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applications Office Use Only Town of Queensbury Building & Codes Received: PRINCIPAL STRUCTURE APPLICATION Tax Map ID: `l, 2413 Permit No.: / 3 A permit must be obtained before beginning construction Permit Fee: $ Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling *Rec Fee: $ g units, including single-family dwellings,duplexes or two-family dwellings, multiple family Site Plan No.: dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.: homes,but not including mobile homes. This is in addition to the permit fee. Date 10/1 /13 Applicant Jacqueline Rosetti Falvey Tax Map ID 227 .6-1-2 Address 427 New Karner Road Zoning Residential Albany, NY 12205 Phone/E-mail 518-869-5587 barbara@rosetticompanies.com Property Owner Jacqueline Rosetti Falvey Contractor/Agent Rosetti Construction LLC Address 427 NEW Karner Road Address 427 New Karner Road Albany, NY 12205 Albany, NY 12205 Phone/E-mail 518-869-5587 Phone/Email 518-869-5587 Jackie@rosettiproperties.com barbara@rosettcompanies.com Contact Person for Building&Code Compliance: Edward Pogoda/�,,. 17Day Phone: 518 858-3293 Building Street Address: Rosetti Way Oci, �` � � ��/� �� Subdivision Name: Lot#: Historic Site: Yes x No Estimated cost of construction: $ 118,900.00 Type of Construction: Check all that apply Please indicate measurements as required below: 0 o e 1st Floor 2nd Floor Other Total Height z a - Single Family X 47 'x31.6' 47"x31.6' 47'x31.6' 27' Two-Family • Multi-Family(#of units_) • Townhouse Business Office Retail-Mercantile Factory-Industrial Attached Garages(# ) Other Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 If commercial or industrial indicate name of business Proposed use of building or addition Carriage House Source of heat(circle one) Gas Oil Propane Solar Other Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" Yes _No Are there structures not shown on plot plan? No Are their easements on the property? No Site Information a. Dimensions or acreage of lot 0.79 b. Is this a comer lot? No c. Will the grade be changed as a result of construction: _Yes No X d. Public water or Private well Private Well e. Sewer or Private Septic System Private Septic System Value of all work to be performed(labor and materials) $ 118,900.00 Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 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 and agree to the above. Print Name: J cqueline Rosetti Ivey Signature: / Date: /0013 FOR OFFICE USE ONLY: Operating Permit Issued: _Yes _No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 Office Use Only Received: Tax Map ID: Town of Queensbury Building & Codes Permit No.: ,Z `� -- LC, SEPTIC DISPOSAL PERMIT Permit Fee: S A permit must be obtained before beginning construction Approvals: Applicant: Jacqueline Rosetti Falvey Installer/Builder Rosetti Construction LLC Address: 427 New Karner Rd Address 427 New Karner Rd Albany, NY 12205 Albany, NY 12205 Phone: 518-869-558/ Phone 518-869-5587 Owner: Jacqueline Rosetti Falvey Location of Installation Rosetti Way Address: 427 New Karner Rd Albany, NY 12205 Phone 518-869-5587 ;r �! ki • 1013 Contact Person for Building&Code Compliance: Edward Pogoda Day Phone:518-858-3293 Residence Information: Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow 1980 or older x 150 = Garbage Grinder installed? 1981-1991 x 130 = Spa or Hot Tub Installed? 1992—Present Z x 110 = Parcel Information: Topography X Flat Rolling _Steep Slope S %Slope Soil Nature X Sand Y Loam Clay _Other Groundwater At what depth? N Bedrockllmpervious Material At what depth? r)n n EJ Domestic Water Supply Municipal )( Well(if well,water supply from any septic system absorption is /0c ft.) Percolation Test Rate- � per minute per inch(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 /, 2 5-0 gallon (minimum size 1,000 gallons), add 250 gallons to size of septic tank for each garbage grinder,spa or whirlpool tub System Type: Absorption Field(with#2 stone) Total length /VO ft. Each trench 2- X Seepage Pit(S)(with#3 stone) How many? Size? Alternative System Bed or other type? Holding Tank System Total required capacity? Tank size? #of tanks? NOTE: 1)Alarm system and associated electrical work must be inspected by a Town approved electrical inspection agency-see Certified Electrical form on Town website; 2)Effective as of March 23,2006 Septic System-As Built Plot Plan: The Building Department will no longer allow systems to be covered until such time as an As-Built Plot Plan is received and approved by the Building Inspector. The installed system must match the septic system layout on file. There will be no exceptions. