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2008-592 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE C.)AF OCCUPANCY Permit Number. P20080592 Date Issued: Thursday, November 19, 2009 This is to certify that work requested to be done as shown by Permit Number P20080592 has been completed. Location: 4 MURRAY Ave Tax Map Number. 523400-309-014-0001-017-000-0000 Owner. BEVERLY JUNE TUCKER Applicant: BEVERLY JUNE TUCKER This structure maybe occupied as a: Single Family Dwelling By Omer of Town Board TOWN OF QUEENSBURY 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: P20080592 Application Number. A20080592 Tax Map No: 523400-309-014-0001-017-000-0000 Permission is hereby granted to: BEVERLY JUKE TUCKER For property located at: 4 MURRAY Ave 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. Tyne of Construction Value Owner Address: BEVERLY JUNE TUCKER 6 MURRAY Ave Single Family Dwelling $100,000.00 QUEENSBURY,NY 12804 Total value $100,000.00 Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2008-592 1050 SQ FT SINGLE FAMILY DWELLING $126.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,November 20, 2009 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at th of nsty; bu day, November 20, 2008 SIGNED B for the Town of Queensbury. Director of Building&Code Enforcement ................................ OFFICE USE ONLY �..."'__ ....._.....i % 10 0 TAX MAP .` -17 PERMIT N0. � � �2 ; , , I �/� NOV 0 4 2008 ; 00 FEES: PERMIT?VzL RECREATION ENGINEERING 0 ; 10 (If applicable) 1 ; 00 ,� _..... ................................................... PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALIDPERMIT FOR CONSTRUCTION.Q � APPLICANT/BUILDER: Kee, 00 C r yi �[�c L r OWNER: UeVfi-_� ~P /�/Zc V- ADDRESS: //.. /bAj ea /4�d e tx Cst4 kc,/XADDRESS: 6 ,4611'`'1?Y 1 vicewlt - PHONE NOS. S/1- 79a- T 83V PHONE NOS. S/$ -79.Z- 3.,-d CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: K�'�c/ 7� / �' PHONE: SI -79.4 LOCATION OF PROPERTY: (J/'I'Y � �✓t'u`' �L r / ' r 1, FC y SUBDIVISION NAME: IV14 PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT 0 w O APPLY TO YOUR z F- d v7 w PROJECT 0 OO OJ H -� 0 = = ~ w u_ u. u- w Q a. 0 U w p LL CJ z C) F- O i= w z 07 NU) Ow Hu- a = 0ts SINGLE FAMILY ✓ 10,50 A)I)l 105 D /7 104l TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: /DO,DOD-D4 FUEL TYPE: AIS HEAT TYPE: A)G *HOW MANY FIREPLACE(S): © AND/OR WOODSTOVES(S): C� ZONING CATEGORY: 5WI/A ARE THERE WETLANDS ON THIS SITE? t10 IS THIS A HISTORIC SITE? A) / PROPOSED USE OF BUILDING OR ADDITION: 5/!�2,x � *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3-LGL 11-05 Town of Queensbury - Community Development Office • 742 Bay Road, Queensbury, NY 12804 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? VO ARE THERE EASEMENTS ON PROPERTY? Vn 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 state ment/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. Signed c. 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) ...................... 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 Qu6ensbury. Application: ; BUILDIN &C APPROVAL ZONING APPROVAL 1.7 i DATE/ DATE QUESTIONS 7 CALL 761-8256 OR EMAIL codesfM-gueensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION Office Use Only www.gueensbury.net Operating Permit Issued: Yes No Occupancy Type: S'tA,*,k Construction Classification: S Assembly Occupancy Limit: /?' Special Conditions: `.- Town of Queensbuny- Community Development Office - 742 Bay Road, Queensbunj, NY 12804 ,______ PROJECT NAME: LI Ay/YQ ` OFFICE USE ONLY STAFF INITIALS: BUILDING PERMIT SUBMISSION DATE: ; CHECKLIST FOR: SINGLE FAMILY DWELLING 1. Building Permit Application Completed? YES NO I N /A Energy Form or CheckMate Energy Code Compliance 2. Forms Complete? (2_copies) 3 Energy Code Inspector's Report from Checkmate Program?- 2- ' (copies)....- - - ._._...-------------------------...._.__......................................._ ------._....._...."....... ----- -- ------- l Septic application completely 4. filled out? 1_ I (if applicable) 5. Electrical Inspection Form complete? 