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2011-303 TOWN OF .QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE. OF OCCUPANCY Permit Number: P20110303 Date Issued: Monday, August 27, 2012 This is to certify that work requested to be done as shown by Permit Number P20110303 has been completed. Location: 23 JAY RD. WEST Tax Map Number: 523400-289-010-0001-018-000-0000 Owner: EDWARD &PHILOMENA VAN PUTTE LIFE USE Applicant: EDWARD &PHILOMENA VAN PUTTE LIFE USE This structure may be occupied as a: Fireplace By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan,Variance, or )jw 4 t other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 0 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT, Permit Number: P20110303 Application Number: A20110303 Tax Map No: 523400-289-010-0001-018-000-0000 Permission is hereby granted to: EDWARD &PHILOMENA VAN PUTTE For property located at. 23 JAY.RD. WEST 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: EDWARD &PHILOMENA VAN PU 78 FARLEIGH Ave Single Family Dwelling $150,000.00 ROCHESTER,NY 14606 Total value $150,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-303- SINGLE FAMILY DWELLING $292.00 , PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 08;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 wn of uee y, September 08, 2011 SIGNED BY h for the Town of Queensbury. Director.of Building&Code Enforcement Check Residential Plan Review; One&Two Family Dwellings /A 2 Full sets of plans Over 1,500 sq. ft. tam e Design Loads on s: 90 Wind Floor Loads 40 psf (North of Rt. 149 60) 50 Ground Snow Load Sleeping Areas and Attics 30 psf s Calculations: Window Schedule With Glass Size Door Schedule/Main Entrance 36" Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade, 53 sq. ft. Grade, 5.0 sq. ft. a5 24" (h)x 20" (w) min. 44" Max. Height above floor Residential Check Paperwork Compliance and Inspectors Ghecklist: Oil Drivewa Len th Over 300'Tumaround Required Foundation Insulation to Basement Floor Dam pproofingMaterproofing.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 Vol tair Run and Rise Minder 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. 1115 Handrails More Than Four Risers On Open Sides Railing-and Guards > 30"/Basement Stairs Included/Closed Risers More Than 4" in Ht. Y'Safety Glazing Notes For Required Areas ara a Fire Separation ara a Floor Sloped 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 Pa erwork Si ned Note On Plans About Energy Saving Light Bulbs Blower Door Test Agency Pa• erwork SHGC:0.24: Orientation:Right Side Floor 11:All-Wood JoisUTruss:Over Unconditioned Space 780 38.0 0.0 20 Compliance Statement; The.proposed:building design described here:is.consistent with the,building plans;specifications,end 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. II�� �J L✓ ktt{"N1CG7?� t olt� ZI Nam 9 e-Title ' v Si nature D to Project Notes: Submitted to.Queensbury Dept;of Buildings and Codes,May 24,2011 FILE COPY Project Title:'VehPulte Residence Report date:05/23/11 Data filename F:1DataFile12010 Projects Files12010 Residentia1110-032 VanPulte SP1TechnicallCales110032 110520 VanPutle RESCheck Energy Code(no craw'i).rck page 3 of 7 2Y j� j J / FICE USE ONLY 10 I / R�3 ; ' TAX MAP NO. PERMIT NO. JUN �.1 Mi 1 i_ .FEES: PERMIT-_- � RECREATION ENGINEERING i (If applicable) TOWN OF QUEENS URY _-__-BUIUNNG&-COD'ES PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: Jarrett Engineers, PLLC OWNER: Edward Vanputte&Philomena Vanputte ADDRESS: 12 East Washington Street, Glens falls, NY 12801 ADDRESS: 3 Dellwood Place, Binghamton, NY 13903 PHONE NOS. (518)792-2907 PHONE NOS. (607)-725-6906 CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: Robert Holmes PHONE: (518)792-2907 LOCATION OF PROPERTY: 23 Jay Road West, Queensbury, NY 12804 HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL? $I