phone#(�)_ n 21 '6�8 f� y Phone#(s18 )
791 - ov,?8 eel(
Property Location: Lot Number: a / House Number
Subdivision Name: Tax Map Number:
a New Building: residence /commercial Estimated Market Value of Construction:$ /Z-S- 6 0 6
Ai dxt on sidence3 ommerciai if an Addition, hat will use of new addition be?
a Alteration: ra`sxdence I commercial _ L� _ E2<e.. s:{c �o o *�
a No change to exterior size: residence J com71
0 Other work(describe }
Check Oceupaneyluformation 1` Floor 2" Floor Other floor Total
Below sq.ft sq.ft. sq.ft. Square Feet
Single family dwelling / y d S 9 YJ L"",�•
a Two flamil dwelling `A"
a Townhouse a `�
a Multifamily dwelling
#of units
a Office
a Mercantile
a lAmufacturing h
a 1 car detached 9f:b--15-
c /�(
a 2 car detached o 761441A,
o 3 car detached U Q
a 1 car attacheda 2 car attacheda 3 car attacheda Storage buildincommercial
a Storage building
'denti
What is the proposed height of the structure 16 feet inches
Will any second-hand or ungraded lumber be used? If so,for what? lj
Type of Heating System: electric/ 0/ gas/wood /forced hot air/ aseboar other:
Number of Flrevl4ces to be installed d Number of Mwdstoves to be installed 0_
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address . Phone Number
Builder _L 38 4 2 -2, dLP6 79/-0Y-PS
Plumber
Mason S a
Electrician s
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,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:tither laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale;showing actual
location of all now cons
truc
tion.
Signature: owner,owner's agent,architect,contractor
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSEURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Compliance Methods:Part S -Acceptable Practice Method— 1&2 Family Dwellings(ojily)
Part 6*•`I'herrnal Rating—Component trada Offs 1&2 Family Dwellling, O/�l r
Multi Tamily Dwellings(3 Stories or less) fly 2
.�pF Opp
Part 4*-Design by Component Performance,Commercial Broil . r0 QU
Rise,Residential
* submission of worksheets J�G� OC4Q��Y
*Requires DF
4CS�' N ME• a� o PROPERTY LOCATION: I
PART S METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Omss Floor Area- 7 1 I _square feet
2. Type of beat- Electric Oil Gas Other
3. Is building mechanically cooled? yes C' No
4. Percentage of area of windows and doors Over l 7% Under l 7'I0
` 5. R-VALUES FOR MULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS
SHOWN ON PLANS SUBMITTED:
a: Roof R 3 a
b. Exterior walls R�_
c. GIazed areas R
d. Exterior doors R.�
e. Floors over unheated spaces R__._.L I...
f. Edge of slab on grade(heated building) R 1U A
g. Basement/cellar walls(above grade) RL_
h. Basement/cellar walls(below grade) R N A
i. Heating/cooling-ducts-piping in unheated space R_ALA
6. Service(domestic)hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140--WILL NOT BE EXEEDED
gp t' Signature ]Date Phone Number 2 91 -
INSPECTOR'S REMARKS:
i
Residential Fin.Al Inspection i-q
Office No. (518)761-8256 Date Inspection request received.
