1999-007 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
June 29 99
Date 19 _
99007
This is to certify that work requested to be done as shown by Permit No.
_-
-- -has-been completed:---- --- - -- -- ------ - — - �, - � -------- -- - -_ '-
RESIDENTIAL INTERIOR ALTERATIONS
• This structure may be occupied as a
3
CLEVERDALE RD. 3 Fi e k k k .Location
HUNT, WILLIAM & HOPE,
Owner
TAX MAP NO. 12 . -1-5 By Order Town Board
TOWN OF QUEENSBURY
J.• '14..-7<>
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 15000TO-WN OF QUEENSBURY No. 99007
TAX MAP NO: 12 . —1-5 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to HUNT, WILLIAM & HOPE,
OWNER of property located at CLEVERDALE RD. Street, Road or Ave. ..
in the Town of Queensbury,To Construct or place a RESIDENTIAL INTERIOR AT.TRBATTONS
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
VERA 25 DEER RUN HOLLOW
CLIFTON PARK., NY 12065
2.""CONTRACTOR or BUILDERS Name -
MUGRACE, ALBERT
3: CONTRACTOR or BUILDER'S Address
18 CRESTWOOD LANE
TROY, NY
4. ARCHITECT'S Name
NEW YORK BOARD .
5.'ARCHITECTS Address
NEW YORK BOARD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by XI
RESIDENTIAL ALTERATIONS
( )Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and Specifications
1361NoSQ FT RESIDENTIAL INTERIOR ALTERATIONS AS PER PLOT PLAN
SPECIFICATIONS
8. Proposed.Use . ..
RESIDENTIAL INTERIOR ALTERATIONS .
56 January 21 19 2001
$' PERMIT FEE PAID -THIS PERMIT EXPIRES
(If a longer period is required an application(or an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration dated
21 January 19 1999
Dated at the Town of Queensbury this Day of.
SIGNED BY K for the Town of Queensbury
Building and Zoning Inspector •
v
TOWN OF Q UEENSR AIRY
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
1 c J�r
/
Date 7/ 9 ,19 7 Permit No.
APPLICATION IS HEREBY MADE to the Building Dept. 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.
Please fill out additional form ' ore than one appliance and/or chimney.
Applicant In wl - LAA._h APPLIANCE (check appropriate boxes)
A dress 9- eai2_ PLL UeAleoW 0 STOVE: ❑Wood o Coal ❑ Pellet o Gas
JA.iI„ q ( i C-I"FIREPLACE INSERT
P—Ov•-- �^'"L-Iv�ip ( a--D(S p�FI REPLACE, FACTO RY-BUILT:
SI g. -- -3 I — ° Q= 7-`— rood ❑ Gas
Phone ❑ FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner L..) A`, LA, ( }--- 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address -I? - @2gLJ -(e_ 2& IF NON-MASONRY APPLIANCE:
C`QManufacturer:
Q)v1.e N(( _ Zip Model:
Phone 6 cc-6 — c( Lt 9 `?
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
0 MASONRY: ❑ Block 0 Brick 0 Stone
,4J- S.a-�. PA, k -(e. N Q. FLUE: ❑ Tile 0 Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS 0 Double Wall 0 Triple Wall
REGARDING REQUIRED INSPECTIONS. ❑ Insulated 0 Direct Venting
- - ❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title jA. Oct
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales
Fee Collected From or Refunded to: -- \0 1 \\A r titi--\ \---\\-kivC
Address:
Dated: -- cis — C-i Cs; ' Town Clerk or Deputy:
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
.L.,[4444.44/1,5 L Gr rtut l ijittUliliUfl
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-8256/
BUILDING & . CODE ENFORCEMENT
:NOTICE Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NO. .q 9 —u 7
beginning construction. No inspections PERMIT FEE PAID$ 0-0
will be made until applicant has received n Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE iwp$
applicants` spaces on this application \ ,r MUST be completed and.the signature n Planning Board Action REVIEWED BY:
of the applicant must appear on the SPR / Subdivision /Other
Building Inspector
pplication form. Plank wu. Recreation Fee Payment
Applicant: U. (L,LA_`lar 1-4 14 LI N T. Owner: 5A'1- 1 .
