RC-0592-2018 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
1
•
Community Development - Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: RC-0592-2018
Tax Map No: 288.8-1-29
Permission is hereby granted to: Kevin Maynard Construction
For property located at: 15 FRENCH MOUNTAIN DR
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
Owner Name: Tamarra Ellsworth Single Family-New $166,000.00
Owner Address: 7 French Mountain DR Total Value $166,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Kevin Maynard Construction
Plans&Specifications
Single Family Dwelling
Cross Ref: Area Variance 16-2018 approved April 18, 2018
$ 1,249.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Monday,November 18,2019
(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 uee bury; 4 Fri.. , ./ .er 16, 2018
004
SIGNED BY: f ,\ for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
PRINCIPLE STRUCTURE PERMIT Permit#: �C' A`�Z 2nc lP
APPLICATI ON Permit Fee: $ b°i
*Rec. Fee: $ &DO
742 Bay Road, Queensbury, NV 12804
P 518-761-8256 Invoice#: e be
Project Location: FiNti\ri,... ( 1,0 .
Tax Map #: - • a 1 -2_a Subdivision Name:
TOWN BD.RESOLUTION 86-2013 $850 recreation fee for new dwellih ,g ai i s two-family,
multiplefamily apartments condominiums townhouses,and or manu ��li ��m of mobile
homes. This is in addition to the permit fee(s).
CONTACT INFORMATION: L SEP 18 2018
• Applicant: TOWN OF QUEENSEURY
B!)is JW.?,& COCES
Name(s): \ f fr c .�✓�, .� _.. ._
Mailing Address, C/S/Z: 103°19 RV ILO 6-A- kriAl.‘ 1
LtrL �--
Cell Ph.: _(5W ) '-a1(0 r 31-fca Land Line: (cl'S ) '11\ ' I (a _CO
Email: t�i rM, �a e�.�.,:,,. M4 ,._ -,1 cx..SkwP .c
• Primary Owner(s):
Name(s): k\-S‘,rtA,VIN
Mailing Address, C/S/Z: �-- -�,L� /�o.,,t ,..� L,,t1/ L-a-., ^') n/•.� l 2 Z't1 --
Cell Ph.: _(\' ) Lj 01 — (p(o lt 2- Land Line: (
Email: �q��rn. ��ZCti.raZ- e � .:c� . L.e-w,
• Contractor(s):
Name(s): tk cANk.0-
Mailing Address, C/S/Z: (4'S5' ik°‘ �--
Cell Ph.: _( sit( ) 1\ 31 S' Land Line: _(fl ) 1-c\3 - t b (p
• Architect(s)/Enqineer(s):
Name(s): ��, �� l�- ..� f -.a S
Mailing Address, C/S/Z:
Cell Ph.: _( ) Land Line: _( )
Email:
Contact Person for Building & Code Compliance: K-t,.."`". .f k-c, ,tio,,-1,I
Cell Ph.: _( ) ThcAlre ^ 3`( S Land Line: _( )
Email: K.t...,,Q ',Ce�.. .ram.«) C \ ,1/4.N_ -
ToQ Building&Code Enforcement Principle Structure Revised March 2018
PROJECT ANFORMATION:
TYPE: Commercial kc..id I
WORK CLASS:
Single-Family Two-Family 'ulti-Family(#of )
Townhouse Bu. ines, Office Retail Hotel/Motel
Industrial/Warehouse Garage(#of cars ) Other(describe )
STRUCTURE SQUARE FOOTAGE: GARAGE SQUARE FOOTAGE:
1sT floor: 51412 1sT floor:
2nd floor: i ` 2nd floor:
3rd floor: Total square feet:
Basement(habitable space): Z(e?'
Total square feet: 12 3 0
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ LOLDt O tllt)
2. Proposed use of the building: Sc ck„c
3. If Commercial or Industrial, indicate the name of the business:
4. Source of Heat (circle one): Gas Oil Propane Solar Other:
(Fireplaces need a separate Fuel Burning Appliances& Chimney Application, one per appliance)
5. Are there any structures not shown on the plot plan? YES NO plain:
6. Are there any easements on the property? YES NO
7. SITE INFORMATION:
a. What is the dimensions or acreage of the parcel? ' Oc
b. Is this a corner lot? YES NO
c. Will the grade be changed as a result of the construction? YES NO
d. What is the water source? --- PUBLIC PRIVATE WEL
e. Is the parcel on SEWER or 6 PRIVATE SEP system? cief-4\
ToQ Building&Code Enforcement Principle Structure Revised March 2018
DECLARATION:
I. I acknowledge that no construction shall commen:_:e prior to issuance of a valid building
perm and work will be completed within a 12 month period.
2 If the work is not completed by the 1year expiration date the permit may be renewed
subject to fees and department approva I.
3. I certify that the application, plans and supporting materials are a t rue and complete statement
and/or description of the work proposed, that all work will be performed in accordance with the
NYS Building Codes, local building laws and ordinances, and in conformance with local zoning
regulations.
4. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a
certificate of occupancy.
5. I understand that Uwe are required to provide an as-built survey by a licensed land surveyor of
a II newly constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above:
PRINT NAME: , .t2AA
SIGNATURE: /1DATE: 9-t G�
ToQ Building&Code Enforcement Prinrinin ctnirtnrn Deistic/ad RAnrrin 1n1 2
SEPTIC DISPOSAL PERMIT APPLICATION Office Use Only
742 Bay Road,Queensbury,NY 12804 �^('�,�p�
Town of Queens un Permit#: —� � (N/y�
P:518-761-8256 www.queensburv.net
Tax Map ID#: 288.8-1-29 Permit Fee: $ Invoice#:
Project Location: 15 French Mountain Drive Septic Variance? Yes No
Primary Owner(s) Tamarra Ellsworth
Mailing Address 7 French Mountain Drive,Queensbury,NY 12804
Phone & Email (518)429-6642,tamarraellsworth@gmail.com
Installer/Builder Kevin Maynard Construction-Excay.TBD
Mailing Address 10394 State Rt.149,Fort Ann,NY 12827
Phone & Email (518)796-3458
Engineer Hutchins Engineering
Mailing Address 169 Haviland Rd,Queensbury,NY 12804
Phone & Email (518)745-0307,LWDobie@hutchinsengineering.com
Contact Person for Building&Code Compliance: Kevin Maynard Phone: (518)796-3458
RESIDENCE INFORMATION:
Year Built Gallons #of bedrooms X gallons per =total daily flow
per day bedroom Garbage Grinder Yes No
1980 or older 150 Installed? (circle one)
1981-1991 130 Spa or Hot Tub Yes No
Installed? (circle one)
1992-Present 110 2 110 220
PARCEL INFORMATION:
Topography ✓ Flat Rolling Steep Slope %Slope
Soil Nature ✓ Sand ✓ Loam Clay Other
Groundwater At what depth? >6-ft
Bedrock/Impervious material At what depth? >6-ft
Domestic Water Supply _Municipal ✓ Well (if well, water supply from any septic system absorption is 100 ft.)
Percolation Test Rate: 2:30 per minute per inch (test to be completed by licensed engineer/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION:
Tank size 1000 gallons (min. size 1,000 gallons, add 250 gallons for each garbage cylinder or spa/hot tub
System Absorption field with#2 stone Total length 40 ft.; Each Trench 3 ft.
Seepage Pit with#3 stone How many: ; Size:
Alternative System Bed or other type:
Holding Tank System Total required capacity? ; tank size ;#of tanks
NOTES: 1.Alarm system &associated electrical work must be inspected by a Town approved electrical inspection
agency; 2. We will no longer allow systems to be covered until such time as an as-built plan is received and approved.
The installed system must match the septic layout on file—no exceptions.
Declaration:Any permit or approval granted which is based upon or is granted in reliance upon any material
representation 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 and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage
Disposal Ordinance.PRINT NAME: Tamarra Ellsworth DATE: —�v+ y k O
SIGNATURE:
Town of Queensbu uilding&Code Enforcement Revised March 2018
INSPECTION WORKSHEET (RPLUM-001771-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0592-2018 Case Module:Permit
Inspection Date:Tue Apr 2, 2019 Inspection Status:Partial Pass
Inspector:Mark Smith Inspection Type:Rough Plumbing
Job Address:Parcel Number:15 FRENCH MOUNTAIN DR
Lake George, NY 12845
288.8-1-29
Contact Type Company Name Name
Applicant Kevin Maynard Construction
Primary Owner Ellsworth, Tamarra
Engineer Rucinski-Hall Architecture
Contractor Kevin Maynard Construction
Granted Permission Kevin Maynard Construction
Checklist Item Passed Comments
Building Inspector Notes NO 4/2/19 Rough plumbing partial approval. Fittings thru
foundation not tested at this time.