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant,shall be void. ✓I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Print Name: . • e I e .t • ti R. - Date: 10/1/13 Signature: ' al Date: Town of Queensbury Bit &Coes'rincipal Structure Packet 518-761-8256 Office Use Only Town of Queensbury Building & Codes Received: Tax Map ID: FUEL BURNING APPLIANCE & CHIMNEY APPLICATION Permit No.: Permit Fee: $ Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the NYS 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: Date 10/1/13 Owner Jacqueline Rosetti Falvey Installer/Builder Rosetti Construction LLC Address 427 New Karner Road Address 427 New Karner Rd Albany, NY 12205 Albany, NY 122U5 Phone 581-86975587 Phone 518-869-5587 Location of proposed construction and/or installation: Rosetti Way Contact Person for Building & Codes Compliance: Edward Pogoda Subdivision Name: Fuel Burning Appliance Information Wood Coal Pellet Gas Oil x Stove x Fireplace Insert Fireplace,factory built* Fireplace, Masonry Furnace, (Garage Only) * If Factory Built, Please Provide: Manufacturer Name: Model No. Listed By: Number: Chimney Information Masonry** ✓check one _Block _Brick _Stone Flue vcheck one _Tile Steel Size in Inches Material ✓check one _Double Wall _Triple Wall _Insulated _Direct Vent _Chimney Liner ** If Non-Masonry, please provide: Manufacturer Name: Model No. ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION & BUILDING CODE AND/OR MANUFACTURER REQUIREMENTS. CONSULT AVAILABLE Town of Queensbury HANDOUTS REGARDING REQUIRED INSPECTIONS. Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/prr? art: t 3ipm Date Inspection request received: Inspector's Initials: ll, 1 NAME: R PERMIT#: 1 l3" "it" 1, LOCATION: ' M ‘61.-0/ Gr ( DATE: 1 *-1-14/ TYPE OF STRUCTURE: S F L) 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 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 sq.ft.-150 sq.ft.vents Bathroom Fans, if no window Plumbing fixtures Foundation insulation to floor I 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'/"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Cd'� 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 .fir As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required (2179 Flood Plain Certification, if requiredOkay to issue C/C or C/O [Temporary/Permanent] L:1Building&Codes Forms\Building&Codesllnspection FormslResidential Final Inspection Form_revised_100405.doc; Revised January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11 rr- d4i _ y . Queensbury Building & Code Enforcement - Residential Final Inspection t , Office No. (518) 761-8256 Arrive: am/p De art: am/pm Date Inspection request received,:" Inspector's Initials: V NAME: R f S 6-'f PERMIT#: i3 — 6 LOCATION: % 0\ r�nLoa- DATE: 1 a '-J4-/ TYPE OF STRUCTURE: Comments: Yes/ No N/A 4" Building Number Address visible from road v` sc'— 2 a 4'13 3 Chimney Height/"B"Vent/Direct Vent Location ,�i Fresh Air Intake it./i, inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete Platform at all exterior doorsIty/ 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 t/ Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate l� Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches c/://5. Bathroom/Kitchen watertight Safety glazing/Win.ow in stairwells safety gI ing Interior Smoke De -ctors/Carbon Monoxid- Detectors /'" Every level: Every Bedroom: f/ Outside every bedroo rea: 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 J.:" 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. Emergency egress below grade l/ Gas Furnace shut-off within 30 feet or within line of site 1:/, Oil Furnace shut-off at entrance to furnace areaVzr Furnace/Hot Water Heater operating t Low water shut-off boiler / Relief Valve(s)installed/Heat Trap/Water Temp 110 V Enclosed Stairs Sheetrock Underside minimum'/2"Gypsum 1/:, Basement stairs closed rise>4 inches /r Garage Floor Pitched V Garage fireproofing 1%hour fire door/door closer Gas Logs in Sealed or Glass Enclosure + /`, n Final Electrical; Energy Saving Light Bulbs 50% �� Final Survey Plot Plan ,%-"��,� / Arc Fault Breaker Habitable Spaces I Tamper Proof Receptacles I Flex Gas Pipe Bonding / rcj� a— As Bui eptic System/Sewer Dept. Inspection Sticker �/ ��`"' WI-Rain °/Variance required .