RC-0673-2021 _ Office Use Only
ADDITION/ALTERATION PERMIT . Permit#: •
APPLICATION Permit Fee:_$ 4 •22
Town of Quecns6ury
742 Bay Road,Queensbury;NY 12804 Invoice#: Z'�
P:518-761-8256 www.gueensbury.net
Flood Zone? Y N Reviewed By:
Project Location: Ambb LAM -ce( V-*Lr QUfuFn..IS13ugw,�� S�— 0CD
Tax Map ID#: z2(p. Subdivision Name:I D E !, E U O E
SEP 10 2021
PROJECT INFORMATION:
TOWN OF OUEE(�NSBURY
BUILDHNG&CODES
TYPE: X Residential Commercial, Proposed Use: ����
X Single-Family _Two-Family _Multi-Family(#of units ) —Townhouse
Business Office _Retail _Industrial/Warehouse _Garage(#of pars_)
Other(describe ).
ADDITION SQUARE FOOTAGE: , ALTERATION SQUARE FOOTAGE:
1st floor: 6'51 1st floor:
2nd floor: 651 2nd floor:
3rd floor: 3r1 floor:
Basement(habitable space): Basement (habitable space):
Total sq ft: Total sq ft:
Scope of work to be done:
-Tm STmix- MD IT1C)1,.Q , NOCItiQ ftae_
Addition/Alteration Application Revised January 2021
9
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $350iOCO•-
2. Source of Heat(circle one):_Gas _Oil V Propane _Solar_Other
Fireplaces/inserts need a separate Fuel Burning Appliances & Chimney Application
3. Are there any structures not shown on the plot plan? YES Y-NO Explain:
4. Are there any easements on the property? YES NO
SITE INFORMATION:
• Is this a corner lot? _YES X-NO
• Will the grade be changed as a result of the construction? _YES )LNO
• What is the water source? _PUBLIC X PRIVATE WELL
• What type of wastewater system is on the-parcel? _SEWER PRIVATE SEPTIC
DECLARATION:
1. 1 acknowledge that no construction shall be commenced prior to the issuance of a valid permit and will be
completed within a 12 month period.Any changes to the approved plans prior to/during construction will require
the submittal of.amended plans,additional reviews and re-approval.
2. If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of
Queensbury.After 1 year from the.initial application date, 100%of the fee is retained.
3. Ifthe.work is not completed by the 1 year expiration date the permit may be renewed, subject to fees
and department approval.
4. 1 certifythat the application, plans and supporting materials are atrue and a complete statement and/or description
of the work proposed,that all work will be performed in accordance with the NYS Building Codes,local building laws
and ordinances, and in conformance with local zoning regulations.
5. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of .
occupancy.
6. 1 also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the ab e:
PRINT NAME: Aga-
SIGNATURE: DATE: (emu
Addition/Alteration Application Revised January 2021
i
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): T 13u1L1)F.R.S ` a"DeLIAIcj 1_LC,
Mailing Address, C/S/Z: 2C �ts"f}� S-r� Q1t S�AeL.LS, `'r Isom
Cell Phone:_(. 15 g )3 I- I4W Land Line: 5( 18 )fit-Au ja
Email: R �►.r.LG-?1�SL`.4'A .C�
• Primary Owners :
Name(s): v< �l i
Mailing Address,C/S/Z: AU Mb L.Akt P IL r f '
Cell Phone: (5113 .. ) 6-'1ST Land Line: '.
Email: ,04l
❑ Check if all work will be performed by property owner only
• Contractor(s): (List all.additional contractors on the back-of this form)
Contact Name(s): PA91L, TnZA69=
Contractor Trade: }
Mailing Address,.C/S/Z: 12D Or Ci l t&1C FALcS, aL< Izz6f
Cell Phone: (5 l5 Land Line:
Email: l �2A5L� Ca�Gt
"Workers' Comp documentation must be submitted with this application"
• Architect(s)/Engineer(s):
Business Name: --V9&Ar_.S _0#1-LyT3314 MUXU ,
Contact Name(s): '��'
Mailing Address, C/S/Z: I i .�SlTeD oy—. -5Ur-jAQV6Agb5,KtTr. lizi
Cell Phone: S/6 Land Line: (:5/6 ) 11t39-D4477
Email: -iVTbTAr 0-Rc �Nwl�ri'�LJM
Contact Person for Compliance in regards to this.project: MAU �•
Cell Phone: ( 510 ) 3UI- 14U0 Land Line: �)3(01-14W
Email: I'' ftU(t 205e41L1W9D• Q4L4
Addition/Alteration Application Revised January 2021
:r
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contractor Name(s): 077+W S
Contractor Trade: eojee4M Calfpoe.�r-oP.
Mailing Address,,C/S/Z: 350 44414 S?Ur- J-1<12031
Cell Phone: 5/8-g'$-OrRO Land Line:S/8 -`I11�P-too-s
Email:
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contractor Name(s): ADjzoLjb46V- lNjusreAga. 14C..
