2002-750 4.0111bai TOWN OF QUEENSBURY
4W742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20020750 Date Issued: Thursday, August 21, 2003
This is to certify that work requested to be done as shown by Permit Number P20020750
has been completed.
Tax Map Number: 523400-239-007-0001-005-000-0000
Location: 129 ASSEMBLY PT. Rd
Owner: ROCHELLE ADAMS
Applicant: ADIRONDACK DESIGNERS & BUILDERS
This structure may be occupied as a:
By Order of Town Board
Residential Addition TOWN OF QUEENSBURY
Director of Building&Code Enforcement
ela TOWN OF QUEENSBURY
tow 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020750 Application Number: A20020750
Tax Map No: 523400-239-007-0001-005-000-0000
Permission is hereby granted to: ADIRONDACK DESIGNERS & BUILDERS
For property located at: 129 ASSEMBLY PT. 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: ROCHELLE ADAMS
12 CHESTERFIELD Dr ResidentialAddition
Total Value
VOORHEESVILLE,NY 12186
Contractor or Builder's Name /Address Electrical Inspection Agency
ADIRONDACK DESIGNERS & BIJILDE
P.O. BOX 181
LAKE GEORGE.NY 12845-0000
Plans&Specifications
2002-750
904 sq ft residential addition per plot plan and specifications.
$108.48 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 17,2003
(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 f Queen ury; uesday, September 17,2002 -`
SIGNED BY / for the Town of Queensbury.
Director of Buildin• Co.4 nforcement
Building Permit Application
Thom 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. 100 2.--7 O
No inspection will be made until applicant has received a Fee Paid $
valid building permit. All applicants' spaces on this Rec. Fee Paid $
application must be completed and must appear on the Reviewed By:
application form.
,r1f..L ftl i a Vii
Applicant: �r� 'c>P v ����-ire=� Owner: pAv►c) 4. 12c4= Ar ts,M-
Address: R.® 2&z i 'i Address: i 2 Gi4E iz.fei Li) a
Ult4vG. Gaer. ;14,,'Y, 1liilx1 Voeyie-s,t►Lt.. 1.I.1. 1'2 if (:v .
Phone#(Sa )ctt.oe;- aio.3 Phone#(619)'T4v5 - gig 50
Email Address: Email Address: ----
Property Location: Lot Number: / House Number -i295 &Y �oi,iT -
Subdivision Name: MPaIy (7,,i►4T Tax Map Number: 7-I-AP.5
c)
❑ New Building: residence /commercial Estimated Market Value of Construction: $ /OS 000
( Addition: e i ence commercial If an Addition,what will use of new addition be?
❑ Alteration: rest ence/ commercial MA-brEe -6u I TE 16 T Pam'fr1
❑ No change to exterior size: residence/com'l u
❑ Other work(describe )
Check Occupancylnformation l Floor 2° Floor Other floor Total
I
Below sq.ft. sq•ft. ,' sq.ft. Square eet
AI,c,a-ice-l-6
Single family dwelling '2 cjc,+i 3` e,
o Two family dwelling7
❑ Townhouse
o Multifamily dwelling
#of units
o Office Sc
o Mercantile 1
o Manufacturing
o 1 car detached garage
-
X 2 car detached garage / O V 71
0\
❑ 3 car detached garage /
❑ 1 car attached garage ,,-✓' .,,,/❑ 2 car attached garage 111 Ct1❑ 3 car attached garage 9\D' W)'ii4V,,/
n(D�`
❑ Storage building- l)
commercial
O Storage building-
residential
❑ Other
What is the proposed height of the structure 2 ' feet C7 inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ oil dr/wood /forced hot air/ baseboard/other:
Number of Fireplaces to be installed Number of Woodstoves to be installed fik
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
' Builder J e-at i.ptc%l t'S il+ l 4 e t D R= . l�,v -01 O'
Plumber
Mason /
Electrician
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance.being issued,as requested by the Zoning
Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all ne constructi
Signature: owner(o— a en architect, ontractor�
• Application for Permit—Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION:
/
Location of installation: h 4 �;.' . ft
Office Use LI '
i File Permit �d
Tax Map No. / . / No.
• F�.-Paid
Owner's Name: '* i
Address:
2. INSTALLER'S NAME : PHONE NCG n 200
3. RESIDENCE INFORMATION: (circle year of d e ' g, in,' ate#bedroom(s) and multiply# of
bedrooms with applica'le gal ; s per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x . 150 galibdrm =
1980— 1991 x 130 gal/bdrm =
1991 —present x 110 gal/bdrm =
Garbage Grinder Installed yes / no
Spa or Whirlpool Installed yes— / no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
Tgpographv Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Sgpply
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
5. PROPOSED SYSTEM: For New constryytion: 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: _T 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 Date
'Fawn of (Zueritwtaury
Sr.LvcrS and SCw8J►e Disposal (:Rapier
Appendix (:
AllS()R JVFION I.'I ELI.)
