2004-176 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OFOCCUPANCY
Permit Number. P20040176 Date Issued: Monday, March 05, 2007
This is to certify that work requested to be done as shown by Permit Number P20040176
has been completed.
Tax Map Number. 523400-227-017-0002-010-000-0000
Location: 100 SEELYE Rd
Owner. ROBERT & ANDREW MARRA
Applicant ROBERT &ANDREW MARRA
This structure maybe occupied as a:
Fireplace By Order of Town Board
Garage - 2 Cars Detached TOWN OF QUEENSBURY
Single Family Dwelling
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, v
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040176 Application Number: A20040176
Tat Map No: 523400-227-017-0002-010-000-0000
Permission is hereby granted to: ROBERT Sc ANDREW MARRA
For property located at: 100 SEELEY Rd
in the Town of Queensbury, to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. i Tyne of Construction Value
Owner Address: ROBERT & ANDREW MARRA
14 CHESTER St Fireplace
Gage-2 Cars Detached
SCHENEDTADY NY 12304-0000 Single FamilDwelling $175,000.00
Total Value $175,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-176
2231 SQ FT SINGLE FAMILY DWELLING
$339.72 PERMIT FEE PAID -THIS PERMIT EXPIRES: Sunday, Apri123 2006�
(If a longer period is required,an application for an extension must be made to the code n orcemeht=Officer --�
of the Town of Queensbury before the expiration date.)
Dated at the own Quee s ; r' ay,April 23, 2004
SIGNED BY for the Town of ueensbu
Q n.'
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: P20040176 Application Number: A20040176
Tax Map No: 523400-227-017=0002-010-000-0000
Permission is hereby granted to: ROBERT & ANDREW MARRA
Fox property located at: 100 SEELEY Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: ROBERT & ANDREW MARRA
14 CHESTER St GaragFireplace
SCBENEDTADY NY 12304-0000 Single -2 Cars Famil Detached
Single $175,000.00
Total Value $175,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-176
2231 SQ FT SINGLE FAMILY DWELLING
$339.72 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,April 23,2005
(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 Town of Queensbury; Friday,April 23, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Project Name:./ z BP#h, r
Address: /4 CJ rZ
RuMing Permit Submission SF]D
Checklist 2-Family
All iiems below must be checked either yes,no or not applicable prior to submission of any building
permit to the Town of QueensburyBuildiug Department. If any of the Wow items are lacking,the permit
will not be accepted until such bate as the application is deemed complete for submission.
1. Budding Permit Application Completed .................................. lam' ❑no ❑n/a
2. EnergyForm or Checkmate Energy Code Compliance Forms Complete Ono ❑n/a
(2 copies)
3. Energy Gode Inspector's Report from Checkmate Program...... ...... IB yew s Q no Q n/a 1
(2 copies)
4. Septic application completely filled out(if applicable)........................ yes Q no ❑n/a
5. Solid Fuel Burning or Gas Appliance Fort... ..........................:... .... Ono. On/a
6. Electrical Inspection Form... ...... Dyes Ono O
7. Two(2)complete sets of structural drawings... 0 s�Elno Qn/a
a)floorplan;b)foundation plan;c)cross sections:d)elevations;
e)window and door schedule
S. Two(2)site plans showing location of the structure to be built............. Qy5 es Ono On/a
location of well or water lines,location of septic system or sewer fine.
9. Setback from propertylines to new structure................................ Ono On/a
1o. Setbacks to neighboring wells and septic systems,including onsite well..._ Byes Ono Oda
and septic systems(if applicable)
11. DnvewayPeinit............................................................... ... : -Yes ❑ao On/a
Date: b
Staff Initial:
L:\Suet-emingNra}\$ugd[agTernutFOr\MS\Generic Clieckkt_doc January28,2003
Check Residential Plan Review: One& Two Family Dwellings
Y/N/N/A
(2)Full sets of plans
Over 1,500 sq.ft.—Stamped.
/ Design Loads On Plans: 90 Wind Floor Loads 40 psf
d 70 Ground Snow Load Sleeping Areas and.Attics 30 psf
Calculations:
Window Schedule With Glass Size
Door Schedule/Main Entrance 36"Door
Emergency Escape Or Bedrooms and Habitable Space
Above/Below grade,5.7 sq.ft.