Queensbury Building&Code Enforcement Arrive: am/ art:/ am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:'
NAME: PERMIT#:
LOCATION: '1KJrA-A-A-,C-YwA r Hn -JO-A DATE:
TYPE OF STRUCTURE- Poe)
Comments
Y N N/A
Ph#mney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Raijirigs 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.'or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
-Low water shut-off boiler
Relief Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
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
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
%hour fire door/door closer V1111
Garage fueproofing
Duct work Sealed Properly X
Attic access 30 in.x 24 in.x 30 in.(hL)In accessible area
Crawl Spaces 18"x 24"acce§5, l 4q.ft.-1501 sq.ft.vents
Building No./Address visib e fr road
Final Electrical
-Site Plan Wariance requirk P
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C(Cert.Of Compliance) 00f
Okay to issue Temporary C 0(Cert.Of Occiipancy)
--Okay-to issue PermanentC 0(Cert.Of Occupan6yj
L.-\Sueffemingway\BLiilding.Codes.Inspection.FORMS\Res.Final Insp.form 2.dod edited January 28, 00
COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC,O
Main Office 176 Doe Run Road Is Manheim, PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
7 Permit No. 5 9 7 0 Cut-In Card Notf.f{i./Ni•l.ff4l.fffif}iflf, of
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OW
iron
LoCation ! f{f..f.ff.f•fi i}f,fiNffl4fHff{{ff•ulff.ff,R{fiMq.Iff.f4f{I{i{i{iffff{i,IM,II,f41 .If,fafff l! .Nf}}}ii iii NiO
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12
Installation Consisting
If !{ff ffi f0101i14 1 iii qi N}}II{{f! Of f if/M{If{Iffili f.{Ilfff.fo{.iff i}}yf{.ifftff Ii{fif}}H}i iii,iffi..fii ii 14f{fiiNffN
1 + .i 11 .• R►f4Rif, if, .f. I..ff.►lff..4f.f Hf1N f, }}}}i}p�if}fff.4.f.{f.{{.f4.if�i.f�.liffiNiff{1.ff..f...f..••i}fflf4.f.lff.l,Ilf}H.f
6 �/41
to /f040040 I.ifff/tf{ifflltiltliilli/1.11.itffffffif�f�lfllllffl.fflliff\fffff fl��l.IHff#{ff 11!!fl
Installed By,,,, ,of
l.11.1!{..ifff�li..4..ii..... .iiiiffll�i.1,iff4�ifi�ii}!!lf4ffiifffliilfft.iilM L1 . Not flliiif.ff4..14fi.i,llffllifiii.f.i{iff{f1111.111.
The conditions following governed the issuance of this certificate, and any certificate previously issued is
cancelled;
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations, application shall he promptly made for inspection.
Inspectors of this Company shall have the privilege of maki ' spections at any time, and if its
rules are violated, the Com any shall have the right to r ke thi cc icate.
Date INSPECTOR •i ....f.
......f ifii,IfffHf/.fi.fffMiiffi
Member NARA,, I}A.E.).
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received: 1,
Queensbury Building&Code Enforcement Arrive:, amlp ._._ _Vamlprn
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: /7)
3R
NAME: PERMIT#:
LOCATION: Al. C-hufpry 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
Dfain and Vents
ti
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
/opper 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
0
Combustion Air Supply far Furnace
Duct Work Sealed Properly SEP 1 2003
COMMENTS:
�L.-\SueHemingway\Building.Codes.inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: an-/An epart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: �c{R\�_��S'►��G� PERMIT#: 4'�7 413
LOCATION. /�-1. ._! �rJ� '—�_ INSPECT ON: -7 -�.
TYPE OF STRUCTURE:
Y N/A COMMENTS
Framing .. --11
Jack Studs/Headers 3 PUS
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 'lz(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
L:\SueHeming,.vay\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing/ Firestopping Inspection Report 3
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/� epart: m/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: G PERMIT#: 03> ?a
LOCATION: r INSPECT ON: "
TYPE OF STRUCTURE:
Framing P,
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
I 'lz(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft.floor trusses
Anchor Bolts 6 ft.or less on center
Ice and snow shield 24 inches from wall
Fire separation 1,2,3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilin wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above f below grade
5.0 sf grade
5tn
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received: ir _
Queensbury Building&Code Enforcement Arrive: am/pm D�ea rt.: am/pm .
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:_``� ±r 7
NAME: 1 C- PERMIT
LOCATION: INSPECT ON: d
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 �'I
Water Supply Piping SEP`1 2 lUlj,7
Copper Commercial i
Co _ _er-CP_VC.Pex One&Two Family 1
Insuil9ti;&/-_Residential 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
4
L:1Su6Hemingway13uilding.Codes.Inspection.FORMSURough 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 :'I pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: -''
NAME:: C i PERMIT
LOCATION: _ ����� (�vxD O 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/Co nun.
Plumbing Vent/Vents in Place ��f
Rough Plumbing/Nail Plates
Head or Air Supply Test --+['1 C f AX
Drain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water SY.I)'Ply Piping
Co per Commercial
opper,CPVC,Pex One&Two Family � � � r
f sulation`J,Res dential Check/Conunercial Check CA' , A
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
,Duct Work Sealed Properlyr COO-?