--� F ain Certification, if required / Okay to issue C/C or C/O[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, Revised 04/13/11 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury, NY 12804 Date received: _ — ) g - /kJ NAME: R © ��'—J �► LOCATION: ' TO I b.,;"A vJGL PERMIT#: / 3 - /(a(' Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept. of ✓ Community Development. Upon review the survey has been: Crai: own, Zoning Administrator Notes: L:\SueHemingway\Building.Codes.inspection.FORMS\Final Survey Zoning Administrator.doc 0 7W Z � s sa o hI^ /9�9� „E' 9 o�co 1 i 1 1 •.2'04 6.,. 0 Z 1 1 1 1 666'4. ,.11 % ..........:...........5' 6.6.,oOq• 6 eg •,cp \ 1 I1 1 I i I I 1 IC -' n Box w/ SEPT w ,0:.ANK ,,,,494t- \ /pf 6 o, f s94wv .1.,..,4:..) 0 4, LATERALS mo.ti>• ay.‘ as 'y '&r. <. o `'� cp ' " o\. e'h .0, 0 C‘j I ^ DRIVEWAY o h UN 0 B9 CONSTRUCTION I ^)' '6 0 IP , 09yk /F<c ‘O V• OgyO 14). an' Dl06 0h'Fi0 wFcO 4 N. JO 2 to 44 kb ° o `� 4. 0-4/4, o o1 O y �3 * � 4/ 3 k° Y47.F c O'T'C' O T4,yf• Opp - ,4-44j, we(l r NOT ES �i ` 7O s •' �� 9 14 p7. I. TAX MAP PARCEL /_D. no. 227.6-/-2 - 4-4,08 2. SUBJECT PARCEL AS ShOWN /N Ap "lib, L 680 PG. 282 3. ENT/RE PARCEL LIES WITH/N "WR- WATERFRONT RESIDENT/AL �• • JULY /7, 20/4 O K.11/ +^ o• FINAL Jacqueline '• al AS- BUILT SURVEY FOR : Pilot K . .,r 73 Town r� 1,,,) O Wa ren vtEL1 .iati a¢- .:, ,v g51—�. AND SJ . B Ric 3C.ol-67 3 C‘//� c c o - vy-oo Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: 742 Bay Rd., Queensbury,(� NY 12804 Inspector's Initials_ c 1"5 NAME: RD PERMIT NO.: / .< 4& LOCATION: Sal .1 eAr1 b.�fi=t`-k INSPECT ON: RECHECK: �l Comments and/or diagram Soil Type:(g / o.u Type of Water: Municipal Waterline separation distance _ ft. Well separation distance 12,..1.00c-- ft. Other wells: ft. Well Casing Length 50' + / - Y N N/A [150'to well required if NO] Absorption Field: Total length "42.C,C) ft. Length of each trench ft. Depth of trenches ft. Size of Stone -1;1- (e or./ C--r> Seepage Pits: Number Size: I T�x P1 Stone Size: Piping Si7e Type Building to tank L - Tank to Distribution Box4. " t5b rZ-2)75-- Distribution Box to Field/ Pit r' -51)-12.23-5--- Opening _3 F'iEf2 ice Opening Sealed: VY/_N End Cap ✓Y' N Inlet/Outlet Pipes &Baffles ✓Y N Manholes 12"or less below grade _Y_ N [provide extension collar if Yes] _Y— N Location/ Separations Foundation to tank t it ft. Foundation to absorption ?.2-t ft. Separation of Pits ft — 1Yk Conforms as er Plot Plan Y 1731. •sneer Report and As- ul _Y VN . -nance ontract _Y N provided Location of System on Property: Front Rear DeftRight Side Middle Front Middle Rear S stem Use S t : Approved Partial Approved and needs to be re-in ed, please call the Building &Codes Office Disapproved L:\Pam Whiting\2010\Building Codes Forms\Inspection Forms\Septic Inspection Report03 29 10.doc • Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/p7 Depart/0t0 ''�am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ( NAME: PERMIT #: /3-110c, LOCATION: G • c _ INSPECT ON: TYPE OF STRUCTURE: S T L Y N N/A I Rough Plumbing /Nail Plates Plumbing Vent 1 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 f/ 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 to•e ti �� COMMENTS: Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008 ES ICC LE�VALUATION �.