2003-633 9
TOWN
742 Bal,Road,Queensburv,NY 12804-5902 (518)761-8201
Community Development-Buil,�d,,in &Codes (518 761.8256
i
i
CERTIFICATE 6F OCCUPANCY
{
4 `
Permit Number: P20030633 Date.Issued: Friday, June 04,2004
This is to certify that work requested to be done as shown by Permit Number P20030633
has been completed.
Tax Map Number: 523400-316-010-000�-004-000-0000
}
Location: 314 BIG BOOM Rd
Owner: CRYSTAL M AKIN
Applicant:
CRYSTAL M AKIN S
This structure may be occupied as a: r
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
Director of Building&Code Enforcement
I
TOWN OF QUEENSBURY
742 Bay Road,Queensbury;NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20030633 Application Number: A2.0030633
Tax Map No: 523400-316-010-0001-004-000-0000
Permission is hereby granted to: CRYSTAL,M AKINS
For property located at: 314 BIG BOOM Rd
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: CRYSTAL M AKINS
TODD AKINS Residential Addition $6,000.00
314 BIG BOOM Rd Total Value $6;000.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-633
384 SQ FT RESIDENTIAL ADDITION(BEDROOM @ 2ND FLR. AS PER PLOT PLAN
SPECIFICATIONS
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, August 22,2004
(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 Town of Queensbury; Friday,August 22,2003
SIGNED BY for the Town of Queensbury.
i ector o Bu' g n£orcement
Building Permit Application
Town of Queensbury—Dept of Community_Development,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No.nt-3=63 3
No inspection will be made until applicant has received a Fee Paid $ 7 4>d0
valid building permit. All applicants' spaces on this Rec.Fee Paid $ _
application must be completed and must appear on the Reviewed By r
application form.
Applicant: Ta d d C . :..5 Owner: Cyr ls�a-a. in 3 a �l K;
Address: <311A 31 2�Q �'�d- I Address: 3 -k :c,
N 7 - O'-f' Q l,tSL.2.4C-Sbi.R-r c..� v� JoZ.FSO'y'
Phone#(sip) -7ga- c,t_o-R tg)�79a - oto��t
lot
Property Location: Lot Number: I House Number 314 o sz. sbw y AN t o+
Subdivision Name: Tax Map Number:
a New Building: /commercial Estimated Market Value of Construction:$.C oO�O_c7 O
Addition: residence commercial If an Addition,what use of new addition be?
a Alteration: real once/ commercial
a No change to exterior size: residence/com'1 $ `�Y oY•r Z. Y
a Other work(describe )
Check Occupancy)[nformation 1` Floor 2" Floor Other floor Total
Below sq.ft. s qq..ft. sq.ft. Square Feet
Single family dwelling3 -a-8
a Two family dwellin
a Townhouse
a Multifamily dwelling
#of units
a Office -
a Mercantile
a Manufactunn 5 00
a 1 car detached garage v
a 2 car detached garage
a 3 car detached garage
a 1 car attached garage
0 2 car attached garage Q 0
a 3 car attached garage
a Storage building-
commercial
a Storage building-
residential
,W Other
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ oil / gas I wood /forced hot air/ baseboard/other: h O+ wa
Number of Fireplaces to be installed `E Number of Woodstoves to be installed - -
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder
Plumber
Mason
Electrician
Declaration please sign below after you have carefully read the statement:
n
=ti 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 shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that Uwe shall
submit,prior to a Certificate of Occupancy or 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 new construction.
Signature: � owner,owner's agent,architect,contractor
0
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 BEATING 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;
M "F ulti amily Dwellings(3 Stories or less)
Part 4*-Design by Component Performance,Commercial Buildings-Hi
Rise Residential
*Requires submission of worksheets
APPLICANT'S NAME: PROPERTY LOCATION:,
-_JGD_b AK 1,J5 -3 1 0,1. a.&V eeo
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
I Gross Floor Area -7 uare 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 CORRESPONEt TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a,. Roof R
b. Exterior walls R
C. Glazed areas R
d. Exterior doors R
e. Floors over unheated spaces R
f Edge of slab on grade(heated building) R
9. Basement/cellar walls(above grade) R
h. Basement/cellar walls(below grade) R
i. Heating/cooling-ducts-piping in unheated space R
6. Service(domestic)hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED
f- Applicant's Signature Date Phone Number
INSPECTOR'S REMARKS: a�
�qQueensbury Building & Code Enforcement - Residential Final Inspection
�.,��^^�� �
Office No. (518)761-8256 Arrive: am/k 11 art: �," m pm
Date inspection request received: Inspector's Initials.
NAME: l PERMIT#:
LOCATION: Ll DATE: — —(
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more P.stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in. to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum ''/2"
Gypsum
Grade away from foundation 6 in. with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110 �.
