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2002-1042
_) TOWN OF QUEENSBURY rEiT .iy 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20021042 Date Issued: Thursday, May 27, 2004 This is to certify that work requested to be done as shown by Permit Number P20021042 has been completed. Tax Map Number: 523400-239-007-0001-006-000-0000 Location: 29 KNOX Rd Owner: DAVID BROWN Applicant: DAVID BROWN This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Attached Single Family Dwelling A Director of Building&Code Enforcement TOWN OF_ QUEENSBURY 6 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 ixiy Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20021042 Application Number: A20021042 • Tax Map No: 523400-239-007-0001-006-000-0000 Permission is hereby granted to: DAVID BROWN For property located at: 29 KNOX 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: DAVID BROWN Fireplace 7 SADDLE BROOK Dr Garage-2 Cars Attached SARATOGA SPRINGS, NY 12866 Single Family Dwelling $400,000.00 Total Value $400,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency INSPECTOR THE 543 EASTLINE Rd BALLSTON SPA, NY, NY 12020 • Plans&Specifications 2002-1042 DAVID BROWN 3449 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AND 2 FIREPLACES AS PER PLOT PLAN SPECIFICATIONS °° $471.48 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, January 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; Thursday, January 23, 2003 SIGNED BY F-Z i for-the Town of Queensbury. AK—Al Director of Building:+�T ode N 1,1 forcemeat Building Permit Application • Town of Queensbury-Dept of Community Development, 742 Bay Road, Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No.aWo).' `eR No inspection will be made until applicant has received a Fee Paid 8'• ?- valid building permit. All applicants' spaces on this Rec. Fee Paid $ application must be completed and must appear on the Reviewed B • f ,Y, application form. • Applicant: Ct✓"1211S a O ?,4e, Owner: J. e e- krzq, oNvi o (a Vij. Address: 19 t7ie:1Z pztA r Address: �>I=T26e. 1J'r' r2e r�3 i� .e3P12-1t.J6 3, i-1 121306, Phone#( )&L - 640j Phone#( ) RFCEll " —D Email Address: 44,(yb €? yL.v Email Address: Property Location: Lot Numb r: / House Numbers 1 / 1 ®E c 3 0 ZO OZ Subdivision Name: Q- Tax Map Number: TOWN OF QUEENSBUR`f BUILDING AND CODE ❑ New Building: residence /commercial Estimated Market Value of Construction: $ Ul Uvv 0 Addition: residence/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence/com'l ❑ Other work(describe ) Check Occupancylnformation 1st Floor 2°d Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet ( *efrei) O Single family dwelling f4CY2 I'743 304 3441 ❑ Two family dwelling ❑ Townhouse o Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage o 2 car detached garage o 3 car detached garage o 1 car attached garage ❑ 2 car attached garage 570 570 ❑ 3 car attached garage ❑ Storage building- ??. commercial i(tA( �1 o Storage building- r ° t Ork: residential f unfit iCx eu) ❑ Other {� What is the proposed height of the structure ' feet 0 inches Will any second-hand or ungraded lumber be used? If so,for what? Type of Heating System: electric/ oil / gas/ ood /forced hot air/ baseboard/other: (211Qt.i ...)1 gale— Number of Fireplaces to be installed 2. Number of Woodstoves to be installed 0 List below the person(s)responsible for supervision of work as regards to building codes: - Name- ---- - - - -Address ---- -- -- Phone Number Builder Plumber Macnn • Application for Permit—Septic Disposal System - Town of Queensbuiy 742 Bay Road Queensbury,'NY 12804 (518) 761-8256 1. OWNER INFORMATION: 4,0g 2O iwc... dr ./ P • I Office Use Location of installation: 'Pali OF (lit:ex7127", File Permit No. C) -(014 7\ Tax Map No. / / • Fee Paid Owner's Name: 142. 4 k(2c aAvt o Pa(I�hfi� 7 5/ ► 1zcz`a- oat V V . Address: e3i T-rc;4 epizi06 t.J`1' i2 (( • 2. INSTALLER'S NAME : " PHONE NO. 3. RESIDENCE INFORMATION: (circleyear'of dwelling, indicate#bedroom(s) and multipl # f u bedrooms with applicable gallons per bedroom to equal total daily flow Year of House: No. of Bedrooms x Computation = Total Daily Flow DEC 0 200 1980 or older x 150 gal/bdrm = TOWN OF QUEENSBURY BUILDING AND CODE 1980—1991 x 130 gal/bdrm = 1991 —present 3 x 110 gal/bdrm = 356 Garbage Grinder Installed yes— / no X Spa or Whirlpool Installed yes_ / no - 4.. PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat at what depth at what depth municipal CRolling� log i feet - feet well Steep slope cla if well; water supply %slope other from any septic-system depth: absorption is 1c°-t+ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: • 7 minute per inch 5. PROPOSED SYSTEM: For New Constructi9n: 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: 12Ec gallon (min. ,size 1,000 gal) Tile Field: each trench • ft. Total System Length:• Seepage Pit(s): number of size of each: ft. by ft. • Size of Stone to be used: # / depth or thickness feet Bed System Size: x 4b LiU FT of 160 Alternative System: length and/or size Ii l 012.' 