� SER1tICE Most Widely Accepted and Trusted ICC-ES SAVE: Verification of Attributes Report VAR-1446 Issued September 1, 2009 This report is subject to re-examination in one year. www.icc-es.orgtsave 1-800-423-6587 j (562)699-0543 A Subsidiary of the International Code Council- DIVISION:07—THERMAL AND MOISTURE PROTECTION 3.0 DESCRIPTION Section: 07 21 16—Building Insulation SEALECTION AgribalanceTM' is a two-component system Section:07210—Building Insulation with a density ranging from 0.60 to 0 80 Ibrffi' (9.60 and REPORT HOLDER: 12.80 kg/m'). The polyurethane is produced by combining the two components on-site. Water is used as the blowing DEMILEC(USA)LLC agent and reacts with the isocyanate, which releases 2925 GALLERIA DRIVE carbon dioxide and steam, causing the mixture to expand. ARLINGTON,TEXAS 76011 The mixture is spray-applied to the surfaces intended to be (817)640-4900 insulated www.demilecusa.com The insulation contains a minimum percentage of info(idemilecusa.com biobased content as noted in Table 1. EVALUATION SUBJECT: 4.0 CONDITIONS See ICC-ES evaluation report ESR-=600 for compliance of SEALECTION AGRIBALANCET" SEALECTION AgribalanceTM with code requirements 1.0 EVALUATION SCOPE 5.0 IDENTIFICATION The SEALECTION AgribalanceT'" spray foam insulation Compliance with the following evaluation guideline: described in this report is identified by a stamp bearing the ICC-ES Evaluation Guideline for Determination of manufacturer's name [Demilec (USA) LLC) and address, Biooased Material Content (EG102), dated October 2008 the product name (SEALECTION Agnbaiance), and the 2.0 USES VAR number(VAR-1006). SEALECTION AgnbalanceT" is a semirigid low-density. cellular polyurethane foam plastic insulation that is spray- applied as a nonstructural insulating component of floor/ceiling and wall assemblies. TABLE 1—BIOBASED MATERIAL CONTENT SUMMARY %MEAN BIOBASED CONTENT j METHOD OF DETERMINATION 10%(+1-3%)' I ASTM D 6886 'Based on precision and bias cited in ASTM D 6866. I i•np.rnrne of Attnhurr..H.pr r.•,:•. n w:J uru&r ehr At•r.,\astarnanlr dunnrrr.I;rrpromnr wrJ i.wia;rrrun;'.-r.grunr ISAF7.1 /7n-.r rty.•rt•in.,.not r•.he r<wurn.rd n•preummg trnthra”or an;tarre,atrnhurre mx gw•rrjoiz h u4lrcrrrJ,nor are they Ja h'conurniniar un rnhrrnrnrmu nI tn. rrlwo of rhr rcprn or a rru.mmv,Jam rr hrr ar Inr nen-n no nal-runty hr 1t 1 EvvirahWe Sema,Int.•r4vrr3 w rmpha.?.a III an,frrr/rn,rn other nrrtrrr or Thu rr/wn.r"ar ur an pn.hcr c.nrrrJ hr:hr n•prrr - Copyright A 2009 Page 1 of 1 ESR-2600 I Most Widely Accepted and Trusted Page 2 of 4 drums. The coating has a shelf life of!three years when must be consistent with the requirements for the type of stored in a factory-sealed container at temperatures construction required by the applicable code, and must be between 40°F(4.5°C)and 90°F(32°C) installed in a manner so the foam plastic insulation is not 3.7 Heatlok Soya 200 Coating: exposed. Sealection Agribalancee insulation as described in this section may be installed in unvented attics in Heatlok))Soy 200. manufactured by Demilec USA LLC, is accordance with IRC Section R806 4 a spray-applied foam used as a coating over the 4.4.2 Application without a Prescriptive Ignition Sealection Agribalancee foam insulatio,. as described in Barrier: Section 4 4.2.4. The Heatloke Soy 20C coating is a two- component, closed-cell polyurethane foam plastic 4.4.21 General: Where Sea/ecbon Agribalancee insulation is installed without a prescriptive ignition barrier installed as a nonstructural component in walls andd insulation with a density 2 1 pcf 04 kg/m) that iin attics and crawl spaces in accordance with Sections floor/ceiling assemblies. The foam plastic components 4.4.2 and 4.4.3,the following conditions apply: have a shelf life of one year when stored in factory-sealed a. Entry to the attic or crawl space is only to service containers at temperatures between 59°F and 77°F (15°C utilities and no storage is permitted. and 25°C) The foam coating has a thermal resistance. b. There are no interconnected attic or crawl space areas R-value, of 7.4 per inch, to a maximum of 2 inches (51 mm), at a mean temperature of 75°F (24°C); and c. Air in the attic or crawl space is not circulated to other qualifies as Class II vapor retarder under the IRC when parts of the building. applied at a minimum thickness of 1.2 inches(30.5 mm). d. Attic ventilation must be provided when required by the 3.8 Sustainable Attributes: applicable code, except when air-impermeable insulation is permitted in unvented attics in accordance See ICC-ES VAR-10 for determination of biobased with Section R806.4 of the IRC. content. e. Under-floor (crawl space) ventilation is provided when 4.0 DESIGN AND INSTALLATION required by IBC Section 12033 or IRC Section R408.1, as applicable. 