Plumbing Under Slab NO
Shower liner test (2" of water)NO
Drain Vent NO
Air Head NO
5 psi or 10 ft. above highest conn. for 15 minutes YES Holing 5 psi for 15 minutes
Apr 02, 2019 Page (1)
INSPECTION WORKSHEET (RPLUM-001771-2019)
Checklist Item Passed Comments
Air Head NO
50 P.S.I for 15 minutes YES Holding 50 psi for 15 minutes
Air Test Gas Piping 10 psi for 10 Minutes NO
All Return Air Hard Duct Work NO
Duct Insulation - if required in unheated spaces NO
Duct Testing Outside Conditioned Space NO
Duct work sealed properly NO
Apr 02, 2019 Page (2)
Smith, Mark (Inspector)
INSPECTION WORKSHEET (BINS-001777-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0592-2018 Case Module:Permit
Inspection Date:Tue Apr 2, 2019 Inspection Status:Partial Pass
Inspector:Mark Smith Inspection Type:Building Insulation
Job Address:Parcel Number:15 FRENCH MOUNTAIN DR
Lake George, NY 12845
288.8-1-29
Contact Type Company Name Name
Applicant Kevin Maynard Construction
Primary Owner Ellsworth, Tamarra
Engineer Rucinski-Hall Architecture
Contractor Kevin Maynard Construction
Granted Permission Kevin Maynard Construction
Checklist Item Passed Comments
Building Inspector Notes NO 4/1/19 insulation approved R 21 in walls R 38 in pitched
ceiling R49 in flat ceilings
4/2/19 remaining items window tape at exterior,
all duct work sealed, blower door test.
U Factors = .3 cfm for windows, .5 cfm for doors YES .30
Blower Door Test NO
Combustion Air Supply for Furnace NO
Fresh air supply 3' from grade NO
Duct Insulation - if required in unheated spaces NO
Apr 02, 2019 Page (1)
INSPECTION WORKSHEET (BINS-001777-2019)
Checklist Item Passed Comments
Air Barrier behind Knee Walls NO
All Ductwork Sealed Return and Supply NO
Duct Blaster Test for duct work, R-8 NO
All Return Air Hard Duct Work NO
Apr 02, 2019 Page (2)
Smith, Mark (Inspector)
INSPECTION WORKSHEET (BINS-001739-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0592-2018 Case Module:Permit
Inspection Date:Mon Apr 1, 2019 Inspection Status:Partial Pass
Inspector:Mark Smith Inspection Type:Building Insulation
Job Address:Parcel Number:15 FRENCH MOUNTAIN DR
Lake George, NY 12845
288.8-1-29
Contact Type Company Name Name
Contractor Kevin Maynard Construction
Primary Owner Ellsworth, Tamarra
Applicant Kevin Maynard Construction
Granted Permission Kevin Maynard Construction
Engineer Rucinski-Hall Architecture
Checklist Item Passed Comments
Building Inspector Notes NO 4/1/19 insulation approved R 21 in walls R 38 in ceiling
U Factors = .3 cfm for windows, .5 cfm for doors NO
Blower Door Test NO
Combustion Air Supply for Furnace NO
Fresh air supply 3' from grade NO
Duct Insulation - if required in unheated spaces NO
Air Barrier behind Knee Walls NO
Apr 01, 2019 Page (1)
INSPECTION WORKSHEET (BINS-001739-2019)
Checklist Item Passed Comments
All Ductwork Sealed Return and Supply NO
Duct Blaster Test for duct work, R-8 NO
All Return Air Hard Duct Work NO
House Wrap Taped at all Seams NO
Apr 01, 2019 Page (2)
Smith, Mark (Inspector)
,REScheck liance Software Version 4 6ic.5
ate
Comp Certif
4.,.,.,,..„..-
Project E II V E "ril
� I
Energy Code: 2015 IECC
Dip SEp 18 2018
Location: Lake George, New York
Construction Type: Single-family (__.__....____
Project Type: New Construction TOWN OF Q:UE.ENSi URY
Conditioned Floor Area: 1,053 ft2 3Ul!LE) NC `..C '"L.::S.
Glazing Area 21%
Climate Zone: 6 (7377 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
Compliance:Passes using UA trade-off
Compliance: 2.8%Better Than Code Maximum UA: 177 Your UA: 172
The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Envelope Assemblies
Gross Area Cavity Cont.
Assembly Or R-Value R-Value U-Factor UA
Perimeter
Ceiling 1: Flat Ceiling or Scissor Truss 480 49.0 0.0 0.026 12
Ceiling 2: Cathedral Ceiling 216 38.0 0.0 0.027 6
Wall 1: Wood Frame, 16"o.c. 1,128 21.0 0.0 0.057 50
Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 166 0.290 48
Window 2: Vinyl/Fiberglass Frame:Double Pane with Low-E 31 0.270 8
Door 1: Solid 20 0.270 5
Door 2: Glass 40 0.260 10
Basement Wall 1: Solid Concrete or Masonry 768 21.0 0.0 0.043 33
Wall height: 8.0'
Depth below grade: 7.0'
Insulation depth: 8.0'
Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other
calculations submitted with the permit application.The proposed building has been designed meet the 2015 IECC requirements in
REScheck Version
n4.6.5 and to corn ly with the mandatory require is Ii din the RES eck Inspection Checklist.
K
Name-Title Sig atur Date
cAl S W c
Project Title: Report date: 07/24/18
Data filename: Untitled.rck Page 1 of 9
REScheck Software Version 4.6.5
r\ ' Inspection Checklist
I Energy Code: 2015 IECC
Requirements: 0.0% were addressed directly in the REScheck software
Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each
requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
Section Plans Verified Field Verified
# Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions
& Req.ID _103.1, Construction drawings and ❑Complies
103.2 documentation demonstrate ❑Does Not
[PR1]1 energy code compliance for the
building envelope.Thermal ❑Not Observable
envelope represented on ❑Not Applicable
construction documents.
103.1, Construction drawings and ❑Complies
103.2, documentation demonstrate ❑Does Not
403.7 energy code compliance for
[PR3]1 lighting and mechanical systems. [Not Observable
Systems serving multiple ❑Not Applicable
dwelling units must demonstrate
compliance with the IECC
Commercial Provisions.
302.1, Heating and cooling equipment is Heating: Heating: ❑Complies
403.7 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not
[PR212 on loads calculated per ACCA Cooling: Cooling: ❑Not Observable
Manual J or other methods Btu/hr Btu/hr
approved by the code official. ❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 12 'Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Report date: 07/16/18
Data filename: Untitled.rck Page 2 of 9
Section Plans Verified Field Verified
# Foundation Inspection Value Value Complies? Comments/Assumptions
& Req.ID
402.1.1 Conditioned basement wall R- R- ❑Complies See the Envelope Assemblies
[FO4]1 insulation R-value.Where interior R_ R- ❑Does Not table for values.
insulation is used, verification
may need to occur during ❑Not Observable
Insulation Inspection. Not ElNot Applicable
required in warm-humid locations
in Climate Zone 3.
303.2 Conditioned basement wall OComplies
[FO5]1 insulation installed per ElDoes Not
manufacturer's instructions.
❑Not Observable
❑Not Applicable
402.2.9 Conditioned basement wall ft ft ❑Complies See the Envelope Assemblies
[FO6]1 insulation depth of burial or ❑Does Not table for values.
distance from top of wall.
❑Not Observable
❑Not Applicable
303.2.1 A protective covering is installed ❑Complies
[FO11]2 to protect exposed exterior ❑Does Not
insulation and extends a
minimum of 6 in. below grade. ❑Not Observable
❑Not Applicable
403.9 Snow-and ice-melting system ❑Complies
[FO12]2 controls installed. ❑Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) J
Project Title: Report date: 07/16/18
Data filename: Untitled.rck Page 3 of 9
Section Plans Verified Field Verified
# , Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions
& Req.ID —__— —
402.1.1, Door U-factor. U- U- ❑Complies See the Envelope Assemblies
402.3.4 ElDoes Not table for values.
(FR1)1 ❑Not Observable
+ ❑Not Applicable
402.1.1, Glazing U-factor(area-weighted U- U- ❑Complies See the Envelope Assemblies
402.3.1, average). ❑Does Not table for values.
402.3.3, ❑Not Observable
402.5
[FR211 ❑Not Applicable
303.1.3 U-factors of fenestration products ❑Complies
[FR4]1 are determined in accordance ❑Does Not
with the NFRC test procedure or ❑Not Observable
taken from the default table.
❑Not Applicable
402.4.1.1 Air barrier and thermal barrier ❑Complies
[FR23j1 installed per manufacturer's ElDoes Not
instructions. ❑Not Observable
❑Not Applicable
402.4.3 Fenestration that is not site built DComplies
[FR20)1 is listed and labeled as meeting ❑Does Not
AAMA/WDMA/CSA 101/I.S.2/A440 :Not Observable
or has infiltration rates per NFRC
400 that do not exceed code ❑Not Applicable
limits.
402.4.5 IC-rated recessed lighting fixtures ❑Complies
[FR16]2 sealed at housing/interior finish ❑Does Not
and labeled to indicate <_2.0 cfm ❑Not Observable
leakage at 75 Pa.
