Loading...
RC-0032-2023 Office Use Only ADDITION/ALTERATION PERMIT Permit#: ?1­0052 —2—D&-J-) Town of Queensbu-ry APPLICATION Permit Fee: $ 2)(40C) 742 Bay Road,Queensbury, NY 12804 P:518-761-8256 www.gueensbury.net Invoice#: Flood Zone? Y '�'� Reviewed By Project Location: A- —scs O-A-e�� —7­ Tax Map ID N: d—sC I—t6 Su Ch 0,W, L= PROJECT INFORMATION,: JAN 2 7 21023 TOWN OF QUEENSBURY TYPE: Residential El Commercial, Prc;posJUI1.,se X Single-Family [].Two-Family El Multi-Family(#of units_) El Townhouse El Business Office 0 Retail 7 Industrial/Warehouse El Garage (#of cars El Other(describe ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE: 1st floor: 5no 5;: 1st floor: 2n,floor: 2 nd floor: 3 rd floor: 3rd floor: Basement (habitable space): Basement (habitable space): Total sq ft: 667 & sr— Total sq ft: Scope of work to be done: OE Ar- rDNE: S -6p:!A S Ibt= fTl dy Q �%a-wi 1AW>I7rM Ism' 'spr,-U �Ues+�. Addition/Alteration Application Revised June 2022 r ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ I�JO 666 2. Source of Heat (circle one): 0 Gas ❑ Oil ❑ 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 X 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 XNO • What is the water source? X PUBLIC ❑ PRIVATE WELL • What type of wastewater system is on the parcel? ❑ SEWER I<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 If,for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of Queensbury.After 1 year from the initial application date, 100%of the fee is retained. 3. Ifthework is riot completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 4. 1 certify that 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 above: PRINT NAME: � �E SIGNATURE: DATE: 1 2(0 03 Addition/Alteration Application Revised June 2022 n, CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE,: PLEASE INCLUDE AN EMAIL • Applicant: Name(s): - - t Lr>L--XtS Mailing Address, C/S/Z: 1"'DW 1272-T Cell Phone)`- Lo�'d� Land Line: ( s� ) eF-80 --l7So Email: €T�I4n(l.B Q L l>�S M Al L, . c-oxA • Primary Owner(s): Name(s): Sfi�tL;oi- 7JZpcY— Mailing Address, C/S/Z: 13 "�3 CIf1.��L Li_2_cy\S(J�Y'� Cell Phone: ( rJta ) - Land Line: Email: ❑ Check if all work will be performed by property owner only • Contractors : (List all additional contractors on the back of this form) Contact Name(s): ;' oblq Contractor Trade: 4rc Mailing Address, C/S/Z: lssil - Ct 4::�1LT- vJV L5 1 U2�t Cell Phone: 5!45;-- (0C pg Land Line: Email: NE'SU �l_D t _ VIA _L.. C-" "Workers' Comp documentation must be submitted with this application" • Architect(s)/Eneineer(s): Business Name: J> MttL_ uy. "BwY,-i RE . Contact Name(s): 1>#rpJ _ Mailing Address, C/S/Z: arc ( 01 Cell Phone: ( ) mfor Land Line: ( l S ) ?q2- 97(- q Email: W?,IP E - Gdm Contact Person for Compliance in regards to this project: Cell Phone: (S?t Land Line: ) Email: l:-&11 IAA 191 L- COkA Addition/Alteration Application Revised June 2022 SEPTIC DISPOSAL PERMIT Office Use Only APPLICATION Permit#: Pam. ' 00�2 ' 2_% 25 Town of(Lccnsbnry Permit Fee:$ Invoice#: 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.gueensbury.net Septic Variance? • BOH#: Flood Zone? Wetlands? ev -A Project Location: 13 APRES CIRCLE QBY Tax Map #: 315.10-1-58 JAN 3 0 0223 TOV7,11 OF QL.)t ENSBURY RESIDENCE INFORMATION: BUILDING dti �°D`-��. _ 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 4 110 440 Installed? (choose one) ❑ 0 (3 EX, 1 FUTURE) PARCEL INFORMATION: Topography Flat