2005-150 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: P20050150 Date Issued: Friday, September 23, 2005
This is to certify that work requested to be done as shown by Permit Number P20050150
has been completed.
Tax Map Number: 523400-315-006-0001-014-000-0000
Location: 17 FOUNDERS Way
Owner: KENNETH & LAURA COLLETTE
Applicant: KENNETH &LAURA COLLETTE
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage - 2 Cars 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 Enfo etnent
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
(21W Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050150 Application Number: A20050150
Tax Map No: 523400-315-006-0001-014-000-0000
Yermission is hereby granted to: KF,NNETH& T,ATIRA COLLETTE
For property located at: FOUNDERS Way
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 die NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Tyne of Construction Value
Owner Address: KENNETH&LAURA COLLETTE Fireplace
36 FRONT St Garage-2 Cars Attached
LAKE GEORGE, NY 12845 Single Family Dwelling $265,000.00
Total Value $265,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
COLLETTE CONSTRUCTION
9 COLLETTE LANE
HITDSON FALLS_ NEW YORK
Plans&Specifications
2005-150 Lot 157, House No. 17 Founders Way
Bedford Close, Section 6
2325 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE
$346.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, April 05, 2006
(if it 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 7W119VbT sd , April 05, 2005
SIGNED BY
for the Town of Queensbury.
Director of Building&Code Enforcement
GS- so
C
A—Residential Plan Review: One & Two Family Dwellings
Y I / /A
(2)Full sets of plans
Over 1,500 sq. ft.—Stamped
Design Loads On Plans: 90 Wind Floor Loads 40 psf
70 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
r' Residential Check Paperwork Compliance and Inspectors Checklist: OK
JDampproofing/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
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 One Riser 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
Garage Floor Sloped
Attic Access
Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access
Carbon Monoxide Detector Lowest Sleeping Level
Soil Test Results, if required
Septic To Well Or Water Line Separation
All Paperwork Signed
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION:
n Office Use
Location of installation:
File Permit No.
Tax Map No.
tL M Fee Paid
Owner's Name: e ,�n; e
Address: _ / ;, �. .
2. INSTALLER'S NAME 'P COR ` PHONE NO.
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gallbdrm =
1980— 1991 x 130 gal/bdrm =
9 —prey 3 / x 110 gal/bdrm = 33�
Garbage Grinder Installed yes ✓ / no
Spa or Hot Tub Installed yes i / no i,
4. PARCEL INFORMATION: (circle applicable information&indicate measurements) St-� `►V1st o)")
To-ooizraDby Soil Nature Ground Water Bedrock or impervious Material Domestic Water Su 1
la sa at what depth at what depth municipal
Rolling loam feet feet well
Steep slope clay if well;water supply
,%slope other from any septic-system
depth: absorption is ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
5. 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: Q-5'C'>' gallon(min. size 1,000 gal.)
Tile Field: each trench ft. Total System Length: ft.
Seepage Pit(s): number of size of each: ft. by ft.
Size of Stone to be used: # / depth or thickness feet
Bed System Size: x
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: ! Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 of the Code of the Town
of Queensbury,any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person b ate
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Permit No. �S'
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid `f
742 Bay Road,Queensbury,NY 12804 Recreation Fee
Dave Hatin,Director codes@aueensbury.net
Phone: (518) 761-8256 FAX: (518) 745-4437
Principal Structure Building Permit Application
Application & Plans subiect to review before issuance of a valid permit for construction
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder (_.0 //etfvr �v �i Owner: �/,1,ae
Address: 1 :7 a,,AX p A< V�i A. Address: rZr a X
Home Phone: p
a/4 Home Phone:
Email Address: Email Address:
Cell Phone: 3 6S' Cell Phone: �j"
FAX Phone: 46'k 'i<- FAX Phone: 11
Person responsible for supervision of work with respect to building and codes compliance:
/
Name: /et-n) C .a//e
Address: _'74i-97c Phone
Location of proposed construction: Lot N {Legal^l A,ddress:
Tax Map Number: �'�(�a'�-/ Subdivision Name:
Estimated Cost of Construction: $ d-C crc '
Proposed construction is for: ZResidential Use _Commercial Use
Name of Business:
-
If proposed construction is an addition, what will use of new addition be?