SEI'AItA'I'1ON ItE.7,(2I.II It EN]I.:N'I`S
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•
7. SIGNATURE &INFORMATION FOR RRSYUNSWL4 rn.mow ' w'u ••,.•�,
;. Z 110
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS .,
Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings (only)
Part 6*- Thermal Rating—Component trade Offs 1&2 Family Dwelling;
Multi-Family Dwellings (3 Stories or less)
Part 4*- Design by Component Performance, Commercial Buildings-Hi
Rise Residential
*Requires submission of worksheets
AP LICANT'S NAME: PROPERTY LOCATION:
J ,. ►. i - ��� 12", 1�� e�UY W t-11- g) ,
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
' JJ Y (•
1. Gross Floor Area- �'7v`t square feet (i�Lr= caa��►c�►.
2. Type of heat- Electric Oil ✓ Gas Other
3. Is building mechanically cooled? Vyes No
4. Percentage of area of windows and doors Over 17% /Under 17%
5. R-VALUES FOR INSULATION GIVEN BELOW MUST.CORRESPOND TO R VALZJES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R
b. Exterior walls R
c. Glazed areas R 2•• P
d. Exterior doors R
e. Floors over unheated spaces R
f. Edge of slab on grade(heated building) R k?
g. Basement/cellar walls (above grade) R
h. Basement/cellar walls (below grade)
i. Heating/cooling-ducts-piping in unheated space R ►,1}i
6. Service (domestic)hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED
A I lice• t' • atu- Date Phone Number
e/2<HCC 2 (5189 Lpcpg7 --OJOS
INSPECTOR'S REMARKS:
Residential Final Inspection
•
Office No. (518) 761-8256 Date Inspection re• -st - -ived:
Queensbury Building&Code Enforcement Arrive: A D-.. .. [AL-warn/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi. / _ r
NAME: 1' G\ p. . #: (:--;;2• D
D
LOCATION: O^t'�(j�i1 y ' C DA ' : ( — ol ) _-o
TYPE OF STRUCTURE: Z�
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in. with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed I 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 Valve(s)installed
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4 hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue Temporary C/0(Cert. Of Occupancy)
Okay to issue Permanent C/0(Cert. Of Occupancy)
L:\SueHemingwayiBuilding.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
'
Residential Final Inspection - l I /'I
Office No. (518) 761-8256 Date Inspection request r .ved:
Queensbury Building&Code Enforcement Arrive: a m paw , 67p ai Y
742 Bay Rd., Queensbury,NY 12804 Inspector's Initial .
NAME: '; �, 3 ,� P IT#: '(-- 7�
LOCATION: r
TYPE OF STRUCTURE:\ T C �, ,-, -)1:.•,=���, -''"r. DATE: -3 - / -- C_�
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
. 3 inch Plumb Vent through roofN,
Roof Complete CP CZ® '�- -- ��i
Vr A @
Guard 30 in. or more stairs,decks,patios �
Guard at stadeck, ell at 34 in. r more Y ' � �Guard at deck,porches 36 in. or more -�
Exterior Finish Complete ✓ �� i8 T_
Interior/Exterior Railings 34 in. to 38 in.
Platform at all exterior doors -_f C
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in. with 10 ft. , ,
,y� ,;
Handrail Termination at Newell Post or Wall ✓ ' //',
8 inch clearance to sill plate r` '
Gas Valve shut-off exposed/regulator 18"above grade l%{
Gas Furnace shut-off within 30 ft. or within line of site '-`'I
Oil Furnace shut-off at entrance to furnace area
/
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed /'
Interior privacy/trim/doors/main entrance 36 in. ✓/
Bathroom/Kitchen watertight i/
Safety glazing
Window in stairwells safety glazing
Interior Smoke Det ors:
Every level: V / Eery Bedr rn:
Outside every bedroom ea:
Inter Connected: / Battery backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures .../Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
3/4 hour fire door/door closer `
Garage fireproofing
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents
Building No./Address visible from road t�
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C(Cert. Of Compliance)
Okay to issue Temporary C/O(Cert.Of Occupancy) 1 . /
Okay to issue Permanent C/0(Cert. Of Occupancy)
L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. ? -_
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
?ermit No. y� Cert. No_ 7 9 5 6 0 Cut-in Card No. ,J
Dwner r" Aig
�
Location A'S 5 6../ pr 'eD, '
[nstallation Consisting of 5-Stu/re-Pt /L .e1 /3 6:4 72-55"j
5 iao c 0) 112/dG
Installed By G /Ai�21 C eteeLic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of mak' 'nspections at any time, and if its
rules are violated,the Company shall have the right tq r oke t s ific .
