Loading...
2013-188 TOWN OF QUEENSBURY 742 Bay Road, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20130188 Date Issued: Thursday, May 15, 2014 This is to certify that work requested to be done as shown by Permit Number P20130188 has been completed. Location: 667 RIDGE Rd Tax Map Number: 523400-297-010-0001-052-000-0000 Owner: BRITTANY & MEGAN ALEXANDER Applicant: BRITTANY & MEGAN ALEXANDER This structure may be occupied as a: Commercial Addition By Order of Town Board Commercial Alteration TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property (— aglek° )4(<----. 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 of Building&Code Enforcement or Zoning Board of Appeals. TOWN OF QUEENSBURY 41111k_Wki 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 FOra Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130188 Application Number: A20130188 Tax Map No: 523400-297-010-0001-052-000-0000 Permission is hereby granted to: BRITTANY&MEGAN ALEXANDER For property located at: 667 RIDGE 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. Type of Construction Value Owner Address: BRITTANY& MEGAN ALEXANDE 667 RIDGE Rd Commercial Addition NY 12804-0000 Commercial Alteration $100,000.00 QUEENSBURYTotal Value 5100,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency HILLTOP CONSTRUCTION 51 CROWLEY Rd HUDSON FALLS.NY 12839-0000 Plans&Specifications 2013-188 Comm. alterations: 1st Floor: 110 sq ft; 2nd Floor: 256 sq ft $225.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, May 28,2014 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town o uee bury; les ,/, a 28, 2013 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement 5". • "-"010 OFFICE USE ONLY 3—/ �Jd TAX MAP NO. PE IT NO. 1 1 O Z� • s Z��i NEW 0 2U13 FEES: PE'�yl► .V_ ___ ENGINEERING (If applicable) PRINCIPAL STR CTURE: 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. n� APPLICANT/BUILDER: ]J C 517 OWNER: Ai0,60404,/f/4f7&J+V`J�_4G; 4/dj_ ADDRESS: 61 �i11' / 04 Mitt5O/i1 Mth ADDRESS: Ami 464 f &AgY PHONE NOS.___ 16_: fl-0; PHONE NOS. 6/ - 3V- 77 e/APV 4/jL4 CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:A/ A/54/�1+41_ 'HONE: / -11O* LOCATION OF PROPERTY: i24,2ffi-pift goisv , „ o !iS /Ai- HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? M YES ❑ NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: _3f- 1 - 26_13 PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THATo APPLY TO YOUR Z p o ci LLI LL co PROJECT0 � OJ1- rI 0 = = a FL-1 -J LL u_ u_ W Q UU co o � i. I- _ z < < - NOu. I- LL Z CL SIIN,L E FAMILY I O4' NA tt- itdp' 14-I-t• t"Viiceufber TWO-FAMILY MULTI-FAMILY (NO.of UNITS__ _) '1n; A 'v TOWNHOUSE :11 01) Cr . iej BUSINESS OFFICE \,LDU r•6 I RETAIL- U' MERCANTILE il FACTORY OR Il_ INDUSTRIAL I ATTACHED GARAGE(1,2,3) OTHER Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: , legi:V O L fi_SRtA ' ESTIMATED CONSTRUCTION COST: _boob ob FUEL TYPE: gla, CAL-- HEAT ALHEAT TYPE: o�-p2 *HOW MANY FIREPLACE(S):__VA k_AND/OR WOODSTOVES(S):__ Ni_b• ZONING CATEGORY: We- ARE THERE WETLANDS ON THIS SITE? tiOt4 - 440V01•1 IS THIS A HISTORIC SITE? 141? PROPOSED USE OF BUILDING OR ADDITION: 't Z'1131S r-e61 r ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? 1A0 ARE THERE EASEMENTS ON PROPERTY?__J t' X'NOWr' 'Please complete a separate Application for"Fuel Burning Appliances &Chimneys"available in our office 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 facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read d agr bove.. __ diafrik Signed - - /), ir/1' , aild 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) Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 • Revised 4/14/2010 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. Application: BUILDING & CODES APPROVAL ZONING APPROVAL DATE DATE QUESTIONS? CALL 761-8256 OR EMAIL codesqueensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.queensbury.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 Queensbury Building & Code Enforcement - Residential F"• - spection Office No. (518) 761-8256 Arrive: - a 141,4T'P:. : `,71--6-a� 3G art. :�j Date Inspection request received: C� Inspector's Initials: g/// NAME: (fit F PE", IT#: LOCATION: 7 R I O(G D' E: \'Z_-- 5 — TYPE OF STRUCTURE: Comments: Yes No NIA 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location i;=CE Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches c Rpc\- 6 Roof Complete/Exterior Finish Complete Platform at all exterior doors V/ �,6�j 0 C t3 xle-CV 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 Vi Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors I main entrance 36 inches ✓/ Bathroom/Kitchen watertight V Safety glazing/Window in stairwells safety glazing Interior Smoke D9t&tors/Carbon Mono 'de ectors Every level: Every Bedro Outside every bedroom arae Inter Connected: V 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 sq.ft.-150 sq.ft.vents V Bathroom Fans,if no window ✓ Plumbing fixtures Foundation insulation to floor/Sticker on Panel r// Duct work sealed properly/Blower Door Test Certification Floor truss,draft stopping finished basement 1,000 sq.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 Valve(s)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 loser 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 �f Site Plan /Variance required Flood Plain Certification,if required — u Ca Okay to issue C!C or C!O[Temporary Permanent] r , �0 l Eo L:\Building&Codes FormslBuilding Codes\Inspection Forrns\Residential Final Inspection Form_revised_100405.doc; Revised January 7,2008;Revised 6/26/08; Revised 12/22/10, Revised 04/13/11 1, ; , r RUCINSKI HALL ARCHITECTURE Qy`, Ronald Richard Rucinski '01- Ethan Peter Hall L`['s G 627 Maple Avenue J� �G, Saratoga Springs NY 12866 P Voice 518 580 1905 Fax 518 584 5012 Email ephall@nycap.rr.com Special Inspection Report To: John O'Brien - Town of Queensbury— Building Department From: Ethan Hall Date: 5 December, 2013 Re: Alexander Bed & Breakfast At the above referenced project location we have performed periodic site observations to review the work installed for the building additions and renovations. All revisions made have been reviewed by this office. To the best of my knowledge and belief these items have been installed in accordance with the design drawings and are acceptable to this office. If there are any questions please contact our office. Regards, 4/1, than P. Hall TO\NN OF QUE / „U.rtLDiN cg / fi'&. i Date: / .. I. Cc: Brittany and Megan Alexander Y:\f lilltop Construction\Alexander Bed&Breakfast\Papenvork'•.Special Inspection Report 5 Dec 2013.doc Queensbury Building & Code Enforcement - Residential F Fal I section Office No. (518) 761-8256 Arrive: .C�i a r�;_rt: ;i a / m Date Inspection request received: Inspector's Initials:. /,r NAME: A.