Grade,5.0 sq.ft.
24"(h)x 20 (w)min.
44"Max.Height above floor
Residential Check Paperwork Compliance and Inspectors Checklist: OK
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
V Required
Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls
Platforms At Exterior Doors
Stairway Headroom 6' 8'All Stairs 36"Width
Stair Run and Rise
Winder Run and Rise
Spiral Not Allowed From 2n Story
Smoke Detectors Battery Backup and Proper Location
Bathroom Fixtures.Proper Clearance
Hall Width,.36"min.
Handrails More Than One Riser On Open Sides
Railing and Guards>30"/Basement Stairs Included/Closed.Risers More Than 4"in Ht.
Safety Glazing Notes For Required Areas
Garage Fire Separation
Garage Floor Sloped
Attic Access
v Roof over 30"=22"x 30"/Crawl Spaces 18"x 24"Access
/ Carbon Monoxide Detector Lowest Sleeping Level
Y Soil Test Results,if required
Septic To Well Or Water Line Separation
All Paperwork Signed
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,l..Y'
(518)761-8208
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances ,
Date," , 20 Permit No. t..�
Application is hereby made to the Building& Codes Office for the issuance of a Building and Use
Permit pursuant to the New York Slate Fire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that ar(,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)
Stove: wood coal pellet .,gas
Name:
Fireplace insert
f' { - :Fire lace, factor -built.) wood as
Address: ;.�� rW.. �� , .. , : ,;. -� --- p Y- g
Fireplace,'4baso6ry: wood gas
Furnace: wood gas oil
Phone:
If non-masonary applicance, please provide
%Y
facturer Name:
Owner: Manu
Address: Model Number:
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
Flue the steel size: inches
Exact Address:
of construction or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction/Installation must
cora. orm to NYS Fire Prevention &Building Ifidicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting
Chimney Liner
� Ca�erh�er'�sr.Department--To�r�of Queen�rbuz-y, 3�Te�Your-�:— —
Fire Marshal Code# S Collected $Refunded Received fr•onz (refirnrled to): t'` t�1
N address:
A 173 3389 (190) Public Safety i-� 1_ e:?,
A 233 2655 (230)Minor Sales
DATE
R%�wLL— OtUw s�
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink R Goldenrod(Cashier's,Dept.)
Richrtrd A.IGlissita
�9�y Superintendent
798-5127
742 Bay Road• Quemsbury,NY 12804 Michael F, Travis
Office Phone: (518) 761-821! 'Deputy K9hwaY Superintendent'
Fax: (518) 745-4466 (518)798-0413
DRIVEWAY PERMIT " a U LJ 1
RECEIVE®
DATE: 2 Z-O D
--z APR 13 2004
APPLICANT NAME: f-v��OWN OF QUEENSSURY
6Uff..D NG ANl7 CODE
TELEPHONE NO.:
ADDRESS TO BE INSPECTED;
RETURN ADDRESS: / 1T S�r- sc'�i � Ov
• l 72-
Applicant must show exact location and width of driveway(s)to be connected to the highway by
placing stakes at the specified location.
The Superintendent of Highways ofthe Town of Queensburyhas reviewed this application. The
following action has been taken:
STEP 1: ( )Preliminary Approval
NEED: ( )Slight Swale
( )Level with the road
( )Deep Swale
Size pipe to be used(if necessary)
( )12" ( )15" ( )IS- { )24" ( )36"
Preliminary inspection completed by DATE
Approval by Highway Supt. Deputy Supt
Upon completion,please resubmit this approved permit fdr a final-approval.
STEP 2: ( )Final Approval
O Rejected
DATE:
Richard A. Missita,Highway Superintendent
Permit Number (town use)
Prmov
Town of Queensbury
AP E
A ication
Application for Stormwater Management
Under Chapter,147,Stormwater Management, I.L 4-9 AP 3 2004
THIS APPLICATION IS FOR A oni dminis rator
p Major Project Minor Project To F UEENSBURY
V.