I
COMMENTS:
a
SEP 1 2 103
L:iSueHemingway\Building.Codes.Inspection,FORMS\Rough Plumbing Insulation Report.doe January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ epart: , am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: tL L, PERMIT#:
LOCATION: 1_.N • INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Framing COMMENTS
Jack Studs/Headers
Bracing/.Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
'12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %2(w) 16 gauge 8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
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 12 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Ar2,tpart.�=am/pm
742 Bay Road, Queensbury,NY 112804 inspector's Initials:
NAME: PERMIT#:
LOCATION. ��SPECT ON:
TYPE OF STRUCTURE
Y N N/A 7
-- "
Framing CO ENTS
Jack Studs Headers
Bracing 1 Bridging �jTiL>
Joist hangers 6A
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in. X71
Stairwells 3 6 in.or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
I V2(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 X
Fire a '2,3,4 hour
Xrestopping I 'V Cam' A-5
Penetration scaled
16 inch insulation in cavity min.
Garage Fire Separation
House side V2inch 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:\Suellemingway\Building.Codes.Inspection.FORMS\FramingFirestopping Inspection Report.doc January 28,2003
Framing/Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: /
Queensbury Building&Code Enforcement Arrive: am/p D part:'• am/
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: �G PERMIT#: J
LOCATION: ECT ON: /G
TYPE OF STRUCTURE: 4Cf
Y lv N/A COMMENTS
Frarrliri -""1-_ .
Jack Studs/Headers
Bracing/Bridging
Joist hangers ✓ 1„/ a���
Jack Posts/Main Beams
Exterior sheeting nailed properly j�t*r LI T'if s
12"O.C. 1
Headroom 6 ft. 8 in.
1
Stairwells 3 6 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
Zce afid snow shidld 24 inches from wall -1 ��
t:r
Fire separation 1,2, 3 hour
Fire wall.2,3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire"Separation
House side ''/z inch or 5/8.inch Type X
Garage side 5/8 inch Type X
Ceilin /wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMSNFraming Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (5 1S) 761-825 6 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/j Depart: 75 am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial
NAME:
PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: L\kA�
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
Fo!!,dati ampproofing
FdTndation/Waterproofing
Type of Danipproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil of 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:\SueHerningway\Building-.Codes,lnspection.FORMS\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection reque t received:
Queensbury Building&Code Enforcement Arrive: am/p Depart am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: tA K A-I C*G PERMIT#:
LOCATION: q� INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in-Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete. t 1
Materials for this purpaon site.
Foundation/Wallpour K
t
Reinforcement in Place e C�,
Foundation Dampproofing I + ��� (-4i�
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone: R-6—C k C�-C
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval a
Plumbing Under Slab
PVC/Cast/Capper
Foundation Insulation Interior!Exterior
R-
Rough Grade 6 inch.drop within 10 ft.
L;\SueHeming�vay\Building.Codes.Inspection.FORMs\Fouaidation Inspection Report.doc January 28,2003
,
}
Foundation Inspection Report
Office No. (5 18)761-8256 Date Inspection request received: 7/1, jo 3
Queensbury Building&Code Enforcement Arrive: am/pin*'� DepArt:', AMVPM
742 Bay Rd., Queensbtiry,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: �-7 L TECT ON:
TYPE OF STRUCTURE:
Comments
y N N/A
Foot' gs
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsibl.Aor
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinf6rcement 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 of for wet areas under slab
Backfill Approval 4P
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes,lnspection.FORMS\Foundation Inspection Reportdoc January 28,2003
t
03-6 3
Permit Numb
REScheck Compliance Certificate hecked By/Date
New York State Energy Conservation Construction Co e
RES checkSoftware Version 3.5 Release 1 a
Data filename:C:\Program Files\Check\REScheck\103102 KIRKPATRICK.rck
TITLE:PLAN NO. 103102
�01y VGti
COUNTY:Warren `® Q
STATE:New York C GCS �p
HDD: 7635
CONSTRUCTION TYPE:Detached 1 or 2 Family C4bl"
BEATING TYPE:Non-Electric 1,[
DATE: 06/16103
DATE OF PLANS:FEBRUARY 11,2003
PROJECT INFORMATION: .