6. Two (2) sets of the plans each of the following: YES NO N /A I € i a. Floor plans (s)? b. Foundation plan? c. Cross sections (s)? i ( d. Elevations? i e. Window and door schedule? i f. Natural Light, Ventilation and Emergency Egress _ Requirements? g. Plans signed and sealed by registered architect or engineer? Two (2) site plans showing location of the structure to be 7. ' built, location of well or water lines, location of septic system or sewer line? T- 8._Setbacks from property lines to new structure?— -- —'—1--- I $ Setbacks to neighboring wells and septic systems, including onsite well and septic systems (if applicable)? 9. I Driveway Permit? i , ---------.--.-.--...----.- Town of Q.ceensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 B 12-LTR 11-05 ................ PROJECT NAME: �N61cc' OFFICE USE ONLY r r STAFF INITIALS: ; r r DATE: BUILDING PERMIT SUBMISSION f r r CHECKLIST FOR: ` MULTIPLE DWELLING or COMMERCIAL PROJECTS 1. Building Permit Application Completed? YES NO N /A 2 Energy Form or Checkmate Energy Code Compliance Forms Complete? (2-copies) Energy Code Inspector's Report from Checkmate 3' Program? (2-copies) �✓ - _ ----------f-- — - - — -- Septic application completely filled out? 4. a (if applicable) 5. 1 Electrical Inspection Form complete? 6. Two (2) sets of the plans each of the following: _OESN N /A I a. Floor plans (s)? b. Foundation plan? f c. Cross sections (s)? i— d. Elevations? ; V i e. Design loads including floor, snow load, and wind load? f. Seismic design (required after January 2003)? -.__._. ------- g. Plans signed and sealed by registered architect or I engineer? h. Window and door schedule? Two (2) site plans showing location of the structure to be built location of well or water lines, location of septic s 7' ; system or sewer line with all setbacks and separation � distances shown, and all improvements to the property? _ 8. ! Solid Fuel Burning or Gas Appliance Form (if applicable)? A11A 9. 1 Driveway Permit " 1 Town of Queensbury- Community Development Office - 742 Bay Road, Queensbury, NY 12804 ..rr.r...r.r.r...rr...rrrr......rr....r..r........r......r......._. . ,..r.....r r r r r r r r r...... OFFICE USE ONLY I ; n �- ' I71 , TAX MAP NO. PERMIT NO. / ERMIT FEE ' / APPROVALS: ZONING TOWN CLERK_ _________r____...r...................._...r...._.r! 1....�................i APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMITI A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. d �- OWNER: f- -/ c1�C'( G ke''r INSTALLER: 4!iaAv,, '1 A !2c4• /_ ADDRESS: f�<(JI�YCey� IJGK/��' ADDRESS: �I �i Uri R rf' • PHONE NOS. s/Z" -7902 3 C7 PHONE NOS. �� ` 7 S 72r3 I LOCATION OF INSTALLATION: /l7tJ u riL-C�!e°-e-" .................................. I....••...-•••...••.-..........-.. i f ,...... RESIDENCE INFORMATION. YEAR BUILT BEDROOMS X COMPUTATION= ! _ } TOTAL DAILY FLOW ......................._._............................1. i 4...........<..........................................................................( GARBAGE GRINDER 1980 or older ; ! X f 150 gallon per bedroom I = i INSTALLED? -............_........:..............................................:...........1.........I.......�.........,...p,.......,...........................d.....,.....1......................................................................... —�_ W 1981 1991 ; X , 130 gallon per bedroom t = i 1 SPA O HOT, R O TUB 1992-present 3 X 110•gallon per bedroom = i j Q 1. INSTALLED?_A10 ? { 4.......-.....-.............................. ........................................... ............................ t..........�,............�....,...................... PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND \/ LOAM CLAY OTHER ✓ GROUNDWATER' AT WHAT DEPTH? IVIA BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? &-/,4 ✓ DOMESTIC WATER SUPLY: MUNICIPAL ✓ WELL (IF WELL:WATER SUPPLY FROM ANY SEPTIC-SYSTEM AB$ORPTION IS Al)w FT. '�_ d ✓ PERCOLATION TEST: RATE IS W-01 `'� PER MIINUTE PER INCH (TEST TO BE COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect (unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each garbage grinder, spa or whirlpool tub. ✓ SEPTIC TANK: GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH l_� FT. ✓ TOTAL SYSTEM LENGTH: 6a FT. SEEPAGE PIT(S): HOW MANY? ,'4/114 ✓ SIZE OF EACH N� FT. X nlf FT. ✓ SIZE OF STONE TO BE USED: # � ' /DEPTH OR THICKNESS ZZ FT. ✓ BED SYSTEM SIZE: 0 X ot6 ✓ ALTERNATIVE SYSTEM: A,11/4 LENGTH AND/OR S/ZE /l/��4 ✓ HOLDING TANK SYSTEM:(If required) NO. OF TANKS: /SIZE OF EACH N ✓ GALLONS.(TOTAL CAPACITY: GAL. ............ ; 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. 1 have read the regulations with respect to this application and agree to abide b these and all requirements of the Town of QUESTIONS? CALL 761-82, OR EMAIL g Y q codes�aueenstrurv.net Queensbury Sanitary Sewage Disposal Ordinance. VISIT OUR WEBSITE FOR MORE INFORMATION z` <l1 3 8 www.aueensburv.net Signature of Pers Responsible Date Town of Queensbury - Community Development Office ■ 742 Bay Road, Queensbury, NY 12804 Check Residential Plan Review: One&Two Family Dwellings Y/N/N/A (2)Full sets of plans Over 1,500 sq. ft.—Stamped Design Loads On Plans: 90 Wind AQor Loads_40 50 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size Door Schedule/Main Entrance 36"Door (/ �G� S�✓/ IN Emergency Escape Or Bedrooms and Habitable Sp e / 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 j Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where C/ Required Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors Stairway Headroom 6' 8' All Stairs 36"Width Stair Run and Rise Winder Run and Rise Spiral Not Allowed From 2" Story Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance Hall Width, 36"min. Handrails More Than Four Risers On Open Sides j Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. �1 v Safety Glazing Notes For Required Areas Garage Fire Separation _ Garage Floor Sloped 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 ConimunitV Development Office Torun of Queensbuyy • 742 Bias/ Rd. Queousbury, Ne,(v York •12804 PLOT PLAN Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines. SI E PROPERTY LINE , e dCY It .� r � _o _ _ . a^ Lij Q w _ a o ; ® r Q6 w _ z C� m . ... ,r()t" 1-7 SIDE PROPERTY LINE 1 SQUARE = -3 FT. __________________-___. ' Contmunity Development Office "own of QueensburG/ • 742 Bat/ Road • Qneensbury, NeW York -12804 � U ; , WINDOW SCHEDULE ' JOB SITE/ADDRESS: �� °> / ✓t u/�G DATE: /b 1,5z Lo 5- OWNER: Re✓C/` /y -FuC- r APPLICATION NO.: WINDOW UNIT OR CLEAR CLEAR WINDOW STOCK ROUGH ROUGH SQ.FT. OPENING NO.OR WINDOW SQ.FT. WIDTH OPENING SPECIAL HARDWARE OR MANUFACTURER NUMBER OPENING OPENING EGRESS/CLEAR HEIGHT LETTER NAME MODEL/TYPE CALL WIDTH HEIGHT VENT OPENING S IN INSTRUCTIONS ON PLAN SIZE INCHES INCHES �n o AEA r k , ° .s9.61 F 4 rs 3os*xZ '/ Rr� If 3c5� ,51A, .5,S`, 303- /5014 p 30 3-,) 3 d( 3"-s,� •�-S tI' S�'s{ z,S11, s,9 ca SuM-j t a35/. ��y' Ult` 6.oa� /tll�l A.,1 1t9- q © A SC /vt T✓c13� '-.2/•, N1�9 [1F ,99 / C4650ry Rr t l t 30 LC-$ t t ° O B 26-LTR 11-05 1 I Community Development Office �J orrn of Queensbury • 742 Bay Roan • Queenshury, New York •T2804 ' U ; , --------------- BUILDING PERMIT CALCULATION SHEET: NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS REQUIRED ACTUAL LIGHT REQUIRED SQUARE FOOT 4 AREA OF ROOM IN LIGHT VENTILATION HABITABLE ROOM SQUARE FEET 8%OF ROOM SQUARE VENTILATION- % SQUARE OPENING FOR REMARKS AREA FOOTAGE OF ROOM AREA FOOTAGE EGRESS L✓ a,S/. 96,A3 q5.1, 113• 69' ON R G/0 3 �- z 8 7 /, la . q 5 G ,aq Ioiv�ve �c c ui r f� /Zl1)c�e,ae Y, 2 (9 al!'wt �2z l 7 7 ,76 :2s,79- 31 90 /021 L/7' 6a+1,i Z S a.s � , 0 2 7 S,6 3,61 3,7 F- y, S 0 g-�,+k z 7 5..z.s G , 01 7-5-1, 2, 01 3,7 g, q,sa QUESTIONS 7 CALL 761-8266 OR EMAIL codesAgueensburV.net VISIT OUR WEBSITE FOR MORE INFORMATION www.auensbun+.net B 10-LTR 11-20 Check Residential Plan Review: One& Two Family Dwellings Y/N/N/A (2)Full sets of plans Over 1,500 sq. ft.—Stamped Design Loads On Plans: 90 Wind IkQo,Loads 40 - St�7ao� �w_ CV— __50 Ground Snow-Load-_Sleeping Areas and-Attics---30 ps# _ Calculations: Window Schedule With Glass Size Door Schedule/Main Entrance 36"Door / (' Emergency Escape Or Bedrooms and Habitable Sp e 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 Dampproofmg/Waterproofing Materials On Plans Foundation Drainage On Plans, if required 6"Drop in 10' Exterior Grade Be ,O L-0 S Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where C/ Required Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls S�cTs��,✓ Platforms At Exterior Doors C(e d, Stairway Headroom 6' 8' All Stairs 36"Width Stair Run and Rise I,V `2 Winder Run and Rise Spiral Not Allowed From 2d Story Smoke Detectors Battery Backup and Proper Location 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. A4- Safety Glazing Notes For Required Areas Garage Fire Separation — Garage Floor Sloped 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 Queensbury Building & Code Enforcement -' Residential Final In ion Office No. (518) 761-8256 Arrive: 4p, am/pmDate Inspection request received: Inspectors InitNAME: v— ��LOCATION: : TYPE OF STRUCTURE: Comments: No A ,C 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 tnterior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade awav from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off e /regulator 18 inches above grade Interior priM/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safe Pain Interior Smoke Detectors 1 Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Batts badcu : Attic access 30 inches x 22 inches x 30 inches (height in acoessible area Craw!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 Floor truss,draft Mopping finished basement 1,000 sq.ft. Ememency egress below race Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to fumace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trapt Water Temp 110 Enclosed Stairs Sheetrodk Underside minimum IN Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logo in Sealed or Glass Enclosure Final Electrical 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 required Okay to issue C/C or C 10 f Temporary/Permanent L:\Building&Codes Forms\Building&Codes\lnspekttion FormsWesidential Final Inspection Form revise0_100405.doc;Revised January 7,2008;Revised 6/26/08 Final Survey Inspection Dept. of Community Development Town.of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: NAME: LOCATION: PERMIT#: �" Final Survey Plot Plan Approved Denied The attached final sairvey has been received by the Dept.of Community Development. Upon review the sury has been: Craig Brown,Zoning Administrator Notes: L:�SueHemingway%uilding.Codes.hupection.FORMS\Final Survey Zoning Administratordoc -y- " lam &esar Queensbury Building & Code Enforcement - Residential F' at I ection OfFi No. (518) 761-8256 Arrive: �_ /pm rt: •? am/pm Date Inspection request ived: Inspector's Initi s: NAME: ZT IT#: LOCATION: TYPE OF STRUCTURE: ` _ Comments• Yw N A 40 BuildingNumber Address visible from road �f ChimneyHeight/"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 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 Wail interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to silt plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Sy lain /Window in stairwells safety glazing Interior Smoke Detegfors/Carbon Mo oxide etect rs Every level: Eve Bedroo Outside every bedroom ea: Inter Connected: Battery badku : Attic access 30 inches x 22 inches x 30 inches eight)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 M.ft.-150 sq.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 Stains Shestmdk Underside minimum W Gypsum Basement stairs dosed rise?4 inches Garage Floor Pitched ' Garage fire roofln /'/,hour fire door/door closer ���LP Duct work Sealed properly l Gas Logs in Sealed or Glass Enclosure ' Final Electrical Final Survey Plot Plan 4-- Are Fault Breaker in Bedrooms ��, �-,vkc Flex Gas Pin Bo 7 'As BWL§M ste /Sewer Dept. Ins ion Sticker -Site Plan /Variance aired .�--- Flood Plain Certification,if re uired CC--�1 Okay to issue C I C or C 10 Temporary I Permanent L:1Building&Codes FormslBuilding&Codesilnspecfion FormsWesidential Final Inspection Form revised_10040S.doc;Revised January 7,2008;Revised 6/26/08 Queensbu Building & Code Enforcement - esidential Fi Ins eCiIO rY 9 p Office No. 518 761-8256 a ( ) Arrive: rt: Date Inspection request received: 4-flol Inspector's Initi NAME: 6�k1I,ta� +0 k46V MIT#: � LOCATION: TE: yucw 0 TYPE OF STRUCTURE: Comments: Yes Roj N/ 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location ^F I f-- Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors \,t-) &)J7 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 VP r\'D tz� Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Dead Bracy /Handfrom Ram Compliant ; Grade awayfrom foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/re ulator 18 inches above grade V, Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight ILI Safety glazing/MLvdow in stairwells safety glaalho Interior Smoke tectors/Carbon Monoxide etectors Every level: Ev Bedro�rfm: Outside every bedroom rea: J *V Inter Connected: Batte backu : r2 