� .K (� ESQ PEJ�T#: 1:� — 6 LOCATION: x+(07 f 5E- S(')1S7 D' E: 12--:',—\ TYPE OF STRUCTURE: (� 1 Comments: 'Ay No N/A 4" Building Number Address visible from road V/ Chimney Height/"B"Vent/Direct Vent Location V/ Fresh Air Intake v// 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete V/ Platform at all exterior doors ✓/ Handrail 4 or more risers ./ Guards at stairs,decks,patios more than 30 inches above grade J Guard at stairwell at 34 inches or more Guard at deck, porches 36 inches or more // ij ✓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 V// Bathroom/Kitchen watertight Safety glazing 1 Window in stairwells safety glazing V 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 sq.ft:150 sq.ft.vents Bathroom Fans,if no window ` Plumbing fixtures V Foundation insulation to floor/Sticker on Panel Duct work sealed properly/Blower Door Test Certification V / Floor truss, draft stopping finished basement 1,000 sq.ft. v r Emergency egress below grade V 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 Valve(s)installed/Heat Trap/Water Temp 110 ✓ Enclosed Stairs Sheetrock Underside minimum'/"Gypsum ✓ / Basement stairs closed rise>4 inches ✓/ Garage Floor Pitched Garage fireproofing I'/.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 V/ Flex Gas Pipe Bonding , / As Built Septic System/Sewer Dept. Inspection Sticker (UMPiALflVA I / Site Plan /Variance required Flood Plain Certification,if required v' Okay to issue C/C or C/0 f Temporary/Permanent] \•,/i/7 F O.L_ - cTi—LT' <i (._..i-:, CFt— L:\Building&Codes Forms\Building&Codes1Inspection Forms1Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26108;Revised 12/22/10, Revised 04/13/11 Queensbury Building & Code Enforcement - Resident'- i . In-pection Office No. (518) 761-8256 Arrive: .1 D- art: am/pm Date Inspection request received: Inspector's Initials:' • NAME: N--F P. MIT#: \ —\C62) LOCATION: (Q( 7 f7 BATE: ] 2---7, --Cz-, TYPE OF STRUCTURE: Comments: _Yes No NIA_ 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 exterioroisdoors OF� �- ONA� Handrail 4 or more risers `r:,� Guards at stairs,decks,patios more than 30 inches above grade r�LC �� P 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 Ecc'T N \\� ?_43‘i iL 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 �`\F\L--i� \ .� Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors I 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 sq.ft.-150 sq.ft.vents Bathroom Fans, if no window Plumbing fixtures Foundation insulation to floor/Sticker on Panel Duct work sealed properly/Blower Door Test Certification Floor truss,draft stopping finished basement 1,000 sq.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 Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum 14"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofi g/3/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 0,) Site Plan /Variance required Flood Plain Certification, if required Okay to issue C/C or C/O[Temporary/Permanent] L:\Building&Codes Forms\Building&Codeslinspection Forms\Residential Final Inspection Form revised_100405.doc;Revised January 7,2008; Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 -rues /-3 Inspection Form Town of Queensbury Fire Marshal O Periodic Inspection Date: ' -3 Time: 742 Bay Road, Queensbury NY 12804 ,240 o Re-Inspection , (.5".(S518 761 8206/518 761 8205 CO Inspection Permit#: J Fire Marshals Representative 35 MJ Palmer Business Name: ')! i0`7S- 41ct I- A A- 8 Location: 1'r?Ct 7 g GK Stillman Contact: Type of Inspection N/A Yes No EXITS: Exit Access FC 1014&FC1029 NOTES Exit Enclosure FC 1020&FC1029 Exit Discharge FC 1024&FC1029 Locks and latches FC1008& FC1029.2 Sign: Normal FC 1011 &FC1029 Sign: backup FC 1011.5.3&FC1029.7.5 AISLES: Main Aisle Width FC 1024/1025&FC1029.11 Ts Secondary Aisle Width FC 1025&FC1029.11 (Nr\ •�'r" FIRE EXTINGUISHER: Hung FC 906 Inspection of extinguisher FC 906 r � Ccvy‘Qtk�� EVAC Plan FC 404.2 Il TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: Interior FC 1006.3&FC1029.8 Exterior FC 1006.3 Clearance to Electrical FC 605.3 Electric Wiring Enclosed/Labeled FC 605.3.1 Combustibles in Equipment Rooms FC315.2.3 F.D.Signage- FC 510 No Smoking Signs FC 310.3 Storage FC 315.2 Compressed Gas FC 3003 Vehicle Impact Protection FC 312.1 Interior Finishes FC 803-804 Smoke Detectors FC 907 / CO detectors FC 610 ,v' Clearance to Sprinkler/Ceiling FC 315 .2.1 18" / 24" EVAC SIGNS IN Rooms FC 404.6(R1 &R2) Fuel Pump Warning Signs FC2205.6 Fuel Station Emer Procedures FC2204.3.5 Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY Vacant Buildings FC 311 Emergency Disconnect FC 2203.2 21 DAYS SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC Date Generator Annual DATE: OK NC Hood Installation Elevator Semi Annual FIRE ALARM Annual DATE: OK NC HVAC Shutdown Sprinkler System Annual Sprinkler FDC iA�tSi.; I s e.(Glff .cmpiete j 11,T,i ^^,ECI ., wit Kitchen Suppression Semi Annual j�ii�9CIC5 2 •dual Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual Knox Box:installed/checked FC506 L Operating Permit, if required will be issued after — -- Completion of Inspection _� Queensbury Building & Code Enforcement - Residential Fi -1 Inspection Office No. (518) 761-8256 Arrive: =L)O atr • epart: = A ..- Date Inspection request received: Inspector's Initials: NAME: -1)13C7-7--S)� P - IT#: 1 LOCATION: ( a—I R fl D : ID — -i 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 V 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 t(maki 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 1 trim/doors I 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: F tze OAZA IL Inter Connected: Battery backup: _ L Attic access 30 inches x 22 inches x 30 inches(height)in accessible area 1 \ J o Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Q GCQ Plumbing fixtures Foundation insulation to floor/Sticker on Panel —�—� 2{•� 'tJLaSII\ Duct work sealed properly/Blower Door Test Certification ��� Floor truss,draft stopping finished basement 1,000 sq.