2003-729 � 'TOWN OF QUEENSBURY
742 Bay Road,Queensbury;NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
ERTIFICATE OF OCCUPANCY
C .
Permit Number: P20030729 Date Issued: Tuesday,November 18,2003
This is to certify that work requested to be done as shown by Permit Number P20030729
has been completed:
Tax Map Number: 523400-301-012-0003-012-000-0000
Location: 5 HILLCREST Ave
Owner: ALAN&CHERYL WEST
Applicant: ALAN&CHERYL WEST
This structure may be occupied as a:
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
Director of Building&Cod Enfo meat
TOWN, OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20030729 Application Number: A20030729
Tax Map No: 523400-301-012-0003-012-000-0000
Permission is hereby granted to: ALAN&CW.RYT,WST
For property located at: 5 HILLCREST Ave
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 ConstructionValue
I -
Owner Address: - ALAN& CHERYL WEST Residential Addition $17,000.00
5 HELLCREST Ave QUEENSBURY, NY 12804 Total Value $17,000.00
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
2003-729
224 SQ FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 15, 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 TQymuqf Queerury, )4opday, September 15, 2003
SIGNED BY for the Town of Queensbury.
Director of BuildinWO'NEnforcement
Building Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY R X=0
(518)761-8256
0 2 2003
A permit must be obtained before beginning construction. Permit File No.
No inspection will be made until applicant has received a Fee Paid $'' �UIL O C`�EP+V,.. y
�urrwarr�_
valid,building permit. All applicants' spaces on this Rec.Fee Paid $ "��- 'qW)CC;1) _
application must be completed and must appear on the Reviewed
application form. hh
Applicant: r14tcrCW V_ iJ5&R,(f Owner: 4A re e�r7—
Address: , 72- Address: S a -- E-
Phone#( 21 ) - K Phone#Q]�)7f3- 3+66 Z
Property Location: Lot Number: / Hause Number
Subdivision Name: Tax Map Number:
o New Building: resin" omuiercial Estimated Market Value of Construction: $ l T, d� 1J_
Q—'Addition: idence/ mmereial if an Addition,what will use of new addition be?
a Alteration:; once/ commercial �tyy
a No change to exterior size: residence/com'l
a Other work(describe
Che=Single
cylnformation I Floor _ 2"Floor Other floor Total
Belo sq.ft. sq.ft. sq.ft. Square Feet
ily dwelling
0 Two family dwelling
a Townhouse \
a Multifamily dwelling / \
#of units
a Office � \
a Mercantile
a Manufacturing \a- V
-. 1 car detached garage- _`'t - --
a 2 car detached garaged -
C) 3 car detached garage p' 1w
a 1 car attached garage
a 2 car attached garage
a 3 car attached garage
a Storage building-
commercial
a Storage building-
residential"
a Other
What is the proposed height of the structure tfe��et inches
Will any second-hand or ungraded lumber be used? If so,for what? 6�
Type of Heating System: electric t oil / gas wood /forced hot air/ asebo l other:
Number of Ftrentaces to be installed 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 tLc.r s r-772- tf 7 f
Plumber
Mason
Electrician
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 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 I/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator o Director of Building and Codes,an.4s Built Survev by a licensed surveyor;drawn to scale,showing actual
lacatioa of all constru n
signature: tl owner,awner"s agent,architect,contractor
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN C d
lAz9000 HEATING DEGREE DAY �gU �a�� 1?Q03
Compliance Methods:Part 5 -Acceptable Practice Method—1&2 Family Dwellings of
Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwelling; �.
Multi-Fanaily Dwellings(3 Stories or less)
Part 4*-Design by Component Performance,Commercial Buildings-Hi
Rise Residential
*Requires submission of worksheets
AP LICANT'S i• PROP TYLOCATIO
UJA
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
l. Gross Floor Area "G.1Z_ 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 t.� Over 17% Under 17% (Z {�
5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPONEt TO R VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R jc7
b. Exterior walls R 19
C. Glazed areas R 2.(
d. Exterior doors R� i
e. Floors over unheated spaces R J
£ Edge of slab on grade(heated building) R
g. Basement/cellar walls(above grade) R
h. Basementleellar 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 i/ Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140--WILL NOT BE EXEEDED
icant's 'g t e Dalp Phone Number
INSPECTOR'S REMARKS:
1
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC,
Main Office 176 Doe Run Road-Manheim,PA 17545 S
MUNICIPAL CERTIFICATE • ELECTRICAL APPROVAL, ? C•�
Permit No.......:................................Cert. NO 79847Cat-in Card No...... l.......:i.;...
Owner.................... . .!`.LA,4............Gtl. . .1.......................................,....................................
Location.. ............. ........... /..tC C. . .5........ .I.— ..........,...:.. .........................................
Installation.Consistingof........� :�'?.(�l..Tlpatl........Cf J./ 1Y1..Lr..�.......'.... GG}.. ....„
! .........'a�...$, !?.a......off.- 5�...... .,..(A..zL..................................................................................
InstalledBy ..........................................Lie.No...................................................
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 be promptly made for inspection, 1
Inspectors of this Company shall have the privilege of making inspections at any time,and if its
rules are violated,the Company shall have the right to revoke this certificate.
