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2004-133 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20040133 Date Issued: Wednesday, October 06, 2004 This is to certify that work requested to be done as shown by Permit Number P20040133 has been completed. Tax Map Number. 523400-308-018-0002-038-000-0000 Location: 4 KIMBERLY Ln Owner. PETER WEIDMAN Applicant: WEIDMAN, PETER This structure maybe occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Attached Single Family Dwellingp ,,�// \y/jJJ[/�f T 0y; ry 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: P20040133 Application Number: A20040133 Tax Map No: 523400-308-018-0002-038-000-0000 Permission is hereby granted to: MC;DONALD ROBERT For property located at: K VIBERLY Ln 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: MC DONALD ROBERT 593 CORINTH Rd Fireplace GarUEENSBURY - Sing -2 ily s Attachgd Q � NY 128040000 Sin le Famil Dwellin $225,000.00 Total Value $225,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-133 1882 SQ FT SINGLE FAMILY DWELLING $283.56 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 06, 2005 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Top eensty; es ay,April;06, 2004 SIGNED BY > ' - for the Town of Queensbury. Director of Building Code forcement 'NECEIVED Project Name: ��Y , �N �(�l►�n r�-�Iblq,� 0 . BP#TOWN Address: wN QF QVE SVRY 8U1`DINQ ENS /AND QpDE Building Penn it Submission S D Checklist 2-Family All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of QueensburyBuilding Department. If any of the below items are lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed ..................... ................ 9dyes ❑no ❑n/a 2. EnergyForm or CheckMate Energy Code Compliance Forms Complete.. Ono ❑n/a (2 copies) 3. EnergyCode Ins ectoes Report from CheckMate Program...... ......... .. / ❑no ❑n/a (2 copies) 4. Septic application completely filled out(if applicable)............ ...... ... ... []dyes ❑no ❑n/a 5. Solid Fuel Burning or Gas Appliance Form... ... ... ... ... .. .Oyes Ono On/a 6. Electrical Inspection Form...... ... ... ............................................. [Dy s Ono On/a 7. Two(2)complete sets of structural drawings..... ...... ......... ... ...... ... ... . El� Ono On/a a) floor plan;b)foundation plan;c)cross sections:d)elevations; e)window and door schedule 8. Two(2)site plans showing location of the structure to be built,...... ... ... 0Y Ono On/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new structure......... ... ............... ... .. Q Ono ❑n/a 10. Setbacks to neighboring wells and septic systems,including onsite well.... E)yes Ono ( n/a and septic systems (if applicable) 11. DrivewayPermit... ...... ...... ... ... ... ... ... ... ...... ......... ............ ...... ❑yes ❑n o On/a Date: i Staff Initial: L:\SueHemingway\Bad g.Pern-[FORMS\Generic Checkhst.doc January 28,2003 Check Residential Plan Review: One&Two Family Dwellings YIN/NIA / )FulI sets of plans Over 1,500 sq.fi.—Stamped Design Loads On Plans:90 Wind Floor Loads 40 psf 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: inflow 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 Dampproofing/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 71,Stairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise y� Winder Run and Rise Spiral Not Allowed From 2 Story woke 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. afety Glazing Notes For Required Areas Garage Fire Separation Garage Floor Sloped Attic Access Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access Carbon Monoxide Detector Lowest Sleeping Level Soil Test Results,if required Septic To Well Or Water Line Separation All Paperwork Signed Building Permit Application Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beg' e , tic . ermit File No. 3 No inspection will be made until applicant has-received ail Fee pad $ c�S valid building permit. All applicants' spaces on this Rec.Fee Paid $ application must be.completed and must appq,' n tBhe0 2004 Reviewed By: application form. 1 TOWN OF QUEEN,I qtSBURY P- :� �J.�CP��-�- 06)9 Applicant: B I!!