Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2005-830
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050830 Application Number. 20050830 Tax Map No: 523400-226-016-0001-049-001-0000 Permission is hereby granted to: AGNES VINCZE-ROSEN For property located at: 260 Cleverdale Rd in the Town of Quee ,to cons t or place at the above locatio accordance with application together wit lot plans and other' tion hereto filed and approved and' compliance with NYS Uniform Buildin es and the Quee ury Zoning Ordinance. T e of ction Value Owner Address TEVEN RO N GNES V1N ZF4MOSE -e 3 9 BLESS it arage-2 s Attached R HBORO PA 1 95 - 0 0 Single F ly Dwelling $900,000.00 Tota alue $900,000.00 Contractor or Builder's N e/ dress lectrical Inspection Agency CIFONE CONSTRUCT CO. IN . PO BOX 684 / GLENS FALLS,NY Plans &Specifications 2005-830 3398 SQ FT SINGLE FAMILY DWELLING WITH 2 FIREPLACES $482.06 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,November 03, 2010 (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 T rvn o ee ot, November 03, 2005 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: P20050830 Application Number. A20050830 Tax Map No: 523400-226-016-0001-049-001-0000 Permission is hereby granted to: AGNES VINCZ -ROSEN For property located at: 260 Cleve Gale Rd in the Town of Queensbury,to construct or place at the above location in accordance with application to ge r with plot p and other information hereto filed and approved and in compliance with the NYS Uniform ding Codes d the Queensbury Zoning Ordinance. a of Construction Value Owner Address: STEVEN ROSEN Fireplace AGNES VINCZE ROSE Garage-2 Cars Attached 309 BLESS Cir Single Family Dwelling $900,000.00 RICHBORO, PA 1895 - 00 Total Value $900,000.00 Contractor or Builde ' Na e/Address Electrical Inspection Agency CIFONE CON RUC ION CO. IN PO BOX 684 GLENS FALLS, Plans &Specifications 2005-830 3398 SQ FT SINGLE FAMILY DWELLING WITH 2 FIREPLACES $482.06 PERMIT FEE PAID- THIS PERMIT EXPIRES: Monday, November 03, 2008 (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 ensb 4, rrovember 03,2005 7 SIGNED BY W 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 N Permit Number: P20050830 Application Number. A20050830 49 Dot -- Tax Map No: 523400-226-016-0001-04"01000 t Permission is herebyranted to: g AGNES VINCZE-ROSEN For property located at: 262 CLEVERDALE Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot p and othe ereto filed and approved and in compliance with the NYS Uniform Building Codes the nsbury Zoning Ordinance. T o ns ction Value Owner Address: STEVEN ROSEN AGNES VINCZE ROSEN ire ac 309 BLESS Ct arage-2 Cars At ed RICHBORO, PA 1895, -000 S le Family D elling $900,000.00 To ta Value $900,000.00 Co ntis Name/Addres Ele al Inspection Agency CIFO�E ONS RUCTI CO. PO BOX 4 GLENS FALLS, Plans &Specifications 2005-830 3398 SQ FT SINGLE FAMILY DWELLING WITH 2 FIREPLACES $482.06 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,November 03,2007 (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 eensbu Thursday,November 03,2005 SIGNED BY for the Town of Queensbury. Director of Building& de&orcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050830 Application Number. A20050830 Tax Map No: 523400-226-016-0001-048-000-0000 Permission is hereby granted to: ACTNF,S VTNCZF.-ROSF,N For property located at: 262 CLEVERDALE 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: STEVEN ROSEN AGNES VINCZE ROSEN Fireplace 309 BLESS Ct Garage-2 Cars Attached RICHBORO PA 18954-0000 Single Family Dwelling $900,000.00 a Total Value $900,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency CIFONF,CONSTRUCTION CO. TNC_ PO BOX 684 GLENS FAT,T,S_ NY Plans &Specifications 2005-830 3398 SQ FT SINGLE FAMILY DWELLING WITH 2 FIREPLACES $482.06 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, November 03, 2006 (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 eensbyW, T rs ay, November 03,2005 SIGNED BY for the Town of Queensbury. Director of Building& de h dorcement Check Residential Plan Review: One& Two Family Dwellings N/N/A (2)Full sets of plans Over 1,500 sq. ft.—Stamped Design Loads On Plans: 90 Wind Floor Loads 40 psf v 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq. ft. Grade,5.0 sq.ft. 24"(h)x 20"(w)min. 44"Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofmg/Waterproofing Materials On Plans Foundation Drainage On Plans,if required 6"Drop in 10'Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where Required Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors Stairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise Winder Run and Rise Spiral Not Allowed From 2m Story Smoke Detectors Battery Backup and.Proper Location Bathroom Fixtures Proper Clearance Hall Width,36"min. Handrails More Than One Riser On Open Sides Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas Garage Fire Separation Garage Floor Sloped XrI Attic Access Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access Carbon Monoxide Detector Lowest Sleeping Level Soil Test Results, if required Septic To Well Or Water Line Separation All Paperwork Signed Permit Number (town use) Town of Queensbury Application for Stormwater Management Permit Under Chapter 147, Stormwater Management, LL 4-99 THIS APPLICATION IS FOR A p Major Project WMinor Project 1. OWNER +INDIVIDUAL []PARTNERSHIP 0 ASSOCIATION G CORPORATION []MUNICIPALITY O AGENCY NAME C -�v � �g PHONE at _(c3 MAILING ADDRESS1Y CITY "�L STATE P ZIP CODE 2. AGENT 0 SAME AS OWNER d CONTRACTOR []ATTORNEY ,CONSULTANT p CONTACT PERSON NAME A(y,t f- PHONE 51$ MAILING ADDRESS t6q CITY STATE N Y ZIP CODE (2,80 1 3. CONTRACTOR p SAME AS AGENT NAME C. PHONE 1 _ 9 ' MAILING ADDRESS 'Fb CITY �� STATE \� ZIP CODE j 4. PROJECT LOCATION FACILITY NAME(if not residential) SECTION Zj,G , �G BLOCK LOT 1$ 41 STREET �Lr�VL ppDI.,E IGO.&Io ZONING CLASSIFICATION PROPERTY IS PRESENTLY We 1 a 0 VACANT 0 PARTIALLY DEVELOPED ,DEVELOPED&OCCUPIED IS PROPERTY PART OF A SUBDIVISION? )(No d Yes, name of subdivision 5. PROJECT DESCRIPTION PROJECT RF-µWig rXIsT I Nrr 1 C.drtbt t�� 2 4-6T.5 Cb*J�s'�LUGT JQ E W S1 t�l 4f,L E ffAAI/L Y PROJECTINVOLVES: [Earthwork/Landscaping p Tree Clearing House Construction or Addition Driveway Construction p Garage Construction 0 Detached Structure ,Septic System 'Modification of a Stormwater Device 0 Other L:\CRAIG\TEMPLATE&STWATAPPS\TOWN STORMWATER APPL.DOC 1112000 Page 1 of 3 PROPOSED USE Q Residential(seasonal)VResidential (year-round) Q Association Q Public Q Commercial PROPOSED STARTING DATE 0670 69e '3OD5 PROPOSED COMPLETION DATE DESCRIBE THE MAXIMUM SLOPE OF THE PROPERTY IN THE PROJECT AREA: Q 0-5% (Level))15-10% (Gradual slope) Q 10-15% (Moderate slope) Q Greater than 15% (Steep Slope) IS ANY PORTION OF THIS ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED? Q Yes )(No (if yes,please explain) 6. CALCULATIONS & CONTROLS TOTAL AREA OF PROPERTY 2� 106+ ACRES OF (circle one) TOTAL AREA OF LAND DISTURBANCE: 115,464 FT (do not include area of stormwater controls) TOTAL AREA OF NEWLY CREATED IMPERVIOUS SURFACE: �o,Z74 FT 2 C7bE5 ~ ►' +* T �x I k TOTAL VOLUME OF STORMWATER TO BE CONTROLLED: �ZS'S 4. (see instructions) Snefa>>< TYPE OF STORMWATER CONTROL MEASURES TO BE USED: SON II: 1 N F1 tL-t're,o V osJ TREic&I, INFILTE,*1 11Z 4—WAM LGs ANo �NF1GT�i�'Ta'ON aDSI� HAS AN EROSION CONTROL PLAN BEEN PREPARED? IYes, plan is attached Q No If no, please contact your County Soil&Water Conservation District for assistance: Warren County 623-3119 7; SITE INSPECTION During the processing of this application town personnel may need to visit this site for the purpose of inspecting, measuring and/or photographing site conditions. I authorize town personnel to conduct