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2011-217 TOWN OF QUEENSBURY 742 Bay Road,,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE. 'O.F OCCUPANCY Permit Number: P20110217 Date.Issued: Monday, June 04, 2012 This is to certify that work requested to be done as shown by Permit Number p20110217 has been completed. Location: 500 LUZERNE Rd Tax Map Number: 523400-308-006-0002-018-000=0000 Owner: DAVID A HOWARD Applicant: DAVID A HOWARD This structure may be occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan,Variance, or' other issues and conditions as a result of approvals by the Planning Board Director o uil ing&Code rce t or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20110217 Application Number: A20110217 Tax Map No: 523400-308-006-0002-018-000-0000 Permission is hereby granted to: DAVID A HOWARD For property located at. 500 LUZERNE Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. T_vye of Construction Value Owner.Address: 'DAVID.A HOWARD Fireplace 470 W MOUNTAIN Rd Garage Attached QUEENSBURY,NY 12804-0000 Single Family Dwelling $200,600.00 Total Value $200,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-217 2216 sq ft single family dwelling& 800 sq ft garage with 2 fireplaces $563.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,June 09,2012 (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 To TF .4r a June 09,2011. SIGNED BY A for the Town of Queensbury. urY• Director of Building&Code Enforcement OFFICE USE ONLY ......................... pp�� p� 2 TAX M ;L�, � Q V .L571) AP N0. PERMIT NO. � � D r �a - ; FEES: PERMIT E�J RECREATION ENGINEERING ; MAY .2 Q 20:11 ' r , .. =t�. (If applicable) ' r r , -TO OF-QUEENSBWAY-- PRINCIPAL STRUCTUR BUILDING&CODES APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: OWNER: � � ADDRESS: ADDRESS: PHONE NOS._ PHONE NOS. CONTACT PERSON FOR BUILDING &CODES COMPLIANCE:� azzte PHONE: LOCATION OF PROPERTY: 5-00 / HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES ENO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: - PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z 0 C1 PROJECT O ¢ O O U o w u) I_ O I- W O —1 u- u-W = = V oU) � UZz Q � Z 0LL O w2 1- u- n. 20 SINGLE FAMILY r,cs� 40 0 a/0/0, ® ' TWO-FAMILY MULTI-FAMILY (NO. of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE- FACTORY OR INDUSTRIAL ATTACHED l� GARAGE(1,2,3) OTHER IF COMMERCIAL OR INDUSTRIAL— NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST:_ '� �'�>® FUEL TYPE: "I e0l B 3-LGL 11-05 i ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? _ f ''ARE-l'HERE:EASEMENTS ON PROPERTY? I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a.true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes; local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the sed- y. facilities propo ;, I or m agents will obtain a certificate of occupancy. I also understand that I/we areequired to provide an as survey by,a licensed land surveyor of all newly construc4ted-°facilities prior to issuance of a certificate of occupancy. I have read and ag o the ab e. , Signed Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) Permission is hereby granted to the above ; This application /proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said , zoning Laws of the Town of Queensbury. o Application: 0 0 , , BUILDING & CODES APPROVAL ZONING APPROVAL01 11 o DATE ' DATE QUESTIONS? CALL 761-8256 OR EMAIL Office Use Only codes(aD_gueensbury net VISIT OUR WEBSITE FOR MORE INFORMATION OFFICE USE ONLY ; TAX MAP NO. PERMIT NO. PERMIT FEE ' APPROVALS: ZONING TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. OWNER: �lLy,�• (�� INSTALLER: �illlr ADDRESS: 1 � ADDRESS: PHONE NOS. -?jZ�� PHONE NOS. LOCATION OF INSTALLATION: 7 �G NO.OF RESIDENCE INFORMATION: BEDROOMS YEAR BUILT X COMPUTATION= = TOTAL DAILY FLOW GARBAGE GRINDER 1980 or older X 150 gallon per bedroom = INSTALLED? 1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB 1992-present X 110 gallon per bedroom = INSTALLED? ,/ PARCEL INFORMATION: ✓ TOPOGRAPHY: Flat rolling Steep slope '%Slope ✓ SOIL NATURE: Sand Loam Clay Other ✓ GROUNDWATER: At what depth? ✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth? ✓ DOMESTIC WATER SUPLY: Municipal r Well (If well: Water supply from any septic system absorption is ft.) ✓ PERCOLATION TEST: Rate is minutes per inch [MPI] (Test to be completed by a licensed professional engineer or architect.) 