❑Not Applicable
403.3.1 Supply and return ducts in attics ❑Complies
[FR12]1 insulated >= R-8 where duct is ❑Does Not
>= 3 inches in diameter and >= ❑Not Observable
R-6 where < 3 inches. Supply and
return ducts in other portions of ❑Not Applicable
the building insulated >= R-6 for
diameter>= 3 inches and R-4.2
for< 3 inches in diameter.
403.3.5 Building cavities are not used as ❑Complies
[FR15]3 ducts or plenums. ❑Does Not
❑Not Observable
❑Not Applicable
403.4 HVAC piping conveying fluids R- R- ❑Complies
[FR17]2 above 105 QF or chilled fluids ❑Does Not
below 55 4F are insulated to R ❑Not Observable
3.
[Not Applicable
403.4.1 Protection of insulation on HVAC ❑Complies
[FR24]1 piping. ❑Does Not
, , ❑Not Observable
❑Not Applicable
403.5.3 Hot water pipes are insulated to R- R- ❑Complies
(FR18]2 >_R-3. ❑Does Not
['Not Observable
:Not Applicable
403.6 Automatic or gravity dampers are OComplies
(FR19]2 installed on all outdoor air ❑Does Not
intakes and exhausts. [Not Observable
❑Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Report date: 07/16/18
Data filename: Untitled.rck Page 4 of 9
Section Plans Verified Field Verified
# Insulation Inspection Value Value Complies? Comments/Assumptions
& Req.ID
—
303.1 All installed insulation is labeled ❑Complies
[IN13]2 or the installed R-values ❑Does Not
provided. ❑Not Observable
❑Not Applicable
402.1.1, Wall insulation R-value. If this is a R- R- ❑Complies See the Envelope Assemblies
402.2.5, mass wall with at least 1/2 of the ❑ Wood ❑ Wood ❑Does Not table for values.
402.2.6 wall insulation on the wall ❑ Mass ❑ Mass ❑Not Observable
LIN3]1 exterior,the exterior insulation
requirement applies(FR10). ❑ Steel ❑ Steel ❑Not Applicable
303.2 Wall insulation is installed per ❑Complies
[IN4]1 manufacturer's instructions. ❑Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 1High Impact(Tier 1) 1 2 Ledium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Report date: 07/16/18
Data filename: Untitled.rck Page 6 of 9
Section Plans Verified Field Verified
# ,Finpl Inspection Provisions Value Value Complies? Comments/Assumptions
& Req.ID
402.1.1, Ceiling insulation R-value. R- R- ❑Complies See the Envelope Assemblies
402.2.1, ❑ Wood ❑ Wood ODoes Not table for values.
402.2.2, ❑ Steel ❑ Steel ❑Not Observable
402.2.6
[FI1)1 ❑Not Applicable
303.1 1.1, Ceiling insulation installed per ❑Complies
303.2 manufacturer's instructions. ❑Does Not
[F12]1 Blown insulation marked every ['Not Observable
300 ft2. ❑Not Applicable
402.2.3 Vented attics with air permeable ❑Complies
[FI22]2 insulation include baffle adjacent ❑Does Not
to soffit and eave vents that
extends over insulation. ❑Not Observable
❑Not Applicable
402.2.4 Attic access hatch and door R- R- ❑Complies
[F13]1 insulation R-value of the ❑Does Not
adjacent assembly.
❑Not Observable
❑Not Applicable
402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50 = ❑Complies
[FI17]1 ach in Climate Zones 1-2, and ❑Does Not
<=3 ach in Climate Zones 3-8.
[Not Observable
❑Not Applicable
403.3.4 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies
[F14]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not
<=3 cfm/100 ft2 without air
handler @ 25 Pa. For rough-in ❑Not Observable
tests,verification may need to ❑Not Applicable
occur during Framing Inspection.
403.3.3 Ducts are pressure tested to cfm/100 cfm/100 ❑Complies
[FI27]1 determine air leakage with ft2 ft2 ❑Does Not
either: Rough-in test:Total
leakage measured with a ['Not Observable
pressure differential of 0.1 inch ❑Not Applicable
w.g. across the system including
the manufacturer's air handler
enclosure if installed at time of
test. Postconstruction test:Total
leakage measured with a
pressure differential of 0.1 inch
w.g. across the entire system
including the manufacturer's air
handler enclosure.
403.3.2.1 Air handler leakage designated ❑Complies
[FI24]1 by manufacturer at<=2%of ❑Does Not
design air flow.
❑Not Observable
❑Not Applicable
403.1.1 Programmable thermostats ❑Complies
[FI9]2 installed for control of primary ElDoes Not
heating and cooling systems and
initially set by manufacturer to ❑Not Observable
code specifications. ❑Not Applicable
403.1.2 Heat pump thermostat installed ❑Complies
[FI10]z on heat pumps. ❑Does Not
❑Not Observable
❑Not Applicable
403.5.1 Circulating service hot water DComplies
[FI11]2 systems have automatic or ❑Does Not
accessible manual controls.
❑Not Observable
❑Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Report date: 07/16/18
Data filename: Untitled.rck Page 7 of 9
Section Plans Verified Field Verified
# ,. . Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Req.ID, 1 --
403.6.1 All mechanical ventilation system ❑Complies
[FI25]2 fans not part of tested and listed ❑Does Not
HVAC equipment meet efficacy ['Not Observable
and air flow limits.
❑Not Applicable
403.2 Hot water boilers supplying heat ❑Complies
[F12612 through one-or two-pipe heating ❑Does Not
systems have outdoor setback ❑Not Observable
control to lower boiler water
temperature based on outdoor ❑Not Applicable
temperature.
------- --- -------- — ---------- ---
403.5.1.1 Heated water circulation systems ❑Complies
[F128)2 have a circulation pump.The ❑Does Not
system return pipe is a dedicated ❑Not Observable
return pipe or a cold water supply
pipe. Gravity and thermos- ❑Not Applicable
syphon circulation systems are
not present.Controls for
circulating hot water system
pumps start the pump with signal
for hot water demand within the
occupancy. Controls
automatically turn off the pump
when water is in circulation loop
is at set-point temperature and
no demand fo r hot water exists.
403.5.1.2 Electric heat trace systems ❑Complies
[F129]2 comply with IEEE 515.1 or UL ❑Does Not
515.Controls automatically ❑Not Observable
adjust the energy input to the
heat tracing to maintain the ❑Not Applicable
desired water temperature in the
piping
403.5.2 Water distribution systems that ❑Complies
[F130)2 have recirculation pumps that ❑Does Not
pump water from a heated water ❑Not Observable
supply pipe back to the heated
water source through a cold ❑Not Applicable
water supply pipe have a
demand recirculation water
system. Pumps have controls
that manage operation of the
pump and limit the temperature
of the water entering the cold
water piping to 1049F.
403.5.4 Drain water heat recovery units ❑Complies
[F131]2 tested in accordance with CSA ❑Does Not
B55.1. Potable water-side ❑Not Observable
pressure loss of drain water heat
recovery units < 3 psi for [Not Applicable
individual units connected to one
or two showers. Potable water-
side pressure loss of drain water
heat recovery units < 2 psi for
individual units connected to
three or more showers.
404.1 75%of lamps in permanent ❑Complies
[FI611 fixtures or 75%of permanent ['Does Not
fixtures have high efficacy lamps. ❑Not Observable
Does not apply to low-voltage ❑Not Applicable
lighting. — — —
404.1.1 Fuel gas lighting systems have DComplies
[FI23]3 no continuous pilot light. ❑Does Not
[Not Observable
❑Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) J 3 [Low Impact(Tier 3)
Project Title: Report date: 07/16/18
Data filename: Untitled.rck Page 8 of 9
Section Plans Verified Field Verified
# . Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Req.ID'j — — — — —
401.3 Compliance certificate posted. ❑Complies
[F17]2 ❑Does Not
❑Not Observable
❑Not Applicable
303.3 Manufacturer manuals for Complies
[FI18]3 mechanical and water heating ❑Does Not
systems have been provided.
❑Not Observable
ElNot Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) I
Project Title: Report date: 07/16/18
Data filename: Untitled.rck Page 9 of 9
2015 IECC Energy
Efficiency Certificate
Insulation Rating R-Value
Above-Grade Wall 21.00
Below-Grade Wall 21.00
Floor 0.00
Ceiling / Roof 49.00
Ductwork (unconditioned spaces):
Glass& Door Rating U-Factor SHGC
Window 0.29
Door 0.26
Heating&Cooling Equipment Efficiency
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments
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1SSMAX G E
HEAT RECOVERY VENTILATOR 118 !iU
`'
e«
., ----,-::\--,,,z,...t.,,,,,uRy r,
c(W4�yt Lei s1: t
ENGINEERING DATA t;< 'mot LIFEBR H
THERMALLY CONDUCTIVE,PATENTED DEFROST k...r—.-- --"
ALUMINUM CORE Recirculating damper defrost system.
The counter-flow heat recovery core transfers heat between the two airstreams.It is
easily removed for cleaning or service. CASE
Twenty gauge prepainted galvanized steel for superior corrosion resistance.Insulated to
MOTORS AND BLOWERS prevent exterior condensation.Drain connections 2-1/2 in.(12 mm)OD.Balancing ports
Each airstream has one centrifugal blower driven by a common PSC motor,with multiple are located on door.
fan speed operations.
