2001-897 •
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010897 Application Number: A20010897
Tax Map No: 523400-290-013-0001-018-000-0000
Permission is hereby granted to: MICHAELS GROUP LLC THE •
For property located at •
70 MASTERS COMMON NORTH
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: MICHAELS GROUP LLC THE Single Family Dwelling 239,000.00
10 BLACKSMITH Dr Garage-2 Cars Attached
MALTA,NY 12020 Fireplace
Total Value 239,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
MICHAELS GROUP NEW YORK BOARD OF FIRE UNDEI
10 BLACKSMITH DRIVE DRIVE
MALTA.NY
Plans &Specifications
2001-897
2622 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$374.24 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,December 12,2002
(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 e of eensbury• Wednesday,December 12,2001
for the Town of Queensbury.
SIGNED BY { Q urY•
TDirector of B dint Code Enforcement
Application for Permit—Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256
1. OWNER INFORMATION: -----
Office Use
Location of installation: Leyf 31 f^ . A-52 R-5 Cdxk.
: o. /3 File Permit No. C) L" eq 7
Tax Map No. / / 1
Fee Paid
Owner's Name: \ V pelt
Address: (0 84..,914Sh,•,cr{„4 boe_
2. INSTALLER'S NAME : PHONE NO.
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdrm =
1980— 1991 x 130 gal/bdrm =
1991 —present x 110 gal/bdrm =
Garbage Grinder Installed yes_ / no
Spa or Whirlpool Installed yes— / no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
Flat sand at what depth at what depth municipal
Rolling loam feet feet well
Steep slope clay if well;water supply
%slope other from any septic-system
depth: absorption is ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: 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 tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub.
Septic Tank: gallon (min. size 1,000 gal.) /o
Tile Field: each trench ft. Total System Length: ft.
Seepage Pit(s): number of size of each: ft. by ft.
Size of Stone to be used: # / depth or thickness feet
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / 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 the Code of the Town
of Queensbury,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 Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person Date
Building Permit Application
Town of Qucensbury-Dept of Community Development, 742 13ay Road, Queensbury, NY
(518) 761-8256
A permit must be obtained,before beginning construction. Permit File No..J(' g (7
No inspection will be made until applicant has received a Fee Paid $ _'3 7g,a..L
valid building permit. All applicants' spaces on this Rec. Fee Paid $1 C!
application must be completed and mLISt appear on the Reviewed By: \.
application form.
Applicant: - °t 1c e Owner: SCX1E..
Address: IQ la.^k.., V-n Address: _
Phone# 051 )fc - ( i Phone# ( ) -
•
Property Location: Lot Number: S / House Number 1( / aS -er Ccioancsm at-\\h
Subdivision Namc: Tax Map Number: c/O. (3 - 1 / Y
XNew Building: residence /commercial Estimated Market Value of Construction: $
❑ Addition: residence/ commercial If an Addition, what will use of new addition be?
o Alteration: residence/ commercial❑ �,,
No change to exterior size: residence/com'l r i?V D
❑ Other work(describe fl �
DEC 0 7 2001
•
TOW OF QUEENSBURY
Cheek Occupancylnformation 1`I Floor 2'"t hloor�ult DIMY+ I►c� ir�i�E 3'otal
Below sq. It. sq, ft•
"—F sq. U. Square Feet
Single family dwelling 1135 538-1 2(p2.2
❑ Two family dwelling •
o Townhouse
o Multifamily dwelling
#of units
o Office
o Mercantile
o Manufacturing
o 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage
g 2 car attached garage 5SLD
❑ 3 car attached garage
❑ Storage building-
commercial
❑ Storage building-
residential
❑ Other •
• Will any second-hand or ungraded lumber be used? If so, for what? VA,I
Type of I Ieating System: electric/ oil /0 wood /forced hot air/ baseboard/other:
Number of Fireplaces to be installed 6C \S Number of FI'oodstoves to be installed N, •
List below the person(s) responsible for supervision of work as regards to building codes:
- - — �-* Name j p -Address _ hh01�1aC Number
Builder 1 1'hE 't c pz \s( c l�% LLI�`�cc -— �(L ak-vim x �ti� �� . -
Plumber Co -� , V-)A l? r - Nip>sY,c-ie -z*Ck
Mason C 5 , 3.� F.C)• '_K-e: 1'1 CACto,\Q c �-2t- C F
Electrician 2 +cx' c,-•� \c_ p .„ {
Declaration: please sign below after you have carefully real the statement:
'l'o the best of my knowledge the statements contained ill 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 he 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 an 1 C c •s, an As Built Survey by a licensed surveyor; drawn to scale,showing actual
location of all newOstructi i.