Date 3-/f fo.3 INSPECTOR
Member N.F.P.A.,I.A.E.I.
Office Use
GENERAL INSPECTION REPORT Inspector:
t-----7,„
Ready at time:
Town of Queensbury
Dept. of Community Development Request received: Meet:
Building& Code Enforcement .7" At time:
742 Bay Road ,_
Queensbury, NY 12804 ARRIVE am/pm: DEPART i Pam/pm Notes:Z _/ '7
(518) 761-8256 Inspector's Initials '10a'(
NAME: A DV- . OC ‘(- 1) PERMIT# 02✓ 7 "
LOCATION: S(='V.r- PT • V--No INSPECT ON(date): 1 Z— l'S 1 d
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS ,,,
Footings/Piers
Monolithic Pour Form /
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
Backfill Approval___
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rou y h Plumbing ___
-.ting Rough-In / .
i sign
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R- _
Duct work or piping in
unheated spaces R- _
Proper Vent,Attic Vent _
Framing 1
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam . /
Air Infiltration Barrier
Fire Separation 1,2,3,hour_
iP titration Sealed
ire Wall 2,3,4 hour
Firestopping
U\SueHemingway\Bui;ding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
."\
inws
GENERAL INSPECTION REPORT Inspector:O ffice Use
APO
Town of Queensbury Ready at time:
Dept. of Community Development Request received: 42— // Meet: N,�LY�,°V
Building& Code Enforcement At time:
742 Bay Road '7 ,^
Queensbury, NY 12804 ARRIVE am/pm: DEP R v' am/pm Notes:
2, 60,fitt, ,
(518) 761-8256 Inspector's Initial
NAME: 4"7(' r . .- -t.-1 PERMIT# —7
LOCATION: -/y 1�d,�c 7 P/ 1 INSPECT ON(date): /f- 7 -- G',)------
f / '4TYPE OF STRUCTURE: ( ' 1' 1- el i i
I
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
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
Backfill Approval_
Plumbing Under Slab T
Plumbing Vent/Vents in Place
Rough Plumbing_ ( t
Heatins�Rough-In — C;
Ciatt4t6.--1- (A-15°1— a V
noun ation Walls Interior R-
Foundation Walls Exterior R- t t PC5< (if ( (4 (;
Floors R-
Walls R- ` ✓
Ceiling R- 4,8 V
Duct work or piping in
unheated spaces R-
P /
•.per Vent,Attic Vent i//
' ` g ✓
Jack Studs/Headers
Bracing/Bridging ✓
Joist Hangers
Jack Posts/Main Beam
Air Infi ation Barrier /•
Fire paration 1,2,3,hour_ jbA-C f ) " t7J (Acct.- ( k l
Pe ation Sealed /
F. a Wall 2,3,4 hour
iregterPing edi/J)6:61(> & r7
L:\.SueHemingway`,Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT c Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: I Z U Z Meet:
Building& Code Enforcement At time: /O=J
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART j f I am/pm Notes:
(518) 761-8256 Inspector's Initials\\�
NAME: t C PERMIT# j 0 0 2 - )u
LOCATION: '�L V 4- . f_ INSPECT ON(date): /7� . /Q
TYPE OF STRUCTURE:
RECHECK
f` _ N/A YE 4O COMMENTS
1 o,. ithic Pour Form /" O e$ f¢r f(�
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
Backfill Approval
Plumbing Under Slab /
Plumbing Vent/Vents in Place ___`_ ✓r
hi�ink
Renting Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls It-
Ceiling R-
Duct work or piping in
unheated spaces R- ___
Proper Vent,Attic Vent
_..)Ontiltnte
Jack Studs/Headers V -4
Bracing/Bridging +/ D11 _^ f << ( C l 1>(e.,( N
Joist Hangers_ /
Jack Posts/Main Beam i/
Air Infiltration Barrier
Fire Separation 1,2,3,hour _
Penetration Sealed _ __
ire Wall 2,3,4 hour_
L:\SueHemingway\\Building:Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
- 1 N�1\>E C _k N‘ k.y Office Use ,•••`
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE - AO. PE O 5-011, Notes:
(518) 761-8256 Inspector's Initia s
NAME: _—.—___ i PERMIT# , -14,-- 7
LOCATION: V7 Pk� -y am INSPECT ON(date): 1Q- Li-oZ
TYPE OF STRUCTURE: - 4pcc7'
RECHECK
N/A YES NO COMMENTS
Footings/Piers _
Monolithic Pour Form_
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
4 Foundation/Dampproofrng_ f
Backfill Approval r'
Plumbing Under Slab / r
Plumbing Vent/Vents in Place
ough Plumbing (/
\
‘f
Heating Rough-In
Insulation `7 V n A.