such a site inspection)(yes A no I wish to be contacted prior to any site inspection yes A no 8. CERTIFICATION hereby affirm that the information on this form and all attachments submitted herewith is true to the best of my knowledge and belief. As a condition to the issuance of a permit, the applicant accepts full legal responsibility for all damage, direct and indirect, or whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the town from suits, actions, damages and costs of every name and description resulting from the said project. SIGNATURE OF OWNER � -- DATE 1Q161/6S ,linc, SIGNATURE OF AGENT DATE 1d !4 6s INCLUDE WITH THIS VORA Site locatioAProjectplanA X 11 size paper(Submit 4 copies of anyplans larger than 11X17) 0 Names and legal mailing addresses of anyco-owners of the property • Attachment A(for major projects onl)) • Stormwater Control Report(for major projects onl3 • Environmental Assessment Form (for major projects only) Failure to include any one of the required items will result in an incomplete notice and delay in processing your application. Permits and approvals may be required from other agencies. for town use only L:\CRAIG\TEMPLATESISTWATAPPS\TOWN STORMWATER APPL.DOC 11/2000 Page 2 of 3 The project is approved as own on the attached approved plans and subject to the conditions listed on the attached Schedu Approved by on I I 1 Permit Expires 112 Zonin dministrator Date CONDITIONS OF APPROVAL ATTACHMENT A to Stormwater Management Permit Application Permits or approvals required from other agencies Agency Permit or Approval Date Applied Date Issued Adjoining Property Owners List all parcels within 500 feet Tax Parcel Number Name Mailing Address L:\CRAIG\TEMPLATES\STWATAPPS\TOWN STORMWATER APPL.DOC 1112000 Page 3 of 3 Permit No Building &Codes Office-Department of Community Development-Town of Queensbury Fee Paid 742 Bay Road, Queensbury, NY 12804 Recreation Fee , Dave Hatin,Director �;odet©dueensbury net Phone: (518) 761-8256 FAX: (518) 745-4437 Princi pal Structure Building Permit Application Application & Plans subject to review before issuance of a valid permit for construction. r 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. Appli.cant/Builder. C.16 M�C.10 it Com r_ Owner: CJ�euzr� Address: 90 e)ox (,$-i Address: -�Dq N`f i $fl I ?A hq S _ Home Phone: Cla.A& Home Phone: MS- Email Address: fnC_%,lPCV% _ Email Address: Cell Phone: 3bl e Ot�� Cell Phone: FAX Phone: _V°►a.- ?3011S(n FAX Phone: Person responsible for supervision of work with respect to building and codes compliance; Name: '_nc r ors Address; eo BOX i�`f �3.�1 Phoned 9a�a Location of proposed construction: Lot No. Legal Address: c .6a. C-111"e-V ct ahe �d Tax Map Number; Subdivision Name: Estimated Cost of Construction; $ q� Proposed construction is for: KResidential-Use _Commercial Use n 1 Name of Business: If proposed construction is an addition, what will use of new addition bet New Addition Alteration Proposed Construction I,'Floor 2^d floor Other Total Proposed structure (Occupancy Type) Sq, Ft, sq.ft. Sq.Ft. Square feet Height Ft. b In, Sin le•Famll Dwellinge as Two-Family Dwelling Townhouse Multifamily Dwelling - Number of Units: i Office Mercantile Manufacturin Other: Attached Garage 1, 3 Type of Heating System: Electric, Oil, Gas) Wood, Forced Hot Air, Baseboard, Other: qw6 ►h T Is a fireplace and/or woodstove being installed, please refer to a separate application, K Yes _ No Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review. The Building and Codes Office will allow commencement of your proposed project only after issuance of your permit, Declaration: Please sign below after you have carefully read the statement: To the best of my knowledge, the statements contained in the application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described Premises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner, Further, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a licensed surveyor, drawn to scale, showing actual location of all new construction, Date:10 � Applicant/Builder Signature: Q,—,) __(J The application of dated _ is hereby approved and permission granted for the c nstr ction, reconstruction or ait ati f uilding allor accessory structure as set forth above. r Date: O A�uthorized Signature. L:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04 r s For an FPA homecnwW s gthcl htto;t b.R,r CSX=y/ lLpLA /horrteov ME Quid2.1�.cu$IQm A } ` OFFICE USE ONLY •f ♦ �`TAX MAP NO. PERMIT NO. (t�, ERMIT FEES APPROVALS: ZONING TOWN CLERK ''`• ------------ APPLICATIONF(?R SEPTIC DISPOSAL SYSTEM PERMIT; A POW Must BE OBTAMM BEFORE WORK BEGMlS.APPLJCATIONISSUBJECrlrOREVMBEPOREMMUMMOFAVNM PERMIT. amER: S reve AatyuS aosyN INSTALLER G t t*w!j COPS r CO- S�?G ADDRESS: Up- 01-eU WA br4t,r, 1!D ADDRESS: FO WX ST4 G.F. my PHONE NOS.. "I g V t 5 PHONE Nos. 74 LOCATION OF I NSTALLATICMI: Z.G Z C LS U SIt DAM YEAR BUILT NO.OF X COMUTATIOW = TOTAL DA LY FLOW WFORMATKW. BEDROOMS 1980 or older Q X 150 gdon per bedroom : 0 GARBAGE GRIN[" 1981-1991 X 130 gdon per bedroom 0 INSTALLED?_ 1992-present ® X 110 gdon per bedroom = 3 3 0 SPA OR HOT TUB INSTALLED? PARCEL INFORMATION: 7OPOG72APFIY; FLAT ROLUNGC STEEP SLOPE SLOPE 3 % 1 SOIL NATURE SAPID LOAM CLAY OTHER .r : AT~T DEPTH? 44 AT WHAT DEPTH? IC f I DOMESTIC WATER SUPLY: MUNICIPAL WELL Of VAN:WNW N4)*from arY SePOC WSWTI WL m eE8QQlAnm TEST: RATE IS It PER MINUTE PER INCH(TEST TO BE COMPLETED BY A LWBISED PROFESSIONAL ENGINEER OR ARC HTECT) PROPS SYSTEM FOR NEW : AN individnei sewage dlspwW systems must be designed by a Noensd processional engineer or archited(unless kmWW In a Planning Board approved sfadivision). TANK SIZE: GALLON(MIN.SIZE IS 1,000 GAL.)Add 260 gallM to the size of the septic tank for each garbage grinder,spa or whirlpool tub. SYSTEM TYPE: ABSORPTION FIELD(%NTH NO.2 STONE) Total length ft. Each bench X ❑SEEPAGE PIT(S)"TH NO.3 STONE) Haw many? Site? ®ALTERNATIVE SYSTEM Bad or other type? Ba deFi tt . Z 10 9o!1& ❑HOLDING TANK SYSTEM Thal required capacity? Tank size? Number of Wft? NOTE; ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN•APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For Your prolsi*n ids note that pursuant to Section 136-20 of the Code of the Town of Dummbury,any permit or approval granted which is based upon or Is granted in reliance upon any mete W misrepneserrte6on or fdtme to make a material fad or diraamstarm known by or on behdf of an applicant,shd be void. I have read the mostiom with respect to the application and agree CALL TM-92M OR BULL, to d *Ie by these and all mWinements of the Town of Qusensbury Sanitary Sage Disposal Ordnance. VISIT ew OUR 9M®SITH FOR MORE I FORMRTION "a WWWAIIeemebuff, at ftfi ure of ftrom Town of Queensbttry•Community Development Office• 742 Bay Road,Queensbury,NY 12804 t Fire Marshal's Office Town of Queensbury, 742 Bay Road,Quecnsbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date t`6 , 20 _ Permit No.c) �`•" V 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 required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: , C;.,., - C, 1- C Stove: wood coal pellet gas Fireplace insert Address: Fireplace, factory-built: wood (ias Fireplace, masonry: wood as �� I�J�t 1 �.�$*a� P Y� g Furnace: wood gas oil Phone: " If non-masonary applicance, please provide Owner: ttY.,, ry �, Manufacturer Name: r" i , Address: ,�' � �,� j > Model Number: ' Chimney Information Phone: Q, (circle appropriate words) Masonry block brick stone Flue tile steel size: inches Exact Address: of construction or installation Factory-Built Manufacturer name: �K,�j��. Model Number: "1_ "U�__�_ Note: Listed B _ y: _ _ Number: Construction/Installation must �� con orrn to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury _ Handouts regarding required inspections. ' Double ,'all"'I Triple wall / Insulated / Direct venting Chimney Liner � Ca.,�c.