2003-630 11J
TOWN OP -QUEENSBURY
742 Bay Road,Queensbury,NY 12804-8902 (818)761-8201
Community Development•Building&Codes (518)761.8256
CRTIFI
CATS OF OCCUPANCY
Permit Number; P20030630 Date Issued; Tuesday, December'16,2003
This:is to certify that work requested to be done as shown by Permit Number P20030630
has been completed.
Tax Map Number; 523400.308.005-0001-077-013.0000
Location; .8 LYDIA Ln
Owner; T. STEPHEN&KAREN FIELDING
Applicant;
T, STEPHEN&KAREN FIELDING
This structure may be occupied as a;'
By Order of Town Board,
Residential Alteration&Addihon TOWN OF QUEENSBURY
Director of Building&Code nforc ent
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030630 Application Number: A20030630
Tax Map No: 523400-308-005-0001-077-01.3-0000
Permission is hereby granted to: T. QTFPHF.N&KAREN FTFLDINCT
For property located at: 8 LYDIA 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: T. STEPBEN&KAREN FIELDING
8 LIDIA Ln Residential-Alteration&Addzti $19,OOOAO
Total Value $19,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
SPECK_ KEVTN
47 SKARABRAE RD
LAKE GEORGE. NY
Plans&Specifications
2003-630
328 SSQ FT RESIDENTIAL ADDITION AND 484 SQ FT ALTERATION AS PER PLOT PLAN
SPECIFICATIONS
$123.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 21, 2004
(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 wn Que bbuyy; T y,August 21, 2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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 inspection will be made until applicant has received a Fee Paid $ 7 3 . a -44 0 S
valid building permit. All applicants' spaces on this Rec.Fee Paid $ ?q� 20�
application must be completed and must appear on the Reviewed By: N q� 3
application form.
. vt3
Applicant: t, �SAe Owner: lIn C-
Address: 7 ,SK I l rr _ Address: K Qd t'_ k.gz.,�,e
AJ
Phone#(,-L$)&(j - Phone#Q� a � -,1,5-7 !Y
Property Location: Lot Numb' : / House Number�_1 �.gti d is La f--
Subdivision Name: ___ Tax Map Number: W. S-l-7-7,13
❑ New Building: residence /commercial 'Estimated Market Value of Construction:$ 1 �
Addition: esidcnc / commercial If an Addition,what will use of new addition be?
Alteration: res once/ commercial
. esidence/corn,16jrakAed y- �J
14 Other work(describe ��Y a q� Est o ah-t-�0h,//C.t t.Yt&y )t0o*tan
Check OecupaneyInformation I Floor 2.0Floor Other floor / TotaI
Below sq.ft. sq.ft. sq.ft. Square Feet
Single family dwelling
❑ Two family dwelling
❑ Townhouse
o Multifamily dwelling
#of units
❑ Office
❑ Mercantile
❑ Manufacturing
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ 1 oar attached garage
❑ 2 car attached garage
❑ 3 car attached garage
❑ Storage building- of/''v
commercial `✓
❑ Storage building- U '
residential
pQ Other
What is the proposed height of the structure �' 1 feet �r inches
Will any second-hand or ungraded lumber be used? If so,for what? All)
Type of Heating System: electric/ oil / gas/wood /forced hot air baseboard J other:
06,
Number of Firenlaees to be installed t Number of Woedstoves to be installed_
List below the person(s)responsible for supervision of work ar regards to building.codes:
Name Address Phone Number
Builder 7 L C, L,&9-12.1-77
Plumber
Mason
Electrician
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor,drawn to scale,showing actual
location of all new construction. ,^, - �
Signature: �., C �/LY. owner,owner's agent,architect,contractor