New Addition Alteration Proposed Construction V Floor 2^d floor Other Total Proposed
structure (Occupancy Type) Sq. Ft. sq.ft. Sq. Ft. Square feet Height
Ft.&in.
Single-Family Dwelling 1
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office C
Mercantile J ��
Manufacturing5
Other:
Attached Gara a 1, 2, 3
Type of Heating System: Electric, Oil, as Wood, orced Hot Air Baseboard, Other:
Is a fireplace and/or woodstove being installed, please refer to a separate application. i/ Yes _No
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the 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 Codes, 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.
Date: Applicant/Builder Signature:
The application of ted is hereby approved and
permission granted for th c nstruction, reconstruction or alter tion of uildin Land or accessory structure as set
forth above.
Date: Authorized Signature:
L:\Sue Hemingway\Buiiding.Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04
k
Town of Queensbury Fire Marshal
low 742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fireplace/Stove Insliection Report 1
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructii#ns and
ifi speccations contained in the Installation Manual accompanying the appliance.No deviation from the manufac urer°s
instructions or iecifi ' ns is allowed. �-f
45
Permit# 0 Schedule Inspection 1U Time am pm anytime Inspectod
Name 00u� _ Address- 17 YOUR _95�� Rough In___ Final
Appliance Manufacturer Model#
Direct Vent Factory Built Chimney Flue Size Double Wall_ Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chase
Will Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LP)
WMte—� SDe Yellow r pink—Fire Mar"
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances
Date . 20±�,S� Permit No.
Application is hereby made to the Building& Codes Off ce for the issuance of a Building and Use
Permit pursuant to the New York State Fire Prevention and 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.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: Stove: wood coal pellet gas
Fireplace insert
Address: t _ ,�_r it ace factu,ij wood
Fireplace, masonry: wood gas
Furnace: wood.: gas oil
Phone:
If non-masonary applicance, please provide
Owner: � h`� Manufacturer Name: /r'n
Address: Model Number: Ll
w — Chimney Information
Phone: ` ` ' (circle appropriate words)
Masonry block brick stone
_ Flue tile steel size: inches
Exact Address: 7 r u s (t j,. y
of construction orinstallation f Factory-Built 1"ter K f V,,r
Manufacturer name:
Model Number:
Note: Listed By: Number: _
Construction/Installation must
conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting
Chimney Liner
C&zmL tle -Aiv Department—Z'omu o.PQsxeeambuzy, Wezw Yoz-lK— -
i
i
Fires Marshal Code# $Collected $Ref ended Received fr-onz (refunded
= address: — --- — ----- ---- -
A 173 3389 (190) Public Safetyf
A 233 2655 (230)Ml/or Saley
DATC: , t
yv�wa�i-vL�— Town. �i�ct.�c oa mad, ,
White(Applicant} /. Green(a,ire,'Marshatl) ! ellow(BIM. Dept.) / Pink K Goldenrod(Cashier's Dept.)
Queensbury Building & Code Enforcement - Residential Final Inspection&�
Office No.(518)761-8256 Arrive: am/pfh D part am/pm
Date Inspection request received: Inspector's Initials:
NAME: U 1, — _ PERMIT#:
LOCATION: QQ-Jbe-'R—1 IS DATE:
TYPE OF STRUCTURE: —
_ Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish 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
Enclosed Stairs Sheetrock Underside minimum %2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 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
R of Valves installed/Heat Trap/Water Temp 110 _
terior privacy/trim/doors/main entrance 36 in.
athroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing_
Interior Smoke Detectors:
Every level: i Every Bedroom: _
Outside every bedroom area: Mt)47, GO
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched _
Garage fireproofing/'/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
is access 30 in.x 22 in.x 30 in.(ht.)In accessible area
yawl Spaces 18"x 24"acc s, I s . ft,-150 s . ft. vents
Buildin No./Address isi e f m roa
Final Electrical D
Site Plan /Variance r'&quirfd
Final Survey Plot Plan
As Built Septic System/Sewer Dept Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection
4
Office No.(518)761-8256 Arrive: am/pJ`q �<7—'-��'pm
Date Inspection request received: / — as Inspector's Initials: .i
PP j
NAME: PERMIT#: �7
LOCATION: eel DATE: 04 3
TYPE OF STRUCTURE: _
Comm is G
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more(a)stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior FinishComplete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %"
Gypsum _
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate 1�� C�Cj ���• ��
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
Relief Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
athroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
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
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"a cess, s . ft.-150 s . ft. vents
Building No./Addr s sible rom
Final Electrical 7 1i
Site Plan /Varian a ut d
Final Survey Pint Plan
As Built Septic Sys m/Sewer De' t.Inn Sticker
Flood Plain Certification,if required
Okay to issue C/C or C/O Temporary/Permanent ��O ✓ VV
L:\PamW\Building&Codes\lnsvection Forrns\Res. Final Insp. form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection /Q
Office No.(518)761-8256 Arrive: am/p part: D i Sam/pm
Date Inspection request received: Inspector's Initials:
NAME: �CG !%C'� PERMIT#: l
LOCATION: /�l.�t! DATE: Z-t
TYPE OF STRUCTURE: fComments
Y N N/A F {
Chimney Ht./"B"Vent/Direct Vent Location.
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more a?,stairs,decks patios
Guard at stairwell at 34 in.or more
uard at deck,porches 36 in.or more
xterior Finish Co lete
terior/Exterior Railings 34 in.to 38 in.
Vo Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum ''/a"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 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
Relief Valves installed/Heat Trap/Water Tenip 110
I tenor privacy/trim/doors/main entrance 36 in.
athroom/Kitchen watertight
Safet lazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: 1 Every Bedroom: __ �(v(j� d t/� '�✓
Outside every bedroom area:
Inter Connected: / Battery backup: /
Carbon Monoxide Detector �� —SA)
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency a Tess below grade
asement stairs closed rise>4 inches
(Garage Floor Pitched _
Garage fireproofing/%hour fire door/door closer
Duct work Seated properly _
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in x 22 in.x 30 in.(ht.)In accessible area
Crawl S aces 18"x 24"access, 1 s . ft,150 s . ft. vents
uildin No./Address visible from road
Final Electrical N � /�I/q�— C'��•
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Oka to issue C/C or C/O Temporary/Permanent
L:\PamW\Building&Codesunsvection Forms\Res. Final Insv. form 2.docLast printed 2/12/04
Final Survey Inspection
Dept. of Community Dev
,
Town of QueensburyWrag
742 Bay Road
Queensbury,NY 12804 $E p 2 0 2005
Date received: •�-- - -- ---
NAME: %C—U 6,US
LOCATION:
PERMIT#:
Final Survey Plot Plan
AwDroved Denied
The attached final
survey has been
received by the
Dept.of /
Community /
Development. 4120
Upon review the
survey has been:
Craig Brown, Zoning Administrator
Notes:
L:\SueHemingway\Building.Codes.Inspectim.FORMS\Final Survey
Zoning Administrator.doc
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Queensbury Building & Code Enforcement - Residential Final Inspection
�518)761-8256 ✓ Arrive: am/pm epart: am/ptn
/,¢ection request received: Inspector's Initials:
LOCATION: PERMIT#:
DATE:
TYPE OF STRUCTURE:
__ Com eats
_ Y N N/A a
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent throu h roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in,or more rG stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 i .
Platform at all exterior doors �Z
4terie Handrails stairs 2 or more risers �Q
Enclosed Stairs Sheetrock Underside minimum ''/2" /
Gypsum V
Grade away from foundation 6 in.with 10 ft. V, �r✓�f � le 4t L--
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in. gA,��•t, Rt 6Lk44' �lJ STD
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: i Every Bedroom:
Outside every bedroom area: t,,J a,A{L t, .$A-It' T" liC/bil°C�
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixturesL L
Foundation insulation b -fbrj_47rC (fs
Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched / GL
Garage fireproofing/'/<hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure 1^6 *x L A-re-1�
Attic access 30 in.x 22 in._x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft. vents
Building No./Address visible from road
Final Electrical t,
Site Plan /Variance required Final Survey Plot Plan V / P,L,�/_
CEC.