3Gi'7 i C AVID 6. HOLDING TANK,SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons - Note:Alarm-SYstem and associated electrical work must be inspected by a Town approved electrical inspection agency. '1 CT( T A'T'T TO P .P.TATL`/'1D A K A TTE AT VAT) 'CVO OT1AATn1173T rirrn eVAT i_r_ \ --, S 1'RK NI-1 1 ,..... /7411 i PON n lbVIE.LL Ill VATF.Tt- -.-- 'lloritr cAstt Irk ,•- . ...- .• . ,./ .• i ..„•-• - I ,?) t.'".• * . .- 17• 1{-7III1to—u1.s r./. /' /,--. '0.- ...•-• .. '"' /--. 1N:61E :. 0 Iousr. GPA17.1IviEc I ) .--,,--„. . Amstrno,1 C.------I . . •.-...----- ........------ .___ — .------------------ --- --- --:t---------------- . . • . •. 7. SIGNATURE &INFORMATION FOR USFONbuslat.rs,A.z....fri ,kiJIVa0,9 A V..., .. . . . 7- " ' ' , ,, . . , 7 . . , .. Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY ,, (518)761-8205 ., Application for Fuel Burning Appliances & Chimneys • : i• applicable to solid fuel & vented gas appliances ' Date (30 Or:-.6) . , 20 Q-2.--. r, ,. ,. Permit N0c)I-A..) (--- .,. . Application.is hereby made to the Building& Codes Office for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner / agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of . / these requirements and also will allow all inspectors to enter premises to perform required inspections ," e cz.---;-, 1 :-'—',, „,..‹. NOTE to,applicant! Rough-in and Final Inspections are required. A , ' .,-,_, 7- '-, c..,_. ,,•;-:„ ., . . , . , • Applicant Information V Fuel Burning Appliance Information , , , , (circle appropriate words) Name: Coivrts 0, 01%),,,5 Stove: wood coal pellet gas • Fireplace insert ,.., ' Address: II i1Z, iautj Fireplace, factory-built: f.ZO'. ) gas ...,, .... 1.-14 GE 0. . .1,..) ( l'2 64-) Fireplace, masonry: wood gas Furnace: wood gas oil : , , . Phone: tio&P,„P, i.;';1 1 • 1 ,.. If non-masonary applicance, please provide . c• k2). . • ,/, • . /- Owner: Pia, c'a,1.---f 125 i'')AIVI o rJ20,,,,A.„1 t3., Manufacturer Name: .--4/:',.-){:y.,i;r1,:,.:,„ . . . . • Address: 7 .,7,,(:Isr,00.:::, 112.001:_../ azt Model Number: 5i2-4'2 - , 01 i 2 gep6., , . . .., . Chimney Information Phone: ,22-7 ',:',3 7 1.15 (circle appropriate words) - . Masonry . block brick stone . Z. 11 ta-k2,7X 12vNO ..,--_,, el"- Flue .tile ":scliesl, size: 0 1.0 inches --'1 C44..,,te; P- Exact Address: (-'-''-, 2'-)1--'''''' I § °T." . of construction or installation Factory-Built , Manufacturer name: f-14'!•,t1- 1-1(:j . . i ' Model Number: ,5 k, , . Note: . - Listed By: LIG/Lit-C,,, Number: Construction/Installation must . V ' • conform to NYS Fire Prevention &Building Indicate (circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. i,eouble wall)/ Triple wall / Insulated / Direct venting ..._ Chimney Liner CEtsithulez-"at Dte_phartzri.eitzt-•-•qt71,gliimiq*„.,9,f tiotigetexceibury; _New 3r.c..x-Plaz- --')Fire Marshal Code# • $Collected $Refunded ( Received fi:om.,(refunded to): ._, ,. •. . ' )'''.01-•-: address. . • - A 173 3389 (190) Public Safety • - 17- ``, . . i• _ A 233 2655 (230)Minor Sales . , . . , i / ' V. _ r ete;t4) White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.) . , N .. 7. ' p-vt - Fire Marshal's Office . ' Town of Queensbuiy,742 Bay Road,:Queensbury,NY, (51 )761-8205 Application for Fuel Burning -Appliances & Chimneys applicable to solid fuel •&vented gas appliances , Date 30 LleC, 20't ', Permit Nos O*J0 z a Application is hereby made to"the Building& Codes Office for the issuance of a Building and Use . Permit to the New York State Fire Prevention and Building Code. The applicant or owner ,cin; ' `` agrees to comply with all applicable laws, ordinances, regulations,, and all conditions that are partbf/11 to .‘ will allow all inspectors to enter premises to perform required ins ectionS�.' d / ' these requirements and also 1 ow p p p f q P NOTE to applicant: Rough-in and :Final Inspections"a're required. „ `6,1 .