4.1 General: f. Combustion air must be provided in accordance with Sealection Agribalancet spray foam insulation must tieInternational Mechanical Code(IMC) Section 701. installed in accordance with the manufacturer's published 4.4.2.2 Application with Blazelok"' IB4 Coating: In installation instructions and this repot. A copy of the . manufacturers published installation instructions must beatticsSealection Agribalance insulation may be spray- available at all times on the jobsite during installation. applied to the underside of roof sheathing and/or rafters, and the underside of wood floors and/or floor joists in crawl 4.2 Application: spaces as described in this section. The thickness of the The insulation is spray-applied on the jobsrte using a foam plastic applied to the underside of the wood floor and volumetric positive displacement pump as identified in the roof sheathing must not exceed 11 /is inches (285.8 mm). Demilec application manual The insulation can be The spray foam insulation applied to vertical wall surfaces installed in one pass to the maximum thickness as in attics and crawl spaces must not exceed 9114 inches specified in Sections 3.2 and 4.4.2. The foam plastic must (235 mm) in depth. The foam plastic surface must be not be used in electrical outlet or junction boxes or in covered with a minimum 5-dry-mil [9 wet mils (0.23 mm)] contact with rain, water, or soil. The foam plastic must not thickness of BlazelokTu 164 intumescent coating as be sprayed onto a substrate that is t. or covered with described in Section 3.5.The intumescent coating must be frost or ice, loose scales, rust. oil, or rease. Sealection spray-applied over the insulation in accordance with the coating manufacturer's instructions and this report at a rate Agribalancee resin(component B) mu be stored in areas of 1 gallon(3.38 L) per 175 square feet(16.3 m`)to obtain where the ambient temperature is between 40°F and 100°F (4.5°C and 38°C). Sealection Agribalancee must be the recommended minimum dry film thickness noted in this used in areas where maximum ambient temperature is section. Surfaces to be coated must be dry and clean, and free of dirt, loose debris and any other substances that equal or less than 180°F (82°C). The insulation must be could interfere with adhesion of the coating. protected from the weather during and after application. 4.3 Thermal Barrier. 4.4.2.3 Application with No-Bums Plus XD Intumescent Coating: In attics, Sealection Agribalance Sea/ection Agribalancee spray foam insulation must be foam insulation may be spray-applied to the underside of separated from the interior of the building by an approved the roof sheathing and/or rafters and in crawl spaces.The thermal barrier of 1/2-inch-thick (12.7 mm) gypsum insulation may be spray-applied to the underside of wood wallboard or an equivalent 15-minute thermal barrier floors as described in this section. The thickness of the complying with, and installed in accordance with, IBC foam plastic applied to the underside of the top of the Section 2603.4 or IRC Section R316.4, as applicable, space must not exceed 11'12 inches (292 mm), and the except when installation is in attics and crawl spaces. as thickness on vertical surfaces must not exceed 91/2 inches described in Section 4.4. Thicknesses of up to 91/4 inches (241 mm). The foam plastic surface must be covered with (235 mm for wall cavities and 14 inches (356 mm) for a minimum nominal thickness of 6 dry mils (0.15 mm) floodceili g cavities are recognized, based on room corner [10 wet mils (0.25 mm)] of the No-Bine Plus XD fire testir :in accordance with NFPA 286. intumescent coating described in Section 3.6. The 4.4 Attsand Crawl Spaces: intumescent coating must be spray-applied over the insulation in accordance with the coating manufacturer's 4.4.1 ,, ,plication with a Prescriptive Ignition Barrier. instructions and this report at a rate of 1 gallon(3.38 L)per When ',Action Agribalancee insulation is installed within 160 square feet (14.9 mm) to obtain the recommended attics c yawl