' Address: PE6P OLLOix) Address: SAN1
rFrQAJ Flqv?I' ANY
Phone # ( ) - Phone # ( ) -
Property Location: // GD/N6 L A . GLc c%`Kt�.4L 6-
Tax Map Number.
Subdivision Name: /�l l
Section Block i.nt
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ /47DOp
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
X Alteration to Building: e Primary Building -
residence / commercial Single Family Dwelm
t?F• vim
Residence / Commercial Two Family Dwelling) t� E�
no change to exterior size Family Dwelling
Office BAN 61999
Other Work (describe below) Mercantile
Manufacturing TOWN OF QUEENSBURY
Other ��-,i,&J BUILDING AND CODE
GROSS AREA OF PROPOSED STRUCTURE:
If ADDITION, what will use
1st Floor �3C�/ sq. ft. of new addition be? : NM
2nd .Floor sq. ft.
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS• / / �I
!"�
Detached Garage 1, 2 car
TOTAL FLOOR AREA: /`?,6/ SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
/1 FEET X ou/0 4 FEET Other
Foundation Type: Will any second-hand or ungraded
' Number of Stories : / lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : / ,'7 feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building .
codes is : A-t&E,e% 5.H 4 t1Ace /8 C1'e m 'o (7 • 7- 7". 1,76i`(56
Name Addresss Phone
Builder: ��
�L`C� O 44P LC ?T('o�i-�soa: � . 65-6
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, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature:
(owner, owner's agent, architect, contractor)
97,
_ ENERGY CODE COMPLIANCE APPLICATION (:07
TAMP
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Compliance Methods : PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
• PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings; Multi-Family
Dwellings (3 stories or less)
PART 4* Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT' S NAME : PROPERTY LOCATION:
•
,9(/(.1-`6-t`t 1-lO iv T "/��D�'�G LAB CLV&t b4 E �y
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 13 square feet
•
2 . Type of Heat - Electric X Oil Gas Other
3 . Is building mechanically cooled? X Yes No
4 . Percentage of area of windows and doors Over 17% )( Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R 38
b . Exterior walls R i j
c . Glazed areas R
d . Exterior doors R
e . Floors over unheated spaces R 3a
f . Edge of slab on grade (heated building) R 4v/4.
g. Basement/cellar walls (above grade) R /1/A
h . Basement/cellar walls (below grade) R y7i9
1 . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Applic-nt' s Signature Date Phone Number
//6 /i f 4 SG G/c/
INSPECTOR' S REMARKS:
• ..M.A!'l'J_e_l' ._l'At '),W. WAQ'_1-Q . '._l')._l' !l ._1'. ��_ ._l'J_:').A' l'J__l' ._l'J._1 0_l' l'J_l'J_!l'J_.._l1__l''A 'Atl'A°_l'J`sl'),A_W_nleene e."1:J__:'.,V'AS!'_._C'J_ll' ..4:ee_Q.A..- %,
W; �� THE NEW YORK BOARD OF FIRE UNDERWRITERS RAGE 1 i
j; 8[�bu�L17 BUREAU OF EL RICITY ij
j1' I- 111 WASHINGTON AVE., ITE 704, LBANY, NY 12210 (Yi
ill Date JULY 02,19 n 9Application o. on file ..5�1.22 69 § H 4 54873
i THIS CERTIFIES THATEPI1 T '10' 9 900/
'Ai only the electrical equipment as described below and introduced by t pplica named on the above application number is in the premises of i!
it li
_(I 'T•
j; NIL.LI'- Y HUNT, FIELDING LME, QUEENSBURY, NY
ill in the following location; ❑ Basement ® 1st Fl. ❑ 2nd Fl. Section Block Lot i}
'Ai was examined on 'fi*'�•c' 29,1 -r' and found to be in compliance with the National Electrical Code. ih
=4 5
� FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS i
11 OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. IY
1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS rLW
1 AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS.- TRANS. CM H.P. NO.OFSYSTEnFEET AMT. WATTS S 5 r}
III 6;
ih
'-CI- SERVICE DISCONNECT NO.OF ------ --- - - --- S------E . —_—R V I C --E— I.
