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2004-883 TOWN OF QUEENSBURY F1, L 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20040883 Date Issued: Thursday, March 31, 2005 This is to certify that work requested to be done as shown by Permit Number P20040883 has been completed. Tax Map Number: 523400-315-010-0001-005-000-0000 Location: 19 QUINCY Ln Owner: MICHAELS GROUP LLC THE Applicant: MICHAELS GROUP LLC THE This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 3 Cars Attached Single Family Dwelling �6 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: P20040883 Application Number: A20040,883 Tax Map No: 523400-315-010-0001-005-000-0000 Permission is hereby granted to: MTCT-TAF,T,S CrRnTTP T,T,C; THF, For property located at: 19 QUINCY 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: MICHAELS GROUP LLC THE 10 BLACKSMITH Dr Fireplace MALTA, NY 12020-0000 Garage-2 Cars Attached Single Family Dwelling $328,900.00 Total Value $328,900.00 Contractor or Builder's Name /Address Electrical Inspection Agency MTCHAELS CTROTJP SUITE 1 10 BLACKSMITH Dr MALTA. NY 12020 Plans&Specifications 2004-883 3142 SQ FT SINGLE FAMILY DWELLING $439.54 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, November 15, 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 To o eensb ; n y, November 15, 2004 SIGNED BY for the Town of Queensbury. r .y Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 . Community Development-Building& Codes (518) M-8256 B UILDING`PERMIT -- Permit Number: . P20040883 Application Nurnbef A20'040883 Tax Map No: 523400-315-010-0001-005-000=0000 Permission is hereby granted to: MTCHAELS GROUP LLC THE For property located ati 19 -QUINCY 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 Queerisbury Zoning .. Ordinance. Type of Construction Value Owner Address: MICHAELS GROUP LLC THE 10 BLACKSMITH Dr Fireplace AL TA,NY 12020-0000 Garage-3 Cars Attached 1VI Single Family Dwelling $328,9'00.00 Total Value $328,900:00 Contractor or Builder's Name/Address Electrical-Inspection Agency MTCHAET.S GROUP ST TTTF, 1 10 BLACKSMTTH Dr MALTA_NY 12020' Plans&Specifications 2004-883 19 QUINCY IN.' 3142 SQ FT SINGLE FAMILY DWELLING Revised plans submitted 11/30/,04 to shoo W increase in size of.garage. Garage will be 21 ft. by 32 ft. =672 sq. ft. Paid additional fee of$21 $460.54 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,November 15;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 oM- sbju ;: and y, ovember 15,2004 SIGNED BY for the Town of Queensbury. Director of Building&Code Enfor�ccement 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. No Illspeetloll Will be Made until appliCallt has 1-CCCIYCd a FCC Paid $ n— 3 I.Sta valid building permit. All applicants' spaces on this Ree. FCC Paid application must be completed and !!lust appear on the Reviewed By: application !brill. J" �� S� � Applicant "� : Owner: Address: - 1<Lt.,j— Address: - Phone Phone## Property Location: Lot Number: 5 / house Number I`1 / Qy1tyLY Lsv Subdivision Name: Tax Map Number: ��(� l XNew Building: residence /commercial Estimated Market Value of Construction: $ 3 Zi)1 c10b ❑ Addition: residence/ commercial If an'Addition, what will use of new addition be? ❑ Alteration: residence! commercial ❑ No change to exterior size: residence/coni'l ❑ Other work(describe ) L S Check Occulmilcylliformation I" Floor 211 1 Floor Other Iloor Total Below sq.11. sq. 1'l. sq. 1't. Square Feel Single family dwelling 11039 1503 314Z ��t� ❑ Two ramily dwelling J- ❑ Townhouse ❑ Multifamily dwelling #of ullits ❑ OfliCe ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage / Q ❑ 3 car detached garage ❑ 1 car attached garage 2 car attached garage _ n ❑ 3 car attached garage ❑ Storage building- conlrllcrcial ❑ Storage building- 1 residential ❑ Other Will atly second-hand or ungraded lumber be used? If so, for-what? ,� . Type of Healing System: electric/ oil / gas wood /forced hot air/ baselUoard/other: �U Number of fireplaces to be installed Number of 11'oorhstnnes to be installed C�� List below the person(s) responsible for supervision of work as regards to building codes: Address - phone,NUMber- - plunlbcr_GAC "-U— (A- 1 E) "2"- Mason J 1501C b32 918E }✓ICCtrlClall $F�TS A1 �1-�3'fR1 G �� �s FAT 4-tvNTce 3(0 5 - Z 14$ DcClaraligm: please sign below after you have