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2011-189 .��,._A.._+A4( TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 fL Community Development-Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20110189-37766 Date Issued: Friday, October 28, 2016 This is to certify that work requested to be done as shown by Permit Number P20110189-37766 has been completed. Tax Map Number: 302.13-1-7 Location: 240 DIXON RD Owner: Sarah Hayes Applicant: Sarah Hayes This structure may be occupied as a: Residential Addition 489 s.f. By Order of Town Board TOWN OF QUEENSBURY ` Issuance of this Certificate of Occupancy DOES NOT relieve the 4(. 04P s property owner of the responsibility for compliance with Site Plan, ' \ Variance,or other issues and conditions as a result of approvals by the Director of I3ti;lcl;n,&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay-Road,Queensbury,NY 12804-5904 (518)761-8201 --- s• _ Community Development-Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20110189-37766 Date Issued: Friday, October 28,2016 This is to certify that work requested to be done as shown by Permit-Number P20110189-37766 has been completed. Tax Map Number: 302.13-1-7 Location: 240 DIXON RD Owner: Sarah Hayes Applicant: Sarah Hayes This structure may be occupied as a:Residential Addition 489 s.f. By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, YYY Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20110189 Application Number: A20110189 Tax Map No: .523400-302-013-0001-007-000-0000 Permission is hereby granted to: SARAH W HAYES For property located at: 240 DIXON Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: SARAH W HAYES 5 HELEN Dr Residential Addition $20,000.00 QUEENSBURY,NY 12804-0000 Total Value $20,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-189 489 sq ft residential addition $100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,May 18,2012 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the T` ueens W e y,May 18,2011 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement _-_--.-___- OFFICE USE ONLY 0 o 20 TAX MAP NO. PERMIT NO,_ E a FEES: PERMI ECREATION ENGINEERING A� 10 ........... -)Oj ________________________ _--- (If applicabl ,_ _- _2011_. TOWN OF QUECODES Y PRINCIPAL STRUCTUREBUILDING&CODES APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT- A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE, F A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: �+- OWNER: ADDRESS: , At < �r ADDRESS: PHONE NOS.___ 7 j 2 - 9/4 PHONE NOS. CONTACT PERSON FOR BUILDING &CODES COMPLIANCE:/��� l� G/� PHONE:_6-2W` LOCATION OF PROPERTY: a IL. L HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES 2-NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: fit7& PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z APPLY TO YOUR z 0 d PROJECT 0 00 p � cn H w Z Q Q :— � N � OL~L Oi- !Y W Z I— U- a 2 06 SINGL7FA ILY L I LY — /for MULTI-FAMILY (NO. of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: 2�6/�a610 FUEL TYPE: HEAT TYPE: OW MANY FIREPLACE(S): AND/OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE? PROPOSED USE OF BUILDING OR ADDITION: «/C� Ila rce— "Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office Town of Queensbury • Conimunity Development Office ■ 742 Bay Road, Queensbury, NY 12804 B 3-LGL 11-05 ARE THERE ST-RUCTURES NOT SHOWN ON PLOT PLAN? ' ARE THERE EASEMENTS ON PROPERTY? �1 I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State-Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I 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. Signed Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) Permission is hereby granted to the above This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. Application: ; BUILDING & CODES APPROVAL ZONING APPROVAL u ; DAT ' - DATE QUESTIONS? CALL 761-8256 OR EMAIL codes(cDgueensburv.net Office Use Only V(:] ISIT OUR WEBSITE FOR MORE INFORMATION Operating Permit Issued: Yes No www.ciueensbury.net Occupancy Type: -_ Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury - Comniunity Development Office - 742 Bay Road, Queensbury, NY 12804 OFFICE USE ONLY n %n TAX MAP NO. PERMIT NO. PERMIT FEE ' MAY 1:`0 APPROVALS: ZONING TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM P o NG&ECODESRY A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. OWNER: Aye�j INSTALLER: ADDRESS: f - ADDRESS: ✓i PHONE NOS. PHONE NOS. :2 .42'91Y.4 LOCATION OF INSTALLATION: NO.OF RESIDENCE INFORMATION: YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW GARBAGE GRINDER 1980 or older X 150 gallon per bedroom = INSTALLED? 