2001-314 IT OWN OF QUEENSBURY
VW742 Bay Road,Queensburv,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010314 Date Issued: Tuesday, October 09, 2001
This is to certify that work requested to be done as shown by Permit Number P20010314
has been completed.
Tax Map Number: 523400-295-010-0001-053-000-0000
Location: 84 SARA-JEN Dr
Owner: GUIDO PASSARELLLI
Applicant: MICHAELS GROUP
This structure may be occupied as a:
By Order of Town Board
Garage - 2 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling / `\annd 1a
t_
lDirectorr of Building& Code Enforcement
TOWN OF QUEENSBURY
ff 742 Bay Road,Queensbury,NY 12804-5902 (518)`���� 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010314 Application Number: A20010314
Tax Map No: 523400-074-000-0002-009-000-0000
Permission is hereby granted to: MICHAELS GROUP
For property located at: SARA-JEN Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: GUIDO PASSARELLLI Single Family Dwelling 122,000.00
465 LAKE Ave Garage-2 Cars Attached
LAKE LUZERNE,NY 12846 Total Value 122,000.00
Contractor or Builders Name/ Address Electrical Inspection Agency
MICHAELS GROUP NEW YORK BOARD OF FIRE UNDEI
SUITE I
10 BLACKSMITH Dr
MALTA.NY 12020
Plans &Specifications
2001-314;
Lot 9, House No. 84 Sara Jen Drive, Lehland Estates, Phase I
2112 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$297.04 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, May 21, 2003
(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; Monday, May 21,2001
SIGNED BY for the Town of Queensbury.
Dir ctor o Building od nforcement
Building. Permit Application
Town of Queenshury - Dept. of Community Development, 742 Day Road, Queensburv, NY 12SO4 1761-82.561
• ° BUILDING & . CODE ENPORCEME
NOTICERequirements prior to issuance =c'
A permit must be obtained before
of this permit: Mat ! No.
beginning construction. No inspections
will be made until applicant has received n Zot:ing.Board Action To AN W -MSBUSYS WI -F
a VALID BUILDING PERMIT. All Arta /Use UIL_.DlltiG AND CODE
applicants' spaces on this application , !t-E,IT10N I-f, PAID $ 4 /-
MUST be completed and.the signature El Planning Board Action
of the applicant•must appear on the REVIEWED dY.
SPR / Subdivision /Other collodion form, Pima you.
f J Recreation Fee Payment
Diiilttinq /��ctxcrnr
Applicant: �i46. 1t�1c1C\S CAe41)uP •
Owner: JbK'tE. - -..
Address: b �111 lek6. , 1 ,,\-Aq, '2.d Address:
•
Phone # ( 1Z) gaa - (,p3\, Phone # ( ) .
Property Location: eal SA : � C)e-10E., 101-9 l!/
Subdivision Name:. Sl1RR��1 C\tl 1 cIi‘T �up Tax Map Number -1 —_J 9
(f Section Mock I pit
Ag4(
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
X New Building: CONSTRUCTION : $ %.72.)Cxx�
residence / commercial
Addition to Building:
• residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial _X Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work (describe below) Mercantile
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1st Floor 1IV./ sq. ft . If ADDITION, what will use
2nd .Floor of new addition be?
��5 sq, ft . _WA.
Other Floors sq. ft .
(not unfinished cellar ,.or- basement) i
ACCESSORY BUILDINGS : �2 a-a-
• Detached Garage 1 , 2 c r [�[�//
TOTAL FLOOR AREA: 7\ Z . SQ. FT. A Attached Garage 1 , Cc� lam'
�� it tj Private Storage Building (Fr
Tii
SIZE OF NEW STRUCTURE : a Commercial Storage Building
FEET X j ��,it FEET Other
• 0‘‘ P.
Foundation Type: 13,L ;zi J Will any second-hand or �ungr d
' Number of Stories : -� lumber be used? If so, for what?