earefully read the sla tell ienl: To the best of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete stalement of all proposed work to be clone on tile.described premises and that all provisions of the i3uililin6 Code, lhC Zoning Ordinance and all olllcr laws pertaining to tile.proposed\vork shall he complied Willi, whclher specified or noted, and that such work is aulhoriMl by the owner. Purlher, it is tmCIUStood that i/We shall submil, prior to a Certificate of OCCupanCy or CCrliliCate of Compliance being issued,as requested by the Zoning Administralor or Director of Building and Codes, nn As Built Sorrel by a licensed surveyor;drawn to scale,sllowing actual location of all acw constructio�. SignatUM:___ _ ___ owner, owner's agent, architect,conlraclor Check Residential Plan Review: One& Two Family Dwellings YIN/N/A 2)Full sets of plans Over 1,500 sq. ft.—Stamped Design Loads On Plans: 90 Wind Floor Loads 40 psf 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: indow Schedule With Glass Size Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. ade,5.0 sq.ft. 24"(h)x 20"(w)min. 44"Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofmg/Waterproofing Materials On Plans Foundation Drainage On Plans,if required "Drop in 10' Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where e uired Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls atforms At Exterior Doors irway Headroom 6' 8'All Stairs 36"Width (y tair Run and Rise Winder Run and Rise , Spiral Not Allowed From 2n Story Yoke Detectors Battery Backup and Proper Location athroom Fixtures Proper Clearance all Width,36"min. andrails More Than One Riser On Open Sides ailing 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 Application for Permit=Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ........................................................................... Office Use Location of installation: � ` pq � File Permit No-,,, Tax Map No. Fee Paid .--_` .'• �._,L- Owner's Name: - Address: ICE 13 Lt�5-l�'C� TxLIV , r-tA TOE ...............................................T.....,. �r....0....�....4004„.,....,,........... O;C" r, J. Y 2. INSTALLER'S NAME l/l '^�-�, x rra y. PHONE NO. -7,eY 7—Z 16-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) 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 —14 x 110 gal/bdrm. = y` Garbage Grinder Installed yes_ / no' Spa or Hot Tub Installed yes! / no 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) Tonogranliv Soil Nature Ground Water Bedrock or Impervious Material . Domestic Water SRpyly lat san at w at depth at wh t depth unici a Rolling oam feet Al feet we 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: gallon(min. size 1,000 gal.) Tile Field: each trench r 0 ft. Total System Length: Zia ft. 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 Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: I Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work_ must be inspected by_a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the-regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. SignA`£ a of responsible person Date 'Flow s) Sc;wc:rs stftcl 5c;wstJ;t: Dimposst1 t:ttstUir:• w A-11,80RI"TION ' SIB;I'Ii't�A,'i'IW1N EZ��tZt,Ilitt�[�1•T�►t�I'I';; • I I` •, w�wn_�•��1.��IP_w�T�T��,.Iw•Iw�•�•� t POND WELL IN )*rjf•ft- •i J' �t tt'r4•t . ....-...ram.' :� •i•'•�� 1 AE 1 x low i t, 1 •�, 1�•1 tYw �qV4 taa,+r�ri�s s� I 7, SI &INFORATI I M�,SY't)1�1►9lriL•t rr %b '4F �•�,��' MON VL'1 �tiA v awv I M • Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys. applicable to solid fuel & vented gas.appliances Date ! i , 20 0 4 Permit No. `-' a Application is hereby made to the Building& Codes Office for the issuance of a Building and Use Pertnit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to conzply 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: "F-I E. >. �t a __s xi taco,r1 Stove: wood coal pellet gas Fireplace insert Address: IC.). R,s 1.*.,c_ke, � i� 01 � Place,-lacAlory='b'ul t) wood ga � Fireplace, masonry: wood gas Furnace: wood gas oil Phone: If non-masonary applicance, please provide Owner: Manufacturer Name: .;�►' Model Number: Address: Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile CV size: inches Exact Address: 9`t aik,1CI-( fL-cam`, a of construction or installation / Factory-Built Manufacturer name: Model Number: Note: Listed By: Number: Construction/Installation must con orrn to N8 Fire Prevention &Building ilidicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple wall / Insulated / D Chinirtey Liner � Cazzs�`iier'�r.Depaz�me�t—2'0��,`of•Qsze��.