spaces where entry is m de only for service minimum dry film thickness noted in this section. Surfaces of ut .s, an ignition barrier mu be installed in to be coated must be dry and clean, and free of dirt, loose accor ;e with IBC Section 2603.41 6 or IRC Sections debris and any other substances that could interfere with R316 ,and R316.5.4, as applicable.The ignition barrier adhesion of the coating. • ESR-2600 I Most Widely Accepted arid Trusted Page 3 of 4 4.4.2.4 Appelication of Seaiection Agribalances with 5.8 The insulation has been evaluated only for use in Heatlok Soy 200 Coating: Sealection AgribalanceQ foam Type V-B construction under the IBC and non-fire- insulation may be spray-applied to they underside of roof resistance rated assemblies in dwellings under the sheathing and/or rafters; and the underside of wood floors IRC. and/or floor joists in crawl spaces asiI described in this section The thickness of the foam plastic applied to the 5.9 Jobsite certification and labeling of the insulation must underside of the wood floor and roof sheathing must not comply with IRC Sections N1101.4 and N1104,4.1 exceed 9/2 inches (241 mm). The spray foam insulation and IECC Sections 303.1.1 and 303.1.2, as applied to vertical wall surfaces in attics or crawl spaces applicable must not exceed 51/2 Inches(140 mm)in depth. Sea/ection 5.10 A vapor retarder must be installed when required by Agnbalancea foam insulation applied to all surfaces must the applicable code. be covered with a nominal thickness of.2 inches (51 mm) of Heatlok Soya 200 spray foam coating as described in 5.11 The insulation is produced in Arlington, Texas, under Section 3.7 a quality control program with inspections by Intertek tix Testing Services NA Ltd. (AA-647). 4.4.3 Use on Attic Floors: Sea/egtion Agnbalance spray-applied insulation may be installed exposed at a 6.0 EVIDENCE SUBMITTED maximum thickness of 91/2 inches (241 mm) between and 6.1 Data in accordance with ICC-ES Acceptance Criteria over the joists in attic floors, when covered with the No- for Spray-applied Foam Plastic Insulation (AC377), BumsPlus XD intumescent coating described in Section dated June 2012. including testing in accordance with 4.4.2.3 Sealection Agnbalance® spray-applied insulation Appendix X. may be installed exposed at a maximum thickness of 9'/4 inches (235 mm) between and over the joists in attic 6.2 Reports of room corner fire tests in accordance with floors, when covered with the Blazelok'w 164 intumescent NFPA 286 coating described in Section 4.4.2.2 The foam plastic 6.3 Reports of air leakage tests in accordance with ASTM insulation may be installed at a maximum of 51/2 inches E 283. (140 mm)between and over the joists in an attic floor when covered with a nominal 2 inches (51 mm) of Heatlok Soya 6.4 Reports of air permeance tests in accordance with 200 coating as described in Section 4.4.2.4. The insulation ASTM E 2178. must be separated from the intenor of the building by an 7.0 IDENTIFICATION approved thermal barrier. The ignition barrier in accordance with IBC Section 2603.4 and IRC Section Components of Sea/ection Agribalancea spray foam R316.5.3 may be omitted. insulation are identified with the manufacturer's name (Demilec USA). address and telephone number; the 5.0 CONDITIONS OF USE product trade name (Sealection Agribalancea); use The Sealection Agnbalancee spray-applied foam insulation instructions, the density, the flame-spread and smoke described in this report complies with. or is a suitable development indices, the evaluation report number alternative to what is specified in, those codes listed in (ESR-2600): and the name of the inspection agency Section 1.0 of this report, subject to the following (Intertek Testing Services NA Ltd.) conditions Each pail of Blazelokni 1B4 intumescent coating is 5.1 This evaluation report and the manufacturer's labeled with the manufacturer's name (TPR2 Corporation), published installation instructions, When required by the product name and use instructions. the code official, must be submitted at the time of No-Burns Plus XD intumescent coating is identified with permit application the manufacturer's name (No-Burn, Inc) and address, the product trade name,and use instructions. 