` 1 ..,,, Applicant Information. Fuel Burning Appliance Information (circle appropriate words) Name:, �,7 l 19. ° Stove': wood coal pellet gets . . - Fireplace insert Fireplace, factory-built: wood gas - Address: (' .f . " ,.�, 4 6e0, A ''. r2 4e Fireplace, masonry: wood gas ' Furnace: wood gas oil . Phone: 6,66. 6 j 1, II If non-masonarylicance leas i aPP � erovide provide i,t Owner: He, $ i fz oNVic, bizavij, Manufacturer Name: J -r 1 Address: .A ' /4 E, Model Number: l l ° Chimney Information Phone: i9 r2 (circle appropriate'words) . , Masonry. block brick "stone I Flue tile steel . size: inches Exact Address: u 602 Jr:l , of construction or installation Factory-Built Manufacturer name: - ' Model Number: - ' • Note: ' . Listed By: - Number: Construction/Installation must ' , conform to NYS Fire Prevention &Building . Indicate(circle) chimney material: - . Code. 'Consult available Town of Queensbuiy 4"`",b,. ' - Handouts regarding required inspections. Double wall / Triple wall / Insulated / D175e5Lventin , ' • . Chnnney Liner , 1 'Ca,ii1221 -'air Dpaz'tm iec..rut Z'c w o z Qzzee�ziaerbaxrar, leisa sr rn'1 Fire Marshal.code# $'Collected - $kr:funded Reciaved,fcozn (refirntf - address:. ..-, `, A 173 3389 (190) Public Safety -ate . A 233 2655 (230)Nlinor Sales ' ' 5 DATE: t't q 3 lO , . . - 2 : ' 1 . . ,,'3 White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) "/ Pink&'Goldenrod(Cashier's Dept.) t ��� �\O�J4 6f `i f--=• -. Residential Final Inspection .„-- L�1 v✓ds Office No. (518)761-8256 Date Inspection re. -st ye •iv-.: Queensbury Building&Code Enforcement Arrive: m/p 5 epart: -Th :, m 742 Bay Rd., Queensbury,NY 12804 Inspector's Initi. NAME: wda� P iC% T#: UZ%---j® , LOCATION: K""x R1O r D•TE: 5- TYPE OF STRUCTURE: . Comments Y/ N N/A Chimney Ht./"B"Vent/Direct Vent Location `�� � Fresh Air Intake 3 inch Plumb Vent through roof Vo % �� i%) )`4V&Ic? Roof Complete ✓ 'Guard 30 in,or more @stairs,decks,patios I �, � 9� 0D tA Guard at stairwell at 34 in. or more - / 1 00 Guard at deck,porches 36 in. or more V Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 • . J, Platform at all exterior doors f' Interior Handrails stairs 2 or more rises Grade away from foundation 6 in.with 0 ft. '\ N..\1ve/ Handrail Termination at Newell Post or .11 \ 8 inch clearance to sill plate :, A \ Gas Valve shut-off exposed/regulator 18"abo,- grade \ Gas Furnace shut-off within 30 ft. or within line o`..`te Oil Furnace shut-off at entrance to furnace area '\ B \ 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 4 \ Safety glazing \ Window in stairwells safety glazing .��., Interior Smoke Det ctors: Every level: / Every Be oorn: .1 Outside every bedroom aye a:Inter Connected: I / Battery backup: 62 ✓ Bathroom Fans,if no window Carbon Monoxide detector ,� . Plumbing fixtures \f' Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches yi, 3/4 hour fire door/door closer Garage fireproofing .� Duct work Sealed properly i Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area •/ Crawl Spaces 18"x 24"access, 1 sq.ft.-150 sq. ft.vents i Building No./Address visible from road Final Electrical i • Site Plan /Variance required Fi Surve lot Plan .i. s Built epti S ste Sewer Dept. Inspection Sticker F o ain Certrfica on,if required O ay to issue C/C(Cert.Of Compliance) kay to issue Temporary C/0(Cert. Of Occupancy) i 0 Okay to issue Permanent C/0(Cert. Of Occupancy) L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 ?-1-.- / / - : -... ...1 0°'13 .-,•/1 kt 1 -c-t• c s \ It 4P 0 14 s klA A ...----"' '-'.-..----------______ l?' lid Fietia 10f01214M013 "Z' i . n40. " - • - ' i7/514 40P41047' v• i•GS•0+_,..... 0-* .. ... . 144,foor. Oti;refrt Z .0 I .it 6-40.0 roz- -,:--,.--:,,. 140. *.1.-013..' OAW10 Podi-.1 • • TOWN OF QUEENSBURY BUILDING '& CODE'ENFORCEMENT txt. ` ' 742 BAY ROAD QUEENSBURY NY 12804 (518)745-4447 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT COMMERCIAL MULTIPLE DWELLING (hotel, motel, apt. complex) DATE INSPEC ON REQUE T RECE VED: NAME cCS UJY\ LOCATION O TAd DATE ( -(')L PERMIT # 107 t TYPE OF STRUCTURE FOOTINGS BACKFILL_ FRAMING_ PLUMBING INSULATION N/A YES NO ___. CHIMNEY/"B" VENT/HEIGHT PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH HEATING/HOT WATER RELIEF VALVES FLOORS FOUNDATION INSULATION INTERIOR STAIRS/RAILINGS STOCKROOM ENCLOSURE FIRE/DEMISE WALLS PENETRATION FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS/CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS PLATFORM/ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL SITE PLAN/VARIANCE REO. INAL SURVEY PLOT PLAN, IF REQ 61, OK TO ISSUE C/O OR C/C 5I►qI2, Septic Inspection Report • Office No. (518)761-8256 Date Inspection request received: . Queensbury Building&Code Enforcement Arrive: am/ Depart: iZII,am/p 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: 'NAME: r_Sie v40.pt.) PERMIT NO.: LOCATION: l4,N c% /CO INSPECT ON: . J RECHECK: • Comments and/or diagram Soil Typ : Sand/L Cla Type of Water: Municipal/Well Water �- og66- (O 2 RjQGu., LA g_ i 6 D _ o Waterline separation distance ,` —`� Well separation distance ,r/ -I-ft. Other wells: ft. Absorption Field: Total length,,L.16,-j clip ft. Length of each trench 2v4 • ft. i L �.'5 ro4',-,( Depth of trenches ft. Size of Stone �/ Seepage Pits: Number Size: x Stone Size: • Piping Si Type Building to tank 4Q r r b µ O✓Q Tank to Distribution Box 7 - � Q / (--I� 6 ' 3�SCC U Distribution Bo Field/Pit r - l)it >, Opening Sealed: N/Partial Location/Separations Foundation to tank 0 ft. Foundation to absorption Sift. • Separation of Pits ft C�� Conforms as per Plot Plan ___ Y N 6ii.05�.; 5 v W� L • Location of System on Property: Ja frPp/'O UA-(— Front Rear Left Side Right Side „,5 r Middle Front iddle Rear S stem Use Status Approved OK 6 Co U CAIO 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 Rough Plumbing / Insulation Inspection Report • Office No. (518) 761-8256 Date Inspection requ eceiv : a .. Queensbury Building&Code Enforcement Arrive: ep : a p� 742 Bay Road, Queensbury,NY 12804 Inspector's Initia s• NAME: PERMIT#: Zoo 17___ LOCATION: > 9L0 RV INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping • Copper Commercial Copper, CPVC,Pex One&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 COMMENTS: • • • • • L:\SueHemingway\Buiiding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 (v Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: _ Queensbury Building&Code Enforcement Arrive: a , rm )ep• '. i'�Ls 742 Bay Road,Queensbury,NY 12804 Inspector's Initial` azza008.:4O NAME: GgQu6 PERMIT#: ►a" ,111 LOCATION: �� 1<,Iaynt, guato INSPECT ON: — trig TYPE OF STRUCTURE: ,6V-0 1 Z CAR(�•P: Z_ • Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping • Copper Commercial Copper, CPVC,Pex One&Two Family Insulation/Residential Check/Commercial Check W, \ Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: • • • L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 j( ----/Rou h Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection requestieceive f Queensbury Building&Code Enforcement Arrive: a p , • a p -- 742 Bay Road, Queensbury,NY 12804 Inspector's Init. 1 • " (--- m - • NAME: - ___ .\, e'., V)-C-rik5T\ PERMIT#: O O Z_AZ LOCATION: d- ' INSPECT ON: J -- —CL TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents > - U 5 PSI or 10 ft. above highest i)V\ Ln_ �,-'w Connection for 15 minutes Water Supply Piping • Copper Commercial opper, CPVC,Pex One &Two Family / sula / e Ident'al Check/Commercial Check .4 Proper Vent,Attic Vent Duct/Hot Water Piping Insulation , If required unheated spaces kV:. )/... .. - Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: • • • •L:\Suel-Iemingway\Building.Codes.Inspection,FORMS\Rough Plumbing Insulation Report.doc January 28,2003 • Rough Plumbing / Insulation Inspection Report Vr 10 Office No. (518) 761-8256 Date Inspection requ eive . Queensbury Building&Code Enforcement Arrive: \',, `1) a ep ar}37pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: c e,in NAME: sickN 'e_. CtiAJy1 PERMIT#: 0; /D r C� LOCATION: ) INSPECT ON: 3-$Q TYPE OF STRUCTURE: PVC: R-1,R-2,R-3,R-4 Drain/Vents — V NT-C--WA iN A\YA‘ --C—tr-M--6 Cast Iron, Copper Drain/Vent/Comm. t p � b i' 6. Q-t.WT- Plumbing Vent/Vents in Place cAc .i =\L\.tU . Rough Plumbing/Nail Plates \ i bU\-0,Fi D�m Head or Air Supply Test v Airb o CAAcfi,A2- F�?__ E Q Drain and Vents / 5 PSI or 10 ft. above highest ,� Connection for 15 minutes Water Supply Piping ' Copper-Commercial \ARt4-- Vo V- \E 17 opper, CPVC,Pex One &Two Family / U �1� � � t tv� sulation/Residential Check/Commercial Check �c�,Z — LO1 ,66 ,N, Proper Vent, Attic Vent I Duct/Hot Water Piping Insulation • " \.�° \t p 6 M\5�6 6 If required unheated spaces Combustion Air Supply for Furnace — F 1, b kl--- V-v V___ ,'t, f C Duct Work Sealed Properly COMMENTS: 0 p A f t C'.iL\�s \ vl`i CAA?�L—: c_ \ vij6 k'-t\ t [ . — �- \:: . " \-- ‹ \,75\,%-._ � L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 .