1. OWNER []INDIVIDUAL []PARTNERSHIP []ASSOCIATION 0 CORPORATION []MUNICIPALITY []AGENCY
NAME p � PHONE (p k(a S�
MAILING ADDRESS
CITY � �,�I �( � STATE N ZIP CODE 2�O
2 :AGENT ( As owNER []CQNTR/\CTOR []ATTQRNEY '[]CONSULTANT j]CONTACT PERSON
NAME El fN _- PHONE
MAILING ADDRESS
CITY STATE ZIP CODE
__ 3 CONTRACTOR, - SAME�AS AGENT
NAME PI PONE
-=
=MAILING ADURESE�,::;:
STATE -__. :. - ZIR GORE
4 PROJECT I.00ATI4N
FACILITY NAME(If not residenfiai) SECTION::.22'7;-t BLOCK LOT O r-
STREET p 5 r t%f` yjZ 2 C)
ZONING CLASSIFICATION PROPERTY IS PRESENTLY
O VACANT []PARTIALLY DEVELOPED 0 DEVELOPED&OCCUPIED
IS PROPERTY PART OF A SUBDIVISION? §(No p Yes, name of subdivision
5 PROJEECT DESCRIPTION
PR OJE c v a
PROJECT INVOLVES:
2'(arthwork/Landscaping 0 Tree Clearing -louse Construction or Addition wiveway Construction
earage Construction VZLhtached Structure 2�5e_ptic System 0 Modification of a Stormwater Device
p Other -
L:ICRAIGITEMPLATE&STWATAPP&TOWN STORMWATER APPL.DOC 11/2000 Page 1 of 3
PROPOSED USE ' p Residential (seasonal) I+Residential (year-round) p Association p Public p Commercial
1
PROPOSED STARTING DATE d K PROPOSED COMPLETION DATE
DESCRIBE THE MAXIMUM SLOPE OF THE PROPERTY IN THE PROJECT AREA:
�0 P% (Level) p 5-10% (Gradual slope) p 10-15% (Moderate slope) p Greater than 15% (Steep Slope)
IS INY 1-94TION OF THIS ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED?
p Yqs W No (if yes,please explain)
6. CALCULATIONS & CON,TROLS
TOTAL AREA OF PROPERTY 13 ACRES FT2 (circle one)
4.
TOTAL AREA OF LAND DISTURBANCE: '. - _FT2(do not include area of stormwater controls)
TOTAL AREA OF NEWLY CREATED IMPERVIOUS SURFACE: FT2 r_
TOTAL VOLUME OF STORMWATER TO BE CONTROLLED: tf (see instructions) /.`649LSfi
TYPE OF STORMWATER CONTROL MEASURES TO BE USED:
a rode
HAS AN EROSION CONTROL PLAN.BEEN PREPARED? 0Yes, plan is attached_ N11C
If no, please contact your County Soil &Water Conservation District for assistance:
Warren County 623-3119
7. SITI+ INSPECTION
:-- _;130hng-the-proijess_itg of-.this application town personnel.m.ay,r ed:•to-yisit#hissite for the-p.urpose�of.-inspecting;
measuring:andlorphotographing site conditions
authorize town personnel to conduct such a site,inspection A yes A no
wish to be contacted_prior to any-site inspection ^.. yes A no
_ 8 CER7IFICATIQN -
-:_
Lhereby affirmahatthe m#ormation on this form and alf.attachments submitted hereHnth is_true to:the best of m
:-- t�nowledge and belief: As conditron to the issuance of a ermit, the.a licant�acce-tsfullle al res onslbili..:for aIE
_.. ... P..._. :_ PP, P 9 P tY
damage;direct and indirect, or whatever nature, and bywli�omever suffered;arising out-of-the"prbject.described_. -:
herein and agrees to indemnify and save harmless the town from suits, actions, damages and costs of every name
and description resulting from the said project.