5.2 The products must be installed in accordance with the manufacturer's published installation instructions, this Heatlok Soy 200 coating is identified with the evaluation report and the applicable code. The manufacturer's name (Demilec USA), address and instructions within this report govern if there are any telephone number, the product trade name and use conflicts between the manufacturers' published instructions installation instructions and this report. 8.0 OTHER CODES 5.3 The insulation must be separated from the interior of In addition to the codes referenced in Section 1.0, the the building by an approved 15-minute thermal products described in this report have been evaluated in bamer. except when installation is in attics and crawl accordance with the following codes_ spaces as described in Section 4.4 • 2006 International Building Codes(2006 IBC) 5.4 The insulation must not exceed the density and • 2006 International Residential Codes(2006 IRC) thicknesses noted in Sections 3 2, 4.4.2 and 4.4.3 of this report. • 2006 International Energy Conservation Code 5.5 The insulation must be protected from the weather (2006 IECC) during and after application • 2003 International Building Code(2003 IBC) 5.6 The insulation must be applied by contractors certified • 2003 International Residential Code(2003 IRC) by Demilec USA. ■ 2003 International Energy Conservation Code 5.7 Use of the insulation in areas where the probability of (2003 IECC) termite infestation is 'very heavy- must be in The products comply with the above-mentioned codes as accordance with IRC Section R318 4 or IBC Section described in Sections 2.0 through 7.0 of this report, with 2603.8.as applicable. the revisions noted below: ESR-2600 I Most Widely Accepted and Trusted Page 4 of 4 • Application with a Prescriptive Thermal Barrier: See IBC or Section R806 of the 2006 and 2003 IRC, and Section 4.3. except the approved thermal barrier must crawl space ventilation must be in accordance with be installed in accordance with Section R314 4 of the Section 1203.3 of the 2006 and 2003 IBC or Section 2006 IRC or Section R314.1 12 of the 2003 IRC R406 of the 2006 and 2003 IRC. as applicable. • Application with a Prescriptive Ignition Barrier: See • Protection Against Termites: See Section 5 7 except Section 4 4 1, except attics must be vented in use of the insulation in areas where the probability of accordance with Section 1203.2 of the 2006 and 2003 termite infestation is "very heavy" must be in IBC or Section R806 of the 2003 IRC. and crawl space accordance with Section R320.5 of the 2006 IRC or ventilation must be in accordance with Section 1203.3 of Section R320 4 of the 2003 IRC the 2006 and 2003 IBC or Section R408 of the 2006 and • Jobsite Certification and Labeling: See Section 5.9, 2003 IRC. as applicable. Additionally. an ignition barrier except )obsite certification end labeling must comply must be installed in accordance with Section R314 5 3 with Sections 102.1.1 and 102.1 11, as applicable, of or R314.5.3 of the 2006 IRC or Section R314.2.3 of the the 2006 IECC 2003 IRC.as applicable is Application without a Prescriptive Ignition Barrier: See Section 4.4.2, except attics must be vented in accordance with Section 1203.2 of the 2006 and 2003 TABLE 1—THERMAL RESISTANCE(R-VALUES) THICKNESS(INCH) R-VALUE'(`F.ft'.hlBtu) 45 2 8.9 3 13 4 3 5 15.6 4 17.8 5.5 24.5 6 j 26.7 7.5 33.4 9.25 i 41.2 9.5 42.3 10 ! 44 5 11.25 50.1 11.5 51.1 14 62.3 For SI:1 inch=25 4 mm: 1-F.ft'.h/Btu=0 176 110"K.m2IW 'R-values are calculated based on tested K-values at 1-and 4-inch thicknesses Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: ( � 3 \3 Queensbury Building & Code Enforcement Arrive: am/pm Depart: ; ‘ ..0am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 1, NAME: -1-Re'S0 PERMIT #: 2c3\3 4( LOCATION: c 7vY INSPECT ON: 1 -2-,(2, \ 13 TYPE OF STRUCTURE: Y N N/A► Rough Plumbing /Nail Plates Plumbing Vent I Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I 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 required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape COMMENTS: "L �1� � eAA,A-A/‘ ‘-/L3-4C4 1-K('' -- Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report 4111-- Office No. (518) 761-8256 Date Inspection request received: /7-//// Queensbury Building & Code Enforcement Arrive: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: R6 SCA-T J PERMIT#: (6 LOCATION: / (iv, u `/ INSPECT ON: 3 )3 TYPE OF STRUCTURE: / N N/A COMMENTS: aming - �`� Attic Access 22" x 20" mini I ( VL� Jack Studs/ Truss Specification Provided Bracing /Bridging Joist hangers Jack Posts/Main Beams \ Exterior sheeting nailed properly 12 O.C. ‘16 \Q.1 Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches / Holes/ Bearing Walls � c Metal Strapping for Notches Top Plate ()\,61,—(t‘U4E ?)