®rbu=�, New YTvri�c: Fire Marshal Code# $Collected $Refunded Receii ed fr•orrz (refterzcleci to): ,I, K address: A 173 3389 (190) Public Safety _.•' A 233 2655 (230)Minor Sales DATE: White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink K Goldenrod(Cashier's Dept.) Fire Marshal's Office Town of ueensbur 742 Buy Road Qu�ensGu7 Q ) Y � � ,b;�NY (518)761-8205 :.;_ Application for Fuel Burning Appliances & Chimneys Nov 0 applicable to solid fuel & vented gas.appliances 42004 Date 11 Z , 20 4 Permit No.O t Application is hereby made to the Building& Codes Office for the issuance of a Building and Use Permit pursuant to'the New York State Fire Prevention and Building Code The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: THE M 1 C-H ,i-e1S Stove: wood coal pellet gas Fireplace insert Address: 10 SLp CXSM ITH -?J2 ire lace actor - ui wood as Fireplace,.masonry: wood gas Furnace: wood gas oil Phone: f�)c!?j t',o'311 If non-masonary applicance, please provide Owner: SA-M1;_r Manufacturer Name: Address: Model Number: Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile tee size: inches -Exact Address: 19 Q-.3x V of I p-r S) 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 Queensbury Handouts regarding required inspections. double wall / Triple wall / Insulated / irect ventin Chimney Liner Ca,,stba[e�r',6r.Department--�`o��. of Que��nterbur�-,1V'e��or�: Fire Marshal Code# $Collected $Refunded Receiver!from(refunded ro): address: _ A 173 3389 (190) Public Safety A 233 2G55 (230)Minor Sales DATE: l� White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&:Goldenrod(Cashier's Dept.) n' Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ epart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials. NAME: & R)p PERMIT NO.: y LOCATION: — , tJ(/N I-,,v , INSPECT ON: 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 End Caps Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits Conforms as per Plot Plan N / G� Engineer Report and As-Built VY N ✓� ���� Q v Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Statu Approved Partial Approved and needs to be re-inspected,please call the Building& Codes Office Disapproved Last revised 1/6/05 Q� o'l cc MAP REFERENCE: QUINCY LANE SUBDIVISION THE MICHALES GROUP BY: VAN DUSEN do STEVES DATED: APRIL 15, 2003 LAST REVISED: JUNE 10, 2003 sr�?e F AB50RP' M TRENC H5 LOT 4 4 0 517 EIS W � LOT 5 43,750 sq.ft. 1.00 acres a 2 DISMBUTION BOX 2 STORY p *r WOOD FRAMED N b HOUSE p 1.2500. LOT 6 OROH 5BTW TANK a+.c*. �4 r Q Q RECEIVED NC UTILITIES 011111 E11//Ill MAY 2 4 2005 - TOWN OF QUEENSBURY :*; BUILDING AND CODE //1111ttI14 SEPTIC SYSTEM - AS - BUILT a ei �''( . D u .S' ,I,AUMMM AL7Emim a:Awn=m A suWr Scale 1'=30' YAP WA& e� M A L1MM LW SUWA-I s SEAL 4 A Map of a Survey made for YJ"TM OF 2WT=riM sus-CrOM z OF nc YEW V=srAX m MYM LAa• S teve s �` "M=K& W`�M�" YARI®r1Y AN CWaYAL d:1!E lN0 SUIVEIS/LS �`�`KroK V"7"01FIM' DAVID P. & ANTONELLA MARGISON S- 1 *0MV A„W wXM= M 90 nar in s C C PSALM w ALW SWa M1M THE oosTM+c amE aP'PRACTICE Pat LAID lrRVEroxs AD0P7ED Lan u r v e y ors LAW LA 7 S t*1 ft AMC MWAY1I0Y OF PR0FE6 Y >�NMM DYL A s n P 2 3129105 SEPTIC SYSTEM AS—BUILT SHEET I OF I ,�>� ERsa FM RNaI IESWAYr ISPREPARED. lb ON W NNMP 10 IM IRE CpPAYY.00Y NMUAL 189 Haviland Road Queensbury, New York 12804 m 7K AA°O"00`°CM VMXU°Y L'ED�Aw Town of Queensbury, Warren County, New York sp DP,M�M�' 1 3111105 CERTIFICATIONS MARGISON 518 792-8474 New York Lie. No. 50135 NO. I DATE DESCRIPTION DWG. NO. 02333-5 is Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/p �Dpart: �i/� am/pm Date Inspection request received: _ _ Inspector's Initials: _ NAME: Q�G' PERMIT#: LOCATION: (rd ., DATE: TYPE OF STRUCTURE: _ Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake �� J 3 inch Plumb Vent through roof minimum 6" ( J Roof Complete/Exterior Finish 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 IA 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 %" 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: R o' Every level: % Every Bedroom: Outside