1988-030 ' ••- ,••
cy 1
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
July 15 88
Date 19
\ Si_
This is to certify that wor requested to be done as shown by Permit No. 38-30
has been completed.
This structure may be occupied as a One Family Dwelling
Location Lot #18 Walton Court (St. No. 3) Queensbury Forest
Masullo Brothers Builders Inc.
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
.
BUILDING PERMIT
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DC
TOWN OF QUEENSBURY No. 88-30
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to Masullo Brothers Builders Inc.
Lot #18 Walton Court (St. No. 3) I
OWNER of property located at Street, Road or Ave.
Queensbury Forest
in the Town of Queensbury,To Construct or place a One Family Dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is 3049 Broadway
Schenectady, N.Y.
2. CONTRACTOR or BUILDER'S Name
Same w
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name cn
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( ) Steel (
7. PLANS and Specifications
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No. 58'8" x 42' as per plot plan, specifications and application
including septic system and attached two car garage. cio co
8. Proposed Use •
One Family Dwelling
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$5.00 C/O
$ 138.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Sept. 1, 1988
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 5th Day of February 19 88
SIGNED BY ` ~
for the Town of Queensbury �c
Building and Zoning Inspector ti/1
Jown O;f ? ueen3Duril Permit :.19
BUILDING and ZONING DEPARTMENT Permit. Expires 19 TOWN OF QUEENS3la?Y
ay? and Haviland Road, R.D. 1 Box 98 Zoning Designation D M 1 IdU
Q.ueensbury, New York 12801 •_Variance. No: -• • • . D
. Site. Plan•Review- d.. FEB [._ 1989
•
J Approved0: BUILDING do CODEDEPT.
..:-APPLICATIAN FOR: . ii,:� 1 j 1
BUILDING' AND ,ZONIN• G•.PPERMIT `' Fee ep
e * * * • * ..* *. * * :4 .* * .*:,a;,*:. *`-* *::,;.*., * * * * * * * * * * * * * * * * * ::-*
A PERMIT MUST BE OBTAINED BEFOREBEGINNiNG CONSTRUCTION., ANSWER ALL OF,THE FOLLOWING.
The undersigned hereby applies for a Building Permit to...do the following work which will
3, done in accordance with the description, •plans-and ,specifications ,submitted, and such
?ecial conditions as may be indicated on the: Permit.: • . . .. , . .
ae owner of this property is: Ma#u1.'lo Brothers-builders". Inc. '
• ` r
.0. Address j1g Rrnudvar_ Svhpne ted„_ Keg . ',' , • - Tel.17h_iOSR
:operty Location: Lot #/�1- �.._, /' Tax Map No. / /
Street, n er or .building :lot number
..bdivision name .(if applicable) :Qgeensgbury Forest
:52 PERSON RESPONSIBLE FOR SUPERVISION :OP WORK AS�'REGGARDS :1BUILDING CODES IS:
lsullo Brotbes.;.BD,iiders 11.C• 3049.$rpadvay.,:Scshenectad r j. New York 518-370-1058
' Name P.O. Address • - Tel. No..
'.:ne''of.builder .Same... Address Same as Abobe ' Tel. Sams
pine"of plumber?gB mu/Am _ • Address 88 Newtce Stree Albany.N.Y. Tel
:me- of mason r aza Address ' Sage- • - ` . , Tel. sa.re
'tTURE OF PROPOSED WORK: * • `ZONING INFORMATION:
J�Construction of a new;building ... ..* A:PLOT PLAN MUST`; BE PREPARED AND SUBMITTED,
A.ddit .on to a building;,- •' * drawn.reasonably ;to scale and attached hereto,
Alteration .to. a building - • '-*.showing'clearly`and••'distinctly all buildings,
(no:change'to exterior dimensions) * whether; existing:tor proposed and indicate.all
Other 'work (describe) • • * set-back.dimerisi'ons from property lines. Give
* street :and`-number,:or`lot number and indicate
?A DEMOLITION ,PERMIT, STATE SIZE AND » whether.interiorr' or:.corner lot. Show location
CATION OF STRUCTURES AFFECTED. ! of water` supply=:and, location,.and configuration
• of: septic. .disposal� area..
* COMPLETE INFORMATION REQUIRED BELOW.
. * Size of property.- /60 .` f t X /3 o f t. ..
• . * Existing; building(s)',Size ft X ft.