Contractor Trade: 5W-otia4T L3 Z-.
Mailing Address, C/S/Z: Q Prq-L4� COZ41JT* 4dire tZS22--
Cell Phone:7/5, WLj;#fNO Land Line: Eta -&5c,,7#&0
Email: AtjpaUpAcCt_ Il,iAUsnuFr.-3.00QM it..CDFA
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contractor Name(s):
Contractor Trade: SUsc4XIZ t C4044
Mailing Address, C/S/Z:
Cell Phone:51,9-31Q1-'73t30 Land Line:
Email:
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contractor Name(s): kbltwo bPcc&- P -
Contractor Trade: '[vo-ejl tk
Mailing Address, C/S/Z: ip . ,� p�►,
Cell Phone: Land Line: $1$-qq3- 3g83
�hlizr�tOkcJIC.Q�I .C��.
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contractor Name(s):
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
Addition/Alteration Application Revised January 2021
SEPTIC DISPOSAL PERMIT office use only
APPLICATION Permitt R-C - 00-b • 2-021
Torn of Queensbury
Permit Fee:$
QQ
Invoice#: 4-
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.gue6nsbury.net Septic Variance? Y - ()N
Flood Zone? Y N C
196 Lake Parkway, Wetlands? Y N Reviewed By:
Project Location: Queensbury NY
Tax Map #: 226.19-1-88
RESIDENCE INFORMATION:
Year Built Gallons #of bedrooms: X gallons per =total daily flow
per day bedroom Garbage Grinder Yes No
1980 or older 150 Installed? (choose one) ❑ ❑X
1981-1991 130 Spa or.Hot Tub Yes No
1992-Present 110 7 110 770 Installed? .(choose one) El ❑X
PARCEL INFORMATION:
Topography ❑X Flat Rolling ❑ Steep Slope % Slope
Soil Nature ❑ Sand ❑X Loam ❑ Clay ❑ Other, explain:
Groundwater At what depth? >4 ft
Bedrock/Impervious material At what depth? >4 ft
Domestic Water.Supply ❑ Municipal ❑ Well ❑X Lake
(if well or lake, water supply from any septic system absorption is
208
Percolation Test Rate:. N/A per minute per inch (test to be completed by a
licensed engineer/architect)
PROPOSED SYSTEM INFORMATION:
Tank size 2,00.0*gallons (min. size 1,000 gallons, add 250 gallons for each garbage cylinder or
spa/hot tub
System Absorption field w/#2 stone Total length 108**ft.; Each Trench 54** ft.
Seepage Pit w/#3 stone How many: ; Size:
- .Alternative System Bed or other type:
Holding Tank System Total required capacity? ; tank size ;
# of tanks
**Project_consists of replacing existing 1500 Gallon Septic tank with larger 2,000
Gallon septic tank to accommodate added flows and adding (2) additional
laterals to.existing leach field to accommodate added flows. See site plans for
more information. **
Septic Application Revised April 2021
I ' G-6NTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): Edwin Tobin
Mailing Address, C/S/Z: 100 White Pine .Drive, Albany NY 12203
Cell Phone: 518-461-2403 Land Line:
Email:ejtobin@grriail.com
• Primary Owner(s):
Name(s): Same as applicant
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email: .
❑ Check if all work will be performed by property.owner only
• Contractor•
Contact Name(s): IBS Septic & Drain
Contractor Trade: Excavator
Mailing Address, C/S/Z: 2 Lower Warren St Queensbury NY 12804
Cell Phone: Land Line: 518-798-8194
Email:
**Workers' Comp documentation must be submitted with this application**
• Engineer(s):
Name(s): Nicholas Zeqlen
Mailing Address, C/S/Z: 900 Route 146, Clifton Park NY 12065
Cell Phone: 518-371-7621 Land Line:
Email: nzeglen0edpllp.com
Contact Person for Compliance in regards to this project: Nicholas Zeglen
Cell Phone: 518-383-8345 Land Line:
Email: nzeglen@edplip.com
NOTES: 1. Alarm system and associated electrical work must be inspected by a.Town approved electrical
inspection agency; 2. We will no longer allow systems to be covered until such time as an as-built plan is
received and approved. The installed system must match the septic layout on file—no exceptions. 3. As-
built drawings must be submitted prior to.the inspection, if there has been a change to the submitted
plans. 4. If, for any reason, the building permit application is withdrawn, 30% of the fee is retained by the
Town of Queensbury. After 1 year from the initial application date, 100% of the fee is retained.
Declaration: Any permit or approval granted which is based upon or is granted in reliance upon any material
representation 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 and agree to abide by these and all requirements of the Town of Queensbury
Sanitary Sewage Disposal Ordinance.