� �c::)r 4-gij/ RoughSu. TesSize Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request = ei ed: ,3 .D-- Queensbury Building& Code Enforcement Arrive: • p j: 742 Bay Road, Queensbury,NY 12804 Inspector's Ini al NAME: �! 0 '`r ��. - I °-T LOCATION: PERMIT #.INSPECT ON: -(2 21 3 a� TYPE OF STRUCTURE: /� Y N N/A PVC: R-1, R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place L--D ,,_'106____1")_,,‘: :::it),,, --C,___\ \- ..,Y2 A--/Li Rough Plumbing/Nail Plates. % min H Washing Machine Drain 2 inch min. I( ";) / ea —pi inch Drainpg� ' rain and Vents 5 PSI or 10 feet abov ' est • r 5 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: 4110 944A% g9,,,,\) K) w,- -c..__ 4, \---:,---,- -1__ ,.,,,L__ \,,LAT, ,,,, /s\--- \lcb- ,,,,, 0-N9.__, Iv L:\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November I7,2003 � a Framing /Firestopping Inspection Report c C)(:), Office No. (518)761-8256 Date Inspection reques ived: Queensbury Building& Code Enforcement Arrive: a m ep : --ai 742 Bay Road,Queensbury,NY 12804 Inspector's Initial • NAME: (3 Ro l 10 PERMIT#: v- � LOCATION: 7 q p.10 t- Ro c O INSPECT ON: \ -Z_9 TYPE OF STRUCTURE: 6 F Q Y N N/A`1 COMMENTS IFraming fJack Studs/Headers yid,�'— v\ 4 �— Bracing/Bridging / Joist hangers 1r\�A'S) 5 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 hourti �. Fire wall 2,3,4 hour 2-cP Firestopping Penetration sealed / �f 16 inch insulation in cavity min. Garage Fire Separation House side %Z inch or 5/8 inch Type X Garage side 5/8 inch Type X . Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report ,4_ s0'47/I'a Office No. (518) 761-8256 Date Inspection request re -'ved: •.;07. Queensbury Building& Code Enforcement Arrive: . wpm p, : ` r _ . 742 Bay Road, Queensbury,NY 12804 Inspector's Initi.1:. o R� NAME: e) PERMIT #: Z./ LOCATION: INSPECT ON: •,4_ TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plum ' ent/Vents in Place l ugh 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 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: 1'-'-' 1 VL.)1,3\ 1 ,6 \\ire' b9--- L:\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 • 7C� Foundation Inspection Report r Office No. (51S)761-8256 Date Inspection request received: O Cr_ Queensbury Building&Code Enforcement Arrive: am/f.tpti Depa am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: T7)fr`l) 6/2a,,),,_) PERMIT#: ("9Z`-(0(AD— LOCATION: {;) Irv) INSPECT ON: /0 e? TYPE OF STRUCTURE: l - / Comments L Y N_ N/A ootings Piers __ 4 ; , 11 \ 0 u( C� ' 18 (:C�t, - / /1 L� _Mnpelithic Slab �" /// Reinforcement in Place f Z- R Ak4X 10 Ae_ 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 e Plumbing Under Slab • VC/Cast/Copper oundati n Insulation ' 4 ./Exterior F iR- _ (,IJ „p ��� Rough-C rade"6 inch drop within 10 ft. L:\SueHemingway\Building.Codes,Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 2--- t is.. 6\i‘ F:c...:\ I\C:),6,6'), 111C," Foundation.Inspection Report AI' AMfir^/, Office No. (518) 761-8256 Date Inspectio eque c i • Queensbury Building&Code Enforcement Arrive: R;' il. pm epart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Ini . . NAME: �` i . ?j 3 P IT#: 00---110/14 --0 LOCATION: �(�,.,� `��< SPELT ON: __ —%(7 " r� TYPE OF STRUCTI : Comments Y N N/A. Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for � `� ��° providing protection from freezing r� for 48 hours following the placement `� of the concrete. Materials for this purpose on site. �1 ( Foundation/Wallpour 4'444�,` -: Reinforcement in Place Foundation Dampproofing Q/�07 `� Fo ati9>J aterproo In 1 't;@ ype of Dampproofm ateroroofina tio -q 4 Footing Drain Daylight or Sump Footing Drain Stone: C:i. 12 inch width 6 i ches above footing A i poly for wet areas under slab ackfill Approval \ ' .mbing 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 irnd / f Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: /0/637o2 Queensbury Building&Code Enforcement Arrive: am/prr>� � Depart: /� a�pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: .1►K�� 1 ' NAME: 04V, 3 15r0`'vV---- PERMIT#: 2 U U - 0 F LOCATION: c' "o ? -f) INSPECT ON: /%/0 V b 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 V 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:\SueHeiningway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report I 4 d Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/AIR& Depart: f l E�sam/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: N NAME: r 1^� PERMIT#: ( OO, / 0 T A LOCATION: 'LIMON.