Rolling ❑ Steep Slope 0-5 % Slope Soil Nature 0 Sand ❑ Loarn ❑ Clay ❑ Other, explain: Groundwater At what depth? >6FT BELOW GRADE Bedrock/Impervious material At what depth? >6FT BELOW GRADE Domestic Water Supply K Municipal ❑ Well ❑Lake (if well or lake, water supply from any septic system absorption is ft.) Percolation Test Rate: 1-5 per minute per inch (test to be completed by a licensed engineer/architect) PROPOSED SYSTEM INFORMATION: Tank size 1250 _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 230 ft.; Each, Trench 46+i- 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 Septic Application Revised July 2022 CONTACT INPORMATI ON: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): CERRONE BUILDERS Mailing Address, C/S/Z: 1589 NYS RTE 9 FE NY 12828 Cell Phone: 518-545-6500 Land Line: Email: cerronebuilders@gmaii.com • Primary Owners : Name(s): JOHN &SHEILA BROCK Mailing Address, C/S/Z: 13 APRES CIRCLE, QBY Cell Phone: 518-269-9595 Land Line: Email: meadbrock@hotmaii.com ❑ Check if all work will be Performed by property owner only • Contractor: Contact Name(s): ANTHONY CERRONE Contractor Trade: CERRONE BUILDERS Mailing Address, C/S/Z: 1589 NYS RTE 9 FE NY 12828 Cell Phone: 518-545-6500 Land Line: Email: cerronebuilders@gmail.com **Workers' Comp documentation must be submitted with this application** ® Eneineer(s)• Name(s): DANIEL W RYAN PE Mailing Address, C/S/Z: PO BOX 596, GF NY 12801 Cell Phone: 518-742-9569 Land Line: Email: dryan@dwrpe.com Contact Person for Compliance in regards to this project: ANTHONY CERRONE Cell Phone: 518-545-6500 Land Line: f(-L/fQ-722 Email: e I MCtl,1 . COAA 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: L 0(1--VP-0NG 141 SIGNATURE: DATE: 30 z3 Septic Application Revised July 2022 Residential Plan Review: 1- and 2- Family Dwellings Y/N/NA (1 of 2) Two (2) full sets of plans Over 1,500 sq. ft. requires engineerin stamjl 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 ll� Window schedule with glass size & main doors/Air leakage < .5 cfm for doors, < .3 cfm for windows/Tempered glass in bathrooms Door schedule/Main entrance 36" door Emergency Escape or Bedrooms& Habitable Space / Above-grade: 5.7 sq.ft. Grade: 5.0 sq.ft. f 24" (h)x 20" (w) minimum 1` 44" maximum height above door Window control devices 24" or less 2"d story or 72" above grade Egress window from basement 5.0 sq.ft. Floor system sizing per table 502.3.1 Residential check ERI or Prescriptive method A� Driveway length: 300' or more-12'width required/500' or more,turnaround required Foundation drainage on plans, if required 6" drop in 10' exterior grade �/� Framing cross section for each roof line, vertical fire stopping every 10' where required/joist spans pg. 127 ti Ice &snow shield—24"from exterior wall r Platforms at exterior doors Stairway headroom 6'8"; all stairs 36" width Stair run and rise Winder run and rise bN Spiral stairs meet requirements Smoke detectors—battery backup & proper location, interconnected Bathroom fixtures—proper clearance Hall width-36"width Handrails more than four risers on open sides Railing&guards> 30"/basement stairs included/closed risers more than 4" in height ., Safety glazing notes for required areas p/ Garage fire separation:W gable end/5/8" under living space &%" on walls/20 min. door l'" E and closer R \ �?