�?ll�4fV l�i1l ; C�o PIS t l- Address: a,3 • ems-a'.n Or 3 j e- O LA-9— �0 `�• h/ Phone#(�/0) 7qg-.3 0-�Zf� Phone#( 1)79 8 Property Location: Lot Number: / House Number / Subdivision Name: so F- os u� -e- Tax Map Number: 33 0 6 E c'i New Building: residcommercial 'Estimated Market Value of Construction: $ a2, 0 0 v Addition: residence/ commercial If an Addition,what will use of new addition be? o Alteration: residence/ commercial O No change to exterior size: residence/com'1 cl Other work(describe ) Check OCCupancyluformation 1' Floor 2° Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling 0 o Two family dwellingg a Townhouse o Multifamily dwelling #of units o Office o Mercantile o Manufacturin a 1 car detached garage 0 2 car detached garage 0 3 car detached garage 0 I car attached garage 2 oar attached garage 0 3 car attached garage o Storage building- commercial a Storage building- resideutial ® Other What is the proposed height of the structure 3 0 feet inches Will any second-hand or ungraded lumber be used? If so,for what? I-1 0 Type of Heating System: electric/ oil ( gas wood / orced hot air baseboard/other: Number of F'trenlaW to be installed Number of Woodstoya to be installed List below the person(s)responsible for supervision of work as regards to building codes: r Name Address Phone Number Builder 7 y Plumber sti Mason Electrician 77 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 Uwe shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator ork>irector of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all ew ens ('on. Signature: wner's agent,architec contractor Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY 18)761-8205 Application for Fuel Burni & Chimneys applicable to solid fuejA#ented"gasliances �` 200 Date �c h, , 20, TOWN OF 01'� 4 Permit No. `f l �ltvp R1r Application is hereby made to the Building&Co es 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: Pe�r►� Stove: wood coal pellet gas Fireplace insert Address: rc. P�PL a ac Fireplace, factory-built: wood gas tv Fireplace,.masonry: wood gas Furnace: wood gas oil Phone: 7 9 0-3 9L')S If non-masonary applicance,please provide Owner: o Manufacturer Name: Address: Model Number: Chimney Information Phone: (circle appropriate words) Masonry block brick stone U Flue tile steel size: inches Exact Address: fi i•rb��/ L�r�+y of construction orlinstallation Factory-Built Manufacturer name: Model Number: Note: Listed By: Number: Construction!Installation must con fionn to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting Chimney Liner ItJasrb�fex-'ter Depart�er�t—To�rr.�a of Quea��,bu�c'Y,N�a�-7[�orl� I Fire Marshal Code# $Collected $Refunded eceived from(refs nded to)e address: _ A 173 3389 (190) Public Safety A 233 2655 (230)Mi or Sal s DATE: White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink Goldenrod(Cashier's Dept.) Fire Marshal's Office 'Town of Queensbury,742 Bay Road,Queenshury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date Al ,p, ,;, !,; , 20 d_ Permit.No. f3 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 tc*tfbrns required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: V , ,IA I'C�..-c m r�U. _ Stove: wood coal pellet gas Fireplace insert Address: -��_� ,, .�>.� ('�'.�, ��> > ; , Fireplace, factory-built: wood gas - Fireplace,-.masonry: wood gas Furnace: wood gas oil Phone: = If non-masonary applicance, please provide. Owner: d.` Yr,-:_ Manufacturer Name:. Address: Model Number: Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile steel size inches Exact Address: L,4 0x „a of construction or installation Factory-Built Manufacturer name: Model Number: Note: Listed By: Number: Construction Hnstallation must cotx orm to NYS Fire Prevention &Building Indicate (circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple hall ! Insulated / Direct venting Chnnney Liner Ca,�thier'�®r Dep�rtme��—Z'oir�Y :of Q:ace��erbury, 1V'e�-Yoz-li: Fire Marshal Code# $Collected $Refimded Received from(ref vided to)f 7" i„+ � i' A 173 3389 (190) Public Safety A 233 2655 (230)Migor Sales _ M%x r`f DATE: --t .,—�r. ��f a• � �' f ' _ l F y ri ivz��t— /oww 6"'02 D.P_555 White(Applicant) / Green(Fire Marshal) ! Yellow(Bldg. Dept.) / .Pink K Goldenrod(Cashier's Dept.) n u Fire Marshal Town of Quee sb ry 742 Day Road Queensbury,NY 12804 761-8205/761-8206 5-4437 Facto milt Gas F e lace I 5tove Ins ection Mort 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 manufacture instructions or specifications is allowed. Permit# (c� d — Schedule Inspection �° S Tune c) am iai anytime Inspect c Name l V�� Address ea- __—_�_—__ Rough In inalK-� Appliance Manufacturer. Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulatcd ---�-� Yes No N/A Comments Floor Protection r Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above goof 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 Operations Tank Placement of LP) White—Building Dept,. _ —_ _ Yellow Cost er Pink—Fire Marshal Application for Permit=Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: �` ............... Offi a 1 s.��. ...................................... r1 Location of installation: y 0 '1'� b �) `} File Permit No.f/ C- Tax Map No. �/ / 3 2004 TOwiv CP �� /� i�rn �� Fee Paid t:;�r Owner's Name: �r�ti� ..... ...... .. -�'-Jrrti��:'�i;�j jrR�' .... ............ .................................. ............. ... ...... Address: P,3 8a,,An Qrc0L- Vlc- I-DFD`l 2. INSTALLER'S NAME PHONE NO. 7?3- 3 7 0 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980— 1991 x 130 gal/bdrm = 1991—present 3 x 110 gal/bdrm = 3�i Garbage Grinder Installed yes, / no Spa or Hot Tub Installed yes_ ./ no 4.' PARCEL INFORMATION: (circle applicable information&indicate measurements) aphy S '1 Nature Ground Water Bedrock or Im ervious Material DQmestiz Water Supply sand _ at what depth at what depth munici al Rolling oam feet feet well Steep slope clay if well; water supply slope other from any septic-system depth. absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: Oo o gallon(min. size 1,000 gal) Tile Field: each trench 3-5 ft. Total System Length: % Y d Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: #_�_ / depth or thickness l feet Bed System Size: L( x 3 J Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons l 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. E' j _ 2f , o ignature of responsible person Date ' , ' `�I�gtVtt l)r t�ttt;t?lt��)tlt•a► ' 5etvcr:l :uul Sc;tvstj;c: Disposal t:hapter. . �I)Irrtltlix t: 1 FIELD D ' SI:I ARA,'I'IO N ItI;t,Zt•)RIPM114I NTS ' � h POND 1 l Mar. t 1 Ole I 1Y+ t ��'~ Tom. t ia��tt�:�tflr•t1 . (v'" A�Yrc�tt'tx12 1 + I. SMNATURB &INFORIviATIC)Ig is � vt°► usL r. � :,o o.,e,..,.� - - -- -- -. _ M e Septic Inspection Report Office No. (518)761-8256 Date Inspection r uest 1rc ive . Queensbury Building&Code Enforcement Arrive: am/ part: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's I lti � NAME: uk)F 1 n t_-t gf�) RMIT NO.: LOCATION: LA V, t t R��$i t �i� SPECT ON: .—OA RECHECK: Comments and/or diagram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y Nj ��-�- Location of System on Property: Front Rear Left Side Right Side Middle Front iddle Rear System Use St s• Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved LASueHemingway\Building.Codes.Inspection.FORMS1Septic Inspection Report.doc January 28,2003 I �t �I 7 ,91 119 ZU a Residential Final Inspection Office No. (518) 761-8256 Date Inspection re st cei Queensbury Building&Code Enforcement Arrive: m/p art: a pm D 742 Bay Rd., Queensbury.., lNY 12804 Inspector's Initi NAME: � :Wz �-� ;�T#: c2Aa)l-/3 3 LOCATION: ,� i7ATE: r� TYPE OF STRUCTURE: a Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location �r Fresh Air Intake °l 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/regulator 18"above ade 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 stainvells s fety glazing Interior Smoke Dete ors: / Every level: V / E}}''ery Bedroom: ✓ / Outside every bedroorn ea: J / 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/a 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 s . ft.-150 s . 