(habitable space only) N 0
Height (grade to ridge) : • 18 feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove ( circle' all which •a.plies )
to be installed: 0 Electric / Oil / / Wood
- Zele4 Forced Hot •.Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes i s : 1=k_A L.Z,rotvi QR ?sr smA l a-E1 vtzr
Nate A dre s Phone
Builder: Mic�nt-r s c 1P �l stV ` `20 - 1‘
_ _ ___ _Plumber: _ -Z, 0
. Mason: '� ' aS-hrna C .• '43 e t t _ TrzoL\ 1Z 1�� (QCo3- .-
- -
E1ectrician��t .�t- -Lt.. A444, , 're.•t k., ,cL,4.4-. ‘2,3C .e, 371 -_ 2Z • .
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, arc 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, an AS BUILT PLOT PLAN by
a licensed surveyor; dra o scale/' ho ' a ual location of project on premises. .
o Stnnature: �
(owne , owner's agent, arc litect, contractor)
Application for Permit — Septic Disposal System _
Tot n of Q eeensbn/y 742 Boy Roar/Queen,ehrry, NY /2�'iO4! (S18) 7G/•, r �'"' r� ,i,
I. OWNER INFORMATION:
Location of installation; RAti41c2.1)6 t •
/y / T �OF QJI;EIVSC�Ia{ r
File Permit
•
Tax N•fap No, / j tt______ G6aP�_
' Owner's Name: T1r- ElG� ,1S ` j Fcc Paid ',lk
1.03I PI
Address: 1\1 _ \\.2
2, INSTALLER'S NAME ; `LY4Q1`Y�0 V- v2vYi PHONE NO. (v2: — ),\LPj
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 11 bedroonr(t) and multiply !! of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: NQ. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdrrrt = •
1980 — 1991 x 130 gal/bdrm =
1991 —present x 110 gal/bdrin = 330
Garbage Grinder Installed yes / no XG
• Spa or Whirlpool Installed yes / no l<
'I. PARCEL INFORMATION: (circle applicable information & indicate measurements)
• 'Qf�ography Soil Nature Ground Water . Bedrock or Impervious Material Domcstic W,atcr Supply
l later (_:,sand') at what depth at what depth
//oiling loam l nrruricipal�
feet _feet mot--"
Steep slope clay
_—'%slope other if•well; water supply .
depth: _ from any septic-system
absorption is— ;;i.
Percolation Test: (/b he completed by licensedpro%ssional engineer or architect) •
other
Bate: .__1, minute per Inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed
professional engineer or architect (unless installed in a Planning Board approved subdivision). Add 250 gallons to the size
of the septic lank and leach field for each Garbage Grinder, Spa or Whirlpool Tub.
Septic Tank: Li. gallon (min, size 1,000 gal,)
Tile Field: each trench . 4 ,i, Total System Length: _ U,a62„ 1t,
Seepage Pit(s): number of size of each; fi. by
Size of Stone to be used: II / depth or thickness_______ _• fi.c.t
• Bed System Size: r
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks:
A, / Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency, _. — ___ — — --7.
SIGNATURE & INFORMATION FOR RESPONSIBLE PERSON (please read)
For your protection, please note that pursuant to Section 136-29 of die Code of die Town
of Qucensbury, any permit or approval granted which is based upon or is granted in •
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
. requirements of the wn of neen: 'ry anitary Sewage Disposal Ordinance,
Vc /, t
to f
Signature of responsible person Date
TOWN OF QUEENSBURY
eft BUILDING & CODE ENFORCEMENT
ISTO, 742 BAY ROAD
QUEENSBURY NY 12804
(' (518) 761-8256
ARRIVE: - DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE I PECTI N REQUEST 6EE8 IVEU:
NAME.
LOCATION C� /�// 1 "�
DATE /G - , O( / PERM JI 2y
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING 0,
EXTERIOR FINISH I
DEC PORCH S PS RA NGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
POOR CLOseaS
FINAL ELECTRICAL
SITE AN/VARIANCE REO. /
AL SURVEY PLOT PLAN J
OK TO ISSUE C/0 OR C/C
RESmENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement z5
Dept.of Community Development Arrive_am/pm Depart,' •
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME Gee• PERMIT
LOCATION Q'�'`JkQA- trA OP DATE p (d
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/TB"Vent/Direct Vent LocationFresh Ail[Moire OK
Plumb Vent through roof Cm Ar'Z�-c7f(otis
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors.