DOUG AND ROBIN KIRKPATRICK
39 NORTH CHURCH LANE
QUEENSBURY
COMPANY INFORMATION:
WILLIAMS&WILLIAMS DESIGNERS
509 GLEN STREET
GLENS FALLS,NEW YORK 12801
COMPLIANCE:Passes
Maximum UA=355
Your Horne UA=292
17.7%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 450 30,0 0,0 16
Ceiling 2:Cathedral Ceiling(no attic) 667 30.0 0.0 22
Skylight 1:Wood Frame:Double Pane with Low-E 30 0.410 12
Wall 1:Wood Frame, 16"o.c. 1395 19.0 0.0 67
Window 1:Wood Frame:Double Pane with Low-E 159 0.320 51
Door 1: Solid ' 21 0.130 3
Door 2: Solid 21 0.130 3
Door 3: Glass 84 0.330 28
Wall 2:Wood Frame, 16"o.c. 450 19.0 0.0 24
Window 2:Wood Frame:Double Pane with Law-E 45 0.320 14
Floor 1:All-Wood JoistITTuss:Over Unconditioned Space 1117 19.0 0.0 52
Boiler 1:Gas-Fired Steam,90 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,
specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the
C '
New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and
signed this page,they are att ting that to the best of his/her knowledge,belief,and professional judgment,such plans or
specifications are` ompli a wixhth` Code.
esE n, �, Date
s '
t
REScheck Inspection Checklist
New York State Energy Conservation Construction Code .
REScheckSoftware Version 3.5 Release la
DATE: 06/16/03
TITLE:PLAN NO. 103102
Bldg.
Dept.
Use
I
( Ceilings:
[ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation
( Comments:
[ ] ( 2. Ceiling 2:Cathedral Ceiling(no attic),R 30.0 cavity insulation
( Comments:
Above-Grade Walls:
1. Wall 1:Wood Frame, 16"o.c.,R 19.0 cavity insulation
( Comments:
[ ] I 2. Wall 2:Wood Frame, 16"o.c,R-19.0 cavity insulation
( Comments:
I
Windows:
[ ( 1. Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.320
( For windows without labeled U-factors,.describe features:
#Panes Frame Type -Thermal Break?[ ]Yes[ ]No
( Comments:
[ ] I 2. Window 2:Wood Frame:Double Pane with Low-E,U-factor:0.320
( For windows without labeled U-factors,describe features:
( #Panes Frame Type_Thermal Break?[ ]Yes:[ ]No
Comments:
I
Skylights:
[ ] ( 1. Skylight 1:Wood Framebouble Pane with Low-E,U-factor:0.410
For skylights without labeled U-factors,describe features:
( # Thermal Break?[ ]Yes[ ]No
Panes Frame Type-
Comments:
I
I Doors:
Door 1:Solid,U-factor:0.130
( Comments:
[ ] ( 2. Door 2: Solid,U-factor:0.130
( Comments:
[ ] ( 3. Door 3:'Glass,U-factor:0.330
( Comments:
I -
( Floors:
[ ] ( 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation
( Comments:
( Heating and Cooling Equipment:
[ ] } 1. Boiler 1:Gas-Fired Steam,90 AFUE or higher
( Make and Model Number
(
( Air Leakage:
[ ] I openings in the building envelope that are sources of air
Joints,penetrations,and all other such
S
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. .
I
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.-
[ ] j Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
[ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] Return ducts in unconditioned attics or outside the building must be'insulated to R-6.
[ ] Supply ducts in unconditioned spaces must be insulated to R-11.
[ ] Return ducts in unconditioned spaces(except basements)must.be insulated to R-2.
j 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.
[ ] j Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] Air filters are required in the return air system.
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
Electric Systems:.
[ ] Separate electric meters are required for each dwelling unit.
Fireplaces:
[ ] [ Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] E 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.
l
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1.
1
Swimming fools:
[ ] 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-depletahle sources. Pool pumps require a time clock.
Heating and,Cooling Piping Insulation: -
f 1 ( LTV A P nininn rnnvovina flniric ahm . T(1
OF or chilled-fluids below 55 OF must be insulated to'the
levels in Table 2.