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 I 0(Cert. Of Occupancy) Okay to issue Permanent C/0(Cert. Of Occupancy) L:\SueHeniingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003 Dough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection requ t recei e : Queensbury Building& Code Enforcement Arrive: am/pm rt: = a p 742 Bay Road, Queensbury,NY 12804 Inspector's Init NAME: 2 G� PERMIT #: Oq-13�5 LOCATION: �, INSPECT ON: — — TYPE OF STRUCTURh: CS Y N N/A PVC: R-1,R-2, R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/ Comm. ---- Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min. Drain Size _ Washing Machine Drain 2 inch min. Head or Air Supply Test i Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes N Cleanout every 100 feet/change of direction �� J '�iL- . Water Supply Piping �l Co per Commercial oo er, CPVC,Pex One and Two-Family nsulation/Residential Check/ Commercial Check Proper Vent, Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air S!!pply for Furnace Duct work sealed properly/No duct tape COMMENTS: LASueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Rough Plumbing / Insulation Inspection Report c�,1 , Office No. (518) 761-8256 Date Inspection request received: 2, fd Queensbury Building& Code Enforcement Arrive: am/ m Depart: am/pm 742.Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: \-0eC9- lVVn PERMIT #: N 1 33 LOCATION: Q ` �,, � INSPECT ON: -l -U Zj� TYPE OF STRUC URE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/ Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min. Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test �-2D Drain and Vents 5 PSI or 10 feet above highest � �� F ^►� connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial �S r Cooper, CPVC,Pex One and Two-Family �� Insulation/Residential Check/Commercial Check _ Pro erVent,Attic Vent —®< Duct/Hot Water Piping Insulation - ' If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape OMMENTS: V/C IZC-747110 (Z LASueHemingway\Building.Codes.Inspection.FORM S\Rough Plumbing Insulation Report.doc November 17,2003 1 i Rough Plumbing / Insulation Inspection Report, Office No. (51 8) 761-8256 Date Inspection request received: �-�---�-- �v Queensbury Building& Code Enforcement Axrive: am/pmA am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME. '��it/1/1 PERMIT #: LOCATION: INSPECT ON: D TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. PlumbingVent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min. Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial Cooper, CPVC,Pex One and Two-Family sulation/Residential Check/ Commercial Check N Proper er Vent,Attic Vent Fo2 Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air SMply for Furnace uct work sealed ro erl /No duct tape COMMENTS: WIC -D L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-82051761-8206 / fax 745-4437 Factory Built Gas Fireplace/Stove In'spectign Renort Notice:New Fork 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 time manufacturer's ? instructions or specifications is allowed. Permit _ 3 cliedule Inspection Qq,Time_ am pin anytime Inspector, Name Z TIAANA Address 1 I A Rough In✓ Final_ Appliance Manufacturer �/�'�'�" �-d —Model#/ Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase _ Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if Zany) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept. _� —�� Fellow Cust ter Pink—Fire Marshal Framing / Firestopping Ins ection Report P p Office No. (518) 761-8256 Date Inspection request received: Queensbury Building-&Code Enforcement Arrive: am/ part.. i am/pm., 742 BayRoad, u T'��-o , Q eensbury, NY 12804 Inspe to s Initials: NAME: / PERMIT#: v '` �3 LOCATION: INSPECT ON: — TYPE OF STRUCTURE: Y N N/A F ming COMMENTS. _ _ __ Jack Studs/Headers (,:S L� D� IJ G Bracing/Bridging lAf5✓f�L C Joist hangers N I� Jack Posts/Main Beams C(A a66jk Exterior sheeting nailed properly �( 12 O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Atzoc ' Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 4:w 1 %2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts Bolts 6 ft. or less on center G Ice and snow shield 24 inches from wallL- Fire separation 1, 2, 3 hour Ire wall 2, 3, 4 hour Firestopping_ Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side '/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/.-below grade 5.0 sf grade LASueHemin-.way\Bul Id ing.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ D part: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials2pz ��\ m ,133 NAME: CJ �� .