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 Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum 14' Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched P 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 RL Qez Ta '. Site Pian /Variancerequired C3 QX)CSa F I?R�3 ` i— c `c c_c� Flood Plain Certification, if required Okay to issue C/C or C/O[Temporary/Permanent] l Q-‘--` L:1Building&Codes Forms1Building i~S Codesllnspection Forms\Residential Final Inspection F rm revised 100405.doc; evise January 7,2008;Revised 6/26/08; Revised 12/22/10,Revised 04/13/11 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection req r. •: QueensburyBuilding & Code Enforcement Arrive: _ C)a • _I/.„ - -rt: •m r 742 Bay Road, Queensbury, NY 12804 Insp or's Initia ,v NAME: • e - ' ' ' RMIT #: 3 ' LOCATION: tote R,6t5 c INSPECT ON: S TYPE OF STRUCTURE: Y NIA Rough Plumbing / Nail Plates -77T\Pc1_ Plumbing Vent I Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test �. �� t� 1-0 Drain /Vent CVA �� .112g1r 10 ft. above hi hest connection for 15 minutes Vv0� Tessure Test Water Supply Piping 1 LL_ Air/ Header 50 P.S.I for 15 minutes Vi OA_ Insulation /Residential Check/Commercial Check C_o o e Tyvek or Similar Exterior Sealant � T` � Proper Vent, Attic Vent Door/Window Sealed (No Insulation) A\-k Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape _ COMMENTS: Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15, 2005, revised January 7, 2008 Rough Plumbing / Insulation inspection Report Office No. (518) 761-8256 Date Inspection r- + - - .-' - !. 7/7 6//3 Queensbury Budding & Code Enforcement Arrive: V:240 . %� ►• - • - : �-{L;o amA- 742 Bay Road, Queensbury, NY 12804 Inspector's Initia . Ar NAME: / 7-4))1 rvw r PE' IT ##: I -5'6Y- LOCATION: (((,, 7 l ;A y l.`, i. INSPECT ON: /. - '2 ' ' 3 TYPE OF STRUCTURE: .� Y N N/A Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size 1 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 ,,,)(41r1sulation I Residential Check I Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7, 2008 7 ICYNENE THE EVOLUTION OF INSULATION INSULATION CERTIFICATE This form must be filled out and posted to comply with building code requirements. Meets IRC requirements: 2006 IRC-N1101.2,N1101.4, N1101.8 2009 IRC- N1101.2,N1101.4, N1101.8 2012 IRC- N1101.3,N1101.7,N1101.12 e fallowing sp polyurethane foam product(s) has/have been installed. LD-C-50 LD-R-50 ❑ MD-C-200 ❑ MD-R-200 ❑ MD-R-210 ❑Other Please consult International Building Code(IBC),Chapter 26-Plastic and International Residential Code(IRC)2006 IRC R314, 2009 IRC R316, 2012 IRC R316- Foam Plastics for specific requirements.The aforementioned lcynene spray polyurethane foam insulation system(s) has/have been installed in accordance with manufacturer's processing guidelines to provide a thermal resistance of: - Area Insulated Aged R-Value Thickness* .E' Attic Area — K vDf (416 c)' R- 27 at I 7 j I inches five T.47L ..k Sloped Ceilings — R- td at lo,. " inches Walls (location): 6.-Je_1 ,c-1 —2-04.A„ R- 20 at .6-„S' inches -.lc' Walls (location): Ex-ft,•t_ruppe-L R- j<4 Y at u inches A 'zd`fr Floors (over an unheated crawl space) R- at inches Crawl Space Perimeter R- at inches Basement Walls R- at L inches Other(location): R- at inches 'Nominal thicknesses are representative of field,spray-applied foam material. Jobsite Address 6 G 7 lit dl e- /Cc1 r sac �1 — ��c ,4,� vCrL 6, ,,��Le dle- Date of Insulation Installation 7 / 2 3 Building Contractor ./_/t /( -/- -o Caw c.c,Er o-t Insulation Contractor , Insulation Contractor Phone 5--ie 623 7o 1 0 Installed By ` 'P" )111 — k V.- ie14/Dt2_ C -/4k7 4 INSULATION CERTIFICATE • DO NOT REMOVE Please post near electrical Panel. ICYNENE Inc. 6747 Campobello Road, Mississauga ON L5N 2L7 Canada • ICYNENE.COM E-ZICC EVALUATION SERVICE Most Widely Accepted and Trusted ICC-ES Evaluation Report ESR-1826* Reissued February 1, 2012 This report is subject to renewal February 1, 2013. www.icc-es.orq I (800) 423-6587 I (562) 699-0543 A Subsidiary of the International Code Council° DIVISION: 07 00 00—THERMAL AND MOISTURE 3.0 DESCRIPTION PROTECTION Section: 07 21 00—Thermal Insulation 3.1 General: Icynene LD-C-50T" and LD-C-50 v2 are low-density, open- REPORT HOLDER: cell, polyurethane foam plastic insulations and air barrier systems that are 100 percent water-blown with an installed ICYNENE, INC. nominal density of 0.5 pcf (8 kg/m3). The insulations are 6747 CAMPOBELLO ROAD two-component, spray-applied products. The two MISSISSAUGA,ONTARIO L5N 2L7 components of the insulation are polymeric isocyanate CANADA (A-Component,also known as Base Seal®)and proprietary (905)363-4040 resin (B-Component, LD-C-50 or LD-C-50 v2 Resin, also www.icynene.com known as, Gold Seale). The A-Component must be stored at a temperature of 50°F(10°C)or greater,and has a shelf EVALUATION SUBJECT: life of six months. The B-Component must be stored at temperatures below 100°F (37.8°C), and has a shelf life of ICYNENE LD-C-501M AND LD-C-50 VERSION 2(v2) six months. 1.0 EVALUATION SCOPE 3.2 Surface Burning Characteristics: Compliance with the following codes: When tested in accordance with ASTM E84/UL 723, at a Code®(2009 IBC) thickness of 6 inches (152 mm) and a nominal density of • 2012 and 2009 International Building 0.5 pcf(8 kg/m3), Icynene LD-C-50 and LD-C-50 v2 have a • 2012 and 2009 International Residential Code® (2009 flame spread index of 25 or less and a smoke-developed IRC) index of 450 or less. Thicknesses of up to 71/2 inches (190.5 mm)for wall cavities and 111/2 inches (292 mm)for • 2012 and 2009 International Energy Conservation ceiling cavities are recognized based on room corner fire Code®(2009 IECC) testing in accordance with NFPA 286, when covered with • Other Codes(see Section 8.0) minimum '/2-inch-thick (13 mm) gypsum board or an equivalent thermal barrier complying with the applicable Properties evaluated: code. • Surface burning characteristics 3.3 Thermal Resistance: ■ Physical properties Icynene LD-C-50 and LD-C-50 v2 have thermal resistance • Thermal performance(R-values) (R-values)at a mean temperature of 75°F(24°C)as shown in Table 1. ■ Attic and crawl space installation 3.4 Air Permeability: • Fire resistance Icynene LD-C-50T" and LD-C-50 v2 spray-applied foam • Air permeability plastic insulations, at a minimum thickness of 31/2 inches • Noncombustible construction (89 mm), are considered air-impermeable insulation in accordance with IRC Section R202, based on testing in 2.0 USES accordance with ASTM E283. Icynene LDC50TM and LD-C-50 v2 are used to provide 