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2008-258 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20080258 Date Issued: Friday, October 30, 2009 This is to certify that work requested to be done as shown by Permit Number P20080258 has been completed. Location: 15 SUSAN PI Tax Map Number. 523400-289-011-0002-017-000-0000 Owner. ADAM AND ANN LANOIR Applicant: ANN DI MANNO This structure may be occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20080258 Application Number. A20080258 Tax Map No: 523400-289-011-0002-017-000-0000 i Permission is hereby granted to: ANN DI MANNO r For property located at: 15 SUSAN PI in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans d other informs n hereto filed and approved and in compliance with the NYS Uniform Building Codes and t o Queensbo�g Ordinance. T e,Eif Construc ' n Value Owner Address: ADAM AND ANN LANOIR lace 15 WALNUT-St Fi a age GLENS ALLS,NY 12801-00 age At ed Ingle F ily Dwelling $375,000.00 Total lue $375,000.00 '-' r" Contractor or Builder' Na e/Addres El rical Inspection Agency e /t Plans &Specifications 2008-258 Legal Address: 15 Susan Place 4418 SQ FT SINGLE FAMILY DWELLING WITH 870 SQ FT GARAGE AND 2 FIREPLACES $617.16 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,June 12, 2010 (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 Towrf Qu jb T rs ne 12, 2008 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement TOW Cyr -EENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20080258 Application Number. A20080258 Tax Map No: 523400-289-011-0002-017-000-0000 Permission is hereby granted to: ANN DI MANNO For property located at: SUSAN PI in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: ANN DI MANNO 15 WALNUT St Fireplace GLENS FALLS, NY 12801-0000 Garage Attached Single Family Dwelling $375,000.00 Total Value $375,000.00 Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2008-258 4418 SQ FT SINGLE FAMILY DWELLING WITH 870 SQ FT GARAGE AND 2 FIREPLACES $617.16 PERMIT FEE PAID- TI-IIS PERMIT EXPIRES: Friday, June 12, 2009 o (If a longer period is required,an application f r an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dat.d at the f Quee buf , e T rsday,June 12. 2008 SIGNED BY for the Town of Queensbury. Director of Building&Cede Enforcement .................... /J l OFFICE USE ONLY ; TAX MAP NO. PERMIT NO. c ?;i` °.`' t w a _ , �� FEES: PERMIT RECREATION ENGINEERING 1 ; ' (If applicable) ............................................................... . 1._.._._._......_ ... • p i PRINCIPAL STRUCTURE: c t. APPLICATION FOR ZONING APPROVAL & BUILDING PE MIT ..r. A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE 9F A VALID PERMIT FOR CONSTRUCTION. �f /� �j / ,l APPLICANT/BUILDER: QJ / O r ✓ OWNER: f�dq tm - 4✓1 L 9Na, ✓ ADDRESS: ADDRESS: �� ail Phu j 61Pi2� cAll� NY lx�ci jog- PHONE NOS. PHONE NOS. 6'1 -Ro7 S 3 J b CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE: LOCATION OF PROPERTY: 1 P L / A tr+ce )T rn`het see:f®,�r. SUBDIVISION NAME: L 9rJ S CS 411�_e_ I)e PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT APPLY TO YOUR z � p d w LL cn PROJECT OO OJ x Q a = U o ` C� z z d ¢ � Cn Ncan SOU � u~- a = -s SINGLE FAMILY X Zl Z��a %9 TWO-FAMILY MULTI-FAMILY (NO.of UNITS TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR ���i INDUSTRIAL 0 ATTACHED s GARAGE(1, ,3)) x *7.b OTHER IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: W 41"z R HEAT TYPE: R4bIl�jy 7- 7 Im �j � - : ,. .„1 OR WOODSTOVES(S): go,ie r ZONING CATEGORY: TLANDS ON THIS SITE? A/ IS THIS A HISTORIC SITE? PROPOSED USE OF BUILDING OR ADDITION: 6it7G t *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3-LGL I 1-OS Town of Queensbury- Community Development Office - 742 Bay Road, Queensbury, NY 12804 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? VO I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above. ,'I/ L Signed /���►� L9fVQ�r AL Director of Building &Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) _______________, -_-___________________________.____...__._., I I l / Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. Application: ; / , / , L ' / , &CODS ROVAL , ZONING APPROVAL , , , D T ; DATE 11 / __________� I.____. -------------------- QUESTIONS? CALL 761-8256 OR EMAIL codes(ft ueens bu rv.net VISIT OUR WEBSITE FOR MORE INFORMATION wwwmueensburv,net Town of Queensbury- Community Development Office• 742 Bay Road, Queensbury, NY 12804 -- ------ Fire Marshal' f ice , Town of Queen sri/- 742 Paz/ Road - Que New Vort. W-804 Midw l J. Palmer,Fire Marslrn - APPLICATION FOR FUEL B UIZN17VG APPLIANCE &-CII YES Application is hereby made to the Building &Codes Office for the issuance of a Building& Use Permit pursuant to the New York State Fire Prevention &Building Code. The applicant or owner agrees to comply With all applicable laws, ordinances,regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED. OWNER: I►a1 , A A YN C Lt'� f✓( INSTALLER/BUILDER: ADDRESS: 1 S �I`�Q d►1 J J ree-+ �O 1�t 12�0)ADDRESS: PHONE NOS. � 18 7 ( b 1 z 33 5 1�'-21�s YO�-1 PHONE NOS. LOCATION OF PROPERTY: S4sg n P(g�c_ Ca)?,, SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: u S c P L CONTACT PERSON FOR BUILDING&CODES COO 99HRiS Y^ S t� PHONE: FUEL BURNING APPLIANCE WOOD COAL PELLET OIL INFORMATION _ STOVE FIREPLACE 1 t ISERTAil x FIREPLACE,FACTORY BUILT* FIREPLACE,MASONRY FURNACE(GARAGE ONLY) A111, I l *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: '17 V Sal nr Sw S I!VAS MODEL NO.17 1 9 0 LISTED BY: L11:J C J 6 k y\ -( y y NUMBER: QUESTIONS? CALL 7614205 or 7614206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: f remarshaI(d gueensbury.net MASONRY" CHECK ONE ✓ VISIT OUR WEEISITE TILE STEEL SIZE IN FOR MORE INFORMATION INCHES www.gueensbury.net FLUE CHECK ONE ✓ \ DOUBLE _ CHIMNEY WALL TRIPLE WALL INSULATED DIRECT VENT LINER CHIMNEY MATERIAL CNECKONE ✓ A **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION E,BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. � � � A I lei�JL H4' y 1 (' , JAL. 0____________________________________________________________________% r_.