1981 -1991 X in gallon per bedroom = A OR HOT TLI _, 1992-present X 110 gallon per bedroom = a (� O T /�ALLED? r/ PARCEL INFORMATION: ✓ TOPOGRAPHY: Flat rolling Steep slope %Slope ✓ SOIL NATURE: Sand Loam Clay Other ✓ GROUNDWATER: At what depth? ✓ BEDROCK/IMPERVIOUS MATERIAL: At what d ✓ DOMESTIC WATER SUPLY: Municipal Well (If well: Water supply from any septic /A— system absorption is ft.) ! CJ c✓ PERCOLATION TEST: Rate is a Use minutes per inch [MPI] , (Test:to be completed by a licensed professional engineer or architect.) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). TANK SIZE: . ULI( GALLON (MIN. SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tub. SYS M TYPE: ICA 'ABSORPTION FIELD (WITH NO. 2 STONE) Total length (Ay ft. Each trench_ X ❑ SEEPAGE PIT(S) (WITH NO. 3 STONE) How many?" Size? ❑ ALTERNATIVE.SYSTEM Bed or other type? ❑ HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of QUESTIONS? CALL 761-8256 OR EMAIL Queensbury Sanitary Sewage Disposal Ordinance. codes(M-gueensburv.net VISIT OUR WEBSITE FOR MORE INFORMATION J www.gueensbury.net Si§niVture of Person Responsible bat4 t ; Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 B 5-LGL 6/06 Fh-e Mai-shal's Office OE C .2 t -y�t�Town of Queensbul - 742 Bay Road- Queensliury, New York-1280 P 7. Michael J.Palmer,Fire Marshal- Gary Stillman,Deputy Fire Marshal 10 MAY 102011 APPLICATION FOR FUEL BURNING APPL TOWN OF.QUEENSBURY Application is hereby made to the Building&Codes Office for the issuance of a Building & Use Permit pursuant to the New York State Fire Prevention &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. IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE RrYQUIRED. OWNER: INSTALLER/BUILDER: I r e A ADDRESS: g va P> ADDRESS: 7/Z 1 '6 PHONE NOS. -70-.2- PHONE NOS. r _,21LOCATION OF PROPERTY- 10oqo— iJI tVff.�_ SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: Y' AW)a CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: 9-4 PHONE:. -61 7 ✓ FUEL BURNING APPLIANCE WOOD COAC PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT FIREPLACE,FACTORY BUILT* FIREPLACE,MASONRY FURNACE(GARAGE ONLY) *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: —MODEL NO. LISTED BY: NUMBER: QUESTIONS? CALL 7614205 or 761-8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: firemarshal(p_q ueens bury.net MASONRY" CHECK ONE ✓ VISIT OUR WEEISITE SI FOR MORE INFORMATION TILE STEEL INCHES wwmqueensbury.ne FLUE CHECKONE ✓ LE EN'I TRIPLE WALL INSULATED —DIRECT_V CHIMNEY WALL LINER CHIMNEY MATERIAL CRECKONE ✓ **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. Rough Plumbing / lneula ion Ins a ion Report g 9 P Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/ art: m/pm 742 Bay Road, Queensbury, NY 128.04 Inspector's Initials: d NAME: PERMIT : LOCATION: _ INSPECT ON: 1f TYPE OF STRUCTURE: Y N NIA Rough Plumbing/Nail Plates Plumbing Vent l Vents in Place 1 i4 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cieanout every 100 feet I change of direction Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping ' / ad 0 .S.I f 15 minutes InsulatiopJAesidential Check/Commercial Check -TWe or Similar Exterior Sealant Proper Vent,Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008 t Rough Plumbing / insulAtion Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: -am/pm Depart: ram/pm 742 Bay Road, Queensbury, NY 128.04 Inspector's Initials: NAIVE: 1,��`� , l PERMIT #: 2r�Cl� LOCATION: ' -�U jLq4gt-�) T�.-�_ INSPECT ON: TYPE OF STRUCTURE: ` r � Y IN NIA Rough Plumbing/Nail Plates Plumbing Vent I Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain/Vent Air/Head 5 P.S.I. or 10 it. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I for 15 minutes Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008 fJv-. Framing / Firesto�n Inspection e PP 9 Pe Po Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: I at p4p am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: INSPECT ON: —2 - TYPE OF STRUCTURE: _ Qgn LAM A COMMENT Framing Attic Access 220 x 30° minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts I Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 Yaw 16 gauge 8 16D nds each sloe Draft stopping 1,000 sq.ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from.wall Fire separation 1, 2, 3 hour Fi 3, 4 hour irestop ng NRSIFatloffsealed 16 inch insulation in cavity min. Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilingtwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in.,(VV) 5.7 sf above/below grade 5.0 sf grade L.Muilding&Codes Forms-OLMfiding&CodesUnspeclion Fom alFro ft Flmdoppleg Inapedon ReporLdoc Revived January 7,2WO Framing / Firestopp VnglVisj ec Ln eyOffice No. (518)761-8256Date Inspection re recei Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: ,,� PERMIT#: LOCATION: 0 INSPECT ON: — —` TYPE OF STRUCTURE: Y N A COMMENTS: Framing Attic Access 22"x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 Y2 w 16 gauge 8 16D naus each side Draft stopping 1,000 sq.it. floor trusses 6 ft or less on center Ice and waters field 24 inches from wall Phe ration 1, 2, 3 hour Fire wall.2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side%Inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L folding&Codes Fornmi-=Sull fng&Cod®sUnspecllion Fom'Fnunirlg Finskgft IrnpSdion Reportdoc Revised January 7,2= Rough Plumbing I Insulation nspectio eport Office No. (518) 761-8256 Date Inspectio e Queensbury Building &Code Enforcement Arrive: a m rt: a pm 742 Bay Road, Queensbury, NY 128.04 Inspector's Initial . NAME: PER #: u LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N NIA Rough Plumbing!Ysil Plates 5 Plumbing Vent ents in Place ffiffimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet I change of direction Pressure Test Drain I n Air/ ea 5 P. . 0 . above highest connection for 15 minutes Pressure Teft Water Supply Piping Air/Head 50 P.S.1 for 15 minutes Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent,Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2009 Foundation Inspection Report —� Office No.{518)161-8256 Date Inspection request received: Que%My Building 8t Code Enforcement Arrive: am/pm Depart: pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: 8Wb- s'4 � PERMIT V R l-O LOCATION: q-U o� INSPECT ON: TYPE OF STRUCTURE: Aeuao q9q'S9 Pf. Co_a Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this pu Mse on site. Foundation/Wallpour Reinforcement in Place Footing Dowel ay in Foundation Dampproofmg E, V Foundation Waterproofing Footing Drain Daylight.or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet area under slab Backfrll Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Bullding&Codes Forms\8uliding&Codes\Inspecdon Forms\Foundation inspection Report.doc Last printed 12/20/2005 9:24:00 AM I T/t,to�4 Foundation Inspection Report Oct No.(518)761-8256 Date Inspection request received: Queensbury Building 8t Code Enforcement Arrive: am/pm Depart 4 am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: _-al NAME: t PERMIT#: . LOCATION: INSPECT ON: TYPE OF STRUCTURE: un qi Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection fiun freezing for 48 hours following the placement of the concrete. se on site. F undation/Wallpour Reinforcement in Place Footing Dowels,or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight.or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Capper Foundation Insulation Interior!Exterior .R- Rough Grade 6 inch drop within 10 ft. L:\Bullding&Codes Forms\Buiiding&CodeQnspectlon fonnsWoundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 2 Z rrt Foundation Inspection.Report Of6c�No.(518)761 8256 Date Inspection request received: Queensbury Building 8t Code Enforcement Arrive: _am/pn� p� Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 1hspectoys Initials. V t� NAME: k"e t PERMIT#: . (� LOCATION: 2-4® INSPECT ON: S=I? f/ TYPE OF STRUCTURE: Footings. Monolithic Slab Reinforcement in Place 2— The contractor is responsib e olr providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place i Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight-or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R. Rough Grade 6 inch drop within 10 f1. L:\Bullding&Codes Fonns\Building&CodeWnspection-Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 771 o �o L ch, s "louse,'orb v� s © N W U �e c�11 �;:;s doclim. �e!!s, trees aw evidence ip o a �'measured the f also rc fences Of M ^� OCD disc �'r�;ent thy, , etc., J ailLes set t�rtt �,nf�ave OD ne diagrascMe 60 6 m s o/ l bs 66"Z09`L ft 38V c 107 savd sr 3A I2J Q i�VHdSb 0 . REScheck Software Version 4.4.1 Compliance Certificate Project Title: Hayes Addition D E C E 0 Energy Code: 2010 New York Energy Conservation MAY 1 0 2011 Construction Code Location: Warren County,New York Construction Type: Detached 1 or 2 Family Project Type: Addition/Alteration TOWN OF QUEENSBURY Building Orientation: Bldg.orientation unspecified BUILDING&CODES Heating Degree Days: 7635 Climate Zone: 6 Construction Site: Owner/Agent: Designer/Contractor: Dixon road Mickey Hayes Michael Maney Queensbury,NY 12804 Hayes Group 16 Helen Drive Big Bay Road Queensbury,NY 12804 Queensbury,NY 12804 518-744-8245 518-792-9142 Compliance:Passes Compliance:4.8%Better Than Code Maximum UA:104 Your UA:99 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. Gross Assemblyor or • Perimeter • Ceiling 1:Flat Ceiling or Scissor Truss 489 38.0 0.0 15 Wall 1:Wood Frame,16"o.c. 512 19.0 0.0 27 Orientation:Unspecified Window 1;Vinyl Frame:Double Pane with Low-E 35 0.350 12 SHGC:0.00 Orientation:Unspecified Door 1:Solid 19 0.160 3 Orientation:Unspecified Floor 1:Slab-On-Grade:Heated 62 10.0 42 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 2010 New York Energy Conservation Construction Code requirements in REScheck Version 4.4.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Hayes Addition Report date:05/10/11 Data filename:C:\Documents and Settings\Mike\Local Settings\Temporary Internet Files\Content.IE5\3PB3TOCQ\Hayes Addition[i].rck Page 1 of 3 CREScheck Software Version 4.4.1 NJ( Inspection checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: Windows: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Note:Up to 15 sq.ft.of glazed fenestration per dwelling is exempt from U-factor and SHGC requirements. Doors: ❑ Door 1:Solid,U-factor.0.160 Comments: This door is exempt from the U-factor requirement. Floors: ❑ Floor 1:Slab-On-Grade:Heated,4.0'insulation depth,R-10.0 continuous insulation Comments: Slab insulation extends down from the top of the slab to at least 4.0 ft.OR down to at least the bottom of the slab then horizontally for a total distance of 4.0 ft. Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ Recessed lights are either 1)Type IC rated with enclosures sealed/gasketed against leaks to the ceiling,or 2)Type IC rated and ASTM E283 labeled,or 3)installed inside an air-tight assembly with a 0.5"clearance from combustible materials and a 3"clearance from insulation. Sunrooms: ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Vapor Retarder: ❑ Vapor retarder is installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors;or it has been determined that moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided. Comments: Materials Identification and Installation: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. Duct Insulation: Project Title: Hayes Addition Report date: 05/10/11 Data filename:C:\Documents and Settings\Nlike\Local Settings\Temporary Internet Files\Con tent.IE5\3PB3TOCQWayes Addition[i].rck Page 2 of 3 s Ducts in unconditioned spaces or outside the building are insulated to at least R-8. Ducts in floor trusses above unconditioned spaces or above the outdoors are insulated to at least R-6. Duct Construction: Air handlers,filter boxes,and duct connections to flanges of air distribution system equipment or sheet metal fittings are sealed and mechanically fastened. All joints,seams,and connections are made substantially airtight with tapes,gasketing,mastics(adhesives)or other approved closure systems.Tapes and mastics are rated UL 181 A or UL 181 B. Lj Building framing cavities are not used as supply ducts. Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Ej Additional requirements for tape sealing and metal duct crimping are included by an inspection for compliance with the International Mechanical Code. Temperature Controls: Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided. Heating and Cooling Equipment Sizing: ❑ Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. Circulating Service Hot Water Systems: ❑ Circulating service hot water pipes are insulated to R-2. Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-2. Certificate: © A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment. NOTES TO FIELD:(Building Department Use Only) Project Title: Hayes Addition Report date: 05/10/11 Data filename:C:\Documents and Settings\Mike\Local Settings\Temporary Internet Files\Content.IE5\3PB3TOCQ\Hayes Addition[1].rck Page 3 of 3 2010 New York Energy Conservation Construction Code Certificate Insulation . Ceiling/Roof 38.00 Wall 19.00 Floor/Foundation 10.00 Ductwork(unconditioned spaces): Glass& Door Rating U-Factor SHGC Window 0.35 Door 0.16 NA CoolingHeating& Heating System: Cooling System: Water Heater: Name: Date: Comments: DESEONE ' FFICE USE ONLY ; PROJECT NAME: �l "AY 10 W1 STA INI IALS: TOWN OF OUEE SBURY BUILDING PERMIT SUBMISSIO BUILDING& 9LX$E= CHECKLIST FOR: ______- SINGLE FAMILY DWELLING 1. Building Permit Application Completed? YES ! NO N /A ! Energy Form or Checkmate Energy Code Compliance — 2' , Forms Complete? (2-copies) 3. i Energy Code Inspector's Report from Checkmate i Program? (2-copies) .. Septic application completely filled out? I (if applicable)_ Electrical Inspection Form complete? 6. Two (2) sets of the plans each of the following: YES j NO N /A s f a. Floor plans (s)? I I b. Foundation plan? c. Cross sections (s)? i d. Elevations? --�- -- ---F---- ----- e. Window and door schedule? ! j I f. Natural Light, Ventilation and Emergency Egress ' Requirements_? g. Plans signed and sealed by registered architect or engineer? Two (2) site plans showing location of the structure to be 1 7. built, location of well or water lines, location of septic i system or sewer line? _ 8. Setbacks from property lines to new structure? 8 Setbacks to neighboring wells and septic systems, including onsite well and septic systems (if applicable)? 9. Driveway Permit? i —j Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804 B 12-LTR 11-05 PROJECT NAME: OFFICE USE ONLY STAFF INITIALS: 0 f.- BUILDING PERMIT SUBMISSION DATE: CHECKLIST FOR: ` MULTIPLE DWELLING or COMMERCIAL PROJECTS 1. Building Permit Application Completed? YES NO ' N /A i 2 Energy Form or Checkmate Energy Code Compliance Forms Complete? (2-copies) 3 Energy Code Inspector's Report from Checkmate Program? (2-copies) 4 Septic application completely filled out? (if applicable) 5. 1 Electrical Inspection Form complete? 6. Two (2) sets of the plans each of the following: YES i NO N /A a. Floor plans (s)? i b. Foundation plan? I _� i c. Cross sections (s)? ! I i d. Elevations? _ e. Design loads including floor, snow load, and wind ! ! load? i f. Seismic design (required after January 2003)? g. Plans signed and sealed by registered architect or j engineer? T_ i j—`1 i h. Window and door schedule? ! 1 Two (2) site plans showing location of the structure to be built, location of well or water lines, location of septic 1 7' ! system or sewer line with all setbacks and separation ! distances shown, and all improvements to the property? 8. Solid Fuel Burning or Gas Appliance Form (if applicable)? I 1 9. Driveway Permit Town of Queensbury - Community Development Office • 742 Bap Road, Qceensbury, NY 12804 Check Residential Plan Review; One& Two Family Dwellings Y/ N /N/A 2 Full sets of plans Over 1,500 sq. ft.-Stamped Design Loads on Plans: 90 Wind Floor Loads 40 psf ---(North of Rt. 149 60) -50 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size Door Schedule/Main Entrance 36" Door Emergency Escape Or Bedrooms and Habitable Space % Above/Below grade, 5.7 sq. ft. Grade, 5.0 sq. ft. 24" (h)x 20" (w) min. 44" Max. Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK Driveway Length Over 300'Turnaround Required Foundation Insulation to Basement Floor Dam pproofinglWaterproofing Materials On Plans 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 Ice and Snow shield 24" Inside Exterior Wall/24" Inside Knee Walls Platforms at Exterior Doors Stairway Headroom 6' 8' All Stairs 36"Width Stair Run and Rise Winder Run and Rise Spiral Not Allowed From 2" Story Smoke Detectors Battery Backup and Proper Location Interconnected Bathroom Fixtures Proper Clearance Hall Width, 36" min. Handrails More Than Four Risers On Open Sides Railing and Guards > 30"/Basement Stairs Included/Closed Risers More Than 4" in Ht. SafetyGlazing Notes For Required Areas Gara a Fire Separation Garage Floor Sloped 16/ Attic Access Roof over 30"-22"x 30"/Crawl Spaces 18"x 24"Access Carbon Monoxide Detector Outside Lowest Sleeping Area, On Every Level & Interconnected within 15' of Sleeping Area Soil Test Results, if required Septic To Well or Water Line Separation All Paperwork Signed Note On Plans About Energy Saving Light Bulbs Blower Door Test Agency Paperwork