1i '
�� AMT. AMP. TYPE EQUIP. 1 0 2W 3 0 3W 3 0 4W NO.OF CC COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. Ih
_q PER 0 OF CC.AND. OF HI-LEG OF NEUTRAL �,-
IIIit Oi
1 OTHER APPARATUS:
!co I
•1 C IIL. YG FAN-3 it
, ELEC. WATER HEATERS::1-1.5 K.W. r
fki G.F.C'.Ir-4f r
!I SMOKE DETECTOR:-5 *
=l� Ir
�p q!
}
=l� — ti IY'
�CI .l �v. y�� I!.
.(I 6JIu� A9 HUNT , •: • Te. :a, 1 r.�L Ir
=ll 2 5 DEER RUN HOLLOW . =e'.• i ;s..• - iy
-, CLIFTTOI PARK, NY, 12118 A d; . '„*,�",t�:�"Sr�y' GENERAL MANAGER
\ .r .y C�ir• Gat) IA
I .• 6w1: •1 .'r'. I`9..• Per 'i
_1 IA
iv This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. 15
'/471-.4YYir,Y•Y Y•Y4Y YiY4Y 4Y4YYiY;iie.Y•YIiYYiY 476 YY-iY YoY YiYY•Yiee Y•Y YeY lipTi Yii-,Y-•Y Y.YY.Y YeY,Y•Y Ylli-,Y•Y Y�Y 476476SiY Y r.5it 5VriiYY4YYiY4YYiYYlli.-Wr,
COPY FOR BUILDING DEPARTMENT. THIS` COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
1.
" -rt RESIDENTIAL HNA.I.INSPECTION REPORT j
,,,,s_ g ciw
Office No. (518)761-8256 Date inspection request received: 4'" `"% `/!
Building& Code Enforcement 4-rix-
Dept. of Community Development Arrivv3(IC a gi�IDep
Town of Queensbury Inspector's Ini •
742 Bay Road
l ueensbury,New York 12804
NAME 100 i lXjc ham`- PERMIT 4 W—c W 7
LOCATION l'b •�l DATE `J
TYPE OF STRUCTURE (j; A 1 I
.-1 e''— N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location //' ��`/
Fresh Air Intake 4 ��`,Q— "
Plumb Vent through roof ✓
Roof Complete ✓
Exterior Finish Comple // ��
Interior/ExteriorRail* ,.:s30" 36"._- i / r,55,,,_ •` ,`,,,'
o.
Exterior Handrails,b. conies,la ding 18 in. or more V
Interior Handrails sta;rs both sid 3 or more risers f
Grade 2%away'i o foundation
8"clearance to si .1:to /
Gas Valve shut-off ..sed/regulafor 18"above grade V
Gas Furnace shut-off *thin 30 feel or within line of site
Oil Furnace shut-off at trance t�lfurnace area
_- Furnace/Hot Water H- - _o/4.• . mg_ -
Relief Valve(s)installe6' / 1Headroom,6 ft. 6 in. on stairs ✓
Basement stairs,6 ft.4 i .
Handrail exterior stairs •sth sides more than 3 risers l//
Interior privacy/trun/doo s/main entrance 36" i/
Floor Finish J
Bathroom/Kitchen wat- :.ght ;/
Interior Handrails Balco a'es/Landing 18 in. or more il
Railing across window in stairwells ✓
Smoke Detectors:every level V/
every bedroom ✓
outside every bedroom /
inter connected ✓�
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer J Garage fireproofmg
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor I
Final Electrical {3�T.1) lO(ptl.._ C
Site Plan/Variance required I
Final Survey Plot Plan
V .
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
ti
RESIDENTIAL FINAL INSPECTION REPORT
c .)77
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive 03o am/pm Depart am/pm
Town of Queensbury - Inspector's Initials
742 Bay Road
Queensbury,New York 12804• q-Q07
NAME I I
LOCATION /1-QNG) \)(. ...t.:Nr.\....,A-
PERMIT� DATE
TYPE OF STRUCTURE A,N. 'l , Pt4 4—,
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location ''/
Fresh Air Intake / !