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 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 Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'A"Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Loge 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 Flood Plain Certification,if required Okay to issue C/C or C 10 Temporary/Permanent LABuilding&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 Septic Inspection Re o Office No. (518) 761-8256 Date Inspection ion ePECT d: Queensbury Building &Code Enforcement Arrive: art: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initia NAME: _�_ UC,�Fa LOCATION: t-1 M_ t'L RA E I y--0 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. � I� Well Casing Length 50' + - Y N N/A Absorption Field: Total length ft. Length of each trench ft. 111 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 System Use Status: proved artial 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 1 NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury, NY 12804 Phone-518-7454400 Fax -518-792-8511 May 14, 2009 Project #49280 Mr. Dave Hatin Town of Queensbury 742 Bay Road Queensbury,NY 12804 Re: Proposed New Septic System Tucker—4 Murray Ave., Queensbury,NY Dear Dave: We performed a percolation test on modified soil which was allowed to settle through this past winters freeze/thaw at 4 Murray Avenue. The percolation test; performed in the area of the proposed absorption system, had a stabilized percolation rate of 1 minute 07 seconds. As per the approved design plans the septic system will be constructed as a 20 ft wide by 20 ft long absorption bed with 4— 15 ft long perforated pipe laterals. Please call me if you have any questions. Sincerely, Thomas R. Center Jr., PE �' Foundation Inspection Report Office No.(518)761-8256 Date lnspectu n request received: Queensbury Building&Code Enforcement Arrive: am/pm�j�hh Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's itials: UI� ' NAME: PERMIT#: LOCATION: \J�l '-IQ INSPECT ON: 5 !Z TYPE OF STRUC . Comments Y N N/A footings Piers D t)"\� O Monolithic Sla 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\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: U Queensbury Building &Code Enforcement Arrive: am/pm Depart: dnvpm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: d� �G PERMIT #: _ -- LOCATION: rf2- INSPECT ON: TYPE OF STRUCTURE: T Y N NIA Rough Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air tHead :S.l for minutes Insulation/Rdsidenfial Check/Commercial Check TywelecriTimilar 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: R - 3 ( `> R.. - Zt Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing I insulation 1 spection Report644' Office No. (518) 761-8256 Date Inspection request received: 43 sl )&T Queensbury Building & Code Enforcement Arrive: am/pm Depart: pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: F NAME: PERMIT #: LOCATION: INSPECT ON: J i TYPE OF STRUCTURE: ' Y N NIA Rou h Plumbin211Nail Plates ent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent ."Air/Head_ 5 P.%�L'Qr 10 ft. above hi hest whnection for 15 minutes 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 Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: amlpm Depart: INAZ am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: t NAME: ` = �. ` ' PERMIT #: LOCATION: INSPECT ON: TYPE OF STRUCTURE: < Y N N/A ou h Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent 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.1 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 Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing / Insulation Ins ection Reportc,-/U�- Office No. (518) 761-8256 Date Inspection request received: j Aj '' Queensbury Building &Code Enforcement Arrive: am/pm Depart: J.