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
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' SI:I ARA,'I'IO N ItI;t,Zt•)RIPM114I NTS '
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POND
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Mar.
t 1 Ole I 1Y+ t
��'~ Tom. t ia���tt�:�tflr•t1
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I. SMNATURB &INFORIviATIC)Ig is � vt°► usL r. � :,o o.,e,..,.� - - -- -- -. _
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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
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7
,91
119 ZU
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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)