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. TANK SIZE: 120 GALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tuba SYSTEM TYPE: L1� ABSORPTION FIELD.(WITH NO. 2 STONE) Total length S�ft. Each trench�_X ❑ SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size? ❑ ALTERNATIVE SYSTEM Bed or other type? ❑ HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? .................. ...........,..,.,.,.,.,....,.:.,.,.,.:.,.:.:.......:...:...:.:.::.:.:...:.:...:...:.:...:.:.:.::::.,.,.,...:.....:..,...,...:.:.,.:.,.,...:....:.,........,,.,.,.:.,.:.:.:.::...,:.:.:.,.:.,.,.....,.:.:.:.,.,.:.,.,::.::.,.,.,.,.:.:.::.,.,.,.,.:.......,.:...:...,.:.:.:.,.,.,.:.:..:...:...:.:....._..................... NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. 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. Fire Alf11"ShflPSt.?tfFi/_' -. .-. .. . . .. _ . _ . _� ,s.._^'^; �'--v r o rr Ot Qu r �f';r+ '?-_j i, ! ;� + 7 r[- , - V r- r,'! C1IRe: �c; rrvt 'mire:".art„;t;ti 8r1i-5 i i!tr;n. -' r ire vA —, APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to the Building&Codes Office for the issuance of a Building & Use Permit pursuant to the New York State Fire Prevention &Building Code. The applicant or owner agrees to comply with all applicable laws,ordinances,regulations, and all conditions that are part of these requirements and also-will allow all inspectors to enter premises to perform required inspections. IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED OWNER: D.,.,,; (g ty. &.,,,_a_J INSTALLER/BUILDER: ADDRESS: �I` 0 Is.�4 �� _ _ ADDRESS: PHONE NOS- �/��- C1�j� A PHONE NOS. LOCATION OF PROPERTY: l.gLt,—v, t /C SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: 1;, CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: d'-d (✓ p, _EY—PHONE: FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT FIREPLACE, FACTORY BUILT* FIREPLACE,MASONRY FURNACE{GARAGE ONLY) *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: a i Z.5IF MODEL NOr��+�/d3� C7 LISTED BY: NUMBER: QUESTIONS ? CALL 761-8205 or 761-8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: MASONRY" CHECK ONE V131T OUR WEBSITE TILE STEEL SIZE IN FOR MORE INFORMATION INCHES r:Y�•,%W.a U e>nsbo.r l.nee FLUE CHECK ONE ✓ DOUBLE CHIMNEY WALL TRIPLE WALL INSULATED DIRECT VENT LINER CHIMNEY MATERIAL CHECKONE ✓ f **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. . Towiz of'Qrceenshr.u-i% Michael F. Travis Highway Ilia>Invgy Szgwrinteiidew Hone: (518) 798-0413 Department 742 Bay Road Quecnsbury,NY 12804 Thomas R. Vanness Deputy Superintendent Office Phone: (518) 701-8211 Home (518j ?45-0929 Fax: (518) 745-4466 DRIVEWAY PERMIT ►vww.queensbury.net DATE: 47111 APPLICANT NAME: �c- TELEPHONE NO.: _711 ADDRESS TO BE INSPECTED: Cr�asrne— •++�� , RETURN ADDRESS: z�7l� Lyc�� n �1J f..VJy Ny/Z Applicant must show exact location and width of driveway(s) to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: STEP 1: (4) Preliminary Approval NEED: ( ) Slight swale ( ) Deep swale (X) Level with the road ( ) Level with the top of the paved wing Size culvert pipe to be used (if necessary) ( )12" ( )15" ( )18" ( )24" ( )36„ Preliminary inspection completed by: Date: Approval by Highway Supt: Deputy Supt: Upon completion, please resubmit this approved permit for a final approval. STEP 2: ( ) Final Approval ( ) Rejected Date: Michael F. Travis, Highway Superintendent Thomas R. Van Ness, Deputy Highway Superintendent Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: NAME: LOCATION: PERMIT Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the survey has een: 0 1 C own, Zoning Administrator Notes: �OLU L:\.SueHemingway\Building.Codes.Inspection.FORMS\Fina1 Survey Zoning Administrator.doe LN-,7 - I I GZ aiVO. p-L— /if Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/pm De art:2 �� am/pm Date Inspection requests received: Inspector's Initials: NAME: T l c� PERMIT#: at C Zl " LOCATION: — DATE: TYPE OF STRUCTURE: Comments: Yes No N/A 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more �1 Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall �� Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant � , ➢ ,� Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft:150 s .ft.vents Bathroom Fans,if no window " ccfl Plumbing fixtures Foundation insulation/Insulation Certification/Sticker on Panel Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below 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 Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'/"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/O Temporary/Permanent LABuilding&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08;Revised 12/22/10 y Town of Queensbury Fire Marshal 742 Bay Road f' Queensbury,NY 12804 , 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacture ; instructions or specifications is allowed. Permit# bV - Schedule Inspection LJ / / 7Time am pm anytime Inspector Name_ , Cif d— Address � �L�t�-E�,/ !