Date ..............INSPECTOR.&;� ..... ................... 1
Member N.F BA.,I.A.U.
i
i
Residential Final Inspection
. Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ part: pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: G!�� ' PERMIT#:
LOCATION: �2� DATE:
TYPE OF STRUCTURE:
Comments
Y N N/
Chimney 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 Railings 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
3/4 hour fire door/door closer
Garage fireproofing
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./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(Cert. Of Compliance) p
Okay to issue Temporary C/O(Cert. Of Occupancy) jV A `6
Oka to issue Permanent C/O(Cert. Of Occupancy) C( AM
L:ISueHemingwaylBuilding.Codes.Inspection.FORMSIRes.Final Insp.form 2.doc edited January 28,2003
Rough Plumbing / Insulation Inspection 0�ln Report
Office No. (518)761-8256 Date Inspection requ recei ---7
QJ
Queensbury Building&Code Enforcement Arrive�:—a p art: a
742 Bay Road, Queensbury,NY 12804 Inspee tor's Init' 1.
NAME: PERMIT#-. o3 —
LOCATION: 41 L I INSPECT ON:
TYPE OF STRUCTURE:
-3
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain 1 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
a.ter Supply Piping
-o er Commercial
er,CPVC,Pex One &Two Family
J elation/Residential Check/Commercial Check
r VPro—perVent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
�L:\SucHemingway�Building.Cades.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: m am/wn I)epart: m/p
742 Bay Road,Queensbury,NY 1.2804 Inspector's Initials,-_� pm
V
NAME: PERMU#: D� ---� s),�)
LOCATION: !�5) 1711'. A R a�R: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
"V"Framing
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 t,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 518 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\FramingFirestopping Inspection Report,doc January 29,2003
Rough Plumbing /Insulation.Inspection Report
Office No, (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm D art:w?�5—am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME:
PERMIT#: D' 0,01
LOCATION: x INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-22,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
Water Supply Piping
Co per Commercial
per, CPVC,Pex One&Two Family
41�sulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces t
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
-L.-\SucHemingway\Building.Codes.Inspectioil.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/pm Depart:
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT
LOCATION: INSPECT ON:
TYPE OF STRUCTU
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
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight,or Sump,
Footing Drain Stone:
1.2 inch width
6 inches above footing
6 mil y for wet areas under slab
B Ill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:1SueI1en-dngway\Bui1ding.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (5 1'8)761-825 6 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart:' m
742 Bay Rd., Queensbury,NY 12 804 Inspector's Initials.
NAME:
I % PERMIT#:
LOCATION: SPECT ON: G_3
TYPE OF STRUCTURE:
Comments
N/X
Footings'
Piers '
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement UUJ
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour -------
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingwayTuilding.Codes.InspeGtion.FORMS\Foundation Inspection ReporLdoc January 28,2003
i itN r
t N er
y
REScheck Compliance Certificate C XeckedB ate
1995 MIEC
REScheekSoftware Version 3.5 Release lb
Data filename:C.\Program Files\Check\REScheck\Osbom,Williarn.rck
TITLE:West Addition
CITY:Glens Falls
STATE:New York
HDD-7635
CONSTRUCTION TYPE:Single Family
DATE:09/12/03
DATE OF PLANS:9/12/2003
PROJECT INFORMATION:
West Addition
COMPANY INFORMATION:
William Osborne
COMPLIANCE:Passes
Maximum UA=56
Your Home UA=43
23.2%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 224 0.0 30.0 7
Wall 1:,Wood Frame, 16"o.c. 352 19.0 19.0 10
Window 1:Vinyl Frame:Double Pane with Low-E 43 0.340 15
Door 1:Solid 20 0.071 1
Floor 1:All-Wood Joistffruss:Over Unconditioned Space 224 0.0 19.0 10
Boiler 1:Other(Except Gas-Fired Steam),80 ARM
COMPLIANCE STATEMENT: The proposed building design described here is consistent 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 RES checkVersion 3.5 Release lb (formerly MECchec4 and to comply with the mandatory requirements listed in
the REScheckInspe'ti n Checklist
d
Builder/Designer Date_gJ—Idf 3
REScheck Inspection Checklist
1995 MEC
REScheckSoftware Version 3.5 Release lb
DATE:09/12/03
TITLE:West Addition
Bldg.
Dept.
UseCeilings:
1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 continuous insulation
Comments:
Above-Grade Walls:
1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity+R-19.0 continuous insulation
Comments:
Windows:
1. Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
1. Door 1: Solid,U-factor:0.071
Comments:
Floors:
1. Floor 1:All-Wood Joist/Trass:Ovei Unconditioned Space,R-19.0 continuous insulation
Comments:
Heating and Cooling Equipment:
1. Boiler 1:Other(Except Gas-Fired Steam),80 AFUE or higher
Make and Model Number
Air Leakage:
Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
Recessed fights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a
3"clearance from insulation.
Vapor Retarder:
Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
Materials and equipment must be identified so that compliance can be determined.
Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications.
Duct Insulation:
Ducts in unconditioned spaces must be insulated to R-5.
Ducts outside the building must be insulated to R-8.0.
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 HVAC 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:
[ ] 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 120,OF or chilled fluids below 55 °F must be insulated to the
levels in Table 2.
{
r
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
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 far IIVACPipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range(F) 2"Runouts I"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
Coaling Systems
Chilled Water,Refrigerant, 40-55 0.5 03 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
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'Job Site Address: L Qzli
Date:
Owner: Application No. File No.03 .01
Building Permit— Calculation Sheet
RECP,
Natural Light, Ventilation & Emergency Egress Requirements
fieb 0 2
—Habitable Area of T'M!�Teq,—Light Actual 3 UE",— v 181
Req.Vent Actual rg,�e` Sq.Ft, Remarks
1.0
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Room Room !1 8% Opening for of Room Light 4%of Room Vent 4171,
in Area Square t Area Square TOWN OP
Egress
Square Footage 11
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Job Site Address: Date.
REC EIVED
Owner. { C � ,W yp 2_ Application No. File No 003
TOWN OF QUEENSBURY
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