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2005-431 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Peiniit Number. P20050431 Date Issued: Thursday, July 05, 2007 This is to certify that work requested to be done as shown by Permit Number P20050431 has been completed. Tax Map Number. 523400-289-006-0001-026-000-0000 Location: 48 DINEEN Rd Owner. ROBERT SLACK Applicant: SLACK PROPERTY MANAGEMENT, LLC 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 Di rector of Building&Codefflorftent Planning Board or Zoning Board of Appeals. BLDG. PERMIT NO APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY PE TIFICATE OF O UPANCY is hereby requested for the property located at; n, for the following uses: lew7 DA E SIG NATUR OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby )APPROVED ( )DISAPPROVED with the following conditions: TEMPORARY CERTIFI ATE OF OCCUPANCY DIP PO `I': .00 received on Date of s ance 'Director of Bldg. & Code Enforcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement or his designee. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050431 Application Number. A20050431 Tax Map No: 523400-289-006-0001-026-000-0000 Permission is hereby granted to: SLACK PRO RTY MA AGEMENT, LLC For property located at: 48 DINEE d in the Town of Queensbury,to construct or place at the above location in accordance with application together with p of plans and other information hereto filed and approved and in compliance with the NYS Uniform Buil ' des and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: ROBERT SLACK Fireplace 50 NACY Rd Garage-2 Cars Attached LAKE GEORGE,NY 12845-0000 Single Family Dwelling $350,000.00 Total Value $350,000.00 Contractor or Builders Name/Address Electrical Inspection Agency 3 Plans &Specificatio 2005-431 3360 SQ FT SING FA �WEG W/2-CAR ATTACHED GARAGE AND 3 GAS FIREPLACES $473.60 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,July 14, 2007 (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 To of nsb *,—;ruly 14, 2005 G SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050431 Application Number: A20050431 Tax Map No: 523400-289-006-0001-026-000-0000 Permission is hereby granted to: STACK PROPERTY MANACTEMRNT. LI,C For property located at: 48 DINEEN Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: SLACK PROPERTY MANAGEMEN 124 BAY St Fireplace Garage-2 Cars d GLENS FALLS NY 12801-0000 Single FamilDwelling $350,000.00 Total Value $350,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-431 3360 SQ FT SINGLE FAMILY DWELLING W/2-CAR ATTACHED GARAGE AND 3 GAS FIREPLACES $473.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, July 14, 2006 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of dhe Town of Queensbury before the expiration date.) Dated at th own :Qufsbyty; ay, July 14, 2005 SIGNED BY /VI for the Town of Queensbury. Director of Building&Code Enforcement e Town of Queensbury 742 Bay Road, Queensbury, NY 12804 Building & Code Enforcement Building Permit 2005-431 Phone:(518)761-8256 Date:6-22-2005 Fax: (518)745-4437 Email: codes@queensbury.net Dear Mr. Slack Your building permit application has been reviewed and found to be deficient in the following areas: QfThe design loads are not on the plans for floor load and sleeping areas. Please fill out the Town of Queensbury forms for light and ventilation and the window schedule. 3 Please provide a more detailed foundation drain and where it will terminate. Show on one of the elevations or cross-sections the grade drops 6" in 10' from the house. Show on elevations or cross-section 6" drop in first 10' for grade away from foundation. 6 Ice and Snow shield not shown on main roof cross-sections. The minimum stair headroom requirement of 6'-8" is not on plans. Balusterspacing of 4"maximum apart at guardrails not on plans. 9)The bathroom windows on second floor must tempered glass if less than 60" from bathroom finish floor please verify. I XjShow garage floor slope on foundation plans. Show a carbon monoxide detector outside the lowest sleeping level of the home which is the 1st floor. 12) Please provide all septic s stem design plans for this home. e / � x'4', [C.1 These details need to be added to or noted on both sets of plans. Please feel free to contact this office with any questions regarding this matter. Sincerely, BUILDING&CODES OFFICE « j 36 f" 30S� \\BIGRED\Users\johno\My Documents\Residential Plan Review.doc JUN-30-2005 02:08PM FROM- T-362 P.001/003 F-225 George T. Farnum., Architect G17F78 Front Street (518) 885-x 705 Ballston Spa, NY 12020 Fax (518) 885-8651 RE �a�2g .dam t p JUN TOWN 0! KILN'\ ,`N,D ,ODE t ��41�v► ... SPA�.t�1� Su�-k�' ��•� 6P�`.��J�� r.1c�" (��G�� wt L.L, 'F-I 'd--,,06t1 1V'� W11 U'l IN030 W 901 900Z 1 r��2n� �Ju Check Residential Plan Review: One c& Two Family Dwellings Y/NIN/ (2)Full sets of plans Over 1,500 sq. ft.—Stamped Design Loads On Plans: V Wind Floor Loads 40 Psf QO ON Ground Snow Loa a Areas and Attics 30 psf Calculations: _._.�. Window Schedule With Glass Size 1 T9RC t�{r_� Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. Grade,5.0 sq.ft. 24"(h)x 20"(w)min. 44"Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofing/Waterproofing Materials On Plans Foundation Drainage On Plans,if required rim 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 Qa cF Qv� l Platforms At Exterior Doors -� Stairway Headroom 6' 8 All Stairs 36"Width d 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"nun. Handrails More Than One Riser On Open Sides Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. APYiRi�-T� � Safety Glazing Notes Foj Required Areas Garage Fire Separation k0to" �--Rom 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_ e l Or ater Line Separatio All Paperwork Signed t� N o` \7 Job Site Address: — _ T_ Dale: �o Owner: �-� �_$ � Application No. 70C��i-�'-1�1 File No.