-� Rough In_Final Appliance Manu a cturer Model#� � � Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination / Chimney height must be 3 feet above roof / penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel / Height above f/p opening Witness Operation Tank Placement(if LP) CO Detection CSST Bonding White—Building Dept. Yello —Cust mer Pink—Fire Marshal Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/pDepart:Z3Dam/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: LOCATION: DATE: _ iWIJ TYPE OF STRUCTURE: Comments- Ye No N/A 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake VA 3 inch Plumbing Vent through roof minimum 18 inches % Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more V &/ 091 / Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches h /✓ _/ 1 Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet v/J/ 6 inch clearance to sill plate U Gas Valve shut-off exposed/regulator 18 inches above grade t Interior privacy/trim/doors!main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Wi dow in stairwells safety in Interior Smoke D ectors/Carbon 4onoxidA Detectors Every level: V Eve/q Bedro m: 1 Outside every bedroom a: '� `�' '� �`'l�v►�lti Inter Connected: Battery backu Attic access 30 inches x 22 inches x 30 inches(height)in accessible area b Crawl Spaces 18 inch x 24 inch access,1 s .ft:150 s .ft.vents Bathroom Fans if no window Plumbing fixtures Foundation insulation to floor/Sticker on Panel Duct work sealed properly/Blower Door Test Certification y Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Fumace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Vr Enclosed Stairs Sheetrock Underside minimum W Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving Light Bulbs 50% Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof.Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/O Temporary/Permanent LABuilding&Codes FormslBuilding&Codesllnspection FormslResidential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08; Revised 12122/10,Revised 04/13/11 v 1 Town of Queensbury Fire Marshal U 742 Bay Road Queensbury,NY 12804 ,- 761-8205/761-8206 /Cl fax 745-4437 (� Factory Built Gas Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. KamPermit# GKU!II -J17 Schedule Inspection ' J6 1�- Time pm anytime Inspector Name b• 4ktoacdAddress fob 46(�L`�il`/�P Rough In_Final Appliance curer D " � � -- Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration __I/ Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening 10 Witness Operation Tank Placement(if LP) CO Detection + CSST Bonding White—Building Dept. Yello —Cust mer Pink—Fire Marshal Queensbury Building & Code Enforcbment - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/pm De jL am/pm Date Inspection request received: Inspector's Initials: NAME: 1, PERMIT#: ��— LOCATION: -� 2_C DATE: TYPE OF STRUCTURE: Comments: Yes NoF N/A 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant �— Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate b Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazinq/Win ow in stairwells safety glazing Interior Smoke De ctors/Carbon Monoxid Detectors Every level: V EAafterv Bedro�lrrr: Outside every bedroom : dd ;t Inter Connected: backup: L ", Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification/Sticker on Panel Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site --� Oil Furnace shut-off at entrance to furnace area ��,rt cv �6 Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'/"Gypsum ( �_ Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properlyl Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan + Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C 10 Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08; Revised 12/22/10 Rough Plumbing 9 lnsulition n p f n Rep Office No. (518) 761-8256 Date Inspection request received: �,� Queensbury Building &Code Enforcement Arrive: am/pm art: ��,, 9 m/pm 742 Bay Road, Queensbury, NY 128.04 Inspector's Initials: NAME: PERMIT#: 1 f LOCATION. INSPECT •N: TYPE OF STRUCTURE: Y N NIA Rough Plumbing /Nail Plates Plumbing Vent I Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout eve 100 feet/change of direction Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ ad /461):S.Ijt 15 minutes Insulation/ftesidential Check/Commercial Check jyvek or milar Exterior Sealant ent, Attic Vent Door/Window Sealed No Insulation Duct I Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Repoi t.