PRINT NAME: Nicholas Zeglen (Agent on behalf of applicant Edwin Tobin)
SIGNATURE: DATE: 9/21/2021
Septic Application Revised April 2021
FUEL BURNING APPLIANCE & Office Use Only
CHIMNEY APPLICATION Permit#: V.C~bi¢-1-3'2021
Permit Fee:$
742 Bay Road,Queensbury, NY 12804 Invoice#:
P:518-761-8256 www.aueensbury.net
**ONE APPLICATION PER APPLIANCE**
Project Location: HIP,260 (.,DU 919WA r Tax Map ID#:
Room of Install: 4�%"%LAr Rl Planned Install Date:
FUEL BURNING APPLIANCE INFORMATION: D E C E p E
TYPE OF DEVICE: SEP I 0 �p
_Stove _Fireplace Insert X_Fi ep yf� OF OUEI=IVSBURY
BUILDING&CODES
_Fuel Fired Equipment (Garage Only: 18" clearance per IMC 304.
Fireplace,factory built**
(**Manufacturer's name: Model#: )
SOURCE OF HEAT:
Wood _Coal _Pellet Gas
CHIMNEY INFORMATION:
_Masonry(require plans to be submitted):
block brick stone
_Flue:
_the _steel _size, in inches
_Material*:
_double-wall _triple-wall_insulated
(*Manufacturer's name: f�T Model #:
Fuel Burning Appliance&Chimney Application Revised December 2020
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s):ter' ( S
Mailing Address, C/S/Z: CL&Wq
Cell Phone: 5( !9 ) 3Cp/- /Vto9 Land Line:
Email: M goLrji 24S(? Cal
• Primary Owners)•
Name(s): lFbiU "_wcC _ W
Mailing Address, C/S/Z: q LNM QL�v I : Sd
Cell Phone:_( ) Land Line:
Email: ""Ct�i3�w� �'.clrUAll..Colc
❑ Check if all work will be performed by property owner only
• Installer/Builder: Workers' Comp documentation must be submitted with this application
Contact Name(s): LAAOL
Contractor Trade k44U_601Q)&U RMODIRuLkG
Mailing Address, C/S/Z: S �( I w
Cell Phone:_( 0 )3(011- ! f8 Land Line: _( )
Email:
Contact Person for any questions regarding this project:
Cell Phone: (5/f3 ) au - /4&6 Land Line: � )
Email: kBpuctA2D5
ADDITIONAL INFORMATION:
1. Two(2) inspections are required. A rough-in inspection, prior to installation and a final inspection,
after installation.
2. Manufacturer's installation manual must be available at the time of inspection.
3. Masonry fireplaces&chimneys require plans to be submitted.
4. Twenty-four(24) hour notification is required for inspections.
S. Workers' Comp insurance information is required with this application.
Declaration: Construction/installation must conform to NYS Fire Prevention &Building Code and/or
manufacturer requirements. 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 the inspector to enter the
premises to perform the required inspections.
I have read and agree to the ab ve:
PRINT NAME: /
SIGNATURE: DATE: gl glZZZ1
Fuel Burning Appliance&Chimney Application Revised December 2020
- n 2- Family Dwellings
Residential Plan Review: l and y g
Y/N/NA (1 of 2)
,W Two (2)full sets of plans
-tS Over 1,500 sq. ft. requires engineering stamp
Design loads on plans: 115 Wind Floor Loads 40 psf
(North of Rte. 149 60) 50 Ground Snow Load Sleeping Areas &Attics 30 psf
` Calculations Decks 40 psf
Wind design for lake front properties
Window schedule with glass size & main doors/Air leakage < .5 cfm for doors, < .3 cfm for
windows/Tempered glass in bathrooms
c Door schedule/Main entrance 36" door
�S Emergency Escape or Bedrooms & Habitable Space
t� Above-grade: 5.7 sq. ft.
t�,►,� Grade: 5.0 sq. ft.
`C 24" (h)x 20" (w) minimum
�q 44" maximum height above door
ctp - Window control devices 24" or less 2nd story or 72" above grade
rs - Egress window from basement 5.0 sq. ft.