As Built Septic System/Sewer Dept Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/U Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res, Final Inso. form 2.docLast printed 2/12/04
Septic Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/i D part: — Pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: /
NAME: ' PERMIT NO.: ( ��
LOCATION: T<\rtQwk INSPECT ON:
RECHECK: _
Comments and/or diasram
Soil Type: an la
Type of Water: Municip /Well Water
Waterline se ara istance ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length 'Zug ft.
Length of each trench - ft.
-Depth of trenches ?/ ft.
Size of Stone -�
Seepage Pits: Number
Size: x
Stone Size:
_Pliping SizQ Type
Building to tank c p
Tank to DistributioD Box 14. L%
Distribution Boxp F ld/Pit ►►
Opening Sealed: N/Partial
End Caps
Location/Separations
Foundation to tank
Foundation to absorption ZS ft.
Separation of Pits ft.
Conforms as per Plot Plan N
En 'veer Report and As-Built Y N 41ev- A4— &
Location of Syste on Property:
Front ea Left Side Right Side
Middle Front Middle Rear
System Use Status
Approved
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
Last revised 1/6/05
Framing / Firestopping Inspection Report
Office No. 518
( ) 761-8256 Date Inspection request received: 7 UJ
Queensbury Building& Code Enforcement Arrive: _am. Dep/art: pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:�aJ�_v e �1
NAME: PERMIT#:
LOCATION: 17 h INSPECT ON: �
TYPE OF STRUCTURE:
Y N N/A
Framin ?�c COMME S
Jack Stud /Hea ers
Braci /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 %2 (w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
>r stopping ;
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
36
LASueHerning% ay\Building.Codes.inspection.FORv1S\Framing Firestopping Inspection Report.doc January 28,2003�!
D) (R6`'-:fT VC-0,1—
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: c-- 5 U5
Queensbury Building & Code Enforcement Arrive: am/ Depart: am/p
742 Bay Road, Queensbury, NY 12804 Inspector's Initials.
NAME: PERMIT I #:
a
LOCATION: Fa,Jer5 INSPECT ON: A e-o
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
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
.I for 15 minutes
nsuiatio / Residential Check / Commercial Check
NftpLs�r 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 Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: am/ft - pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: _ _ J/
It
Y N N/A Framing COMMEN
iS/
Jack Studs/Headers
Bracing/Bridging
Joist hangers —z—/
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
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
stopping
Penetration sealed
16 inch insulation in cavity min. �A- C Lc— ��
Garage Fire Separation
House side '/2 inch or 5/8 inch Type X �` �� n /�
Garage side 5/8 inch Type X J f l
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H) A)c V
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemin-way\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Town of Queensbury Fire Marshal 1
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206 ,
fax 745-4437
Factory Built Gas Fireplace/Stove Inspection_Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the islstructi0 and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the minufact r°s
instructions or specifications is allowed.
Permit#05- /50 Schedule Inspection � Time J� (-- pm anytime
'--E
Name ���1 Addr s ��Rough In Final_
Appliance Manufacturer Model#
Direct vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection {
Clearances to Combustibles (all sides)
Firestop(s) Vertical Chaste
Wall Penetration
Vent Clearances to Combustibles
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve
Combustion Air
Hearth Extension(if any)
Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LP)
White—Badidfna Dept. 1'eIIow r Pink—Fire Marshal
1a—q lc>l�
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request receiv d:
Queensbury Building & Code Enforcement Arrive: —am/"part: am pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: Q—\ 0 PERMIT #: S
l S D
LOCATION: Y� INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
PlumbingVent/ Vents in Place
1 1/2 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
5P P.S.I for 15 minutes
sulation 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 Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: —7 2 o (
Queensbury.Building & Code Enforcement Arrive: am/_ art: a/ m
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
v
NAME: S S c c' PERMIT #: 0 �—
LOCATION: t 0� '�s S �- INSPECT ON:
TYPE OF STRUCTURE:
i
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
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 n�(�'
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
�6nsulation / Residential Check Commercial Check V
Proper Vent Attic Vent
lrb
Duct/ Hot Water Piping Insulation
If required unheated spaces
Ambustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS: 41&6D '1(Z�i�o1� bc�e�1 Wert l� }—�{ INCH [,J 649
LAPam Whiting\Building&CodeAnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection req st received:
Queensbury Building& Code Enforcement Arrive: ` _a epa am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials.