SIGNATURE OF OWN �A DATE D/O
SIGNATURE OF AGENT DATE
IHC.LU�E:WITH THIS FO M
A -Ste location map`
L1 Protect plans on 'Y2 X1'.size paper(SubX t copies of anyplans lar+ er thanl1)4'�7}
0 Names and I+ gat mailing adtlressesf anyico owners of the' ro e
P P it
A Attachment A(for:rna or ro ects-Ohl:
J P 1
A.Stornnwater'Contral k...0. t (fog rnalar praj ots only}
Environmental Assessment Form Ijfor mafor ptojeets only
Failure to include any one of the required items will result in an incorriplete notice and delay in processing your
application. Permits and approvals may be required from other agencies.
for town use only
L:\CRAIG\TEMPLATESISTWATAPPS\TOWN STORMWATER APPL.DOC 11/2000 Page 2 of 3
t The project is appro as shown on the attached approved plans and subject to the conditions listed on
the attached Sche al I
Approved by on �3 Permit Expires 1�
ning Administrator D to
CONDITIONS OF APPROVAL A
LyD"I Car,( G� Y��J GGry
ATTACHMENT A
to Stormwater Management Permit Application
Peirn�#s:or appro�cals re4ulrred froth other agencies.. .
Agency Permit or Approval Date Applied Date Issued
_.. .
�dtoitnangrorty Q�nr�ers
htst It parcels virifhin 5QQ feet - -77
--
Tax Parcel+N-umber flame _ :Mailmg:Address _
I
L:ICRAIGITEMPLATES%STWATAPPSITOWN STORMWATER APPL.DOC11/2000 Page 3 of 3
Building Permit Application
Town of Queensbury-Dept of Community Development,742 Bay Road,Queerisbury,NY
(5I8)761-8256
A permit must be obtained before beginning construction. Permit File No.
No inspection will be made until applicant has received a Fee Paid �( a
valid building permit. All applicants' spaces on this Rec.Fee Pai $
application must be completed and must appear on the Reviewed
application form.
Applicant: 1-2P 1-)i= 41• /Y1(-9 " l Owner: � '
Address: 14 G Hj&s 7 ric-►•- -S r Address:
Phone#S�Ste)aL FC 6�' Phone#(__,_) 3 L S-
c:'ci-L #
Property Location: Lot Number: 10 d / House Number/g Vl= t2-
Subdivision Name: Tax Map Number:
6- New Building: residence /commercial 'Estimated Market Value of Construction:
o Addition: residence/ cornmeroial If as Addition,what will use of new addition be?
o Alteration: residence/ commercial
o No change to exterior size: residence/com'1
o Other work(describe )
Check OccupancyYnformation i' Floor 211d Floor Other floor Total
Below sq.ft, sq.ft, sq.ft. Square Feet
Single fi=Wy dwelling 4 '7 c O -Z,2—`
o Two family dwelling
o Townhouse Q�i—L7 C L�
o Multifamily dwelling
#of units 104
0 Office r
o Mercantile T OWN Ot
0 1 oar detached garage
2 car detached garage I .7 0
0 3 car detached prage
0 1 car attached garage
0 2 oar attached garage
0 3,car attached garage
o Storage building-
commercial
o Storage building-
residential
o Other
What is the proposed height of the structure feet inches
Will any second-bond or ungraded lumber be used? If so,for what? i\� o
Type of Heating System: electric/COUJgas/wood'/forced hot Cas:e:b:o:a�rV7other-
air/
u S
Number of F_LM faces to be installed _ Number of W gygj to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number w
$udder 5 3 A�.f —r O�5� '
Plumber 5'r i t3 i;_i- tZ -k kL-c tc,,O t
Mason c i 444� 717
Electrician 4��-�1
Declaration please sign below after you have careially 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 tliat such work is authorized by the owner. Further,it is understood that Uwe shall
submit,prior to a Certificate of♦Odcupancy or Cordfacate of Compliance being issued,as requested by the Zoning
Administrator or Directoz of Building and Codes,an As Built Survev by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Si Z tore: '`
8� / owner,owner's agent,architect,contractor
Application for permit :--Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518)-761-8256
1. OWNER INFORMATION:
t2 Office Use
Location of installation:/6 D � �L 1� 11
File Permit No.
Tax Map No. / /
Owner's Name: ►C o /y/19 J-Y H
Fee Paid
7`" ��� S��F s (- se ff .-..........-.....-..�-... ..-...�...�,.�.�.�.,.,.......-...,m...