Plumb Vent through roof r//
Roof Complete 1/f
Exterior Finish Complete °
Interior/Exterior Railings 30"to 36" l/
Exterior Handrails,balconies,landing 18 in. or more t/
Interior Handrails stairs both sides 3 or more risers / `
Grade 2%away from foundation /f
8"clearance to sill plate �/
Gas Valve shut-off exposed/regulator 18"above grade c
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area 1
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stairs tj
Basement stairs,6 ft.4 in. i/
Handrail exterior stairs both sides more than 3 risers 9 /
Interior privacy/trim/doors/main entrance 36" 1//
Floor Finish o/
Bathroom/Kitchen watertight / t/
Interior Handrails Balconies/Landing 18 in. or more r//
Railing across window in stairwells ►/
Smoke Detectors: t/ -"TV C ev,v 'i 'm' `e_
every level i� / / 7e / p
outsidevery bedroom
very bedroom // t/ �' ;At j'r4ot r .4a�I�- „„
inter connected / °� �� C�,-0 to k� 4re
di
Bathroom fans f `1 J�4 S /ff , urn,�o:� our
Plumbing fixtures S/
Foundation insulation r,// ,,, A 14 .�ir.,,`
3/4 hour fire door/door closer a/ n'�'t l. ;
Garage fireproofmg t✓ o kei/S-e/�`ia<- . G,.'�
V Garage penetrations sealed /r
Furnace in separate room protected(in garage) V
Light ventilation per room /
Safety glazing 18"or less from floor V ,� ,q ' i
Final Electrical / —</':r' '''� i'id•a f 'ems rAl
Site Plan/Variance required a/F /
Final Survey Plot Plan t/ , et. c if 4 /` it ij
As Built Septic System layout required t/ ,ti irn.a e- fr3a r^
Okay to issue C/C(Certif. of Compliance) r
Okay to issue temp. C/O(Certif. of Occupancy) 1/
Okay to issue permanent C/O(Certif. of Occupancy)
GENERAL INSPECTION REPORT
Town of Queensbury n
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742_Bay Road
Queensbury,NY 12804 Arrive 1-\,,c�:,am/repart
nspector's Intl
NAME: �U `\1 ikJujS. PERMIT#
LOCATION: DATE :
TYPE OF STRUCTURE:\ f -1
RECHECK
/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible f`
providing protection from freeze_
for 48 hours following the placemi i t
of the concrete.
Materials for this purpose on site
Foundation!Wallpour
Reinforcement in Place
Foundation/Dampproofing
Back ill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heart Rough-In
ation ) ;(t rlos 4— GY
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENERAL INSPECTION REPORT A-Al
Town of Queensbury le Dept. of Community Development Date inspection request received: 5
Building& Code Enforcement
742 .:ay Road
Queensbury,NY 12804 Arrive Il?'. � Depart
Inspector's Initial ei .
NAME: Gu 11 )'4' 6 PERMIT# ^6 07� rIn
LOCATION: j DATE : (/U`ete.
TYPE OF STRUCTURE: _ 5S
RECHECK
7, --4—K
N/A YES NO COMMENTS
Footings/Piers I /02— /—LD
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpo on 'site
Foundation/Wallpour \ .
Reinforcement in Place N,
Foundation/Dam Proo I g
Backfill Approval\
Plumbing Under Sias
Plumbing Vent/Vents 'I lace
Rough Plumbing
Heating Rough-In / � ,�
ulation \P �\ ,1 V ✓V —0 ' G � iX— o..,M_.
Foundation Walls I terior R- bi-\. 4\i �� C-` � ,
Foundation Walls rior R-
Floors R-
Walls R- \\ >✓
Ceiling R- q
Duct work or piping in
unheated spaces R- c�
Proper Vent, Attic Vent � to\k.� �J\�Vtt '
Framing I 'P
Jack Studs/Headers
Bracing/Bridging 0 i—`t) ^'-17iE .