£ m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: A ck t� NAME: , C- e/ PERMIT#: LOCATION: ,+ INSPECT ON: TYPE OF STRUCTURE: Y N N/A FkKigh Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test U�/ Drain /Vent 5 P.S.I. o ft. above highest connection for 15 minutes Pressure Test Wader Supply Piping Air/Head 50 P.S.1 for 5 minutes Ins esidential Check/Commercial Check Tyvek or Samilair 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 toe 1,z`- COMMENTS: s S j i i Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Re Office No. (518)761-8256 Date Inspection request received: C Queensbury Building &Code Enforcement Arrive: am/pm Depart: J am/prn 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: , Av,jl"� NAME: PERMIT LOCATION: INSPECT ON: TYPE OF STRUCTURE: Frami Y N N/A COMMENTS: ng ccess 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 i4 w 16 gauge 8 16D nails each side Draft stopping 1,000 sq. ft. flow trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fi 3, 4 hour Finest on sealed 16 inch insulation in 2@vq min. Garage Fire Separation House side%inch or 518 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 LASuiiding&Codes Forms-OWSukling&CodesYnspedion Fond Frarring Firesbopp ft inspection Repatdoc Revised January 7,20M Framing / Firestopping Inspection Rep Office No. (518)761-8256 Date Inspection IMI* Queensbury Building &Code Enforcement Arrive _ �a 742 Bay Road, Queensbury, NY 12804 Inspe or's Initia NAME: :2LZ T#: LOCATION: J rfr U SPECT ON: — ?`T PE OF STRUCTURE: Y N WA COMMENTS: Attic Access 22" x W minimum Jack Studs/Headers N I Bracing/Bridging Joist hangers JD 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 Meta_ I Strapping for Notches Top Plate w 16 gauge 8 16D nails each side sto 1,000 sq.fL floor trusses Wftdior 1361ts 6 ft. less on center on 1, 2, 3 hour wall 2, 3, 4 hour Agrahifion 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. OM 5.7 sf above/below grade 5.0 sf grade LASuilding&Codes Forms-OW113uildft&CodesVitspection ForrmTraming Firedopping Iitspection ReporLdoc Revised January 7,2005 Aug. 1 . 2009 12 : 58FM MD1A a - 0z' Na , 5773 P. 2i2 MIDDLE DEPARTMENT INSPECTION AGENCY, INC. Wev that the electrical wiring to the electrical equipment listed below has been examined and is approved as being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date noted below and is issued subject to the following conditions. Owner: Beverly Tucker Date; 07/29/2009 Occupant: House/1050 Square Feet Location: 4 Murray Ave, Occupancy: Queensbury, Warren Co. NY P Single Family Dwg. Applicant; Kenneth Tucker 91 Iron Gate Rd. $ ' Queensbury,NY 12 L -J Raymond A. No k No. - - y - _ - _ 3180 0 _ Equipment; 200-Amp. Service Equip ent 4/ - ch ptac ixtur ryer, -20 Amp. Receptacles; 2 -Vent Fan -S Detectors; 1 -Carbon Monoxide Detector Ilk �tCE I S&vk This certificate applies to the electrical wiring to the electrical equipment 116ted immediately null and void. This certificate applies only to the use,occupancy and above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a Mange in the use,occupancy or ownership inspection. No warranty is expressed or implied as to the mechanical safety,etfi- of the property indicated above,this certificate shall be immediately null and void. ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions, be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinapection by Middle Department system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle ed to,the Introduction of additional electfical equipment and/or the replacement of Department Inspection Agency, Inc, to initiate the inspection and revatidation any of the components installed as of the above noted date,this certificate shell be process. A fee will be charged for this senlice, -- 10 . -1 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Dep am/pm 742 Bay Rd.,Queensbury,NY 12804 inspector's Initials:✓ Imo. NAME: 1c>c PERMIT#: aff LOCATION: r INSPECT ON: TYPE OF STRUCTURE: Comm n 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 Do eyw place Foundati uzg Foundatio Waterproofing Footing t 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 Office No. 518 761-8256 Date Insone( ) Inspectioned: Queensbury Building&Code Enforcement Arrive: Depart: 742 Bay Rd.,Queensbury,NY 12804 Inspector's Ini NAME: 14�w �C[C-1 LOCATION: T�� : /�kler TYPE OF STRUCTURE: <!' Comments Y N N/A Footings Piers Monolithic Slab I L k-- Reinforcement in Place � ""� - c�, 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\lnspecbon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Inspection req st r ed: Queensbury Building&Code Enforcement Arrive: J Z m part: pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi NAME: PERMIT#: _ LOCATION:}F INSPECT ON: TYPE OF STRUCTURE: Comments Y N NA 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 Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspedion Forms\Foundadon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Septic Inspection Report Office No. (518) 761-8256 Date Inspection requ r iv t-?Al 7 � Queensbury Building &Code Enforcement Arrive: =a art 742 Bay Rd., Queensbury, NY 12804 Lector's Initia s: NAME: RMIT NO.. LOCATION: NSPECT ON: RECHECK: Comments and/or diagram Soil T m/C I a Type of Water• ici ai Well Water F AkP Water in se aration distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + / Absorption Field: Total length ft. Length of each trench & I ft. D L007e t;' .