�i�[�z-'nor n�p�rtm�t—Z`o��rs o.�Qu��z�,�bury, .ATie�-7►�orl�� — Fire Marshal Code# $Collected $Ref ended Received fivm (refunded to): 1 addres:r: A 173 3389 (190) Public Safety A 233 2655 (230)Minor Sales DATE:' a -- -— ""7 t �n.tx�wt�_ Twn. GG�,it o2 �r?u�0y' White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&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 — , 20 ;5 Permit No. 0 Application is hereby made to the Building d&Codes Office./or the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: _# - _ y _ Stove: wood coal pellet gas Fireplace insert Address: Fireplace, factory-built: wood .. ,-, Z Fireplace, masonry: wood gtts' Furnace: wood gas oil Phone: �`` '�. � . If non-masonary applicance, please provide Owner. :,,.; t.. ,. Manufacturer Name: ;C Address: Model Number: (,'i" Chimney Information Phone: ,t _( C (circle appropriate words) Masonry block brick stone Flue the steel size: inches Exact Address: of construction or installation Factory-Built Manufacturer name: '., , Model Number—) t Note: Listed By: Q� Number: Construction t Installation must con orm to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double c+gall / Triple,wall / Insulated / Direct vesting Chimney Liner � Castti#�r',®r nepaz-tme��—To�r�n�t of Qu��t,�Zsszry, .lV"8�-Z'orl�-- --- Fire Marshal Code# $Collected $Refunded Received fi•ona(refunded to): - A 173 3389 (190) Public Safety A 233 2655 (230)Minor Sales DATE: White(Applicant) / Green(Fire Marshal) ! Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.) Application for Permit— Septic Disposal System Town of Queensbury 742 BayRoad Queensbury, NY 12804 (518) 761-82S6 1. OWNER INFORMATION: ..................... Office Use Location of installation: Gevty � gs)- � , File Permit No. Tax Map No.a&�� Fee Paid Owner's Name: JI:y,\ 5a. ................,.,...,...,...,........,....,,..,...... Address: �>00 2. INSTALLER'S NAME ����,,tT Co -1-n�. PHONE NO, 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate #bedroom(s) and multiply #of 3l - bedrooms with applicable gallons per bedroom to equal total daily flow) Y Year of House: No. of Bedrooms x Com utation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980— 1991 x 130 gal/bdrm = 1991 —present _ x 110 gal/bdrm = �50 Garbage Grinder Installed yes / no X Spa or Hot Tub Installed yes / no X 4. PARCEL INFORMATION: (circle applicable information& indicate measuremelts . Topouaphy Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply F an tit what depth at what depth municipal Rolling JU', feet �4 k feet well Steep slope clay if well; water supply %slope other from any septic-system depth: absorption is ft, other LWC � Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5, PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. , Septic Tank: \Q 5 gallon (min. size 1,000 gal.) Tile Field: each trench ft, Total System Length: Z �j SfG 5 Seepage Pit(s): number of size of'each: ft. by Size of Stone to be used: # _ % depth or thickness a feet � - 2 tea. �►�. Bed System Size: x �t�' 2j L r 6&� Alternative System: length and/or size FyTw�G— CnsST, 6. HOLDING TANK SYSTEM: (if required) C-e'E ' / 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. V \�)I r8 �� Signature" f re ponQY person date Town of Queensbury Sewers and Sewage Disposal Chapter Appendix C ABSORPTION FIELD SEPARATION REQUIREMENTS AOL%= i S,�F•ric. � J4!] Appendix C ABSORPTION FIELD SEPARATION REQUIREMENTS pow :r W04.L, 0 -ayrtx ftr C f e bb VAN ' t Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: _ _ am/pm Depart 0 am/pm Date Inspection reque received: Inspector's Initials: NAME: % PER MT#: 4-;— �� LOCATION: e, DATE: TYPE OF STRUCTURE: Comments: A N , 4' BuildingNumber Address visible from road �� -`�U e-k Chimney Height/'B'Vent/Direct Vent Location O Fresh Air Intake / 3 inch Plumbing Vent th h roof minimum 6 inches IVY Roof Complete/Exterior Finish Complete / G� /c l- C Platform at all exterior doors Handrail 4 or more risers / Guards at stairs decks ios more than-30 inches above gradeCe v 4� Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall V 90, Interior/Exterior Railings 34 inches to 38 inches Deck Brad /Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate (grz Gas Valve shut-off"posed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen waterti ht Safety glazing/Wolow in stairwells safety alazina Interior Smoke actors/Carbon Yonoxid tedorS Every level: Fvres: Bed m: / Outside every bedroo V Inter Connected: Bafte backu Attic socess 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access 1 sq.ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification VZ Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency ress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to fumaos area Fumace/Hot Water Heater operating ratin Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum W Gypsum Basement stairs dosed rise>4 inches OF Garage Floor Pitched Gara a fireproofing/%hour fire door/door loser Duct work Sealed properly Gas Logs in Sealed or Glass Endosure I or Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bondin As Built Septic System/Sewer De . Inspection Sticker Site Plan /Variance required Flood Plain Certification,if re uired Okay to issue C/C or C/0 Temporary/Permanent I-Muilding&Codes Forms\Building&Codesllnspection FormsWesidential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: ` so NAME: _ LOCATION: 240 ✓ �lG��I PERMIT Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept.of Community Development. Upon review the serve has been: Craig Brown,Zoning Administrator Notes: L:\SueHemingway\Building.Codes.hmpection.FORMS\Final Survey Zoning Administrator.doc MAP REFERENCE MAP OFAG E FOR NES ROSEN LANDS N/F OF BY: VAN DUSEN&STEVES COWAN DATED:JANUARY 6, 2005 LAST REVISED:JANUARY 28, 2005 2.0't S86°24'50°E DOCK 173. 74 zo o N O M N N Yj_ DOCK _ t� STONE 3 PATIO 00 OTHER LANDS OF ROSEN f 1100 - 1 3 p 1 F STONE PATIO w 5 50.) , Z G.�"K H PORcn y -� W 2 i w AREA �- _ -_. f _ rn I 2 STORY 0,48± acres Q- t WOOD FRAMED - HOUSE ' N N PROPANE O� �s GE OWT#N�5 \ y0 �� N C W — OO I y r 1 .� 5 PORcn „f p p 570NE � r ��, i M W p PA tD TIO t Z 32.62' \ OVERIIEAO DECK� �� WITH ROOF � ,I `E r �./ CRUSHED STONE DRIVE 191.9p' _ ID MASON ROAD n+s3°18'05Nw ASPHALT x — — x x x DRIVE 5.0't LANDS N/F OF HOLDEN LEGEND: ca, = UTILITY POLE FENCE LINE HEDGE ROW ,14 S • �JiS n E r t sr?J�IJ'' Vr a el March Scale 1'-20' Vim`' Map of a Survey made for s,� 1 Dii ,s ej:jI,BEANORI2ED ALTERARGN DR ADWRDN SEAL SURVEY M. Rosen and MAP BEARMD A LICENSED LAND SURVEYORS Steven NEW YGRK ATEC EWCARON IAW:pN510N$OF 1NE 'ONLY COPES FROM THE ORIGINAL OF THIS SURVEY -T 1 MARKED YATH AN ORIGINAL A V in c z e-Rosen p-1 Steves SEAL SNAIL GDNSIDERED /� e s T C,t}O OpITIFlCATIDNS INDIGAIED HEREON g� VATH THE Agnes V■ SETBACKS Rosen EMSTVIG VECODE� =F��:VEYORS ADOPTED 1 4108109 LAKE XI 1lIE NEW YOftll STATE SOF S OO New York DWG. N0. 04358A surveyors TO �R�YDR� ueensbury, Warren County, DESCRIPTION ON„S CALF FOR RRt COMPANY.GOVER�TAL�"° Town Of Q NO. DATE La rx d AGENCY AND LENDING IHSRTUI LISTED HEREON,AND Queensbury, New York 12804 TO THE ASSIGNEES of THE tENowG wsnTunaN.' 