ELECTRONICS
FILTERS The DX11.02 control included with the unit can be wall mounted in a central location of
Washable air fitters in exhaust and supply air streams. the home.3 wire 20 gauge(min.)100 ft length(max.).
MOUNTING
Four threaded inserts at corners of the cabinet designed to accept the"s"hooks and WARRANTY
hanging straps supplied with the unit. Units carry a lifetime warranty on the HRV care and a 5 year
replacement parts warranty.
OPTIONAL ACCESSORIES:
TechGritle Wireless 20/40/60
Weather Hood 99-EAG4 Terminator Min Timer
99 185 99-EAGS Fitting q
99-186 99-TM4 99-OET02
99 187 It 99-EAG6 ` 99 TMS10 ,
i,
99-FAGB
99-TM6 ;
LIFEBREATH CONTROL OPTIONS TIMER OPTIONS
99-DET01-Lifebreath 20/40/60 Minute Timer
FEATURES 99-DXPL02 99-BCO2 99-BCO3 99-BC04
Initiates high speed Ventilation for 20,40 or 60
.; ,: 3 v : minutes.3 wire connection.
5 speed fan operation on each mode
99-DET02
2 speed fan operation(Low/High) '( Wireless Ufebreath 20/40/60 Minute Timer
t" ✓ .0 Initiates high speed Ventilation for 20,40 or 60
Continuous low speed fan operation "
minutes.Wirelessly connects to main control for
Humidity control through adjustable Dehumidistat
✓ �j ✓ }V ease of installation.40'approximate range.
-- Excusive to Ufebreath.
Large dlgttal LCD screen ✓
99-RX02-Wireless Lifebreath Repeater
LED status indicator lights ✓ ✓ ✓ Extends range of 99-DET02 Wireless Timers.Plugs
into 120V power outlet.Wirelessly connects to
Continuous Ventilation ✓ s { - main control and 99-DET02.Install at halfway
�s - point between timer and main wall control if timer
Centimes Recirculation 1 v is out of range.
20 0N/40 OFF ✓ « };
10 OH/50 OFF
asp ,.t
20 0N/40 Recirculation `� ✓ a ;'> 1..
20/40/60 mkt.High speed override button ✓ v * 99 OXPLO2 99 DETO2
Compatible with 99-DET02 Wireless Timer r- ✓ I `� 14-
l
3 wire connection ✓ ✓ ✓ iJ LIFEBRERTH`
if i indoor Air Systems
155MAX(01-01-18) www.lifebreath.com
, i.,
„.t
_.:,,,,
155 MAX • , :,„
t ,:i
HEAT RECOVERY VENTILATOR r
-y
_ f."
PERFORMANCE (HVI CERTIFIED) LIFEBR€RTIt
0.1(25) 0.2(SO) 0.3(7S) 0.4(100) 0.5(125) 0.6(150) 0.7(175) ELECTRICAL SPECIFICATIONS
IN.W.G.(PA) CFM(Us) CFM(Us) CFM(Us) CFM(L's) CFM(Us) CFM(Us) CFM(US)
VAC @ 60Hz 115
Net Supply Airflow =AIR . 163(17) 146(69) 132(62) 115(54) 92(43) 60(28)' Watts I low Speed 66
134(63) 117(55),; $4(44) 61(2 ._
Gross Supply Airflow 1�8($>) 166(!8) 149.(7D)` 29) Watts/High Speed 118
Gross Exhaust Airflow as(113) 228(107) 212(100) 193(91) 172(811. 150(71) 126(60), Amp Rating 44 ;.
Sensible Effectiveness(ASE) 32°F >i41L 180 WEIGHT:
(0°t.7
@ 59 CFM(28 Us) 71 LBS(32 KG)
Sensible Efficiency(SRE) °F(G°ej 75% 160 SHIPPING WEIGHT:
32
@ 59 CFM(28 Us) 73 LBS(33 KG)
I
tao32Frc) 75% 120 Ntoo Front clearance of 25 in.(635 mm)is
so recommended for servicing unit.All ducts
p use 6 in.(152 mm)round collars.Balancing
SP N; go og j fio dampers are located in all air streams.
01
e" 'f ...—.,...0..5 CERTIFIED Kamm
I I r 1 I r r
0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8
Static Pressure(in w.g.)
DIMENSIONS
FRONT VIEW TOP VIEW
�7
Fitter I 14 3/4 m.(375 mm)
Recirculating f ( I 1 I ) I 1 I
Damperfrost s p =• I I •
il..,
Blower
RemovableHeat ` Stale air to outside
Motor E
Recovery m Fresh air from outside
Core I ===-
S
Stale air from inside
r♦ m • _ Fresh air to inside
J
6 in.(152 mm) I`—a 33 5/8 n.(854 mm) 1..., ►I V 0 v
Round Cela3
Date: __._ WARRANTY
Contractor. Units carry a lifetime warranty
Tag: on the HRV core and a S year
replacement parts warranty.
Project' Qty. Supplier.
Quote#: All units conform to CSA and UL standards
Engineer al
Control: Submitted By. LIFEBRERTN.
is Indoor Air Systems
Timer. Timer Lily:
155MPX(O1-01 lE1) www.lifebreath.com
Your Company Here... TAMARRA ELLSWORTH
Your Address Here... -City Here..., State Here..Zip Here... 15 FRENCH MOUNTAIN DR
Phone Here - Email Here... LAKE GEORGE, NY 12845
Sales Consultant:
Job#: ELLSWORTH
Date: 07/23/2018
System I (Average Load Procedure)
Design Conditions
Location: Glens Falls AP, New York Elevation: 335 ft Daily Range: Medium
Input Data: Outdoor Dry Bulb Indoor Dry Bulb Latitude: 43° N Design Grains: 26
Summer: 92 72 Heated Area 1324 Sq.Ft.
Winter: -17 70 Cooled Area 1324 Sq.Ft.
Heat/Loss Summary (July Heat Load Calculations)
Gross Sensible Latent
Area Loss Gain Gain
Walls 1724 8322 1593 0
Windows 204 7679 5024 0
Doors 21 713 254 0
Ceilings 472 1097 604 0
Skylights 0 0 0 0
Floors 1324 1062 0 0
Room Internal Loads 0 2400 0
Blower Load 1707 0 nrt4�
Hot Water Piping Load 0 0 0 '
'
Winter Humidification Load 0 0 0 111111LIRL.1
Infiltration 9285 1104 887
roved ACCA
Ventilation 9570 2200 1768 MJ8 pp letl Calcuons
Duct Loss/Gain EHLF=O ESGF=O 0 439 416
AED Excursion n/a 0 n/a
Subtotal 37728 15325 3071
Total Heating 37728 Btuh
Total Cooling 18396 Btuh 74 Linear ft. of Hydronic Baseboard
*Calculations are based on the ACCA Manual J 8th Edition and are approved by ACCA.All computed calculations are
estimates based on building use,weather data, and inputted values such as R-Values,window types,duct loss, etc.
Equipment selection should meet both the latent and sensible gain as well as building heat loss.
Adtek AccuLoad Report Version 17.3.5 Page 1
Your Company Here... TAMARRA ELLSWORTH
Your Address Here... -City Here..., State Here..Zip Here... 15 FRENCH MOUNTAIN DR
Phone Here - Email Here... LAKE GEORGE, NY 12845
Sales Consultant:
Job#: ELLSWORTH
Date: 07/2312018
Equipment Selection
Design Conditions
Design Location: Glens Falls AP, New York Relative Humidity: 50%
Elevation: 335 ft Summer Outdoor Design: 92
Latitude: 43° N Winter Outdoor Design: -17
Daily Range: Medium Summer Indoor Design: 72
Design Grains 26 Winter Indoor Design: 70
Heating Equipment
Mfg: Altitude Correction Factor: 0
Model: Heating Input(btuh):
AHRI Ref#: Heating Output(btuh): 60000
Efficiency (AFUE): Calculated HeatPump 0
Output @ Design (btuh):
Cooling Equipment
Mfg: CHAMPION BY JOHNSON Altitude Correction Factor: 0
Oudoor Unit Model: TC3B2421 Rated Total Cooling (btuh): 23400
Coil: FC/MC/PC35B+TXV Sensible Cooling (btuh): 17550
Furnace: TM9E060B12MP11 Latent Cooling (btuh): 5850
AHRI Ref#: 8535321 SEER - EER@95:
Heat Pump HSPF:
Summary
MJ8 Calculations Status Equipment Capacities
Sensible Gain (btuh): 15325 Sufficient Sensible Capacity (btuh): 17550
Latent Gain (btuh): 3071 Sufficient Latent Capacity (btuh): 5850
Total Heat Gain (btuh): 18396 Sufficient Total Capacity (btuh): 23400
Heat Loss (btuh): 37728 Sufficient Heating Capacity (btuh): 60000
Adtek AccuLoad Report Version 17.3.5 Page 2
Your Company Here... TAMARRA ELLSWORTH
Your Address Here... -City Here..., State Here.. Zip Here... 15 FRENCH MOUNTAIN DR
Phone Here - Email Here... LAKE GEORGE, NY 12845
Sales Consultant:
Job#: ELLSWORTH
Date: 07/23/2018
System 1
— AED Curve — DAL — 1.3 — 1.5
8000
7000 --
6000 -
5000
4000
m
3000 - - - -
2000
1000 -
0 - + —
8 9 10 11 12 13 14 15 16 17 18 19 20
Hour
AED Excursion: 0 btuh
AED Status: System has Adequate Exposure Diversity.