3.5 Intumescent Coatings: thermal insulation in buildings and to seal areas such as plumbing and wiring penetrations against air infiltration, in 3.5.1 No Burn Plus XD: No Burn Plus XD intumescent Types I, II, Ill, IV and Type V construction (IBC) and coating is a latex-based coating supplied in 1-gallon (4L) dwellings under the IRC. The insulations may be used in and 5-gallon (19L) pails and 55-gallon (208 L) drums. The fire-resistance-rated construction when installed in coating material has a shelf life of 12 months when stored accordance with Section 4.5 and in Types I through IV in factory-sealed containers at temperatures between 40°F construction when installed in accordance with Section 4.6. (4.4°C)and 90°F(32.2°C). °Revised November 2012 1CC-ES Evaluation Reports are not to be construed as representing aesthetics or our other attribute,not specifically addressed,nor are they to be construed ,IICC as an endorsement of the subject of the report or a recommendation for its use.There is no warranty br ICC Evaluation Service.LLC.express or implied,as `- pHs to any finding or otter matter in this report,or as to any product covered by the report. twii Copyright©2012 Page 1 of 5 ESR-1826 I Most Widely Accepted and Trusted Page 2 of 5 3.5.2 DC 315: DC 315 intumescent coating is a water- 4.4 Attics and Crawl Spaces: based coating supplied in 5-gallon (19L) pails and 55-gallon (208L) drums. The coating material has a shelf 4.4.1 Application with a Prescriptive Ignition Barrier: life of 24 months when stored in factory-sealed containers When Icynene LDC 50 T"' and LD-C-50 v2 foam plastic at temperatures between 41°F (5°C)and 95°F (35°C). insulations are installed within attics where entry is made only for service of utilities, an ignition barrier must be 4.0 INSTALLATION installed in accordance with IBC Section 2603.4.1.6 and 4.1 General: IRC Sections R316.5.3 and R316.5.4, as applicable. The ignition barrier must be consistent with the requirements The manufacturer's published installation instructions and for the type of construction required by the applicable code this report must be strictly adhered to and a copy of these and must be installed in a manner so that the foam plastic instructions and this evaluation report must be available on insulation is not exposed. The insulation may be installed the jobsite at all times during installation. in unvented attics in accordance with the 2009 IRC Section 4.2 Application: R806.4 or 2012 IRC Section R806.5,as applicable. Icynene LD-C-50T" and LD-C-50 v2 foam plastic 4.4.2 Application without a Prescriptive Ignition insulations must be applied using spray equipment Barrier: Where Icynene LDC 50 and LD-C-50 v2 foam specified by Icynene, Inc. The insulation must not be used plastic insulation is installed in an attic or crawl space in areas which have a maximum service temperature without a prescriptive ignition barrier, in accordance with greater than 180°F (82°C). The foam plastic insulation Sections 4.4.2.1, 4.4.2.2, 4.4.2.3 and 4.4.3, the following must not be used in electrical outlet or junction boxes or in conditions apply: contact with rain or water, and must be protected from the 1. Entry to the attic or crawl space is only for service of weather during and after application. Where the insulation utilities and no storage is permitted. is used as air-impermeable insulation, such as in unventilated attic spaces regulated by IRC Section R806, 2. There are no interconnected attic, crawl space or the insulation must be installed at a minimum thickness of basement areas. 3.5 inches (89 mm). The insulation can be installed in one 3. Air in the attic or crawl space is not circulated to other pass to the maximum thickness. Where multiple passes parts of the building. are required,the cure time between passes is negligible. 4.3 Thermal Barrier: 4. Combustion air is provided in accordance with IMC Section 701. 4.3.1 Application with a Prescriptive Thermal Barrier: Icynene LD-C-50TH and LD-C-50 v2 foam plastic 5. Attic ventilation is provided when required by IBC insulations must be separated from the interior of the Section 1203.2 or IRC Section R806, except when building by an approved thermal barrier, such as 1/2-inch air impermeable insulation is permitted in unvented (12.7 mm) gypsum wallboard installed using mechanical attics in accordance with Section R806.4 of the 2009 fasteners in accordance with the applicable code, or an IRC or Section R806.5 of the 2012 IRC. equivalent 15-minute thermal barrier complying with the 6. Under-floor (crawl space) ventilation is provided when applicable code. When installation is within an attic or required by IBC Section 1203.3 or IRC Section crawl space as described in Section 4.4, a thermal barrier R408.1,as applicable. is not required between the foam plastic and the attic or crawl space, but is required between the foam and the 4.4.2.1 Attics — LD-C-50 and LD-C-50 v2: In attics interior of the building. Thicknesses of up to 71/2 inches Icynene LD-C-50Tm LD-C-50 v2. foam plastic insulation (190.5 mm)for wall cavities and 111/2 inches (292 mm)for may be spray-applied to the underside of the roof ceiling cavities are recognized based on room corner fire sheathing and/or rafters, as described in this section. The testing in accordance with NFPA 286, when covered with thickness of the foam plastic applied to the underside of minimum 1/2-inch-thick (13 mm) gypsum board or the roof sheathing must not exceed 14 inches (356 mm). equivalent thermal barrier complying with, the applicable The thickness of the spray foam insulation applied code. to vertical wall surfaces must not exceed 5.5 inches (140 mm). The insulation must be covered on all surfaces 4.3.2 Application without a Prescriptive Thermal with one of the coatings described in Section 3.5. The Barrier or Ignition Barrier: The prescriptive 15-minute coating must be applied over the insulation in accordance thermal barrier or ignition barrier may be omitted when with the coating manufacturer's instructions and this report. installation is in accordance with this section. The Surfaces to be coated must be dry, clean, and free of dirt, insulation and coating may be spray-applied to the interior loose debris and other substances that could interfere with facing of walls, the underside or roof sheathing of roof adhesion of the coating. The coating is applied in one coat rafters, and in crawl spaces, and may be left exposed