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2003-463 TOWN OF QUEENSBURY 742 Bay Road,Queensbury, 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20030463 Date Issued: Monday, September 15, 2003 This is to certify that work requested to be done as shown by Permit Number P20030463 has been completed. Tax Map Number: 523400-278-000-0002-018-000-0000 Location: 1137 BAY Rd Owner: CAROLYN HEALY Applicant: CAROLYN HEALY This structure may be occupied as a: By Order of Town Board Residential Addition TOWN OF QUEENSBURY Director of Building&Code Enforcement TOWN OF QUEENSBURY F4,0r0 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030463 Application Number: A20030463 Tax Map No: 523400-278-000-0002-018-000-0000 Permission is hereby granted to: CAROLYN HEALY For property located at: 1137 BAY Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: CAROLYN HEALY Residential Addition $18,200.00 1137 BAY Rd Total Value LAKE GEORGE,NY 12845-0000 $18,200.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2003-463 340 SQ FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,July 14,2004 (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 own ue ul; / t . ,July 14,2003 �d SIGNED BY * for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury Department of Community Development,742 Bay Rd.,Queensbury,NY 12804 (518)761-8256 A permit must be obtained before beginning construction. Permit No.: Li L/ No inspection will be made until applicant has received a Fee Paid: C' valid building permit. Form must be completed. Rec.Fee Paid: Reviewed B Applicant: Owner: C; Lr� `\\� hey Address: Address: \\31 V c-\ L,1/414„G<ot; s CA lic,Ct_ Phone#: — `�3 Q 1 Phone#: S a»� ,(411 et 4 . 31- Tax Map Number: h P1 Subdivision Name: ' (if applicable) Lot Number: /House Number: /Street Name OR Property Location: \\ o New Building: Reside tial/Commercial Estimated Market Value of Construction: I %( "i' Addition: Res' nti /Commercial If an Addition,what will use of addition be? o Alteration: Residen al/Commercial -cG--r\' V UDr'\ Z/ o No change to Exterior size: Residential/Commercial vd) ' o Other work: (describe ) -. ` �� Check Below Occupancy Info 1"floor .ft. 2nd floor sq.ft. Other floor sq.ft. Total Sq.Ft. �yt�_\ Single Family Dwelling , Two Family Dwelling Townhouse Multifamily Dwelling #of units Office Mercantile Manufacturing 1 car detached garage 2 car detached garage ��D 3 car detached garage R 1 car attached garage 2 3 200a 2 car attached garage 3 car attached garage TOWN OFUENSBURV Storage Bldg.,Comm. gait-" NW Storage Bldg.,Res. �y Other What is the proposed height of the structure: feet inches Will any second-hand or ungraded lumber be used? If so,for what? No. of Fireplaces to be installed: No. of Woodstoves to be installed: List below the person(s)responsible for supervision of work in regards to Building Codes: Name Address Phone No. Builder 14-\erA\n 1�V c' \\ , G - e c \ice a `r0 Q kti AL O tA. L\ K\11 ' Plumber Mason Electrician Declaration: Please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new construction. Signature: e...0,/,,--.0.(S (c'rcl on : owner, wner's agent,architect,contractor) Residential Final Inspection / Office No. (518) 761-8256 Date Ins.- tion re. - t e =•: �� P- Queensbury Building&Code Enforcement Arrive: -��.�,,� D,•.sr/' 1�: �• 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PE' #: z_ (, '7 LOCATION: k ,? ','j ! DA Y: (1 i o TYPE OF STRUCTURE: t / Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in. with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate . i ! Gas Valve shut-off exposed/regulator 18"above grade ;.: , ^Ct) I k uj I j Gas Furnace shut-off within 30 ft. or within line of ite Oil Furnace shut-off at entrance to furnace area i i Furnace/Hot Water Heater operating 1 Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector n ' Plumbing fixtures 4 _-DD\v Foundation insulation W Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 3/4 hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification, if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C/0(Cert. Of Occupancy) Okay to issue Permanent C/0(Cert. Of Occupancy) L:\SueHenungway\Building.Codes.Inspection.FORMS\Res.Final Insp.form .doc edited January 28,2003 4445, Residential Final Inspection (-(7/''r)tj---- Office No. (518)761-8256 Date Inspection reque :recei Queensbury Building&Code Enforcement Arrive: a ► . ..art: ' amm 742 Bay Rd., Queensbury, 