. '.POSED BUILDING AND USE:• ` •
w
S�'-,8ter '1 : Existing• building;(s)<;Use
.:ce of new structure si . *ft X NS ft
_undation-pier/slab/crawl/partial tOIDI * 'Proposed:. building; a'istance from property line '
• (circle one) :- '� See`'Attadied .'
. of stories (habitable space) .2 * Front. yard • Plan ,•ft •Rear yard ft -•
.ight (grade to ridge) 2Y *: Side yards '.• . -• - .�, ;::ft and , ft
residential, no. of families. • • •1 * If on corner,_ setback.;:from.side street ft
• - . of rooms(excluding baths) ' * ' OCCUPANCY: INFORMATION
. of bedrooms it 4f *
. of bathrooms lif * PRIMARY BUILDING -
-imary heating system_ p�,�.R�� * .�LOne family dwelling':
ze of fuel Electric - . , * Two family dwelling
. of fireplaces to be installed' * dwelling;Multiple dwelng.'/:Number of units
!i a wood stove .be,installed? ,,� * Permanent occupancy •
.tral Air conditioning?' yes * Transient occupancy
Business
. I.LDING STYLE,' PRIMARY STRUCTURE • * Industrial
. 3ch Contemporary Log cabin • * Other'
sed ranch) * If addition,. what :will use be?
Mansion Duplex
. ;lit :level Old 'style Bungalow • * '
. .oe Cod Cottage . .Other.friltjAti) ,1 w ACCESSORY BUILDING
Rbw -Town House - w. Detached garage/one' Car/ two car/ c a r
( .CIRCLE ONE PLEASE ) * X Attached. garage/one car/ two car/ car
* * * * * * * * -* * * *" * * •
3TIMATED MARKET VALUE OF Private storage building
%NSTRUCTION "_ * Other
$te_ . 4.
trORMATION ON BUILDING .,SPECIFICATIONS, ON REVERSE 'SIDE OF THIS SHEET, TO BE COMPLETED!
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BUILDING SPECIFICATIONS:,
Type of construction,. wood frame, fire safe,etc. ibod Frax
Will' any second-hand or ungraded lumber be used?' If so, for what? rb
Foundation wall material Fou ea ate Thickness_ 8" & 10"
Depth or foundatIcn below grade (to bottom, of footing) 74"
will there be a cellar? Heated or unheated? Floor sq. footage llt05liacsq ft
will; there be a basement? "a C Will any portion be:used as living space? y ,c 6,3 c r,
(If so, what portion? __sq•ft• - - Type of use?
Type of.roof - sloped/flat/shed/other _ Material.of roof Asphalt Shingles
Size, wood studs 2 ."X 6 " spacing 24 "o,o. length a ft.
;.'oats(floor beams) 1st.t r 2' "X • to " spacing 16 "o.c. span 14 f t.
Joists(floor beams) 2nd. floor 2 "X 10 " spacing . 16 "o.c. .span 14 ft.
overlays(ceiling beans) __"X " spacing'... "o.c. span _ ft.
Roof rafters "X " spacing . o.c. span .ft.
Roof trusses(pre-engineered) spacing 24 "o.c. span -ft.
Exterior wall finish Alumina . Of what material?
Interior wall finish 4" sheetrock- Painted
If, a garage is to be attached, describe materials to be 'used for FIRE SEPARATION:
"FireOcde
Is there to be an opening between garage'and dwelling? Yes If so will a Fire-rated
door, enclosure, and self-closing device be provided? Yes
Will a flue-lined chimney:be installed? yew . • Height above roof 9 ft.
Depth of chimney foundation below grade 70" ft." ''
Depth of `fireplace hearth - ft. 8 in. . .' '
Water supply -1 Municipal or private well t(ni. pal '.
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ft.
(A separate, application is necessary for'any, repair or new installation of septic system)
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
county of Warren
I swear that to, the best of my knowledge' and belief the statements contained
'n this application, ttogether with the plans and specifications submitted, are a true and
comp;ete statement of all proposed work to be 'donelon'the described premises and that all
2rovisions„of the BUILDING CODE, THE ZONING ORDINANCE;. and all other laws pertaining to
}'ha proposed work shall be complied with, .whether specified or not, and that such, work is
authorized by the owner. : •
SWORN:TO BEFORE ME THIS • - •'Signatur4 ,.Zs1re.
.Owner, owner's agent,arcnizect,,contractor
day of - 19
• , 1 •
_'ot?.ry Public, Warren County, N.Y.