as with low-pressure airless spray equipment. The coating an interior finish without a prescribed 15-minute thermal must be applied to a thickness as follows: barrier or ignition barrier. The thickness of the foam plastic applied to the underside of the roof sheathing must not ■ No Burn Plus XD at a minimum dry film thickness of exceed 14 inches (356 mm). The thickness of the spray 4 mils(6 wet mils)at 270 ft2 per gallon. foam insulation applied to vertical wall surfaces must not ■ DC 315 at a minimum dry film thickness of 3 mils (4 wet exceed 6 inches (152 mm). The foam plastic must be mils)at 400 ft2 per gallon. covered on all surfaces with DC 315 coating at a minimum thickness of 13 dry mils, 20 wet mils,80 ft2 per gallon.The The coatings must be applied when ambient and coating must be applied over the insulation in accordance substrate temperature is at least 60°F (16°C)and no more with the coating manufacturer's instructions and this report. than 95°F (35°C). All other surfaces (including glass) must Surfaces to be coated must be dry, clean, and free of dirt, be protected against damage from the coating. The loose debris and other substances that could interfere with insulation may be installed in unvented attics when the adhesion of the coating. The coating is applied in one coat foam plastic is applied at a minimum thickness of 3.5 with low-pressure airless spray equipment. inches (89 mm) as described in this section in accordance ESR-1826 I Most Widely Accepted and Trusted Page 3 of 5 with the 2009 IRC Section R806.4 or Section R806.5 of the face, attached with 8d box nails, 21/2 inches (64 mm) long 2012 IRC. and spaced 7 inches (178 mm) on center along the studs 4.4.2.2 Attics — LD-C-50 v2: When LD-C-50 v2 is for the face layer and 6d cement coated box nails,2 inches applied in unvented attics conforming to 2012 IRC Section (51 mm) long and spaced 24 inches (610 mm) on center R806.5 or 2009 IRC Section R806.4, the insulation may be along the studs. The stud cavity contains lcynene applied to the underside of roof sheathing and/or rafters to insulation nominally 2 inches(51 mm)thick. a minimum thickness of 51/2 inches (140 mm) and a Axial loads applied to the wall assembly must be limited minumum thickness of 11/2 inches (38 mm) over the to the least of the following: rafters; and may be applied to vertical wall surfaces to a minimum thickness of 51/2 inches (140 mm) and a • 1,805 pounds(8029 N)per stud. minumum thickness of 11/2 inches (38 mm) over the studs. • Design stress of 0.78 Pc. Maximum thickness on the underside of roof sheathing or on vertical wall surfaces is 20 inches (508 mm). The • Design stress of 0.78 Pc at a maximum le/d of 33. insulation may be left exposed to the attic without a 4.5.3 Assembly 3 (Floor/Ceiling): Minimum nominally prescriptive ignition barrier or an intumescent coating. 2-by-10 [02 by 91/4 inches (38 mm by 235 mm)] Douglas The attic must have attic access complying with IRC fir, No. 2 grade wood joists spaced 24 inches (610 mm)on Section R807, horizontally placed in the floor, and opening center, with minimum 1-by-3 [3/4 by 21/2 inches (19.1 by outward toward the living space. Items penetrating the roof 64 mm)] spruce bridging at mid-span. Floor decking must deck or walls, such as skylight wells and vents, must be be minimum 1/2-inch-thick (12.7 mm) exterior grade covered with a minimum of 51/2 inches (140 mm) of the plywood installed perpendicular to joists and fastened with LD-C-50 v2 insulation. 2-inch-long (51 mm)ring shank nails 6 inches(152 mm)on center at the joints and 12 inches (305 mm) on center at 4.4.2.3 Crawl Spaces: In crawl spaces, Icynene LD-C- the intermediate joists. Plywood joints must occur over 50 and LD-C-50 v2 insulation may be spray-applied to joists. Icynene insulation must be applied to the underside vertical walls and the underside of floors, as described in of the plywood deck between the joists to a depth of 5 this section. The thickness of the foam plastic applied to inches (127 mm). Two layers of minimum 5/8-inch-thick the underside of the floors must not exceed 14 inches (15.9 mm), Type X gypsum wallboard must be attached • (356 mm). The thickness of the spray foam insulation perpendicular to the joists on the ceiling side of the applied to vertical wall surfaces must not exceed 31/2 assembly. The first layer must be attached with 1'/4-inch- inches (88.9 mm). The foam plastic does not require an long (32 mm), Type W drywall screws, spaced 24 inches ignition barrier or a coating. (610 mm) on center. The second layer must be applied 4.4.3 Use on Attic Floors: When used on attic floors, perpendicular to the joists, offset 24 inches (610 mm)from Icynene LD-C-50TH and LD-C-50 v2 foam plastic insulation the base layer. The second layer must be attached with may be installed at a maximum thickness of 111/2 inches 2-inch-long (51 mm), Type S drywall screws spaced 12 (292 mm)between joists in attic floors.The insulation must inches (305 mm) on center. Additional fasteners must be be separated from the interior of the building by an installed along the butt joints of the second layer, securing approved thermal barrier. The coatings specified in in the two layers together.These fasteners must be 11/2-inch- Section 4.4.2.1 and the ignition barrier in accordance with long (38 mm), Type G drywall screws placed 2 inches IBC Section 2603.4.1.6 and IRC Section R316.5.3, may be (51 mm) back from each end of the butt joint and spaced omitted. 