� -- w m -- m o N rn v WINDOW SCHEDULE lLiodovr WindawM(g. Wi3tdau i:rriL07 R 01 S¢'7. SQ.lri. SQ_FT Ow -j Cirx _ S�tSielEidrl�rxcar Kumberor {� AC Medd Slack Q ' � l;Jtss�'inib Vrly Ilg�szgaar �IieAiag OFac�gliaiglLL Insaue;ians T' Ldeer on or .pz Smmiw > ,� .- -)e - X%4 b k ]ft krAes Plea ` we ;,s# Ir`ches G `.S f4Ss 1 1 .d _ 6J2 ,T��.�_ 141 LA k r- THIS LINE HAS EXAMPLES OF SAMPLE ENTRIES V And -T}!t J� r Za l i�' Tunpttts o Im Ln- O� U3 w 00.1 CN ..� L:SaeY�nni�uty4pwldirra,Pe�mil,F'ORYLS1�liattrwScAeduk.dac Q LL Q CO I Job Site Address: (1 ` ice Date: � o o o �® Owner. AppheabonNo_ 2W.�-L31 File Igo._ o N CO . v n Bixilding Permit — CaleWation Sheet Natural Light, Ventilation & Emergency Egress Requirements m Habitable AreeoC Fcq Light Actual Req.Yem -►anal Sq,FL Rem cks Room &Onm r/►ofRwM Ls& 4%of Room %teal Opening foe m in Area SyuaRe Ales Sgwrt Egitsa —, Squatc i-ootagc F aola gt T Feet LO ES M 6 ' Ca L5 OD. A r4 Ln 60 —311 � �� Q' � ft� J/_fI•'`/�� /'fir -� --^�'1 r-rV Z� Z z V E S -D pn tJ� N V V ..� 1.:�6ud��uP�Y��uild'p�.Pauiil.lEfRAt3�#te1,Li�r.�ianul.fGDculaUan3nctdoc U- Y TT ` Permit No. Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid O 742 Bay Road,Queensbury,NY 12804 Recreation Fee Dave Hatin,Director codes@aueensburv.net Phone: (518) 761-8256 FAX: (518) 745-4437 3 F� �} Principal Structure Building Permit Application, p �� . Application & Plans subject 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 R W 1,pgak q 80tckip NSTOwner: UActes Address: 1 1 �A'�ddress: Home Phone: '7 - Home Phone: Email Address: QEUR iA,N T Email Address: Cell Phone: 6,- 9&3 Cell Phone: FAX Phone: 7 g 3-,51 t)v;, FAX Phone: Person responsible for supervision of work with respect to building and codes compliance: Name: BO RL Address: E JeD - s K Phone 71-50 y2 Location of proposed construction: Lot No. /r,a Legal Address: MA C v��h Tax Map Number: y�- �" ��•a- Subdivision Name: Estimated Cost of Construct ion: �$ D 6 ti i for: e/sidential Use Commercial Use ' `� EI v ED Proposed construction s o _�R ._ Name of Business: JUN � Z005 If proposed construction is an addition,what will use of new addition be? TOWN OF QUEENSBURY New Addition Alteration Proposed Construction 1 st Floor 2^'floor Other Total Proposed structure (Occupancy Type) Sq.Ft. sq.ff. Sq.Ft. Square feet Height Ft.&,.in. Single-Family Dwelling 7wo-Famlly Dwelling Townhouse Multifamily Dwelling Number of Units: Office Mercantile Manufacturing Other: Attached Garage 1 2, 3 \� Type of Heating System: Electric, Oil, Gas, Woo Forced Hot Air, Baseboard, Other: �r Is a fireplace and/or woodstove being installed, please refer to a separate application. —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 II ew nstructi Date: 6- 13- Os Applicant/Builder Signature: The application of ZcIeevm J-)l-or dat is hereby approved and permission granted for the construction, reconstruction or alt tion a i in pr accessory structure as set forth above. 01 0, Date: "t`f Authorized Signature: ,a L:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Ap ion.doc V:12/14/04 r i i Application for Permit-Septic Disposal SysteM Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ............................................................................. Office Use Location of installation: File Permit No. Tax Map No. �/ / / //•� � n `J ....FjeerPaid......................................................,..........�.... Owner's Name: a !3 �`Z r J A1C Address: NACV t9 A- S u 2. INSTALLER'S NAME : PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#,bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom t0 equal total daily flow) �tailv Year of House: No. of Bedrooms x Computation Total Flow I I 1980 or older x 150 gal/bdrm 1980—1991 x 130 gal/bdrm = _ 1991 —present x 110 gal/bdrm = v t Garbage Grinder Installed yes i / no Spa or Hot Tub Installed yes i / no j i 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) ovoeraphy Soil Nature Ground Water • Bedrock or Impervious Material . Domestic Water Supply Flat sand 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 i 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systepns must be designed by a lic�nsed 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: L b a y gallon(min. size 1,000 gal.) Tile Field: each trench ft. Total System Length: �tej ft. i Seepage Pit(s): number of size of each: ft. by; I ft. Size of Stone to be used: # / depth or thickness feet! �-- t4—�� Bed System Size: x S Y� C S� � P�4, 1 9jo jM.4V J Alternative System: length and/or, size 6. HOLDING TANK SYSTEM: (if required) . i 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. i 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(pleas,b 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 I have read the regulations with respect to this application and agree to abide by these and all requiremen f the To of Queens S Swage Disposal Ordinance. I gn ure of responsible person bate qw►1t Of 011t:t'!11tt1)Ut•y Sc:1�vc1':! and lt-�CWPAIC I qj) mal t.11atj)tt•r IR SI,'PARNI'lON ttli,'Q .)IAMNlNNI"S POND t ' ; •y1t►r1tL t:l�►�IC� ..1"77 Gt tc'�al� I I i I r !tidar7RPllc.11 I I i I 1 • I I ,i • 7, SYGNPaTURE &INFOPIi TION F= rUN;susL4.r>rewv..IY-O—-...w:' , I • I I I Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys a applicable to solid fuel & vented gas appliances }Date :�_G4 N C 1 , 20 Permit No.� l ' Application is hereby made to the Building]& Odes Office.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 pet form required inspections. NOTE to applicant: Rough-in and Final Inspections are required. n C4 Applicant Information Fuel Burning Appliance Information �� } (circle appropriate words) Name: 1'`';A,r elk11' /�5 u c h 4 t t n$.