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2004-232 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 IFOTAI Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040232 Application Number: A20040232 Tax Map No: 523400-289-011-0001-028-000-0000 Permission is hereby granted to: LAWRENCE&KRTSTTNF, STPOWTTZ For property located at: 5 GLEN HALL Dr in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: LAWRENCE&KRISTINE SIPOW 156E HUNTER St Single Family Dwelling $250,000.00 Total Value $250,000.00 GLENS FALLS, NY 12801 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-232 1872 SQ FT SINGLE FAMILY DWELLING $224.64 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, May 12, 2005 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town ensb , Wi e1.ay, May 12, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code En orcement Building Permit Application Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No. Du-31 No inspection will be made until applicant has received a Fee Paid $ -7,4,4, (o t valid building permit. All applicants' spaces on this Rec.Fee Paid $ application must be completed and must appear on the Reviewed By: Orapplication form. t Applicant: LAP,/ i Peit )f CZ Owner: ��� Address: i 6 fo Rath `r Address: !•P' `; 'U,i G-.ats 51 /41/- Phone#( ) - y_.,F,zz Phone#( ) _TOviirq QP 0 ,`r II ,`ba U Property Location: Lot Number: / House Number 5 I l :Li /i lit,____,. Subdivision Name: Tax Map Number: ta'New Building: esidence\'/commercial Estimated Market Value of Construction: $ Z5O,OC)O 0 Addition: rest• •ce/ commercial If an Addition,what will use of new addition be? 0 Alteration: residence/ commercial o No change to exterior size: residence/com'l 0 Other work(describe ) Check OccupancyInformation 1"Floor 2'4 Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Peet Single fartily dwelling /00 I ,iT- o Two family dwelling o Townhouse o Multifamily dwelling #of units o Office o Mercantile o Manufacturing O 1 oar detached garage a 2 car detached garage O 3 car detached garage O 1 car attached garage O 2 oar attached garage O 3 car attached garage O Storage building- commercial o Storage building- residential . o Other What is the proposed height of the structure 26 feet _inches Will any second-hand or ungraded lumber be used? If so,for what? No Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: Number of firevlaces to be installed CC Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder ,i/46 IL'l4 c.l GA-1.ijg-pp,ci6 (96 2le1 Plumber Mason inIk /-7/2i / ..,is 1V/7 -3 Z S'¢ Electrician eslh/Z,/ i-2.5-CTR/6 1 7LS6 ' u- Declaration: please sign below after you have carefully read the statement To the best of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall submit,prior to - Certificat- of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator • •irector o B r,ding and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all .- contra o• w Signature: ; 1 t J \ _. . owner,owner's agent,architect,contractor Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: �'" / 6�� Office Use Location of installation: 6,,-` ` c C t )4',&-�---" fi b` i/--/ —2$ File Permit No.©11 r 23301. Tax Map No. _/ 71 - � -15z. Owner's Name: Lit ' // S/0w1GZ Fee Paid Address: 47,0 MAf -Z` 7 6 F /2-5o/ 2. INSTALLER'S NAME PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#o , ;g^f =?Y 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 gal/bdrm = 1980— 1991 x 130 gal/bdrm = 1991 —present 3 x 110 gal/bdrm = Garbage Grinder Installed yes / no !/ Spa or Hot Tub Installed yes / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat sand at what depth at what depth municipal Rolling loam $ feet j 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: /fVO gallon(min. size 1,000 gal) Tile Field: each trench l S ft. Total System Length: 'V. 