�1Address: �
2. INSTALLER'S NAME : bJta�A_ �T�v AJ-S' o iv' PHONE NO. ��3 Z,7 :3 O
3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#bedroom(s)and multiply#of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Home: No.of Bedrooms x QMMU4g9n = Total Doy pLy
RLUENED
1980 or older . x 150 galtbdrm = i
1980—19 x 130 p1lbdrm = R 3 2004
1991 present JZ w x 110 gaUbdrm = cFJ
Garbage Grinder Installed ye�no ,l TOWN OF OUEENSBURY
Spa or Hot Tub Installed yes_ ! no BOIL DING 4!Q ,QDE
4: PARCEL INFORMATION: (circle applicable information&indicate measurements)
T000aranhv Soil Nature Ground 7later Bedrock or hnwdows Material Domestic Water SMply
p' i� L sand at what depth at w depth municipal
Rolling oam feet feet well
Steep slope clay z well;water supply
�%slope other from any septic-system
depth: absorption,is/<-O ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: i/ 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 Tab.
Septic Tank: I el-,5 6 gallon(min.size 1,000 gat.)
Tile Field: each trench Total System Length: 3 6 (2 ft.
Seepage Pit(s): number of size of each: _ft. by f}, r:,'•,
Size19f Stone to be used: # / de
pth or thickness feet
Bed System Size: x
Alternative System: length and/or. size --- - _ -
6. HOLDING TANK St$TEM: (if required)]
Number_of tanks: / Size of each:— gallons %TOTAL Capacity:: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
elmtnical"inspeetion 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 Queensbtuy,any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant,shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responiibie perso Date
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: ( l am/prp �e art: am/pm
Date Inspection request received: Inspector's Initials: y/ ..
NAME: A x•wu PERMIT M
LOCATION: L j DATE:
TYPE OF STRUCTURE:
Comments
Yes ® N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake _
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away fiom foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s . ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Tern 110
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical �/� G/'�� S S�►P
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/® [Temporary/Permanent] G
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doe
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: (,�AAR,"4- PERMIT
LOCATION: _ L—C el j' 1Q • DATE:
TYPE OF STRUCTURE:
Comments
Yes N® •/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake i
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 s . ft.-150 s . ft.vents
Bathroom Fans,if no window
Plumbing fixtures /
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s . ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum%z"Gypsum
Basement stairs closed rise>4 inches _Z/A
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sew&Debt.Inspection Sticker
Site Plan /Variance required
Flood Plain Certification, if required
Okay to issue C/C or C/O [Temporary/Permanent]
L:\Building&Codes Forms\Building&CodesUnspection Forms\Residential Final Inspection Form revised 100405.doe
j.
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p , Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: /
LOCATION: INSPECT ON: 0 G
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place 2�
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 Darnpproofmg/Waterproofing
Footing Drain Daylight or Sump_
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003
7
Foundation Inspection Report
F
Office No.(518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/�p? i p Depart: _ m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:09
LOCATION: L�L�(�! 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
enforcement in Place
ly
-Foundation Dampproofing
Foundation./Waterproofing
Type of Dampproofimg/Waterproofing
ooting Drain Daylight or Sump.
-Footing Drain.Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval.
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASueHerningway\Bui]ding.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (51-8) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: 4 Zf. am/pm Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: ':. ram_
NAME: PERMIT#: 6 V- / 6
LOCATION: y ZW INSPECT ON: a13
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
\ providing protection from freezing
1 for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
e
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\3uilding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p epart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
.NAME: AC PERMIT#: i
� e
LOCATION: INSPECT ON:
TYPE OF'STRUCTURE:
Framing Y N l 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 Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
-Fire wall 2, 3,4 hour _ C-,
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
LASueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
742 Bay Road
Queensbury,NY 1280RECEIVED
JUN 2 7 2006
Date received: '[_OWN OF Q11FENSf3URY
BUILDING AND CODE
NAME: h1IC�cock .
—T-
LOCATION: IOo 1,,4'e, Iz/I
PERMIT
Final Survey Plot Plan
ARproved Denied
The attached final
survey has been
received by the
Dept.of
Community
Development.