NAME: PERMIT#:
LOCATION: ONA INSPECT ON:
T E OF STRUCTURE:
Y N N/A COMMENTS
rFraming /Headers
/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 % (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
i
Fir7 separation 1, 2, 3 hour
F" e wall 2, 3, 4 hour
irestopping
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) i
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemin-,way\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/ Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's InitialsT�
NAME: PERMIT #: 0
LOCATION: , INSPECT ON:
TYPE OF STRUCTURE:
Y ,. N/ —
u h Plumbing / Nail Plates
Plumbing Vent/ Vents in Place T7
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
le nout every 100 feet / change of direction
Pre ure Test-
.n / Vent
Head
.I. or 10 ft. above highest connection for 15 minutes
ressure T st
Water ly Piping
Air/ ead
50 P. J 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 Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005
Framing / Firestopping Inspection Report V —�
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: _am/ D part: _ m/pm
Inspector's Initial
742 Bay Road, Queensbury, NY 12804
NAME: PERMIT#: S
LOCATION: Ql�jl� INSPECT ON: - r'
TYPE OF STRUCTURE:
Y iv/a m COMMENTS
F ing
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z (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
estopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation V`
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W) _
5.7 sf above/below grade VL �D C ksot-
5.0 sf grade
I—AsueHemingway\Building.Codes.inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection re est ec v
Queensbury Building&Code Enforcement Arrive: pm art: a in j
742 Bay Road,Queensbury,NY 12804 Inspector's Initi s: f✓
NAME: �Z_ ` PERMIT#:
LOCATION: INSPECT ON: ( n- :7:�
TYPE OF STRUCTURE: ��
Y N COMMENTS
Xining
Attic Access 22"x 30"min' m
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in. O�
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 `./z w) 16 gauge(8) 16D nails each side .,l�,
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
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Framing/ Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:,--,
Queensbury Building&Code Enforcement Arrive: am/ �-���e art: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: J
t
f
NAME: PERMIT#:
LOCATION: INSPECT ON: 05
TYPE OF STRUCTURE: V
Y N N/A COMMENTS
Fr ing �
Attic Access 22"x 30"minimm "���u -zC1
Jack Studs/Headers
Bracing/Bridging
Joist hangers )4�IAV—
�`Jack Posts/Main Beams A �q�� G� �J 6 t,5
Exterior sheeting nailed properly
12"O.C. r
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 n
1 `/z 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
ire wall 2, 3,4 hour
✓` Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %z 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
Framing / Firestopping Inspection Report
i
Office No. (518) 761-8256 Date Inspection request received: `
Queensbury Building&Code Enforcement Arrive:-am/ epart: am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: Y� \ PERMIT#. D S )S v
LOCATION: INSPECT ON: {
TYPE OF STRUCT 1
Y N N/A raining COMMENTS
Attic Access 22"x 30"minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
7
Jack Posts/Main Beams IAv�I,%L
Exterior sheeting nailed properly J ,
12"O.C. VA,C✓Z01
Headroom 6 ft. 8 in.
Stairwells 36 in. or more ��
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls � G.� ��`.; ' L O SC
Metal Strapping for Notches Top Plate
1 '/s w 16 gauge 8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trussesjbL/ '-���5 -tU _ q
Anchor Bolts 6 ft. or less on center r/
Ice and water shield 24 inches from wall
Fire separation 1,2,3 hour
Fire wall 2, 3,4 hour �'
Firestopping _ 44c
Penetration sealed 6A,
16 inch insulation in cavity min.