Joist Hangers ,>LA D
Jack Posts/Main Beam �� �_
Air Infiltration Barrier F ��-- A ,F (O1
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive)' J' am/pm Depart am/pm
Inspector's Initials Oi—
l/
NAME: ! _k PERMIT# )1
LOCATION: 4 e/,` /,,.- DATE : r
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers ( I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsibl for
providing protection fro
for 48 hours following e placem nt
of the concrete.
Materials for this p se on site
Foundation/Wallpo
Reinforceme • P,ace
Foundation/Dam roofing •
Backfill Approva
Plumbing Under Slab
Plumbing Ven ents in Place t//
Rough Plumb' g r/
Heating Rou -In .
Insulation
Foundation Walls Interior. R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3. hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT ✓ '/ l 1. ^,
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 stay Road p
Que ��� am/pm NY 12804 Arrive ) Depart am/pm
Inspector's Initials'2)
N \a,\Q PERMIT#
°7
LOCATION: Cy(Qfd ( ) }}D�,AT�E r_ t-I CT
TYPE OF STRUCTURE: -r�,b'v' 1�m/ ►'H'14/i'UtH dam)
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Fo r
Reinforcement in Pl. - /r. // G��! �''' s �`�'
The con or is : sponsib - for " .
providing p •tectio, from :- ing -'
_ for 48 hours ► lowi g the •,acement i i ii / c i 14 /,I b
—of the concrete.
Materials for this purpo on site
Foundation/Wallpour
.Reinforcement in Place
Foundation/Dampproofin:
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in lace
7ugh Plum ' g
H4i�n Ro - n ,
'U.,fsulati n nmC-- /
Foundati ails Interior R-
eura ation Walls Exterior R-
R-
Walls R-
Ceiling R-
Duct work or piping in
unheat spaces R-
9per V A i V� ent � //
�'ramingQ �,�(��
Jack Stu eaders
Braci ridging
Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742, ay Road
Queensbury,NY 12804 Arrive //Of am/pm Depart am/pm
Inspector's Initials /�-
NAME: ‘x✓Y PERMIT# 7 A 7
LOCATION: ���,.�r�f�� DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form \ o t �jk
Reinforcement in Place \
The contractor is respo ibl' for\ S,e� faiL /,,J/i cA /47M A:-
providing protection fro freezin
z
for 48 hours fol owing th pace -��r-4".t. wi ent '� I fi �y
of the concrete
Materials for thus p se o site
Foundation/Wallpo
Reinforcement in Pl
Foundation/Dampproofin
Back fill Approval
Plumbing Under Slab
Plumbing Vent/Vents in lace
Rough Plumbing
Heating Rough-In
Insulation 1
Foundation Walls Inferior R-
Foundation Wallsxterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 . ay Road I
Queensbury,NY 12804 Arrive l/'ed am/pm Depart am/pm
Inspector's Initials'p/i'
NAME: �-- PERMIT#
LOCATION: DATE : 3 3
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place z, a
The contractor is respons.•le for d
providing protection fro • freezing L �C'
for 48 hours following 'e placeme rJ/ 17 1 fi"c. Tb Se�L /�'i)
of the concrete. �` �/r
Materials for this purpo y: • si //.. /ems
rP
Foundation/Wallpour /J
Reinforcement in Place
Foundation/Dampproo s g
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
ming
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
_ -CO; 1 :0 .M;OLSEf`I I=�F-:I'Ir-_.✓.: I:I'.. = 1.. __r _ r - . _
: OLSEN TECH®LI GY INC. :: . .