____.___—_______.__r r OFFICE USE ONLY r ' i► ' 3r TAX MAP NO. PERMIT NO. PERMIT FEE ' _ ' '� _- r r 10 ;, r ;r r ar o APPROVALS: ZONING TOWN CLERK _� ; r r r ? r r __________________ ___ r____._____.___. APPLICATION FOR SEPTIC DISPOSAL SYSTEMPE �IT:; i A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. Awt G r � rety) T�uw� m Niostrt OWNER: 4 N��� INSTALLER: - ADDRESS: I S` ,Af Q Inv+ S++ fei" ADDRESS:S� j `, Rr F o r AA A y PHONE NOS. S I 8 116 12 3 3 PHONE NOS. SI D7 6 J 9 9 sa � LOCATION OF INSTALLATION: Sky 4 r1 P 14« lJl Y7J 12,804 RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION= = TOTAL DAILY FLOW BEDROOMS GARBAGE GRINDER 1980 or older X 150 gallon per bedroom = INSTALLED? 1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB 1992-present X 110 gallon per bedroom = 6S'0 6,A1 DR INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPHY: Flat rolling /� Steep slope %Slope ✓ SOIL NATURE: Sand K Loam Clay Other ✓ GROUNDWATER: At what depth? ✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth? ✓ DOMESTIC WATER SUPLY: Municipal Well (If well: Water supply from any septic system absorption is I a o + ft.) ✓ PERCOLATION TEST: Rate is 2 YM N 29 St c 2 per minute per inch. a w„ln (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: 15,00 GALLON (MIN. SIZE IS 1,000 GAL.) Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tub. SYSTEM TYPE: ABSORPTION FIELD (WITH NO. 2 STONE) Total length 2 4 0 ft. Each trench Z X `❑`SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size? ❑ ALTERNATIVE SYSTEM Bed or other type? ❑ HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of QUESTIONS? CALL 761-8256 OR EMAIL Queensbury Sanitary Sewage Disposal Ordinance. codes@gueensbury.net //�� rJ VISIT OUR WEBSITE FOR MORE INFORMATION im gA - Ocd Q j www.gueensbury.net /Y Signature of Person Responsible Date Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury,NY 12804 B 5-LGL 6/06 Tower cifQueensbiu y ;_. �. _ _ el F. Travis Highway I ' f�1�lttacyY uperintendent 27 H(mcx' ((518) 798-0413 Department 742 Bay Read Queensbury,NY I2804 I Th in.a R. Vanness 4?1 )1 uperintendent Officc Phone: (518) %61-8211 J� cty S DRIVEWAY PTyFIT Hornc5lbj 745-0929 Fax: (518) 745-44fi6 www.queensbuty.net DATE: aZ O APPLICANT NAME: ADAPAp TELEPHONE NO.: � $ 7 ` b 4 33 ADDRESS TO BE INSPECTED: S41 S 4 h p . RETURN ADDRESS: t S �`}�h tA"f" �'1f" Cr ItMS �R«y N y 12 Applicant must show exact location and width of driveway(s) to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: +A � STEP 1: Vo Preliminary Approval NEED: OSlight Swale t _� i v �, cY� I , ( ) Deep swa e ( ) Level with the road ( ) Level with the top of the paved wing Size culvert pipe to be used (if necessary) ( )12" ( )15" ( )18" ( )24" ( )36„ Preliminary inspection completed by: Date: Approval by Highway Supt: Deputy Supt: Upon completion, please resubmit this approved permit for a final approval. STEP 2: { ) Final Approval ( ) Rejected Date: Michael F. Travis, Highway Superintendent Thomas R. Van Ness, Deputy Highway Superintendent Community Development Office 'C own of Queensbury • 742 Bay Road • Queensbury, New York •12804 ..' Marilyn Ryba, Executive Director• David Hatin, Director of Building&Codes Craig Brown, Zoning Administrator 10 WINDOW SCHEDULE ° __ ':.___::_`____� JOB SITE/ADDRESS: S Lt s 4� �C DATE: /�1—D OWNER: 44wn + APPLICATION NO.: WINDOW- UNIT OR CLEAR CLEAR WINDOW STOCK ROUGH ROUGH SQ.FT. OPENING NO.OR WINDOW SQ.FT. OPENING SPECIAL HARDWARE OR MANUFACTURER NUMBER OPENING OPENING EGRESS/CLEAR HEIGHT LETTER MODEL/TYPE VENT WIDTH IN INSTRUCTIONS ON PLAN NAME ALEL WIDTH HEIGHT OPENING INCHES SIZINCIN HES �G f LU+S� +k► 30� b� ', J,+ / A ViK i \Ah4ow caSewlevt �� y (o $,y� 2 Z 3!i b S q i^u FIB wf s e e,Sew�4vt - ;I- 63 /z ti S �a 6 zZ 6 e, 6o- �, - 3 5 (od 3, 4 l0 � b Sy %z z 183 60 AL �4r+ +se CQse>„PH - 3a o- �3 %, a, K 1 . 40 z z 3► e s5' z 3 %Z Go 81q yz) z� 31,E N � n SAM -- �� wR� u;h ,njc� `�3 Gs sy �,a1 7-� zz�,�,� y I6 1 B 26-LTR 11-05 ________- ____- Community Development Office. ; "ozvn of Queensbury • 742 Bay Roan • Queensbury, Nero York ■1.2804 ; r � , e r WINDOW SCHEDULE Ca"�'�� - -------- JOB SITE/ADDRESS: 5 uS P(4(e. DATE: S -/g- o 8 OWNER: ALim t' 4n,, LQ/)o,✓ APPLICATION NO.: WINDOW- UNIT OR CLEAR CLEAR WINDOW STOCK ROUGH ROUGH SQ.FT. OPENING N0.OR WINDOW SQ.FT. OPENING SPECIAL HARDWARE OR WIDTH MANUFACTURER NUMBER OPENING OPENING EGRESS/CLEAR HEIGHT LETTER NAME MODEL/TYPE CALL WIDTH HEIGHT VENT OPENING INCHES S IN INSTRUCTIONS ON PLAN SIZE INCHES t' Ga r4h ✓,S,e C a Se me,,t R u,� ► ;now 3a4 $ 3� y $ � ,s�- �,�SS" a 3/� �� lrz IJrM;'� VYY/H Ot f Cgsew,�►�►i-' a�4bd a '� �0 ,3 7 5 .31 I 3/i Sy v. � i W'Jaw ��Serh� fi ao o 2a o 3, 3 , 8 Co io3l S B 26-LTR 11-05 ----------------------- 0 i 0 0 Community Development Office ; K`' Town of Queensbury • 742 Bay Road - Queensbury, New York •12804 ; 0 Marilyn Ryba, Executive Director• David Hatin,Director of Building&Codes Craig Brown, Zoning Administrator ; ,' 0 BUILDING PERMIT CALCULATION SHEET: NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS REQUIRED ACTUAL AREA OF ROOM IN LIGHT ACTUAL LIGHT REQUIRED VENTILATION SQUARE FOOT HABITABLE ROOM SQUARE FEET 8"% ROOM SQUARE VENTILATION-4% SQUARE OPENING FOR REMARKS AREA FOOTAGE OF ROOM AREA FOOTAGE EGRESS � 7 F-f Z1 40 10 , 68 16 , 9 �► qo <<sst- �P� �o� ti � 4 ,sy 9 g.0 ti ;-,do61 i dRM aao W 9. 