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
s hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required /�
Final Survey Plot Plan iu E�5 AepR o vf}C_
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy) I ✓ W/ G-;URU gift 0l/
< a
RESIDENTIAL FINAL INSPECTION REPORT 44449'1
Office No.(518)761-8256 Date inspection request received: /
Building&Code Enforcement c)
Dept.of Community Development Arrive am/pm Depari giN,pm /
Town of Queeusbury Inspector's Initial/L L/
742 Bay Road
Queensbu'ry/�,New Yo 1281 // ,..,,. C'//�
NAME A I ,/, £ v t' PERMIT p / /
LOCATIO � —6 P'e"0� -'—M DATE /� 1
TYPE OFSTRUC 1•E N{—)
N/A YE$ NO COMMENTS
B Chimney Height/ "Vent/Direct Vent Location - - 1///f/
Fresh Air Intake iv/2
Plumb Vent through roof /
Roof Complete ✓/Exterior Finish Complete ✓Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more ,,//�
Interior Handrails stairs both sides 3 or �. ", /��
Grade 2%away from foundation
8"clearance to sill plate ✓/
Gas Valve shut-off exposed/urn regulator 1: ' •above gm,• / ✓
Gas Face shut-off 30 feet orwi •'n line of
Oil Furnace shutoff at entrance to . . area /
Furnace/Hot Water Heater operating ✓ y
Relief Valve(s)installed L
Headroom,6 ft.6 in.on stain
J/
Basement stairs,6 R.4 in. VI/
Handrail exterior stairs both sides more than t risers ✓/
Interior privacy/trim/doors/main entrance 36" ✓/
Floor Finish ✓�
Battuoouh/ICitchen watertight ✓
Interior Handrails Balconies/Landing 18 in.or ire ✓
Railing across window in stairwells f Smoke Detectors: ✓
every level
every bedroom ✓
outside every bedroom ✓
inter connected ✓
Bathroom fans ,✓/
Plumbing fixtures ✓/
Foundation insulation Viz
%hour fire door/door closer ll /'
Garage fireproofing _�) ,./
Garage !-1Pr��iEI�S
Garage penetrations sealed 7
Furnace in separate room protected(in garage)
Light ventilation peon g� /� /
Safety glazing18"f f1 RIH& /US. J Final Eventilation
al c t
Site Plan/Variance / /
Final Survey Plot Plan - ✓ 4460 4✓y2VF `f
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance) /
Okay to issue temp-C/O(Certif.of Occupancy)_ 1//
Okay to issue permanent C/O(Certif of Occupancy)
GENERAL INSPECTION REPORT /
(518 )761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive3-2C a9aP2pa
rs luiti
NAME: Q PERMIT# -3/V
LOCATIO : —LA (p; DATE: ev/
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsi•le for
providing protection from
for 48 hours following the
of the concrete.
Materials for this purpose on
FoundatioNWallpour
Reinforcement in Place
Foundation/Dam • I
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
;, Rough-In
dig ion 15T7.1 A -
•kirit-,onWallsIm&tor R-
Foundation Walls Exterior R-
Floors It-
Walls R- lq ✓
Ceiling R- 7,� ✓
Duct work or piping in
unheated spaces R- l
Proper Vent,Attic Vent ✓/
Form ng V
lack Studs/Headers
Bracing/Bridging
foist Hangers
lack Posts/Main Beam
Air Infiltration Bather
Fire Separation 1,2,3,hour
Penetration Sealed v�
Fire Wall 2,3,4 hour
Firestopping
AUG 10 01 FRI 04:02 PM BELL. TRUSS DEPT. FAX NO. 3551371 P. 02
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GENERAL INSPECTION REPORT
( 518)761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive_am/pm
Inspector's Initials 1
NAME: \b•k.‘ 2C- • PERMIT S — 3
LOCATION: C '7'c'xn' dte ^' DATE: a 67
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers l I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responal, a f,
providing protection from —
for 48 hours following the , :•- •nt
of the concrete.
Materials for this purpose on le
Feinda ement in Pur
la O 1C 1d / ( - AK
Reinforcement in Place `-, f�
Foundation/Dampproofmg
Backfilplumbs Approval
plumbing Under S 1//J
lumhing 4u}Place r•.