� stove: wood coal pellet gas Fireplace insert Address: / 3 t 4 k f k �t). �. t• •t c�X�-�o / Fireplace, factory-built: wood gas _Qu G A;_� N r t � R y ` / Fireplace, masonry: wood as Furnace: wood ga oil Phone: rJ 3 - .5 o y 9 If non-masonary applicance, please provide r 7 Owner: � v U � �]" J l� j 14 c � Manufacturer Name: Address: /Q#4 r 1� a A t Model Number: x IV.S 4-f �/T /� / .r '. �C ,�1 1 i A Chimney Infornation Phone: (circl ri cis) p` Masonry` k rick stone Flue tie stee size: inches Exact Address: �� c �� t� 4� of construction or installation Factory-Built 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 i gall / Triple,call / Insulated / Direct venting Chimney Liner ( 3 ) Casrlu�er'�rrr nQp�ra�m�e�t--2'oWWa of Que ,erbuz-y, 1V"e�York—---- Fire Marshal Code# $Collected $Refttndcd Recer»ed fi otn (refunded to): t?--ar +&14 - 102k A 173 3389 (190) Public Safety _ A 233 2655 (230)Minor Sales z A . DATE: /, White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / fink&Goldenrod(Cashier's Dept.) 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 t jVF, 13 , 20- Permit No. Application is hereby made to the Building& Codes Office 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 require . Applicant Information ,,Fuel Burning Appliance Info.matron II /, (circle appropriate words) Name:@ CY0 0 $ 12 u.e.k AEV a MSr. Stove: wood coal pellet 01 //�� Fireplace insert , 0 Address: 38'Ari�Q./�E l�_ &.&g.2jo Fireplace, factory-built: wood gas A,k CS•U O Aa4_ R �,/ r Fv/ Fireplace, masonry wood'-T Furnace: wood oil Phone: 7 9 3 -S o g 9 as If non-masonary applicance,please provide Owner: n U E[ZT 91 AC- Manufacturer Name: Address: e V ? Model Number: %?PQy , Chimney Information Phone: � 9a• �� (circle ria ds) T Masonry 1 k rick stone Flue, toe stee size: inches Exact Address: RDkb of,coi strucion or installation Factory- Built-Manufacturer name: t- Model Number: Note: Listed By: Number: Construction/Installation must I conform to NYS Fire Prevention &Building 'Indicate(circle)chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple wall / htsulated / Direct venting Chimney Liner � Ca,�laeierz-'�Depar>Em�at—To�va o,�Qszeo:sabury, .t�T��Yorl� Fire Marshal Code# S Collected S Refunded Received fi-om(refunded to): x'1 address: - A 173 3389 (190) Public Safety 75 A 233 2655 (230)Minor Sales DATE: Nor *t0ftW"tw1..0- White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.) Olop 00) l — S /!Ur Queensbury Building & Code Enforceme - Residential Final Inspection O` cc No.(518)761-8256 Arrive: amJpm Depart: ta�pm Dat nspection request received: _ Inspector's Initials: _ NAME: ! ' h O PERMIT#: O5 �- k5 LOCATION: h DATE: TYPE OF STRUCTURE: COM Yes No N/A Building Number/Address visible from road - # Chimney Height/'B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbin Vent through roof minimum 6 inches V Roof Complete/Exterior Finish Complete jrC— P., yogi Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade I w& Guard at stairwell at 34 inches or more Guard at deckporches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Bailin s 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet op 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade 01 Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Win ow in stairwe s safet azin Interior Smoke De ctors: Every level: Eery Be oom: ' Outside every bedroo ea: Inter Connected: Batter backup: l Carbon Monoxide Defector Attic access 30 inches x 22 inches x 30 inches hei tin accessible area �� Y Crawl S aces 18 inch x 24 inch access, I s .ft.-150 s .ft.vents Bathroom Fans,if no window ��`, Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sq.ft. ry Emergency egress 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 o eratin Low water shut-off boiler Relief Valv s installed/Heat Trap/Water Temp 110 VEnclosed Stairs Sheetrock Underside minimum t/:"Gypsum �,�RaA Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Surve Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Oka to issue C/C or C/O F Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: . NAME: LOCATION: F=tJ PERMIT M ' Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept.of Community Development. Upon review the survey has-been;. Craig Brown,Zoning Administrator Notes: L:ISueHemingway\Building.Codes.Inspection.FORMSTina1 Survey Zoning Administrator.doc t \�� Queensbury Building & Code Enforcement - Reside 1 Fi nspection Office N0.(518)761-8256 Arrive: w� In a� Date Inspection request received: Inspector's Initial . ^ t NAME: P IT#: LOCATION: v TE: �F(Z li MAI �7L- al TYPE OF STRUCTU Comments Yes No N/A 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 11 ` Roof Complete/Exterior Finish Complete Platform at all exterior doors 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 �� pp Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet - 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy!trim/doors/main entrance 36 inches Bathroom/Kitchen watertight E�:� Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: "�o Inter Connected: Battery backup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress 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 Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum''/z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched C4 \� Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure I Final Electrical ( ' Final Survey Plot Plan v�, As Built Septic System/Sewer De ection Sticker Site Plan /Variance required Flood Plain Certification,if re fired Okay to issue C/C or C/O em or Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form re3_P10 40 .doc �� 1�s4 Gtl; a�a�o J��rG . GS4r�.