-(, S Floor system sizing per table 502.3.1
-eJ R identia check ERI or Prescriptive method
,✓ Driveway length: 300' or more-12' width required/500' or more,turnaround required
(,S Foundation drainage on plans, if required
( 6" drop in 10' exterior grade
f� Framing cross section for each roof line, vertical fire stopping every 10' where
IDS required/joist spans pg. 127
-c,S Ice & snow shield-24" from exterior wall
S Platforms at exterior doors
rf Stairway headroom 6'8"; all stairs 36" width
Stair run and rise
Winder run and rise
Spiral stairs meet requirements
Smoke detectors—battery backup & proper location, interconnected
S Bathroom fixtures—proper clearance
'Cj-4, Hall width-36" width
j Handrails more than four risers on open sides
- r! Railing&guards > 30"/basement stairs included/closed risers more than 4" in height
-� Safety glazing notes for required areas
Garage fire separation:%" gable end/5/8" under living space &%" on walls/20 min. door
`4 and closer
Garage floor sloped
Attic access: gasket seal & R-value equal to roof insulation
Roof over 30"-22"x 30"/Crawl spaces 18" x 24" access
Residential Plan Review Revised March 2018
Residential Plan Review: 1- and 2- Family Dwellings
Y/N/NA (2 of 2)
Carbon Monoxide detector outside lowest sleeping area, on every level & interconnected
A6 within 15' of sleeping area
Soil test results, if required
Septic to well or water line separation
All paperwork signed
Note on plans energy saving light bulbs 75%
Blower door test agency paperwork
Floodplain Permit required —check map: 2 feet above flood elevation
Hurricane clips required
Floors less than 2 x 10 covered by%" gypsum or 5/8" wood panel
Manuals S &J required for heating system. Cold air return hard piped
Separate room for draft HVAC or hot water heater with fresh air
j HRV shown and calculations
Baffles at eaves for insulations and knee walls
Makeup air for range hood >400 cfm
r j Continuous header for garage doors to end wall
Chimney rain cap shown for fireplaces
Deck hold down shown not less than 4 lags and bolts per table 507.2
Residential Plan Review Revised March 2018
TOWN OF DUEENSBURY
742 Bay Road, Queeusbury, NY. 12804-5902
Septic System Checklist
"Plan to scale
F, Received Deep hole perc test results from engineer/Architect if applicable(Town Approved Engineers and
Architects;June 30 to April 15 Town Engineer for unapproved Engineers and Architects)
IAII wells on property and adjacent properties shown
4fdWater line shown Municipal or well 10'separation to any part of systeml 4 ke-"WOL ��1-0 W41V
Setback to property lines show 10' or more for any part of system
Septic tank and pump stations 10'from foundation 50'from any well/lake/wetland 10'from any waterline
n/ /4 Septic tank to foundation crawl space/slab on grade,grade in crawl space must be above top of septic tank
for 0',Separation required (field verification required)
Septic tank sized for number of bedrooms and add 250 gals for Jacuzzi tubs/garbage grinder each
��Leech Field 20'from foundation 100'from any well 10'from water line
4Seepage pit 150'from well 50'from septic tank
rJ�Seepage Pits 3-times diameter apart
4�Septic tank and pump stations over 30 gallons 50'from watercourse or wetland
41Z' distance from bottom of trench or system 24"to bedrock or mottling 36"within 1000' of Lake George
�tlS Leech field 100'from watercourse or wetland
,*Toe of mound or bottom of retaining wall 10'from property line 100'from well 20' from
Foundation
IProvide Engineer/Architect stamp for bed or design systems
N 0 Department of Health Approval for all mobile home park new systems Flood Plain requirements
A/O 2' above established flood elevation to bottom of system
A All tanks anchored or 2' above flood elevation
Revised 4/15/2021
Generated by REScheck-Web Software
Compliance Certificate REVIEWED FOR CpMpLIANCE
ENERGY C
Project Addition to the home of Edwin & Beverly Tobin :°wy "�
i �t�utt•.ites26eek.tnru.` ,,,,x
Energy Code:
2018IECC ;,rM+im«tn�:aM,.
Location: Glens Falls, New York ;:.
Construction Type: Single-family a#. �•■� ? . .. ,
Project Type: Addition
Climate Zone: 6 (7635 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
196 arcway Edwin Tobin Mark Boucher
Que l4kway 205 South Street
uy `�. p Queensbury196 Lake rNY 12845 Glans Falls, NY 12801
`� ® 518-461-2403 51B-361-1468
mbouch205@yahoo.com
Y
Compliance: 7.4%Better Than Code Maximum UA: 162 Your UA: 150
The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Slab-on-grade tradeoffs are no longer considered in the UA or performance compliance path in REScheck. Each slab-on-grade
assembly in-the specified climate zone must meet the minimum energy code insulation R-value and depth requirements.
Envelope Assemblies
Ceiling 1:Flat Ceiling or Scissor Truss 515 38.0 0.0 0.030 0.026 15 13
Wall 1:Wood Frame, 16"o.c: 857 32.0 0.0 0.047 0.045 27 25
Door 1:Solid 21 0.050 0.300 1 6
Window 1:Wood Frame:Triple Pane with Low-E 270 0.040 0,300 11 81
Floor 1:All-Wood j oist/Truss:Over Unconditioned 515 30.0 0.0 0:
Space 033 0.033 17 17
Crawl 1:Solid Concrete or Masonry
Wall height:4.0' 244 5.0 0.0 0.216 0.055 79 20
Depth below grade:-0.0'
Insulation depth: 4.0'
Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2018 IECC requirements in
REScheck V ersio eck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
.Jobe L onard 0 10/20/21
Name-T IE ig Date
to la�qz
P ject Titl :Addition to the home of Edwin &Beverly Tobin Report date: 10/20/21
Da filen me: Pagel of 9
REScheck Software Version : REScheck-Web
Inspection Checklist
Energy-Code: 2018 IECC
Requirements:.100.0% were addressed directly in the REScheck software
Text in the".Comments/Assumptions" column is provided by the user in the REScheck.Requirements screen. For each
requirement, the user certifies that a code requirement will be met and how that is documented,or that an exception
is being claimed:Where compliance is itemized in a separate table,a reference to-that table is provided.