Signature: �'/C�-^_J�L r — -- owner, owner's agent,architect,contractor
•
•
Fire Marshal's Office 'l'own of Quecnsburv, 742 Bar Road,Quecnsburv, NY
(518) 761-8205
r Application for Fuel Burning Appliances & Chimneys.
applicable to solid fuel &,vented gas appliances
Date 1'° r, 9,t .', 20 () 1 Permit No. 000 /4 i
Application is hereby made to the Building&.Codes Of/ice fir-the issuance of ct Building and Use
Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable laws, ordinances, rLgula'tions, and all conditions that are part of
these requirements and als:b.;Iii11-allowall inspects to.cirtei•premises to per/Drat required inspections. •
'' NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information"
- (circle appropriate words)• . gas
! �.� Stove: wood coal pellet was
1 Fireplace insert
Address: tO ,tosL y t.}-1, 1 ` L Fireplace, factory-built: wood gas
WA Are AA. , 0 4a Fireplace, masonry: wood gas
: Furnace: wood ,has oil
Phone: 2: i lt(
`,,. If non-masonary applicance, please provide
-
Owner: -.1"" alTOq Manufacturer Name: -
Address: • Model Number:
Chimney Information
•
. Phone: (circle appropriate words). .
Masonry block brick stone
. Flue tile MI size: inches
Exact Add ress:10'Mr r51"tM::rr0' .0 t$a
of construction or installation Factory-Built• , _
Ler Z i Manufacturer name:
Model Number:
Note: Listed By: Number: .,
Construction/Installation must
conform to INS Fire Prevention &Building Indicate (circle) chimney Material:
Code. Consult available Town of Queensbury .
Handouts regarding required inspections. ,Double wall / ,Triple wall / Insulated / Direct venting
Chimney Liner
•
I C01.maier',ir�ep�. m r�t—7`o rye of Queesxsarbazs—jr, ATexnrr Y"orlt. 1 .
Fire ri-farsh`al Code# r t t
S Collected S.Refunded Received from trelinrded to): ; N‘ . �_P;,k 4^q;
'} address:
•
A 1 i3 3389 (190) Public Safety — - --— - -- ---
A 233 2655 (230)Minor Sales
•
•
.m,:y.,.a?,;,.L� TW,,. GF r;al, Depva.
1
White(Applicant) 1 Green(Fire Marshal) / Yellow(Bldg. Dept.) Pink&Goldenrod(Cashier's Dept.)- .'
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive 4. epa
Town of Queensbury tor's Initi s •
742 Bay Road
Queensbury,New York 12804
NAME 0.ICA-O 6I)7 �q ERMIT# .
LOCATION "1 D PA A F (. AM'o�� D o• DATE '
TYPE OF STRUCTURE
N/A YES
NO COMMENTS
Chimney Heighti"B"Vent/Direct Vent Location 1 , , ,/
Fresh Air Intake ,///
Plumb Vent through roof
Roof Complete ✓i
Exterior Finish Complete •✓/
Interior/Exterior Railings 30"to 36" ,//'
Exterior Handrails,balconies,Ianding 18 in.or more \ J,�
Interior Handrails stairs both sides 3 or more ri ers N I
Grade 2%away from foundation \ I)
8"clearance to sill plate lyGas Valve shut-off exposed/regulator 18"above gra&&..Gas Furnace shutoff within 30 feet or within line of site`
Oil Furnace shut-off at entrance to furnace area /t
Furnace/Hot Water Heater operating \ ✓
Relief Valve(s)installed \,',`/,/'
Headroom,6 ft.6 in.on stairs J \.