�' ►S Depth of trenches -IL Size of Stone - Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box 'i 3L Distribution Box to Field Pit LA 11 EF-P Opening Sealed: Y Inlet/Outlet Pi pes s&Baffles End Cap. Y N �� Location Separations Foundation to tank 1 Z- ft. Foundation to absorption Separation of Pits ft. Conforms as per Plot Plan Y Engineer Rep2rt and As-Built Y Location of System on Property: _ Front Rear Left Side Right Side Middle R___ ed_r System us?.-Status: roved NZ 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 Generated by REScheck-Web Software Compliance Certificate �oo� NOV 1 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: 8% Heating Degree Days: 7635 Construction Site: Owner/Agent: Designer/Contractor: Compliance: Compliance:29.8%Better Than Code Maximum UA:322 Your UA:226 Assembly Gross Cavity Cont. Glazing UA Area or R-Value R-Value or D.. Perimeter U-Factor Basement:Solid Concrete or Masonry 938 11.0 0.0 83 Wall height:7.0' Depth below grade:5.0' Insulation depth:5.0' Floor:All-Wood Joist/Truss Over Uncond.Space 1050 30.0 0.0 35 Wall:Wood Frame,24in.o.c. 950 21.0 0.0 49 window 3032:Vinyl Frame,2 Pane w/Low-E 10 0.380 4 Window 3052:Vinyl Frame,2 Pane w/Low-E 17 0.380 6 Window 1835:Vinyl Frame,2 Pane w/Low-E 11 0.380 4 Window 3052 dbl:Vinyl Frame,2 Pane w/Low-E 34 0.380 13 cieling:Flat or Scissor Truss 1050 38.0 0.0 32 Furnace 1: 94 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 Aeknowledge,belief,a d professional'judgment,such plans or speafica' ns are i o pli ce wit this Code. � h Tyr e/' Name-Title Signature Date Project Notes: Single Family Residence-1050 sq,ft,4 Murray Avenue Project Title: Report date: 11/16/08 Data filename: Page 1 4 Generated by REScheck-Web Software Inspection Checklist Date: 11/16/08 Ceilings: ❑cieling: Flat or Scissor Truss, R-38.0 cavity insulation Comments: Above-Grade Walls: ❑Wall:Wood Frame,24in.o.c., R-21.0 cavity insulation Comments: Basement Walls: ❑ Basement: Solid Concrete or Masonry, 7.0'ht/5.0'bg/5.0'insul, R-11.0 cavity insulation Comments: Windows: ❑window 3032:Vinyl Frame,2 Pane w/Low-E, U-factor:0.380 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?Yes No Comments: ❑Window 3052:Vinyl Frame,2 Pane w/Low-E,U-factor:0.380 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?Yes No Comments: ❑Window 1835:Vinyl Frame,2 Pane w/Low-E, U-factor: 0.380 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?Yes No Comments: ❑Window 3052 dbl:Vinyl Frame,2 Pane w/Low-E, U-factor:0.380 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?Yes No Comments: Floors: ❑ Floor.All-Wood Joist/Truss Over Uncond.Space, R-30.0 cavity insulation Comments: Heating and Cooling Equipment: ❑ Furnace 1: :94 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 doling equipment and service water heating equipment have been provided. Project Title: Report date: 11/16/08 Data filename: Page 2 ❑ Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. ❑ 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. ❑ 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: ❑ 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. ❑ 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. ❑ Circulating hot water pipes are insulated to the levels in Table 1. Circulating Hot Water Systems: ❑ Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: ❑ 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: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are 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 V 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 Range(°F) Piping System Types 2"Runouts V and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Project Title: Report date: 11/16/08 Data filename: Page 3 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: 11/16/08 Data filename: Page 4