Upon review the
survey has en:
Craig Brown, Zoning Administrator
Notes:
L:\SueHemingway\Building.Codes.tnspection.FORMS\Final Survey
Zoning Administrator.doc
RECEIVED
JUN 2 7 2006
TOWN OF QUEENSBURY
BUILDING S 77.58'54' W
FND. I.P. 347.45 FND. LP, 4 E NM# 6.5
T,UY L
21 p3 27 S
WEL L a
4
1 AS-BUIL T AE-BUIL T
GARAGE HDUSE (�
t
18"W,PINE��� t1`1
DECK
1
r
I �
SEPTIC TANK
O SEPTIC FIELD O
f. C / 4000 v NM# 6
o Q TWIN CHERRY
rn /
J,
FND I.R. N 77'41'29' E
/ 237.94 D IR,
/ LANDS N/F EF
DAMES WHI TE
SUR VE Y a r d A S-BUIL T HOUSE PLOT
+ - for
ROBERTG. Alf-ARRA
N 73'09117' E
96,54 SEEL EY ROAD, TOWN GF QUEENSBUR Y, LAKE fiEORGE, WARREN COUNTY, N, Y,
F
CAP RIC T SUR VE YORS
L ANDS lV/F OF
27, 6. T? HENECTADY, NEW YVRK, 12304
HE YM mm
BAITE16
L ICENSE NV 050218
D SCALE 1'-30'
Rough Plumbing / Insulation Inspection Report j
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p ), ep/art: am/pm .
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT:#: G�
LOCATION: INSPECT ON: Ce'
TYPE OF STRUCTURE:
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 ,U
Drain and Vents
5 PSI or 10 feet above highest
connection for,1$minutes
ibeanout every 100 feet/:chan a of direction _
Water Supply Piping
Cooper Commercial
Cooper, CPVC,Pex One and Two-Family
Insulation/Residential Check/Commercial Check 'v L
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:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: `
Queensbury Building&Code Enforcement Arrive: am/ ep rt: pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials.
NAME: �� ' \ PERMIT#: �V� .✓ J 7�2
LOCATION: INSPECT ON:
TYPE OF STRUCT RE:
Y N N/A COMMENTS
Framing
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 Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire all 2, 3, 4 hour
restopping
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\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection reque t received: , S .3/0's�
Queensbury Building& Code Enforcement Arrive: am/p par,t: anilpm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: ��—��" PERMIT#: b0 - 7�
LOCATION: j 6o sr--'� 'Q INSPECT ON: S S
TYPE OF STRUCTURE:
Framing 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 Bolts 6 ft. or less on center
Ice 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 %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
LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doe January 28,2003
Rough Plumbing / Insulation In �a
� g Inspection Report
Office No. (51 8) 761-8256 Date Inspection request received: I
Queensbury Building& Code Enforcement Arrive: am/pm Depart. am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: (�
NAME: �\CN r PERMIT #: C
LOCATION: ) � INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/ Comm.
Zu
bin Vent/Vents in Place 1
gh
„ ,Plumbing/Nail Plates
`1-1 inth-min. Drain Size
Washing Machine Drain 2 inch min.
ead-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
ater Supply Piping
Cooper Commercial
Cooper, CPVC,Pex One and Two-Famil
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:
LASueHemingway\l3uilding.Codes.Inspection.FORM S\Rough Plumbing Insulation Report.doc November 17,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pmp Depart: am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: a
NAME: A P PERMIT#: �1
LOCATION: INSPECT ON: /V 0
TYPE OF STRUCTURE:
Comments
Y N N/A
F otings
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 pui pose 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
B ackfill 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.doe January 28,2003
1
r `
r�
1 Septic Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p epart: am/pm
742 Bay Rd., Queensbuly,NY 12804 Inspector's Initials: —
NAME: C`►� PERMIT NO.: Oq 7 /p
LOCATION: Cj0 INSPECT ON: ,__0 Ly
7
RECHECK:
Comments and/or diagram
Soil Type: Sand /Cla
T e of Water: Municipal/ ell Water
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length Z ft.