Hough Ptumbmg N `t• r- '
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling It-
Duct work or piping in
unheated spaces R.-
win vent,Attic vent i/� 0. OC?
F : �'J •ack-Studs/Headers
Bracing/Bridging
p([nF 17 th,c N.12044 5
Bracing/Bri '/
Joist Hanger LLANWei& V
Jack Posts/Main Beam
Air Infiltration Bather
Fire Separation 1,2,3,hour
on Sealed_ // /� /� r,FFire't�mg3,4 hour V `'166Mc(' Se,f e /CSz L f/ . r
�Fc.45N
-4's(pc,
GENERAL INSPECTION REPORT
( 518)761-8256
Town of Queeusbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road rS
Queensbury,NY 12804 Arrive_am/pm Depart
Inspector's Initials
(� C
NAME: 7Y. PERMIT 4 X
LOCATION: • VIA -S-0-, DATE :
TYPE OF STRU •
RECHECK
WA YES NO COMMENTS
Footings/Piers 1
Monolithic Pour Form
Reinforcement in Place
The contractor is T. • e for
Providing Imo ' 4. freezing
for48 hours foil. _
of the concrete.
Materials for this • • • site
Foundation/Wall.••
Reinforcement in ••
Founded.. • � .
BacI�ll '•• ,st ,
Plumbing Under Slab /
EVent/Vents': Place �/
Pfumbing S�^a1C- (gym s �brN, 2w
Insulation l- P)ATK
Foundation Walls , •r R-
Foundation Walls E • R-
Floors
Walls
Ceiling •-
Duct work or piping in
unheated spaces R-
Pryper Vent,Attic Vent CQy„�,free-T4 tNCr'f�4)� &4C (^'
m CJi 'fQ u*ftS )4s •- cs;ci`7&D
Jaackck Studs/Headers v/
Bracing/Bridging vel
Joist Hangers ✓ Itk sQS C? 5 U tk ROC-CC
Jack Posts/Main Beam
Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fi gr 'W 2,3,4 hour
Fue R/r Rear
Thtme Qiv 1Pn1
TOWN OF QUEENSBURY
BUILDING A CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 1 J1-1(1.9 Q7J G CJ110
Location Z51-I C& -QNv,
Date 13`n) Permit #0 1 _ 3J1
SOIL TYPE: Sand- 'am-Clay-
Results of Perco ati. Test-
(if applicable) 'ate inute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length V.,Z
Length of each tr- ch ---V1
Depth of trenches I Ar '1)N0
Size of stone
SEEPAGE PITS: IT b. r
Size - _ ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank • to. 9(4-
Tank to Dist. Box .� r�V, •�r'/�J
Dist. Box to Field/P' t �
Openings Sealed? e o 'artia
LOCATION/SEPARA
Foundation to Tank 1D feet
Foundation to Absorptio 37 feet
Separation of Pits feet
Conforms as per Plot Plan es o
LOCATION OF SYSTEM ON PROPER •
(circle one)
Front - Rear - LeSide
Middle Front -
COMMENTS:
SYSTEM.USE APPROVED: YE 0
Arrived:
Depa `
uil ng [nspec
GENERAL INSPECTION REPORT
(518)761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement Z
742Qu Bay Road
eenabury,NY 12804 Arrive am/pm Depart '
Inspector's initiate
PINAME: *Ks,G'rl(treli`, Co{e-9,, PERMIT X b( �
LOCATION: 'q `J,f �tr^./ DATE: tl —0
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers L
Monolithic Pour Form _.
Reinforcement in Place
The contractor is respo :ble fo
providing protection fro freezi g
for 48 hours following p ent
of the concrete.
Materials for this purpose o site
tFo on/Wallpour
orcement in Place
oundation/Damp�roofin•
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pla•-
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior It
Foundation Walls Exterior It-
Floors R-
Walls It-
Ceiling R-
Duct work or piping in
unheated spaces It-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
GENERAL INSPECTION REPORT ^ D n
(518)761-8256 IY)
Town of Queenebury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 121104 Arrive_am/pm Dep
arfli
Inspector's Initials
NAME: PERKO '#O(' I
LOCATION: i DATE:
TYPE OF STR }
RECHECK
N/A YES O COMMENTS
LE
rs I
Monolithic Pour Form
Reinforcement in Place 2.