�' �� G o� G4�'ti Gel � � �'`.. '•� ''•:catieQS aa�c•�e�`°�{�`s :•Y�':••' � • � ,c• ce as apt e,a 1p.•'' ,(��/t � +,� t•'�• '':. ce�,�i 11a�,°eQ�o��`°ems �a0 Qe� ,.�''�••phi .r�`'� �"'�• •• e° aoa �s O�ocaNNoP e a� ,�5, `�0�i :• 'bed' �a��a 1 4 .:'': �` cNR`° �rS �' • t'• 'Yh// `•o``p�,,pQ,4' e` -a,�e •f/• }' •. • •(`'[/.� ��•• ,oast coa,i`Q� sraO rage 4.. ktirs l� tre cpo �P a,`°ra Co ao9 sra �S4F�S e��ea•s ce oq as�,r`s G°�Q 1 4-Nola h .. . . to N sa , ,.tie' (:�` � e- Queensbury Building & Code Enforcement - Residential Final Inspection j- 3o� Office No.(518)761-8256 Arrive: am/pm Depart:2-��am/pm Date Inspection request received: Inspector's Initials: NAME: ►t_. PERMIT#: 31 LOCATION: DATE: TYPE OF STRUCTURE: k Comments Ye o N/A Building Number/Address visible from road C9 `��x�� ChimneyHeight/"B"Vent/Direct Vent Location 1 Fresh Air Intake a 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete �v - V Platform at all exterior doors - Guards at stairs,decks,patios more than 30 inches above grade -- Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches V Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate _ Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen"watertight Safety glazing/Wipdow in stairwells safety 1 in _ Interior Smoke D ectors: w Every level: Fea. Be oom: Outside every bedroo Inter Connected: atte backu : Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, I s .ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress 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 /— 4 .l�� 2r"�J 1� Relief Valves installed/Heat Trap/Water "Gyp Enclosed Stairs Sheetrock Underside minimum Gypsum /s Basement stairs closed rise>4 inches V Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan As Built Septic System/Sewer De t.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/O Tempor /Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc Town of Queensbury Fire Marshal 1cl 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 instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# dS—JJ 7� tirtxeilule inspection ' �v Time IV S m anytime :IaspectorL` - Name __.. _ _Addre hough In_ Final r 1 Appliance Manufacturer.___902k—._ Model# 1 _ _ -- Direct veo?(-, 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__,._.._ Wall Penetration Vent Clearances to Combustibles Vent/09ietney-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-Building Dept. Yenew t bet r Pink-lire MarWW Town of Queensbury Fire Marshal qcl 742'Bay Road Queensbury,NY 12804 761-SM/761-8206 fax 7454437 Factory_Built Gas Frreolace/Stove Inspection_RSport Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the installation Manual accompanying the appliance,No deviation from the manufacturer's / instructions or specifications is allowed p� Permit#_ �% _ Sclretiulelnspection Z�77 Time J1 !I!E pm anytime Inspectorrn� S- Name ._..__.. _Address__ /"7 rz�,C1 /L.SG__ Rough In____Final::� Appliance Manufacture s Model# Direct Vent Factory Built Chimney_� Flue Size Double Wall Triple Wall Insulated Yes No NIA Comments Floor Protection�___.____..._...______._..._._� � UP5-fzC103 Clearances to Combustibles (all sides) Firestop(s) Vertical Chase ,_,_..� \/ Wall Penetration 3( Vent Clearances to Combustibles X Vent/Cb*mn Termination Chimney height must be 3 feet above mof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve All, Combustion Air Hearth Extension (if and;) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Baimin=Dept. Yellow COU wer Pink—FhvMar" Town of Queentbury Fire Marshal 4DW 742 Bay Road Queensbury,NY 12904 7614205 7454437 Factor, Built Gas Fireplace/Stove Inspection Report Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Lnst.aliation Manual accompanying the appliance.No deviation from the manufacturer's C� instructions or specifications is allowed. Permit# � t Schedule Inspection Time pm anytime Inspector_''S `r Name Address ��f�I L'� �ICE�. Rough In F inal::k-- Appliance Manufacturer_ - Model Direct Vent Factory Built Chimney Flue Size .Doable Wall Triple Wall Insulated Yes ^ N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase-,*,-;Woo- Wail Penetration Vent Clearances to Combustibles Vent/ChiTermination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve /0000 Combustion Air Hearth Extension(if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) Wk te-BuMing Dept, jyeflW r Pink-FhV Marxhal Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:eL� NAME: PERMIT #: O �— LOCATION: 1� chi e.➢� � INSPECT ON: f I-Z(olr�-7 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 50 P.S.I for 15 minutes Insulation Residential Check/ Commercial Check Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: elk . . � - LAPam Whiting\Building&Codes\Inspection Fonms\Rough Plumbing Insulation Report.revised Nov 17 2003.doe Revised February 15,2005 I[Queensbury Building & Code Enforc ent - Residential Final Inspection Office No. (518)761-8256 Arrive: am/pm p De art: `t am/ m l Date Inspection request received: Inspector's Initials: ,,►►�� /`? NAME: / PERMIT#: LOCATION: _ DATE: TYPE OF STRUCTURE: Comments Ye No N/A Building Number/Address visible from road I, � —1A ru Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete 01 Platform at all exterior doors 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 ih, " Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke D ectors: � Every level: Every BleXcm: � . Outside every bedroom Inter Connected: V Battery backup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area wl Spaces 18 inch x 24 inch access, I s .ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%:"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Gar-age fireproofing/3/d hour fire door/door closer oe Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical 1 Final Survey Plot Plan 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] �y L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: _ Queensbury Building & Code Enforcement Arrive: am/pm Depart: �am/p/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: / NAME: PERMIT #: LOCATION: INSPECT ON: 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 50 P.S.I for 15 minutes Insulation Residential Check Commercial Check Proper Vent Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: LAPam Whiting\Building&Codes\lnspection 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: _ Queensbury Building & Code Enforcement Arrive: am/p , Depart: i , am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: K, PERMIT #: ff'4 , LOCATION: INSPECT ON: . 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 c Pressure Test 1 Drain / Vent Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air / Head 50 P.S.I for 15 minutes nsulation Residential Check Commercial Check Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace r Duct work sealed ro erl o duct to e COMMENTS: LAPam Whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 I - L Framing / Firestopping Inspection Report 161 Office No.(518) 761-8256 Date Inspection request received: t 1 Queensbury Building&Code Enforcement Arrive: am/pm Depart. i, am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS Framing Attic Access 22"x 30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more 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 water shield 24 inches from wall Fire separation 1, 2,3 hour 3 4 hour Firestopping ea ed 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 Ceilin wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade �"t-iRough Plumbing`! Insu� Inspecti� /1L/ram•7z-on Report Office No. (51 -8256 Date Inspection request received: Queensbury Bu cement Arrive: am/pm Depart:-„ am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:L1I& NAME: PERMIT #: LOCATION: INSPECT ON: j2-. TYPE OF STRUCTURE: Y N N/A ("Rough Plumbing ail Plates Vents in Place - 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum I Cieanout every 100 feet change of direction Pressure Test Drain / Vent Air/ Head 5 P.S.I. ft. above highest connection Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation Residential Check Commercial Check Proper Vent Attic Vent Duct/ Hot Water Piping Insulation IIf required unheated spaces_ Combustion Air Supply for Furnace .Duct work sealed properly / No duct tapeEV t � COMMENTS: LAPam Whiting\Building&CodeAnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 & lw,�auA-1 - - 0 ;;? , �� ///0 A Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 14 NAME: PERMIT #: J =J � LOCATION: rh INSPECT ON: TYPE OF STRUCTURE: Y N NA Rough Plumbi ail Plates Plumb' ent e m lace 1 1/2 inch minimum Drain Size Washin Machine Drain 2 inch minimum Cieanout eve 100 feet change of direction Pressure Test Drain / Vent Air / Head \ L` -- 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head �� 50 P.S.I for 15 minutes Insulation Residential Check Commercial Check Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated s aces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape V, � e v COMMENTS. _ ?; � �V LAPam Whiting\Building&Codestlnnspection 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/pm Depart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: n PERMIT#: S- LOCATION: `18� i nee, ) INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS Framing �` ccess 22"x 30"minimum A 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. � \-' 4� (-', r U;��`' Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/z w 16 gauge(8) 16D nails each side I " 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 i Fire wall 2, 3,4 hour Firestopping Penetration sealed 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/pm Depart:`^- 1 T"am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: d &ANI NAME: PERMIT#: CG `� LOCATION: c ca'Q INSPECT ON: . TYPE OF STRUC Y N N/A COMMENTS Framing Attic Access 22"x 30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more 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 water shield 24 inches from wall i 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 ''/z inch or 5/8 inch Type X + C 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 P Septic Inspection Report Office No.(518) 761-8256 Date Inspection request eive : „�, � Queensbury Building&.Code Enforcement Arrive: am/pmf� e�art Pnl 742 Bay Rd.,Queensbury,NY 12804 Inspector's In s: w �a�C, 3 NAME: P �IT NO.. LOCATION: 4 ECT ON: " RECHECK: �— r� C] ru, Comments and/or diagram Soil Type: Sand I Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. < Well separation distance _ft. Other wells: Abso tion Field: Total length ft. Length of each trench Depth of trenches ft Size of Stonej n Se a e Pits: Number �+ �--'`_ Size: x Stone Size: piping Size Type Building to tank `< `^--- Tank to Distribution Box Distribution Box to Field/Pit ` i - _ Opening Seated: Y/N/Partial End Caps 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 `a System Use Sta s: Approved ' Partial Approved and needs to be re-inspected,please call the Building& Codes Office Disapproved t _ Last revised 116105 % Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: alry I 1)m Depart: ^ am/pm 742 Bay Rd., QueensbUry, NY 12804 Inspector's initials/. "PA--� NAME: PERMIT#: --_f J '✓ l LJ f LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Footings Piers t Monolithic Slab I (� ' 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 Foun�ati Waterproofing e�f of Ija—ljp—pr—o--o--fi-n,g—i--Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 lull poly for wet areas under slab Wek—fill-Approval Plumbing iTnAe-,-r Slab�— PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\S ucH cmingwa y,Bu i Id in g,Codes.Inspection.FORM S\Foundati on Inspection Report.doe January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: f 4 Queensbury Building& Code Enforcement Arrive: anvpm Depart: &PM 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: INSPECT ON: —_— TYPF,OF STRUCTURE: _s ! V'� / Comments Y N N/A Footings ----_.