169 Haviland Road 50135 13-3-30&31/226.16-1-49. (5i8) 792-8474 New York 1Ac. No. Queensbury Building A Code Enforcement - R idential Final Inspection Office No. (518) 761-8256 Arrive: am/pm Depart _,1 am/pm Date Inspection request received: Inspector's initials: NAME: _ J PERMIT#: LOCATION: ,6Z DATE: TYPE OF STRUCTURE: Commen • YeaoAUA / 4" Building Number Address visible from road V, a+"1 i �� C Chirriney Height/"B"Vent/Direct Vent Location Fresh Air intake �j „ �C. � re,©�- 3 inch Plumbing Vent through roof minimum 6 inches Roof Co late/Exterior Finish Complete Y �f l� Platform at all exterior doors Handrail 4 or more risen; Guards at stairs decks,Wios more than 30 inches above gradeZt trGC.L�! Guard at stairwell at 34 inches or more Guard at deck,p2rches 36 inches or more Handrail Termination at Newell Post or Wall interW/Exterior Railin s 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sii{plate Gas Valve shut-off a sec/ne ulator 18 inches above gt@de Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety alazina/Window in stairwells safe in Interior Smoke tectors 1 Carbon ono ty Detectors Every level: Every Bed om: Outside every bedroom sea: Inter Connected: Battery badku Attic access 30 inches x 22 inches x 30 inches i ht in accessible area Crawl Spaces 18 inch x 24 inch access, 1 .ft:t50 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures ' Foundation insulation/insulation Certification Floor truss,draft stoppin2 finished basement 1,000 sq.ft. Emeraency ogress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area FumacetHot Water Heater operating low water shut-off boiler V I - Relief Valves installed/Heat Trap/Water Temp110 Enclosed Stairs Shestrock Underside minimum W Gypsum Y Basement stairs dosed rise>4 inches Garap Floor Pitched Gars e fi roofi /%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical v Final Survey Plot Plan OF U-' Arc Fault Breaker in Bedrooms ,- Flex Gas Pipe Bondlqg1� As Built Septic System/Sewer g2g. Insp.2ction Sticker Site Plan /Variance required Flood Plain Cerfification,if required -Okay to issue C/C or C 10 Temporary i Permanent LABuilding&Codes Form"uilding&CodeMinspeclion FonnsWesidential Final Inspection Form revised_100405.doc;Revised January 7,2006;Revised 8/28/08 Town of Queensbury Fire Marshal low 742 Day Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 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. J Permit# --3FJ Schedule Inspection '"? Time 6 pm anytime Inspector Name Address Rough In Final I/ Appliance Manufacturers L''t r" 1T" Model#_ c� Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection a. Clearances to Combustibles (all sides) a J S 1�I Firestop(s) Vertical Chase Wall Penetration f Vent Clearances to Combustibles ,� pit �� �✓� 1 Vent/Chimney Termination Chimney height must be 3 feet above roof 7 penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve `7/3��J Combustion Air Hearth Extension(if any) 1 Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept- Ye1Mw r Pink—Fire Marshal r `► Pioneer Elevator Inspection Services Checklist for Inspection of Electric Elevators General Notes: (a) See ASME A17.2-2001 for detailed inspection information on each item number. (b) OK=meets requirements; NG=insert numberto identify commenton back of this checklist; NA=not applicable. 'a# Routine Inspection and Test Address: Rosen Residence 262 Cloverdale Rd Periodic Inspection and Test Queensbury Rd 12804 _.% Acceptance Inspection and Test Code Edition: ASME A17.1 -2000 ID No: 335 inspected By: Dennis McKi y Passenger Rated Load: 950 Signature: Date: July 29 2010 I,.-_,I Freight Class Speed: 41 FPM QEI No: E-510 Certifying Organization: EIWPF OK NG NA OK NG NA 1 ELEVATOR-INSIDE OF CAR 2.15 Static Control !� 1.1 Door Reopening Device w 'i 2.16 Overhead Beam and Fastenings £+! 1.2 Stop Switches I- 2.17 Drive Machine Brake ' 1.3 Operating Control Devices 2.18 Traction Drive Machines R, 1.4 Sills and Car Floor . 2.19 Gears, Bearings, and Flexible Couplings ¢ 1.5 Car Lighting and Receptacles 2.20 Winding Drum Machine and Slack Cable !_' 1.6 Car Emergency Signal _ Device 1.7 Car Door or Gate iW 1,8 Door Closing Force j 2.21 Belt-or Chain-Drive Machine k `. 1.9 Power Closing of Doors or Gatesa 2.22 Motor Generator _ w 1.1 Power Opening of Doors or Gates ,' 2.23 Absorption of Regenerated Power 2.24 AC Drives from a DC Source ' 1 0 1.11 Car Vision Panels and Glass Car Doors ..,x ✓s 2.25 Traction Sheaves �} 1.12 Car Enclosure 3 2.26 Secondary and Deflector Sheaves 1.13 Emergency Exit ¢! 2.27 Rope Fastenings 1.14 Ventilation ( l - 2.28 Terminal Stopping Devices R 0 EJ 1.15 Signs and Operating Device Symbols 0 1 2.29 Car and Counterweight Safeties vl 1.16 Rated Load, Platform Area, and Data Plate 1.17 Standby Power Operation cr 3 ELEVATOR-TOP OF CAR 1.18 Restricted Opening of Car or Hoistway Doors�� 1 3.1 Top-of-Car Stop Switch w -a 3.2 Car Top Light and Outlet L--41 0, 04 1.19 Car Ride `�� k } „ 3.3 Top-of-Car Operating Device 171, 3.4 Top-of--Car Clearance and Refuge Space , Z ELEVATOR-MACHINE ROOM 3.5 Normal Terminal Stopping Devices 2.1 Access to Machine Space IRI 3.6 Final and Emergency Terminal Stopping i r 2.2 Headroom +! # Devices 2.3 Lighting and Receptacles LR Eli 3.7 Car Leveling and Anticreep Devices 2.4 Machine Space 3.8 Top Emergency Exit 2.5 Housekeeping W t 3.9 Floor and Emergency Identification Ventilations _ Numbering 2.7 Fire Extinguisher 2.8 Pipes,Wiring, and Ducts 3.10 Hoistway Construction +! y 2.9 Guarding of Exposed Auxiliary Equipment ! 3.11 Hoistway Smoke ControlI 2.10 Numbering of Elevators, Machines, and ' r 3.12 Pipes,Wiring, and Ducts i+! Mi 0 Disconnect Switches 3.13 Windows, Projections, Recesses, and n, - �! Setbacks 2.11 Disconnecting Means and Control 3.14 Hoistway Clearances !! 0, £.,�, 2.12 Controller Wiring, Fuses, Grounding, etc J-W3 ! .r 3.15 Multiple Hoistways 2.13 Governor, Overspeed Switch, and Seal 3.16 Traveling Cables and Junction Boxes + 2.14 Code Data Plate w OK NG NA OK NG NA Page 1 `t Pioneer Elevator Inspection Services Checklist for Inspection of Electric Elevators 3.17 Door and Gate Equipment `++ 011 5 ELEVATOR-PIT 3.18 Car Frame and Stiles !! - 5.1 Pit Access, Lighting, Stop Switch, and 3.19 Guide Rails, Fastenings, and Equipment .� u" Condition 3.20 Governor Rope 5.2 Bottom Clearance, Runby, and Minimum 3 Refuge Space 3.21 Governor Releasing Carrier 5.3 Final and Emergency Terminal Stopping ,_� 3.22 Wire Rope Fastening and Hitch Plate *! Devices _ 3.23 Suspension Rope ;_ 5.4 Normal Terminal Stopping Devices ` 3.24 Top Counterweight Clearance 5.5 Traveling Cables ` 3.25 Car, Overhead, and Deflector Sheaves D 5.6 Governor-Rope Tension Devices ' 3.26 Broken Rope, Chain, or Tape Switch 5.7 Car Frame and Platform 1 i I 3.27 Crosshead Data Plate LWI ED, 5.8 Car Safeties and Guiding Members- t 3.28 Counterweight and Counterweight Buffer ice; !! Including Roped-Hydraulic Elevators 3.29 Counterweight Safeties installed under A17.1 b-1989 and later 3.34 Compensating Ropes and Chains * 5.9 Buffers and Emergency Terminal Speed + Limiting Devices 4 ELEVATOR-OUTSIDE HOISTWAY _ 5.10 Compensating Chains, Ropes, and Sheaves l D"; _ 4.1 Car Platform Guarder 4 6 ' 4.2 Hoistway Doors 4.3 Vision Panels R 6 Elevator-Firefighters'Service 4.4 Hoistway Door Locking Devices ? J 6.1 ��i A17.1b-1973 through A17.1 b-1980 1 Rl 4.5 Access to Hoistway 6.2 A17.1 -1981 through A17.1 b - 1983 4.6 Power Closing of Hoistway Doors 6.3 A17.1 -1984 through A17.1a -1988 �! 4.7 Sequence Operation and A17.3 4.8 Hoistway Enclosure t 6.4 _j A17.1 b-1989 through A17.1 d -2000 r 4.9 Elevator Parking Devices �1 4.10 Emergency Doors Blind Hoistway y 4.11 Separate Counterweight Hoistway !! 