Basement stairs,6 ft.4 in. V '�\
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish J-,
Bathroom/Kitchen watertight ✓/
Interior Handrails Balconies/Landing 18 in.or more r/
Railing across window in stairwells /
Smoke Detectors: �/
every level -l/
every bedroom ✓//
outside every bedroom s/�
inter connected •///
Bathroom fans \/
Plumbing fixtures /
Foundation insulation
3/4 hour fire door/door closer J
Garage fireproofmg ,/
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
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)
.__________ z____, \ii) .sef_ k--\t3
__ _.__-_:,.......,____, .....,,,,....„.„.
RESIDENTIAL FINAL INSPECTION REPORT i
Office No.(518)761-8256 Date inspection request received: �02
4611)--C:5 ?)
Building&Code Enforcement
Dept.of Community Development ArriveZ A a pm epa a/ • !I
Town of Queensbury spector's hub..'t
742 Bay Road /
Queensbury,y` New York 12804 /
NAME —l/ / 4r 4�s ( f ye)a7
PERMIT#
LOCATION ` 0 21a yh; a h L, �1 DATE a-----
TYPE OF STRUCTURE `. j
)' NN//A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location ‘/
Fresh Air Intake R 3AL_ G Ab F1 tLEkLPC__ O
Plumb Vent through roof 1./
Roof Complete �/�
Exterior Finish Complet t,Interior/Exterior Railing 30"to 36
Exterior Handrails,bal 'es,landing 18 in.or more ✓/
Interior Handrails stairs oth sides" or more risers ✓!
Grade 2%away from fo dation t//
8"clearance to sill plate ,/✓
Gas Valve shut-off expos regal for 18"above grade /
Gas Furnace shut-off with. 30 f t or within line of site
Oil Furnace shut-off at entr ce o furnace area ✓
Furnace/Hot Water Heater o ating /
Relief Valve(s)installed , //
Headroom,6 ft.6 in.on stair n//
Basement stairs,6 ft.4 in. /i
Handrail exterior stairs both si es more than 3 risers ✓✓
Interior privacy/trim/doors/m ' entrance 36"
Floor Finish /
Bathroom/Kitchen watertight ✓/
Interior Handrails Balconies ' 18 in.or more i/
Railing across window in stairw lls /
Smoke Detectors: V,,
every level ✓/
every bedroom V/
outside every bedroom ,//
inter connected vv/
Bathroom fans �/
Plumbing fixtures /
Foundation insulation ✓ C-1A�C-V- 1-4:ppPtA
3/4 hour fire door/door closer >./ �P Ct�Cl� Ev�tZ� _- \ ��
Garage fireproofing ._ c .
Garage penetrations sealed f ✓ bt,. ( F 51 D� i
Furnace in separate room protected(in garage) ✓
Light ventilation per room
Safety glazing 18"or less from floor ✓/
Final Electrical Vi 3 _E [3 -N.-) 5 e)GAt` ‘
Site PlanNariance required J ��� �
,,Final Survey Plot Plan / -
As Built Septic System layout required 1 ��,17, �/Okay to issue C/C(Certif.of Compliance) /4-ri--.M: ( ..' AtOkay to issue temp.C/O(Certi£of Occupancy).Okay to issue permanent C/O(Certif.of Occupancy)
n ;� �,.,. TOWN OF QUEENSBURY
; a' BUILDING & CODE ENFORCEMENT
a ' 'L' 742 BAY ROAD
,t QUEENSBURY NY 12804
' " f (518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE INSPECTION REQUEST ECEIVED: n
NAME \C�6Y �`.f/�� _.�//l LOCATION fi�/ A A/7 oCah— rj•ti
DATE 5 '-/ 6�PERMIT # 2O [ --S I( k
7
• TYPE OF STRUCTURE
FOOTINGS BACKFILL FRAMING PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES \
FLOORS • \
FOUNDATION INSULATION ,
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRAJION
FIRE DAMPERS 1
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR /
HANDICAPPED ACCESS /
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SIT PLAN/VARIANCE REQ.
NAL SURVEY PLOT PLAN, IF REO ",7
OK TO ISSUE CIO OR C/C
•
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury
Ready at time:
Dept. of Community Development Request received: ? Meet: cV61-'e`/
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIV =2t7 P T G% a m Notes:
(518) 761-8256 Inspector's Initi s :
NAME: G1-Ae - 99-20 ERMIT# C)613/
LOCATION: - 20 /14GL', s '14' NINSPECT ON(date): #71e07/Ac_i
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS •
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezi g
for 48 hours following the placement
of the concrete.