�'L_' Garage floor sloped � r•1C� Attic access: gasket seal & R-value equal to roof insulation ) �i-• Roof over 30"—22"x 30"/Crawl spaces 18" x 24" access Continued on back 4 4 Residential Plan Review Revised October 2021 Residential Plan Review: 1- and 2- Family Dwellings Y/N/NA (2 of 2) 16Carbon Monoxide detector outside lowest sleeping area, on every level & interconnected 5 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 90% J4 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 HRV shown and calculations ,z LSD Baffles at eaves for insulations and knee walls Makeup air for range hood >400 cfm ,A 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 October 2021 TOWN OF QIIEENSBURY 742 Bay Road, Queensbury, NY. 12804-5902 Septic System Checklist 1I�-jlan to scale -i"lReceived Deep hole pert test results from engineer/Architect if applicable(Town Approved Engineers and Architects;June 30 to April 15 Town Engineer for unapproved Engineers and Architects) All wells on property and adjacent properties shown Water line shown Municipal or well 10'separation to any part of system ,Setback to property lines show 10'or more for any part of system i Septic tank and pump stations 10'from foundation 50'from any well/lake/wetland 10'from any waterline ��LI-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 �kSeepage pit 150'from well 50'from septic tank /44-Seepage Pits 3-times diameter apart I i Septic tank and pump stations over 30 gallons 50'from watercourse or wetland distance from bottom of trench or system 24"to bedrock or mottling 36"within 1000'of Lake George Leech field 100'from watercourse orwetland Toe of mound or bottom of retaining wall 10'from property line 100'from well 20'from Foundation /X1 Provide Engineer/Architect stamp for bed or design systems Department of Health Approval for all mobile home park new systems Flood Plain requirements dti 2'above established flood elevation to bottom of system LAll tanks anchored or 2' above flood elevation vo.,aoaA eii ummi Generated by REScheck-Web Software CNJ/ Compliance Certificate ENGINEERS STAMP: oF NE Project Brock Dwelling Addition ��_� EnergyCode: 2018 IECC C IE 0 1 1E, Location: Glens Falls, New York Construction Type: Single-family JAN 2 1 2023 Project Type: Addition Climate Zone: 6 (7635 HDD) TOWN OF QU o Permit Date: 07 6�!, BUIL(:71NG � COD��RY Permit Number: R�rESSI Construction Site: Owner/Agent: Designer/Contractor: 13 Apres Circle Daniel W. Ryan P.E. Queensbury, NY 12804 PO Box 596 Glens Falls, NY 12801 518-742-9569 FILEA�op ` dryan@dwrpe.com Compliance: 2.5%Better Than Code Maximum UA: 118 Your UA: 115 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-cirade assembly in the specified climate zone must rrieet the minimum energy code insulation R-value and depth requirements. Envelope Assemblies Gross,Area or C%-Vity Cont. i. Perimeter ssembly I Im Ceiling: Raised or Energy Truss 508 38.0 0.0 0.025 0.026 13 13 Wall:Wood Frame, 16" o.c. 753 21.0 0.0 0.057 0.045 35 28 Door 1: Solid Door(under 50%glazing) 18 0.240 0.300 4 5 Door 2: Solid Door(under 50%glazing) .20 0.240 0.300 5 6 Window:Vinyl Frame 98 0.290 0.300 28 29 Basement Wall 1: Solid Concrete or Masonry Wall height: 7.8' 653 0.0 19.0 0.039 0.050 25 32 Depth below grade: 6.8' Insulation depth: 7.8' Window 1:Vinyl Frame 16 0.290 0.300 5 5 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 Version : REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Daniel W. Ryan P.E. lL 10/31/22 Name-Title Signature Date 315.10-1-58 A RC-0032-2023 Brock, Samh S h %9A 1 Project Title: Brock