Length of each trench 7ft.
Depth of trenches ft.
Size of Stone -I?--
Seepage Pits: Number .
Size: x
Stone Size:
Piping Si e Type 4
Building to tank <-0 f / I --,e-f V&
Tank to Distribution Box �� 20 l� `�
Distribution Box to- d/Pit tl
Opening Sealed: Y N'Partial «}L
Location/Separations
Foundation to tank
Foundation to absorption ft.
Separation of Pits ft. ®
Conforms as per Plot Plan _N ���� �j — U G 4A)
Location of System on Property:
ront Rear eft Sid Right Side
Middle i addle Rear
_System Use Status:
pproved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:\SueHemingway\Building.Codes.hispection.FORMS\Septic Inspection Report.doc January 28,2003
V 1 7(p
S 77'58'54' W
FND. I.P. 347.45 FND. I.P.
ZUY �E NM!! 6.5
�i o
WELL • R
T-,qt �
GARAGE PRBPQS ED
j0000 HG'USE G'ra aE To G°•�E (h
�no 18'W.PINE
S / Ltoj Ia
�o w goo o � / • � ,/f �jl'�-�P� ``�
� o
�T°Nc Tr�N 2�Q b flNM1/
6 1 r TWIN CHERRY
/ 237.94
L ANDS N/F OF
JAMES WHI TE
Z^�°�h'`� SUIT' VE Y o h d PR�P�JSED HOUSE PL 0 T
For
APP VED
R OB,�R T G. AIM BRA Ap cat n
N 73.09117' E Ak3 200
96.54 SEELEY ROAD, TOWN OF QUE-f NSBURY, LAKE GEORGE, WARREN COUNTY, N. Y,
CAPITAL I�'T SUR VE YaRS Zonin UEENSBUR
LANDS
N/F Nf�` WN F QUEENSBURY
2752 GRELI , ECTABY, NEV PORK, 12304
HE YM r f }t
OAVI-'�j 7 G, LICENSE NU 050218
DATE: 3115 f SCALE., 1'=30'
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ Depart: m/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: 1 + PERMIT#:
LOCATION: c,-C—C INSPECT ON:. d
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
p�,p bviding, ngprotection from freezing
o8 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/Waterproofin
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\,SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
CAPITAL DISTRICT SURVEYORS'
2752 Greeley Street s U 1 �t
Schenectady, N. Y. 12304
Phone: 518-393-9999 RECENED
Fax: 518— 382-0728
e-mail: dkress3(aD_a®l.com APR 13 2004
March 2, 2004
Percolation Test Rate:
Rate on one inch in 11 minutes.
Soil Nature Loam
Bedrock @ 4 feet to 6 feet
4 ti
<41
G. Kress, PL
g Xzr
NO
1 Date
Permit Number
L1
REScheck Compliance Certificate Checked By/Dat
New York State Energy Conservation Construction C e
REScheckSoflware Version 3.5 Release Ic
Data filename:C:\Program Files\Check\REScheck\MARRA.rck
COUNTY:Warren
STATE:New York FRE "I
HDD:7635
CONSTRUCTION TYPE:Detached 1 or 2 Family p P R 3 2004
HEATING TYPE:Non-Electric
TOWN OF Q PENSBURY
DATE:01/13/04 p IE►F , '-::b . ; (,()0E .