16 3 5 , G g, C) R r� lb � ► '� , � 1 G ► y 3�► b g � � QUESTIONS? CALL 761-8256 OR EMAIL codes(ftueensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION www.guensbury.net B 10-LTR 11-20 Town of Queensbury Fire Martial 742 Bay Road low Queenslwry,NY 12004 761-8205/761-8206 fax 745-4437 Factory Built Wood Burning Fireplace/Stove Insaectiou Resort Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or s is allowed. Permit# 68 -Z Schedule Inspection 10 Time_//- 9? pm anytime Inspector Name 1/�/Z Address Z,:� �L/g / Rough In Fin Appliance Manufacturer / 46,40q Model# or"A10 v Masonry Chimney Factory Built Chimney lue Size Double Wall Triple Wall Insulated ✓✓✓ """ Yes No N/A Comments Floor Protection Clearances to Combustibles(all sides) Safety Strip Installation(fireplaces only) Firestop(s) Vertical Chase Wag Peadration Chimney Clearances to Combustibles Chimney Termination 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air Hearth Extension Mantel(height above f/p opening) Fireplace Doors/Screen(required) WNte- Dept Y -C Pick-RM Marl Final Survey Inspection Dept. of Community Development Town of Queensbury . 742 Bay Road Queensbury,NY 12804 Date received: NAME: LOCATION: PERMIT#: L - -- Final Survey Plot Plan ARProved Denied The attached final survey has been received by the Dept.of Community Development. Upon review the serve 'has been: bmig-trown,Zoning Administrator Notes: L:ISueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator doc Queensbu Building & Code Enforcement/ �ry g - Resldentl Final Inspection O No. (518) 761-8256 Arrive: am/pm Depart:��am/pm Date Inspection request received: Inspector's Initials: \ NAME: PERMIT#: LOCATION: v DATE: TYPE OF STRUCTURE: Comments: N /A 4° Building Number Address visible from road Chimney Hei ht/°B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risen; Guards at stairs deckspatios 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 01 Deck Brach /Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off Mposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight §Lfi&glazing/Wi dow in stairwells safe Interior Smoke actors Cartion/Wonoxillf Detectors Every level: Eery Bed Outside every�bedroo ares: -jr Inter Connected: Battery backu : Attic access 30 inches x 22 inches x 30 inches(height)in aocessible area Crawl Spaces 18 inch x 24 inch access 1 a. ft.-150 sq.ft.vents Bathroom Fans if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Ernwaancy egress below arade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumac e/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Tra Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'A"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched A. Garage fireproofing/%hour fire door/door closer Duct work Sealed pro rl Gas Loge in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bondin As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if re uired - Okay to issue C/C or C 10 Temporary/Permanent L:\Building&Codes Forms\Building&Codes\lnspection FormsWesidential Final Inspection Farm revisecI-100405.doc;Revised January 7,2008;Revised 6/26/08 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: b am/pm am/pm Date Inspection request received: Inspect is Initials: NAME: el-1v 0/� PERMIT#: �2 LOCATION: e DATE: TYPE OF STRUCTURE: Comments: Yes No N/A 4' Building Number Address visible from road Chimney Height/'B'Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 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 l'0< 6 inch clearance to silt plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior priyac 01 I/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 ei ht in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 s .ft. Emergency ress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'IN Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Are Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. inspection Sticker Site Plan /Variance required 74 Flood Plain Certification,if required Okay to issue C/C or C 10 Temporary/Permanent L:\Building&Codes Forms\Buiiding&Codes\inspection Forms\Residential Final Inspection Forrn_revise0_100405.doc;Revised January 7,2008; Revised 6/26108 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/prp� epart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: �l 0 NAME: _ 4 e PERMIT NO.: LOCATION: 6 u INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand/ Loam / Clay Type of Water: Municipal/ Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. ��GL Well Casing Length 50' + - Y N N/A Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field / Pit Opening Sealed: Y N End Cap Y N Inlet/Outlet Pipes&Baffles Y N Location Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear S e t . Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 U\Building&Codes Forms-01_1)\Building&Codes\Inspection Forms\Septic Inspection Report.doc r ) 7 `� > NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION v (1)couNrY ,"i' `` Am (3)DEC Well Number v (2)TOWN � - r WATER WELL COMPLETION REPORT (4)OWNER (43) LOG (5)ADDRESS --� r— Depth to Bedrock (ft.below ground surface) (6)LOCATION OF WELL(See Instructions On Reverse) (Check here❑if same as address above,also provide kat/Long below) Ground Elev. 7 (ft.above S.L.) Show Lat/Long if available c and method used: r . { ' '€ '- Top of Casing - (ft.,abode(+)3 GPS ❑ Map Interpolation or below(-)ground surface} (7)DEPTH OF WELL BELOW (8)DEPTH TO GROUNDWATER DATE MEASURED TOP OF WELL LAND SURFACE(feet) BELOW LAND SURFACE(feet) C (9)DIAMETER t.- in. in. in. in. i ;-i E (10)LENGTH 4 1 �' ft ft. ft. in. (11)GROUT TYPE/SEALING ' (12)GROUT/SEALING INTERVAL feet FROM TO , (13)MAKE&MATERIAL (14)OPENINGS t (15)DIAMETER in. in. In. in. (16)LENGTH ft. ft. ft. in. t (17)DEPTH TO TOP OF SCREEN,FROM TOP OF CASING(Feet) C z t, s ' t ..chi" !.^^ 3" r,,. k r"' (18)DATE (19)DURATION OF TEST a (20)LIFT METHOD (21)STABILIZED DISCHARGE(GPM) ❑Pump Air Lift ❑ Bail (22)STATIC LEVEL PRIOR TO TEST (23)MAXIMUM DRAWDOWN(Stabilized) - (feettiinches below top of casing) (feetfinches below top of casing) (24)RECOVERY(Time in hours/minutes) (25)Was the water produced during the test ;u discharged away from immediate area? Yes_ No t. 7- 'PUMJFT4�T (26)PUMP INSTALLED? _ NO��. (27)DATE (28)PUMP INSTALLER 4 N YES (29)TYPE (30)MAKE (31)MODEL a { (32)MAXIMUM CAPACITY(GPM) (33)PUMP INSTALLATION LEVEL FROM TOP OF CASING(Feet) Ak .