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 2- Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Dane Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart. ' C. m/pm 742 Bay Road, Queensbury, NY 128.04 Inspector's Initials: - (� ur---,T NAME: �-��,2� PERMIT #: LOCATION: 5 UU L (Zip INSPECT ON: Z TYPE OF STRUCTURE: Y N N/A Rou h Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I for 15 minutes Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If r uired unheated s aces Combustion Air Supply for Furnace Duct work sealed properly/No duct toe . COMMENTS: �JId- Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building$Code Enforcement Arrive: am/pm Depa : am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: /*0toa (_d. PERMIT* - -� . LOCATION: e. INSPECT-ON TYPE OF STRUCTURE: J s Y Framing A COMMENTS: Attic Access 22'x 3W minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jadc Posts/Main Beams Exterior sheeting nailed property 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 Yaw 16 gauge 8 16D naus each side Draft stopping 1,000 sq. ft floor trusses Ancho ft. or less on center ce and water s tell 24 inches from.wall �� y� �:J�✓4-�y�T TRFSOPIr—don 1, 2,3 hour �- Fire wall.2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch 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 LABuilding&Codes Forms=euilding&Codesftspeftn Foana7roWng FlredOpphV Inspsclion Repatdoc Revised January 7,2M Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: 1 3 �— Queensbury Building&Code Enforcement Arrive: am/pm Depart: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: - NAME: Gu PER #•MIT L LOCATION: 57w INSPECT ON: TYPE OF STRUCTURE: Y A COMMENT Frami Attic Access 22" x 30"minimum Jack Studs/Headers V r Bracing/Bridging Joist hangers v/ �► � � Jadc Posts/Main Beams Exterior sheeting nailed properly.12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing t Headroom 6 ft. 8 in. Notches/Holes!Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D naus each side Draft stopping 1,000 sq.ft.floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from.wall Fire separation 1, 2, 3 hour Fire wall.2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 518 inch Type X Garage side 5/8 inch Type X CeifinglWall 1 Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 6.0 sf grade LASuilding&Codes Fonns-OLO1Bufiding&Codeamnspewon Fom*$Fnunin8 Firotopping rnspecion Repoitdoc Revbed January 7,2008 t opection Report h Plumbing Insulat�h I Office No. (518) 761-8256 Date Inspection req Queensbury Building &Code Enforcement Arrive: � a rt: o arr 742 Bay Road, Queensbury, NY 128.04 Inspector's Initial NAME:-, PER IT#�: 1 L2 7Z LOCATIO :;' sma &nL r INSPECT ON: TYPE OF ST-fk'. "URE: ` Y IN NIA Rough Plumbing /Nail�'P.,latas Plumbing Vent/Vents,,ir ",Place 1 %inch minimum Drain:�Size WashingMachine Drain 2 inch minimum Cleanout every 100 feet/change of direction ,Pressure Test Drain/Vent Air/Head 5 P.S.I. or:10 ft. above highest connection for 15 minutes Pressure Test Water;Supply Piping Air/Head =? 50 P.S:I for f5 miriutes: Insulation/Residential''Check/Commercial Check Tyvek or Similar-Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No;linsuiation Duct/Hot.Water`Piping Insulatioii,� 4 If requii6d unheated Combustion Air Supply for Furnace Duct woksealed properly/No duct:to e. COMMENTS: Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 II Framing / Firestopping Inspection Report =�0 Once No. (518)761-8256 Date Inspection request rrece,ved: 30 Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: b-AVbUL� PERMIT LOCATION: 500 Lu INSPECT ON: of G TYPE OF STRUCTURE: Y N/A COMMENTS: Framing Attic Access 22"x 30' minimum 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 Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D naus each side Draft stopping 1,000 sq.ft.floor trusses Anchor Botts 6 Ice and water shield 24 inches from.wa Fire separation 