Foundation Walls Interior R- tb
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging —
Joist Hangers
—
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour _
Penetration Sealed
-
Fire Wall 2,3,4 hour_
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
L % l
Ready at time: B
Town of Queensbury
Dept. of Community Development Request received: It 1a
/Jo Z !`iX Meet: 23ef)
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART(t /am/pm Notes:
(518) 761-8256 Inspector's Initials 1FL/
f1j
NAME: �`� PERMIT# 240 2——`7,SSr '.? 674 -)
LOCATION: J 2 ,4 0“, INSPECT ON(date): 0.. o 7—
TYPE OF STRUCTURE: c,'t'D
RECHECK
__X
Footings/Piers /e) xz_lP N/A YE N COMMENTS
Monolithic Pour Form /
Reinforcement in Place 2 -- # 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_ __ \/
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing /1\
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent_
Framing
Jack Studs/Headers_
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
-1
Permit Number
MECcheck Compliance Report Checked By/Date
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb -
Data filename: Untitled 4._._;
TITLE: Proposed Additions for David&Rochell Adams
COUNTY: Warren
STATE:New York
HDD: 7635
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE: 08/29/02
DATE OF PLANS:June 2002
PROJECT INFORMATION:
David& Rochell Adams
129 Assembly Point Road
COMPANY INFORMATION:
Adirondack Designers&Builders, Inc.
PO Box 181
Lake George,NY 12845
COMPLIANCE:Passes
Maximum UA=470
Your Home=374
20.4%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Cathedral Ceiling(no attic) 390 38.0 0.0 11
Wall 1: Wood Frame, 16" o.c. 1196 19.0 0.0 63
Window 1: Metal Frame, Double Pane with Low-E 121 0.390 47
Door l: Glass 15 0.390 6
Door 2: Glass 15 0.390 6
Floor I: Unheated Slab-On-Grade,4.0' insul. 352 10.0 241
Furnace I: Forced Hot Air,90 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building
plans, specifications,and other calculations subm' _with t ' ermit application. The proposed systems have been
designed to meet the Pr ' ose ew or e Ener onserva on Construction Code requirem Is.
/
Builder/Designer -- Date 627 2` G
MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
DATE: 08/29/02
TITLE: Proposed Additions for David&Rochell Adams
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1: 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:
Windows:
[ ] 1. Window 1: Metal Frame,Double Pane with Low-E, U-factor: 0.390
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ] Yes [ ]No
• Comments:
Doors:
[ ] 1. Door 1: Glass, U-factor: 0.390
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ ] 2. Door 2:Glass, U-factor: 0.390
#Panes Frame Type Thermal Break? [ ] Yes[ ]No
Comments:
Floors:
[ ] 1. Floor 1: Unheated Slab-On-Grade,4.0'insulation depth,R-10.0 continuous insulation
Comments:
Slab insulation to extend down from the top of the slab to at least 4.0 ft. OR down to at
least the bottom of the slab then horizontally for a total distance of 4.0 ft.
Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
l Heating and Cooling Equipment:
[ ] 1. Furnace 1: Forced Hot Air,90 AFUE or higher
Make and Model Number
Air Leakage:
I Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC
rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible
materials and 3" clearance from insulation.
Vapor Retarder:
[ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
[ ] Materials and equipment must be 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,glazing U-factors,and heating equipment efficiency 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:
[ ] HVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the
I levels in Table 2.
M .
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)
MAP REFERENCE: EXCEPTING AND RESERVING ANY RIGHTS TO
MAP OF LANDS OF THE PUBLIC THOSE LANDS THAT LIE WITHIN
PAUL KNOX III THE BOUNDS OF KNOX ROAD.
DATED: SEPTEMBER 28, 1994 -
LAST REVISED: MAY 26, 1998
BY: WAYNE R. RAYMOND
LICENSED LAND SURVEYOR LEGEND:
MAP OF A SURVEY MADE FOR O IPF = IRON PIPE FOUND
MICHAEL & GAIL DAWSON O IRF = IRON ROD FOUND
DATED: NOVEMBER 24, 1999 20 Q 8 in O CIRF = CAPPED IRON ROD FOUND
LAST REVISED:MARCH 4, 2001 OIRF = UTILITY POLE
BY: VAN DUSEN & STEVES
LAND SURVEYORS, LLC
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