(23Y 6 INSPECT ON: f i+ __ /:i TYPE OF STRICT : • Comments I Y N N/A otings Piers Monolithic Slab Reinforcement in Place The contractor is responsible fot 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: 1.2 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 - / 0 V 7/- September 16,2003 19 Deer Run Lake George,NY 12845 6408 Building&Code Enforcement Town of Queensbury 942 Bay Road Queensbury,NY 12804 Attn: Joel Clugstone RE: A RESIDENCE for Mr.&Mrs.David Brown Knox Road,Assembly Point,Town of Queensbury Gentlemen: It has been brought to my attention that the foundation subcontractor desires to"wet set"the shop bent dowel bars into the strip footings. The purpose of these dowels is to resist horizontal shear at the base of the foundation wall and therefore it is not necessary to tie the dowels to the footing reinforcement for structural strength;but rather the only purpose is the hold the dowels in place while the concrete is placed in the formwork. I have given Dale Clothier permission to"wet set"the dowels at the designated spacing and to hook the dowels under the footing mid-point reinforcing bar. I will also require that the basement slab and first floor framing be in place prior to the commencement of foundation backfilling. Please contact me at 668 5591 if you have any further questions. Sincerely, 6A.A.GJ DaCe. Curtis D.Dybas,R.A. AV4 � `Town of Queenebury Fire Marshal's Office lip,�. 742 Bay Road Queensbury, NY 12804 Phone (518) 761••8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request ,,++/� ' SCHEDULE Received: Perrt�ita�ld 70� INSPECTION ON � Name:_,_`,��!` U )S=i.,, -.�.- ' 1� .fr _AM5pMTYTME Location: _:). 1 Vic:_ ... APPRO ED COMMENTS EXITS AISLE WIDTHS _ `= � �(t� EXIT SIGNS-NORMAL e---' - BATTERY EMERGENCY LIGHTING _ FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM (�, � ''� FIRE SUPPRESSION SYSTEM U HOOD INSTALLATION - ,� �- -INTERIOR FINISHES STORAGE / OD�0 � COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING ,�1> UNITS1.M I C q l9 CLEARANCE TO ELECTRICAL MI /��ri REQUIRED SIGNAGE �INN EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN FINAL CHIMNEY FACTORY BUILT. ROUGH IN FINAL WOOD STOVE ROUGH IN FINAL ■ VENTED GAS APPLIANCE „ 'OIIGH IN 1 a4t �i J FIREPLACE " MASONRY ROUGH IN OK THIS DAFT 7 , K FOR CO NOT OK FINAL / ( FIREPLACE /� ■ %/ / 7 y;FACTORY BUILT ROUGH IN \+ INSPECTED BY FINAL I COMDEV/C I IRIS JIWORDILETTERS2001/FIREMARSHALINS PECTIONREPORT11022©01 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY ` . Town of Ctu®®n$bury I Fire Marshal's Office 14;3 % 742 Bay Road ` Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Are Marshal's inspection Report Request 024), SCHEDULE Received: _ -_-.Permit# O�—/ INSPECTION ON: - �` f\aU2__ ��Name; � � ,L% AM •'M ANYTIME Location: camstemzeh APPROVE -- ---- N IA YES NO ' COMMENTS EXITS � 1 � n AISLE WIDTHS 1' --- EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING ��k. ��� FIRE EXTINGUISHERS i FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM / ` FIRE SUPPRESSION SYSTEM r (> `� HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CDZ_—( ` " E Gv 7 CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING— - UNITS CLEARANCE TO ELECTRICAL_ REQUIRED SIONAGE EMERGENCY PLAN , MAXIMUM OCCUPANCY SIGN _, CHIMNEY MASONRY ROUGH IN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL _ WOOD STOVE ROUGH IN , _ • FINAL ) VENTED GAS APPLIANCE ��ROU.IG1-I I _ ^� FINAL _ ,_- -� FIREPLACE .." MASONRY ROUGH IN DAT/ ?oR CO NOTOK _ FINAL ,/ / FIREPLACE bP(I_ `' FACTORY BUILT OUGH IN ��f/ ---- / INSPECTED BY _ FINAL ,/ ----- y COMDEV/CHRIS.NWORDILETTERS2O01/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW•-OCCUPANT COPY ,:- s ; apg a - (0-44)-- N.LcEm-zu Penit Number — 6 wn use) Town of Queensbury DEC 3 0 2002 Application for Stormwater Management PeTrrh'itOF QUEENSBURY Under Chapter 147, Stormwater Management, LL 4-99 BUILDING AND CODE THIS APPLICATION IS FOR A p Major Project Minor Project 1. OWNER ` ;INDIVIDUAL p PARTNERSHIP p ASSOCIATION B.CORPORATION p MUNICIPALITY 0-AGENCY NAME Ma.4 1411 MOO Y7 ( Q%NAJ PHONE 687 . 6.7/ MAILING ADDRESS 7 stopte, r'rj Ya?"./t CITY ,9(42064, STATE 1,,i`r . ZIP CODE I2 ti& . • 2 AGENT 0 SAME AS OWNER d CONTRACTOR 0 ATTORNEY CONSULTANT 0 CONTACT PERSON NAME CoallS O. ji PHONE 64,8• MAILING ADDRESS las r eta, 2.4xj ' I CITY � O�G STATE 1.P-r ZIP CODE 1164', 3. 'CONTRACTOR. 