1, 2, 3 hour Fire wall.2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side's Inch or 518 inch Type X Garage side 5/8 inch Type X Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Uaulldng&Codes Foens-OLOWull ft&CodwVnspedfon FormTr ong Flm t Wng Inspeow Repoldoc RGVbW January 7,2= Septic Inspection Report Office No. (518)761-8256 Date In11nifflia . ece' Queensbury Building&Code Enforcement Arrive: a 742 Bay Rd., Quee ry, NY 12804 InspectNAME: � NO.: LOCATION: h T ON: RECHECK: Comments and/or diagram Soil T /Clay Ty of Water: ter Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' +/- Y N N/A 150'to well required if NO Absorption Field: Total length ft. Length of each trench ft. Depth of trenches Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Tvoe Building to tank i 0 Tank to Distribution Box Distribution Box to Field Pit Lt WC oc-- Opening Sealed: _ N End Ca N Inlet/Outlet Pipes&'Baffles N Manholes 12"or less below grade [provide extension collar if Yes Y Location Separations Foundation to tank ft. Foundation to absorption Separation of Pits Conforms as per PI o an Y Engineer Report an As-B it Y � ETU Maintenanc _Y_N O provided Location of System on Property: FronVRear Left Side Rig t Sid dd a Fi� ront Middle Rear stem Use ed Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved L:\Pam Whiting\2010\15uilding Codes Forms\lnspecdon Forms\Septic Inspection ReporL03 2910.doc Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: _ / LOCATION: ,'1 t INSPECT ON: TYPE OF STRUCTURE: Comm n Y N NA 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 Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width es above footing mil for wet areas under slab Backfill A roval Plum ' nder Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior Rough Grade 6 inch drop within 10 ft. U\Bullding&Codes Forms\Building&Codes\Inspection Forms\Foundatlon Inspection Reportdoc Last printed 12/20/2005 9:24:00 AM elation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: , am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comm Y N NA nFoogs 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 pEMse on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation 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:\Buliding&Codes Forms\Building&Codes\Tnspecbton Forms\FoundWon Inspectlon Report.doc Last printed 12/20/2005 9:24:00 AM RAJNY %oonsulfing, LLC 69 Hayden Point Loop Diamond Point, NY 12824 518 221-3240 05/30/2012 DavidA..and Dianne:M-Howard_Construction Co. 470 West,Mountain.Road Queensbur34 NY 12804 'Inspection Address:600 Lnzerne Road, Queensbury NY 12804 Report Number: 0530120 . Dear Dave: At your request, the.Blower Door Inspection. of the post construction test to verify infiltration.rate of the House as per,,requireinents of`the;NYS.2010 Energy Conservation Construction. Code of the above property'was performed" on OS/30/201.2. GRAJNY Consulting,LLC:is pleased to submit:the following report. The_following data=was.provided:l Square.Footage of the house,including conditioned basement=4,478 SF . Volume of the house,including eotiditioned basement 39 863 CF Based on above,the following test data was:collected: Infiltratign Rate.,'including conditioned basement at 50 Paseal=,3,984.CFM ACH50,Actual Changes per Hour it,50,Pascal=3,984X60/3.9863=6.0<7 The Instruments used for test were provided:by the:Energy Conservatory Digital Gauge DG-3 rated.accuracy.=f/- 1%,,calibrated`.m nimum:once per-year. Thank yowfor selecting our..company,We appreciate,the opportunity to be,of service. Please call this;office if there are anyquestioris. :. Sincerely, h 'G \ ;Stan Grainy, PE *� NI'S HERS Energy Rater BE, 41 NYS PE.065406-1 cp 4.8:£:t45_ . . . REScheck Software Version 4.4.1 Compliance Certificate Project Title: New Ranch Home Energy Code: 2010 New York Energy Conservation Construction Code Location: Warren County,New York Construction Type: Detached 1 or 2 Family Building Orientation: Bldg.faces 225 deg.from North Conditioned Floor Area: 2406 ft2 Glazing Area Percentage: 11% Heating Degree Days: 7635 Climate Zone: 6 Construction Site: Owner/Agent: Designer/Contractor: Luzerne Road David Howard Ethan P.Hall Queensbury,NY 12804 470 West Mountain Road Rucinski Hall Architecture Queensbury,NY 12804 627 Maple Ave 518-361-0714 Saratoga Springs,NY 12866 618-580-1905 ephall@nycap.rr.com performanceCompliance:-Passes using Compliance:1.9%Better Than'Code Assembly Area or R-Value