Materials for this purpose on site •
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofmg
Backfill Approval
Plumbing Under Slab /
Plumbing Vent/Vents in Place
Rough Plumbing
R-augh-In
Insulation
Foundation Walls Intel'or R-
Foundation Walls Exterior R-
Floors 0•:��{
Walls R- 1 ci
Ceiling R-
Duct work or piping in
unheated spaces R-
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
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
H 4'Q5�� �`b i\) Office Use
GENERAL INSPECTION REPORT-- :' Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement . At time:
742 Bay Road •
Queensbury, NY 12804 ARRIVE l=j•-ID a 401. 'AR Y !VC) a pm o es:
(518) 761-8256 Inspector's Initi,-
NAME: C_ •i i -11 Ili PERMIT#_CDf " 897
LOCATION: O _ ,U 1.1 d INSPECT ON(date): )'`1 -01-0 ca
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Pi rs
Monolithic our rm
Reinforcem t in P ace
The contr. tor is esponsible for
providing . otecti n from freezing
for 48 hour• folio ing the placement
of the concr:te.
Materials for t . p ose on site •
Foundation/Wa our
Reinforcement in ''face
Foundation/Damp,roofmg
Backfill Approv
P umbing Under Sl.b
'lum•'ng Vent/Vent. in Place
: gh Plumbing
, Heating Rough-In (72-'
Insulation
Foundation Walls In`-rior R-
Foundation Walls Ex -rior R-
Floors R-
Walls R-
Ceiling '-
Duct work or piping in
unheated spaces
Pro r Vent,Attic Vent
V`"niing j
//
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fir al12,3,4 hour
F estopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
� FIRE MARSHAL
TOWN OF QUEENSBURY
ilkt4g1 QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# 0 k 17
NAME \\-\lr Q
LOCATION 0 S an41 YIn !VD
SCHEDULE INSPEC !k ON
.0 0 AMANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYST
FIRE SUPPRESSIOk : ST:M
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRI KLERS
CLEARANCE TO H ING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT •
r- V
REMARKS: /(-)K TO THIS DATE
3q v
At-0 moi-km
INSPSLIP.PUB INSPF T R
)),)
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 Depart l a t�
Inspector's Initials K
NAME: %,11 C_ o ( PERMIT# / — < 1'7
LOCATION: * 7 0 s((X iti Y►-n- / DATE :
TYPE OF STRUCTURE: ' v b
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is res nsible for
providing protection om freez g
for 48 hours followin the placement
of the concrete.
Materials for this purpos on site
Foundation/Wallpour
Reinforcement in Place
Foun ion/Dampproofing
ckfill Approval
Plumbing Under Slab
Plumbing Wnt/Vents-in Pla e
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R
Walls R
Ceiling R
Duct work or piping in
unheated spaces R
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
/f )'
•
GENERAL INSPECTION REPORT •
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road (l Jpv)
Queensbury,NY 12804 Arrive am/pm Depart I pm
Inspector's Initials
NAME: (1W5-1CGULAO PERMIT#
LOCATION: 0 54'/`rS c .a‘n f0 DATE :
TYPE OF STRUCTURE: CQ
RECHECK
N/A YENO COMMENTS
' F ngs/Piers I /l I
Monolithic Pour Form
Reinforcement in Place '
The contractor is nsible for /"' / ��d'1 4 Tits //Glt6
providing protect on fr freezing
for 48 hours folio ving th placement
of the concrete. .1)(1
Materials for this pu , se on le
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofi
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pla e
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior
Foundation Walls Exterior R
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
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 03°) Wt?
Building Design by Acceptable Practice Z001
DECO ?
UIIDING To\NN of Ago CODE,.„
DDRESS: • zSQx- Car- Y1 crn L . DATE O ,�k 9s;k
RCHITECT,ENGINEER,OR -7-7-0S-EC0
ONTR.ACTOR THE Mf&f/ (JJ G2OUP PHONE: 518-
ERMTT APPLICANT: 54/116 PHONE
•
. HEATING DEGREE DAYS (Table 2-1)
❑ 5000—6000 ,X 7000—9000
I. 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.
❑X Building is-less than 5,000 gross square feet
rxi Building is three stories or less in height
( xl Ratio of glazing area to gross wall area is equal to or less than 17%.