The contractor is responsible fo
providing protection from
for 48 hours following the • •i t
of the concrete.
Materials for this purpose on si •
Foundation/Wallpour
Reinforcement in Place
Foundation/Damppmofing
Backfill Approval
Plumbing Under S -•
Plumbing Vent/Ve i ; ', Place
Rough Hunting
Heating Rough-In
Insulation
Foundation Walls Interior I•-
Foundation Walls Exterior R-
Floors It-
Walls R
Ceiling
Duct work or piping in
mdteated spaces
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
- CONSERVATION CONSTRUCTION CODE
PART COMPLIANCE FORM _vl/ U -�1 'oA'
Building Design by Acceptable Practice J^/I
3UILDING
kDDRESS: 89 can. - DATE Shi:Act
_—� 4'1 .1 . cotNTY: I/Anf/
ARCHITECT,ENGINEER,OR ten-0Sb °
DONIRACrOR: THE MICHAAth &RoUP PHONE 518-
PERMIT APPLICANT: Shrie PHONE )
/
RECEIVED
I. HEATING DEGREE DAYS (Table 2-1) MAY 17 2001
❑ 5000-6000 X 7000-9000 TOWN OF OJEENSBURV
BUILDING AND CODE
II. BUILDING DESCRIPTION (Pre-qualifying Conditions)
If the building does not meet all of the following pre-qualifying conditions,
Part 5 of the Energy Code may not be used.
® Building is residential with-one or two dwelling units.
Q Building is less than 5,000 gross square feet •
Building is three stories or less in height.
•
-
R Ratio of glazing area to gross wall area is equal to or less than 17%.
III. PROJECT TYPE •
E New construction ❑ Substantial renovation of existing building
❑ Addition to existing building ❑ Exempt(7810.6c) DF NE&
IV. HEATING SYSTEM TYPE --n
rT.t
]Gas-fired ❑ Oil-fired ❑ Heat pump I Electric krah
c / `�
Joint Sealing: 7814.10(i)
Joint Location I Sealant Type Specified ( Plan/Spec. Reference
Windows I Polycell
Doors frames ( Weatherstripping_
Walls at roof/ceiling ,
Poi vcel l
Walls at floors/found. Fblycell .
Wall panels N/A
Utility entrance weatherstripping
Penetrations Polycel1
Other
Other I
Air Infiltration Barrier: 7814.100)
Location Required? I Specified I Plan/Spec Reference
Walls yes/no No-Cedar Siding
Other yes/no
Fireplace: 7814.10(k), (m)
Required I Specified Plan/Spec. Reference
Outside combustion Yes
air duct with damper
Flue damper with max.20 cfm,or damper < 20 c_f.m_
damper and non-combustible doors Gas fireplace ignition No
VI. HVAC PERFORMANCE: 7814.11 (Table 5-3)
Equipment Minimum Performance Specified Performance Plan/Spec.Reference
Furnace 70% AFUE 90%
Boiler
Heat pump
Central air
conditioner
t
- i
v 11. HVAL; I:UN I KUL: 7814.12
Temperature Control
Required I Specified Plan/Spec. Reference
Thermostat each Yes
dwelling unit
Shut off at each Yes
terminal unit
Thermostat
Required I Specified I Plan/Spec.Reference
Minimum range I Yes
45°F-85°F
Deadband Yes
range e 5°
Automatic . Yes
capability
VIII. DUCT SYSTEMS: 7.814.13
Category Required Provided Plan/Spec.Reference
Duct Z I"thick N/A in conditioned space
insulation R-33 in uncondtioned space
Transverse Sealed Yes•
joints
IX. VENTILATION SYSTEMS: 7814.14
System Type Required I Specified Plan/Spec.Reference
Supply Damper at envelope Yes '
Exhaust Damper at envelope Y e s
Supply on/off switch I Y e c
•
Frhaust - onloff switch I Yes 1
•
?G PIPING INSULATION: 7814_15
Piping Type Insulation 1 Provided Plan/Spec.
Required I Reference
Heating distribution' >_ 1w I N/A II
Service hot water" >_ Y4" I N/A I
`Does not apply to runouts.
"Does not apply to piping with a diameter less than or equal to s'i"inch.