4.12 Standby Power Selection Switch _ y This Cheel",A134C1,may be obtained trap the ASME Order Dept.,22 Law Drive,Box 2300,Fairfield,NJ 07007-23M(12/01) Comments: No Violations Page 2 c THE INSPECTOR o 5390 State Route 11,Burke,NY 12917 1-800487-0535 www.thwloctricalinspector.com O Date:July 30,2010 Application No.On File:051537 0 THIS CERTIFIES THAT Rosen N LD Only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of: 262 Cleverdale Road Town of Queensbury Contractor: Cifone Construction In the following location: Basement X ]"Floor X 2°s Floor X No.of Apt Garage A Attic Outside X Commercial Residence X Was examined on 7/14/10 and found to be in com liance with the requirements of the National Electric Code, M GFCI FFixturc Outlets R tacles Switches Fixtures Ran es Cooking Decks Ovens Dish Washers Exhaust Fans Smoke/Heat y Incandescent Fluorescent I Other Amt, K.W. Atm, K.W. Amt. K.W. Amt. K.W. Amt. K.W. Detectors 3 20 149 120 119 134 15 1 7.6 2 9 2 1.5 3 FR 5 LA N O t-r Dryers Furnace Motors Dimmers Water Heaters Unit Heaters Multi Outlet Sys. Electric Heaters 0 Amt. j K.W. Oil I H.P. I Gas H.P. Amt. Watt Electric Oil Gas Amt. Rating No.of Feet Amt. K.w. Ann. K.W. Amt. K.W. Amt. K.W. 1 30 2 FR 49 600 12 1 1 Transformers Alatna Systems Special Rece tacle Panels Motors Signs Track Lighting Disposal Amt. I KVA AN PS Det. Panel Amt. K.W. Amt. No.ofeircuits Rating Amt. H.P. Amt. No.of Lams No.of Heads Amt. H.P. 5 75 1 2 50 3 1 3 Lo 1 2 400 3 1.5 9 .50 1 ATS 200 6 .35 1 13 100 16 FR In 2 .25 l 41 200 3 .20 l 16 100 M 1 .10 1 42 200 4 F Elevator Control m Service Disconnect Equipment Service Amt. Amp. Tvpe Meter 1 Phase 1 Phase 3 Phase 3 Phase No.of CC. AWG. No.of AWG.of No.of AWG of 2W 3W 3W 4W Cond./phase CC.coed. Neutrals Neutrals III-Legs HI-Les 1 400 MB t X 1 500 1' 500 Ul Othcr Apparatus 145 KVA Generator Manager This certificate must not be altered in any manner;return to the office of THE INSPF,CTOR if incorrect. Inspector's credentials can he verified. h Town of Queensbury Fire Marshal 742 Day Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection ReRort 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# 3 Schedule Inspection ��� Time 163U aft-) pm anytime Inspector Name ,� S i�✓ Address _ I U i r`t C Rough In Final" Appliance Manufacturer )My� f Sfir C— Model# 1�-$"3(14( 6 S Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection P n 4 o'-5 Clearances to Combustibles (all sides) Uw.-7 °t 4/G 7 Firestop(s) Vertical Chase L,- '5 a Wall Penetration Vent Clearances to Combustibles ` ?�,s ut /j-/G Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible VV construction within 10 feet Gas Shut-Off Valve 3 L? Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept. Yellow Cask wer Pink—Fire MorWW Queensbury Building.& Code Enforcement - Residential Final Inspection Office No. (518) 761.8256 Arrive: am/pm Depart:��am/pm Date Inspection request received: Inspector's initials: NAME: PERMIT#: ' (f�P 0 LOCATION: Y DATE: TYPE OF STRUCTURE: Comments: Y N /A 4° Building Number Address visible from road Chimney Height/V Vent/Direct Vent Location Fresh Air Intake , 3 Inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers VA Guards at stairs deckspatios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 Indies or more Handrail Termination at Newell Post or Wall interior/Exterior Railin s 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/re ulator 18 inches above grade Interior priyNy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Wi in stairwells safety qt ing Interior Smoke Wectors/Carbon Vonoxide etectors Every level: kJ /EveBeOutside every bedrooInter Connected: athe ba : Attic access 30 inches x 22 inches x 300 inches e' ht inaccessible area Crawl Spaces 18 inch x 24 inch access 1 N.ft:150 sq.ft.vents Bathroom Fans if no window Plumbing fixtures Foundation insulation/insulation Certification Floor truss,draft sto i finished basement 1,000 s .ft. a 4 p Emergency ress below grade Gas Furnace shut-off within 30 feet or within line of site 01 Oil Furnace shut-off at entrance to furnace area f�Y j �— FumaceMot Water Heater op@rating Low water shut-off boiler Relief Valve(sj installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum IN Gypsum Basement stairs closed rise'4 inches Garage Floor Pitched Garage fi roofi /%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical of Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built S is System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C 10 Tem ors /Permanent LABuilding&Codes FormslBuilding&CodesUnspection FormslResidential Final Inspection Fonri_revised 100405.doc;Revised January 7,2008;Revised 6/26/08 Rough Plumbing / insulation Inspection Report Office No. (518) 761-8258 Date InsQQectioq,*uest received: Queensbury Building &Code Enforcement Arrive: _L�- ill m/pm art: am/pm sbu NY 12804 Inspector's als: 742 Bay Road, Queen cy, P NAME: R65; � PERMIT #: LOCATION: 'c c--W-re 04e-6 INSPECT ON: TYPE OF STRUCTURE: Y N NIA Rough Plumbing /Nail Plates Plumbing Vent I Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes ure Test Water Supply Piping Air/Head � 50 P.S.i for 15 minutes Insulation/Residential Check/Commercial Check C-- Tyyek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed propedy I No duct tape COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Rough Plumbing / Insulation 1 peCt'on Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: = am/p art: am/pm 742 Bay Road, Queensbury, NY 12804 Inspeck is lnitiais: NAME: n4 , PERMIT #: - LOCATION: Z INSPECT ON: � - _-- TYPE OF STRUCTURE: Y N NIA Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout eve 100 feet/cha a 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 or or 15 minutes ('Insulaition Residential Check/Commercial Check qywelciarSimilar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct i Hot Water Piping insulation If required unheated Epaces Cam/ 9 �` 7C� Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Septic Inspection Report Office No. (518) 761-8256 Date In requesl received: Queensbury Building &Code Enforcement Arrive: y am/ /Depart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: t-,� D? NAME: PERMIT NO.: ^v J LOCATION: INSPECT ON: • RECHECK: Comments and/or diagram Soil T nd Lo Clayc-- f°> rs2l T of Water: Munic- a Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. -- OAJ Well Casing Length 50' + / - Y N N A A) Absorption Field: Total length ft. Z7 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 ,elm Tank to Distribution Box Distribution Box to Field Pit Opening Sealed: Y N End CaD _Y Inlet/Outlet Pipes &Baffles _Y N Location Separations Foundation to tank Foundation to absorption ft.— Separation of Pits ft. Conforms as per Plot Plan Y_ Engineer Report and As-Built Y Location of System on Property: -�- Front Rear Left Side Right Side Middle Front Middle Rear _ 'e5iR---- System Use Status: Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-01-1)\Building&Codes\Inspection Forms\Septic Inspection Report.doc Septic Inspection Report Office No. (518) 761-8256 Date Inspect request received: Queensbury Building &Code Enforcement Arrive: /V am/pmi�,0epart: am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: �•l� NAME: PERMIT O � NO,: s LOCATION: CW C=- INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand Loam/ Clay _Typeof Water. Municipal I Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length_ 50' + - Y N N/A Absorption Field: Total length ft. �r 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 Tank to Distribution Box Distribution Box to Field Pit Openinq Sealed: Y N End Ca N Pipes&BaFlesInle Y N Location Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: vl' proved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc Y • i� Rough Plumbing / Insulation Ins action 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: MT w cT �. NAME: RPERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N NIA Rough Plumbing/Nail Plates Plumbin Vent/Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air ad .I Nr 15 minutes Insulation/ esidential Check I Commercial Check k milar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed jNo Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Su far Furnace Duct work sealed properly I No duct tape COMMENTS: bc Rough Plumbing Insulation Report revised Nov 17 2003, revised February 15,2005,revised January 7,2008 Town of Queensbury Fire Marshal 161 742 Bay Road Queensbury,NY 12804 76141M/761-8206 fax 745-4437 Factory Built Gas Firen�/S 1 1=129992H RMOrt Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained is the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# ��.J .