F ire Marshal's Office Town of Qucensbui y,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning-Appliances & Chimneys
applicable to solid fuel & vented gas appliances A,
Date 20 Dj RIECUVED Permit Mo. 0j 36
AU 3 5
Sl ppcefor the issuance of a Building and Use
Application is hereby made to the Building& od')eLt C 14
Permit pursuant to-the New York State FifDOM00mm4 �P,8,ffiM Cad . The applicant or owner
agrees to comply with all applicable laws, J?,fifftX"�,,p#g1de(j and all conditions that are part of
f
these requirements and also will allow all inspectors to-enter�rth;nz7oes to perform required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance'Information
(circle appropriate words)
Name: eev ih' Stove: wood coal pellet gas
Fireplace insert
Fireplace, factory-built: wood gas
Address: <2Eb
Fireplace, masonry: wood gas
Furnace: wood gas oil
Phone: If non-masonary applicance,please provide
Owner: Fj Manufacturer Name: C,
Ln ,
t Model Number:
Address: Law
e-ch s. Chimney Information
Phone: 7 3 37 (circle appropriate words)
Masonry block brick stone
Flue tile steel size: inches
Exact Address: LaL
of construction or installatiolf Factory-Built
Manufacturer name: - lva'_%ens I 1"C'
Model Number: %TKN
Note: Listed By: J( Number: SK&
Construction lInstallation must
con Lrin to NYS Fire Prevention car Building Indicate(circle) chimney material:
_
Code. Consult available Town of Queensbury
inspections. Triple wall Insulated Direct venting
Handouts regarding required ins <ED
Chimney Liner
.Mavw=
$Refunded$Collected ended to):
Fire Uarshal Code# 6��,
address;
A 173 3389 (190) Public SaJ&4Y
A 233 2655 (230)Minor Sales
DATE:
White(Applicant) Green(Fire Marshal) Yellow(Bldg.Dept.) Pink&Goldenrod(Cashier's Dept.)
C� f VD
ENERGY,CODE COMPLIANCE APPLICATION.AUG 0 2003
TOWN OF QUEENSBURY, WARREN CO� 7 AeEFjJS8 r,y
r� 9000 HEATING.DEGREE DAYS,
Compliance Methods:Part S -Acceptable Practice Method— 1&2 Family Dwellings (only)
Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwelling;
Multi"Family Dwellings(3 Stories or less)
Pad 4*-Design by Component Performance,Commercial Buildings-11i
Rise Residential
*Requires submission of worksheets
APPLICANT'S NAME: PROPERTY LOCATION:
V1 l�QP c, Lah
Ene S kt
�
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area- square feet
2. Type of heat- Electric . Oi! Gas Other
3. is building mechanically cooled? yes V No
4. Percentage of area of windows and doors Over 17% L/ Under 17%
` 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TQ R VALUES AS
SHOWN ON PLANS SUBMITTED:
a: Roof R 3C}+- P'3ff
b. Exterior walls R-�
C. Glazed areas R
d. Exterior doors R
e. Floors over unheated spaces R 3
f. Edge of slab on grade(heated building) R
g. BasemeWcellar walls(above grade) R
h. Basement/cellar walls(below grade) R
i. I-Ieatinglcooling-ducts piping in unheated space R_ �,�2
6. Service(domestic)hot water heating device
Conforms to minimum efficiency per code V'Yes No
TEMPERATURE CONTROL MAXIMUM SI;FMG 140—WILL NOT BE EXEEDED
Applicant's Signature Date Phone Number
INSPECTOR'S REMARKS: `3 3 ,
i
t
Job Site Address.
Date: 7 3 t
Owner:
-� Application No, File No. � !
RECEIVED
AUG 0 5 2003 Building Permit-- Calculation Shut
Natural Light; Ventilation � Emergency Egress MN��aU��Ns� g Y g . s Requirements
BUILDING AND C0 abitable Area of Req.Light Actua Req,Vent Actual
Room Room 8%of Room Li ht - Sq.Et. Remarks
in g 4%of Room Vent Opening for
Area Squar ( Area Square Egress
Feet
Square F Footage
3sa AA J�Ib5
A o 9 A d � .