Dwelling Additic 13 ApreS Circle Report date: 10/31/22 Data filename: Additional bdrm, screened porch, Septic Pagel of 9 REScheck Software Version : REScheck-Web Inspection Checklist Energy Code: 2018 IECC Requirements: 0.0% 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 103.11 Construction drawings and LIComplies 103.2 i documentation demonstrate ❑Does Not [PR1]1 :energy code compliance for the -4 ;building envelope.Thermal I❑Not Observable , envelope represented on y❑Not Applicable construction documents. ; 103.1, ;Construction drawings and I' '❑Complies 103.2, !documentation demonstrate . !❑Does Not 403.7 energy code compliance for I, [PR3]1 'lighting and mechanical systems. ❑Not Observable CJ !dwelling serving multiple I; ❑Not Applicable r !dwelling units must demonstrate i compliance with the IECC Commercial Provisions. : 1 302.11 ;Heating and cooling equipment is Heating: Heating: ;❑Complies 403.7 sized per ACCA Manual S based Btu/hr Btu/hr ;❑Does Not [PR2]2 ;on loads calculated per ACCA i Cooling: Manual J or other methods g Cooling: I❑Not Observable lapproved by the code official. Btu/hr f Btu/hr I❑Not Applicable I I Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Brock Dwelling Addition Report date: 10/31/22 Data filename: Page 2 of 9 Section Pla�Valuei Verfietl:` -Field Verified # Foundation Inspection Complies? Comments/Assumptions < & Reg,ID Value 402.1.1 {Conditioned basement wall R- R- ;❑Complies ;see the Envelope Assemblies • [F04]1 Insulation R-value.Where interior R_ R_ {❑Does Not table for values. insulation is used, verification may need to occur during ❑Not Observable ;Insulation Inspection. Not ! !❑Not Applicable ;required in warm-humid locations! I I in Climate Zone 3. ; 303.2 ;Conditioned basement wall ;❑Complies [F05]1 !insulation installed per ❑Does Not ;manufacturer's instructions. J f, i ,❑Not Observable 113Not Applicable 402.2.9 ;Conditioned basement wall ', ft ; ft ;❑Complies ;see the Envelope Assemblies [F06]1 I insulation depth of burial or i I I❑Does Not ;table for values. distance from top of wall. I I I I L) I❑Not Observable f ❑Not Applicable 303.2.1 .A protective covering is installed ;❑Complies [FO11]2 Ito protect exposed exterior ;❑Does Not ; insulation and extends a 4� I minimum of 6 in. below grade. i❑Not Observable I I❑Not Applicable 403.9 ;Snow-and ice-melting system ❑Complies [FO12]2 !controls installed. '❑Does Not ;❑Not Observable ( ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Brock Dwelling Addition Report date: 10/31/22 Data filename: Page 3 of 9 Section Plans Verified,' Field Verified # Framing %Rough-In Inspection Value Value Complies? [Comments/Assumptions & Re .ID 402.1.11 Door U-factor. U- U- ;❑Complies ;See the Envelope Assemblies 402.3.4 ! !❑Does Not ;table for values. [FRl]1 f I ! ![--]Not Observable !❑Not Applicable ! 402.1.1, ;Glazing U-factor(area-weighted U- U- ;❑Complies ;See the Envelope Assemblies 402.3.1, I average). ! ! I❑Does Not ;table for values. 402.3.3, I 402.5 E❑Not Observable [FR2]1 ' ;❑Not Applicable I I E f 1 303.1.3 U-factors of fenestration products` :❑Complies [FR4]1 :are determined in accordance ;❑Does Not !with the NFRC test procedure or ! ;taken from the default table. ;❑Not Observable ❑Not Applicable 402.4.1.1 ;Air barrier and thermal barrier ; ;❑Complies [FR23]1 ;installed per manufacturer's 3❑Does Not instructions. ; '•❑Not Observable i j ;❑Not Applicable 402.4.3 Fenestration that is not site built ! - ;❑Complies ; [FR20]1 !is listed and labeled as meeting !