%A-)V1 ,10 1'/2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses b1- \ri� � � pp 9 Anchor Bolts 6 ft. or less on center Ice ans water shield 24 inches from wall r-- 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 Inspection_Revised_02 05 13 -r6zg -ICS Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: ' am/pm 742 Bay Road, Queensbury, NY 12804 InspectorInitials NAME: R t � u PERMIT#: /3 --</6/c, LOCATION: 3 kr ( C-Jc l INSPECT ON: / a - 13 13 TYPE OF STRUCTURE: C� Y N /A COMMENTS: Framing 'flopr , Attic cess 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. 1 W `-AS Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing CL:".Pr-5k)Ql 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 7'4 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 Inspection_Revised_02 05 13 6?-1/ Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depart: / am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: (2x(5) NAME: � -( PERMIT#: 13 LOCATION: K A-1 i p n li) t . INSPECT ON: TYPE OF STRUCTURE: Q 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 `J Footing Dowels or Keyway in place I 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 Slab 1_,,,4tUnderVC t/Copper Foundation Insulatio uteri 'Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Fors\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM --6xj, dc,Zitt, Rough Plumbing I Insulation Inspection Repo ‘141244) Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depa . m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: _ NAME: Ri)5 c'-14 r PERMIT #: i.3 -Y/a LOCATION: \kjior _ INSPECT ON: 5. TYPE OF STRUCTURE: F,-r b p u:4\a/kii R42-411 Y N N/A I Rough Plumbing /Nail Plates 5 g--301476. Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I change of direction Pressure Test '� Drain /Vent 1. ^/ Air/ Head j �L W(tr:') ' 5 P.S.I. or 10 ft. above highest connection for 15 minut- 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 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 Reportrevised Nov 17 2003, revised February 15,2005, revised January 7, 2008 Foundation 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: R b S e— - PERMIT#: i j (� LOCATION: R' 1p jt.-) n �� INSPECT ON: / J-- R - I _3 TYPE OF STRUCTURE: S F1J Comments Y N N� 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 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:\Building&Codes Forms\Bullding&Codes\Inspection Fonms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 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: nv S C PERMIT#: 13 1 1e' (P LOCATION: ¶ 1 1 0 n LA-10 t INSPECT ON: / i---4c - /3 TYPE OF STRUCTURE: > F p CI) Comment4 Y N NSA ' 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 or Keyway �2c�� � eyway 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:\Buiiding&Codes Forms\Building&Codes\Inspection Forms\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM rn �� /r.---/, Foundation Inspection Report 1� eP Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart:titi/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: R7:-S 6=4 ; ° PERMIT#: (r"Cr LOCATION: ' fop U)Q SPECT ON: // ' 4/-/ :3 TYPE OF STRUCTURE: Imo,ns- Comments Y� N NLA 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 Dampproofmg Foundation Waterproofing ;"(-0L4--(d 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 Last printed 12/20/2005 9:24:00 AM O � N ` coni aAll ` Ilaµ 0 1� \ &J �\ U dorx,°{$ `..."`^..•p 1t^l1l`• ti doaaA;IQ 0 SO a-'e anon .l a O ` oafv lalvold $3 - �'�. M.00,LZ,L9S A ` \ ul Utlu9 5 SaA°d Kif 4 i.o;AtltoM � o J+t31e$ X, 4v o GO z \\ ` . c-}r�`'. - N 16',