PLI�ih y 3 , �, 9 al
L,�SueHemingwzAuilding,Permit.FORMSWaLUghtVentil.Calculation.Shectdoc
' - Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbur', NY 12804
Phone(518) 761-8205 ' Fax(518) 745-4437
Fire Marshal's Inspection Report
Request _ ' D SCHEDULE 6-7,
Received: Permit# d INSPECTION ON: �O
Name; AM PM ANYTIME
Location: u�!
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS Y
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
(REPLACE
ASONRY ROUGH IN OK THIS DAT K FOR C NOT OK
/FIL
FIREPLACE
FACTORY BUILT R CTED BY
L
COMDEVICHRISJIWORDILETTERS20011FIREMARSHALINSPECTIONREPORT11022001 '
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Residential Final Inspection
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am�A�p art: ' ' am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: G L PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in. or more @ stairs,decks,patios i
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in.or more
Exierior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above 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 Valve(s)installed
Interior privacy/trim/doors 1 main entrance 36 in.
Bathroom/Kitchen waterti ht
Safety glazing
Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: ! Every Bedroom:
Outside every bedroom area:
Inter Connected: I Batter baoku :
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
'f hour fire door/door closer
Garage fireproofing
Duct work Sealed Properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 s . ft,-150 s .ft.vents
Building No./Address visible from road
Final Electrical 71
Site Plan /Variance required )
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C(Cert. Of Compliance) r^ _
Oka to issue Temporary CIO Cert. Of Occu anc ) e UvLe
Okay to issue Permanent C/O(Cert. Of Occupancy) f
L:ISueHemingwaylBuilding.Codes.Iiispection.FORMS\Res.Final Insp.form .doe edited January 28,2003
Residential Final Inspection
5.
Office No. (518) 761-8256 Date Inspection request received: Z/?/-,07
Queensbury Building&Code Enforcement Arrive: am/p Depart:
t,7' i 4a pm
-7-1
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials_
NAME: l --Idi Y- PERMIT#: -2-00-3 0
P .e
LOCATION: DATE: 91I-V2
r2 -JA
TYPE OF STRUCTURE:
Comments
Y / N N/A
Chimney Ht./"B"Vent/Direct Vent Location VA
Fresh Air Intake 74-- A-)
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above 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 Valve(s)installed
Interior p!ivacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
*10,
Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: 1 Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery back-up:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
%hour fire door/door closer
Garage fireproofing
Duct work Scaled Properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces IS"x 2j"avess, 1 sq.ft.-150 sq.ft.vents
Building No,/Addresfi yjible from ad 4
Final Electrical
Site Plan /-Variance Le4ired
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C(Cert.Of Compliance)
Qkay to issue Tea orary C J 0(Cert.Of Occupancy)
40 kay to issue Permanent C I 0(Cert.Of Occupancy
L:\SueHemitigNvay\Btiilding.Codes-Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Framing /Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received: c
Queensbury Building&Code Enforcement Arrive: am/p e rt: 1 am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: 1� r "
NAME: j�'��lw6 PERMIT#: �
LOCATION: INSPECT ON: (3��
TYPE OF STRUCTURE:
;� . ._ Y N 'N/A C®NMENTS
NFr ming
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 f2(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
re wall._2, 3,4 hour
Penetration sealed k� G
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7.sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
3
Office No. (518)761-8256 Date Inspection request received: 3
Queensbury Building&Code Enforcement Arrive: amZ/ WD : m
742 Bay Road, Queensbury,NY 1.2804 Inspector's Initials:
NAME: T'WV,,0 PERMIT#: vU 3-&36
LOCATION: P INSPECT ON:
TYPE OF STRUCTURE:
V
Y N N/A
Framing COMMENTS
lack Studs Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C,,
Headroom 6 ft. 8 in.