every bedroom area: Inter Connected: _ / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window .Plumbing fixtures oe Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade 411 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 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./Addresq vis'b e from oa Final Electrical 1i K& .V Site Plan /Variance legul d Final 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 1 4— L:\PamW\Building&Codes\Inspection Forins\Res. Final Insp. form 2.docLast printed 2/12/04 r Town of Queensbury Fire Marshal 742 Day Road Queensbury,NY 12804 761-8205/7.61-8206 fax 7454437 Factory Built Gas Fireplace/Stove Yn�spection KeDort Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions ors erifa Lions is allowed. Permit/f ®� V Schedule Inspection � � vS Time, am pan anytime Inspector NameeC,1 \ c '\ �J 12� ,. Address v'� ,_ Rough In____Final Appliance Manufacturer. Model#� :Direct vent Factory Built Chimney .Flue Size Double Wall Triple Wahl 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 Terminations Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction Within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension if any) Mantel Height above f/p opening Witness Operation pof Tank Placement(if LP) White—Building Dept. Yeihoev Gust er Pink—Fire Marsha! Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/p part: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT #: 0 LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A ou h Plumbing / Nail Plates Plumbing Vent/ Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/ change of direction Pressure Test Drain / Vent Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressur est Wa Supply Piping r / Head 50 P.S.I for 15 minutes 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: LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request re ived: ' Queensbury Building&Code Enforcement Arrive: am/pm part: m/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: C� 5 A k& �� MI PERT #: C LOCATION: 17 tV0,,Aa L V INSPECT ON: Z�J4 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 a ing Machine Drain 2 inch min. Dor 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: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Septic Inspection Report Office No.(518) 761-8256 Date Inspection requg�st received: Queensbury Building&.Code Enforcement Arrive: am// epa : —am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials. NAME: 14A , 612n PERMIT NO.: o LOCATION: U! mil/ INSPECT ON: �i7 ZZJ RECHECK: Comments and/or diagram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water ��G�'(C"Gt4 Waterline separation distance ft. Well separation distance ft. C 0 L G T _5AFF Other wells: ft. Absorption Field: Total length ft. _ Length of each trench ft. (�•4�5� R�p� GJ� Depth of trenches Size of Stone Seepage Pits: Number Size: — x— C�,LL {b�. ► \, C��CK Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial End Caps Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built __Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: proved Partial Approved and needs to be re-inspected, please call the Building& Codes Office Disapproved Last revised 116105 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: r� 'as r "5 NAME: \[� LOCATION: PERMIT Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept. of Community Development. Upon rev. the survey has a n: Craig BNFA, Zoning Administrator Notes: L:\SueHemingwayTuilding.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc MAP REFERENCE: QUINGY LANE SUBDIVISION THE MIGHALES GROUP BYv VAN DU5EN + STEVE5 DATED, AFM 15. 2003 LAST REVISED= JUNE 10. 2003 S� )28'00 LOT 4 LOT 5 0 43,750 sq.ft. 1.00 acres 4 0 65•sa �O 2 STORY o '`f WOOD FRAMED ti 0 HOUSE N PO RC CO LOT 6 h, 54 64 h h i►rj4 0 8 30"yr QUI NC UTILITIES Fng • '� �' Z4 r 1 q gvIgot CY Date, MARCH 1, 2005 Du ,S' %KAnM*UED ALTIRATIDN DR ADDITIDN TO A SURVEY Scale 1'=30' NAP BEARING A LICE LAUD SURVEYM SEAL IS A Map of a Survey made for & NDLATICN OF SECTION� � 1 2.GF,HE,s -DI WIN Y=STALE EDucAna LAW.' Leves uAIM wnl�w aeDDuL OF 71E LAw suRYEwRs SEAL awL BE DMMIRm TO BE VALID TRUE CDAES.• �. .