❑Does Not lAAMA/WDMA/CSA' 101/I.S.2/A440; ;❑Not Observable ; ,or has infiltration rates per NFRC , 1400 that do not exceed code I ;❑Not Applicable ; jIimits. 402.4.5 IC-rated recessed lighting fixtures' ;❑Complies [FR16]2 sealed at housing/interior finish ;❑Does Not land labeled to indicate s2.0 cfm leakage at 75 Pa. {❑Not Observable ❑Not Applicable ; 403.3.1 ;Supply and return ducts in attics ` ;❑Complies [FR12]1 !insulated >= R-8 where duct is !, !❑Does Not !>= 3 inches in diameter and >= ! ! ! :R-6 where < 3 inches. Supply a4 ;❑Not Observable ; !return ducts in other portions of i !❑Not Applicable :the building insulated >= R-6 for ;diameter>=3 inches and R-4.2 ! jfor<3 inches in diameter. _ ! 403.3.2 ;Ducts, air handlers and filter ❑Complies [FR13]1 boxes are sealed with ! ; ❑Does Not CO) ;joints/seams compliant with !International Mechanical Code or ;'' !❑Not Observable ! !International Residential Code, as;. ;❑Not Applicable applicable. 403.3.5 (Building cavities are not used as ;[:]Complies [FR15 iducts or plenums. j; j ❑Does Not ❑Not Observable ; ❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact (Tier 3) Project Title: Brock Dwelling Addition Report date: 10/31/22 Data filename: Page 4 of 9 Section Plans.Verified Field.Verified 4 Framing,/Rough-In Inspection Value Value Complies? Comments/Assumptions & Re .ID . 403.3.7 ;Ducts declared to be within the ;❑Complies [FR28]3 ;conditioned space are either 1) y UDoes Not completely within the continuous ❑Not Observable ; I air barrier and within the building ;thermal envelope, 2)buried 1: 1❑Not Applicable ; !within ceiling insulation in accordance with Section ! 1 I R403.3.6 and the air handler is I located completely within the ;continuous air barrier and within ;the building thermal envelope ;and the duct leakage is <= 1.5 cfm/100 square feet of conditioned floor area served by I ;the duct system, or 3) the ceiling te insulation R-value installed against and above the insulated duct >=to the proposed ceiling insulation R-value, less the R- ;value of the insulation on the 403.4 HVAC piping conveying fluids ; R- ; R- ;❑Complies (FR17]2 above 105 sF or chilled fluids M1 ❑Does Not ! } below 55°F are insulated to zR- 3. 1 ;❑Not Observable I ! ! i❑Not Applicable 403.4.1 !Protection of insulation on HVAC ; ElComplies I [FR24]1 piping. i❑Does Not ❑Not Observable ( :❑Not Applicable 403.5.3 Hot water pipes are insulated to R- R- ;❑Complies [FR18]2 zR-3, ; !❑Does Not ! 1❑Not Observable []Not Applicable 403.6 'Automatic or gravity dampers are!, !❑Complies [FR19]2 !installed on all outdoor air i❑Does Not !intakes and exhausts. ! I❑Not Observable ; I 1 - ![]Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Brock Dwelling Addition Report date: 10/31/22 Data filename: Page 5 of 9 Section Plans Verified 'Field Verified # Insulation Inspection Value Value Complies? Comments/Assumptions & Re .ID 303.1 ;All installed insulation is labeled ❑Complies • [IN13]2 ;or the installed R-values i❑Does Not provided. 