* * * * * * * * * * .* :* * * * * * * * * * * * * * * * * * * * * * * *,-* * * * a * * * * * *
0-SPECIAL CONDITIONS OF THE PERMITS
.. ::t. =
• r By
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APPLICATION FOR SEPTIC.DISPOSAL PERMIT
DATE
LOCATION OF PROPERTY FOR INSTALLATION 3.
Owner's Name: 0,,c�l� Telephone: _ 37d
Address: 30Y9 xj-e4‘,w 7 V7 //Y /�3aC.
Installer's Name: $42 e_. Telephone: , 37a.—to ,Sde
Number of bedrooms (residential only) V
Total daily flow (compute @ 150 gal per bedroom) ..6"o 6
Topography: circle one:(Rolling Steep Slope % of slope
Soil Nature: circle one Sand Loam Clay Other / Depth: _ feet
Ground Water: At what depth? Sri///- . feet '
Bedrock or Impervious Material: At'what depth? _ //.4 feet
Percolation test: -circle one: of required required /rate min. inch. '
Domestic water supply: circle on . Municipal Well Other .
IF domestic water supply is a Well:
Separation: Watersupply from.Septic absorption feet.
PROPOSED SYSTEM: Septic Tank /20O_gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench S'o feet / Total system length ',S0 feet
SEEPAGE PIT(S): Number of ' .' / Size each feet by feet '
Size of stone to beused # . / Depth or Thickness ' ' feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT.TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * *-* * * * * * * * * * * * * * *
(over)
Section II Septic System Inspections;
A. All applications for septic system installation, alteration or repair, as
required by the Town of-Queensbury Sanitary Sewage Ordinance, shall.
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing: .
1.) the proposed location:of the system. . .
2.) location and distance to lot lines
3.) location and distance to structures
4.) location and distance to any water supply . .
5.) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywells
B. No system shall be covered before inspection and approval by the building
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a.fine of up to $250.00.
C. An approved copy of the plot plan.shall:be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an•approved.system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
•
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person:
Date: -
•
•
Town.of Queensbury
Building and Code.Department
Bay at Haviland Road . -
Queensbury, New York 12801
(518) 792-5832
-;45i10..0 gk g4AXfigIngi
WARREN COUNTY, NEW YORK
Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
• STATE ENERGY CONSERVATION CODE.
A permit must be obtained before beginning work .
ANSWER ALL of the following: .
1. Gross floor area igno Sq. Ft.
2 . Type of heat KlectrieWACFWv
3 . Is the building mechanically cooled? YES
4 . Percentage of area of windows and doors 1470
A. Over 16% Only
• 1. U value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions See Attarhed
2. Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
1. If YES, what is the •R value? R-13
3. Slab on grade YES itro
a. If YES, what is the R value of insulation around
perimeter of floor?
4. Is basement heated? YES CO
a. R value of insulation
5. Type of insulation Fiberglass
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls '
3.. R value of glazed area
• '
4. R, value of doors
5. IR value of floors over unheated spaces
6. -R . value of slab edge insulation - unheated slab
7. R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
10. Type of insulation
C. Controls
1. Thermostat maximum heat setting 9010
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NO
a. If, YES, R value of duct installation
b. R value of duct in other areas
E. Piping Insulation
1. Size of hot water or cooling carrying agent pipe4" & 3/4 Copper
2. R value of pipe insulatiori
F. Service Water Heating
1. Performance efficiency,
2. Temperature control setting maximum
G. Fgr Swimming Pool Only
I. Maximum heating
Telephone No. 370-1058
applicant ' s signature)
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�. ' THE NEW YORK BOARD. OF FIRE UNDERWRITERS
l._
!. BUREAU OF ELECTRICITY E767,
FEEL
41 STATE STREET,ALBANY,NEW YORK 12207
Li ii4-c Date July 27,y 1988 Application No.on file 3J 1j'$j r3 p o
THIS CERTIFIES THAT s`
�• only the electrical equipment as described below and introduced by,the,ap licant named on the�aboi e.application number in the premises of o
!: M sell o B.[.o Gher3 Bui1c ers .Lnc. :. .3 tevai cor1 e I.. ;-,;3,CE;i!w:.3la:.,_ ,. Let:y,/ a.;.=.31 ��
one family uwe`�1
�' carageouts de 121
in the following location; ❑ Basement ® 1st Fl. ❑ 2nd Fl. Section Block Lot o
-1; 7-3 t__ £:i
was examined on and found to be in compliance with the requirements of this Board. o
R
17. ►P�; FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS R
1 OUTLETS ECEPTACLES SWITCHES MFMyACURr
�, INCANDESCENT.FLUORESCENT AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
4 - DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ca
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
F c471. 1 dt yc�.. '' .O � ...