- PERMIT #: `� LOCATION: INSPECT ON: — TYPE OF STRUC Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plum ' Vent/Vents in Place \,Ro'-ugh Plumbing/Nail Plates 1 % inch min.Drain Size )Yashing Machine Drain 2 inch min. Head or-Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial Cooper,CPVC,Pex One and Two-Family Insulation/Residential Check/ Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: i L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November]7,2003 Septic Inspection Report Office No. (518) 761-8256 Date Inspection requ t eOart: Queensbury Building&Code Enforcement Arrive: 'D, a p I(b air d 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: — r IT NO.: l a c�A — I LOCATION: LA �qa�F I Sp ON: RECHECK: Comments and/or diagram Soil T a am/Clay Type of Water: unici /Well Water Waterline separation istance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type , uilding to tank '1 Tank to Distribution Box Distribution Box to Field/Pit ening Sealed: Y/N/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft Conforms as per Plot Plan Y N Location of System on Property: Front Rear Left Side Right Side fiddle Fr dle ar System Use Status: proved artial Approved and needs to be re-inspected,please call the Building&Codes Office isapproved L:\SueHenvngwayU3uilding.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Septic Inspection Report Office No. (518)761-8256 Date Inspection req st r e' ed Queensbury Building& Code Enforcement Arrive: a pm a art: pm 742 Bay Rd., Queensbury,NY 12804 l Inspector's Initial : 2 NAME: l.�J�L CJ C} PE �IT NO.: v/>'(— J 3 3 LOCATION: LV IN PECT ON: RECHECK: �� Comments and/or diagram Soil T Sand am/ la Type of nicip,#rWell Water Waterline separ tiol nce ft. Well separation1-stance ft. Other wells: ft. Absorption Field: Total length 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/Pi Opening Sealed: Y/N/ a'ia Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft Conforms as per Plot Plan Y N Location of System on Property: `IA Front Rear Left Side Right Side K�eCD 170 bKz- Middle Front fiddle Rear System Use Stat s: Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:''SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 l�Framing /Firestopping Inspection Re ort Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ epart: am/pm 742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials:s ay �J NAME: �� M/�\ PERMIT#: ( . LOCATION: �� %1\ INSPECT ON: TYPE OF STRUCTURE: Q� Y N 'N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2(w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft, floor trusses Anchor Its 6 ft. or less on center and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min, Garage Fire Separation House side %inch or 518 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 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#: �� LOCATION: DATE: 0 _ TYPE OF STRUCTUR : `J Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location - Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Ll l Guard 30 in. or more @ stairs,decks,patios ` Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in. to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %Z" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft.or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 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: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss, draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/'/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in,x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents Building No./Address visible from road Final Electrical Site P /Variance required al Survey Plot Plan - As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent L:\PamW\Building&CodesUnspection Forms\Res. Final Insn. form 2.docLast printed 2/12/04 Lj Foundation Inspection Report Office No. (518)761-8256 Date Inspection request cer ed: Queensbury Building&Code Enforcement Arrive: am/pm Depart: a 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials , NAME: ��✓ -r�-�-�-�, PERMIT#: LOCATION: Cv�v�es N(G 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. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6�ni1 . for wet areas under slab ckfill Approv Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003 3d `l a Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depart: m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: {� NAME: Tc�\ PERMIT#: 3 Zj / 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. M als for this purpose on site. undation/Wallp our Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation In spection Repoi Office No. (518) 761-8256 Date Inspection r ues rdc v Queensbury Building&Code Enforcement ive: am/prt Depart: a m 742 Bay Rd., Queensbuiy,NY 1280 \, �_ e o 's Iiiiti / NAME: RMIT#: 2-c) 3 LOCATION: INSPECT ON: _ >L� TYPE OF STRUCTURE: Comments Y N N/A Footings Wo" s nolithic Slab Reinforcement in Place V. The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003 i j' MAR. : ® 2004 TOWN OF f� QUEEN;BURY ' L BUILDIN I G ND CODE D cd y0�---- F .1> 1 i 43 Cl01 C� sit W "I have sea; or nhseryrj,_�r�a!e1�2-S saver tivE�ence ot;_ r al :;elect:} sr!ch as houses; tiuells, trees, 117ances, etc., shovvi) on ihis du..uni—z"nt. I a!s£} represent that I have pers m ally lneasu ed the distances set firth on the dlegram." SIGNATURE DATE f S TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 518-761-8201. February 26, 1997 Mr. and Mrs. John Potter 48 Boulevard 'Queensbury, NY 12804 Dear Mr. and Mrs. Potter: In regard to your property on the corner of Fox Road and Hunter Lane, Tax Map No. 26-5=29, I have determined the following: 1. This parcel was part of the Cherry Ridge subdivision, approved by the Town . of Queensbury Planning Board in 1970. 2. The, approval predates the Adirondack Park Agency, the Critical Environmental Area (CEA) , and the Land Conservation 42-acre zoning now in place in this area. 3. Two paragraphs of Zoning Ordinance Section 179-76, General Exceptions, could apply to your property B. states that " . . .nonconforming lots of record which are located within`Planning Board approved subdivisions. shall be considered as complying with the setback requirements 'bf this chapter if the setback requirements applicable at the time of this subdivision was approved are met. " E. "Development of nonconforming lots in a critical environmental area and/or the Adirondack Park shall be in. accordance with the minimum yar`dsetback, lot width; permeability, and building height°, equirements,. a6 set forth by this chapter. . . . "It is my determination that paragraph B applies t, your property, superseding paragraph E, which I'believe�Would apply only to nonconforming lots outside of\an appr?owed subdivision. X 4. The 1970. Cherry Ridge approval required a 35' setback on�� the front, 30' rear setback, plus a minimum of 5;/ ,ot, I � of 15' for side setbacks . You have indicated that-the house would be facing southwest on the lot, TAT' the architectural front of the house angled about 30-de grees from Fox Road, making this the front yard�ather than 4 "HOME OF NATURAL BEAUTY. . .A GOOD PLACE TO LIVE" Corr cn 1 7co Hunter Lane. Section-179-30 l,-wh ch requires front yard setbacks--onboth roads for a--corner lot, -was not-enacted-- until__-199=2,---so w=o ---d.not apply- to the setbacks for_y_our_1 lot_,-_although it would--apply-to-uses. In consideration of the above, you do not need a variance in order to utilize your property as a•building lot as long as you can .meet the setbacks described above. Please include a copy of this letter when you submit your building permit application. Copies of the Zoning Ordinance and .1967 Zoning Map and requirements are enclosed for your information. Sincerely, G / ((( T- es . Martin, AICP Director Community Development JM/sc/pw � r R-E C O VE r)11) 04 ierni"t ;Tciin erUENSBUR)F "NO CODE REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSofiware Version 3.5 Release Id Data filename:C:\Program Files\Check\REScheck\B=vfq .mrResidence.rck LN J�C\yyL PROJECT --- PROJECT TITLE:Brooks-Legnard Residence COUNTY:Warren STATE:New York HDD: 7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric R DATE: 02/02/04 DATE OF PLANS:2/2/04 DESIGNER/CONTRACTOR: Peter Weidman Construction Dreamscapes Unlimited