Garage Fire Separation
House side'/z 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 �d(�� �C /4�� I(� 27 j
Framing /Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection re est r c ve
Queensbury Building& Code Enforcement Arrive: p rt:
742 Bay Road,Queensbury,NY 12804 Inspector's Initi '�--
NAME: PERMIT#: Z
LOCATION: INSPECT ON: 10
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
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
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
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
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing /Firestoppin€; Inspection Report
Office No. (518) 761-8256 Date Iispectijrre Div d: /
Queensbury Building&Code Enforcement Arrive: part: �;�742 Bay Road,Queensbury,NY 12804 Inspector's Ini
1 ISc>
NAME: �Iefn 1 PERMIT#:
LOCATION: i INSPECT ON:
TYPE OF STRUCT
Framing Y N N/A COMMENTS
Attic Access 22"x 30"minimum
I
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate I
1 '/z(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
ce and water shield 24 inches from wall
Fire separation 1,2, 3 hour
Fire wall 2, 3,4 hour ! >
Firestopping !
I
Penetration sealed
16 inch insulation in cavity min. j
Garage Fire Separation
House side % inch or 5/8 inch Type X 1
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
L 5.0 sf grade
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: _
Queensbury Building& Code Enforcement Arrive: Iam/p ff
epart: c am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: _ OCGf��%C PERMIT #:
LOCATION: _ moo-u,�/!�r G(� INSPECT ON:
TYPE. OF STRUCTURE:
Comments
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
Re' forcemeat in Place
oundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing;Waterproofing i
Footing Drain Daylight or Sump —
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
ackfill Approval
Plumbing Under Slab
PVC/Cast/Copper _
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASueHemingway`,Building.Codes.Inspection.FORM SToundati on Inspection Report.doc January 28.2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/� e Depart: � /�rri pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: Y cs�\\A� PERMIT#:
LOCATION: > >" q . INSPECT ON: -�
TYPE OF STRUCTURE:
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 concret .
Materia r this purpose on site.
Fo ion/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.
T.ASueHemingway\Building.Codes,Inspection.FORMSToundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection requ r v d: !�
Queensbury Building &Code Enforcement Arrive: a p Depart: `
742 Bay Rd., Queensbury, NY 12804 Inspector's Initi -
1 r
NAME: l P�1 `QOERMIT#: ^ 0 /50
LOCATION: \� E✓S LUC„ INSPECT ON: _�_ �
TYPE OF STRUCTU E:
Comments
i _ Y N N/A—I
otings
0
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
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.
h:\SueHemingwayiBuilding.Codes.InspectionTORMS\Poundation Inspection Report.doc January 28,2003
as_
Permit Number
RFScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheck Solware Version 3.6 Release la
Data filename: C:\Program Files\Check\REScheck\2325-05 STEVENS-17 FOUNDERS WAY, QUEENSBURY.rck
PROJECT TITLE: PLAN NO. 2325-05
COUNTY: Warren
STATE: New York
HDD: 7635
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATING TYPE: Non-Electric
WINDOW /WALL RATIO: 0.19
DATE: 03/21/05
DATE OF PLANS: MARCH 21, 2005
PROJECT DESCRIPTION:
DREW & COURTNEY STEVENS
17 FOUNDERS WAY
QUEENSBURY, NEW YORK 12804
DESIGNER/CONTRACTOR:
WILLIAMS & WILLIAMS DESIGNERS
509 GLEN STREET
GLENS FALLS, NEW YORK 12801
COMPLIANCE: Passes
Maximum UA= 557
Your Home UA= 450
19.2%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R Value R-Value IMF.cto TEA
Ceiling 1: Flat Ceiling or Scissor Truss 1064 38.0 0.0 32
Ceiling 2: Cathedral Ceiling(no attic) 1272 38.0 0.0 34
Wall 1: Wood Frame, I6" o.c. 1279 19.0 0.0 57
Window 1: Wood Frame:Double Pane with Low-E 252 0.320 81
Door 1: Solid 34 0.130 4
Door 2: Solid 20 0.130 3
Door 3: Solid 20 0.130 3
Wall 2: Wood Frame, 16" o.c. 1166 19.0 0.0 57
Window 2: Wood Frame:Double Pane with Low-E 212 0.320 68
Basement Wall l: Solid Concrete or Masonry 1211 11.0 0.0 76
Wall height: 8.0'
Depth below grade: 7.0'
Insulation depth: 8.0'
Floor 1: All-Wood Joist/T russ:Over Unconditioned Space 746 19.0 0.0 35
Furnace 1: Forced Hot Air, 92 AFUE
COMPLIANCE STATEMENT: 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 New York State Energy Conservation Construction Code requirements. When a Registered Design
Professional has stamped and igned this page, they are attesting that to the best ofhis/her knowledge, belief and
prokssional judgm t, uch s s ifications are in compliance with this Code.