SERVICE DISCONNECT NO.OF S E R V I C E
AMT. AMP. TYPE METER 1.,2W 1 0 3W 3 0 3W 3 0 4W NO.OF CC.COND. A.W.CO.
NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G.
EQUIP. PER B OF CC.COND.. OF HI-LEG OF NEUTRAL
2001 cb 1 ntr 4/0 2/0
OTHER APPARATUS: p
ui
2-imoke ecitecto .
•
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De Arco & Naster'o •
s; c.henec t dy, Ny 12303 BRANCH MANAGER
Per -- L..r
44; This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ':
tiC-4(Ys(-iti-ie isi'iwriii 4iYAK..i•i-i•YYiif is 4i—iii-j-cielelt- 4i—it-eerie--4- iiC•joi-j lsi-i• n 0 II II ® II 0 ® ® ftliflifilillinlin ® 0 0 0 • •.'4C;•; 5.r-�-.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
awn of Queeni4urcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
/174UILDING INSPECTOR '_S REPORT
NAME 7 i7st, �62 SGd
LOCATION q k)g;u-J
Date -,j /fe Permit No. 411-- )
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches -
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproof' g
Door Closers
Smoke Detecto4 s
Chimney
£ULATION:
Foundation
Floors
Walls /2- % 1 1✓`
Ceiling F- ao t,/
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
e
Next scheduled inspection (call when ready)
Remarks-
07//:/'
BuildingInspect r
6/86 and-vl
cc77 //
\ti awn of Queeni ur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
c\o
BUILDING INSPECTOR ' S REPORT
NAME -1\(\doucaao tasafixo
LOCATION 3 ZJO (
Date / -5 Permit No.< —3d
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim /j
Stairs & Railings L/
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures )/
Gar. Fireproofing •
Door Closers
Smoke Detectors V
Chimney
INSULATION:
Foundation •
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
rI RIVEWAY APPROVAL /
t\nal Building Survey j
��
�/ /
Next scheduled inspection (call when ready)
Remarks-
C"./4
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'fr (
Building Inspector
6/86 and-vl
Jotvn o/ Queensburty
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCATION A 6-/%7
DATE 2-4 / op PERMIT NO. fir-. rfli
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch _
TYPE of SYSTEM:
Absorption field, total length /
Length of each ench
Depth of trenche
Size of gravel
SEEPAGE PITS4Number of)
Size- ft. X _ t.
Gravel size
PIPING: S: e Type
Bldg. to tank
Tank to dist. box
Dist. box to field/p't
Openings sealed? S N0 Partial
LOCATION/SEPARATI.. S:
Foundation to tan t.
Foundation to ab•.orption _ 't.
Absorption to 1. line f, .
Separation of p is ft
LOCATION OF SYS EM ON PROPERTY(c cle one)
Front - Rear - Left side - Right •.ide -
COMMENTS:
SYSTEM USE APPROVED YEN
-1-3
tf
B `1 ' E Inspector
01/86 and vl
_/own o/ Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME .r:n,S''e:,/.i ,!!//,`jam t
u L
LOCATION Z(MjV
DATE 3.4 / . PERMIT NO. ( U. J
SOIL TYPE `-lSa - Loam - Clay -
Percolation Test Required? S - NO
Percolation rate - Min/Inc,
TYPE of SYSTEM: •
Absorption. ield, tot.• length x YZ
Length of -ea,h tren 50
Depth of tren, hes a-3
Size of gravel �_ _
SEEPAGE PITS*N ver of) _ .
Size- ft. X ft.
Gravel size "
PIPING: Size Type
Bldg. to tan'
Tank to dis . box 4( ,pert
Dist. box t. field/pit , c' 6(
Openings staled? ' NO Partial
LOCATION/•.EPARATIONS:
Foundatio, to tank lb ft.
Foundati..n to absorption ft.
Absorpti+n to lot line . tj ft.
Separation of pits ft.
LOCATION'OF SYSTEM ON PROPER' Y(cir.cle one) •
Front - Rear - Left sideKieht side
COMMENTS:
•
.
r.o / D03 1- /L-; -/1
SYSTEM USE APPROVED YES Id� r.