COMPLIANCE:Passes Maximum UA=558 Your Home UA=405 27.4%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1281 38.0 0.0 38 Skylight 1:Wood Frame:Double Pane with Low-E 4 0.340 1 Wall 1:Wood Frame, 16" o.c. 165 13.0 7.0 -7 Window 1:Wood Frame:Double Pane with Low-E 11 0.320 4 Window 2:Wood Frame:Double Pane with Low-E 16 0.320 5 Window 3:Wood Frame:Double Pane with Low-E 11 0.320 .4 Wall 2:Wood Frame, 16" o.c. 23 13.0 7.0 1 Wall 3:Wood Frame, 16" o.c. 61 13.0 7.0 1 Door 1:Solid 36 0.400 14 Wall 4:Wood Frame, 16" o.c. 60 13.0 7.0 4 Wall 5:Wood Frame, 16" o.c. 23 13.0 7.0 1 Wall 6:Wood Frame, 16" o.c. 15 13.0 7.0 1 Wall 7:Wood Frame, 16"o.c. 78 13.0 7.0 3 Window 4:Wood Frame:Double Pane with Low-E 26 0.320 8 Wall 8:Wood Frame, 16" o.c. 15 13.0 7.0 1 Wall 9:Wood Frame, 16" o.c. 23 13.0 7.0 1 Wall 10:Wood Frame, 16" o.c. 124 13.0 7.0 7 Wall 11:Wood Frame, 16" o.c. 129 13.0 7.0 7 Door 2:Solid 18 0.400 7 Wall 12:Wood Frame, 16" o.c. 94 13.0 7.0 6 Wall 13:Wood Frame, 16" o.c. 129 13.0 7.0 7 Window 5:Wood Frame:Double Pane with Low-E 8 0.320 3 Window 6:Wood Frame:Double Pane with Low-E 8 0.320 3 Wall 14:Wood Frame, 16" o.c. 58 13.0 7.0 3 Window 7:Wood Frame:Double Pane with Low-E 9 0.320 3 Wall 15:Wood Frame, 16" o.c. 84 13.0 7.0 4 Window 8:Wood Frame:Double Pane with Low-E 9 0.320 3 Wall 16:Wood Frame, 16"o.c. 35 13.0 7.0 1 Window 9:Wood Frame:Double Pane with Low-E 11 0.320 4 Wall 17:Wood Frame, 16" o.c. 55 13.0 7.0 2 Window 10:Wood Frame:Double Pane with Low-E 17 0.320 5 Wall 18:Wood Frame, 16"o.c. 35 13.0 7.0 1 Window 11:Wood Frame:Double Pane with Low-E 11 0.320 4 Wall 19:Wood.Frame, 16" o.c. 161 13.0 7.0 6 Window 12:Wood Frame:Double Pane with Low-E 61 0.320 20 Wall 20:Wood Frame, 16"o.c. 268 13.0 7.0 15 Window 13:Wood Frame:Double Pane with Low-E 11' 0.320 4 Window 14:Wood Frame:Double Pane with Low-E 11 0.320 4 Wall 21:Wood Frame, 16"o.c. 58 13.0 7.0 3 Wall 22:Wood Frame, 16"o.c. 54 13.0 7.0 3 Wall 23:Wood Frame, 16" o.c. 111 13.0 7.0 5 Window 15:Wood Frame:Double Pane with Low-E 20 0.320 6 Wall 24:Wood Frame, 16"o.c. 54 13.0 7.0 3 Wall 25:Wood Frame, 16"o.c. 202 13.0 7.0 12 Wall 26:Wood Frame, 16"o.c., 157 13.0 7.0 9 Window 16:Wood Frame:Double Pane with Low-E 7 0.320 2 Wall 27:Wood Frame, 16"o.c. 202 13.0 7.0 10 Window 17:Wood Frame:Double Pane with Low-E 12 0.320 4 Window 18:Wood Frame:Double Pane with Low-E 24 0.320 8 Wall 28:Wood Frame, 16" o.c. 34 13.0 7.0 2 Wall 29:Wood Frame, 16"o.c. 169 13.0 7.0 9 Window 19: Metal Frame with Thermal Break:Double Pane with Low-E 24 0.320 8 Wall 30:Wood Frame, 16" o.c. 195 13.0 0.0 16 Basement Wall 1: Solid Concrete or Masonry 842 11.0 0.0 55 Wall height: 8.5' Depth below grade: 7.5' Insulation depth:7.5' Basement Wall 2: Solid Concrete or Masonry 420 11.0 0.0 27 Wall height:7.8' Depth below grade: 6.7' Insulation depth:7.8' Floor 1:All-Wood JoistlTruss:Over Unconditioned Space 289 30.0 0.0 10 Furnace 1:Forced Hot Air,92 AFUE COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in co fiance vyith this Code. Builder/Designer Date 2 Q � a�07204�) �� REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release ld DATE: 02/02/04 PROJECT TITLE:Brooks-Legnard Residence Bldg. 'Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16"o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 2. Wall 2:Wood Frame, 16"o.c.,R-13.0 cavity+R-7.0 continuous insulation �. Comments: [ ] 3. Wall 3:Wood Frame, 16"o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 4. Wall 4:Wood Frame, 16"o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 5. Wall 5:Wood Frame, 16" o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 6. Wall 6:Wood Frame, 16" o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 7. Wall 7:Wood Frame, 16"o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 8. Wall 8:Wood Frame, 16"o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 9. Wall 9:Wood Frame, 16"o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 10. Wall 10:Wood Frame, 16" o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 11. Wall 11:Wood Frame, 16" o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 12. Wall 12:Wood Frame, 16" o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 13. Wall 