1 [3Not Observable ; ❑Not Applicable 402.1.1, ;Wall insulation R-value. If this is a; R- R- ;❑Complies !See the Envelope Assemblies 402.2.5, f mass wall with at least 1/2 of the Wood ;❑ Wood E]Does Not table for values, 402.2.E ;wall insulation on the wall ❑ Mass ❑ Mass '❑Not Observable [IN3]1 :,exterior,the exterior insulation ❑ Steel i❑ Steel []Not Applicable requirement applies(FR10). I I pp I f 303.2 ;Wall insulation is installed per ClComplies [IN4]1 manufacturer's instructions. ❑Does Not ;❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact (Tier 3) Project Title: Brock Dwelling Addition Report date: 10/31/22 Data filename: Page 6 of 9 Section Plans Verified Field Verified # Final Inspection Provisions Complies? Comments/Assumptions & Re .ID Value Value 402.1.1, ;Ceiling insulation R-value. R- 1 R- 1❑Complies ;See the Envelope Assemblies 402.2.1, ! ;❑ Wood ;❑ Wood ;❑Does Not I table for values. 402.2.2, ; ' ' 402.2.E ; '❑ Steel `❑ Steel ;❑Not Observable [Fill' ;❑Not Applicable 1 t [ 1 1 i 6 1 f 303.1.1.1,;Ceiling insulation installed per ';❑Complies ; 303.2 i manufacturer's instructions. ❑Does Not [FI2]1 'Blown insulation marked every ; ; '300 ft2. ,❑Not Observable j❑Not Applicable 402.2.3 ;Vented attics with air permeable ;' ❑Complies [FI22]2 .insulation include baffle adjacent !❑Does Not ;to soffit and eave vents that ; extends over insulation. ❑Not Observable I❑Not Applicable 402.2.4 ',Attic access hatch and door R- R- ;❑Complies [FI3]1 linsulation aR-value of the ;❑Does Not adjacent assembly. ; 1❑Not Observable , ❑Not Applicable 402.4.1.2 ;Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50 = I❑Complies [FI17]1 l ach in Climate Zones 1-2, and ❑Does Not <=3 ach in Climate Zones 3-8. 1❑Not Observable ❑Not Applicable 403.3.3 Ducts are pressure tested to cfm/100 cfm/100 ;❑Complies [FI27]1 !determine air leakage with ftz I ftz ❑Does Not :either: Rough-in test:Total ! I !leakage measured with a I❑Not Observable I pressure differential of 0.1 inch I ;❑Not Applicable ; w.g. across the system including ;the manufacturer's air handler ,enclosure if installed at time of I I I I !test. Postconstruction test:Total < I ! leakage measured with a !pressure differential of 0.1 inch I 1 I I t ! 1 ,w.g. across the entire system 1 ! t I :including the manufacturer's air 1 1 handler enclosure. I 1 I I 403.3.4 ;Duct tightness test result of<=4 cfm/lo0 cfm/lo0 ;❑Complies [FI4]1 !cfm/100 ft2 across the system or ftz ft2 1❑Does Not 1 !<=3 cfm/100 ft2 without air ! ! I I handler @ 25 Pa. For rough-in ,❑Not Observable !tests,verification may need to 1 1 ;❑Not Applicable ; !,occur during Framing Inspection. 403.3.2.1 ;Air handler leakage designated ;' P❑Complies [F]24]1 by manufacturer at <=2%of ;❑Does Not design air flow. ! { E '❑Not Observable ; ❑Not Applicable 403.1.1 ;Programmable thermostats ;❑Complies [FI9]2 ;installed for control of primary P, ;❑Does Not 1 heating and cooling systems and ; !initially set by manufacturer to tlNot Observable !code specifications. 1 ;❑Not Applicable ; 403.1.2 'Heat pump thermostat installed 1' ❑Complies [FI10]2 ion heat pumps. ❑Does Not i! "• t]Not Observable f ;❑Not Applicable ! 403.5.1 Circulating service hot water ;: i❑Complies [FI11]z systems have automatic or I❑Does Not ;accessible manual controls. ;❑Not Observable 1 !, ❑Not Applicable- 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Brock Dwelling Addition Report date: 10/31/22 Data filename: Page 7 of 9 Section Plans Verified„ Field Verified # Final Inspection Provisions Complies?. Comments/Assumptions & Req.ID Value Value 403.6.1 ;All mechanical ventilation system"', UComplies [FI25]2 fans not part of tested and listed UDoes Not 1 HVAC equipment meet efficacy ,and air flow limits per Table 1,! :❑Not Observable R403.6.1, ,, ;❑Not Applicable ; 403.2 !Hot water boilers supplying