•
Bui ding nspector
01/86 and vl
4,0 9
Jown of Qur,
I I ' O BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME /,/J� �(o A0;5`rPs
LOCATION g _ /Ja„ v"'
Dates 3 /5 Permit No. pi 30
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Baskfill
L.P�faming ✓
Roofing
Siding
Masonry Vene-r
ough Plumbi g 4'c.tn,Jd/l
Relief Valves
Ext. Porches
Finished Floor.
Interior Trim
Stairs & Railinss
Cellar Drain Til:
Concrete Floors
Plbg. Fixtures
Gar. Fireproofin,,
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL /
Final Building Survey /
Next scheduled inspection (call when ready)
Remarks- J a i try? 41;iA,7 kir,f4.496)
B ' ding Inspector
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�� own oi Queen36ur,
BUILDING and ZONING DEPARTMENT
Ba and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
/61); /
BUILDING INSPECTOR ' S REPORT
NAME ,' 2' 7a_de ar)
LOCATION 3 �9a_, v,
Date -/ / FT Permit No. ff�50
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
-Pssundation ✓
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railin.s
Cellar Drain T. e
Concrete Floor
Plbg. Fixture_
Gar. Firepro'.fing
Door Closer-
Smoke Dete.tors
Chimney
INSULATIOP:
Foundati.
Floors
Walls
Ceiling -FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
•
Bui di g Inspector
6/86 and-vl •
fife.,,6pd961:6;
Down of QUeen i U r y
ivi ya I BUILDING and ZONING DEPARTMENT
(II
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORTf
NAME `/ 1/4 4 // �
iC�
LOCATION c3 �al/.. e -7L
Date 4Y-7pf/11- Permit No. ,!if-
✓ = APPROVED - YES . NO
ooting/Pier Forms
Foundation /
Waterproofing
•
Backfill
Framing
Roofing
Siding
Masonry Venee'
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproof ng '
Door Closers
Smoke Detec •rs
Chimney
INSULATIO :
Foundation
Floors
Walls
Ceilifg
•
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
IT�f i t iZ F& ;-- 4)4
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Building In pec or
6/86 and-vl
•
NEW 'YORE: STATE 1 ' dtk T?Liu
ENERGY CONSERVATION 'CONSTRUCTION CODE
PART 6 WORKSHEET
THERMAL RATING METHOD
ONE- AND TWO-FAMILY BUILDINGS •
-+ GROSS FLOOR AREA 1'94I 6 .
BUILDING ���� •�3 �� C�
ADDRESS 2
• NUMBER OF STORIES '
DEGREE• DAYS • 9000
- CONTRACTOR, ARCHITECT-OR ENGINEER MASULLO 13410S 130/L1)I,u`
. 3949 BRo,4DIvAY
• . NFNK7ADY., N Y: 1230-4
. . . TELEPHONE 3)0-Io
if th's building does not meet•the follcwing -ore-qualifying -
conditions, Part 6 of the Energy Code may not be used. '
YES NO
J Building is one- or two-family residential . -
J Building is detached.
1 • ' Building , is less than 5,000 gross square feet. •
Building is three stories or less in height,-
_ • Entrance-doors have a storm door •
or• certified U value of .40 or less.
' Glazing area/gross wall area is equal to or .
less than: • • - .
- .24Z if 5,000 degree days
- 23% if 6,000 degree days
207 'if 7,000 degree days
187. if 8,000 degree days
167. if 9,000 degree days
If all of the above-conditions -are not met, either PART 3, •
PART 4 -or PART 5 of the Energy Code must be used. -
•
DIRECTIONS: For each component of the proposed building design enter the ,
design information requested such as.: Areas, "U" or. "R" Values.
• Additional lines are provided for designs with more than one component
construction type. Obtain thermal ratings. for each item .by. consulting . .
• the appropriate Tables.
•
A. ROOF/CEILING Obtain Thermal Ratings from Table 6-1, •
6-2, 6=1E •or 6-2E depending upon degree
days and .heating type.
Area: I289 • U-Value: ,�33
+7
Square Ft. Thermal Rating
Area: . U-Value:
Square Ft. . Thermal Rating
•
B. NET WALLS • Obtain Thermal Ratings from Table 6-1 .or •
6-1E depending upon heating type.
Area: I ) 6 • U-Value: D4S
Square Ft. 'Thermal Rating
•
Area:. U—Value: . •
Square Ft. • Thermal Rating
Note: Net Wall Area =. Gross Wall .Area minus Basement/Cellar
Walls, Glazing Areas and Door Areas.