-------..-----_____—^_ Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. 1�L .1 Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Fou ation/Waterproofing ,• Type of Dampproofing/Waterproofing I Footing Drain Daylight or Sump R j { Lt-�51 � Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval — t Plumbing Under SIab �! PVC/Cast/Copper —� Foundation Insulation Interior/Exterior R- _ Rough Grade 6 inch drop within 10 ft. 1,ASucHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28.2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: G A O.S Queensbury Building&Code Enforcement Arrive: anvpm Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: _ /7� _ PERMIT#: _�`�-� t LOCATION: _ �� _ _ 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. I -`� �. { 2 " v MateriaLs for this pu_pr ose on site. Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/ Waterproofing Footing Drain Daylight or Sump w 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 i Copper _ - — Foundation Insulation Interior/Exterior R- _ Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection TORMS\Foundation Inspection Report.doe January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/ Depart`=�am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials_ NAME: _ PERMIT#: ---0 J I LOCATION: . _ INSPECT ON: TYPE OF STRUCTURE: SF — Comments Footings � Piers _v Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. M,aterials for this purpose on site. ndation/Wallpour r36,\A Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing _Footing Drain Drain Daylight or Sump �y Footing Drain Stone: _ 04 46 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfrll Approval �C l Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASuefle ningway,Building.Codes.Inspection.TURMSToundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: t °�C� <�Y I�T � PERMIT#: LOCATION: INSPECT/�J (? _ INSPECT ON: TYPE OF STRUCT RE: Comments Y_ N T/A F otings t/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. LASueHerningway\Building.Codes.Inspec tionTORMSToundation Inspection Report.doc January 28,2003 Foundation Inspection Report I Office No. (518) 761-8256 Date Inspection request received: �r Queensbury Building&Code Enforcement Arrive: am/I}gym Departs amJp h 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:AAAh NAME: PERMIT#: -___--- LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings ---------------------- Piers --�--�— Monolithic Slab �c2f I Reinf cement in Place e 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 i Waterproofing 1 Footing Drain Daylight or Sump Footing Drain Stone: T 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:\SucHemingway',BuiIding.Codes.Inspecti on.FORM SToundation Inspection Report.doc January 28,2003 - (C Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: S Queensbury Building&Code Enforcement Arrive: am/pm Depa7t� ' am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:c- fNAME: - t /d ERMTT#: 3/ LOCATION: c i1e� _ INSPECT ON: �2DGS TYPE OF STRU .,�TURE: Comments ooting�' ------___- ---------- 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 purposc on site. _ Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Sueilciningway\BuiIding.Codes.Inspection.FORM SToundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: t ICN Queensbury Building &Code Enforcement Arrive: am/Pui Depart. am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: �L U PERMIT#: � LOCATION: INSPECT ON: �� TYPE OF STRUCTURE: Comments N NIA � Footings Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing �1 for 48 hours following the placement I 1 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. I.:\.SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 4 Septic Inspection Report � Office No. (518 761-8256 Date Ins ection eq st r iv Queensbury Building&Code Enforcement Arrive: D a 742 Bay Rd.,Queensbury,NY 1,2804 Inspector's Initia NAME: PE IT NO.: -- LOCATION: f i INSPECT ON: Le RECHECK: Comments and/or diagram Soil T : Sad oam/Cla Type of . Municipal 1 Water Waterline separation distance ft. Well separation distance Other wells: ft. Absorption Field: Total length.. ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank T Tank to Distribution Box Distribution Box to Field/P' �t Opening Sealed: Y/N/ artial Location/Separations Foundation to tank ft• Foundation to absorption ft. Separation of Pits ft• �� Conforms as per Plot Plan Y_ N Location of System on Property: 1 Fron Re Left Side Right Side Middle Front Middle Rear System Use Stat s: Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved LAS Lie HemingwayU3Ading.Codes.Inspection.FORM S\Septic Inspection Report.doc January 28,2003 t Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: _ Queensbury Building&Code Enforcement Arrive: an./pm Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: _ 1 Q� PERMIT#: LOCATION: _ r _ INSPECT ON: TYPE. OF STRUCT RE: Comments otings — Piers Monolithic Slab Reinforcement in Place V 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 Backfrll Approval Plumbing Under SIab PVC/Cast/Copper _ Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SucHemingway\BuiIding.Codes.Inspection.FORMS1Foundation Inspection Report.doc January 28,2003 thi1 . 14 . 