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, I s . ft,150 s .ft.vents
Building No./Address isi le fr m r d
Final Electrical
Site Plan /Variance 164ulred
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/Ll Temporary/Pennanent
L:\PamW\Building&Codesllnspection FormslRes. Final Insp. form 2.docLast printed 2/12/04
f,Queensbury Building & Cade Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: K
Date Inspection request received: 7 c� Inspector's Initi NAME: CI �71'C Iv1 .�LOCATION: ? ZJ G
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Com lete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in, or more
Guard at deck,porches 36 in.or more i
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum ''/2"
Gypsum
Grade away from foundation 6 in,with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp, 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glzing
Interior Smoke Detectors:
Every level: / Every yBeoom:
Outside every bedroom area: '�'
Inter Connected: / Batter backup:
'-/ fsvc--7
Carbon Monoxide Detector {�
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
tl
Basement stairs closed rise>4 inches
Garage Floor Pitched, _
Gara ge fireproofing A:4 hour fire door/door closer
G � U
Duct work Sealed ro er
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s .ft.-150 s . ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept,Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/fJ Temporary/Permanent
_14��r_V_Z!l
L:\PamWlBuildin.p&Codesllnsvection Forms\Res.Final nsD.form 2.docLast printed 2/12/04
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC�, ,
Main Office 176 Doe Run Road to Manheim, PA 17545 04
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
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The conditions following governed the issuance of this certificate, and any certificate previously issued i
cancelled; -
This certificate only covers the electrical equipment and installation conditions as of date. Upon th(
introduction of additional equipment or alterations, application shall be promptly made for inspection.
inspectors of this Company shall have the privilege of ma ' inspections at any time, and if its
rules are violated, the Company shall have the right t r lie th certificate
Date,,,l5ot * # lfo44iilffii4l /dill.,#,N.s,f.,N, INSPECTOR .ii 4/ff • oNfiiffffor4of4rHirfff44f.INIfflfflNiNf/ffffifffNfR 1lffl4f.lrfiNfiNll
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Member N1FTI,LA11
Rough Plumbing Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received:Depart: A am/pm
Queensbury Building&Code Enforcement Arrive:
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: JJ
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
Dfain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes t 1,-
W#r 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
1-
Combustion Air Supply for Furnace 60—M
uct Work Sealed Properly
A 6;;wo-P
ICON MINTS:
�L:\SueHemingwayTuilding.Codes.Inspection.FORMS\Roiigh Plumbing Insulati6n Report.doc January 28,2003
Framing /Firestopping Inspection Report
Office No. (518)761-8256 Date inspection request received.
Queensbury Building&Code Enforcement Arrive: am/- Depart: PM
742 Bay Road,Queensbury,NY 1.2804 Inspector's Initials:
NAME: 14k-/sv 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 3 6 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 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
F* wall.2, 3,4 hour
/Fi restopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side V2 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.Co(les.Inspection.FORMSTrarning Firestopping Inspection Report.doc January 28,2003
Framing /Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received. 65
Queensbury Building&Code Enforcement Arrive: am/pm D 'rt: am/pm
742 Bay Road, Queensbury,NY 12804 'Ins ectors Initials:als:
NAME: PERMIT#: 3 -&,3 3
LOCATION:
INSPECT ON:
TYPE OF STRUCTURE: 6
Y N N/A
ramin Ke COMMENTS
—Jeek'g-tuds 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 V2(,.v) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
lee and snow shield 24 inches from wall
Fire separation 1, 2,3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration scaled
16 inch insulation in cavity min.
Garage Fire Separation
House side V2 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)
53'sf above below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\FramingFirestopping Inspection Report.doc January 28,2003
I Aj� 3`0d
Framing/Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received: n 3
Queensbury Building&Code Enforcement Arrive: —am/pigff �am/pm
742 Bay Road, Queensbury,NY 112804 Inspector's Initials:
NAME: e-C 410-S PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
wmvj,;�A— I c3
Y N NIA COMMENTS
Framin
Jack Studs flea&rs
Bracing Bridging
u Y
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 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
Fire wall.2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side Y2inch 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:\Sue33emingway\Building.Codes.Inspection.FQRMSTraming Firestopping Inspection Report.doe January 28,2003
:. f311A&
Framing / Firestoppilng Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/jp , T=Tm/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: Av,k P5 PERMIT#: C>3 J!>
LOCATION: INSPECT ON: 63
TYPE OF STRUCTURE:
z
Y N N/A COMMENTS
—i -
Framing P"�—SA
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 Y2 (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 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\BLlildi,ig.Codcs.Inspection.FORMS\Framiiig Firestopping Inspection Report.doe January 28,2003