�.0 5... . s .(34)METHOD OF DRILLING � ` (35)�USE OF WATER [Rotary ❑ Cable Tool ❑Other (See instructions for choices) (36)DATE DRILLING WORK STARTED (37)DATE DRILLING WORK'CQMPLETED (38)DATE REPORT FILED (39)REGISTERED COMPANY (40)DEC REGISTRATION NO. r • �: DRILLING OAD NYRD ,,fin NY 12839 (41)CERTIFIED DRILLER(Print.name) (42)CERTIFIED DRILLER SIGNATURE" s ' *By signing this document I hereby affirm that:(1)I am certified to supervise water well drilling activities as BOTTOM OF HOLE defined by Environmental Conservation Law§15-1502;,(2)this water well was constructed in accordance with water well standards promulgated by the New York State Department of Health; (3)under the penalty of perjury the information provided in this Well Completion Report is true,accurate and complete,and I MNIPP r.npv Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: _j' � am/�m Depart: am/pm Date Inspection request received: Inspector's Initials: 1e NAME: h 6 /f PERMIT#: LOCATION: DATE: _ TYPE OF STRUCTURE: Comments: Yes NOA NIA 4° Building Number Address visible from road7- Chimney Height/"B°Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors y > Handrail 4 or more risers Guards at stairs deckspatios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or morei- 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 dearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior Privacy/trim/doors/main entrance 36 inches Bathroom/Kfthen wate ' ht -- Safety glazky/Wlfindow in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Batterybackup: 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/Insulation Certification Fly truss,draft stopping finished basement 1,000 sq.ft. ErtAwpency egress below grade Gas Furnace shut-off within 30 feet or within line of site Fumace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves instaNed/Heat Trap/Water Temp 110 �- Enclosed Stairs Sheetrock Underside minimum W Gypsum Basement stairs dosed rise>4 inches Garaae Floor Pitched Garaae fireproofing/%hour fire door/door closer h Rj f r23< •�" �+ N�' Duct work Sealed propedy Gas Logs in Sealed or Glass,Enelosure Final Electrical 3 , Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if reg9ired Okay to issue C/C or C 10 1 Temporary/Permanent L:\Building&Codes Forms\Building&Codes\lnspekfion Forms\Residential Final Inspection Form revised_100405.doc;Revised January 7,2008;Revised 6/26/08 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No.. . 1.:..? 5.......Cert. N 112 4 3 Cut-in Card No..................................... Owner.........wi........ t. ............................................................................................................... Location...IL .............5 ...... ...4.,..............................................................l.� .,,1 ........ Insta lation Consisting of..58 -CH, IVO ej �.. U�� �. Ct..1�.!C y"E-/Z J Gayur.......`...... ..ttJ4............................................................................... .................................................................................................................................................................................... InstalledBy............ 4- 3.:ll.6:......................................................Lic.No................................................... The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of rn inspections at any time, and if its rules are violated,the Company shall have the right W_417i." ..... c Date.... � ................. INSPECTOR.... . ific ........................ Member N.EP.A.,I.A.E.I. Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: U� Queensbury Building &Code Enforcement Arrive: am/pm Depart:L,3_ ,�T~-a pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: <"'`� t� �3 LANO { R- aw - zs-e NAME: PERMIT#: LOCATION: K I '1 INSPECT ON: 407 TYPE OF STRUCTURE: Framing Y N WA COMMENTS: Attic Access 220 x 3W minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D nails each We Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour F.re wall 2, 3, 4 hour irestopping --Z �-� Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 518 inch Type X Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. CM 5.7 sf above/below grade 5.0 sf grade LABuilding&Codes Forms-OLDSuildN&CodesUnspection FonnsTramint Fi ostoppkV Inspection Report.doc Revised January 7,2008 l 761, Rough Plumbing / Insulation I pection Report Office No. (518) 761-8256 Date Ins ctiAn request received: Queensbury Building &Code Enforcement Arrive: + am/ art: am/pm 742 Bay Road, Queensbury, NY 12804 Insp is Initials: i NAME: PERMIT#: y LOCATION: INSPECT ON: `P TYPE OF STRUCTURE: Y N NIA Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 Y2 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 P Wa ply PipinHe d 50 P.S I for 5 minutes Insulation/Vesidential Check/Commercial Check .J Tyvek ojgrmilar Exterior Sealant ro er Vent, Attic Vent Door/Window Sealed No Insulation Duct/ Hot Water Piping Insulation If required unheated spaces Ca 0 Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date inspection request received: Queensbury Building&Code Enforcement Arrive: a Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's In Is: NAME: L o,/2 PERMIT LOCATION: 5' c 7 INSPECT ON: TYPE OF STRUCTURE: f Y N WA COMMENTS: Framing Attic Access 22"x 30" minimum �Cf' , /q/0/%ovAC- 0ti rL6- Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D naffs each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LABuiiding&Codes Fovns4XD\Buiiding&Codeslinspection FornisTraming Firestopping inspection Report.doc Revised January 7,2i O KELVIN J. WOOD, P.E. CIVIL&ENVIRONMENTAL ENGINEERING February 28, 2009 Mr. Joel Clugstone,Building Inspector Town of Queensbury Building&Codes Department 742 Bay Road Queensbury,NY 12804 Re: ' Construction Certification—Insulspan SIP System Lalloir Residence 15 