P.O. BOX 900
6800 :Lase Line
WALLACEBURG, Ont.,
N8A 5E5
.. I
FAX COVER SHEET
To: Dave Hatton
Fax:518-745-4437
From: Bob Hillman
Warranty/Quality Administrator
Phone: (519)627-0791 EXT: 257
Fax: (519) 627-8176
Date: April 28, 1999
Number of pages including this cover page 2
Dave,in reference to your request for clearances to combustiblies on the HTL
furnace. The critical dimension on the chart supplied is the clearance of the Flue
Pipe to combustiblies. The entire heat exchanger is sealed by insulated panels which r
indicates the sides and rear panels are 1" and 0" clearance to combustiblies. The oil
burner assembly and the flue connector is secured to the inner front panel which
also is insulated,therefor 1"would be adequate to combustibiles. The dimension
listed for clearance from front of unit (24" ) is recommended accessibility for
service. The flue pipe as listed on the chart requires 9" in Canada and 18" in the
U.S. to combustibles. Therefor the dimensions for the sides of 1" will change as per
the codes in your area for clearance to flue pipe.
If you do not receive all pages as listed please call me at phone number listed above.
Thank you
,?obert
2_-99; 11 :O7AMMI;OLSEN TECHNOLOG`•" i:!C .' El.? _27 ;17,3 ' _ _. _
q -.... .,
,SUPERIOR -
x ,,, DESIGN, t .
,ADVANTAGES.- -T -•
_r" „Ch►rr�ney
• Up to 83%AFUE
HTL Heating Output&Sumer Data {
o Proven heat exchanger
design featuring I00% `"
g g � '��= � fir. ,� � �,•��:q' � -
welded construction for — r.f . . ,. , --. .._ie' i"., -
w
Furnace Output Nozzle Flow Burner Pump Head•; Static
maximum performance
Model (BTU/h) Rate Model Pressure = I Plate
• 20 gauge steel cabinet 79,000 0.65/80 A 0.65 USGPH AF65XN 100 PSIG F3 i '2 3/4'..
HTL 100C 90,00D 0.75/80 A 0.75 USGPH AF65XN 100 PSIG F3,, 2 3/4°.
ensures strength and '101,000 0.85/80 A 0.85 USGPH AF65XN 100 PSIG F3. , 2 3/4'
quiet operation 119,000 1.00/60 A 1.00 USGPH AF65XN 100 PSIG F3. 2 3/4°
® Accessible heat *-Factory standard production
exchanger for quick P°iITL Dimensions
annual maintenance :_ - --ice - y F ,. , .��.
• Slide-out or readily �� Wilr .,- --� —n.
removable blower and 201/
22 30 3/4 58 20 1/2 x 20 14 x 22 6 16 x 25 x 1 270 Ibs
motor assembly for _• . _._._ _,. .. ; •
.- -_ -.__. _. , _ . v. _- ,.._ease of service
HTL Clearances to Combustibles
• Easy application - all __1 '., ,-' '. - ,_,-
units approved for
1 0 24 0 1. 1 9' Alcove
multiple firingrates
P * -In the USA,the flue pipe clearance is I8 inches.
• All Direct Drive units -
equipped with fan
centre for easy A/C A_ B
installation I, D ,I I H I E j
• Equipped with industry — ` —_i_
leading Beckett"AF"
series flame retention
head burner (other
burner options also
available) C
• Quality components [_
and controls chosen for -
ease of availability and -
service - F
• Quiet four-speed _ - - —
blower motor standard 1° F ,I I. G .f
on most Direct Drive
models
J!0.;,'L_., .. .
3,'arm '"r Zg r g, _ l"
Fore then H EYiYtt54C, c,� ma n�tractor who Iem in
a4 d. r . _ •r. . R. a__ £• ,.J.,:... ..J3a i'&+...s.�;„_., '?.a.'-� .. ..1-- -' - - ,_ ,.-. n. u.,� n., . ...:a
EEO eathator
The pkithzunzov. pepthea
Heatilator Inc
1915 W Saunders Street
Mt Pleasant, IA 52641
@ a HON INDUSTRIES company
®
TRADITIONAL 14200
WOODBURNING FIREPLACE
INSTALLATION & OPERATING
INSTRUCTIONS
FOR RESIDENTIAL USE
_______ _ _ •
Plumber: Please refer to page 17 for gas connection information.
•
Framer:. • Please refer to page 9 for framing specifications.
ea i
tlator•
TRADITIONAL T4200 WOODBURNING FIREPLACEThe 1;,,,t 6ine1i
eaeed
0 r-33'14°--.