�' Schedule Inspection Time! '' 5 am pm anytime inPIZ spector Name �Qiw.� _ Address C c�6 ,W __ _ _-- Rough in__ 'Final Appliance Manufacturer Model# Direct Vent Factory Built Chimney Flue Size Double wall Triple Wal[ Insulated Yes No N/A Comments Floor Protection UAJ)i j -. /�Fir"estovp(s) l 'rances to Combustibles (all sides) . Vertical Chase Wall Penetration Vent Clearances to Combustibles up Vent/Chimney Termination Vz 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) �Vidte—> saint Dept YeBew r Pink—Fire Mamma i Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 7614M 1761-8206 fax 745-4437 Factory Bunt Gas Fireplace/Stove Inspection Resort 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# " S+:lc�+loxle InsTection -�T'ime iJ sum pm anytime r Name �� Address ( , lPc P_..,,-i D Rough Final___ Appliance Manufacturer _ _ ...__ ------- Model Model Direct Vent,_ Factory.Built Chimney__ Flue Size Double Wall Triple Wall Insulated Ye4 No NIA Comments Floor Protection U/j t L)V. Clearances to Combustibles gall sides) LU PC CO- Firestop(s) Vertical Chase--,.,-,.— Wall Penetration--- Vent Clearances to Combustibles t Vent/Chimney Termination ChiI .mney height mast be 3 feet above roof A-5 A ,(f— '� r 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) WhKe—BuNing DepC Yediow fit r Pink—mire Mar" f —cS . 77t ors Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745.4437 ]Facto Br ut Gas ,Fireplace/Stove Inspection Reuart Notice.New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the hist:allation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# a J ";hetlule Inspection - — - Time L-,- anY pm anytime \t Name Address_ (� � _, Rough In__,_` Palely Model# Appliance Manufacturer.--,--.--.-._,._.....�.._.. Direct vent—_ Factory Built Chimney_'�J Flue Size� Double Wall Triple Wall insulated Y No N/A Comments 7_ Floor Protection v Clearances to Combustibles (aft sides) ) Firestop(s) Vertical Wall Penetration Vent Clearances to Combustibles � Vent/Chimney Termination j Chimney height must be 3 feet above ri-mf penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if ally) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White Banding inept. Yetiow Coat r Pink-Me Marshal Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Iieuort 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 per' cations is allowed Permit# , 6 Schedule Inspection l' ( Time /-------�—�-am pm anytime inspect�o-ram- -- Name I���7G'�/l� —Addres V 421-� Rough In Final_.._. Appliance Manufacturer ( Model# t/_� !� t9� ?iOM 7 Direct Vent Factory Built Chi nney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase? Wall Penetratiow/ Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible �/J J�- construction within 10 feet Gas Shut-Off Valve Combustion Air T- ,41 Sc,c�_'C—ti�u S Hearth Extension(if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) Pink—Fire Mar" White—Budidin$Dept. Yellow r l C 'Mr/i , 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: PERMIT LOCATION: 2 ,J INSPECT ON: TYPE OF STRUCTURE: Y N/A COMMENTS Framing ccess 22"x 30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in.or more Headroom 6 ft. 8 in. p Notches/Holes I Bearing Walls —'' —C/�� Metal Strapping for Notches Top Plate � �p 1 %s w) 16 gauge(8) 16D nails each sideN� ' Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft.or less on center Ice and water shield 24 inches from wall Fire separation 1,2, 3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade J 5.0 sf grade 1 2--L% 11r1jb16 �( f//�-71M Framing/ Firestoppin.g Inspection Report Office No.(518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pmDepart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials:- .- r� NAME: SAIL PERMIT#: —�' LOCATION: 2 INSPECT ON: TYPE OF STRUCTURE: Y ,"N/A COMMENTS Framing ccess 22"x 30"minimum Jack Studs/Headers Bracing/Bridging f �, Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. L' n Stairwells 36 in. or more Headroom 6 ft. 8 in. Vf'4`` 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 r` 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 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: /p amm, eart am/pm 742 Bay Road, Queensbury,NY 12804 Inspectors Initials: 0 NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: r Framing Y N N/A COMMENTS Attic Access 22"x 30"minimum Jack Studs 1 Headers Bracing 1 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 Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in.(W) 5.7 sf above/below grade 5.0 sf grade l 3 l Y Y _1,r "0,� Foundation Inspection Report Office No. (518)761-8256 Date I tion request received: -- � Queensbury Building&Code Enforcement Arrive am/p Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Insp tor'1; itials: NAME: PERMIT#: 0 57 LOCATION: 2- 2- INSPECT ON: -, TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the cQncrete. a ena s se on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Ins!7 i° equest received: ^2�—0 Queensbury Building&Code Enforcement Arrive: Uam/tf Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector s Initials. '( NAME: PERMIT#: 4?57' (33 LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. i s o is on site. foundation/Wallpour e orcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 fI. L:\Building&Codes FormsWilding&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM IYOA)bAl, /0 - /2- Foundation Inspection Report Office No. (518)761-8256 Date Ins do uest received: 1 �' Queensbury Building&Code Enforcement Arrive: Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspect Ts Initials: NAME: f7. PERMIT#: � LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. se on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. -T L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report-doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No. (518) 761-8256 Date I oc i request received: Queensbury Building& Code Enforcement Arrive am/pm Depart: 4 am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector' Initials: NAME: 1 o�� PERMIT#: LOCATION: INSPECT ON: =`7 r/ TYPE OF STRUCTURE: tI Comments — �-�------ Y N N/A fngs Piers r C Monolithic Slabo I ��� �� ✓ Reinforcement in Place The contractor is respo sib e 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 I 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. U\SueHemingway\8uiiding.Codes.Inspection.FORMSTounWon Inspection Report.doc January 28,2003 OED�&-S4)Ay -7 - 5-_ o6 Foundation Inspection Report Office No.