12 inches (305 mm) on center. The wallboard joints on the exposed side must be treated with paper tape embedded 4.5 One-hour Fire-resistance-rated Assemblies: in joint compound and topped with an added coat of 4.5.1 Assembly 1 (Limited Load-bearing Wood Stud compound, and the fastener heads must be coated with Wall): Minimum nominally 2-by-4 [11/2 by 31/2 inches joint compound in accordance with ASTM C840 or (38 mm by 89 mm)] southern pine (G = 0.55), No. 2 grade GA-216. studs spaced 16 inches (406 mm) on center with a base 4.5.4 Assembly 4 (Non-loadbearing Steel Stud Wall): layer of 1/2-inch-thick (12.7 mm) wood fiber sound board Nominally 6-inch-deep (152.4 mm), No. 18 gage, installed horizontally on each face with vertical joints galvanized steel studs spaced 16 inches (406.4 mm) on located over the studs, attached with 6d box nails,2 inches center, are friction-fit into No. 18 gage galvanized steel (51 mm) long and spaced 24 inches (610 mm) on center 5 along the studs, and a second layer of 5/8-inch-thick floor and ceiling track with a layer of /8-inch-thick (15.9 mm)Type X gypsum wallboard installed vertically on (15.9 mm),Type X gypsum board applied to the interior side with the long edge parallel to steel studs and secured each face, attached with 8d box nails, 21/2 inches (64 mm) using No. 6, 11/4-inch-long (31.7 mm), self- drilling drywall long and spaced 7 inches (178 mm) on center along the screws spaced 8 inches (203 mm) on center around the studs. The stud cavity contains lcynene insulation perimeter and 12 inches (305 mm) on center in the field. nominally 2 inches(51 mm)thick. The gypsum board joints must be treated with vinyl or Axial loads applied to the wall assembly must be limited casein, dry or premixed joint compound applied in two to the least of the following: coats to cover all exposed screw heads and gypsum board • 1,805 pounds(8029 N)per stud. butt joints, and a minimum 2-inch-wide (51 mm) paper, plastic, or fiberglass tape embedded in the first layer of • Design stress of 0.78 F'c. compound over butt joints of the gypsum board. The stud • Design stress of 0.78 F'c at a maximum le/d of 33. cavity is filled with Icynene insulation up to 6 inches 152 mm) thick. DensGlass® Gold Exterior Sheathing, 4.5.2 Assembly 2 (Limited Load-bearing Wood Stud /2 inch (12.7 mm) thick, is installed parallel to steel studs Wall): Minimum nominally 2-by-4 [11/2 by 31/2 inches with vertical joints offset a minimum of 16 inches 406 mm) (38 mm by 89 mm)] southern pine (G =0.55), No. 2 grade from the vertical joints of the gypsum board and the studs spaced 16 inches (406 mm) on center with two horizontal joints offset a minimum of 24 inches (610 mm) layers of 1/2-inch-thick (12.7 mm) Type X gypsum from the horizontal joints of the gypsum board. The wallboard installed vertically with joints staggered on each sheathing is attached using No. 6, 11/4-inch-long ESR-1826 I Most Widely Accepted and Trusted Page 4 of 5 (31.7 mm), self-drilling drywall screws spaced 8 inches 5.1 This evaluation report and the manufacturer's (203 mm) on center around the perimeter and in the field. published installation instructions, when required by Hohmann & Barnard DW-10 brick ties, 6 inches (152 mm) the code official, must be submitted at the time of long by 11/2-inches (38 mm) wide, are spaced 16 inches permit application. (406.4 mm) on center vertically on each steel stud, and 5.2 The insulation must be installed in accordance with secured, using two 1 /8 inch long (41.3 mm) self-drilling the manufacturer's published installation instructions, screws, through 4-inch(102 mm)red clay brick[31/2 inches this evaluation report and the applicable code. If there (88.9 mm) by 21/4 inches (57.1 mm) by 73/4 inches is a conflict between the installation instructions and (197 mm)] laid in a running bond pattern with Type S this report,this report governs. mortar, leaving a nominally 1-inch (25.4 mm) air gap between the brick and the exterior sheathing. 5.3 The insulation must be separated from the interior of Optional: It is permitted to add code-complying, the building by an approved 15 minute thermal expanded polystyrene (EPS), extruded polystyrene (XPS), barrier, except when installation is as described in foil-faced, rigid polyurethane board stock or polyurethane Section 4.3.2 or in attics and crawl spaces as spray foam on the exterior of the wall (between the described in Section 4.4.2 and 4.4.3. DensGlass® Gold sheathed wall and the brick), while 5.4 Since the performance of LD-C-50 v2, when installed maintaining the 1-inch (25.4 mm) air space. The length of in unvented attics without a code-prescribed ignition the brick ties must be increased to account for the barrier or an intumescent coating, is based on fire thickness of the insulation. performance of an unvented attic, the installation 4.6 Exterior Walls in Type I,II, Ill and IV Construction: must be approved by the code official as conforming with the provisions of Section 4.4.2.2 and Conditions 4.6.1 General:When used on exterior walls of Types I, II, 1 to 5 of Section 4.4.2. Ill or IV construction, the assembly must comply with IBC 5.5 The insulation must not exceed the thickness and Section 2603.5 and this section, and the LD-C-50 and density noted in Sections 3.2,4.3,4.4,4.5 and 4.6. LD-C-50 v2 insulation must be installed at a maximum thickness of 6 inches (152 mm). The potential heat of 5.6 The insulation must be protected from the weather Icynene LD-C-50 and LD-C-50 v2 insulation is 494 Btu/ft2 during and after application. (5.6 MJ/m2) per inch of thickness, when testing is in 5.7 The insulation must be applied by licensed dealers accordance with NFPA 259. and installers certified by Icynene, Inc. 4.6.2 Exterior Face: Nominally 6-inch-deep (152 mm), 5.8 Use of the insulation in areas where the probability of No. 18 gage, galvanized steel studs spaced 16 inches termite infestation is "very heavy" must be in (406 mm) on center, are fastened to No. 18 gage, accordance with IRC Section R318.4 or IBC Section galvanized steel floor and ceiling track using No. 8, 2603.8,as applicable. /8-inch-long (22.2 mm�, self-tapping pan head framing screws. GP DensGlass Gold Exterior Sheathing, 1/2 inch 5.9 Jobsite certification and labeling of the insulation must (12.7 mm) thick, is installed over the exterior side of steel comply with IRC Sections N1101.4 and N1101.4.1 studs with the long end perpendicular to the steel studs, and IECC Sections 303.1.1 and 303.1.2, as using No. 6, Type S, 11/4-inch (31.7 mm), self-tapping applicable. bugle head screws spaced 8 inches (203 mm) on center 5.10 When LD-C-50 v2 insulation is installed under around the perimeter and in the field. The stud cavity is Section 4.4.2.2 of this report, a certificate must be filled with Icynene insulation to a nominal thickness of placed in the attic stating that the foam plastic 6 inches(152 mm). insulation has been installed in accordance with 4.6.3 Interior Face: Type X gypsum board, 5/8 inches Conditions 1 to 5 of Section 4.4.2 and the terms of (15.9 mm) thick, is installed with the long dimension Section 4.4.2.2 of ESR-1826; any alterations to the perpendicular to steel studs with No. 6, Type S, 11/4 inch- attic or insulation must be consistent with those long (31.7 mm), self-tapping, bugle head screws spaced 8 requirements. inches(203 mm)on center around the perimeter and in the 5.11 A vapor retarder must be installed in accordance field.The gypsum board joints must be treated with vinyl or with the applicable code. casein, dry or premixed joint compound applied in two coats to cover all exposed screw heads and gypsum board 5.12 Icynene LD-C-50 and LD-C-50 v2. foam plastic butt joints, and a minimum 2-inch-wide (51 mm) paper, insulation are manufactured in Mississauga, Ontario, plastic, or fiberglass tape embedded in the first layer of Canada, under a quality control program with compound over butt joints of the gypsum board. inspections by Intertek Testing Services(AA-691). 