Frarming / Firestopping Inspection Report
�A
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: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTUN
Y N NiA
arning COMMENTS
Jack Studs/Headers
Bracing/Bridging
Joist hangers {� S o14( P-� �`J
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 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
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
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:\SueHemiiigway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
ueX OVA)
Office No. (518) 761-8256 Date Inspection r atmeq ,,T�ecei W
.�u
Queensbury Building& Code Enforcement Arrive:
',TOM
742 Bay Road, Queensbury, NY 12804 Inspector's Initial
NAME: I A� PERMIT#:
LOCATION: t Gt. INSPECT ON:
TYPE OF STRUCTU :
Y N N/A
V. '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 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
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side V2 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.FORMSTrarning Firestopping Inspection Report.doc January 28,2003
I.M 71
4
Permit Number
RESchec?`.-Compliance Certificate Checked By/Date
1995 ME -7
REScheck"'o0wam. Version 3.5 Release lb
Data filename: Untifled.rck -
1'' 77'
S"- 0"ANi'm AX WW"41A
,.0
TITLE:Akias 7ft
1;lz
-W :i
10
Z:�
jiw':
CITY: Glens Falls
:
.F--
STATE:Nev.,York ON"'34
HDD:7635
CONSTRUCTION TYPE: Single Family
DATE:08/22'03
DATE OF P-1.ANS: 8/22/03
PROJECT INFORMATION:
2nd floor addition
COMPLIANCE:Passes
Maximum UA=72
Your Home UA=60
16.7%Better Than Code(UA)
Gross Glazing
Area or Cavity: Cont. or Door
6,R�V T Pe R-Y. A& a -,U-FAdrdF' JX't
Ceiling 1:Flat Ceiling or Scissor Truss "480 30.0 0*.0: 17
Wall 1:Woad Frame. 16"o.c. 544 19.0 0.6 30
Window 1: Vinyl Frame:Double Pane rt 38 0.350 13
Boiler is Other(Except Gas-Fired Steam), 80 AFUE
COMPLIANCE STATEMENT: The proposed building design described here is cons i istent with the building plans,specifications,
and other calculations submitted with the permit application. The proposed building has been designed to meet the 1995 MEC
requirements in RESclieckVersion 3.5 Release lb (formerly MECchec4 and to comply with the mandatory requirements listed in
the REScheckTrispection Checklist,
Builder/Desismer Date
RllSehei-�kI spection Checklist
1995 MEN``
REScheckSof fare Version 3.5 Release lb
DATE:08/2 i/03
TIME: Akins
Bldg. [
Dept. [
Use [
Cei inls:
[ j 1 Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0.cavity insulation
Comments:
1 Above-Grade Walls:
[ ] ( 1. Wall 1: Wood Frame, 16"o.c.,R49.0 cavity insulation
Comments:
[ Windows:
[ j [ 1. Window 1:Vinyl Frame:Double Pane,U factor:0.350
[ For windows without labeled U-factors,,describe features:
[ i#Panes Frame Type____,__Thermal Break?[ ]Yes[ ]No
[ Comments:
[
Heating and Cooling Equipment:
[ ] [ 1. Boiler 1: Other(Except Gas-Fired Steam),80 AFUE or higher
[ Make and Model Number
I
Air-Leakage:
[ ] [ Joints.penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ j ( Recessed lights must be 1)Tyke 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.
[
[ Va,,x)r Retarder:
[ j [ Rev,aired on the warm-in-winter side of all non vented framed ceilings,walls,and floors.
Materials Identification:
[ ] [ 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 It values and glazing U-factors must be clearly marked on the building plans or specifications.
Duet Insulation:
[ ] ( Ducts in unconditioned spaces must be insulated to R-5.
[ Ducts outside the building must be insulated to R 8.0.
1 -
[ Duct Construction:
[ ] [ All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used
for fibrous ducts. Duct tape is not permitted.
[ ] [ The HNI f'�C system must provide a means-for balancing air and water systems.
[ Temperature Controls:
[ ] [ Thermostats are required for each separate HVAC system. A manual-or automatic means to
partially restrict or shut off the heating and/or cooling input to each zone or floor-shall be provided.
Circulating Hot Water Systems:
Insulatc circulating hot water pipes to the levels in Table 1.
S►vimanzing Pools:
I I 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 120 OF or chilled fluids below 55 OF must be insulated to the
levels in Table 2.
c
Table 1: Mininitim Insulation Thickness for Circulating Hot Water Pipe
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(F) Up to 1„' Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HIVAC Pipes
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System TN2es 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)
VVIY V.MVIY.
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0 M oN 87,109 sq.ft. _.
>T i 0 2.00 acres
CONC. MON.
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o a r o z-' ____-- -- N SEA /% 0 I.P.F. = IRON PIPE FOUND
o CON.C. MON. = CONCRETE MONUMENT
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371.53'
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CONC. MON. I
1 i HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
{ THIS CERTIFICATION SHALL RUN ONLY TO THE PERSCI
FOR MOM THE SUR\EY WAS PREPARED, AND ON 1H
.211
,r.�, y` BEHALF TO THE TITLE COMPANY,GOVERNMENTAL ACE
c n C AND LENDING INSTITUTION LISTED HEREON.
LANDS N/F OF , i n CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIOt
LIEBL !r"•' I INSTITUTIONS OR SUBSEQUENT OWNERS.
0 < CERTIFIED TO:Todd C. Akins
''GO j. cD Crystal M. Akins
Homestead fand✓C ',�q, Corporation, its
c successgr9 Qr4F/&itns
4 Chicago�e 5,�1`�lPanY
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