Susan PI Town of Queensbury,Washington Co,NY Dear Mr. Clugstone: On behalf of the Lalloir's,I'm providing this report documenting the installation of structural insulated panels(SIPS) at their home under construction at 15 Susan Pl. I've reviewed this project and find that the SIPS have been installed in substantial accordance with the plans provided by Insulspan and the manufacturer's installation instructions. This determination is based on the following: - site inspections conducted on 1/24/09 and 2/28/09 - a review of the SIP layout plan and related details dated 7/16/08 prepared by Insulspan - the Insulspan Installation Guide(rev dated 5/29/08). - discussions with Michael Ross,the contractor. Limitations- This report is limited in scope to only the installation of the Insulspan panels. Further,this report does not constitute an engineering design review of any building system components, including the Insulspan system. Should you need any further information,or wish to discuss this project further,please contact me at(518)796-1859. CO. .�^T J. r. Sincerely, E "1 .=i Kevin J.Wood,P.E. P.O.BOX 186, WARRENSBURG,NY 12885 (518)796-1859 Town of Queensbiary Fire Marskal 742 Bay Road Queensbury,NY 12004 761-9205/761-8206 fax 7454437 3 Factory Built Wood Burning Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contaiscd in the Installation Man"aoc- panying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. f � e Permit# Sckedule Inspection 3AkjTumie g40so anytime Inspector Name�(! !\ Address ! � � Rough Final Appliance Manufadurer H Ye 17mlr Model# Masonry Chimney Factory Built Chimne� Flue Size Double Wall Triple Wall`Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles(all sides) Safety Strip Installation(fireplaces only) 0.0 Firestop(s) vertical Ckase Wall Penetration Chimney Clearances to Combustibles X*I Chimney Termination 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air Hearth Extension Mantel(height above f/p opening) i Fireplace Doors/Screen(required) WYte-BandinDart. Y -C Pick-FineMardai Rough Plumbing / Insulation Inspectio0eport Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: _.am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: vLSCz�.�r. INSPECT ON: TYPE OF STRUCTURE: ' ~ f Y N NIA Rou h Plumbing/Nei"lates rVents in Place 1 Y2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Drain /Vent 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: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 I0 /e-01 IKZ Joe,/ Framing / Firestopping Inspection Re Office No. (518)761-8256 Date Ins *nitials quest received: Queensbury Building &Code Enforcement Arrive: im/ Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's : NAME: A in PERMIT#: ©0 LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N A WA COMMENTS Framing 22" x 30" minimum �> t/ < Jack Studs/Headers � ►�`'`4 ��,�(-- �''� �" �- i - ' . Bracing/Bridging Joist hangers_ Jadc Posts/Main Beams -� Exterior sheeting nailed properlyv;` 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Wails Metal Strapping for Notches Top Plate 1 'h w 16 gauge 8 16D nails each We Draft stopping 1,000 sq.ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 518 inch Type X Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. OM 5.7 sf above/below grade 5.0 sf grade L:1Buikft&Codes Forms-OLd\BuildN&Codesllnspedion FomisTmn-dng Ferny Inspection Rsportdoc Revised January 7,2008 Framing / Firestopping Inspection Report l° Office No. (518)761-8256 Date Inspechowr#quest received: Queensbury Building &Code Enforcement Arri�Inlfials: Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Ins N' NAME: Cno PERMIT LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y' N NIA COMMENTS Framing Attic Access 22" x W minimum Jack Studs/Headers v U Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %W 16 gauge 8 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestoppingt 16-4o U Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 518 inch Type X Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LABuiid'mg&Codes Forms-OI.DIBuildkV&Codesllnspection FormsTmff rp Fi edopp ft inspection Repaidoc Revised January 7,2006 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pmy epart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: LC^/e)tl' PERMIT #: 08 25S LOCATION: �V5,4,t,)A _ INSPECT ON: /08 TYPE OF STRUCTURE: Y N N/A Rough Plumbing Nail Plates Plumbing Vent Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum /V/O�— 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 Proper Vent Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: LAPam Whitinouilding&Codes\lnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Ins request received: Z Queensbury Building &Code Enforcement Arrive:' @ am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: o f �L. r Ijo PERMIT#: C' LOCATION: C INSPECT ON: Z. E� TYPE OF STRUCTURE: Y N NIA COMMENTS: ming Attic Access 27 x 317 minimum 1 1640 Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 'h 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 and water shield 24 inches from wall Firy6eparation 1, 2, 3 hour F wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in Cavity min. Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (" 5.7 sf above/below grade 5.0 sf gmde L'Sulklft&Codes Fom►sd31MiBukift&CodesVmspecdon Fof=AFrarWnp Fi estopping Inspection RepoR.doc Revised January 7,2WO Framing / Firestopping Inspection Report Once No. (518)761-8256 Date Inspec do uest received: Queensbury Building &Code Enforcement Arrive: Z° &Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's In' ials: NAME: W f\j U PERMIT#: 0 1� LOCATION: LZ b14y INSPECT ON: LLLqLix TYPE OF STRUCTURE: Framing Y N N/A COMMENTS: Attic Access 22"x W minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gagge 8 16D mots each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on enter and water shield 24 inches from wall in 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 i4 inch or 518 inch Type X Garage side 5/8 inch Type X Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. OM 5.7 sf above/below grade 5.0 sf grade LABUilding&Codes Forms-0LD1Bui1d ft&CodesInspec Lion Forn sTraming Firestopping Inspection ReporLdoc Revised January 7,2WO Foundation Inspection Report Office No.