165/3"-4-- _1
F® I\ ® li" 2
27• :: :11i1al11::::: s
iiiiiilimiamiimmiiiiii
44" 373/." ::>`: 11■�I.11::::::: 24"
IIIII :iiiiillE.-1--.--Illiti_
3627/32"
,.., ,..�I•-51" 6/ I]72%2"
42'- 41 1 7'/4'
51" 773/,e'
14'/3"
27
FIELD CONSTRUCTED STRAIGHT ATTIC
HEARTH EXTENSION GLASS DOORS INSULATION SHIELD
7
�66"
24"
20" _ _
_L
IIIHX4 GLASS DOORS
BIFOLD SHOWN AS10
INTEGRAL GRATE
INSULATED DUCT
rNI 1.....1b- ..%11 (IntgaggEF 4"
15' 1 24°/� I� 42
„s.--� I D4
GR14
OUTSIDE AIR KIT UNINSULATED DUCT
(SUPPLIED) ((Waage"
74„
I, 42" ,i
J '&21 UD4
4.
.I cp1 p
I
0 0 0#
0 ....0•1 -
AK14
12-96 5
252968
r
,,, eatilator® r
74 Pit haitt lip th TRADITIONAL T4200 WOODBURNING FIREPLACE ..
044
PRE-INSTALLATION PREPARATION 0
FIREPLACE LOCATIONS AND SPACE REQUIREMENTS
Several options are available to you when choosinga used as a a corner or room
ddivider, installeior d
along
a wall, across
location for your fireplace. This fireplace may be
In an exterior chase or
As a room divider. >:i , projecting into a garage.
Along a wall.
'`'v`f 4 Across a comer.
I
Figure 1
Fireplace Locations :
Figures 2 and 3 show two typical installations assum- is required when ducting goes directly outside without
ing an outside air kit is being used. Therefore, an forming elbows.
allowance must be made for 90° bends. Less space
A minimum of 3/4"air clearance must be C
maintained between the firebox and wall.
-f--_
3 �m O y`_+� : ' 'Z
H OUTS �.:
27/4 OO f.1 ° D
IC 63
1-.--- 52 --.1152
Figure 2
Figure 3 ALL DIMENSIONS ARE IN INCHES
Installation along a wall or an Corner Installation I `.
exterior chase.
WARNING
DO NOT DRAW OUTSIDE AIR FROM GARAGE SPACES. EXHAUST PRODUCTS OF
GASOLINE ENGINES ARE HAZARDOUS.
DO NOT INSTALL OUTSIDE AIR DUCTS SUCH THAT THE AIR MAY BE DRAWN FROM ATTIC
SPACES, BASEMENTS
OR AND CHIMNEYS S EXHAUST OR UTILIZE AIR. THESE PRECAUTIONS WILL REDUCE
OR FANS
THE POSSIBILITY FOR SMOKING OR FLOW REVERSAL.
•
WARNING
TO PREVENT CONTACT WITH ED AGAINST VAPOR NBARRIERS OR EXPOSED INSULATION. LOCALIZED
G OR LOOSE INSULATION, THE FIREPLACE MUST
0 0# NOT BE INSTALLED
OVERHEATING COULD OCCUR AND A FIRE COULD RESULT.
25296B
12-96 8
- , heatilator• u
c.
,TRADITIONAL T4200 WOODBURNING FIREPLACE The 66146hamzih,l;,,epthe
' FRAMING THE FIREPLACE
The T4200 fireplace will fit a framed opening of 52" the fireplace must be adhered to. Any framing across
wide x 431i'tall. The finished cavity depth must be the top of the fireplace must be above the level of the
no less than 27/." . top standoffs. A' " air clearance must be assem-
Figuremain-
4 shows a typical framing(using 2 x 4 lumber) tained at the back and sides of the firebox of the fireplace,assuming combustible materials are bly. Chimney Sections at any level require a two
used. All required clearances to combustibles around inch minimum air space clearance between the
framing and chimney section.