Section Plans Verified . Field Verified .
# Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions
&'Req.ID
103.1; ;Construction drawings.and ; i❑Complies ;Requirement will be•met.
103.2. ;documentation demonstrate ❑Does Not
[PRl]1 ;energy code compliance for the Location on plans/spec:A-
10 ;buildin g-envelope.Thermal ❑Not Observable I1
envelope represented on ; Not Applicable ;
construction-documents. {
103.1, Construction drawings and ❑Complies ;Requirement will be met.
101.2, ;documentation demonstrate j❑Does Not
403.1 ;energy code compliance for . Location on plans/spec:❑Not Observable
A-
[PR3]1 ;lighting and.mechanical systems. # ,1
U :Systemsserving'multiple . F❑Not Applicable
dwelling units must demonstrate. i
;compliance with the IECC
Commercial,Provisions.
302.1, i Heating and cooling equipment is; Heating: ; Heating: ;❑Complies ;Requirement will be met:_
403.7 sized per ACCA Manual S based Btu%hr :. gtu/hr. . I-IDoes Not
[PR2]2 ion loads calculated pe�.ACCA ; Coolin Cooling*- ;Location on plans/spec:A=
g 9- ❑Not Observable
gj �Manu,al)or,othermethods ; Btu/hr Btu/hr ❑NotA licable 1
approved by the code official. 1 _ PP i
1
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Carder-Tucker Addition Report date: 08/02/21
Data filename: Page 2 of 9
-Section ,
# Foundation Inspection : Complies?' Comments/Assumptions
&.Req.ID
303.2.1 ;A protective covering is installed to .;OComplies. ;Exception:Requirement is not applicable.
[FO11]2 i protect exposed exterior insulation. . Does Not
:and extends a minimum of 6 in.below
Ol ;[]Not,Observabie
I grade.
PNotApplicable.,
403.9 i Show-and'ice=melting system controls;E1Complies ;Exception: Requirement is not applicable.
[FO12]2 jinstalled. ;Does Not ;
V ; ;EINot Observable
pNot.Applicable.
Additional Comments/Assumptions:
1.11 High Impact,(Tier 1) 2 Medium,impact(Tier 2) 3 Low Impact,(Tier 3)
Project Title: Carder-Tucker Addition Report date: 08/02/21
Data filename: Page 3 of 9
Section" Plans Verified . . Field Verified
# Framing Rough-in Inspection Value Value Complies? Comments/Assumptions
& Req.ID
402.1.1, :Glazing U-factor(area-weighted U- U- ;OComplies ;see the Envelope assemblies
402:3.1, .average). :❑Does Not table for values.
402.3.3,
402.5 :❑Not Observable
[FR2]1 ;❑Not Applicable
303.1.3 U-factors of fenestration products'I -;❑Complies ;Requirement will be met.
[FR4]1 :are determined in accordance. { I❑Does Not.
;with the NERC test procedure or ; Location on plans/spec:A-
taken from the default table. { I❑Not Observable 1.
111Not Applicable.
402.4.1:1 ;Air barrier and thermal barrier ( 10Complies ;Requirement will be met.
[FR23]1 ;installed per manufacturer's {❑Does Not
instructions. :Location on plans/spec:A-
❑Not Observable ,1
( . i❑Not Applicable
402.4.3 ;Fenestration that is not site built i ;❑Complies ;Requirement will be met.
[FR20]1 :is listed and labeled as meeting {❑Does Not
AAMA/WDMA/CSA 101/I.S.2/A440.
;or has infiltration rates per NFRC {❑Not Observable
{400 that do not exceed code I❑Not i Applicable
;limits. ;
402.4.5 ;IC-rated recessed lighting fixtures ;❑Complies ;Exception: Requirement is
[FR16]2 i sealed at housing/interior finish {❑Does Not ;not applicable.
and labeled to indicate 52.0 cfm
leakage at 75 Pa. ;❑Not Observable
1❑Not Applicable
403.3.1 ;Supply and return ducts in attics ❑Complies ;Exception: Ducts located
[FR12]1 ;irsulated >=.R-8 where d_ uct-is . . tOboes Not completely inside the
>=3 inches in diameter and >_ ; building envelope.
-6 where.< 3 inches.Supply and j❑Not Observable
R
return ducts in-other portions.of I. E❑Not Applicable
;the building insulated_>= R-6 for
diameter>=3 inches and R-4.2
:for<3 inches in diameter.