AED Flag: No AED Flag.
Hours are listed in 24-hour format: 8 is 8am, 20 is 8pm.
Adtek AccuLoad Report Version 17.3.5 Page 3
Your Company Here... TAMARRA ELLSWORTH
• Your Address Here... -City Here..., State Here..Zip Here... 15 FRENCH MOUNTAIN DR
Phone Here - Email Here... LAKE GEORGE, NY 12845
Sales Consultant:
Job#: ELLSWORTH
Date: 07/23/2018
I System I Breakdown 1
Item Name U-Value
/SHGC Net Area Htg. HTM. Clg. HTM Sens. Htg. Sens. Cig. Lat. Clg. Total Clg.
Construction_Type
System I 01707 0 1707
1/2 BATH 0 0 0 0
Floor 0 36 0 0 0 0
Floor Over Conditioned SpaceINAINAINAINAINAINAINA
South Wall 0.065 48 5.655 1.31 271 63 0 63
Frame Wall/PartitionINAINAIWoodlR-21INoneINAISiding or StuccoINA
Window-2x3 0.6/0.39 6 36.54 19.67 219 118 0 118
French DoorjFrench DoorICiearI2 PanejWood, Wood with Metal Clad, or Vinyl
2ND FLOOR BATH 0 0 0 0
Ceiling 0.026 72 2.262 1.43 163 103 0 103
Ceiling under FHA Vented Attic or Attic Knee Wall, No Radiant BarriedAsphalt ShinglesiDark or Heavy
Bold ColorIR-38 insulation
Floor 0 72 0 0 0 0
Floor Over Conditioned SpaceINAINAINAINAINAINAINA
South Wall 0.065 72 5.655 1.32 407 95 0 95
Frame Wall/PartitionINAINAIWoodIR-211NoneINAISiding or StuccoINA
2ND FLOOR HALL 0 0 0 0
Ceiling 0.026 98 2.262 1.43 222 140 0 140
Ceiling under FHA Vented Attic or Attic Knee Wall, No Radiant BarrierlAsphalt Shinglespark or Heavy
Bold ColorIR-38 insulation
Floor 0 98 0 0 0 0
Floor Over Conditioned SpaceINAINAINAINAINAINAINA
East Wall 0.065 113.5 5.655 1.32 642 150 0 150
Adtek AccuLoad Report Version 17.3.5 Page 4
Your Company Here... TAMARRA ELLSWORTH
Your Address Here... - City Here..., State Here..Zip Here... 15 FRENCH MOUNTAIN DR
Phone Here - Email Here... LAKE GEORGE, NY 12845
Sales Consultant:
Job#: ELLSWORTH
Date: 07/23/2018
Frame Wall/Partition!NA!NAIWoodIR-211NoneINAISiding or Stucco!NA
Window-2.5x5 0.6/0.39 12.5 36.54 34.16 457 427 0 427
French DoorjFrench Door]ClearJ2 PanelWood, Wood with Metal Clad, or Vinyl
South Wall 0.065 51 5.655 1.31 288 67 0 67
Frame Wall/PartitionINAINAIWood!R-211NoneINAISiding or StuccoINA
1Mndow-3x4 0.6/0.39 12 ^-36.54 19.58 438 235 0 235
French DoorjFrench Door!Clear!2 PanelWood, Wood with Metal Clad, or Vinyl
__..BASE BATH _—.___.____...._..._.._....__._........_..........._........._._._....-._-_.____..---..._________......_.____.___ _.______ 0...___-..___..__.._0._..___ 0 O
Floor 0.027 63 2.349 148 0 0 0
Basement Floor(2ft+ Below Grade)!NAINAjNAINo InsulationlAny Floor CoveringI20 feetlNA
South Wall 0.059 28 5.133 144 0 0 0
Basement WallINAIEight Inch Brick, Stone or Concrete Wall!WoodlR-13lNoneINA!Blockl4ft
West Wall 0.059 36 5.133 185 0 0 0
Basement Wall NA$Eight Inch Brick, Stone or Concrete Wall!WoodlR-13lNoneINAlBlockl4ft
BEDROOM 0 0 0 0
Floor 0.027 100 2.349 235 0 0 0
Basement Floor(2ft+ Below Grade)INAINA)NAlNo InsulationlAny Floor Covering120 feetINA
East Wall 0.059 _ 24 5.133 --__ 123 0 0 0
Basement WallINA{Eight Inch Brick, Stone or Concrete WalljWoodlR-13INoneINAIBlockI4ft
Window-4x4 0.47/0.31 16 40.89 38.63 654 618 0 618
OperablelNormal WndowILow-e(0.20)12 Pane(0.05) Surface 2!Wood,Wood with Metal Clad,or Vinyl
North Mil 0.059 40 5.133 205 0 0
Wa 0
Basement WallINAlEight Inch Brick, Stone or Concrete Wall(Wood{R-13lNone!NAIBlockI4ft
_ ____._-_.__ ._._... _..__._______._____-.—_—__-_
DINING —._O 0 0 0
__ Floor 0 132-- 0 u 0 0 0
Adtek AccuLoad Report Version 17.3.5 Page 5
Your Company Here... TAMARRA ELLSWORTH
Your Address Here... - City Here..., State Here..Zip Here... 15 FRENCH MOUNTAIN DR
Phone Here - Email Here... LAKE GEORGE, NY 12845
Sales Consultant:
Job#: ELLSWORTH
Date: 07/23/2018
Floor Over Conditioned Space1NAINAINA1NAINAINA1NA
_..
North Wall 0.065 . - 87 5.655 1.32 492 115 0 115
Frame Wall/PartitionINAINA1WoocIIR-211None1NAISiding or Stucco!NA
- - -- W.nCIOW-65— 0.6/0.39 30 36.54 13.67 1096 410 0 410
French DooriFrench Door!Clear!2 Pane!Wood, Wood with Metal Clad, or Vinyl
West Walt------- ------ — 0.065 87 5.655 1.32 .462------ 115 — 0 115
Frame Wall/PartitionINNNA1Wooc11R-211None1NAISiding or Stucco!NA
------Window-eic 0.47/0.31 30 40.89 38.67 1227 1160 0 1160
OperablelNormal Window!Low-e(0.20)12 Pane(0.05) Surface 21Wood,Wood with Metal Clad, or Vinyl
Family ROom — 0 0 0 0
Floor 0.027 169 2.349 397 0 0 0
Basement Floor(2ft+ Below Grade)INAINAINA!No InsulationlAny Floor Covering120 feet!NA
North Wall — 0.059 39 —5.133 - -- ---- 200 0 0 0
Basement WallINAIEight Inch Brick, Stone or Concrete Wall1Wood1R-131NoneINAIBlockl4ft
_ . .
West Wall 0.059 33 5.133 169 0 0 0
Basement WallINA1Eight Inch Brick, Stone or Concrete Wall1Wood1R-131None1NAIBlockl4ft
. _ .