YES ❑.NO IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: Planning Board:26-2011 Zoning Board: 17-2011 BOH 22,2010 AUGUST 16,2010 PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT Z APPLY TO YOUR 41 p O Uj U_w PROJECT O H JO H _j a = _ 0 w _ � � _ OOU W 0 a z C� � 1- O H of z ¢ ¢ cn cv u) O u- u- SINGLE FAMILY x 780 sf. 350 sf 330 sf 1460 sf 27'-11" (deck) TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 ' Y Revised 4/14/2010 IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS: n/a ESTIMATED CONSTRUCTION COST: $150,000+ FUEL TYPE: Propane HEAT TYPE:Boiler/Baseboard*HOW MANY FIREPLACE(S):_1 AND/OR WOODSTOVES(S): ZONING CATEGORY: WR ARE THERE WETLANDS ON THIS SITE? no. IS THIS A HISTORIC SITE? no PROPOSED USE OF BUILDING OR ADDITION: Summer Cottage ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? no ARE THERE EASEMENTS ON PROPERTY? no *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office 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 ree to a above. Signed Director k Buildinq & Code 761-8256 (for questions regarding Building Permits, construction codes or septic sy ergs. Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 - '--------------------------------__-____-__ , I 1 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. 01 Application: 01 BUILDING & CODES APPROVAL ZONING APPROVAL , DATE DATE 0 / =------------------------------------------ =--- ........ QUESTIONS? CALL 761-8256 OR EMAIL codes(a)gueensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.gueensbury.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury* Community Development Office " 742 Bay Road, Queensbury NY 12804 . v l a " OFFICE-USE ONLY = TAx-mAp NO. PERMIT NO. qq FEES: PERMIT g RECREATION ENGINEERING �U� �O„ (If applicable) ___...._ . --.- ...,____-_ -- TOWN QP Q ENSBU PRINCIPAL STRUCTURE: APPLICATION FOR ZONIN G8k Q G PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.'APPLICATION IS SUBJECT TO REVIEW. BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANTIBUILDER`. Jarrett Engineers,PLLC OWNER: Edward Vanputte&Philomena Vanputte 12 East Washington Street,Glen's'falls;NY 12801 3:Dellwootl Place,Binghamton, NY 13903 ADDRESS: ADDRESS: PHONE NOS. '(518)792-2907 PHONE NOS. (607)-725.-6906 CONTACT PERSON FOR BUILDING&.CODES COMPLIANCE: Robert Holmes. PHONE:(618)79272907 LOCATION OF PROPERTY:.23 Jay Road West,Queensbury, NY 12804 HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION-APPROVAL? X) YES 11 NO IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: Planning Board:26-2011 Zoning Board: 17-2011 BOH 22,2010 -AUGUST 16,2010 PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW CHECK-ALL THAT Z APPLY TO YOUR z i � p a d W w PROJECT F O.I— O0 C o t _ W. _I u_ W LL W Q n 'pry v. W Q Q C� z C! t— 1- 0 H W W Z —�— U) NC OtL I- LL CL2atS SINGLE FAMILY X 330 sf 780 sf 350 sf 1460 sf. 27'711" (deck) TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) j TOWNHOUSE BUSINESS OFFICE I RETAIL- MERCANTILE I FACTORY OR i INDUSTRIAL i jATTACHED GARAGE(1,2,3) OTHER Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 IF COMMERCIAL OR-INDUSTRIAL—NAME OF BUSINESS: n/a' ESTIMATED GONSTRUCTIQN COST:_$150,600+ FUEL TYPE:.Propane HEAT TYPE:Boiler/Baseboard"HOW MANY FIREPLACE(S):_1 AND FDR WOODSTOVES.(S): ZONING CATEGORY:.WR ARE THERE WETLANDS ON THIS SITE? no 1S THIS.A HISTORIC SITE? no, PROPOSED USE OF BOILDING OR ADDITION: Summer Cottage ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? no. ARE THERE EASEMENTS ON PROPERTY? no 'Please complete a separate Application for"Fuel.Burning Appliances&Chimneys'available in our office I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. 