403.3.2 ;Ducts, air handlers and filter ;❑Complies ;Requirement will be met.
[FR13]1 boxes are sealed with R❑Does Not
V ;joints/seams compliant with ;Location on plans/spec:A-
'International Mechanical Code or ❑Not Observable ;1
International Residential Code,as i ;❑Not Applicable
applicable. { j
403.3.5 Building cavities are not used as ;❑Complies ;Requirement will be met.
[FR15] ;ducts or plenums. i i❑Does Not
181 ; ;❑ !Location on plans/spec:A-
Not Observable ,1
❑Not Applicable
403.3.7 Ducts declared to be within the ?❑Complies ;Requirement will be met.
[FR28]3 ;conditioned space are either 3) I '❑Does Not
®, !completely within the continuous }Location on plans/spec:A-
!
air barrier and within the building ( ❑Not Observable ;1
thermal envelope,2)buried i❑Not Applicable ;
ywithin ceiling insulation.in {
;accordance with Section {
R403.3.6 and the air handler is i
located completely within.the
y continuous air barrier and within
{tK6 building thermal envelope I `
and the duct leakage is <= 1.5 i
!cfm./100 square feet of
conditioned floor area served by }
the duct system, or 3)the ceiling j
insulation R-value installed j
l against and above the insulated I
;duct>=to the proposed ceiling
;insulation R-value, less the R= ;
;value of the insulation on the ; 1
1 High:Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Carder-Tucker Addition Report date: 08/02/21
Data filename: Page 4 of 9
i
Section Plans Verified Field Verified .
# Framing/Rough-in-Inspection Complies? Comments/Assumptions
& Req.ID Value Value.
403.4 ;HVAC piping conveying fluids R R= :[]complies' :Exception:-Requirement is'
[FR17]2 I above 105 9F or chilled fluids :❑Does Not'. . �not applicable.
I below 55°F are insulated to>R
of ;3 ;❑Not Observable
❑Not Applicable .
403.4.1 . ;Protection-of insulation on HVAC ❑Complies. . ;Exception: Requirement is
[FR24]1 l piping. ❑Does.Not :not*applicable.
I❑Not Observable
- € ;pNot Applicable,
403.5.3 I Hot water pipes.are;insulated to R= ; R- ;❑Complies Exception: Requirement is
[FR18]2 >_R-3. ❑Does Not' !not applicable.
V 1 I❑Not Observable
;❑Not Applicable
403.6 ;Automatic or gravity dampers are i❑Complies ;Requirement will be met.
[FR19]2 ;installed on all outdoor air i❑Does Not.
intakes and exhausts: Locaition.oh plans/spec:A-
I❑Not Observable.;1
I j�Not Applicable
Additional Comments/Assumptions:
1 High Impact,(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact.(Tier 3)
Project Title: Carder-Tucker Addition Report date: 08/02/21
Data filename: Page 5 of 9
Section Plans Verified Field Verified .
# Insulation Inspection Complies? Comments/Assumptions
& Req.ID Value Value
303.1 Al installed insulation is labeled {OComplies ;Requirement will be met.
[IN13]2 {or the.installed_R-values ;❑Does Not
provided.
bNot Observable
❑Not Applicable
402.1:1,- ;Floor insulation R-value. ; R= R- ;OCorriplies ;See the Envelope Assemblies
402.2.E ;❑ Wood. ❑_Vllood ',Does.Not table for values.
[IN1]1 0:Steel ❑ Steel ;❑Not Observable.
rg,
❑Not Applicable_
303:21 ;Floor.insulation installed per Complies 1 Requirement will be met: .
402.2.8 manufacturer's instructions and i❑Does Not _ -
[IN2]1 ;in substantial contact with the Location on A-
❑Not Observable plans/spec:
Cap underside of the subfloor,or floor. , 1
framing cavity insulation is in ;❑Not Applicable
contact with the top side of }
;sheathing,or continuous
insulation is installed on'the
underside,of floor framing and
extends from the bottom to the J
top of all perimeter floor framing .
members: . p
402.1.1; Wall insulation R=value.If this is a; .R= ; R= ❑Complies ;See the Envelope Assemblies
402.2:5, !mass wall with:at least 1/z.of the Wood ❑ Wood ❑Does Not ;table for values.
402.2.6 ;wall insulation on the wall ;❑ Mass Mass
[IN3]1 ;exterior,the exterior insulation ; ;❑ 1❑Not Observable
rg requirement applies(FR10): ;❑ Steel ❑.Steel ❑Not Applicable.
;
303.2 :Wall insulation is installed per ❑Complies . ;Requirement will be met.
[IN4]1 manufacturer's instructions. Oboes Not
❑Not Observable ;Location on plans/spec:A-
j❑Not Applicable .