4.6.4 Exterior Wall Covering: Details of the exterior wall 6.0 EVIDENCE SUBMITTED covering must be provided to the code official by the report 6.1 Data in accordance with the ICC-ES Acceptance holder, designer or specifier, with an engineering analysis Criteria for Spray-applied Foam Plastic Insulation demonstrating that (1) the exterior wall covering conforms (AC377), dated June 2011, including reports of tests to ASTM E136 and (2) the addition of the wall covering to in accordance with Appendix X (Section 4.4.2.1) and the assembly described in this section does not negatively Appendix C(Section 4.4.2.2). affect conformance of the assembly with the requirements of IBC Section 2603.5. 6.2 Test report on air leakage rate in accordance with ASTM E283. 5.0 CONDITIONS OF USE 6.3 Reports of room corner fire testing in accordance with The Icynene LD-C-50TM and LD-C-50 v2 spray-applied NFPA 286. polyurethane foam plastic insulations described in this report comply with, or are suitable alternative to what is 6.4 Test reports in accordance with ASTM E119. specified in,those codes listed in Section 1.0 of this report, 6.5 Test report in accordance with NFPA 285, and related subject to the following conditions: engineering analysis. ESR-1826 I Most Widely Accepted and Trusted Page 5 of 5 6.6 Reports of tests in accordance with NFPA 259. 8.2 Uses: 6.7 Reports of fire tests in accordance with ASTM E970. The products comply with the above-mentioned codes as 6.8 For LD-C-50 v2, an engineering evaluation, including described in Sections 2.0 to 7.0 of this report, with the full-scale fire testing, small-scale testing and fire revisions noted below. modeling. ■ Application with a Prescriptive Ignition Barrier: See 7.0 IDENTIFICATION Section 4.4.1, except attics must be vented in accordance with 2006 IBC Section 1203.2, and crawl All packages and containers of Icynene LDC50TM and space ventilation must be in accordance with 2006 IBC LD-C-50 v2 must be labeled with the Icynene, Inc., name Section 1203.3, as applicable. Additionally, an ignition and address; the product name; the flame spread index barrier must be installed in accordance with 2006 IRC and the smoke-developed index; the shelf life expiration Section R314.5.3 or R314.5.4,as applicable. date; the label of the inspection agency (Intertek Testing • Application without a Prescriptive Ignition Barrier: Services);and the evaluation report number(ESR-1826). See Section 4.4.2, except attics must be vented in Intumescent coatings are identified with the accordance with Section 1203.2 of the 2006 IBC or manufacturer's name and address,the product trade name Section R806 of the 2006 IRC, and crawl space and use instructions. ventilation must be in accordance with Section 1203.3 of 8.0 OTHER CODES the 2006 IBC or Section R408 of the 2006 IRC, as applicable. 8.1 Scope: • Jobsite Certification and Labeling: See Section 5.8, In addition to the codes referenced in Section 1.0, the except jobsite certification and labeling must comply products recognized in this report were evaluated for with Sections 102.1.1 and 102.1.11, as applicable, of compliance with the requirements of the following codes: the 2006 IECC. • 2006 International Building Code°(2006 IBC) • Protection Against Termites: See Section 5.7, except • 2006 International Residential Code°(2006 IRC) use of the insulation in areas where the probability of termite infestation is "very heavy" must be in • 2006 International Energy Conservation Code° accordance with Section R320.5 of the 2006 IRC. (2006 IECC) TABLE 1—THERMAL RESISTANCE(R-VALUES)FOR LD-C-50 and LD-C-50 v2 THICKNESS(inches) R-VALUE(°F•ft2•h/Btu) 1 3.7 2 7 3 11 3.5 13 4 14 5 18 5.5 20 6 22 7 25 7.5 27 8 29 9 32 9.5 34 10 36 11.5 41 14 50 20 74 For SI: 1 inch=25.4 mm,1°F•ft2•hlBtu=0.176 110°K-m2/W. 1R-values are calculated based on tested Kvalues at 1-and 3.5-inch thicknesses. 2R-values greater than 10 are rounded to the nearest whole number. f\4 7 (\dc . Rough Plumbing / Insulation Inspection Repot Office No. (518) 761-8256 Date Ir�p, ection r- . ed: Queensbury Building & Code Enforcement Arrive:e c3c7 p• _•art: 1;r a afripr 742 Bay Road, Queensbury, NY 12804 Inspector's !Hifi- • NAME: _ ea -(111T ##: l 3 -/? ' LOCATION: (fid INSPECT ON: ? -aa-13 TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates � •-�� Plumbing Vent 1 Vents in Place 1 V2 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 V_ EVV Tyvek or Similar Exterior Sealant i N7Dc� 6r ct.) Proper Vent, Attic Vent .�� Voi\ k Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation Q' %WA* If required unheated spaces \ct "IWO Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape COMMENTS: Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Gk e,s of Rough Plumbing / Insulation Inapectiob Rep• rt Office No. (518) 761-8256 Date Inspection req - - t• Queensbury Building &Code Enforcement Arrive: :/y) a itso,i ,� • •art: am id!" 742 Bay Road, Queensbury, NY 12804 Inspector's'lnitial , /0 ry NAME: -1 e PERS #: /3- ! LOCATION: i d5 e- RI INS' CT ON: ICs PE OF STRUCTURE: R z_ \ N N/A Rough Plumbing/Nail Plates ' �� Plumbing Vent I Vents in Place ✓ 1 % inch minimum Drain Size Washin• Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure • / e e 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 required unheated spaces Combustion Air Supply for Furnace Duct work sealed pr e\riy/ No duct tape COMMENTS: \ k: 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 Inspectio eq •st re •ive' Queensbury Building & Code Enforcement Arrive: ►l' am/p 742 Bay Road, Queensbury, NY 12804 Inspector's Initia s: NAME: A"i (IA PERMIT ..