DATE OF PLANS: 1/13/04 �"� -"'" y
PROJECT INFORMATION:
ROBERT MARRA `
TOWN OF QUEENSBURY,NEW YORK
COMPANY INFORMATION:
STEPHEN E.LAMB
22 PINE HILL BEND
BALLKSTON LAKE,N.Y. 12019
COMPLIANCE:Passes
Maximum UA=499
Your Home UA=440
11.8%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R Value R Value U-Factor UA
Ceiling 1:Cathedral Ceiling(no attic) 790 38.0 0.0 21
Ceiling 2:Flat Ceiling or Scissor Truss 780. 38.0 0.0 23
Ceiling 3:Cathedral Ceiling(no attic) 132 38.0 0.0 3
Skylight 1:Metal Frame:Double Pane with Low-E 12 0.440 5
Wall 1:Wood Frame, 16"o.c. 1034 19.0 0.0 45
Window 1:Wood Frame:Double Pane with Low-E 288 0.330 95
Wall 2:Wood Frame, 16"o.c. 1269 19.0 0.0 65
Window 2:Wood Frame:Double Pane with Low-E 141 0.330 47
Door 1:Solid 37 0.240 n*ST
Wall 3:Wood Frame, 16"o.c.- 312 19.0 0.0 d� STEP J�
Window 3:Wood Frame:Double Pane with Low-E 94 0.330 1 'r 0
Basement Wall 1:Solid Concrete or Masonry 900 11.0 0.0 d
Wall height: 8.0' 0
Depth below grade:6.5'
Insulation depth:8.0'
Door 2:Solid 20 0.240
Floor 1:Slab-On-Grade:Heated 28 10.0 P
Insulation depth:4.0'
Furnace 1:Forced Hot Air,90 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 compliance with this Code.
Builder/Designer Date
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoflware Version 3.5 Release lc
DATE:01/13/04
Bldg.
Dept.
Use
I
Ceilings:
[ ] 1. Ceiling 1:Cathedral Ceiling(no attic),R-38.0 cavity insulation
Comments:
[ ] I 2. Ceiling 2:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:
[ ] I 3. Ceiling 3:Cathedral Ceiling(no attic),R 38.0 cavity insulation
Comments:
I
Above-Grade Walls:
[ ] I 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
[ ] I 2. Wall 2:Wood Frame, 16"o.c.,R 19.0 cavity insulation
Comments:
( ] I 3. Wall 3:Wood Frame, 16"o.c.,R-19:0 cavity insulation
Comments:
Basement Walls:
[ ] I 1. Basement Wall 1:Solid Concrete or Masonry,8.0'ht/6.5'bg/8.0'insul,
R-11.0 cavity insulation
Comments:
I
Windows:
] I 1. Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.330
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] I 2. Window 2:Wood Frame:Double Pane with Low-E,U-factor.0.330
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
[ ] I 3. Window 3:Wood Frame:Double Pane with Low-E,U-factor.0.330
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
I
Skylights:
[ ] I 1. Skylight 1:Metal Frame:Double Pane with Low-E,U-factor:0.440
For skylights without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments: -
I
Doors:
[ ] I 1, Door 1:Solid,U-factor:0.240
Comments:
[ ] I 2. Door 2:Solid,U-factor:0.240
Comments:
f
Floors:
[ ] I 1. Floor 1:Slab-On-Grade:Heated,4.0'insulation depth,R-10.0 continuous insulation
Comments:
Slab insulation to extend down from the top of the slab to at least 4.0 ft.OR down to at
I least the bottom of the slab then horizontally for a total distance of 4.0 ft.
Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
I covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
I
Heating and Cooling Equipment:
[ ] I 1. Furnace 1:Forced Hot Air,90 AFUE or higher
Make and Model Number
I
Air Leakage:
[ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] I Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a
I 3"clearance from insulation.
I
Vapor Retarder:
[ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
I
Materials Identification:
[ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions.'
( ] I Materials and equipment must be identified so that compliance can be determined.
[ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
the building plans or specifications.
I
Duct Insulation:
[ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ ] I Return ducts in unconditioned attics or outside the building must be insulated to R-6.
[ ] I Supply ducts in unconditioned spaces must be insulated to R 11.
[ ] I Return ducts in unconditioned spaces(except basements)must be insulated to R 2.
Insulation is not required on return ducts in basements.
Duct Construction:
[ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics
I (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).
( ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] I Air filters are required in the return air system.
[ ] The HVAC system must provide a means for balancing air and water systems.
I
Temperature Controls:
[ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
I temperature set point of the largest zone.
I
Electric Systems:
[ ] I Separate electric meters are required for each dwelling unit.
I
Fireplaces:
[ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors.
[ ] I Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction
I provisions of the Building Code offew York State,the Residential Code of New York State or
the New York City Building Code,as applicable.
f
I Service Water Heating:
[ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of a circulating system.
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 105 T or chilled fluids below 55 T 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 111 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 211 2.511 to 41-
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)