Stairwells 3 6 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
I V2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft,floor trusses
Anchor Bolts 6 ft. or less on center
"tce-an-ff—snow-s-RTW 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 how
Firestopping,
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side V2inch 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\FramingFirestopping Inspection Report.doe January 28,2003
Town of Queensbury
Fire Marshal's Office
742 Say Road
Queensbury, W 12804
Phone(518)761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report U
Request SCHEDULE
Received: Pennit# INSPECTION ON:
Name: AM M E
Location: -ilc) a n, r
APPROVED
.1 N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
BATTERY
T
!—R- N 0
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY -7
MASONRY ROUGH IN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE' ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THI DAT K FOR CO 0
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN ED BY
FINAL I
COMDEVICHRISJIWORDILETTERS20011FIREMA ALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Rough Plumbing / Insulation Inspection Report /
Office No. (518)761-8256 Date Inspection request received: /
—��—
Queensbury Building&Code Enforcement Arrive: am/pm De art. am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: \ U 1't\ PERMIT#:
LOCATION: '0, INSPECT ON: —�
TYPE OF STRUCTURE: 'f 06 (b
/
v �
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
Plumb' f .Vent_/Vents in Place
ugh1Plumbing/Nail Plates
Head oStipply 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\Building.Codes.Inspection.FORMStRough Plumbing Insulation Report.doc January 28,2003
A4
Foundation Inspection Report
Z)
Office No. (518)761-8256 Date Inspection request received: 911,SX60 /A
Queensbury Building&Code Enforcement Arrive: .am/PA Depirt: pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: 4--e<�v kc-- .AVERMIT#: 3
LOCATION: /—L-de INSPECT ON: Vj(4&-3
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab.
Reinforcement in Place
The contractor is responsible for r7 T7
providing protection from freezing
for 48 hours following the placement
r,,J
EP 1 2 Luuj
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforce lace
Foundation ampproong
Foundation/Waterproofing
Type of Darapproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
1.2 inch width
6 inches above footing
6 mil of 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:\SucHcmingway\Building.Codes-Inspection.FORMS\Foundation Inspection Report,doc January 28,2003'
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection rWreeQueensbury Building&Code Enforcement Arrive: epart a
742 Bay Rd., Queensbury,NY 12804 Inspector's Initia
NAME: PERMIT#: v
LOCATION: INSPECT ON: 9 - 0
TYPE OF STRUCT r
Comments
Y N N/A
•� ootings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of 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.
L:1SuDHeiningway\Buitding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Project Name: 6.91j"hr., \5 BP#
.Address:
Building Peffnit Submission SFD 710W Z000
-Checklist 2-Family ��'0 Q��ZIV, �U
All items below must be checked either yes,no or not applicable prior to submission of any budding
permit to the Town of Queensbury Building Department. If any of the below items are lacking,the permit
will not be accepted until such time as the application is deemed complete for submission.
1. Building Permit Application Completed ........................ ............. Kyes ❑no Q n/a
2. EnergyForm or(heckMate Energy Code Compliance Forms Complete.- N yes ❑no ❑n/a
(2 copies)
3. Energy .Inspector's Report from Checkbdate program
. og ..... 5d yes ❑no Q nla
(2 copies)
4. Septic application completely filled out(if applicable)...... ...... ...... ...... [:]yes Q no M n/a
5. Solid Fuel Burning or Gas Appliance Form... ......... ...... ... ... ......... ... yes Ono Qn/a
6. Electrical Inspection Form......... yes
... ............................................� Qno Qn/a
7. Two(2)complete sets of st-ucttual driwings..... ...... ...... ............... ....Wyes Ono Qn/a
a) floor plan;b)foundation plan;c)cross sections:d)elevations;
e)window and door schedule
8. Two(2)site plans showing location of the structure to be bunt,......... ... Qno Qn/a
location of well or water lines,location of septic system or sewer line.