9 SAME AS AGENT NAME PHONE MAILING ADDRESS CITY STATE ZIP CODE 4. PROJECT LOCATION gaO'C 012 ' QV i 01r • • _- FACILITY NAME(if not residential) SECTION BLOCK LOT STREET ZONING CLASSIFICATION PROPERTY IS PRESENTLY U VACANT 0 PARTIALLY DEVELOPED 0 DEVELOPED&OCCUPIED IS PROPERTY PART OF A SUBDIVISION? 0 No 0 Yes, name of subdivision 5. PROJECT DESCRIPTION 14.1O)C. IZD•. &V.�.�l. l '1 'r s/060,cG PROJECT PROJECT INVOLVES: Earthwork/Landscaping 0 Tree Clearing0 House Construction or Addition riveway Construction Garage Construction Detached Structure Septic System D Modification of a Stormwater Device p Other L:\CRAIG\TEMPLATESISTWATAPPS\TOWN STORMWATER APPL.DOC 11/2000 Page 1 of 3 .1141 3,•••••• • • • •+, : ' . • .•• • . . . • , - • ' • . .• • ' : • ,7 • • • • • , .• • , . • • PROPOSED USE ,+Residential (seasonal) U Residential (year-round) U Association U Public U Commercial PROPOSED STARTING DATE '/04) PROPOSED COMPLETION DATE I Z/c74, DESCRIBE THE MAXIMUM SLOPE OF THE PROPERTY IN THE PROJECT AREA: X0-5% (Level) 1405-10% (Gradual slope) U 10-15% (Moderate slope) U Greater than 15% (Steep Slope) IS ANY PORTION OF THIS ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED? U Yes >lo (if yes,please explain) 6. CALCULATIONS & CONTROLS TOTAL AREA OF PROPERTY 231 S(.(. 7. ACRES •(circle one) TOTAL AREA OF LAND DISTURBANCE: 8000FT2(do not include area of stormwater controls) TOTAL AREA OF NEWLY CREATED IMPERVIOUS SURFACE: (qsv FT2 TOTAL VOLUME OF STORMWATER TO BE CONTROLLED: 6"O2 Ge (see instructions) 24 Ne W2490 TYPE OF STORMWATER CONTROL MEASURES TO BE USED: rafaS HAS AN EROSION CONTROL PLAN BEEN PREPARED? ['Yes, plan is attached gNo If no, please contact your County Soil &Water Conservation District for assistance: Warren County 623-3119 7: SITE:INSPECTION During the processing of this application town personnel may need to visit this site for the purpose of inspecting, measuring and/or photographing site conditions. I authorize town personnel to conduct such a site inspection yes A no I wish to be contacted prior to any site inspection A yes A no 8.;CERTIFICATION I hereby affirm that the information on this form and all attachments submitted herewith is true to the best of my knowledge and belief. As a condition to the issuance of a permit, the applicant accepts full legal responsibility for all damage, direct and indirect, or whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the town from suits, actions, damages and costs of every name and description resulting from the said project. SIGNATURE OF OWNER DATE SIGNATURE OF AGENT DATE � 5042/ INCLUDE WITH THIS FORM: A Site location map A Project plans.on 8'%A X 11 size paper(Submit 4 copies of anyplans larger than 11X17). A Names and legal mailing addresses of anyco-owners of the property A Attachment A(for major projects only) A Stormwater Control Report (for major projects onil) A Environmental Assessment Form (for major projects only Failure to include any one of the required items will result in an incomplete notice and delay in processing your application. Permits and approvals may be required from other agencies. for town use only L:\CRAIG\TEMPLATES\STWATAPPS\TOWN STORMWATER APPL.DOC 11/2000 Page 2 of 3 The project is apr red as shown on the attached approved plans and subject to the conditions listed on the attached Sc'tiec e A. Approvet by on ° �° � Permit Expires t,liok Zoning dministrator Date CONDITIONS OF APP OVAL ATTACHMENT A to Stormwater Management Permit Application Permits or approvals required from other agencies Agency Permit or Approval Date Applied Date Issued Adjoining Property Owners List all parcels within 500 feet Tax Parcel Number Name Mailing Address L:\CRAIG\TEMPLATE5ISTWATAPPS\TOWN STORMWATER APPL.DOC 11/2000 Page 3 of 3 L17'501 = °XIS(' 4 IZ'LL '10i\ )c'loJ,• 02L'96 o (17)(25'1)(171 _ ZH.zCt = TT7% -Jo 1°� o IZ 'LL 5i10((t) 9 _[(0.5 5'C) + z5 + (9)&) 11 �ZZ� E -0 z ri `'z1i' (z 7J 4 'v) +Z Z v +2 1 z j cm)J,) = ''1-iq , 10/\ coop. k 1S'£ = 121 _ 11 :111:171 I Ita 40 p I . 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(1.;►rr›lr) _ 422 • ILi F►L_fi riaii 4 Urz-f-Acce. ./30.4 PR-�� �►T A ' Ln (2► + R7 ) x L 51,0eL + IT Rr L] Er( s-r- ti,o) x 5,2 2L,G� I0,g1 • 10FILi2Tior i Ri 1 (r7 r- 7 HILJU1/ram 1ui=. (2/Nic-- = I /i2 �= = 0.®®475F/ rL-10j' i-10 x 39F •'• 160 gF x 2 Pr-Ad9. 3 x 0.004 c.WHIJuit. 41(22 c& (var.)) < (AVAIL .) FILE COPY c_ ,,-7)-ty-%,„ aq-g \017 MECcheck Compliance Report ecked By/ 2000 IECC MECcheck Software Version 3.3 Release lb Data filename:D:\Old Computer\Program Files\Check\MECcheck\Brown Residence.cck AUG 2 TO 2003 TITLE:BROWN RESIDENCE �N o . om-t • `a--«� ` r�OFy CITY:Glens Falls STATE:New York HDD:7635 CONSTRUCTION TYPE: Single Family DATE:08/18/03 DATE OF PLANS:December 31,2002 PROJECT INFORMATION: Mr.