Additional Comments/Assumptions:
.1 High Impact(Tier 1) 12 IMediumimpact(Tier 2) 3 JLow Impact(Tier 3)
Project Title: Carder-Tucker Addition Report date: 08/02/21
Data filename: Page 6 of 9
Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Req.ID
40.2.1.1, ;Ceiling insulation R-value. ; R; R- ;❑Complies ;See the Envelope Assemblies
402.2.1; ;❑ Wood ;❑ Wood :❑Does Not ;table for values.
402.2.2, ❑ Steel ❑ Steel
402.2.E ;❑Not Observable ;
[Fill' TlNot Applicable
;
303.1.1.1,;Ceiling insulation installed per l❑Complies ;Requirement will be met.
303.2 imanufacturer's instructions. I❑Does Not
[FI211 ;Blown insulation marked every Location on plans/spec:A=
300 ft2.- Not Observable ,1
❑Not Applicable
402.2.3 1 Vented attics with air permeable j ;❑Complies Requirement will be met.
[FI22]2 insulation include baffle adjacent.l ;❑Does Not
;to soffit and eave.vents that :Location on plans/spec:A-
extends over insulation. ;i❑Not Observable ,i
❑Not Applicable
402.2.4 ;Attic access hatch and door R- R- ;❑Complies ;Requirement will be met.
[FI3l' insulation all--value of the ;❑Does Not
adjacent assembly. :Location on plans/spec:A-
❑Not Observable '
1
❑Not Applicable
402.4.1.2 ;Blower door test @ 50 Pa. <=5 ACH 50= ACH 50 = ;❑Complies ;Requirement will be met.
[FI1711 ach in Climate Zones 1=2, and ; ;❑Does Not
<=3 ach in Climate Zones 3=8. ; Location on plans/spec:A-
❑Not Observable i
❑Not Applicable
403.3.3 ;Ducts are pressure tested,to cfm/100 cfm/100 ;❑Complies ;Exception:All ducts and air
[FI27]1 :determine air leakage with ft2 ft2 UDoes Not handlers are located within
either: Rough-in test:Total : ;❑Not Observable :conditioned space.
leakage measured With a
pressure differential of 0.1 inch I ;❑Not Applicable ;
w.g.across the system.including
;the manufacturer's air handler j
!enclosure if.installed at time of
,test.Postconstruction test.Total ;
leakage measured with a j
pressure differential of 0.1 inch
w.g.across the entire,system
including the manufacturer's air
handler enclosure.
403.3:4 I Duct tightness test result of<=4 ; cfm/100 cfm/100 ;❑Complies . ;Exception:All ducts and air
[FI4]1 cfm/100 ft2 across the system or ft2 ftz ;❑Does Not handlers are located within
<=3 cfm/100 ft2 without'air I ;conditioned space.
handler @ 25 Pa.For rough-in ❑Not Observable
;tests,Verification may need to : ;❑Not Applicable ;
occur during Framing Inspection.
403.3.2.1 ;Air handler leakage designated ❑Complies ;Requirement will be met.
[FI2411 by manufacturer at<=2%of El Not
design air flow. ;Location on plans/spec:A-
,❑Not Observable ,l
I :❑Not Applicable
403.1.1 Programmable thermostats- !❑Complies ;Requirement will be met.
[FI9]2 :installed for control of primary ;❑Does Not
heating and cooling systems and f N ;Location on plans/spec:A-
initially set by manufacturer to ; ,❑Not Observable 1
:code specifications: i❑Not Applicable ;
403.1.2 Heat pump thermostat installed ;❑Complies ;Exception: Requirement is
[Fil Ion heat pumps. I 1❑Does Not not applicable.
I❑Not Observable
;❑Not Applicable
403.5.1 Circulating service hot water t ;❑Complies ;Exception: Requirement is
[FI11]2 ;systems have automatic or t ❑Does Not not applicable.
accessible manual controls.
❑Not Observable
❑Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Carder-Tucker Addition Report date: 08/02/21
Data filename: Page 7 of 9
Section Plans Verified
# Final Inspection Provisions Value Value Field Verified Complies? Comments/Assumptions
& Req.ID
403.6.1 ;All mechanical ventilation system. j❑Complies Requirement will be met.
[F[25]2 lfans not part of tested and listed I❑Does Not
HVAC equipment meet-efficacy 1 - (Location on plans/spec:A-
and air flow_ limits per Table !❑Not Observable ;1
R403.6.1.. 1❑Not Applicable
403.2 i Hot water boilers supplying heat ( '❑Complies ;Exception: Requirement is .
[FI26]2 through,one-.or.two-pipe heating (( 1❑Does Not 1 not applicable.
systems have outdoor setback I
control to lower boiler water "❑Not Observable 1
temperature based on outdoor []Not Applicable.