XI. SERVICE WATER HEATING: 7814.21 (Table 5-4)
Performance Requirements
Water Heaters Minimum Specified Plan/Spec.
Performance Performance Reference
Storage ¢r > .93 -.00132V I > .93
. Instantaneous N/A
Pool N/A .
• Controls
Category - Required Control Control Provided Plan/Spec.
Reference
System automatic control Yes
System temp.setting range 140 degrees max.
Pool heater IID N/A
Pool heater on/off switch N/A
Electric water heater . separate switch N/A <,
Gas/Oil water beater separate valve Yes
XII. ELECTRICAL POWER: 7814.31
Category I Required I Specified • I Plan/Spec. Reference
Electric meters I Ea. dweltinv unit I `"c= I
ED lrt.SOR to-1.L1,
OFACUE FRAMED ALL .ORKSeEE
R-Value I ! R-Yalu•
Insulated • Construction Franc -
• _ Area . Cosoanent ! Area
i I 1Ni • /,' 0.68 Ict. Air Filo 0.68 III
.45 1/2" Gypsum B3. .45 1 I1 i��I�I'`1:
• tsllboard
19.00 6" qq,,,�tt I,�`��
�. ....—Tns ulac;cn ____ � .
---- 2r.6 @ 16" o.c. 6.87 7i•.
. ..- Studsii .
s9 1
l . A y :
_65 VN• } a;ny 1
0.17 0.17
Ext, Air Film 1
il WY)) .:
21.49 I I 9.36
It-total
0• Insulated Fraction* Frac.a Erection•
R-total InsuI z.< R-Tctal frac.c
U SS .15
21.49 9.36 .056
• V.11 Stud Spicing Insal.tad Frscticn Fra.<d Fraction
12" O.C. .63
. 17
16" 0.C. .65
.15
:a" O.C. .86
. 12
EASEHEHT/CELLAR RAILS: .ORKSHEEt
@ stairwells
R-41al(le ' R-Vsl on
with Ext. . Construction with int.
Insulation I Cosoonents - Insulation
••i s1 .I.I 0.17 I I 0.17 .• ,.�.
1�r I Eat. Mr File ���4.
L• Nine •S
0i . 1 Exterior 'rint sn ems,_
.•• 1 � 8" Poured .�4j.°.
/••�4 81oet (Concrete - ..1_72 .. - . , '
/el 04 1414' 1
.•.} ; Core Inaul ati an . 'I 4�°:
•
114+4'.I 1 .. Insulation ts ]'•�41
Il C�i /o.ga �-1.•.
V (lit. or int. ) ♦�
Ida ' . Na-
/�Q_°_ - Noce • /l�ii�dl+"
PJ��.i Interior Finish ill F��• �
• �.�. __ _ 0.68 1 int, Air rain .
, n .1 -040:
R-TotsI /3 -37
•
•
w R-Total
U - 1 _ •071
/337
•
8 n
Exposure Above Grid< -
„
Oiptn Belch Cra°e - 48
EASEKEHT/CELLAR WALLS: .ORKSHEET
R.-Value ' R-Valcc
with Ext. I Ccnatructiox with Int. '
Insulation I Coaoonwnts Insulation
b •• a I 0.17 I 0.17 141�.
,..4 1 Ext. Air File - . ..
AA I.� None - /.•
re• - - Exterior Finish
►4.4 , 6loct (Concrete) . .'1_72 .._
I 44 : Core Insulation �4:
=10.4- I ('( any) o • - ��`
�14r4 - I) iit_ a /�4.
�L4.4 -.I '.1. , laical orlon //..00 —I'e.I• :.=M�.
I�1, ,j/.•� . fiat. or int. , .sr1 ..
I— •4 - None.
sa
�J/0j64 .- - taterior finish ;�4
0.68 I Int, Air Filw . 0.69 _a—
- 17
-'1 I - 4�41: .
15.57
R-Total •
I _
1
u -
w R-Total
1
Vw 15 .57 .0�4
8 «
Expoaurc Above Grade
Depth Delon Grade - 48 .,
OPACUE FRAKEJ F_EGE': .ORKSRE2
// - > >r'/.v'�J i7
/r i / . .T/ . j .
f I 1/Mr 17 .ZNN\ \.! \A\12...s.-:
1\jaa,• 1 ii ituil . ‘1, . . .