12804 Inspector's Initials , NAME: t� P IT#: CC10 ' LOCATION: Di E: TYPE OF STRUCTURE: � � b� / Comments Y N NIA Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete J Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors 19 Interior Handrails stairs 2 or more risers Y 1l .. `A Grade away from foundation 6 in.with 10 ft. 40 j�‘ ` �(�l' Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade /11 Gas Furnace shut-off within 30 ft. or within line of site �"�' Oil Furnace shut-off at entrance to furnace area D Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight //' � T'�� Safety glazing �`� � . " Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 3/4 hour fire door/door closer Garage fireproofir Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification, if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C/0(Cert. Of Occupancy) Okay to issue Permanent C/0(Cert. Of Occupancy) L:\SueHenvngway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 3 piiResidential Final Inspection 9 Office No. (518) 761-8256 Date Inspection requ-: refeiv:. Queensbury Building&Code Enforcement Arrive: pm ..rt: `- i a 'ipm 742 Bay Rd., Queensbury,NY 12804 Inspector's Init.. s: NAME: q,--\\ PE'. IT#: O� LOCATION: '3"� - �{� D TE: _ — O3 TYPE OF STRUCTURE: (N � cr1._.4. Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete i o�( \Ytk Interior/Exterior Railings 34 in.to 38 in. r ��Ntk � Platform at all exterior doorsry,(�` Interior Handrails stairs 2 or more risers //e J ( C)�` Grade away from foundation 6 in, with 10 ft. �� Handrail Termination at Newell Post or Wall �� 8 inch clearance to sill plate / �� Gas Valve shut-off exposed/regulator 18"above grade / �� Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area � � Furnace/Hot Water Heater operating ‘ Low water shut-off boiler ► v` Relief Valve(s)installed (l/./ \../ n�- ``�� Interior privacy/trim/doors/main entrance 36 in. P o ` ` '/ Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing „p „--\- „„�� t ,, _ _ Interior Smoke Detectors: �!7 Every level: / Every Bedroom: Outside every bedroom area: V._ S Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 3/4 hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents Building No./Address visible from road / Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification, if required Okay to issue C/C(Cert. Of Compliance) / Okay to issue Temporary C/0(Cert. Of Occupancy) Okay to issue Permanent C/0(Cert. Of Occupancy) L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 Rough Plumbing / Insulation nspection Report Office No. (518) 761-8256 Date Inspection requ rec Ive : Queensbury Building&Code Enforcement Arrive: a e : 7= a rr • 742 Bay Road,Queensbury,NY 12804 Inspector's Initial : r NAME: ri • f��jL-1('� PERMIT#: LOCATION: \�3 RC:i INSPECT ON: <> "1 • 303 TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron,Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping • Copper Commercial � Co r,CPVC,Pex One &Two Family n �� ation/Residential Check/Commercial Check 1� Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 27 / - PI_ Framing / Firestopping Inspection Repon Office No. (518) 761-8256 Date Inspection req - -ceive.. O b Queensbury Building& Code Enforcement Arrive: . p D-.a•. . • f m_, 742 Bay Road, Queensbury, NY 12804 Inspector's Initi. s: , / N E5i-c„,-1-' tfp 3 PERMIT#: 3- � LOCATION: 11 l INSPECT ON: , 0 TYPE OF STRUCTURE: N\f‘ 6.@Y N N/A COMMENTS raming 0it,ji );,,,R6t,s,.. Jack Studs/Headers Bracing/Bridging P\2-D\- --- _\. -1 -I-- J Joist hangers 1�-� Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 'A (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 snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour / . Firestopping 1 Penetration sealed 6 -Qtt-' C-) F ,I-D1-- .A . 16 inch insulation in cavity min. e.- �--h-`1 1 �& `\r= \ Garage Fire Separation House side `'A inch or 5/8 inch Type X \ L Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 7 \ t _.z2VPv__ 7-1\--Su '-, - _----3-141„___ V/ Framing / Firestopping ns ec i�`on Report Office No. (518) 761-8256 Date Inspection requ-- recei it Queensbury Building&Code Enforcement Arrive: a, p ►-;.rt: . :'2..