2000 8 :21AM GEORGE T,FARNUM No• 1857 P . iF unit �bcr 'V h REScheck Compliance Certificate hteked By ate New York State Energy Conservation Construction C d REScheekSoftware Version 3.5 Release 1 Data filename:C:\drawings\SLACK\5-2-05-PERMIT-REV1_rck TITLE:REV#1 COUNTY:Warren STATE:New York HDD:7635 � CONSTRUCTION TYPE:Detached i or 2 FamilyRE HEATING TYPE: Non-Electric 4 20Q5 Jul- 1 DATE: 07/13/05 DATE Of PLANS: 5-2-05 nr �1LE'�SBUR` 7DA �`, CODE BJ1Lt�1��- PROJECT INFORMATION: SLACK RESIDENCE NACY RD, QUEENSBURY,N.Y. COMPANY INFORMATION: GEORGE T_FARNUM ARCHITECT COMPLIANCE:Passes Maximum UA=496 Your Home VA=411 17.1%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Plat Ceiling or Scissor Truss 1700 38.0 0.0 51 Wall 1:Wood Frame, 16"o.c. 2640 21.0 0.0 124 Window 2: Wood Frame:Double Pane with Low-E 300 0.330 99 Door 1: Solid 18 0,170 3 Door 2:Glass 140 0,330 46 Basement'Wall 1: Solid Concrete or Masonry 1648 13.0 0.0 80 Wall height: 10.0' Depth below grade: 10.0' Insulation depth: 10.0' Window 1:Wood Frarrie:Double Pane with Low-E 24 0.330 8 Furnace 1: Forced Hot Air,85 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 ,Juf - 14 - 2005 8: 21AM GEORGE T•FARNUM No• 1357 P . 3/6 specilzcations are in compliant s cy ,� Builder/Designer Cyr Date G� .l f -� OF �� A,,v Jul . 14. 20H 8 :220 GEORGE T,FARNUM Na. 1857 F. 4/6 REScheek Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release 1 DATE: 07/13/05 TITLE:REV#1 75,Ar-�� Bldg. Dept. Use I Ceilings: [ ) 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation I Comments, I Above-Grade Walls: [ ) 1 1, Wall 1:Wood Frame, 16"o.c_,R-21.0 cavity insulation 1 Comment&: 1 I Basement Walls.- 1. Basement Wall 1: Solid Concrete or Masonry, 10.0'ht/10.0'bg/l0.0'insul, R-13.0 cavity insulation 1 Comments: I Windows: [ ] I 1, Window 2:Wood Frame:Double pane with Low-E,U-factor:0.330 1 For windows without labeled U-factors,describe features: 1 #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] I 2. Window 1:'Wood Frame:Double Pane with Low-E,U-factor:0.330 For windows Without labeled U-factors,describe features: 1 #Panes Frame Type Thermal Break? [ ]Yes[ )No Comments: I 1 Doors: [ ] 1 1. Door 1: Solid,U-factor: 0.170 Comments: [ ] 1 2. Door 2:Glass,V-factor: 0.330 Comments, I 1 Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air, 85 AFUE or higher Make and Model Number I 1 Air Leakage: j ] ( Joints,penetrations,and all other such openings in the building envelope drat are sources of air leakage must be scaled. [ ] I 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 1 3" clearance from insulation. I Vapor Retarder: [ ] ( Required on the wanii-in-winter side of all non-vented framed ceilings,walls,and floors_ 1 Materials Identification: Jul • 14. i105 S„ -�AM GEORGE T-FARNUM No. 1857 'n ] ( Materials and equipment must be installed in accordance with the manufacturer's installation instructions, L ] ( 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. [ ] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plains or specifications. I 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_ I Duct Construction,; [ ] ( All joints,seams,and connections must bo securely fastened with welds,gaskets,mastics ( (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted, 1 Exception,Continuously welded and locking-type longitudinal joints and seams on ducts ( operating at less than 2 in.w.g. (500 Pa). ] I 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: [ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone, 1 Electric Systems: ( ] I Separate electric meters are required for each dwelling unit. I )Fireplaces: [ J ( Fireplaces must be installed with tight fitting nou-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 1 the New fork City Building Code ,as applicable. I ( Service Water Heating: [ ] ( Water heaters with vertical pipe risers must have a heat trap on bath 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. I 1 Circulating Hot Water Systems: [ ) I Insulate circulating hot water pipes to the levels in Table 1, I 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. I ( Heating and Cooling piping Insulation: [ ] 1 H VAC piping conveying fluids above 105 T or chilled fluids below 55 T must be insulated to the ( levels in Fable 2. c, Jul , 14 • %005 ' ' 22nM GEORGE T.FARNUM No. 18,57 F'• fii` Table 1: Afinimum Insulation Thickness for Circulating Hot later Pipes. Insulation 1 biclmess in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Maws and Runouts Temperature (F) up to 1„ Up to 1.25" 1.5" to 2.0" Over 2" 170-150 0.5 1.0 1..5 2.0 140-160 O.S 0.5 1.0 1.5 100-130 0.5 0.5 O.S 1.0 Table 2: Minimum Insulation Thickness for H ACPipe& Fluid Temp. Insulation Thickmess in Inches by pipe Sizes P!Ring System Typts flange(F) 2"Runouts 1"and Less 1.25"to 2" 2 5" to 4" Heating Systems Lowy Pressure/Temperature 201-2SO 1.0 L5 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 I:MLD (Building Department Use Only) JAN-23-2007 03:21PM FROM- T-386 P.001/004 F-369 Permit# Permit Date RESchi Ick Software Version 3.7.3 Compliance Cedificate REGFIVED Project Title: REV#2 TOWN ,,,";_;_,.,,,,BURY Report Date:OV23/07 BUILDING AND CODE Data filename:7-1An:hlve1SLACMLA,;K-gtft11-1-0-06-PERMIT-REV3.rck Energy Coda: New York Mate Energy Conservation Construct on Code Location: Warren Cc unty.New York Construction Typo: Detached ! or 2 Family Heating Type: Non-Electi is Glazing Area Percentage: 20% Hoating Degree Days: 7635 Construction Site: Owner/Agent: Designer/Contractor: Perrnil Dale:5-2-05 Rob Siack George Famum George T.Famum Architect Ta Front St. Ballston Spa,NY 885..1705 Ceiling 1:Flat Ceiling or ScissorTrurw 1700 38.0 0.0 61 Wall 1:wood Frame,16"o,c.: 2640 19.0 0.0 126 Window 2:Wood Frame:Double Pane w h Low-E: 377 0.330 124 Door 1:Solid: 18 0.170 3 Door 