=TI�TIDN REPAMI�I TIT THE MICHAELS GROUP YHs suRYEr wAs AWEPARm xL ALAW SNCE M1N tNE Land Surveyors °Y,8,°0DE DF PRAD,I�IR LAND WPEYDM AD& BY lIE NEW YDRIC STALE ASI90CJATIp1 DF PWDFES90NAL LAND SURrEratS.SAID CkRWIMIDNS SHALL."DIR.Y m 1ME M"I M%%M M MMEN Is PREPN=AND SHEET I OF I ON 10 SMALL'TO THE TITLE CDNPANY.DDVFI*#MffAL 169 Haviland Road Queensbu New York 12804 MOCY AM LMM"5"W"a L�MM°"'AND Town of Queensbury, Warren County, New York ry, TO M AB9GKM OF TILE LEMM RLSnWlIM.• QUINGY (518) 792-8474 New York Lie. No. 50135 1 NO. DATE DESCRIPTION DWG. NO. 02333-5 1 �u Septic Inspection Report Of - /Office No.(518) 761 8256 Date Inspectop.request received: Queensbury Building&Code Enforcement Arrive: //'�'l am/pm Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: '-/� NAME: (S-VOLLAP PERMIT NO.: 0 (� LOCATION. V INSPECT ON: RECHECK: Comments and/or diagram Soil Type: LSand)/j�gara.LClay Type of Water:Ouniqjpal/Well Water Waterline separation distance % !! ft. Well separation distance / ft. Other wells: f ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches i 3 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: N/Partial End Caps Location/Separations Foundation to tank Foundation to absorption Separation of Pits ft. Conforms as per Plot Plan _Y ! N Engineer Report and As-Built Y k' N Location of System on Property: Front Rea ' Left Side fight Si Middle Front Middle Rear _ S`j System Use Status: r, Nee �J �� ✓w��� '� /.S/1 G�t/(f=1Y e.- Lf e✓4 ;J` rf J /+'1 Approved �, c, (7 4-) jC Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved ok . 6)je.— �slaM ) ,eef ,A, Last revised 1/6/05 Rough Plumbing / Insulation Inspection Report Office No. (51 8) 761-8256 Date Inspection request received: _ Queensbury Building& Code Enforcement Arrive: am/ part' am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: _ PERMIT #: C ^� LOCATION: _ z�� INSPECT ON: /Lp 7 Z 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 Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes 1 Cleanout every 100 feet/change of direction Water Supply 1 Piping Cooper Commercial C fir, CPVC,Pex One and Two-Famil sulation/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\13uilding.CGdes.Inspection.FORMS\Rough Plumbing Insulation Repoit.doc November 17,2003 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factor%,Built Gas FireWace/Stove Inspection Retort Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit#� �Schedule Inspection� �� Time— L am pin anytime Insp Name �ti �C (�Y(s-wokddress_ _ Rough In^Final Appliance Manufacturer VVkQWIL S"b V,\g.J 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 any) Mantel Height above Vp opening Fitness Operation Tank Placement(if LP) White—Budding Dept. __ ~—-�~+Yellow Corr- er Pink—Fire Marshal Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection req st received: c Queensbury Building& Code Enforcement Arrive: _am/ ),..,Pe p rn 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: ^ "\ V� PERMIT#: 0 4— LOCATION: INSPECT ON: TYPE OF STRUCTU : ^� Y IN N/A aming COMMENTS � Jack Studs/fleaders 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 % 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 USueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (51 8) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/p am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: \O l-\ ��C;�Q Q2i PERMIT #: - LOCATION: ` INSPECT ON: s TYPE OF STRUCT . Y N NIA PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plu Vent/Vents in Place ou h 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: LASueHemingway\l3uilding.Codes.Inspection.FORM SIRough Plumbing Insulation Report.doc November 17,2003 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: /X- Queensbury Building&Code Enforcement Arrive: am/ in De art: a pm , 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: .. NAME: �Ctp PERMIT#: LOCATION: -Z I INSPECT ON: 9 —l D--- TYPE OF STRUCTURE: Y N N/A COMMENTS— r° .,r Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. �p� Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls / L Metal Strapping for Notches Top Plate r 1 %z(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft.floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall 1r1 A Fire separation 1;2,3 hour Fire will 2, J 3,4 hour tk n �,Q estopprng �a rrN 5�A L Penetration sealed v 5 e- 5 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 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/p D part: 9 am/pm 742 Bay