(518)761-8256 Date Insj ti uest received: Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspectors itials: NAME: O I'L PERMIT#: (9 s- —R30 LOCATION: INSPECT ON: _�Z — 6--6< TYPE OF STRUCTURE: Comments Y N 4NIA Footings Monolithic Slab Id Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date In tjo �est received: Queensbury Building&Code Enforcement Arrive: pDepart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspect is In ials: �/ i NAME: a40L PERMIT#: d� 1636 LOCATION: INSPECT ON: 2,0 TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place oundation Dampproofin 01 g Footing Drain Daylight or Sump 1 1 —Voot Drain Stone: I2 inch width 6 inches above footing 6 mil poly for wet areas under slab 130"R Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\lnspection Forms\FDundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report l' -J,�o rL- Office No. (518)761-8256 Date Ins tl quest .received: G Queensbury Building&Code Enforcement Arrive: Depart. am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspecto 's Initials: P� NAME: U --- PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: a - 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. Materials for se on site. Fo ion/Wall Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L folding&Codes Forms\Building&Codes\lnspec Lion Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 06 3 Foundation Inspection Report Office No. (518)761-8256 Date Ins tioonn!PECT0&4.: ry 6 Queensbury Building&Code Enforcement Arrive: ,�vpm ' Depart: am/� 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi NAME: �� #: 16 �—�30 LOCATION: 2 ra — TYPE OF STRUCTURE: Comments Y N N/A Footings Pic Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Farms\Foundation Inspection Reportdoc Last printed 12/20/2005 9:24:00 AM /()-/z rJqo r-� Os -2 s -©�--> Foundation Inspection Report l� l ° Office No.(518)761-8256 Date Ins ion a uest received: - ueensbury Building&Code Enforcement Arrive: �a Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspec is Initials: NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N NIA Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Fonms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report ` Office No. 518 761-8256 Date Ins( ) pectin quest received: Queensbury Building&Code Enforcement Arrive: Depart; am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspecto itials: NAME: —t-- PERMIT#: F 30 LOCATION: 9L,3 INSPECT ON: Z4 L,14, 16 TYPE OF STRUCTURE: - Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. this 2urpose on site. oundat'on/Wa pour.. � , C� Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofrng Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&C.odes\lnspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No. (518) 761-82.56 Date Ins ec .o equest received: Queensbury Building&Code Enforcement Arrive: - m/p Depart: —am/pm 742 Bay Rd., Queensbury,:NY 12804 Inspector's Initials: . NAME: _ �a�jL�� PERMIT#: C�_ � LOCATION: C C" 'te INSPECT ON: d __ TYPE OF STRUCTURE: Comments Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. _ Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing,Waterproofing I 1 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:\SucHcmingway�Building.Codcs.Inspection.FORMS\foundation Inspection Report.doe January 28,2003 Foundation Inspection Report r �V Office No.(518)761-8256 Date Ins ct' request received: Queensbury Building&Code Enforcement Arrive: � am/pm Depart am/pm 742 Bay Rd.,Queensbury,NY 12804 Insp or s itials: NAME: PERMIT#: Dvc LOCATION: PECT ON: , TYPE OF STRUCTURE: f'' ne Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place �-A The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheck Soltware Version 3.6 Release 2 Data filename: P:\PAProjects\Rosen\Rosen.rck PROJECT TITLE: Rosen Residence COUNTY: Warren STATE: New York HDD: 7635 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE: Non-Electric WINDOW /WALL RATIO: 0.16 DATE: 09/07/05 DATE OF PLANS: September 8 2005 PROJECT DESCRIPTION: Rosen Residence CIeverdale Road Lake George, NY DESIGNER/CONTRACTOR: Paone Architecture 547 Route 9P Saratoga Springs, NY 12866 518-580-0017 COMPLIANCE: Passes Maximum UA= 1890 Your Home UA = 1731 8.4%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value. R-Value U-Factor I TA Roo6Ceiling: Raised or Energy Truss 3079 39.0 0.0 77 North Wall: Wood Frame, 16" o.c. 1386 21.0 0.0 69 Window Q: Wood Frame:Double Pane with Low-E 14 0.350 5 Window T: Wood Frame:Double Pane with Low-E 4 0.350 1 Window M: Wood Frame:Double Pane with Low-E 6 0.350 2 Window P: Wood Frame:Double Pane with Low-E 18 0.350 6 Window A: Wood Frame:Double Pane with Low-E 6 0.350 2 Window L: Wood Frarne:Double Pane with Low-E 17 0.350 6 r t Window H: Wood Frame:Double Pane with Low-E 6 0.350 2 Window E: Wood Frame:Double Pane with Low-E 16 0.350 6 Window S: Wood Frame:Double Pane with Low-E 11 0.350 4 Window G: Wood Frame:Double Pane with Low-E 3 0.350 1 Window F: Wood Frame:Double Pane with Low-E 8 0.350 3 Door DI: Glass 61 0.290 18 West Wall: Wood Frame, 16"o.c. 1009 21.0 0.0 52 Window C: Wood Frame:Double Pane with Low-E 9 0.350 3 Window C: Wood Frame:Double Pane with Low-E 9 0.350 3 Window C: Wood Frame:Double Pane with Low-E 9 0.350 3 Window C: Wood Frame:Double Pane with Low-E 9 0.350 3 Window F: Wood Frame:Double Pane with Low-E 8 0.350 3 Window F: Wood Frame:Double Pane with Low-E 8 0.350 3 Window F. Wood Frame:Double Pane with Low-E 8 0.350 3 Window E: Wood Frame:Double Pane with Low-E 16 0.350 6 Window E: Wood Frame:Double Pane with Low-E 16 0.350 6 Window C: Wood Frame:Double Pane with Low-E 9 0.350 3 South Wall: Wood Frame, 16" o.c. 1386 21.0 0.0 61 Window L: Wood Frame:Double Pane with Low-E 17 0.350 6 Window A: Wood Frame:Double Pane with Low-E 6 0.350 2 Window A: Wood Frame:Double Pane with Low-E 6 0.350 2 Window U: Wood Frame:Double Pane with Low-E 27 0.350 9 Window M: Wood Frame:Double Pane with Low-E 6 0.350 2 Window M: Wood Frame:Double Pane with Low-E 6 0.350 2 Window Q: Wood Frame:Double Pane with Low-E 14 0.350 5 Garage Door. Solid 72 0.400 29 Garage Door. Solid 72 0.400 29 Man Door. Solid 20 0.400 8 Front Door. Solid 20 0.400 8 Window C: Wood Frame:Double Pane with Low-E 9 0.350 3 Window S: Wood Frame:Double Pane with Low-E 11 0.350 4 Window D: Wood Frame:Double Pane with Low-E 14 0.350 5 Window H: Wood Frame:Double Pane with Low-E 6 0.350 2 Window E: Wood Frame:Double Pane with Low-E 16 0.350 6 East Wall: Wood Frame, 16" o.c. 1009 21.0 0.0 36 Window Q: Wood Frame:Double Pane with Low-E 14 0.350 5 Window R: Wood Frame:Double Pane with Low-E 20 0.350 7 Window Q: Wood Frame:Double Pane with Low-E 14 0.350 5 Window D: Wood Frame:Double Pane with Low-E 14 0.350 5 Window D: Wood Frame:Double Pane with Low-E 14 0.350 5 Door D2: Glass 40 0.350 14 Window H: Wood Frame:Double Pane with Low-E 6 0.350 2 Window E: Wood Frame:Double Pane with Low-E 16 0.350 6 Window K: Wood Frame:Double Pane with Low-E 8 0.350 3 Window J: Wood Frame:Double Pane with Low-E 23 0.350 8 Window H: Wood Frame:Double Pane with Low-E 6 0.350 2 Window E: Wood Frame:Double Pane w7th Low-E 16 0.350 6 Window A: Wood Frame:Double Pane with Low-E 6 0.350 2 Window B: Wood Frame:Double Pane with Low E 12 0.350 4 Window A. Wood Frame:Double Pane with Low-E 6 0.350 2 Door D2: Glass 40 0.290 12 Door D4: Glass 17 0.290 5 Door D3: Glass 80 0.290 23 Door D4: Glass 17 0.290 5 Basement Wall 4' and 8': Solid Concrete or Masonry 14672 13.0 0.0 1027 Wall height: 8.3' Depth below grade: 5.0' Insulation depth: 8.3' Garage Floor. Slab-On-Grade:Heated 108 10.0 74 Insulation depth:4.0' Boiler 1: Other(Except Gas-Fired Steam), 80 AFUE Air Conditioner 1: Electric Central Air, 10 SEER 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 si ed this page, they are attesting that to the best of his/her knowledge, belief; and professional judgment, such p s speci cations are in compliance with this Code. Builder/Designer Date -OS tiD Act �44 A. P90 N�9 02635 �04� OF RFScheck Inspection Checklist New York State Energy Conservation Construction Code REScheck Soflware Version 3.6 Release 2 DATE: 09/07/05 PROJECT TITLE: Rosen Residence Bldg. Dept. Use Ceilings: [ ] 1. RoofCeiling: Raised or Energy Truss, R-38.0 cavity insulation Comments: Insulation must achieve fall height over the plate lines of exterior walls. Above-Grade Walls: [ ] 1. North Wall: Wood Frame, 16" o.c., R-21.0 cavity insulation Comments: [ ] 2. West Wall: Wood Frame, 16" o.c., R-21.0 cavity insulation Comments: [ ] 3. South Wall: Wood Frame, 16" o.c., R-21.0 cavity insulation Comments: [ ] 4. East Wall: Wood Frame, 16" o.c., R-21.