2:Glass: 140 0.330 46 Basement Wall 1.Solid Concrete or Mat mry: 1648 1310 0.0 80 Window 1:Wood Frame:Double Pane w h Low-E: 24 0.330 8 Furnace 1:Forced Hot Air:66 ArL19 The proposed building represented in IN;dvournant is t0 tent with the building plans,speclfications,and other calculations submitted with this permit application.Tt:proposed sy e s have been designed to meet the NOW York State Energy Conservation Construction Code requirements.When r Registered s n Professional hag stamped and signed this page,they are attesting that to the best of his/her Imowledge,belief,i nd professlo I cigmant,such plans or specifications are in compliance with this C e. �p 2 Builder/Designer Co 'fDie Project Notes: Ca Previously saved protect information: —I SLACK RESIDENCE NACY RD. AUEENSBURY.N.Y. N GEORGE T.FARNUM ARCHITECT OF N - REVp2 Page 1 of 4 JAN-23-2007 03:21PM FROM- T-386 P-002/004 F-369 RESchf ick Software Version 3.7.3 Inspection Checklist Elate:01123/07 Callings: ❑ Ceiling 1:Flat Calling or Scissor Trus i,R-38.0 cavity Insulation Comments: Above-Cmdo Walls: ❑ Wan 1:Wood Frame,16"o.c.,R-19,f cavity Insulation Comments, Basement Walt$: D Sasement Wall 1:Solid Concrete or I iasonry,toff ntf10.V bgl10A'insul,R-13.0 cavity insulation Comments: Windows: ❑ Window 2:Wood Frama'Double Pan with Low-E,U-fader:0.330 For windows without labeled U-factol r,describe features: ##Pants Framo Typv Thermal Break? Yas - No Comments: ❑ Windvw 1:Wood Frame:Double Pan:with Low-E.U-larder:0.330 For windows without labeled U-factor t,desi;dbe features: #!Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,U-factor:0.170 Comments: ❑ Door 2:Class,1-1-factor!0.330 Comments, Heating and Cooling Equipment: Q Furnace 1:Forced Hot Air:85 AFUE or higher Make and Model Number. Air LeaK$De: ❑ douKs,penetrations,and all other su:h openings in the bulkfing envelope that are sources of air leakage must be sealed. ❑ Recessed lights must be 1)TYPO 1C alad,or 2)Inatalled inside an appropriate eir-tight assembly with a 0,5"dearance from combustible matgtals.If non-tC rate I,the fixture must be installed with a 3"cloarance from insulation. Vapor Retarder: ❑ Required on the warm-In-wtrttef sloe of all non-vented framed ceilings,walls,and floors. Materials identification' ❑ Materials and equipment must be in tarred in accordance with the manufacturer's installation instructions. [j Materials and EgUpmt:nt must ae id n1ified so that compliance can be determined. ❑ Manufacturer manuals for all Installs i heating and cooling equipment and t-ervlce water heating equipment must be provided, ❑ insulation R-values,glazing U-factol r,and heating equipment efflciency must be clearly marked an the bullding plans or specifications, REV#2 Page 7 of 4 JAN-23-2007 03:21PM FROM- T-386 P.003/004 F-369 Duct Insulation: Q Supply ducts In unconditioned attics o outside the building must be insulated to R-11, ❑ Return ducts In unconditione0 attics o outside the building must be insulated to R-6. ❑ supply ducts in unconditioned spaces rust be Insulated to FV i. ❑ Return ducts In,unconditioned spaces 'except basements)must be Insulated to R- ❑ Return ducts in unconditloned spa as(except basements)must be Insulated to R.2 tnsulation Is not required on return di cis in basements. Duct Construction.- An joints,seams,and connections mu t be securely fastened wDh Welds.gaskats.mastics(adhesives), mastic-plus-embedded-fabric,or tapes.Tapes and mastics must be rated UL 181A or UL 1516. Exception.Continuously welded and I.ckirg4ype longitudinal joints and seems on ducts operating at less than 2 in.w.g.(500 Pa). ❑ The HVAC system must provide a me ins for balancing air and water systems, Tempar4ture Controls: ❑ Each dwelling unit has at lesat ono the rmoetat Capable of automatically adjusting the space temperature set point of the largest zone. Electrir Systems: ❑ Separate electric meters are requlreo or each Owalling unit. Fireplaces: ❑ Fireplaces must be Installed with tight siting non-combustible Oreplace doors, 0 Fireplaces must be provided with a sc urge of combustion air,as required by the Firep180a eonstmetion provisions of the BrlifdM Code of New York State,the Residen'at code or New York State or the New Yo*City sui►ding Cade,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 heator has an Integral heat trap or is part of a circulating sys em. ❑ Insulato circulating hot water pipes to he levels in Table 1. Circulating Hot Water Systertis! ❑ Insulate circulating hot water pipes to he levels in Table 1. Swimming Pools: ❑ All heated swimming pools must have an onloff treater switch and require a cover unless over 20%of the neating energy 1s from non-depletable sources.Pool pumps equim a time clock. Heating and Cooling Piping Insular an: ❑ HVAC piping conveying fluids above 05 degrees For chilled fluids below 55 degrees F tnust be insulated to the levels in Table 2. REV92 Page 3 014 JAN-23-2007 03:22PM FROM- T-386 P.004/004 F-369 irate 1:Minimum insulation ThIci mess for Circulating Hot Water Pipes Insula Ion Thickness In Inches by 151pe Sizes NgR-Cinailafir 0 Runout6 Circulating Mainz and Runouts Heated Water Temperoyre(°F) up to 1" - �p tom- 1.5"to 2.0" Over 2" 170.1130 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 Tate 2:Minimum 1ns&Aa0an 7Wckno a far RVAC Pipes R id Temp. Insulation Thickness In inches by Plpe Sizes Piping System Types R•nge('F) 2"Runouts 1"and Lec: 1.251 to 2.0" 2,6"to 4" Heating Systems Low Pressure/Temperature ;)1-250 1.0 1.5 1.5 2.0 Low Temperature 20-200 015 1.0 1.0 1.5 Steam Condensele(for teed water) i ny 1.0 1.0 1.5 2,0 Coaling Systems Chilled Water.Refrigerant and -3-55 0.5 0.5 0.75 1.0 Brine I etow 4b 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) REV#2 Page 4 of 4 1