13:Wood Frame, 16" o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 14. Wall 14:Wood Frame, 16"o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 15. Wall 15:Wood Frame, 16" o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 16. Wall 16:Wood Frame, 16" o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 17. Wall 17:Wood Frame, 16" o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 18. Wall 18:Wood Frame, 16" o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 19. Wall 19:Wood Frame, 16" o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 20. Wall20:Wood Frame, 16" o.c.,R-13.0 cavity+'R-7.0 continuous insulation Comments: ] 21. Wall 21:Wood Frame, 16" o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 22. Wall 22:Wood Frame, 16" o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 23. Wall 23:Wood Frame, 16"o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 24. Wall 24:Wood Frame, 16" o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 25. Wall 25:Wood Frame, 16" o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 26. Wall 26:Wood Frame, 16" o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 27. Wall 27:Wood Frame, 16"o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 28. Wall 28:Wood Frame, 16" o.c.,R-13.0 cavity+k-7.0 continuous insulation" Comments: [ ] 29. Wall 29:Wood Frame, 16" o.c.,R-13.0 cavity+R-7.0 continuous insulation Comments: [ ] 30. Wall 30:Wood Frame, 16" o.c.,R-13.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry, 8.5'ht/7.5'bg/7.5'insul, R-11.0 cavity insulation Comments: [ ] 2. Basement Wall 2: Solid Concrete or Masonry,7.8'ht/6.7'bg/7.8'insul, R-11.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]"Yes[ ]No Comments: [ ] 2. Window 2:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 3. Window 3:Wood Frame:Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 4. Window 4:Wood Frame:Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 5. Window 5:Wood Frame:Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 6. Window 6:Wood Frame:Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 7. Window 7:Wood Frame:Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 8. Window 8:Wood Frame:Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ` ]No Comments: [ ]. 9. Window 9:Wood Frame:Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 10. Window 10:Wood Frame:Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 11. Window 11:Wood Frame:Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 12. Window 12:Wood Frame:Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 13. Window 13:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 14. Window.14:Wood Frame:Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors;describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 15. Window 15:Wood Frame:Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 16. Window 16:Wood Frame:Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 17. Window 17:Wood Frame:Double Pane with Low-E,U-factor: 0.320 r For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 18. Window 18:Wood Frame:Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: ` #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 19. Window 19:Metal Frame with Thermal Break:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: Skylights: [ ] 1. Skylight 1:Wood Frame:Double Pane with Low-E,U-factor: 0.340 For skylights without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: Doors: [ ] 1. Door 1: Solid,U-factor: 0.400 Comments: [ ] 2. Door 2: Solid,U-factor: 0.400 Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air,92 AFUE or higher Make and Model Number Air Leakage: a [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials.If nori-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 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. j ] 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 unithas 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. 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 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in,Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(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)