9. Setbacks from property lines to new structure............ ... ............ ..... Myes Qno Qn/a
10. Setbacks to neighboring wells and septic systems,including onsite well.... Dyes Qno n/a
and septic systems(d applicable)
11. DrivewayPernut......... ............ ............................................. ❑yes Ono Wn/a
Date: t
Staff initial:
L.\sueHen ingway\Bugding.PernutFOI.MS\Generic meckiist.doc January 28,20Q3
Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
RES checkSoftware Version 3.5 Release I d
Data filename:C:\Prograrn Files\Check\RESchebk\Fielding.rck
PROJECT TITLE:T.Stephen Fielding
COUNTY:Warren
STATE:New York
HDD:7635
CONSTRUCTION TYPE:Detached I or 2 Family
BEATING TYPE:Non-Electric
DATE:08/20/03
DATE OF PLANS:07/31/03
PROJECT DESCRIPTION:
Garage Conversion and Addition
DESIGNER/CONTRACTOR:
Speck Construction Co.
47 Skara Brae Rd.
Lake George,NY 12845
668-2179
COMPLIANCE:Passes
Maximum UA=177
Your Home UA=168
5.1%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Cathedral Ceiling(no attic) 352 30.0 0.0 11
Skylight::Wood Frame:Double Pane with Low-E 16 0.400 6
Ceiling 2:Flat Ceiling or Scissor Truss 493 38.0 0.0 15
Wall 1:Wood Frame, 16"o.c. 394 19.0 0.0 16
Window 1:Wood Frame,Double Pane with Low-E 55 0.340 19
Window 2:Wood Frame:Double Pane with Lo*-E 28 0.340 10
Window 3:Wood Frame:Double Pane with Low-E 19 0.340 6
Door 1: Solid 20 0.250 5
Wall 2:Wood Frame, 16"o.c. 533 19.0 0.0 32
Floor I-All-Wood Joist/Truss,Over Unconditioned Space 326 30.0 0.0 11
Floor 2:All-Wood Joist/Tru�ss:Over Unconditioned Space 378 30.0 0.0 12
Crawl 1:Masonry Block with Empty Cells 210 0.0 5.0 25
Wall height:5.0'
Depth below grade:4.0'
Insulation depth:4.0'
Furnace 1:Forced HotAir,78 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 Prof6ssional has stamped and
signed this page,they are attesting that to the best of his/her knowledge,belief,and professional judgment,such plans or
specifications are in compliance with this Code.
Builder/Designer___77����..... Date_jg_jo 0
REScheck Inspection Checklist
New York State Energy.Conservation Construction Code
REScheckSoftware Version 3.5 Release id
DATE:08/20/03
PROJECT TITLE:T.Stephen Fielding
Bldg. }
Dept. }
Use }
}
} Ceilings:
[ ] } 1. Ceiling 1:Cathedral Ceiling(no attic),R-30.0 cavity insulation
} Comments:
[ ] } 2. Ceiling 2:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
} Comments:
}
} Above-Grade Walls:
[ ] } 1. Wall 1:Wood Frame, 16"o.c.,R 19.0 cavity insulation
} Comments:
[ ] ( 2. Wall 2:Wood Frame, 16"o.c.,R 19.b.cavity insulation
Comments:
I
} Windows:
1. Window 1:Wood Frame,Double Pane with Low-E,.U-factor:0.340
} For windows without Iabeled U-factors,describe features:
} #Panes Frame Type Thermal Break?[ ]Yes[ ]No
} Comments:
[ ] } 2. Window 2:Wood Frame:Double Pane with Low-E,U-factor:0.340
} For windows without labeled U-factors,describe features:
} #Panes Frame Type Thermal Break?[ ]Yes.[ ]No
} Comments:
[ ] } 3. Window 3:Wood Frame:Double Pane with Low-E,U-factor:0.340
} For windows without labeled U-factors,describe features:
} #Panes Frame Type Thermal Break?[ ]"Yes[ ]No
} Comments:
}
} Skylights:
[ ] } 1. Skylight::Wood Frame:Double Pane with Low-E,U-factor:0.400
} For skylights without labeled U-factors,describe features:
} #Panes Frame Type Thermal Break?[ ]Yes[ ]No
} Comments:
Doors:
[ ] ( 1. Door 1: Solid,U-factor:0.250
} Comments:
I
} Floors:
[ ] } 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-30.0 cavity insulation
} Comments:
[ ] } 2. Floor 2:All-Wood JoistlTruss:Over Unconditioned Space,R 30.0 cavity insulations
} Comments:
}
} Crawl Space Walls:
[ ] } 1. Crawl 1:Masonry Block with Empty Cells,5.0'ht/4.0'bg/4.0'insul,
} R 5.0 continuous insulation
} Comments:
^ a
Applies to walls of unventilated crawl spaces.