Wndow-2x3 0.47/0.31 6 40.89 38.67 245 232 0 232
OperablelNormal Window!Low-e(0.20)12 Pane(0.05) Surface 2lWood, Wood with Metal Clad, or Vinyl
KITCHEN 0 2400 0 2400
Floor o__
182 0 0 0 0
Floor Over Conditioned Space1NA1NA1NAINAINA1NAINA
West Wall ---- - 0.065 105 5.655 1.32 594 139 0 139
Frame WalUPartitionINAINAIWood1R-211NoneINAISiding or StuccolNA
lftfindow-3x4 0.6/0.39 12 36.54 34.17 438 410 0 410
French DooriFrench Doorplear12 PanejWood,Wood with Metal Clad, or Vinyl
South Wall--------- 0.065 54 5.655 1.31 305 71 0 71
Adtek AccuLoad Report Version 17.3.5 Page 6
Your Company Here... TAMARRA ELLSWORTH
Your Address Here... -City Here..., State Here..Zip Here... 15 FRENCH MOUNTAIN DR
Phone Here - Email Here... LAKE GEORGE, NY 12845
Sales Consultant:
Job#: ELLSWORTH
Date: 07/23/2018
Frame Wall/PartitionlNAINAIWoodjR-211NoneINAlSiding or StuccojNA
. . .LIVING_ _..__..._..__...............__._...---._..___...____.__.... 0___.__—_._ 0__._.._-.__.___0..__-�..... 0
Ceiling 0.029 110 2 523 0.78 278 86 0 86
Ceiling Below Roof JoistslDark or Bold Color Asphalt ShinglesINAR-38 blanket or loose fill
• Floor 0 110 0 0 0 0
Floor Over Conditioned SpacesNAINAINAINAINAINAINA
East Wall 0.065 127.5 5.655. 1.32 721 168 0 168
Frame Wall/PartitionINAINAIWoodIR-21lNoneINAlSiding or StuccolNA
W ndow-2.5x5 0.6/0.39 12.5 36.54 34.16 457 427 0 427
French DoorlFrench DoorJClearl2 Panel Wood,Wood with Metal Clad, or Vinyl
North Wall. ...._.... .... 0.065 ..._. ._...129 . _.... 5.655 1.32 729 170 0 170
Frame Wall/PartitioniNAINAIWoodIR-211NoneINAjSiding or StuccoINA
Wndow-2.5x5 0.6/0.39 12.5 36.54 13.68 457 171 0 171
French DoorlFrench DoorIClearl2 PanelWood, Wood with Metal Clad, or Vinyl
Wndow-2.5x5 0.6/0.39 12.5 - 36.54 13.68 457 171 0 171
French DooriFrench DoorIClearj2 PanelWood, Wood with Metal Clad, or Vinyl
MASTER BEDROOM 0 0 0 0
Ceiling 0.026 120 2.262 1.43 271 172 0 172
Ceiling under FHA Vented Attic or Attic Knee Wall, No Radiant BarrierjAsphalt ShinglesIDark or Heavy
Bold ColorIR-38 insulation
Floor 0.._._.— 120 0 0 0 0
Floor Over Conditioned SpacelNAINAlNAINAINAINAINA
West Wall 0.065 90 5.655 1.32 509 119 0 119
Frame WaII/PartitionlNAlNAIWoodjR-21 lNoneINAlSiding or StuccoINA
North Wall 0.065 78 —5.655 5.655 1.32 441 103 0 103
Frame Wall/PartitionINAINAIWoodIR-211NoneiNAISiding or StuccolNA
Window-6x5 0.6/0.39 30 36.54 13.67 1096 410 0 410
Adtek AccuLoad Report Version 17.3.5 Page 7
Your Company Here... TAMARRA ELLSWORTH
Your Address Here... -City Here..., State Here..Zip Here... 15 FRENCH MOUNTAIN DR
Phone Here - Email Here... LAKE GEORGE, NY 12845
Sales Consultant:
Job#: ELLSWORTH
Date: 07/23/2018
French DoorlFrench DoorJClearI2 PanelWood, Wood with Metal Clad, or Vinyl
SIDE ENTRY 0 0 0 0
Floor 0
_._... .-..._50 —_ 0 0 0 0
Floor Over Conditioned SpacelNAJNAINAINAINAjNAINA
East Wall 0.065 _ ..._ 24 5.655- 1.33 136 32 0 32
Frame Wall/PartitioniNAINA!WoodIR-211NoneINAISiding or StuccolNA
Door-3x7 0.39 21 33.93 12.1 713 254 0 254
WoodiSolid CorelNo Storm
STAIR-UTILITY 0 0 0 0
Floor 0.027 120 2.349 282 0 0 0
Basement Floor(2ft+ Below Grade)lNAINAINAINo lnsulationlAny Floor Coveringj20 feetINA
South Wall 0.059 52 5.133 267 0 0 0
Basement WallINAIEight Inch Brick, Stone or Concrete WalltWoodIR-131NoneINAIBlockj4ft
East Wall 0.059 40 5.133 205 0 0 0
Basement WalliNAIEight Inch Brick, Stone or Concrete WallIWoodIR-13INonelNAIBlockI4ft
WIC 0_ __ _ 0----
Ceiling 0.026 72 2.262 1.43 163 103 0 103
Ceiling under FHA Vented Attic or Attic Knee Wall, No Radiant BarrierlAsphalt Shinglespark or Heavy
Bold ColorIR-38 insulation
Floor 0 72 0 0 0 0
Floor Over Conditioned SpaceINAINAINAINAINAINAINA
- West Wall ___. .---0.065 _ __.___81 _ • 5.655 —41.32 458 107 0 107
Frame Wall/PartitionINAINAIWoodIR-21INonelNAISiding or StuccolNA
South Wall _0.065 _....____....60 -
....-.5.655 1.32 339 79 0 79
Frame Wall/PartitionINAINAIWoodlR-211NoneJNAISiding or StuccolNA
— Wndow-3x4 0.6/6.39 12 36.54 19.58 438 235 0 235
Adtek AccuLoad Report Version 17.3.5 Page 8
Your Company Here... TAMARRA ELLSWORTH
• Your Address Here... -City Here..., State Here..Zip Here... 15 FRENCH MOUNTAIN DR
Phone Here - Email Here... LAKE GEORGE, NY 12845
Sales Consultant:
Job#: ELLSWORTH
Date: 07/23/2018
French DoorjFrench DooriClearl2 PanelWood, Wood with Metal Clad, or Vinyl
Adtek AccuLoad Report Version 17.3.5 Page 9
Your Company Here... TAMARRA ELLSWORTH
• Your Address Here... -City Here..., State Here.. Zip Here... 15 FRENCH MOUNTAIN DR
Phone Here - Email Here... LAKE GEORGE, NY 12845
Sales Consultant:
Job#: ELLSWORTH
Date: 07/23/2018
System I CFM
Duct sizes and velocities based on settings selected in the setup screen.
*Duct sizes calculated using this CFM. Winter Summer Winter Summer
Return Supply Calculated Calculated System System
Item Name Velocity RA Duct Size Velocity SA Duct Size CFM CFM CFM CFM
System I 551 20 x 8 689 16 x 8
686 820 612 *612
1/2 BATH 412 1-7"Run 561 1-6"Run 21 17____-_.._. *18- 12
2ND FLOOR BATH 412 1-7"Run 561 1-6"Run 25 19 •23 14
2ND FLOOR HALL 412 1-7" Run 561 1-6"Run 80 87 *72 65
BASE BATH 412 1-7" Run 561 1-6"Run 12 0 '10 0
BEDROOM 412 1-7"Run 561 1-6"Run 30 46 26 *34
DINING 412 1-7"Run 561 1-6"Run 118 148 ___....... 105 *111
----Family Room 412 1-T'Run 561 1-6"Run 25 17 *22 13
. _KITCHEN ___ _ 412 2-T'Runs 561 2-6"Runs 60 _.. 235 54...__.-----*176
LIVING 412 1-7"Run 561 1-6"Run 123 - 106 *109 79
MASTER BEDROOM 412 1-T'Run 561 1-6"Run 88 72 *79 53
SIDE ENTRY 412 1 T'Run 561 1-6"Run 28 24 *25 18
STAIR-UTILITY.. .............._ -.-.. __ 412 ...... ..1-7"Run 561 1-6"Run 18 0 *16.._._._._ 0
WC 412 1-7"Run 561 1-6"Run 59 48 *52 36
•
Adtek AccuLoad Report Version 17.3.5 Page 10
Your Company Here... TAMARRA ELLSWORTH
Your Address Here... - City Here..., State Here..Zip Here... 15 FRENCH MOUNTAIN DR
Phone Here - Email Here... LAKE GEORGE, NY 12845
Sales Consultant:
Job#: ELLSWORTH
Date: 07/23/2018
System I
Design Conditions
Location: Elevation: 0 Daily Range: 0
Design Data: Outdoor Dry Bulb Indoor Dry Bulb Latitude: 0 Design Grains: 0
Summer: 92 72 Summer Design RH% 0
Winter: -17 70
Heating Equipment
Mfg: Heating Input(btuh): N/A
Model: Heating Output(btuh): 60000
AHRI Ref#: Calculated HeatPump 0
Efficiency (AFUE): N/A Output @ Design (btuh):
Outdoor Equipment
Mfg: CHAMPION BY JOHNSON Rated Total Cooling (btuh): 23400
Oudoor Unit Model: TC3B2421 Sensible Cooling (btuh): 17550
Coil: FC/MC/PC35B+TXV Latent Cooling (btuh): 5850
Indoor Unit: TM9E060B12MP11
AHRI Ref#: 8535321
Adtek AccuLoad Report Version 17.3.5 Page 11
Your Company Here... TAMARRA ELLSWORTH
Your Address Here... -City Here..., State Here..Zip Here... 15 FRENCH MOUNTAIN DR
Phone Here - Email Here... LAKE GEORGE, NY 12845
Sales Consultant:
Job#: ELLSWORTH
Date: 07/23/2018
Expanded Manual S (ACCA Guidelines)
MJ8 Design Calculations
Sensible Gain (btuh): 15325 Design TD for Airflow: 19
Latent Gain (btuh): 3071 Design CFM: 733
Total Heat Gain (btuh): 18396 SHR: 0.83
Heat Loss (btuh): 37728
Manufacturers Performance Data(A)
Entering Coil Temperature = 75 (F db) Lower Return Air Total Sensible Latent
CFM (F wb) BTUH BTUH BTUH SHR
Rated CFN @ Rated RA Temperature: 0 0 0 0
Rated CFN @ Design RA Temperature: 0 63 0 0 0
Rated CFN @ Rated RA Temperature: 0 0 0 0
Manufacturers Performance Data(B)
Entering Coil Temperature = 75 (F db) Higher Return Air Total Sensible Latent SHR
CFM (F wb) BTUH BTUH BTUH
Rated CFN @ Rated RA Temperature: 0 0 0 0
Rated CFN @ Design RA Temperature: 0 0 0 0 0
Rated CFN @ Rated RA Temperature: 0 0 0 0
Equipment Performance Data
Entering Coil Temperature = 75 (F db) Design Return Air Total Sensible Latent SHR
CFM (F wb) BTUH BTUH BTUH
Intopolated Equipment Capacity 0 0 0
Excess Latent Capacity Calculation 0 0 0 0 0
Capacity @ Design CFM/RA (F wb) 0 0 0
Equipment Capacity as a % of Design
Equipment Performance Data
Capacity Capacity Thermal Supplemental
Entering Coil Temperature = 75 (F db) P y Balance Heat Required
@ 47 F db @ 17 F db Point q
Heat Pump DataL N/A N/A 0 0
Desired Calculated
Input Output AFUE Temperature
Capacity Capacity Rise Airflow
Furnace Data N/A N/A N/A N/A 0
Adtek AccuLoad Report Version 17.3.5 Page 12
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Lands n IN
N �s.