&Mrs.David Brown Residence Knox Road-Assembly Point Town of Queensbury,NY COMPANY INFORMATION: Curtis D.Dybas,R.A. 19 Deer Run Lake George,NY COMPLIANCE:Passes Maximum UA=562 Your Home=548 2.5%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R Value R Value U Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 435 30.0 8.0 12 Ceiling 2:Raised or Energy Truss 1293 38.0 0.0 32 Wall 1:Wood Frame, 16"o.c. 3954 21.0 0.0 183 Window 1:Wood Frame,Double Pane with Low E 699 0.370 259 Door 1:Solid 37 0.093 3 Basement Wall 1:Wood Frame,8.0'ht/6.0'bg/8.0'insul 450 11.0 0.0 29 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 649 30.0 .0.0 21 Floor 2:MI-Wood Joist/Truss,Over Unconditioned Space 356 38.0.: 0.0 9 Boiler 1:,80 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC requirements in MECcheck Version 3.3 Release lb and to comply with the E mandatory requirements listed in the Ccheck Inspection Checklist. r/Designer 0�1 Date 8/10 fcgj S � MECcheck Inspection Checklist 2000 IECC MECcheck Software Version 3.3 Release lb DATE:08/18/03 TITLE:BROWN RESIDENCE Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity+R 8.0 continuous insulation Comments: [ ] 2. Ceiling 2:Raised or Energy Truss,R 38.0 cavity insulation Comments: Insulation must achieve full height over the plate lines of exterior walls. Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1:Wood Frame,8.0'ht/6.0'bg/8.0'insul,R 11.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Wood Frame,Double Pane with Low-E,U-factor:0.370 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: Doors: [ ] 1. Door 1: Solid,U factor:0.093 Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-30.0 cavity insulation Comments: [ ] 2. Floor 2:All-Wood Joist/Truss,Over Unconditioned Space,R-38.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Boiler 1:,80 AFUE or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials and 3"clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts in unconditioned spaces must be insulated to R 5. Ducts outside the building must be insulated to R-8.0. 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: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Service Water Heating: [ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105 °F or chilled fluids below 55°F must be insulated to the 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) ZiGIj --ovvvc79 :.Vri 'Vet ' 6?•Vi S17 ZI --671s1— i '9-51 V _ C`c;i7 i SA7 el -i, .. I &-, - 0 cr4 L ‘•vs 11 -- -- I115-1-mmr7--vp pi i ,i c.‘ I c'Qfr I s—or, r r.--/$ r„ s.91 ti 017i7 -6. 5'l'.6 9 bsf7L; L L.-01 Cl g- *025 6 'fr-Te. g ,- ec---6-91--- V c5a)----xj fr7---Ort -4732k/t1114V-ilrill = : SieNN-SiCZapiV2Orip) 0 7Z-0 ) I W -0 T. t-i-1495-SZ - 4-.,LW17 I"dcill .dStbfrt? 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FIe.) • ca cv �+ (343o)(14)/4 = 1204,6 a (12(x (12)/900 ® 6.5.4t "3 2_13��uu, 1,2,1 84 I'3 .j 56.4 3 L64. 113. AaI(0 (14)(t ). /56o o.47!''- o z Li e „ -4 o R.Q5/41f3 (3•4)(1(. 33)/(fle))( )( ): 0.371 < 0.47 04 . • 11%244. P LL. 4o , • k =; ;:(G5� _.,(IC991)(i2)l9C?0 -..21 t3 (14-X12)/ J(s � � �� �o� Cyr s �) : ; 7'$.5z t : 36 ; _ 716,'„r • .(3(4. )(7.52)/S' Q65.1 14 • 5 (2%')(I2 /i&o =. :.:�j2. S-2,c i2.t,_. 31.(?�I ', . 2= (.3.25"3 • fi: • '2 - I'.T. 2% 121S . io(?i„4 G-I R.I.EI2 .,,lilc l. beC4 laA2e 88q- ptx e3p41.1= 7'G.. 6.)-0 z/ ? ' . 9. G251 1z 9Go 78.14 6 3 S ex i2 31•G4 3 z g4.92"3 78,14"3' jam: 3 - I?r 2 g t2,5 • • •• • . • • . • • • • • • • • • . • . • • • . . . . . • • • . . . . • . . . •_. .„ . . •• . . . . . . • . . . . .- • . • . , • , . . , • . - . „ ; • • . , . . • . - . _ . . ,. . , ... • - . - . . . - • . - • • . 8 • • • A) PJ IP 1:4 t3 • A 14 • • IS1.)( ).) 0 0 th 000 • .C47 - 04917/C19( -7" 91-7,S qi(z,L)(5r,. 9.) = g/26-rr H tn tfl (Av1-) 10 = 5• 5 oval : -21502119 171 m tri us ca • Ci,dJ ,d9.1:% t V%1Crrtir] C6) 1.621 0 .1,s1or gx7, .50-0 (9.1.17)(0050(g)/(s&06,5•5)(s642.0) gitO-07 • t •v°o : 062s/(s9(51) , c-virev 097/47 = I s„ 171- I• 7 . 5. . • coji•L 00)1,/(Z9(0L5) c, . , oLs /(zs'9)(26) • • d7,V . ss'I's'otvr, 01 ZapT)f..fri,/p.' . ; • • • " - ..--rairtrZ)161/21 ..ripwzird.•'I • '-•-• • • ...• 'p•I;o l- ,= Cir(oci 2E1 . UC37lGU 1'XLOu�GJ lr 2l G�t.0 C-{, 1'•1 , p 1 o 1�� L,ol�r� • q►Jo�J.. (Lied co ) = 7o i F. 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