III. PROJECT TYPE
n New construction n Substantial renovation of existing building
❑ Addition to existing building I I Exempt(7810.6c) tti�F
(.< .cy,0-R1_4A
IV. HEATING SYSTEM TYPE
-X 1 Gas-fired 1 `'"
Oil-fired � Heat pump Electric
Joint Sealing: 7814_10(i)
Joint Location Sealant Type SpcciEed Plan/Spec_ Reference
Windows Polycell
Doors frames f
Weatherstripping
Walls at roof/ceiling I
Poivrel l
Walls at floors/found_ Polycell
Wall panels • N/A
Utility entrance Weatherstripping
Penetrations Polycell
Other
Other
Air Infiltration Barrier: 7814.10(j)
Location Required? 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)
7 r
Equipment Minimum Performance Specified Performance Plan/Spec. Reference
Furnace 70% AFUE 90%
Boiler
Heat pump
Central air
conditioner
`.
` vtt_ tivAG C.;Ur\r r HUL_ 78-14.12
Temperature Control
Required 1 Specified Plan/Spec_ Reference
Thermostat each Yes -
dwelling unit .
Shut off at each Yes
terminal unit
4'
Thermostat
Required I Specified I Plan/Spec- Reference '
Minimum rar-aP I Yes
45T-85°F
Deadband Yes
range >_ 5'
Automatic - Yes
capability
•
V I I I. DUCT SYSTEMS: 718.14.13
Category Required Provided Plan/Spec.Reference
Duct ? I"thick N/A in conditioned space
insulation - R-33 in uncondtioned space
Transverse Sealed Yes
joints •
(X. VENTILATION SYSTEMS: 7814.14
System Type Required ys Yp Q I Specified Plan/Spec_Reference
Supply Damper at envelope Ye s
Exhaust Damper at envelope Ye s •
•
Supply on/off switch I Y P s
Exhaust on/offswitch I Yes
X- PIPING INSULATION. 7814_-15
Piping Type Insulation I Provided Plan/Spec.
Required Reference
Heating distribution" + ? 11" N/A
Service hot water`" > 3/4" 1 N/A
`Does not apply to runouts_
"Does not apply to piping with a diameter less than or equal to 3/4"inch_
XL SERVICE'WATER HEATING: 7814.21 (Table 5-4)
Performance Requirements
Water Heaters Minimum Specified Plan/Spec. 1
Performance Performance Reference
Storage ff >- _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 1l1J N/A
Pool heater on/off switch N/A
Electric water heater separate switch N/A r.
Gas/Oil water heater separate valve Yes
XII. ELECTRICAL POWER: 7814.31
Category , :Required I Specified - ( Plan/Spec. Reference
Electric meters 1 E3. dwelling unit 1
•
E.'1'rI;IOR f, LL
OF'.CuE crAKED CALL_ eORKSY.EE-
R-Value
laavlat<d i R-Yalu.
Construction - Framed
. r<a _ Co4oan<nt 1
(r4a`��
i'401
r110.68 1cL_ Air File a 0.68 in! 41/
-�.- .45 1/2" Gypsum
� Bd. .45
Ya t i boa ro -
19.00 6�. i_—_1‘_Iw- k
-
•
l. --._Bfnulation . : -- �. ,��
i,
I.
liI ---- 2x6 C 16" o_c_ 6.87 l/ .
`
1 StuEi _.: , .
_54 _ _ I 11 / Akk
Iffr 1/2" ti' ferwco3 _54
Sheathing P.65
Viny�1 :65��� - --. idin9 0.17f'' £zt �(ir Film t 0.17
- 21_49 R-Total i 9.36
• •
U ] n:mated F
.c ractioa Fraeea Fraction..
R-Total ] nzulataC
R-Iota] Framed
U t L____85
.15
21.49 9.36 .056
't Wall Stud Spacing i lntulattd Fraction
{ Framed Fraction
12" 0. C_ .83
. 17
16" 0_C. .85
. 15
. _ 12
EASEHENT/C£LLAR KILLS - tORKSH££-
stairwells
R-Value i R-Ya1cc _
with Ext_ Z Construction . with Int.. N
• . Insulation Coaoonents 11nsulation
.•4 i- 1 1 0.17 ��
�� 0.17
�:�� - j Ext.. Air Fi l a ���.
i Exterior rtni3h o ♦•
��: 1:-.1-
I 8" Poured . ,A.