1 G 4 _
ti
William Fernandez
E _
E
M EROSION & SEDIMENT CONTROL NOTES
o SITE DEVELOPMENT DATA
�c Susan Fernandez N 1
L. 1380 F 134 BEFORE ANY CLEARING OR GRUBBING OF THE SITE IS INITIATED, AND
SITE AREA:
� 000 DURING EARTHWORK PHASES SEDIMENT CONTROL FENCE SHALL BE 000
;, ;
` xa
.68 AC (29,703 SF 0 .; ,
i INSTALLED AS SHOWN ON THE PLAN.
0100
%" AT THE CONCLUSION OF EACH DAYS WORK AND AFTER EVERY STORM
PROPOSED IMPERVIOUS ` a
EVENT, SEDIMINT CONTROL FENCE AND ANY OTHER EROSION CONTROL
COVERAGE ` r01.
, ..:,.
€
MEASURES SHALL BE INSPECTED FOR FAILURES OR SEDIMENT ,11:. aa
ACCUMULATION. ANY FAILURE SHALL BE IMMEDIATELY CORRECTED.
HOUSE 576 SF
EARTH H h
N88 �3 00 E ALL BARE E AREAS SHALL BE SEEDED AND MULCHED WITHIN `
00
200. O I RF
O —
I PF 14 DAYS OF COMPLETION OF WORK IN THE AREA. ONLY AREAS WHICH PORCH& DECK 202 SF
1000 GAL 4 PVC HOUSE :
AREA ACTIVELY UNDER CONSTRUCTION MAY REMAIN OPEN FOR MORE THAN
PRECAST CONCRETE SEWER
14-DAYS. ONCE CONSTRUCTION IS COMPLETED 1N THESE AREAS, SEED »„ ;. ' `" 4...
SEPTIC TANK >, _ a
a DRIVEWAY 1660 SF , �
AND MULCH SHALL BE INSTALLED WITHIN 14 DAYS.
4 PVC EFFLUENT _ a�
A REA • TEMPORARY EROSION CONTROL MEASURES INCLUDING SEDIMENT CONTROL =9 :" .
i'
SEWER r�m WALKS& STEPS 245 SF
6-HOLE D BOX y FENCE AND/OR MULCH, SHALL BE INSTALLED AND MAINTAINED FOR ANY
0. 68± AURES
ABSORPTION FIELD, oo �"' TEMPORARY SOIL STOCKPILE AREAS THAT ARE TO BE LEFT FOR MORE SITE LOCATION`
(3)PIPE-STONE 'y/= PARCEL 2 DEED THAN 7-DAYS. TOTAL IMPERVIOUS 2683 SF LOCATION MAP
TRENCHES @ 40'EACH REFERENCE 1 NO LAND AREA MAY BE LEFT DEVOID OF VEGETATION FOR MORE THAN
I LANDS OF TAMARRA ELLSWORTH 7-DAYS WITHOUT A PROTECTIVE COVERING SECURELY PLACED OVER THE PERCENT IMPERVIOUS 9.0%
15 FRENCH MOUNTAIN DRIVE ENTIRE AREA AND/OR EROSION CONTROL MEASURES PROPERLY INSTALLED. -
• FOR GROUND CLEARING ACTI VI TIES OCCURRING BETWEEN OCTOBER 15 & PERMEABILITY 91.0%
' spring house APRIL 15, IN WHICH VEGETATION CANNOT BE ESTABLISHED, EXPOSED
5EE MAP NOTE 3 EARTHEN AREAS SHALL BE COVERED WITH EITHER A TARP COVER OR AN
--ohw ohv✓ 4h v ohw - ohw ohw ohw ohlTv� EXTRA HEAVY LAYER OF MULCH. ZONING REQUIREMENTS
�+ ANY AREA OF REVEGETATION MUST EXHIBIT A SURVIVAL OF A MINIMUM OF '
� ZONE-RR-3A (RURAL RESIDENTIAL -3 ACRES)
ohW 80% OF THE VEGETATION THROUGHOUT THE YEAR FOLLOWING
MINIMUM LOT SIZE-3-ACRE
REVEGETATION. REVEGETATE AS NEE.
DED TO MEET THIS REQUIREMENT.
WELL FRONT SETBACK- 100 `
W + THE CONTRACTOR SHALL COMPLY WITH THE NEW YORK GUIDELINES FOR
... .........
URBAN EROSION AND SEDIMENT CONTROL AS PUBLISHED BY THE EMPIRE
SIDE SETBACKS- 75'
4> ^ oo t ..:.......... '.'.'.'.'.'.'.'....'.'.'. ...... ......... REAR SETBACK- 100'
""""' """""' ' STATE CHAPTER OF THE SOIL AND WATER CONSERVATION SOCIETY. ti
.. ... .... .. f -
0
CO �o h I r— '.'-. .:.:.:.:.:...:. SHORELINE 75
4)
0
..... ..-...- ':. o.......
ue..
O z�. :.......................... ......::' .. STABILIZATION LOT WIDTH 400 <
24 X ::.': : ,..
24' f :':':':': ::: :::':::'::'::':'::.....'. ::'::'::':':': :'::..................'..: `
9 '2`$ ..:::.:. :: ::::. THE CONTRACTOR SHALL INITIATE STABILIZATION MEASURES AS SOON AS ROAD FRONTAGE-400'
1 :. t. .. l
O � ... .... ::':'::'::'::'::':':'::'::
.:.:.:.::.::.:::::::.:..:...............:..:..:.-:.:.:::.::: PRACTICABLE IN PORTIONS OF THE SITE WHERE ACTIVITIES HAVE MAXIMUM BUILDING HEIGHT-40
4� s�o O
•N It ='= = = TEMPORARILY OR PERMANENTLY CEASED, BUT 1N NO CASE MORE THAN o
MINIMUM PERCENT PERMEABLE- 75/o.: 14-DA YS. - a
I I I I I I ?,, 1 ----.. ,!# 75 0'f STABILIZATION OF GRASS AREAS INCLUDES HYROSEEDING USING TACKIFIER ON AREA VARIANCE SUMMARY SITE LOCATION NEIGHBORHOOD MAP
I .... . 3
I I I I PORCH r-----_�I SLOPES OVER 1:5 OR SEEDING AND INSTALLING A CONTINUOUS COVER OF
►� I '2 SF 4• o ,o DIMENSIONAL REQUIREMENTS:
STRAW MULCH WATERED INTO PLACE ON SLOPES OVER 1:3 INSTALL EROSION
coo CONTROL BLANKETS OR WOOD CHIPS IN ACCORDANCE WITH THE DETAILED §179-3-040 A.(5) (b)j2]- FRONT'SETBACK
I I I a o EROSION CONTROL PLANS AND IN ACCORDANCE WITH MANUFACTURERS
� a - FRONT SETBACK 100 REQ D, 75 PROP. EROSION CONTROL IMPLEMENTATION SCHEDULE
• II II II
I
INSTRUCTIONS. 25 OF RELIEF REQUESTED I I I I I ��� � 179-3-040 A. 5 b 3 - SIDE SETBACK
I I I I I I w § O O j J PRACTICE IMPLEMENTATION TIME DURATION OF PRACTICE
LJ U U a STANDARD SPECIFICATIONS FOR SIDE SETBACK(SOUTH) 75'REQ'D, 35.6'PROP.
T � o�� MULCHING • 39.4'OF RELIEF REQUESTED ENTIRE PROJECT (REMOVE AFTER
&PT-1 9C' F� ~ _ FINAL SITE STABILIZATION AND
SEDIMENT CONTROL PRIOR TO CLEARING AND SOIL
DEFINITION §179-3-040 A.(5) (b)j4J REAR SETBACK FENCE DISTURBANCE VEGETATION ESTABLISHMENT}
/ q APPLYING COARSE PLANT RESIDUE OR CHIPS, OR OTHER SUITABLE - REAR SETBACK 100 REQ D, 81 PROP.