;temperature: I
403.5.1.1 j Heated water circulation systems ❑Complies,. ;Exception: Requirement is
[FI28]2 1 have a circulation pump.The I ❑Does Not not applicable.
system return pipe is a dedicated
i return pipe or a cold water supply []Not Observable
pipe.Gravity and thermos- ` Not Applicable
I syphon circulation systems are
I not present.Controls for
circulating hot water system
pumps start the pump with signal j
Ifor hot,waterdemand'within the:.
I occupancy.Controls I
automatically turn.off the pump
when water is in circulation loop E ;
is at set-poirit temperature and ( ;
no demand for hot water exists:. i
403.5.1.2 Electric heattrace systems. ( {❑Complies 'Exception: Requirement is
[FI29]2 I comply with IEEE.515.1.or UL i J❑Does Not not applicable.
�515.Controls.auto_matically. I
adjust the energy input to the I❑Not Observable
heat tracing to maintain the `QNot Applicable ;
desired water temperature in the
E
piping.: �
403.5.2 ;Demand recirculation water j❑Complies Exception: Requirement is
[F130]� lsystems have"controls that 'I ;❑Does Not' !hot applicable.
I manage operation of the pump
I and limit.the temperature of the ❑Not Observable
I water entering the cold water ❑Not Applicable ;
piping to<=104°F.
403.5.4 I Drain water heat recovery units '❑Complies Requirement will be met.
[Fl31]2 tested in accordance with CSA �❑Does Not
B55.1.Potable water-side Location on plans/spec:A-
pressure loss of drain water heat j❑Not Observable 1
irecovery.units c 3 psi for I❑Not Applicable_ ;
individual units connected to one I ;
or two showers.Potable water- ;
aside pressure loss of drain water .
heat recovery units e, 2 psi for
I individual units connected to
three or.m.ore showers. I
4.04.1 ;90%.or.more of permanent � j❑Complies j Requirement will be met.
[FI6]? ;fixtures have high efficacy lamps. 'E]Does Not .
;Location on plans/spec:A-
,❑Not Observable ,1
❑Not Applicable
404.1.1 #Fuel gas lighting systems have } j❑Complies ;Requirement will be met.
[FI23]3 t no continuous pilot light. ❑Does Not
e' ❑Not Observable :Location on plans/spec:A
1
_ QNot Applicable ;
401.3 1 Compliance certificate posted. JUComplies ;Requirement will be met.
[FI7]2 l❑Does Not
i Not Observable
V❑Not Applicable .
1 High Impact,(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Card er-T-ucker Addition Report date: 08/02/21
Data filename: Page 8 of 9
Section Plans Verified Field Verified .
# Final Inspection Provisions . Value Value. Complies? Comments/Assumptions
& Req.ID
303.3 Manufacturer manuals for ❑Complies ;Requirement will be met.
[F[18]3 mechanical and water heating I❑Does Not
systems have been provided.
iii❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact.(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact,(Tier 3)
Project Title: Carder-Tucker Addition Report date: 08/02/21
Data filename: Page 9 of 9
. 2.0.1 .8 IECC. .Energy
Efficiency Certificate
Above-Grade Wall 24.60'
Below-Grade.With 0.00
Floor. 30.00.
Ceiling /Roof 49.00
Ductwork(unconditioned spaces):
Glass & Door Rating U-Factor SHGC
.Window 0:29 -
Door
Cooling'Heating &
Heating-System:
...Cooling.System:
Water Heater:
Name: Date:.
Comments
4�
Y 10 D :
,I,mv,
PLUMBING & MECHANICAL
CONTRACTORS
P0 BOX 562,Glens Falls, NY m8oi-o562 AND SHEET METAL FABRICATORS
Pf)one No. (5x8)793-3883,Fat No. (5T8)7934-T14
rm) rrb m-
W
C E VIE
Tobin Residnece 12 2021
196 Lake Pkwy
TOWN
OCTr OF QUEEN URPJ
Queensbtiry,NY 12804 U1 OF QUEENSBURY
BUILDING&CODES
To Whom It May Concern:
The current residence has 2,418 sq.ft and the addition will add 1,012 sq.ft.
The existing boiler has a max capacity of 175,000 btu.
The whole residence will need approximately 96,000 bta's on 4-10 degree day.
It has plenty of capacity and we will use the existing boiler to heat this residence.
Thanks,
Scott Pechtel
Supervisor
Adirondack P&M,Inc.
COPY
1"-40'AS-BUILT WW PLANAB-1900 Route 146 Clifton Park, New York 12065
edpllp.com(518) 371-7621
ENVIRONMENTAL DESIGN
PARTNERSHIP, LLP.
PROPOSED SITE IMPROVEMENTS FOR
196 LAKE PARKWAY
TOWN OF QUEENSBURY
DATE: FEBRUARY 2 ,2021
196 LAKE PARKWAY
WARREN COUNTY, NEW YORK
TAX MAP. No. 226.19-1-88
APPLICANT: EDWIN & BEVERLY TOBIN