1 certify that :the application, plans, and supporting; materials-. are a true and . complete statement/description. of the work proposed, that al[ work will-.be performed in accordance with the. NY rState 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, have read and ree to' a above. Signed Director.L Buildina & Code'. 761-8256.(for questions regarding Building Permits, construction codes or septic sy eiu� Zoning Administrator: 761-.8218(for questions regarding required permits, the permit.process, application requirements,or to schedule:an appointment) Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 i - Revised 4/14/2010 : Permission ,is hereby granted to ;the above This application / proposed action described Applicant to erect or..-alter the .building ; herein is.found Ao be in accordance .with the described herein in accordance with said ; . ; zoning Laws of the Town of Queensbury. Application: ; BUILDING &CODES A \ROVAL ZONING APPROVAL 'DAT DATE QUESTIONS? CALL 761-8256 OR EMAIL codes(a.gueensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.gUeensbUrV.net Operating Permit Issued:( Yes No �. Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 This project has holding tank approval Board of health#BOH 22,2010 Adopted AUGUST 16,2010 Revised 4/14/2010 OFFICE USE ONLY TAX MAP NO. PERMIT NO. PERMIT FEE APPROVALS: ZONING TOWN CLERK APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. OWNER:.Edward Vanputte&Philomena Vanputte INSTALLER:To be determined ADDRESS:3 Dellwood Place, Binghamton, NY 13903 ADDRESS: To be determined PHONE NOS.(518)792-2907 PHONE NOS._To be determined LOCATION OF INSTALLATION:23 Jay Road West, Queensbury, NY 12804 RESIDENCE INFORMATION: YEAR BUILT NO.OF X COMPUTATION = TOTAL DAILY FLOW BEDROOMS Gallons per bedroom GARBAGE GRINDER 1980 or older X 150 = INSTALLED?_NO _ 1981 -1991 X 130 = SPA OR HOT TUDD 1992-present 2 X 110 = 220 INSTALLED?_Nib_ PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE X %SLOPE 12%± ✓ SOIL NATURE: SAND LOAM X CLAY OTHER ✓ GROUNDWATER: AT WHAT DEPTH? Elevation 398'± ✓ BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? Deeper than elevation 398'± ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL_X (If well:water supply from any septic system absorption is:_39± ft� ✓ PERCOLATION TEST: RATE IS 8•5 _PER MINUTE 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 Ins' llad in a Planning Board approved subdivision). n/a TANK SIZE: holding GALLON (MIN.SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for tank each garbage grinder,spa or whirlpool tub. SYSTEM TYPE: ❑ABSORPTION FIELD(WITH NO.2 STONE) Total length ft. Each trench X ❑SEEPAGE PIT(S)(WITH NO.3 STONE) How many? Size? ❑ALTERNATIVE SYSTEM Bed or other type? D9 HOLDING TANK SYSTEM Total required capacity? 3500 Tank size?3500 Number of tanks? 1 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 akfe—q-7Re—rft9.Qts of the Town of Queensbury QUESTIONS? CALL 761-8256 OR EMAIL Sanitary Sewage Dis al-6 c codes(@gueensbury.net V(:]ISIT OUR WEBSITE FOR MORE INFORMATION Si ature of Per esponsi le Date www.gueensbury.net Town of Queensbury* ommunity Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 Town of Queensbury Highway Michael F. Travis Department Highway Superintendent 742 Bay Road, Queensbury, NY 12804 Home (518) 798-0413 Office Phone: (518) 761-8211 Thomas R. Vanness Fax: (518) 745-4466 Deputy Superintendent Home (518) 745-0929 www. Queensbury.net DRIVEWAY PERMIT Date: Applicant Name: Jarrett Engineers, PLLC Address to be inspected: 23 Jay Road West, Queensbury, NY 12804 12 East Washington Street,Glens falls, NY 12801 Return Address: Applicant must show exact location and width of driveway(s) to be connected to the highway by placing stakes at the specified location. See Site Plans entitled "Cl" Site Plan The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: Step 1: ( ) Preliminary Approval Need: ( ) Slight swale ( ) Deep swale ( ) Level with the road ( ) Level with the top of the paved wing Size culvert pipe to be used (if necessary) ( ) 12" ( )15" ( ) 18" ( )24° ( )36" Preliminary inspections completed by: Date: Approved by Higway Supt: Deputy Supt.: Upon completion, please resubmit this approved permit for a final approval. Step 2: ( ) Final Approval ( ) Rejected Date: Michael F. Travis, Highway Superintendent Thomas R. Van Ness, Deputy Highway Superintendent Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS 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 an inspeciors to enter premises to perform required inspections. 