gne�r, E Date Jul_0
f
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheck So$ware Version 3.6 Release l a
DATE: 03/21/05
PROJECT TITLE: PLAN NO. 2325-05
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:
[ ) ( 2. Ceiling 2: Cathedral Ceiling (no attic), R-38.0 cavity insulation
Comments:
Above-Grade Walls:
[ ] 1. Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
[ ] 2. Wall 2: Wood Frame, 16" o.c., R-19.0 cavity insulation
Comments:
Basement Walls:
[ ) 1. Basement Wall 1: Solid Concrete or Masonry, 8.0'ht/7.0'bg/8.0' insul,
R-11.0 cavity insulation
Comments:
Windows:
[ J 1. Window 1: Wood Frame:Double Pane with Low-E, U-fcctor. 0.320
For windows without labeled U-factors, describe features:
#Panes Frame Type Thermal Break? [ j Yes [ ]No
Comments:
[ ] 2. Window 2: Wood Frame:Double Pane with Low-E, U-factor: 0.320
For windows without labeled U-factors, describe features:
#Panes Frame Type Thermal Break? [ j Yes [ J No
Comments:
Doors:
[ ) 1. Door 1: Solid, U-factor 0.130
Comments:
[ J 2. Door 2: Solid, U-factor: 0.130
Comments:
[ ) j 3. Door 3: Solid, U-factor: 0.130
Comments:
Floors:
[ ] 1. Floor 1: All-Wood Joist/T russ:Over Unconditioned Space, R-19.0 cavity insulation
Comments:
i
Heating and Cooling Equipment:
[ ] 1. Furnace 1: Forced Hot Air, 92 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 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.
I
Vapor Retarder:
[ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and 11oors.
Materials Identification:
[ ] Materials and equipment must be installed in accordance with the manuficturer's installation instructions.
[ ] 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
1 equipment must be provided.
[ ] Insulation R-values, glazing U-fictors, and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Dud Insulation:
[ ] 1 Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] Supply ducts in unconditioned spaces must be insulated to R-11.
[ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-
[ ] Retum ducts in unconditioned spaces (except basements)must be insulated to R-2..
1 Insulation is not required on return ducts in basements.
I
Dud Construction:
[ ) I All joints, seams, and connections must be securely fastened with welds, gaskets, mastics(adhesives),
mastic-plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 18113.
1 Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in. w.g. (500 Pa).
[ ] The HVAC system must provide a means f>r balancing air and water systems.
1
Temperature Controls:
[ ) ( Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point ofthe largest zone.
Electric Systems:
[ ] Separate electric meters are required for each dwelling unit.
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Fireplaces:
[ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ) Fireplaces must be provided with 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.
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Service Water Heating:
[ ] Water heaters with vertical pipe risers must 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.
[ ] Insulate circulating hot water pipes to the levels in Table 1.
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/offheater switch and require a cover unless over 20%
ofthe heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 105 IF or chilled fluids below 55 T 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(Fl 1 too 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 hiches by Pipe Sizes
Ding 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(tor fed 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)
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