R-Value or ■.. Perimeter U-Factor Ceiling 1:Raised or Energy Truss 1960 38.0 0.0 49 Ceiling 2:Raised or Energy Truss 620 38.0 0.0 16 Wall 1:Wood Frame,16"o.c. 439 21.0 0.0 15 Orientation:Front Window 1:Wood Frame:Double Pane with Low-E 136 0.320 44 SHGC:0.65 Orientation:Front Door 1:Solid 38 0.300 11 Orientation:Front Wall 2:Wood Frame,16"o.c. 68 21.0 0.0 4 Orientation:Right Side Wall 3:Wood Frame,16"o.c. 68 21.0 0.0 4 Orientation:Left Side Wall 4:Wood Frame,16"o.c. 563 21.0 0.0 31 Orientation:Right Side Window 2:Wood Frame:Double Pane with Low-E 16 0.320 5 SHGC:0.65 Orientation:Right Side Wall 5:Wood Frame,16"o.c. 698 21.0 0.0 32 Orientation:Back Window 3:Wood Frame:Double Pane with Low-E 77 0.320 25 SHGC:0.65 Orientation:Back Door 2:Glass 53 0.320 17 SHGC:0.65 Orientation:Back Wall 6:Wood Frame,16"o.c. 31 21.0 0.0 1 Orientation:Right Side Window 4:Wood Frame:Double Pane with Low-E 8 0.320 3 SHGC:0.65 Orientation:Right Side Wall 7:Wood Frame,16"o.c. 31 21.0 0.0 1 Project Title: New Ranch Home Report date: 05/05/11 Data filename:Y:\Howard Construction\Juniors 2011 Residence\Luzerne Road Residence.rck Page 1 of 7 f Orientation:Left Side Window 5:Wood Frame:Double Pane with Low-E 8 0.320 3 SHGC:0.65 Orientation:Left Side Wall 8:Wood Frame,16"o.c. 180 21.0 0.0 10 Orientation:Right Side Wall 9:Wood Frame,16"o.c. 217 21.0 0.0 11 Orientation:Left Side Window 6:Wood Frame:Double Pane with Low-E 22 0.320 7 SHGC:0.65 Orientation:Left Side Wall 10:Wood Frame,16"o.c. 259 21.0 0.0 14 Orientation:Front Door 3:Solid 18 0.300 5 Orientation:Front Wall 11:Wood Frame,16"o.c. 347 21.0 0.0 20 Orientation:Left Side Wall 12:Wood Frame,16"o.c. 448 21.0 0.0 22 Orientation:Back Window 7:Wood Frame:Double Pane with Low-E 50 0.320 16 SHGC:0.65 Orientation:Back Door 4:Glass 20 0.320 6 SHGC:0.65 Orientation:Back Wall 13:Wood Frame,16"o.c. 50 21.0 0.0 3 Orientation:Right Side Wall 14:Wood Frame,16"o.c. 50 21.0 0.0 3 Orientation:Left Side Wall 15:Wood Frame,16"o.c. 180 21.0 0.0 10 Orientation:Right Side Basement Wall 1:Solid Concrete or Masonry 390 13.0 0.0 25 Orientation:Front Wall height:8.9' Depth below grade:5.9' Insulation depth:8.5' Window 8:Wood Frame:Double Pane with Low-E 12 0.320 4 SHGC:0.65 Orientation:Front Basement Wall 2:Solid Concrete or Masonry 61 13.0 0.0 4 Orientation:Right Side Wall height:8.9' Depth below grade:5.9' Insulation depth:8.5' Basement Wall 3:Solid Concrete or Masonry 61 13.0 0.0 4 Orientation:Left Side Wall height:8.9' Depth below grade:5.9' Insulation depth:8.5' Basement Wall 4:Solid Concrete or Masonry 377 13.0 0.0 27 Orientation:Right Side Wall height:8.9' Depth below grade:5.0' Insulation depth:8.5' Window 9:Wood Frame:Double Pane with Low-E 6 0.320 2 SHGC:0.65 Orientation:Right Side Basement Wall 5:Solid Concrete or Masonry 107 13.0 0.0 8 Orientation:Back Wall height:8.9' Depth below grade:5.0' Insulation depth:8.5' Basement Wall 6:Solid Concrete or Masonry 193 13.0 0.0 14 Orientation:Left Side Wall height:8.9' Depth below grade:5.0' Project Title: New Ranch Home Report date:05/05/11 Data filename:YAHoward ConstructionWuniors 2011 Residence\Luzeme Road Residence.rck Page 2 of 7 5 Insulation depth:8.5' Window 10:Wood Frame:Double Pane with Low-E 6 0.320 2 SHGC:0.65 Orientation:Left Side Basement Wall 7:Solid Concrete or Masonry 230 13.0 0.0 15 Orientation:Front Wall height:8.9' Depth below grade:5.9' Insulation depth:8.5' Basement Wall 8:Solid Concrete or Masonry 275 13.0 0.0 18 Orientation:Left Side Wall height:8.9' Depth below grade:5.9' Insulation depth:8.5' Furnace 1:Forced Hot Air 93 AFUE Air Conditioner 1:Electric Central Air 13 SEER 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 2010 New York Energy Conservation Construction Code requirements in REScheck Version 4.4.1 and to comply wi o equirements listed in the REScheck Inspection Checklist. 11 �QD �si'H D rJ �•�hU-- ��-Gt�'IT�jr � ',�''9 �.. ._ '�G GJ I'Y1 A`f 2�11 Name-Title Si .ate` k tig;4 Date Project Title: New Ranch Home Report date: 05/05/11 Data filename:Y:\Howard Construction\Juniors 2011 Residence\Luzeme Road Residence.rck Page 3 of 7 REScheck Software Version 4.4.1 Inspection Checklist Ceilings: ❑ Ceiling 1:Raised or Energy Truss,R-38.0 cavity insulation Comments: Insulation must achieve full height over the plate lines of exterior walls. ❑ Ceiling 2:Raised or Energy Truss,R-38.0 cavity insulation Comments: Insulation must achieve full height over the plate lines of exterior walls. Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 2:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑Wall 3:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 4:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 5:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑Wall 6:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 7:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 8:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 9:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 10:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 11:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 12:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 13:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑Wall 14:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 15:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: Basement Walls: ❑ Basement Wall 1:Solid Concrete or Masonry,8.9'ht/5.9'bg/8.5'insul,R-13.0 cavity insulation Comments: Project Title: New Ranch Home Report date:05/05/11 Data filename:Y:\Howard Construction\Juniors 2011 Residence\Luzeme Road Residence.rck Page 4 of 7 ❑ Basement Wall 2:Solid Concrete or Masonry,8.9'ht/5.9'bg/8.5'insul,R-13.0 cavity insulation Comments: ❑ Basement Wall 3:Solid Concrete or Masonry,8.9'ht/5.9'bg/8.5'insul,R-13.0 cavity insulation Comments: ❑ Basement Wall 4:Solid Concrete or Masonry,8.9'ht/5.0'bg/8.5'insul,R-13.0 cavity insulation Comments: ❑ Basement Wall 5:Solid Concrete or Masonry,8.9'ht/5.0'bg/8.5'insul,R-13.0 cavity insulation Comments: ❑ Basement Wall 6:Solid Concrete or Masonry,8.9'ht/5.0'bg/8.5'insul,R-13.0 cavity insulation Comments: ❑ Basement Wall 7:Solid Concrete or Masonry,8.9'ht/5.9'bg/8.5'insul,R-13.0 cavity insulation Comments: ❑ Basement Wall 8:Solid Concrete or Masonry,8.9'ht/5.9'bg/8.5'insul,R-13.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2:Wood Frame:Double Pane with Low-E,U-factor.0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 3:Wood Frame:Double Pane with Low-E,U-factor.0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 4:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 5:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 6:Wood Frame:Double Pane with Low-E,U-factor.0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 7:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 8:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 9:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: Project Title: New Ranch Home Report date:05/05/11 Data filename:YAHoward Construction\Juniors 2011 Residence\Luzeme Road Residence.rck Page 5 of 7 #Panes Frame Type Thermal Break? Yes No Comments, ❑ Window 10:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Note:Up to 15 sq.ft.of glazed fenestration per dwelling is exempt from U-factor and SHGC requirements. Doors: ❑ Door 1:Solid,U-factor.0.300 Comments: This door is exempt from the U-factor requirement. ❑ Door 2:Glass,U-factor:0.320 Comments: ❑ Door 3:Solid,U-factor.0.300 Comments: ❑ Door 4:Glass,U-factor:0.320 Comments: Heating and Cooling Equipment: ❑ Furnace 1:Forced Hot Air.93 AFUE or higher Make and Model Number. ❑ Air Conditioner 1:Electric Central Air:13 SEER 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 are sealed. ❑ Recessed lights are either 1)Type IC rated with enclosures sealed/gasketed against leaks to the ceiling,or 2)Type IC rated and ASTM E283 labeled,or 3)installed inside an air-tight assembly with a 0.5"clearance from combustible materials and a 3"clearance from insulation. Vapor Retarder: ❑ Vapor retarder is installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors;or it has been determined that moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided. Comments: Materials Identification and Installation: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. Duct Insulation: ❑ All ducts not completely inside the building envelope are insulated to at least R-6. Duct Construction: ❑ Air handlers,filter boxes,and duct connections to flanges of air distribution system equipment or sheet metal fittings are sealed and mechanically fastened. ❑ All joints,seams,and connections are made substantially airtight with tapes,gasketing,mastics(adhesives)or other approved closure systems.Tapes and mastics are rated UL 181A or UL 181B. ❑ Building framing cavities are not used as supply ducts. ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. ❑ Additional requirements for tape sealing and metal duct crimping are included by an inspection for compliance with the International Mechanical Code. Temperature Controls: Project Title: New Ranch Home Report date: 05/05/11 Data filename:Y:\Howard Construction\Juniors 2011 Residence\Luzeme Road Residence.rck Page 6 of 7 Thermostats exist 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 is provided. Heating and Cooling Equipment Sizing: O Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. Circulating Service Hot Water Systems: Circulating service hot water pipes are insulated to R-2. Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: �.. HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-2. Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment. NOTES TO FIELD:(Building Department Use Only) Project Title: New Ranch Home Report date:05/05/11 Data filename:Y:\Howard Construction\Juniors 2011 Residence\Luzeme Road Residence.rck Page 7 of 7 —C 2010 New York Energy �(j Conservation Construction Code Certificate Insulation . Ceiling/Roof 38.00 Wall 21.00 Floor/Foundation 13.00 Ductwork(unconditioned spaces): Glass& D.. • Window 0.32 0.65 Door 0.32 0.65 CoolingHeating & Forced Hot Air Furnace 93 AFUE Electric Central Air Conditioner 13 SEER Water Heater. Name: Date: Comments: ------------------------------------, �/ OFFICE USE ONLY ' PROJECT NAME: ® ; STAFF INITIALS: ; BUILDING PERMIT SUBMISSION DATE: CHECKLIST FOR: SINGLE FAMILY DWELLING 1. E Building Permit Application Completed? YES NO 1 N /A I 2 I Energy Form or CheckMate Energy Code Compliance 1 i Forms Complete? 2-co -- ;------------p- _..._.__pies)__-__---—-- --= ........ i I -- -----�-_— Energy Code Inspector's Report from Checkmate ? j i ! 3. i Program? (2-copies) l 4 i Septic application completely filled out? (if applicable) 5. Electrical Inspection Form complete? / i V i 6. , Two (2) sets of the plans each of the following: YES NO N /A `---� i ! a. Floor plans (s)? V10000 ! E ' ' i b. Foundation plan? I i c. Cross sections (s)? i d. Elevations? i e. Window and door schedule? I f. Natural Light, Ventilation and Emergency Egress Requirements? _ _ _ _ _ram___ fg. Plans signed and sealed by registered architect or�- engineer._ j I Two (2) site plans showing location of the structure to be 7. 1 built, location of well or water lines, location of septic system or sewer line? _ I 8. Setbacks from property lines to new structure? 8 j Setbacks to neighboring wells and septic systems, I -- including onsite well and septic systems (if applicable)? 9. Driveway Permit? I s3"s Town of Queensbury • Corrcnninity Development Office • 742 Bay Road, Queensbury, NY 12804 B 12-LTR 11-05 Check Residential Plan Review; One&Two Family Dwellings Y/ N /N/ 2 Full sets of plans Over 1,500 sq. ft.-Stamped Design Loads on Plans: 90 Wind Floor Loads 40 psf (North of Rt. 149 60) 50 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size Door Schedule/Main Entrance 36" Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade, 5.7 sq. ft. Grade, 5.0 sq. ft. 24" (h)x 20"'(w) min. 44" Max. Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK Driveway Length Over 300'Turnaround Required Foundation Insulation to Basement Floor Dampp oofing[Waterproofing Materials On Plans Foundation Drainage On Plans, if required 6" Drop in 10' Exterior Grade 4FRtaming Cross Section For Each Roof Line, Vertical Fire Stopping Every 10'Where e q uired Ice and Snow shield 24" Inside Exterior Wall/24" Inside Knee Walls Platforms at Exterior Doors Stairwa Headroom 6' 8' All Stairs 36"Width Stair Run and Rise ,.� ,Winder Run and Rise A- Spiral Not Allowed From 2n, Story Smoke Detectors Battery Backup and Proper Location Interconnected Bathroom Fixtures Proper Clearance Hall Width, 36" min. Handrails More Than Four Risers On Open Sides Railing and Guards > 30"/Basement Stairs Included/Closed Risers More Than 4" in Ht. j//'Safety Glazing Notes For Required Areas ara a Fire Separation -01 Garage Floor Sloped Attic Access oof over 30"-22"x 30"/Crawl Spaces 18"x 24"Access Carbon Monoxide Detector Outside Lowest Sleeping Area, On Every Level & Interconnected within 15' of Sleeping Area Soil Test Results, if required Septic To Well or Water Line Separation All Paperwork Signed Note On Plans About Energy Saving Light Bulbs Blower Door Test Agency Paperwork 0 0 V) po z a. X n' 0_ . 9g eg esN i il`N �-� co to ro ' / O hp0 ! ' r LL 1. f t D o oda. t p�2 o Z i r �o r Z J 1 Q ggo os s i 00'OOZ e 00 {