(518)761-8256 Date Inspectiogreqi4est received: Queensbury Building&Code Enforcement Arrive:tz—('. am/ Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:, NAME: PERMIT#: b LOCATION: '. �► j'� INSPECT ON: i ( TYPE OF STRUCTURE: Comments r 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 Tnr 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\Building&Codes\Inspection Forms\Foundabon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Framing / Firestopping Inspection Report b �� Office No. (518) 761-8256 Date I fl received: �! G S Queensbury Building 8r Code Enforcement Arrive: part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspect Inituals: 'L c_ NAME: i.-cA/X I��'44 fffN0 PERMIT#: 0 d �� S r LOCATION: E INSPECT ON: TYPE OF STRUCTURE: Framing Y N I WA COMMENTS: Attic Access 22" x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 'h w 16 gauge 8 16D nails each awe Draft stopping 1,000 sq. ft.floor trusses i s Anchor Bolts 6 ft. or less on center Poe and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. OM 5.7 sf above/below grade 5.0 sf grade LABuilding&Codes Forms-OLDSuildirt;&CodesInspedion FamsTrarning F ppkV Inspection Reportdoc Revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Ins request received: Queensbury Building &Code Enforcement Arrive:' am/� cf"ppart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspect s Initials: NAME: L P'/VJo f PERMIT#: a LOCATION: INSPECT ON: TYPE OF STRUCTURE: Framing Y N N/A COMMENTS: Attic Access 22" x W minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12°O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Stripping for Notches Top Plate 1 % w 16 gauge 8 16D nails each side Draft stopping 1,000 sq. it floor trusses chor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall ;` Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 518 inch Type X Ceiling1wall Windows Habitable Space/Bedrooms 4 in. (H) 20 in. OM 5.7 sf above/below grade 5.0 sf rade ' LA ilding Lodes Forms-OLD1BuildN&CodesYnspe CUM,n Forms naming Fireetopping inspection ReporLdoc Revised January 7,2006 s Foundation Inspection Report Office No.(518)761-8256 Date Ins pe cti n*uest received: Queensbury Building&Code Enforcement Arrive: 2' ti am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's itials: NAME: PERMIT#: ��- LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comment Y N N/A gFootingps -Mondift-hic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast?Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspectlon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Septic Inspection Report Office No. (518) 761-8256 Date In VIitlials: request received: Queensbury Building &Code Enforcement Arrive: am/ De art: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspecto s NAME: c'�l PERMIT NO.: LOCATION: INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand C Type of Water: Municipal ell Wate Waterline separatioh4tstan ft. Well separation distance ft. Other wells: _ ft. Well CasingLength 50' + / - Y N N A P�O�j i ECG (�'4 S 1A)v !� Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone .V Seepage Pits: Number Size: x Stone Size: Piping Si e Type Building to tank �b Tank to Distribution Box +° u Distribution Box to Field Pit Opening Sealed: Y End Ca Inlet/Outlet Pipes&Baffles _ - N Location Separations Foundation to tank ft. Foundation to absorption- ft- Separation of Pits ft. Conforms as per Plot Plan Y_ N Engineer Report and As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear l�t�•c�� System Use S Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc Septic Inspection Report Office No. (518) 761-8256 Date Inspe equest received: Queensbury Building &Code Enforcement Arrive: (L o am/p Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: —C' NAME: L e, 0 k PERMIT NO.: LOCATION: 'Sy5 40 FF-- INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand Loam/Clay Type of Water. Municipal Well Water CSC Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + J - Y N N/A �p— Absorption Field: Total length ft. Length of each trench ft. -----Depth of trenches ft. Size of Stone i t_ p I Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field / Pit Opening Sealed: N End Ca N Inlet/Outlet Pipe &Baffles Y N Location Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits Z ft. Conforms as per Plot Plan Y N Engineer Report and As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear Sskm Use S s: pproved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc Foundation Inspection Report Office No.(518)761-8256 Date In ti nquest received: Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspect s tials: NAME: i PERMIT#: --- LOCATION: >�` INSPECT ON: - , TYPE OF STRUCTURE: Comments Y N N/A �1t Cn4 Footings 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&Cafes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM voI it/ -,vvo I V.4b r r.n b I0 f 4OVIjzI3 1l,Un_JHtL I tK_SYS I tMd ; ICJ OOZ/OOZ . v v David S. Dayton, P.S. Job No. Engineering Services ,, 4484 Doer Meadow Dr. Job Name: C/IGa '4'lQe/e' Holland,MI 49423 �/// Phone;616-566-3683 Detet 2 SOP 4- A/6 Ta077 AA 3 R6-4�5) VID S. �o9 DAYTON, III 07569fi � 9O�SS10 7aonNG Ur �- A/M5 77AJ 6 ® iC1UsT 4E �ivir� 0 3ooc� psi Q �� GJ✓}tom W 57T �T � � 0— DTI AICj W l� } Page 1 of Received Time Sep. 11. 11 : 44AM 2-- Foundation Inspection Report c Office No.(518)761-8256 Date Inspection request received: Queensbury Building 8c Code Enforcement Arrive: am/pm Depart: L am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 611�9 N l"( t��,�n� AME: _ �, (.