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: I3 x 15 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 th own o •ueensbury Sanitary Sewage Disposal Ordinance. D V _ , hilier- Signatur. 1reN,on114- person Date •Ilr l/11• • • :'I'tnvtl Or (Ztteettsi)ttry . 5t vt:r:f :tricl $t;tivilj'e I>i�tj)t)Sal (:11nt)irr. A1)1}rlulix (: I • . AIISUILI'•'•I'It)1I I !1;1.1i.) . SI:I'A1tA'I'1QIN Iti;(11•11Iti7,h]I4.N'I' i ' w .......... it POND ith HEl . 1N :.-"...%\\N'liimi'rk. .; '` ..,0/ rt m.o., •ctiolut c.J�st•ICx �`'•- . r""""""""1 . .. .e".. I ............--;-.....-.....,..,. ../ \ 14ouaE d fit / - , , .)0 l l')vsz G . E ► 7 r ,..............t) ((::,....) ( '� • Sc VI Ic, i vi t i .1f...• ,•� 1r.1 M. `l a 1 lM',�tfl�:Ittlnt 1 � - ".....""4". I1C%t P113.1.•b • . \....rove-1 . ,......,,,_.,....... .......r-- ' /1 :. 7. SIGNATURE it INFORMATION FFORuUl`�4 sur, 'r .+�, . 'y s.....,...., ., Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code RES checkSoftware Version 3.5 Release le Data filename:H:\2004-02 Sipowicz-Use This One\2004-01Sipowicz.rck COUNTY: Warren STATE:New York HDD: 7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE: 04/09/04 PROJECT DESCRIPTION: 2004-01 Larry&Kristine Sipowicz 156 Hunter Street Glens Falls,New York 12801 PROJECT NOTES: Job Site: Glen Hall Road Queensbury,New York COMPLIANCE:Passes Maximum UA=362 Your Home UA=342 5.5%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Trusses:Flat Ceiling or Scissor Truss 510 38.0 0.0 15 Ceiling 2: Cathedral Ceiling(no attic) 462 30.0 0.0 16 Wall 1: 2x6:Wood Frame, 16"o.c. 1128 21.0 0.0 51 Window 1: Andersen TiltWash: Wood Frame:Double Pane with Low-E 97 0.330 32 Door 1:Andersen FW Patio: Glass 111 0.310 34 Door 2: ThermaTru Premium Steel: Solid 22 0.250 6 Wall 2: 2x6: Wood Frame, 16" o.c. 1263 21.0 0.0 63 Window 2: Andersen TiltWash: Wood Frame:Double Pane with Low-E 122 0.330 40 Door 3: Andersen FW Patio: Glass 42 0.310 13 Basement Wall 1: Solid Concrete or Masonry 946 13.0 0.0 51 Wall height: 7.6' Depth below grade: 7.0' Insulation depth: 7.6' Window 3: Andersen TiltWash: Wood Frame:Double Pane with Low-E 44 0.330 15 Door 4:ThermaTru Premium Steel: Solid 22 0.250 6 1 , Boiler 1: Other(Except Gas-Fired Steam), 80 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 signed this page,they are attesting that to the best of his/her knowledge,belief,and professional judgment, such plans or specifications are in comp ance .th this Code. Builder/Designer Date 4/,/G QOF° ,{�_ 1oSEPHR6.0`'F' . h� i l t pv., 0 .- , l 1,1- 41 �68955 'OFESSIONP APR 1 9 2004 REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release le DATE: 04/09/04 Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Trusses: Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: [ ] 2. Ceiling 2: Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: 2x6: Wood Frame, 16" o.c.,R-21.0 cavity insulation Comments: [ ] 2. Wall 2: 2x6: Wood Frame, 16" o.c.,R-21.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry, 7.6'ht/7.0'bg/7.6'insul, R-13.0 cavity insulation Comments: Windows: [ ] 1. Window 1: Andersen TiltWash: Wood Frame:Double Pane with Low-E,U-factor: 0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: [ ] 2. Window 2: Andersen TiltWash: Wood Frame:Double Pane with Low-E,U-factor: 0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: [ ] 3. Window 3: Andersen TiltWash: Wood Frame:Double Pane with Low-E,U-factor: 0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ] No Comments: Doors: [ J 1. Door 1: Andersen FW Patio: Glass,U-factor: 0.310 Comments: [ ] 2. Door 2: ThermaTru Premium Steel: Solid,U-factor: 0.250 Comments: [ ] 3. Door 3: Andersen FW Patio: Glass,U-factor: 0.310 Comments: [ ] 4. Door 4:ThermaTru Premium Steel: Solid,U-factor: 0.250 Comments: Heating and Cooling Equipment: [ ] 1. Boiler 1: Other(Except Gas-Fired Steam), 80 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. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ J Materials and equipment must be installed in accordance with the manufacturer'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 equipment must be provided. [ ] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: [ ] 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-2. Insulation is not required on return ducts in basements. Duct Construction: [ ] All joints, seams,and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g. (500 Pa). [ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] Air filters are required in the return air system. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: [ ] Separate electric meters are required for each dwelling unit. 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. 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/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the I levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1" Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(F) 2"Runouts 1" and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) `,-) ,�62:4--.4 3 3- , t. l0SEPft 0. e•- . Midnight Oil Design :,--, I 4, Ashton(AK)Hayes Ill \ 410 . 068 9 5 5 ti� 3 Halsey Place Q '- t Glens Falls,NY 12801SSIO� `s (518)792-7173 fax:(518)792-7173 9 �hOt +r email:akiii©yahoo.com APR U 4 Job No. 2004-02 Name Larry&Kristine Sipowicz Date 4/2/2004 Address 156 Hunter Street Contact Larry Glens Falls, New York 12801 Project Glen Lake House Phone 793-4322(Camp:Fax Dept. t4„ Required Actual Required SF Clear Habitable Room Area Light Light Vent Actual Vent J Remarks Opening !l( k; Y 1 d l 9 � i. l ,, (Square Feet) 8%of Area :'' 4%of Area x (5.7 sf min.) Bath A- Non habitable 55.30 4.42 5.10 2.21 2.94 N/A r Laund ,r Non habitable 61.20 4.90 10.20 2.45 6.96 N/A Kitchen 135.80 10.86 9.90 5.43 9.00 3.50 * See note below Living/ Dining 384.40 ,;,'; 30.75 107.72 15.38 63.78 21.79 Bedroom #1 144.80 11.58 17.80 5.79 9.95 5.70 Bedroom #2 144.80 11.58 17.80 .i 5.79 9.95 5.70 Bath 47.10 3.77 5.10 1.88 2.94 N/A Non-habitable Master Bedroom 237.50 19.00 74.86 9.50 23.72 15.28 * Kitchen is open to Living / Dining area and will receive residual light to comply with code. of NE Iy J, ,sP soSEP84, O e,- Midnight Oil Design vi / ' tilt i w Ashton(AK)Hayes III ``,, r''1, �, Cj • 3 Halsey Place ' 068 9 5 5 .�;$ Glens Falls,NY 12801 = (518)792-7173 fax:(518)792-7173 °FESS1011 Mai email:akiii©yahoo.com Job No. 2004-02 APR 1 9 2004 Name Larry& Kristine Sipowicz Date 4/2/2004 Address 156 Hunter Street Contact Larry Glens Falls, New York 12801 Project Glen Lake House Phone 793-4322(Camp:761-9132) Fax Dept. Window Schedule Unit ID Mfr Rough Opening Cir Opng (SF) Clear Opening Light (SF) Vent (SF) Unit U-Value Width i Height C235 Andersen 4'-0 1/2" x 3'-5 1/2" 3.50 14 7/16" 35 15/16" 9.90 9.00 0.32 TW2432 ♦ 2'-6"x 3'-5 1/4" 2.92 25 7/8" 16 1/4" 5.10 2.94 0.33 1W2442 2'-6"x 4'-5 1/4" 4.00 25 7/8" 22 1/4" 7.00 4.02 0.33 TW28210 2'-10"x 3'-1 1/4" 2.95 29 7/8" 14 1/4" 5.20 3.50 0.33 TW28310 2'-10"x 4'-1 1/4" 4.20 29 7/8" 20 1/4" 7.50 4.22 0.33 TW2846 2'-10"x 4'-9 1/4" 5.03 29 7/8" 24 1/4" 9.00 5.05 0.33 TW2842 2'-10"x 4'-5 1/4" 4.61 29 7/8" 22 1/4" 8.20 4.64 0.33 TW3046 3'-2"x 4'-9 1/4" 5.70 33 7/8" 24 1/4" 10.30 5.73 0.33 FWG60611 6'-0"x 6'-11" 15.28 28 1/8" 78 3/16" 24.86 15.28 0.31 FWG80611 • 8'-0"x 6'-11" 21.79 40 1/8" 78 3/16" 35.86 21.79 0.31 FlexiFrame Andersen 2'-10" x 6'-11" - - - 17.50 - 0.30