Table 1: Minimum Insulation Thiclaeess for Circulating Hot Water'Pipes,
Insulation Thickness in Inches by Pipe Sizes
atin Runouts Circulatm Mams and Runouts,
Heated Water Non-Circul
U to I" Up to 1.25" I.5"t� Over 2"
Temperature(F) _.fir._- 1 5 2.0
170-180 0.5 1.4
0.5 0.5 1.0 1.5
140-160 0.5 0.5 1.0
100-130, 0.5
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Pipnig e F 2"Runouts 1"and Less 1.25"to 2" 2.51.'to 4"
System Types Ran
Heating Systems 201-250 1.0 1.5 1.5 2.0
Low Pressure/Temperature 1.0 1.0 1.5
Low Temperature 124-200 0.5
Steam Condensate(for feed water) Any
1.0 1.0 1.5 2.0
Cooling Systems 0 5 0.75 1.0
Chilled Water,Refrigerant, 40-55 0.5
and Brine
Below 40 1.0 1.0 1.5 1.S
NOTES TO FIELD (Building Department Use Only)
Project Dame: bo-4 o i 4 4 K a"t v F BP#
.Address: iNEUEI V _
Building Permit Submission SFD r SUN 1 8 2003
Checklist 2-Family BU LD OF q/VS/VSBUR
All items below must be checked either yes,no or not applicable prior to submission of any budding
permit to the Town of Queensbury Building 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 ..................................... [ yes ❑no O n/a
2. EnergyFonn or(hec"te Energy Code Compliance Forums Complete.. ,Wyes Ono On/a
(2 copies)
+'r.:r'
3. Energy Code Inspector's Report from( eckMate Program..... Kyes i6,no ❑n/a
(2 copies)
4. Septic application completely filled out(if applicable).................. ...... [:]yes ❑no Wnla
S. Sohd Fuel Buming or Gras Appliance Form... ..:._:... ... ......... ,Qyes Ono W
la
6. Electrical Inspection Form... ...... ...... ................................. ........ Ono On/a
7. Two(2)complete sets of struct"drawings....................... ...... ... ....Wyes Ono On/a
a)floor plan,b)foundation plan;c)cross sections:d)elevations;
e)window and door schedule
8. Two(2)site plans showing location of the structure to be built............. yes Ono On/a
location of well or water lines,location of septi6 system or sewer line.
9. Setbacks from property lines to new structure......... .................. ... . Wyes Ono Oda
N1
10. Setbacks to neighboring wells and septic systems,including onsite well.. ., 'yes Ono On/a
and septic systems(if applicable) ~
11. DrivewayPemut............... ............ ...... ................................. Ayes ::-J �n/a -
Date: j
Staff Initial:
I-l$ueHemingw'a}'\BadingPernut-FORW\Generic Checkhst.doc January 28,2003
Check Residential Plan Review: One& Two Family Dwellings
Y/N1N/A
(2)Full sets of plans
Over 1,500 sq.ft.—Stamped
Design Loads On Plans: 90 Wind Floor Loads 40 psf
70 Ground Snow Load .Sleeping.Areas and Attics 30 psf
Calculations:
Window Schedule With Glass Size
Door Schedule/Main Entrance 36"Door
Emergency Escape Or Bedrooms and Habitable Space
Above/Below grade, 5.7 sq.ft.
Grade,5.0 sq.ft.
24"(h)x 20"(w)min.
44"Max.Height above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK
Dampproofing/Waterproofing Materials On Plans
Foundation Drainage On Plans,if required
6"Drop in 10' Exterior Grade
Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where
Required
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
Stairway Headroom 6' 8' All-Stairs 36"Width
Stair Run and Rise
Winder Run and Rise
Spiral Not Allowed From F Story ✓
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures Proper Clearance
Hall Width,36"min.
Handrails More Than One Riser On Open Sides
Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht.
Safety Glazing Notes For Required Areas
Garage Fire Separation
Garage Floor Sloped "
Attic Access
Roof over 30"—22"x 30"/Crawl Spaces"18"x 24"Access
Carbon Monoxide Detector Lowest Sleeping Level
Soil Test Results,if required
Septic To Well Or Water Line Separation
All Paperwork Signed
Job Site Address: L (� �, Date:
Omer: �, o ti�. r, ��,v-jApplicatim k File No. ~C�
R E C ME ,IVED
Building Permit--Calculation Sheet JUN 18 2003
Natural Light, Ventilation & Emergency Egress Re uirements TOWN OF QUEE�NSB
Ain CODEY
Habitable Area of Req,Light Actual Req,Vent Actual Sq,Ft. Remarks
Room Room $%of Room Light 4%of Root' Vent Oenin�p for
P
Area Square Area Square �� Egress
Square Footage Footage
Feet
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Owner. L, w f v z� Application No, File No.�03_4&K
WINDOW SCHEDULE
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