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 4' and 8': Solid Concrete or Masonry, 8.3' ht/5.0'bg/8.3' insul, R-13.0 cavity insulation Comments: Windows: [ ] 1. Window Q: Wood Frame:Double Pane with Low-E, U-fictor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 2. Window T: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-faactors, describe katures: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 3. Window M: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 4. Window P: Wood Frame:Double Pane with Low-E, U-factor 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] I 5. Window A: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe iEatures: #Panes Frame Type Thermal Break? [ ]Yes [ J No Comments: [ ] 6. Window L: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: [ ] 7. Window H: Wood Frame:Double Pane with Low-E, U-factor 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 8. Window E: Wood Frame:Double Pane with Low-E, U-factor 0.350 For windows without labeled U-factors, describe Eatures: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 9. Window S: Wood Frame:Double Pane with Low-E, U-fictor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 10. Window G: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ )No Comments: [ ] 11. Window F: Wood Frame:Double Pane with Low-E, U-factor 0.350 For windows without labeled U-factors, describe Eatures: #Panes Frame Type Thermal Break? [ )Yes [ ]No Comments: [ ] 12. Window C: Wood Frame:Double Pane with Low-E, U-fictor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ )No Comments: [ ] 13. Window C:Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe ieatures: #Panes Frame Type Thermal Break? [ )Yes [ ]No Comments: [ ] 14. Window C: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: [ ] 15. Window C: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 16. Window F: Wood Frame:Double Pane with Low-E, U-factor 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: [ ] 17. Window F: Wood Frame:Double Pane with Low-E, U-factor 0.350 For windows without labeled U-factors, describe features: # Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 18. Window F: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ )Yes [ )No Comments: [ ] 19. Window E: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ) 20. Window E: Wood Frame:Double Pane with Low-E, U-factor 0.350 For windows without labeled U-factors, describe Eatures: #Panes Frame Type Thermal Break? [ ]Yes [ J No Comments: [ ] 21. Window C: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 22. Window L: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 23. Window A: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 24. Window A: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe fatures: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 25. Window U: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 26. Window M: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ J No Comments: [ ] 27. Window M: Wood Fratne:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe katures: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: [ ] 1 28. Window Q: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 29. Window C: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 30. Window S: Wood Frame:Double Pane with Low-E, U-factor 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: [ ] 31. Window D: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ J No Comments: [ ] 32. Window H: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 33. Window E: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 34. Window Q: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 35. Window R: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 36. Window Q: Wood Fran c:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 37. Window D: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe£atures: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 38. Window D: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 39. Window H: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 40. Window E: Wood Frame:Double Pane with Low-E, U-factor 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ )No Comments: [ ] 41. Window K: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-}actors, describe features: #Panes Frame Type Thermal Break? [ J Yes [ ]No Comments: [ ] 42. Window J: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ } 43. Window H: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 44. Window E: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 45. Window A: Wood Frame:Double Pane with Low-E, U-fictor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 46. Window B: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe katures: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 47. Window A: Wood Frame:Double Pane with Low-E, U-factor. 0.350 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ )No Comments: Doors: [ ] 1. Door D1: Glass, U-factor. 0.290 Comments: [ ] ( 2. Garage Door. Solid, U-factor. 0.400 Comments: [ ] 3. Garage Door. Solid, U-fictor. 0.400 Comments: [ ] 4. Man Door. Solid, U-factor 0.400 Comments: [ ] 5. Front Door Solid, U-factor. 0.400 Comments: [ ) 6. Door D2: Glass, U-factor. 0.350 Comments: [ ] 7. Door D2: Glass, U-factor. 0.290 Comments: [ ] 8. Door D4: Glass, U-factor 0.290 Comments: [ ] 9. Door D3: Glass, U-fictor. 0.290 Comments: [ ] 10. Door D4: Glass, U-factor. 0.290 Comments: Floors: [ ] 1. Garage Floor. Slab-On-Grade:Heated, 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 of4.0 it. 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. I Heating and Cooling Equipment: [ ] 1. Boiler 1: Other(Except Gas-Fired Steam), 80 AFUE or higher Make and Model Number [ ] 2. Air Conditioner 1: Electric Central Air, 10 SEER or higher Make and Model Number Air Leakage: [ ] ( Joints, penetrations, and all other such openings in the building envelope that are sources ofair leakage must be sealed. [ ] Recessed lights must be 1)Type IC rated, or 2)installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. If non-IC rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non vented framed ceilings, walls, and floors. Materials Identification: [ ] 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 fur all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values and glazing U-Factors must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ } Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] Supply ducts in unconditioned spaces must be insulated to R-11. [ ] Return ducts in unconditioned spaces (except basements)must be insulated to R- [ ] Return ducts in unconditioned spaces (except basements)must be insulated to R-2.. Insulation is not required on return ducts in basements. Duct Construction: [ ] I All joints, seams, and connections must be securely fastened with welds, gaskets, mastics(adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 181B. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). [ ] The HVAC system must provide a means lDr 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 ofthe 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. i 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 IF or chilled iiuids below 55 T must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Rater Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature( F) U12 to " Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Ranee(F) 2" Runouts 1" and Less 1.25"to 2" " 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((or 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)