• 3-1 g g LOCATION: if, 617 Rt JJ c. R INSP C ' ON: '7/1/1 3 TYPE OF STRUCTURE: IIIP Y N N/A COMMENTS: VON* PtL_ Attic Access 22" x 20" minimum Jack Studs /Headers Truss Specification Provided 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 11/2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice ans water shield 24 inches from wall Fire separation 1, 2, 3 hour )ire Wall 2, 3, 4 hour irestopping --- '�' CFLt_ Penetration sealed 16 inch insulation in cavity min. 1 , Garage Fire Separation House side 1/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space / Bedrooms 24 in. (H) 20 in. (,W) 05.7 sf above / below grade 5.0 sf grade Design Professional Sign-off, If required Framing Firestopping Inspection_Revised_02 05 13 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection req • - •c• v• Queensbury Building & Code Enforcement Arrive: A ., r 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: n On F_7 c PER IT#: \?j— \(K6 LOCATION: C9 k7 RI 0(mF c D INSPECT ON: l0— \ \-V3 TYPE OF STRUCTURE: 6 X17 E -I�FF'\�� Y N/ N/A COMMENTS: Framing P,A Q t.�� Attic Access 22" x 20" minimum ,D;` �� Jack Studs /Headers 1F41,k\�b Truss Specification Provided Bracing /Bridging 0 \,)E () ��A- G -)& Joist hangers Jack Posts /Main Beams PCC -ciL3 DOF \ Q07 Exterior sheeting nailed properly M 12" O.C. Headroom 6 ft. 8 in. ? cc ' D Ey-pi \ L o Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. RCA TIC-)1.) To Notches /Holes/ Bearing Walls "D v `,� �� \)\)-3E ) Metal Strapping for Notches Top Plate 11/2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice ans 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 1/2 inch or 5/8 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 Design Professional Sign-off, If required Framing Firestopping Inspeciion_Revised_02 05 13 wc-a I f Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection r- - re.- Queensbury Building & Code Enforcement Arrive: 1 = � •m r, - -rt: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initia s: NAME: ,fir e , 4 PERMIT #: f,3 --/ S73 LOCATION: Li C1' ) . ' ,! &J e'— el INSPECT ON: —1 t'—f 3 TYPE OF STRUCTURE: (- l-f- Y N N/A Rough Plumbing / Nail Platest..i, 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 Ai - -ad P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test ✓ Water •ply Piping Air/477 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 required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 /-3 Foundation Inspection Report Office No. (518)761-8256 Date Insp tion requ -••ived• Queensbury Building&Code Enforcement Arrive: s / Depart: m/p� 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: G"a` NAME: h j e, cXt c( PERMIT#: /3 LOCATION: Le (,-/ ? R',8 a,(.,7) INSPECT ON: TYPE OF STRUCTURE: j,' . tt t r 1r)VC\10 7 Comment Y N N/A Footings Piers V 41149Thalithiallab 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 Dampproofmg fl 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 PC/Cast/Copper Foundation InsulatiInce or Rough Grade 6 inch drop within i0 ft. j • L:\Bullding&Codes Forms\Building&Codes\1nspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report `"/r) Office No.(518)761-8256 Date tion •st r= - ed: Queensbury Building&Code Enforcement Arrive: :7 . a 0 'dr-per: •; P n/ 742 Bay Rd.,Queensbury,NY 12804 Inspector's Init1: s: __ , NAME: I ',' 1. )"1 "1".1"--- PERMIT#: LOCATION: (( (17 - INSPECT ON: (fir f/ 3/� TYPE OF STRUCTURE: / Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. 4,F, Materials for this purpose on site. oundation/Wallpour Cc,1(5 Golf Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofmg 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 1 Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building &Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM IL) 3' e Foundation Inspection Report Office No.(518)761-8256 Date Inspection Air,.• ed: Queensbury Building&Code Enforcement Arrive: 5-';- 11*": Depart: gs,Mn 742 Bay Rd., Queensbury,NY 12804 Inspector's Inti: (.114 NAME: Ckl9 e `� '1A�',� PERMIT#: 13 .-1g LOCATION: (, l 7 e INSPECT ON: tcJ--- f‘A �/ 3 TYPE OF STRUCTURE: ( -Y,Q x„\ NA Comments Y N N/A Footings _ Y /-Piers 1y� 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 Dampproofmg 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\Inspection Fors\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256Date Inspection u : iv /C// Queensbury Building&Code Enforcement Arrive: ` -f ar% I depart: liar: 742 Bay Rd.,Queensbury,NY 12804 Inspector's Inti: NAME: A (c :v 'ERMIT#: 17 LOCATION: L G / i LrINSPECT ON: //y/ TYPE OF STRUCTURE: Coiumentt Z t� Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 4.43 6 inches above footing 6 mil poly for wet areas under slab ackfill Approval Plumbing Under Slab 'CVC;j" k\4 PVC/Cast/Copper Foundation Insulati terio xterior R- tQ z Rough Grade 6 inch drop within 10 f1. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM rit`tjayi Foundation Inspection Report Office No.(518)761-8256 Date Ins.- tion r -.: Queensbury Building&Code Enforcement Arrive: �� f I: .-. Depart: 742 Bay Rd.,Queensbury,NY 12804 Inspector's kill ✓ NAME: )'CJ � C�v'\ct C- (y ' RMIT#: f3 J O LOCATION: ( ) R1t SPECT ON: TYPE OF STRUCTURE: 1+, Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofmg 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:\Building&Codes Forms\Buliding&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report \ : 30 Office No. (518)761-8256 Date Inspection , • .'-'•ed: Queensbury Building&Code Enforcement Arrive: =,3 :` '_L,,f II epart: :L : ii, .in 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ' NAME: TAL E An PERMIT#: , — ‘C6c6 LOCATION: to 17 1 D(E R 0 INSPECT ON: (D —(c)— TYPE OF STRUCTURE: Comments Y N N/A JFootings 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 --- �\5\ ` c V—D t \ / , Reinforcement in Place WLR — L Nv_NEV___ Footing Dowels or Keyway in place 1 Foundation Dampproofmg ��` 7 Foundation Waterproofing \ I ''U\ ..- "tIS` Footing Drain Daylight or Sump E-ET- Cc ' .._ 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:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report 1 kU I'S /1) Office No.(518)761-8256 Date Ins. tion = - iv= Queensbury Building&Code Enforcement Arrive: (b--- Depart: 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: "Pt)6), ` CZ qc ,i" 0111FRMIT#: /3- I g LOCATION: Le (0 ') r' ci j c2. Rai INSPECT ON: to- to--j;3 TYPE OF STRUCTURE: Comments Y N/NIA Footings ) Piers Monolithic Slab @ 1 D70\ 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/Wailpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg 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\Inspection Forms\Foundation Inspection Report.doc La printed 12/20/2005 9:24:00 AM