{am/pm e_QC)Gx 742 Bay Road, Queensbury, NY 12804 Inspector's Initi. s: ,, . NAME: \�,eC\ \ e �.r q p�1, _ PERMIT#:0 3- -., de 'si LOCATION: •\\3'1 6 R‘i INSPECT ON: S—7 -0-3 TYPE OF STRUCTURE: '-i& raming L Y _ N/A COMMENTS i ea_-i i Jack Studs/Headers v 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 Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 'A (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses jI Anchor Bolts 6 ft. or less on center �� ce and snow 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 ''A inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request.iv- Queensbury Building& Code Enforcement Arrive: Z=Lth a r i r}'>1i M pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: C R RCS L_ 1-k \ PERMIT#: O-063 3 LOCATION: 3 ��j M) INSPECT ON: 7- )! TYPE OF STRUCTURE: (Di Y N N/A COMMENTS ,j� Framing Jack Studs/H ers Bracing ridging * Joist ha ers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses iG Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3,4 hour ,,Firestopping Y Penetration sealed 1-1:)0 16 inch insulation in cavity min. Garage Fire Separation �-3 House side 1/2inch or 5/8 inch Type X P oEr_ Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 9:c c , (() _cu /c�, Fcundation Inspection Report Office No. (518) 761-8256 Date In -ctio e•• rece' e•. 7 a` ' U 3 Queensbury Building&Code Enforcement Arrive:* ; . •.~ Depart 1110;- 742 Bay Rd., Queensbury,NY 1.2804--"" ector s . ' '<Yet) / , (.9a7) - We 3 .,,?1,Ae-, E: 6;4)4 "IL-4.---e-- -4_.„( P r' IT#: LOCATION: SPECT ON:/ AN TYPE OF STRUCTURE: Comments Y N N/A I 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. I Foundation/Wallpour Reinforcement in Place • Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/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:\SueHemingway\Building.Codes,Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspecti9n reques iv . Queensbury Building&Code Enforcement Arrive: :- ► a epart: am/p 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial NAME: P RMIT#: LOCATION: ,\�'� ik Q AO INSPECT OIQ: TYPE OF STRUCTURE: Comments Y N N/A Footings { Piers 1 *1- ,/ `7/,i t.A)� �G� `C"1 Monolithic Slab aC)iD-V-\W � 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 Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/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:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Code Compliance and Informational Sheet for Permit Use Queensbury Dept. of Community Development Project for: � e ,` �� Permit No. 2003 fAk. Lf(gj Applicant Name: , - zo. „ Aar is+ra+ur APPR * V F.o Tax Map No. ]�. — --I R Appiica. en Lot No. House No.l\�j 9Oa� ► . 7 2103 ,street Mobile Home Park: Subdivision: oning Administrator Planned Unit Dev. OWNof QUEENSBURY Parcel Size: acres Current Zoning: (April 9,2002 Zoning Ordinance)at time of this Permit Application Zoning Ordinance effective at time of Subdivision approval by Planning Board: Note Regarding Approved Subdivisions: YEAR ZONING b 1967 Prior to November 23, 1992;corner lot(2 1982 June 11 front yards)did not apply to zoning. 1988 September 19 All new development must conform to 2002 April 9,2002 current zoning. Setbacks: Existing Required Proposed Zoning Information Front 1 51) 'D The latest Zoning Ordinance Front 2 is effective April 9,2002 (if corner and shoreline) Side 1 3Y ce Y444.4 Side 2 Rear 1 `?jU Rear 2 Shoreline Travel Corridor Overlay Zone Buffer Yes No meets depth,width&square footage requirements preexisting,nonconforming lot with proper setbacks required frontage on public road has required off-street parking permeable area is adequate(Requirement is %) building does not exceed maximum height(Max. ft.) Is lot in a Flood Zone? Floor Area Ratio worksheet required?Zone: WR-1A(effective Z.Ordinance 1988) Application appears to conform to the requirements of Section(s): of the local Town Code. Town of Queensbury Code Compliance and Informational Sheet for Permit Use Queensbury Dept. of Community Development Drawing Space and Comments: ce(7i/3 pekiAtce 1Vi' , pie port, c �� 5 , or rt ad ✓ht.a� , 0 Otir ' vi0 iv -ftorns -6 Ix- itJtXQ, fe) 1` C" o ajP vASt A i E w 111 otit Parcel History Additional review required by Zoning Board of Appeals Planning Board Town Board comments: Zoning Board of Appeals File No. Action Resolution Date Use Variance Area Variance Sign Variance Other Planning Board File No. Action Resolution Date Site Plan Review Subdivision PUD(Planned Unit Dev.) Other Recreation Fees Paid Engineering Fees Paid Site Plan Maps on File Subdivision Mylar Signed and Filed REVIEWED BY STAFF(initial) DA NOTES �1 2 Town of Queensbury BPC Make Report Page 1 of 2 Building Permit Checklist(BPC)Support