- PERMIT#: vG LOCATION: S 5✓�n�' INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Piers 1e: Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofmg Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM - I Foundation Inspection Report Office No.(518)761-8256 Date \ request received4pA— Queensbury Building&Code Enforcement Arriv . am/pm am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspe or's Initials: �% 4313lc �rNAME: �� 0 r� `'" `'� PERMIT#: �b=� JkLOCATION: 1 1 ems. i INSPECT ON: &d TYPE OF STRUCTURE: 6i Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation 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 terio /E eno R- Rough Grade m inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\lnspecdon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report 6V^ Office No.{518}761-8256 Date Inspecti q,x uest received: s` Queensbury Building&Code Enforcement Arrive: 1'=4SS am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: J P— d NAME: PERMIT#: LOCATION: I � rJ F� INSPECT ON: 411aj TYPE OF STRUCTURE: Coakmenb 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. oundation/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\Building&Codes\Inspection Foams\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM c oc Check Residential Plan Review: One& Two Family Dwellings NIAZ (2)Full sets of plans Over 1,500 sq. ft.-Stamped Design Loads On Plans: 90 Wind Floor Loads 40 psf 50 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade, 5.7 sq. ft. Grade,5.0 sq.ft. 24"(h)x 20"(w)min. 44"Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofing/Waterproofing Materials On Plans' Foundation Drainage On Plans,if required 6"Drop in 10' Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where Required Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors ,,e Stairway Headroom 6' 8' All Stairs 36"Width / Stair Run and Rise W' r Smoke Detectors Battery Backup and Proper Location F Bathroom Fixtures Proper Clearance Hall Width,36"min. Handrails More Than Four Risers On Open Sides Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas Garage Fire Separation y L! `*Z) t E Garage Floor Sloped r T`��E o fl 1��J5 'it Lc�-t-R T f Q-�7 Attic Access Roof over 30"-22"x 30"/Crawl Spaces 18"x 24"Access Carbon Monoxide Detector Outside Lowest Sleeping Area,On Every Level& Interconnected Soil Test Results,if required Septic To Well Or Water Line Separation All Paperwork Signed 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: r NAME: Z-, PERMIT#: LOCATION: f SO SO-t INSPECT ON: Z �f TYPE OF STRUCTURE: Comments Y N N/A Footings Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Baclfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Farms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 7 ' Foundation Inspection Report Office No.(518)761-8256 Date Ins do uest received: jo Queensbury Building&Code Enforcement Arrive: �~- ]4t/p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspecto 's Initials: NAME. PERMIT#. LOCATION: Gu—� INSPECT ON: TYPE OF STRUC 1m1 7 ments r�a o Y N N/A Footings Piers Monolithic Slab enforcement in Place 1 The contractor is responsible for A) 1 t�toe--- <-I C�rJ V 'providing protection from freezing for 48 hours following the placement ! of the concrete. no U 5 C,4 Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing place Foundation Dampproofin 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 folding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Ins f4onn quest received: Queensbury Building&Code Enforcement Arrive: �/p� 1�Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Imhals. y NAME: l/Z PERMIT#: LOCATION: INSPECT ON: D TYPE OF STRUCTURE: Comments � Footings Y N N/A �l C� C w4 . -�v/e V C S 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 Re' forcement in Place Doting Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing F g Drain Daylight or Sump A 4 C' ooting Drain Stone: 12 inch width inches above footing IZ!6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date In t est received: Queensbury Building&Code Enforcement Arrive /p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspe s In NAME: C_-G( PERMIT#: LOCATION: L Sri_ INSPECT ON: TYPE OF STRUCT NTF Comments Y N N/A F mgs 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 Dampproofng 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\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Z - Office No.(518)761-8256 Date Inspection uest received: Queensbury Building&Code Enforcement Arrive: p L Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: k'" i— PERMIT#: -Z,_ LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings 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 Fors\Building&Codes\Inspection Fors\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Ins do i St re ,i t� D Queensbury Building&Code Enforcement Arrive: = p am/ 742 Bay Rd.,Queensbury,NY 12804 Inspector's Im NAME: Yl U i ( PERMIT#: CO _ LOCATION: o ',k l INSPECT ON: TYPE OF STRUCTURE: Comments Y N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation 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\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM �e ��a f or of CP- J t+nS%AN � � r SNP one o 04 . L� y U Generated by REScheck-Web Software Compliance Certificate Report Date: 05/21/08 _ Energy Code: 2007 New York Energy Conservation Construction Code Location: Warren County,New York Construction Type: Detached 1 or 2 Family Heating Type: Non-Electric Glazing Area Percentage: 18% Heating Degree Days: 7635 Construction Site: Owner/Agent: Designer/Contractor: !Compliance: Compliance:37.4%Better Than Code Maximum UA:532 Your UA:333 Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or D.. Perimeter U-Factor Ceiling 1:Flat or Scissor Truss 1148 45.0 7.0 26 Ceiling 2:Cathedral 704 45.0 7.0 14 Wall 1:Structural Insulated Panels 2540 25.0 89 Vinyl Frame,3 Glaze.U 0.2-R 5 EarthWise:Vinyl Frame,Single 479 0.200 96 Pane Basement Wall 1:Insulated Concrete