•�4 - - - Mace (Concrete) _ - 1_7-2._ . . ••
4° . - Core lnsulation •t:
•
1♦ 4.. (if any) ! . 11 _ !.P 4:
=
���� �. `. : j"1tZ(R-max BY -��:
it:teK4 Insulation /O-Sr7 �' -'��•.
t ►� - interior Finish It'1 �v-
: ��♦ . . 1 intr Air s•i1n . 0.68 _1 •-♦w*
R-Tota1 /3 -37
U - •
.< R-Total
U - - • 1 . 07�
n I3.37- _
Exposure Above Grade - 8
« .
•
41
Depth Bclo.< Grace - 48
EASEH£t(T/CELLAR WALLS: 'ORKSHEET
- R-Value c R-Valet
with Ext_ Jt Ccactructioa with Int. '
•
-
insulation 1 Cowoon4nts Insulation
1 .11
...4 0.77 Ext. Air Fi1c - 0.17 °__ ♦�
._♦ HAi None _ -.. �♦�
♦• - {{1
Exterior Finish • °. t♦�.
8" Poured ,
4.
- ♦�♦� Sloet (Concrete) . __L�2 ___ ��
44
�♦�-° 1 - - Core (nsuiation - _ - ♦4:
—t ♦:� - t ' _ ! (;�f any) 1 = . !-�♦�:
• �♦�4 . I - Viz. I�yv(. • - ♦�-
Et••�.���•�t• 1 tn:uiatio•n 00 _ o. ".���:
4. (a x:t. or. a.n t...) ��.. :
•
E �:�° (None - - ( • _ ♦♦♦
♦♦ •- 0.68 t l 0.68 _ ♦ J.
"-l1 tat, Air Fi1n -
•
13.57
R-Total
7
• U
w R-Total ••
1 e:
U 'c - _C74 •
t( 15 .57
Exposure Above Grade •, 8 «
Depth Belot( Gracie .. 48 ill
•
OPACUE !RAHE7 F:_50R_ RORKS-E
j/ �-- --f/.,,,' r> >j 7 T . L�-
Yr- . -,\,\,-,., \.,
.,. i A .1; ,
1 1{\.k) - 1_ . .
R-Value i R-Value ' •
i insulated 1 Construction Fraoec
Area Certonents - • Area
I ( . .
t ` 0.92* i 0.92*
• : ( Ext. Air Film -
. I 19 •
.00 6" Batt ----
. . . . Insulation
__-- 11 7/8" TJI`s @ 24" o.c• .
. ... 'Joists 1 _ 14.84_ ,
3/4" waferwood
l -93 . . .. Sub-Flo
or ...: i
carpet vinyl
l . n2gi:. .. . ... in. Floor Real:.
0.92 0.92
Int. Air Film
21.02 j R-Total ! :16.86
•
U insulated Fraction** Framed Fraction** -
+
. o
• R-Total Insulated R-Total Framed
- 1.1 .95 . _05
0 21.02 16.86 e'.048
•
* For vented cram space, use R w 0.17 for ext. air film.
•
•
xt Floor Joist Spacing insulated Fraction Framed Fraction {
1
12" 0.C. .87 1 . 13
16" 0.C. _90 . 10
•
ROOF/CEILING iVENTEO) : -gORKSHEE7
r • •I
//:;5-E=.7:-E-17-3
•
� { s
R-Valve - • 8-Value • • a
1 Insulated Can:traction Framed
Arco 1
Components � ..ccr
I 0_17 Ext. Air File 0.17 ' I
•
30_00 9" Batt i ---- 12.00 Overtop - -
Insulation t _
2x4 bottom chord
---- ; @ 24",oc 1 4.35
•
Joists
_45 1/2" Gypsum �_ .45
• .... Wallboard
0_61 Int. Air Film 0.61
•
31_23 R-rota] 17_58
4.1
Insulated Fraction{ Framed FrictionR
r
R-Total Insulated R-Total Framed
u 93 _07
r s • 31.23 17.58 _034
•
Roof Joist Spacing Insulated Fraction Framed Fraction
12" 0.C. .67 . 13
• 16" 0.C. .90 .10
24" 0.C. .93 .07
•