2'MIN.AIR SPACE .,'`
CLEARANCEO TO ` •
ENCLOSURE III. IINOTE: FIREPLACEHEADER CANNOTBEPOSITIONED UNTIL
��I4 AFTER THE FIREBOX
'�7,j ASSEMBLYISIN PLACE.III`II49'/:" HEADER HEIGHT. USE
ONLY NON-COMBUSTIBLE MATERIALBELOWTOPOF� THE TOP STANDOFFS.
273/"
43'/z"
Figure 4
Framing the Fireplace
Combustible Material. Material made of or surfaced (Black), or equivalent. Rutland, Inc. Fireplace Mortar
with wood, compressed paper, plant fibers, plastics, or #63, or equivalent.
any material capable of igniting and burning,whether After completing the framing and applying the facing
flame proofed or not, plastered or unplastered. material (dry wall) over the framing, a non-corn-
Non-combustible Material. Material which will not bustible sealant, one-half inch wide maximum, must
ignite and bum. Such materials are those consisting be used to close off any gaps at the top and sides
entirely of steel, iron, brick,tile,concrete,slate,glass between the fireplace and facing toprevent cold air
or plasters, or combination thereof. leaks
Non-combustible Sealant Material.Sealants that Only non-combustible materials may be used to
will not ignite and bum; General Electric RTV103 cover the black metal fireplace front.
WARNING
DO NOT APPLY COMBUSTIBLE FINISHING MATERIALS OVER ANY PART OF THE BLACK
FACE OF THIS FIREPLACE OR A STRUCTURE FIRE MAY RESULT. THE BLACK METAL FACE
MAY ONLY BE COVERED WITH NON-COMBUSTIBLE MATERIALS.
0 00
4-96 9 25296A
heaUlator TRADITIONAL T4200 WOODBURNING FIREPLACE T 6iatam l iepei
SIDEWALLS/SURROUNDS
Adjacent combustible side walls must be located a within the shaded area defined in Figure 7. Short
minimum of 24" from the fireplace opening. See stub walls are also acceptable if they are contained
Figure 7. If you are using a decorative surround con- within the shaded area.
structed of combustible material, it must be located
BRICK 12" I• ►
FLUSH FRONT FRONT 4"
233/." /�i/ 48" 12" MIN. °
50° 557/8" \ 19/< 390 L_— 475/16"
24"-J L 24"
Figure 7
Sidewalls/Surrounds
MANTEL
A combustible mantel may be positioned no lower firebox opening. (See the shaded areas on each side '
than 12"above the top of the firebox opening. The of the firebox, as defined in Figure 7.) Combustible
combustible mantel may have a maximum depth of trim must not cover the black metal surfaces of the
12". Combustible trim materials, projecting no more fireplace.This mantel clearance is in accordance with
than 1 1/2"from the face of the fireplace, can be Section 7-3.3.3 of ANSI/NFPA 211.
placed no closer than 6"from the top and side of the •
CHIMNEY REQUIREMENTS
When planning your fireplace location, the chimney construction and necessary clearances must be considered.
The fireplace system and chimney components have been tested to provide the following flexibility in construc-
tion.The following figures are the minimum distances from the base of the unit.
Minimum overall straight height 14.5 ft.
Minimum height with Offset/Return 18.5 ft.
Maximum height 90 ft.
Maximum chimney length between an Offset/Return 10 ft.
Maximum distance between Chimney Stabilizers 35 ft.
Double Offset/Retum minimum height 24 ft.
Maximum unsupported chimney length between Offset/Return 6 ft.
Maximum straight unsupported chimney height above firebox 25 ft.
USING OFFSETS AND RETURNS
A
To bypass any overhead obstructions, the chimney
may be offset using a 30° offset/return (SL430).
Perform the following steps to determine the correct
chimney component combination for your particular
installation.
An offset and return may be attached together or a
B
chimney section(s) may be used between an offset
and return. However, the distance between two
elbows must never exceed 10 feet in total length.
00
1. Measure how far the chimney needs to be shift- 11/4"OVERLAP
ed to enable it to avoid the overhead obstacle. Figure 8
See Figure 8, dimension"A". Chimney Offset/Return
4-96 11 25296A