heat { {[]Complies [F126p through one-or two-pipe heating ;❑Does Not systems have outdoor setback i'i ;control to lower boiler water ,:, ❑Not Observable� , temperature based on outdoor r; 1❑Not Applicable ; temperature. I' 403.5.1.1 Heated water circulation systems i❑Complies [FI28]2 have a circulation pump.The F' ;❑Does Not system return pipe is a dedicated + return pipe or a cold water supply; —]Not Observable 1 pipe. Gravity and thermos- F' ;❑Not Applicable syphon circulation systems are ; not present. Controls for !circulating hot water system I ; pumps start the pump with signal ' Rfor hot water demand within the :occupancy. Controls automatically turn off the pump ,when water is in circulation loop 1 is at set-point temperature and no demand for hot water exists. 403.5.1.2 :Electric heat trace systems (. ;❑Complies [FI29]2 :comply with IEEE 515.1 or UL f' ❑Does Not 515. Controls automatically ❑Not Observable adjust the energy input to the j heat tracing to maintain the 1❑Not Applicable ; ;desired water temperature-in the 1 piping. ; 403.5.2 ;Demand recirculation water c, '❑Complies [F130]2 !systems have controls that ;❑Does Not manage operation of the pump ; !and limit the temperature of the I: ;❑Not Observable ;water entering the cold water 1. ;❑Not Applicable ; :piping to <= 1049F. 403.5.4 ;Drain water heat recovery units ;•'' ;❑Complies [FI31]2 tested in accordance with CSA 4 r ;❑Does Not B55.1. Potable water-side ? !pressure loss of drain water heat t. ❑Not Observable recovery units < 3 psi for ; ;❑Not Applicable ; individual units connected to one or two showers. Potable water- is i 1 I side pressure loss of drain water ! ;heat recovery units <2 psi for individual units connected to !three or more showers. c ! I I 404.1 90%or more of permanent ;❑Complies [FI6]1 !fixtures have high efficacy lamps.F I❑Does Not 1 `❑Not Observable ' 1 t, i E+ "[]Not Applicable ` 404.1.1 ;,Fuel gas lighting systems have 4 1❑Complies [FI23]3 1 no continuous pilot light. f' ;❑Does Not +11' ;❑Not Observable ' F: ;❑Not Applicable 401.3 (Compliance certificate posted. ;❑Complies [FI7]2 1 . '❑Does Not i ;❑Not Observable ; j ;❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Brock Dwelling Addition Report date: 10/31/22 Data filename: Page 8 of 9 Secaon Plans Verified, Field Verified Final Inspection Provisions Value Complies? Comments/Assumptions & R _ 303.3. ;Manufacturer manuals for []Complies [FI18]3 I mechanical and water heating ;]Does Not systems have been provided. ; UNot Observable , ;[]Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Brock Dwelling Addition Report date: 10/31/22 Data filename: Page 9 of 9 2010 IECC Energy Efficiency Certificate Above-Grade Wall 21.00 Below-Grade Wail 19.00 Floor 0.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): Glass & r . . Window 0.29 Door 0.24 . . Equipment Efficiency, Heating System: Cooling System: Water Heater• Name• Date• Comments KID CP r r J ---J a This home has been professionally insulated with Owens Corning® PROPINK® L77 Loosefi ll Insulation (Job Site Address) Name ___________________________________________________________________________________________________ Address _________________________________________________________________________________________________ City ________________________________________________________________ State __________ Zip ________________ Owens Corning® PROPINK® L77 Loosefi ll Insulation Owens Corning