R-Value R-Value
•
Insulated I Construction Fran<c 1
I Area
Ccrconents • Area
1 0.92• 0.92•
I I Ext. Air Film
6" Batt
"---_19.00. .. . . . . . Insulation ----
: 11 7/8" TJ1'a @ 24" o.cF •
_--- . . .. Joists
i .93 3/4" wafenwocd i
sus-Floor ' .1 ,. I I
/n I
• m5 :... . ... / Ynoor
J 0.92 0.92 I
Int. Air Film
21.02 I R-Total I 16.86.
U - Insulated Fraction** Framed Fraction•• -
a
R-Total Insulated R-Total Fraud
- 1.1 - .95 ' .05 -
0 21.02 16.86 "'.048
• For vented crawl space, use R - 0.17 for ext. air film.
•• Floor Joist Spacing Insulated Fraction 1 Framed Fraction )
12" 0.C. .87 I .13
16" O.C. .90 . 10 1
-C. _9J .OJ 1
I
ROOF/CEILING (VENTECI : "R(SHEE:
R-Yalue ' R-Yalu<
Insulated ( Construction Framed
Area Coaponenes I Ares
.. 0_17 Ext. Air File 0_17
30.00 9" Batt ---- 12.00 Overlap
Insulation -
2x4 bottan chord:
____ @ 24" oc 4.35
. ... Joist: '
( .95 1/2" Gypsum Ed. .45 I
.... Wallboard
1 0.61 0.61
I Int. Air Film
31.23 I R-Total 17.58
0 insulated Fraction* Framed Fraction*
r •
R-Total insulated R-Total France
a .93 _ .07
r 31.23 17.58 " .034
e Roof Joist Spacing Insulated Fraction framed Fraction
12" O.C. .E7 . 13
• 16" O.C. .90 .10
2k" 0.C. .93 .07
i
i
MAP REFERENCE:
LEHLAND PARK
BY D.L. DICKINSON ASSOCIATES
FILED NOVEMBER 3, 1987
CABINET A SLIDE 128
z
»
z
0
� a,n. D us e�
8c
Stever
Land Surveyors, LLC
169 Haviland Road Queensbury, New York 128
'518) 792-8474 New York IAc. No. 50135
SARAH JEN DRIVE
UNAUTFI O A SED ALTtRAN OR AOORION To A SURVEY
L 'UNAUTHORIZED
MAP BEARfKi A LICENAND 9UR►EVORS SEAL IS A
Map of
a Survey made for
YIOATION OF BECTON rAk 20-OM M 2.40F THE
NEW YORN STATE EDUCATION LW'
'ONLY COPIES FROM THE ORDINAL OF THE; SURVEY
HARM WTH AN MONAL OF THE WD SURTEWN
SEAL so" BE CONWERED TD BE YALD TRUE CONES•
�, %t-f„DM.�,EDINAC �BIIMXWIT
MS SURVEY WAS PREPARED N ACCORDANCE WIN THE
Joseph G. &
Shanta L.
Dolan
ENISDNO DODE CIF PRACTICE FM LAID SLNIYETT7i5 AOC►T®
BY THE Nft PORN STATE ANOMPCN OF PROFESMAL
LAND %#Alr tits BAD CERWICAT ONS SHALL RUN ONLY
M THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND
ON HIS BEHALF TO THE TITLE OOMPANY. OOVk]RNIET TAL
AaENCY ND LENOM 9617UMON LIMED HEREON. AND
Town of Queensbury, Warren County, New
York
TO THE AS 24= OF THE UMM INSTI UN.'
NO. I DATE
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED T0: JOSEPH G. & SHANTA L DOLAN
ABN AMRO MORTGAGE GROUP, INC.,
IT'S SUCCESSORS AND/OR ASSIGNS
CHICAGO TITLE INSURANCE COMPANY
CERTIFIED BY:
MATTHEW C. STEVES, LLS NYS 50135
DATED: SEPTEMBER 17, 2001
DESCRIPTION
1 "=30'
S — 1
SHEET I OF 1
DOLAN
DWG. NO. 89423-9