Checklist Report Parcel #27800000020180000000 (NEWSBL) Tax map#: 27800000020180000000 Current Zoning: 'RR-3A' APA BlueLine Status: Outside of APA Manual Check: Flood Plain Status: Within: f— Not Within: [— Zoning setback requirements (effective -2002): RR-3A - Rural Residential Setbacks Required Front 50 Side 30 Rear 30 Shoreline becomes front yard 75 Feet Sub-division code: Setbacks Required Front Side Rear Shoreline becomes front yard http://gby2svr/gis/MAKEREPORT.ASP 6/24/03 Job Site Address: Date: Application No. File No. Owner: �� k it.,.. �, r�� /' pP WINDOW SCHEDULE Opening.Specifications Window Window Mfg. Window Unit or Rough Rough SQ.FT. SQ.FT. SQ.FT. Clear Clear Special Hardware or Number or Name Model Stock Opening ,`Opening Glass/Visib Vent Egress/Clear Opening Opening Height Instructions Letter on Or Type Number Width' Height le Opening Width In In Inches Plan Call Size Light Inches • _ -tom a x t "<, 1t,) ' I of --THIS LINE HAS EXAMPLES OF SAMPLE ENTRIES A Andersen T' N cline ',3062 3'21/3" 6'.5" z"` 15.30 836" 6.01 , 34 24 15/35" Tempered Double _ �'11/16" Glazing> `Hung i L:\SueHemingway\Building.Permit.FORMS\Window Schedule.doc Job Site Address: Date: Owner: Application No. File No. Building Permit — Calculation Sheet Natural Light, Ventilation & Emergency Egress Requirements Habitable Area of Req.Light Actual Req.Vent Actual Sq.Ft. Remarks Room Room 8%of Room Light 0' 4%of Room Vent s Opening for in Area Square 'a Area Square Egress Square Footage Footage Feet ;,. > ;: E R z„ #1 - I it dF a k a✓ L:\S ueHemi n gway\Bui lding.Permi t.FO RM S\Nat.Li ght.V en ti l.0 al cu l ati on.S heet.doc ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY • 9000 HEATING DEGREE DAYS Compliance Methods:Part 5 - Acceptable Practice Method— 1&2 Family Dwellings (only) Part 6*- Thermal Rating—Component trade Offs 1&2 Family Dwelling; Multi-Family Dwellings (3 Stories or less) Part 4*- Design by Component Performance,Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT'S NAME: PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area- :?`/('-* square feet 2. Type of heat- Electric Oil X Gas Other 3. Is building mechanically cooled? X. yes No 4. Percentage of area of windows and doors Over 17% Under 17% ' 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS SHOWN ON PLANS SUBMITTED: R a. Roof b. Exterior walls R ck c. Glazed areas d. Exterior doors R e. Floors over unheated spaces R `` C f. Edge of slab on grade(heated building) R g. Basement/cellar walls(above grade) R h. Basement/cellar walls(below grade) R i. Heating/cooling-ducts-piping in unheated space R // 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED Applicant's Signature Date Phone Number INSPECTOR'S REMARKS: 0-0 0 3- (0 Permit Number REScheck Compliance Certificate Checked By/Date 1995 MEC REScheckSoftware Version 3.5 Release Id Data filename:Untitled.rck CITY:Glens Falls STATE:New York HDD: 7635 CONSTRUCTION TYPE: Single Family DATE: 07/14/03 COMPLIANCE:Passes Maximum UA=90 Your Home UA=54 40.0%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Cathedral Ceiling(no attic) 308 30.0 0.0 10 Wall 1: Wood Frame, 16"o.c. 592 19.0 0.0 32 Window 1:Vinyl Frame:Double Pane with Low-E 12 0.030 0 Door 1:Glass 48 0.030 1 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 340 30.0 0.0 11 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 1995 MEC requirements in RES checkVersion 3.5 Release 1 d (formerly MEC check)and to comply with the mandatory requirements listed in the RES checklnspection Checklist. Builder/Designer de.,9ki L /4 ry� Date 7/i i q//O,'3 REScheck Inspection Checklist 1995 MEC REScheckSoftware Version 3.5 Release Id DATE: 07/14/03 Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Windows: [ ] 1. Window l:Vinyl Frame:Double Pane with Low-E,U-factor:0.030 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: Doors: [ ] 1. Door 1: Glass,U-factor: 0.030 Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 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,the fixture must be installed with a 3"clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. Duct Construction: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 °F or chilled fluids below 55 F must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 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" 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, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only)