Road, Queensbu ,NY 12804 Inspector's Initials: ry, p NAME: PERMIT #: o— 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. Plumb' Vent/Vents in Place kh-Plumbing/Nail Plates 1 V,2 inch min.Drain Size ashing Machine Drain 2 inch min. :ead"or Air Supply Test Drain and Vents ( 5 PSI or 10 feet above highest CA ,connection for 15 minutes C eanout 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: LASueHemingway\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: V-7 hS Queensbury Building& Code Enforcement Arrive: _am/ e m 742 Bay Road, Queensbury, NY 12804 Inspector's Initial NAME: �� CA'j q__( /S G/-6 LC PERMIT#: LOCATION: � „ c j L Ply— INSPECT ON: 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 %z (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center 'Ice and 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 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.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: a 3h's Queensbury Building& Code Enforcement Arrive: e _aIn/pm epart: a pm 742 Bay Road, Queensbury, NY 12804 Inspectors Initials: NAME: �'1 i✓� A'A PERMIT#: ' LOCATION: ( ,�G INSPECT ON: 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 %z (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center e and snow shield 24 inches from wall / Fire separation 1, 2, 3 hour J Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side % inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemin-way\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Foundation Inspection Report - Office No. (51"8) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm �epart: 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: /3'11 LGi f `S PERMIT#: V,L 1— !1 LOCATION: 9 Y v, c 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 Rejpkfrcement_in.Place jFoui datlon'Dampproofing '`Foundation Wa offing' Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil of -for;wet areas under slab Backfill-App"royal a "`Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Bui]ding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 JV Foundation Inspection Report v Office No. (518)761-8256 Date Inspection requ t received: Queensbury Building&Code Enforcement Arrive: am/ m epa . a pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial lip NAME: �Y-c-)o,(D PERMIT#: v v LOCATION: ; G INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A botings Piers Monolithic Slab Reinforcement in Place The contractor is res sible f r 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 Dampproofmg/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 SIab 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 0 Permit Number REScheck Compliance Certificate Checked By/Date � New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release lc NOV © 4 2004 Data filename:F:\SHARE\Design\Energy Calc\Quincy Lane\19 Quincy.rck v TITLE: QL548 Van Buren -- COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE: 11/01/04 DATE OF PLANS:November 1,2004Qf PROJECT INFORMATION: rs . " "Ij 19 Quincy Lane Queensbury,NY COMPANY INFORMATION: The Michaels Group 10 Blacksmith Drive Malta,NY 12020 NOTES: Pella Proline windows COMPLIANCE:Passes Maximum UA=620 Your Home UA=567 8.5%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Raised or Energy Truss 1728 30.0 0.0 55 First Floor Walls:Wood Frame, 16"o.c. 2055 19.0 0.0 99 Ix Study(D):Wood Frame,Double Pane with Low-E 15 0.340 5 lx Study(C):Wood Frame,Double Pane with Low-E 31 0.340 11 Ix Kitchen(BH):Wood Frame,Double Pane with Low-E 16 0.340 5 2x Brkfst(BJ):Wood Frame,Double Pane with Low-E 21 0.340 7 lx Brkfst(BY):Wood Frame,Double Pane with Low-E 33 0.340 11 Ix Brkfst(BX):Wood Frame,Double Pane with Low-E 16 0.340 5 Brkfst#34: Glass 23 0.350 8 2x Family(BP):Wood Frame,Double Pane with Low-E 20 0.340 7 2x Family(BS):Wood Frame,Double Pane with Low-E 10 0.340 3 2x Family(Y):Wood Frame,Double Pane with Low-E 27 0.340 9 2x Family(E):Wood Frame,Double Pane with Low-E 55 0.340 19 Utility#20:Solid 19 0.240 5 Ix Dining(D):Wood Frame,Double Pane with Low-E 15 0.340 5 2x Dining(AI):Wood Frame,Double Pane with Low-E 24 0.340 8 Foyer#lB: Glass 37 0.350 13 2x Living(D):Wood Frame,Double Pane with Low-E 31 0.340 11 lx Bath(N):Wood Frame,Double Pane with Low-E 6 0.340' 2 2nd Story Walls:Wood Frame, 16"o.c. 1769 19.0 0.0 95 Ix Bed#2(C):Wood