• 19 OF RELIEF RE TEMPORARY SEEDING & AFTER INITIAL SITE GRADING UNTIL FINAL GRADING AND
200.00' MATERIALS, TO COVER THE SOIL SURFACE. ' QUESTED MULCHING VEGETATION ESTABLISHMENT
74— PURPOSE
sss•43'oo"w 200.00' ,� SITE SOILS DATA
IPF o THE PRIMARY PURPOSE IS TO PROVIDE INITIAL EROSION CONTROL WHILE A SEEDING & OTHER
N88.43'00"E SEEDING OR SHRUB PLANTING IS ESTABLISHING. MULCH WILL CONSERVE VEGETATION AFTER FINAL SITE GRADING PERMANENT
C MOISTURE AND MODIFY THE SURFACE SOIL TEMPERATURE AND REDUCE TEST PIT PERCOLATION TEST STABILIZATION
FLUCTUATION OF BOTH. MULCH WILL PREVENT SOIL SURFACE CRUSTING AND
AID IN WEED CONTROL. MULCH IS ALSO USED ALONE FOR TEMPORARY TP_1 - 9/11/18 BY L.W. DOB/E, P.E. PT-1 @ TP-i -9/11/15 8Y L.W. DCBIE, F'.E.
STABILIZATION IN NON-GROWING MONTHS, WITNESSED BY THE CHAZEN COMPANIES 24" DEPTH, STABILIZED PERCOLATION RATE:
Q) CONDITIONS WHERE PRACTICE APPLIES 0-12"" TOPSOIL & FOREST DUFF 2 MINUTES, 30 SECONDS PER INCH SITE SETBACKS
ON SOILS SUBJECT TO EROSION AND ON NEW SEEDINGS AND SHRUB 12-42 DARK BROWN LOAMY SAND
PLANTINGS. MULCH IS USEFUL ON SOILS WITH LOW INFILTRATION RATES BY W/SOME COBBLES REQUIRED FOR
RETARDING RUNOFF. 42-74" BROWN FINE LOAMY SAND RR-3A ZONE PROPOSED
M�. AREA = CRI TERIA 74-78 DARK BROWN LOAMY FINE SAND
SITE PREPARATION PRIOR TO MULCHING REQUIRES THE INSTALLATION OF
FRONT 100 75' (DECK STAIRS)
3 0. t�0 ACRES NECESSARY EROSION CONTROL OR WATER MANAGEMENT PRACTICES AND 38-60 BROWN & GRAY VERY FINE SAND, 87' (HOUSE)
s DRAINAGE S(STEMS. W/MOTTLES, VERY FIRM
SLOPE, GRA)E AND SMOOTH THE SITE TO FIT NEEDS OF SELECTED MULCH NORTH SIDE 75' 77. '
,
�W PARCEL 1 DEED REFERENCE 1 0 0 PRODUCTS. ROOTS TO 72" 5
p c ^ REMOVE AL UNDESIRABLE STONES AND OTHER DEBRIS TO MEET THE NEEDS
.o o �° LANDS OF ELLSWORTH HOLDINGS, LLC •`�' NO BOUNDARY COND17ION ENCOUNTERED35.6 (DECK STAIRS)
0
co OF THE AN CIPATED LAND USE AND MAINTENANCE REQUIRED. SOUTH SIDE 75139.6' (PORCH)
o o`� 7 FRENCH MOUNTAIN DRIVE ° APPLICATIO RATES:
2 well MULCH - 2 TON/ACRE (2 BALES / 1000 SFt) REAR 100' 81' (BASEMENT ACCESS)
o 87 (HOUSE)
3 ZONING BOARD OF APPEALS APPROVAL RESOLUTION
oa- -- -
. � D
oning Board of Appeals-Record of Resolution
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518)761-8238 6. In addition the Board finds that the benefit to the applicant from granting the requested variance would I ILA 4 2019 outweigh (approval) the resulting detriment to the health, safety and welfare of the neighborhood or 1
1 gravel Town ofQeensbury community; AS B U I L ! E
drive T011il� OF ''�I ;
QUEE SSURY
Area Variance Resolution To: Approve 7. The Board also finds that the variance request under consideration is the minimum necessary; i� ,jf DING & CODES
Applicant Name: Tamarra Ellsworth
ohw File Number: -AV-16-2018conditions:
` ohw Z 8. The Board also proposes the following
200.00'
Location: 15 French Mountain Drive RECORD DRAWING
ohw Tax Map Number: 288.8-1-29 a) Adherence to the items outlined in the follow-up letter sent with this resolution.
- S88.43'00"W ZBA Meeting Date: Wednesday,April 18,2018
The Zoning Board of Appeals of the Town of Queensbury has received an application from Tamarra INSTALLATION DATE: 511112019
Ellsworth.Applicant o oses construction of a 576 s ft.single family home-revised.Relief requested from BASED ON THE ABOVE FINDINGS. I MAKE A MOTION TO APPROVE AREA VARIANCE
pp p p q g q Z-AV-16-2018,Tamarra Ellsworth, Introduced b Michael McCabe who moved for its adoption,seconded by
INSTALLED BY - STEVENSON EXCAVATING
minimum setback requi ements in the RR-3A zoning district. Y P
Ronald Kuhl:
r
SITE PLAN Relief Required: 18 to ,of April 2018 by the following vote:
Section 179-3-040 establishment of districts-dimensional requirements-rural Duly adopted this day residential three acre TAX MAP # 288.VQ-1-29
SCALE: 1"=20' The applicant proposes-,o a 576 sq ft home to be 75 ft from the front where 100 ft is required,35.6 ft from the AYES: Mr.Urrico,Mr.Henkel,Mr.Underwood,Mrs.Hayward,Mr.McCabe, vlr.Kuhl,Mr.Freer
south side where 75 ft is required and 81 ft from the rear property line where 100 ft is required. ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED
GRAPHIC, SCALE PROFESSIONAL ENGINEER IS A VIOLATION OF NYS EDUCATION LAW.
SEQR Type II-no further review required;10 0 5 10 20 40 4 RECORD DRAWING 5/13/19
A public hearing was advertised and held on Wednesday,March 28,2018 and left open for April 18,2018, RECORD DRAWING NOTE. 3 FOR CONSTRUCTION DRAWINGS 9112118
( IN FEET ) Upon review of the application materials, information supplied during the public hearing, and upon A REPRESENTATIVE OF OUR OFFICE WSITFD THE SITE 2 APPROVAL RESOLUTION 512118
p PP pp g p g P
consideration of the criteria specified in Section 179-14-080(A)of the Queensbury Town Code and Chapter 267 DURING CONSTRUCTION AND IT IS MY OPINION THAT 1 REVISED HOUSE, RE-ISSUED TO ZONING BOARD OF APPEALS 4/3/18
of NYS Town I,aw and after discussion and deliberation,we find as follows: THE SYSTEM IS INSTALLED IN GENERAL CONFORMANCE
WITH THE APPROVED PLAN AND THIS RECORD 0 ISSUED TO ZONING BOARD OF APPEALS 2114118
1. There is not an undesirable change in the character of the neighborhood nor a detriment to nearby properties DRAWING. FINAL SURFACE FINISHING AND TURF --
because we feel the new construction will be an improvement to the neighborhood. ESTABLISHMENT IS ONGOING. N o. I Revisions Dote
2. Feasible alternatives have been considered by the Board but are not deemed reasonable at this particular LUCAS W. DOBIE, P.E. SITE PLAN
time.
5/13/2019
3. The requested variance is not substantial,particularly in view of the size of the lot. prepared for
4. There is not an adverse impact on the physical or environmental conditions in the neighborhood or district. Tamarra Ellsworth
Dig Safely. WASTEWATER SYSTEM SETBACK SCHEDULE We believe that it's going to be an improvement to the physical conditions. MAP REFERENCE 15 French Mountain Drive
New aYork 5. Is the alleged difficulty is of course self-created. BASE SURVEY INFORMATION FROM "MAP OF A Town of Queensbury, Warren County, New York
El Call Before You Dig
El Wait The Required Time PROPERTY LINE HOUSE WELL — SURVEY MADE FOR TAMARRA E:LLSWORTH," SITUATED
q Drawn: LWD Checked: GTH I Scale: 1"=20' 1 Date: 1/31/17
El Confirm Utility Response IN THE TOWN OF QUEENSBURY, COUNTY OF WARREN,
Respect The Marks SEPTIC TANK 10, 10, 50`
Dig With Care 169 Hovilond Rood
El STATE OF NEW PORK. DATED FEBRUARY 14, 20i8, Queensbury, NY 12804
800-962-7962 ABSORPTION FIELD 10' 20' i00' LAST REVISED APRIL 2, 2018, PREPARED BY (518) 745-0307 Phone 291061 -01 -S2
www.digsafelyne"ork.com RUSSELL E. HOWARD, LICENSED LAND SURVEYING Hutchins Engineering
(518) 745-0308 Fax