will accept no responsibility when the product is not installed in accordance with the product label. Stated R-value is provided by installing the required number of bags at a thickness not less than the labeled minimum thickness. Installation of the required number of bags may yield more than the specifi ed minimum thickness. Failure by the installer to provide both the required bags and at least the minimum thickness will result in lower insulation R-value. Loosefi ll insulations vary in thermal performance due to factors such as aging, mean temperature, settlement, convection, moisture absorption and installation variation. Convection in glass loosefi ll insulation installed in open attics can reduce its thermal performance in extreme winter temperatures during the heating season. Specifi cation for Open Blow Attics New Construction Retrofi t  Number of bags used Estimated R-value of previous insulation Area of coverage (sq. ft.) Other type(s) of insulation in attic Thickness of insulation Depth of previous insulation Pub. No. 10012954-B. Printed in U.S.A. October 2016. The color PINK is a registered trademark of Owens Corning. © 2016 Owens Corning Insulating Systems, LLC. All Rights Reserved. OWENS CORNING INSULATING SYSTEMS, LLC ONE OWENS CORNING PARKWAY TOLEDO, OHIO, USA 43659 1-800-GET-PINK® www.owenscorning.com Contractor _______________________________Date ________ Builder _____________________________________ Date __________ Company ___________________________________________ Company __________________________________________________ (Signature) (Signature) Address _____________________________________________ Address ___________________________________________________ Phone ______________________________________________ Phone _____________________________________________________ Coverage charts are based on a nominal net bag weight of 32 lbs. Attics R-value Minimum Initial Installed Thickness (Inches) Minimum Settled Thickness (Inches) Maximum Coverage Per Bag (sq. ft.) Minimum Bags Per 1000 sq. ft. Minimum Weight (lbs per sq. ft.) 13 4.75 4.75 184.6 5.4 0.173 19 7.00 7.00 125.0 8.0 0.256 22 8.00 8.00 106.3 9.4 0.301 26 9.25 9.25 89.6 11.2 0.357 30 10.50 10.50 77.0 13.0 0.416 38 13.25 13.25 59.9 16.7 0.534 44 15.00 15.00 50.7 19.7 0.631 49 16.75 16.75 45.0 22.2 0.711 60 20.00 20.00 35.8 28.0 0.895 Walls R-value Framing Installed Thickness (inches) Installed Density (lbs per cu. ft.) Maximum Coverage per Bag (sq. ft.) Minimum Bags Per 1,000 sq. ft. Minimum Weight (lbs per sq. ft.) 14 2x4 3.5 1.25 87.8 11.4 0.364 15 2x4 3.5 1.45 75.7 13.2 0.423 16 2x4 3.5 2.20 49.9 20.1 0.642 22 2x6 5.5 1.25 55.9 17.9 0.573 23 2x6 5.5 1.35 51.7 19.3 0.619 24 2x6 5.5 1.75 40.0 25.0 0.802 Floors R-value Framing Minimum Thickness (inches) Installed Density (lbs per cu. ft.) Maximum Coverage Per Bag (sq. ft.) Minimum Bags Per 1,000 sq. ft. Minimum Weight (lbs per sq. ft.) 30 2x8 7.25 1.35 39.2 25.5 0.816 38 2x10 9.25 1.35 30.8 32.2 1.041 46 2x12 11.25 1.35 25.3 39.6 1.266 Cathedral Ceiling R-value Framing Minimum Thickness (inches) Installed Density (lbs per cu. ft.) Maximum Coverage Per Bag (sq. ft.) Minimum Bags Per 1,000 sq. ft. Minimum Weight (lbs per sq. ft.) 30 2x8 7.25 1.35 39.2 25.5 0.816 38 2x10 9.25 1.35 30.8 32.5 1.041 49 2x12 11.25 1.85 18.5 54.2 1.734 13 Apres Circle Queensbury 12 N/A N/A 13.25 N/A 720 7/17/23 Cerrone BuildersThermally Yours 149 Plant Rd., Halfmoon NY 12065 518-312-0859