Frame,Double Pane with Low-E 31 0.340 11 lx Mbath(V):Wood Frame,Double Pane with Low-E 16 0.340 5 2x Mbr(BX):Wood Frame,Double Pane with Low-E 33 0.340 11 lx Mbr(BG):Wood Frame,Double Pane with Low-E 29 0.340 10 lx Bed#4(C):Wood Frame,Double Pane with Low--E 31 0.340 11 lx Foyer(CQ):Wood Frame,Double Pane with Low-E 8 0.340 3 2x Bed#3(BA):Wood Frame,Double Pane with Low-E 30 0.340 10 Ix Bath(N):Wood Frame,Double Pane with Low-E 13 0.340 4 Bsmnt Wall 1:Solid Concrete or Masonry 1470 0.0 11.0 95 Wall height:7.6' Depth below grade:6.6' Insulation depth: 6.0' Bsmnt windows:Wood Frame,Double Pane with Low-E 5 0.560 3 Over garage: All-Wood Joist/Truss,Over Unconditioned Space 440 19.0 0.0 21 Furnace 1:Forced Hot Air,80 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 Okat to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in complia th this od Builder/Designer Date 4' L REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release lc DATE: 11/01/04 TIME: QL548 Van Buren Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Raised or Energy Truss,R-30.0 cavity insulation Comments: Insulation must achieve full height over the plate lines of exterior walls. Above-Grade Walls: [ ] 1. First Floor Walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] 2. 2nd Story Walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Basement Walls: [ ] 1. Bsmnt Wall 1:Solid Concrete or Masonry,7.6'ht/6.6'bg/6.0' insul, R-11.0 continuous insulation Comments: Exterior insulation must have a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade)insulation and extends at least 6 in.below grade. Windows: [ ] 1. 1x Study(D):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 2. lx Study(C):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 3. lx Kitchen(BIT):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 4. 2x Brkfst(BJ):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 5. lx Brkfst(BY):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 6. lx Brkfst(BX):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 7. 2x Family(BP):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 8. 2x Family(BS):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 9. 2x Family(Y):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 10. 2x Family(E):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 11. lx Dining(D):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 12. 2x Dining(AH):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 13. 2x Living(D):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 14. lx Bath(N):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 15. lx Bed#2(C):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 16. lx Mbath(V):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 17. 2x Mbr(BX):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 18. lx Mbr(BG):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 19. lx Bed#4(C):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 20. lx Foyer(CQ):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 21. 2x Bed#3(BA):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 22. lx Bath(N):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 23. Bsmnt windows:Wood Frame,Double Pane with Low-E,U-factor:0.560 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: Doors: [ ] 1. Brkfst#34: Glass,U-factor:0.350 Comments: [ ] 2. Utility#20:Solid,U-factor:0.240 Comments: [ ] 3. Foyer#1B:Glass,U-factor:0.350 Comments: Floors: [ ] 1. Over garage:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air,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 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a 3"clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals 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. [ ] 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 unit has at lesat one t hermostat 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. 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 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) MAP REFERENCE: QUINCY LANE SUBDIVISION r THE MCMALES GROUP LOT 6 BY+ VAN DUSEN + STEVE$ DATED, APR . 15. 2003 LAST REVISED, JUNE 10. 2003 S15°31 '303W '.50.00' [ of ftw*% CVJ _ �C? Q 40 �2 - IN s !" o LOT 5 ocri iCo 1.00 acres 'A 43„750 sq.ft. r v C7 - m i 0 0 250.00' 4 p N15"31 '30"E UIds b COP"Wimmm s LOT , 4 emb fw 3-1