•
C. GLAZING Obtain Thermal Ratings from Table 6-3 or
6-3E depending upon heating type. •
. •WINDOWS . .
' Area of Glazing: / Y q U-Value: % f •
Square Ft. Thermal Rating
•
Area of Glazing: U-Value: '
Square, Ft. Thermal. Rating -
SKYLIGHTS
Area of Glazing: • • U-Value: .
Square Ft. - Thermal Rating
ti
Dl. FLOORS Obtain-Thermal- Ratings from Table 6-1,
6-1E or 6-4E depending upon degree days
and heating type.
Floor Area:. ' _ U-Value: ►VA .
Sq. Ft. :. Thermal Rating
•
•
. D2. BASEMENT/CELLAR WALLS Obtain Thermal .Ratings .from
Table 6-4, 6-5, 6-6 or 6-5E
depending upon .degree.days
and• heating type.
Wall Perimeter:
- Linear Feet •
. -
Exposure Above Grade: 4
• Feet
U.-Value of Wall: C'Ea
Depth of Wall U-Value
Below Grade: �"?`;+ •• • - v-2Z
Inches Thermal Rating
Vote: Use the above grade. 0-Value of the wall. The Thermal
Rating Tables have been designed to, take into account the
insulating effect of the earth:
•
• D3. SLAB INSULATION Obtain Thermal Ratings from Table 6-7
or 6-6E depending upon heating type. .
Slab, Perimeter: • .
- Linear Feet
,Insulation R-Value: . • WA
Thermal Rating
•
•
E. INFILTRATION CONTROL Obtain Thermal Ratings from Table 6-8
or 6-7.E .depending upon heating. type.
• If the building does not meet 'the following conditions,
enter NA (Nct Applicable) for Thermal.. Rating. •
YES NO
All windows have an air leakage rate of 0.35 'cfm
or less per linear'foot of operable sash crack;
All net wall areas have an infiltration barrier;
• • • and
•
A heat recovery ventilator, which transfers heat
' between the outgoing airstream and the airstream
• entering from the outside, is installed.
• Conditioned Floor Area: N
(Shall not include Square Ft. Thermal Rating
• basement/cellar floor area)
•
• - F. SOUTH FACING GLAZING Obtain Thermal Ratings from Table 6-9
or 6-8E depending upon heating type.
•
IF the building does not meet the fol i0wirig. conditions, •
•
enter NA (Not Applicable) for Thermal' Rating.
•
YES NO
•
° The building is no. less than. l,250 square feet in
conditioned floor area;
At least 45 percent of all glazing faces within
30 degrees of true south; • •
All glazed areas in buildings are no more than
•
• U(glazing) = 0.58;
South facing glazed areas are free of any site.
obstructions during the heating season; and ,
An area of four—inch thick concrete or masonry
is exposed to direct sunlight from south facing •
• glazing.' The area of this concrete or masonry .
shall be no less than three times the area of
• south facing glazing. .
Conditioned
South Glass/Total Glass: 7. Floor Area: Square Ft.
(See Above) •
Glass Area/Gross Wall Area: 7 IV
Thermal Rating
a '
SUMMARY OF TOTAL THERMAL RATING
. • If the. Total Thermal Rating i.s .zei.:o i0) or greater;1*.the' Propoied
design for the building envelope complies with the Energy Code®
THERMAL TABLE
• AREA U-VALUE RATING USED
A. ROOF/CEILING Type • 12 (1 t133 6-r2,
• Type 2 •
B. NET WALLS Type. 1 • v116, . .646- 6-1
Type 2
C. GLAZING • • • • 1A- r, . „, . . .
Window Type 1 - Kin
• • Window Type 2
Skylights
•
. • Dl . FLOORS
D2; BASEMENT/CELLAR WALLS 1
Wall Perimeter [10 Feet
Exposure Akve Grade A Feet -
. Wall U-Value 46.
• Depth of Wall U-Value
Below Grade 4 Inches +22 6-6 •
. D3. SLAB INSULATION
Slab• ' Perimeter Feet'
• Insulation R-Value
E. INFILTRATION CONTROL • . •
Conditioned Floor Area • Sq. Ft. IV/1 •
F. SOUTH FACING GLAZING • •
South Glass/Total Glass Percent • • •
Gl . Area/Gross Wall Area Percent
Conditioned Floor Area Sq. Ft.
•
TOTAL THERMAL RATING 43c)
•
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