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.
Heating and Cooling Equipment:
[ } 1. Furnace 1:Forced Hot Air,78 AFUE or higher
Make and Model Number
I
Air Leakage:
[ ] I 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 airtight 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:
[ } I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
[ } I Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] I Materials and equipment must be identified so that compliance can be determined.
[ } I Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.,
[ } I Insulation R values and glazing U-factors must be clearly marked on the building plans or specifications.
i
Duct Insulation:
[ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R-11.
[ } I Return ducts in unconditioned attics or outside the building must be insulated to R 6_
[ } I Supply ducts in unconditioned spaces must be insulated to R 11.
[ } Return ducts in unconditioned spaces(except basements)must be insulated to R 2.
Insulation is not required on return ducts in basements.
I
Duct Construction:
[ } I 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).
[ } I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions.
[ } I Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] Air filters are required in the return air system.
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space
temperature set point of the largest zone.
I
Electric Systems:
[ } Separate electric meters are required for each dwelling unit.
I
Fireplaces:
[ } I 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.
I
Service Water Heating:
[ } I 'hater 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.
[ ] I Insulate circulating hot water pipes to the levels in Table 1.
i
Circulating Hot Water Systems:
j ] Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have any 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 Nan-Circula_� Runouts Circulating Mains and Runouts
Temperature(F) U_ p to l„ Up to 1.25" 1.5"to 2.0" Over 2"
170-1.80 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 forHVAePipes.
Fluid Temp. Insulation Thickness in Inches by pipe Sizes
Piping System Types Range 2"Runouts 1"and Less 1.25to 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)
Job Site Address: 8-Lidia Ln,Qoeensbury 1280 U1"a Q �� Date: 7131/03'
Owner: T.Stephen Fielding Application s QF ouEEOURY File No. ` M
G AND CODE
' Dl
Addition-and.Garage Conversion
Window Schedule .
Window# Window Mfg. Window, EJnitor Rough Rough SQ.FT', SQ.FT. .SQ,FT, Clear Clear Special
or letter Name -Model or: Stock# Opening. flpeiiing' GlassNisibfe Vent Egress{ OpeningOpening . Hardware or
on Plan -,.Type,: Call Size Width Height light Clear- 'Width in;Height in Instructions
....Opening Inches. Inches
: Double
A Andersen Hun . TW2442' 2•6118": 4'-5 114" 7.01 4.02: 4� 255718 22 114
Double.
B Andersen Hung TW21046 3r O'1l8" 4'=914" `9.645:39. 5.3631.718" 24114"
Double '
C Andersen . &ng TW24310 2'=8118", �6.37 3.66 3.64 26 718" 201/411.
Veluz Sky°Light US304_ 30'5/8' ,.38112" r
Door-Schedule .
Door#.or Door,Mfg, Door Unit or ��.:Rough Rough 1 SQ;FT., SQ.FT, SQ,FT: Clear Clear ��:Special,
Lef on Name Model or • Stock# •Opening • Opening Glass/Visible' ,'Vent Egress'/ Opening Opening Hardware or .
plan Type Call Size 'Width .`Height Light Clean. Width in Height'in 'Ins tructions
f Opening Inches Inches
Steel
D 'Reliabuilt insulated '. 36"LH 38" 82112" 10.25 20.26 35.114" 79114"