Forms 2068 24.0 77 Wall height: 10.5' Depth below grade:7.0' Insulation depth:10.5' Door 1:Solid 102 0.300 31 Boiler 1:Other(Except Gas-Fired Steam)85 AFUE The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed systems have been designed to meet the 2007 New York Energy Conservation Construction Code requirements.When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in compliance with this Code. 4d - Lclt)o, _ovyK FEZ C.cif" 5 z8/0 8 Name-Title Signature Dat f -- Project Notes: The SIP area is in the envelope part is for the house walls only. Radiant floor heat throughout. Highly Efficient air exchanger. Project Title: Report date: 05/21/08 Data filename: Page 1 of 4 Generated by REScheck-Web Software Inspection Checklist Date:05/21/08 Ceilings: ❑ Ceiling 1:Flat or Scissor Truss,R-45.0 cavity+R-7.0 continuous insulation Comments: ❑ Ceiling 2:Cathedral,R-45.0 cavity+R-7.0 continuous insulation Comments: Above-Grade Walls: ❑ Wall 1:Structural Insulated Panels,R-25.0 assembly R-value Comments: Basement Walls: ❑ Basement Wall 1:Insulated Concrete Forms, 10.5'ht/7.0'bg/10.5'insul,R-24.0 assembly R-value Comments: Exterior insulation has a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade)insulation and extends at least 6 in.below grade. Windows: ❑ Vinyl Frame,3 Glaze.U 0.2-R 5 EarthWise:Vinyl Frame,Single Pane,U-factor:0.200 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,U-factor:0.300 Comments: Heating and Cooling Equipment: ❑ Boiler 1:Other(Except Gas-Fired Steam):85 AFUE or higher Make and Model Number. Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ Recessed lights are 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,fixtures are installed with a 3"clearance from insulation. Vapor Retarder: ❑ Installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. Li Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: ❑ Supply ducts in unconditioned attics or outside the building are insulated to at least R-11. ❑ Return ducts in unconditioned attics or outside the building are insulated to at least R-6. Project Title: Report date: 05/21/08 Data filename: Page 2 of 4 y Supply ducts in unconditioned spaces are insulated to at least R-11. Return ducts in unconditioned spaces(except basements)are insulated to R-2.Insulation is not required on return ducts in basements. Duct Construction: All joints,seams,and connections are securely fastened with welds,gaskets,mastics(adhesives),mastic-plus-embedded-fabric,or tapes.Tapes and mastics are rated UL 181A or UL 181 B. Exceptions: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). The HVAC system provides a means for balancing air and water systems. Temperature Controls: Lj Each dwelling unit has at least one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: Separate electric meters exist for each dwelling unit. Fireplaces: ❑ Fireplaces are installed with tight fitting non-combustible fireplace doors. Lj Fireplaces have a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York State,the Residential Code of New York State or the New York City Building Code,as applicable. Service Water Heating: Water heaters with vertical pipe risers have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. rl Circulating hot water pipes are insulated to the levels in Table 1. Circulating Hot Water Systems: rl Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: Li All heated swimming pools have an on/off heater switch and a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps have a time clock. Heating and Cooling Piping Insulation: Lj HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Project Title: Report date: 05/21/08 Data filename: Page 3 of 4 Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes / Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature(°F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(°F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) Project Title: . Report date: 05/21/08 Data filename: Page 4 of 4 06/10/2008 13:01 FAX 8167480995 ICON_SHELTER_SYSTEMS 1?j002/002 �s s Generated by REScheck-Web Software Compliance Certificate Report Date:05/21/08 Energy Code: 2007 New York Energy Conservation Construction Code �ccatlon: Warren County, New York Construction Type: Detached 1 or 2 Family Heating Type: Non-Electric Glazing Area Percentage: 18% Heating Degree Days: 7635 Construction Site: Owner/Agent: Designer/Contractor: Compliance:37.4%Better Than Code Maximum UA:532 Your VA:333 Asswnl)ly Area or ■.. Perimeter U-Factor Calling 1:Flat or Scissor Truss 1146 45.0 7.0 26 Calling 2:Cathedral 704 45.0 7.0 14 Wall 1:Structural Insulated Panels 2540 25.0 69 Vinyl Frame,3 Glaze.U 0.2-R 5 EarthWlss:Vinyl Frame,Single 479 0.200 96 Pane Basement Wall 1:Insulated Concrete Forms 2068 24,0 77 Well height:10.5' Depth below grade:7,0' Insulation depth:10.5' Door 1:Solid 102 0.300 31 Dollar 1:Other(Except Gas-Fired Steem)85 AFUE The proposed building represented in this document is consistent with the building plans,speciflcatlons,and other calculations submitted with this permit eppilcatlon.The proposed systems have been deelgned to meat the 2007 Now Yo Energy Conservation Construction Code requirements.When a Registered Design Professional has s pe nd s ey ere attesting that to the best of his/her knowledge,belief,and professional judgment.such plans or Wec cations a Code. Name-Title n ?", Date Project Notes- The SIP area is In the envelope part Is for the house walls only. Radiant floor heat throughout. Highly Efficient air exchanger. Project Title: Report dale: 05/21/08 Data fllenarne: Page 1 of 4 PROPOSED � � ... .._�,. T�,R,���c�etiTAr) DISTRIBIJ HO �� 1500 GAL, SEPTIC TANK PRO>OLD)S nth, 4 I_.INE S 0) 20'xF0' __1 O' MIK TO PF?OPr_R T f LINE �p�I 2.C1' MIND TO 'iC,Ij15; i rlN PROPOSED i I � RESID4=M+,9: _ �. f,- PFOP`YA 001-1 f T> �,' t_L 10(Y TO i l,AM ! PF Ts c 1`i' Mid Ti? i`I4OP P 1Y L..M� l ' ko" k --+ l ,^� F �. � >r1� �► r n W05 a � , oil r � F