12 East Washington Street, Glens falls, NY 12801 Important Note To Applicant. Rough-In and Final Inspections Are Required. Owner:: Edward Vanputte&Philomena Vanputte Installer/Builder: To be determined Address: 3 Dellwood Place, Binghamton, NY 13903 Address: To be determined Phone Nos.: (607)-725-6906 Phone Nos.: To be determined 23 Jay Road West,Queensbury, Location of Property: NY 12804 Subdivision Name: n/a Location of Proposed Construction and/or Installation: 23 Jay Road West,Queensbury, NY 12804 Contact Person for Building & Codes Compliance: Robert Holmes (518)792-2907 Fuel Burning Applicance Wood Coal Pellet Gas Oil Information Stove Fireplace Insert _ Fireplace, factory built* X Fireplace, Masonry Furnace, (Garage Only) * If Factory Built, Please Provide: Manufacturer Name: Heatilator Model No. NNXT42361 Listed By: UL Number: Chimney Information BLOCK BRICK STONE Masonry** Check One,/ TILE STEEL SIZE IN INCHES Flue Check One ✓ DOUBLE WALL TRIPLE WALL INSULATED DIRECT CHMNEY VENT LINER Chimney Material Check One✓ X ** If Non-Masonry, please provide: Manufacturer Name: Model No. ADDITIONAL NOTE: CONSTRUCTION / INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION & BUILDING CODE AND/OR MANUFACTURER REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (6 18) 761-8256 Arrive: am/pm Depart: am/pm Date Inspection request received: Inspector's Initials: NAME: I PERMIT#: ��L ® 3o LOCATION: '7— � ,�— DATE: TYPE OF STRUCTUR115- Comments: Yes No N/A 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location �------- Fresh Air Intake j 3 inch Plumbing Vent through roof minimum 'f8 inches \ Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 0 inches above grade I Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inche ' Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 fee / 6 inch clearance to sill plate ' Gas Valve shut-off exposed/regulator 18 inches above grade / Interior privacy/trim/doors/main entrance 36 inches / Bathroom/Kitchen watertight ; Safety glazing/Window in stairwells safety glazing / Interior Smoke Detectors/Carton Monoxide Detectors Every level: Every Bedroom: / Outside every bedroom area: / Inter Connected: Batte backu — Attic access 30 inches x 22 inches x 30 inches(height)in4ccess le area J Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-1 0 s .ft.vents Bathroom Fans if no window Plumbing fixtures Foundation insulation to floor/Sticker on Panel / Duct work sealed properly/Blower Door Test 0ertification Floor truss,draft stopping finished basemerW1,000 s .ft. Emergency egress below grade / Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operatira Low water shut-off boiler Relief Valves installed/Heat/Trap/Water Temp 110 �. Enclosed Stairs Sheetrock Underside minimum Y2"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving Light Bulbs 50% Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification, if required Okay to issue C/C or C 10 Temporary/Permanent LABuilding&Codes Forms\Building&Codes\Inspection FormsWesidential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08;Revised 12122/10,Revised 04/13/11 Queensbury Building & Code Enforcement - Residen lal Final inflection n- Office No. (518)761-8256 Arrive: am/pm Depart: yam/pm Date Inspection request received: -' 5'1 Inspector's Initials: k/L NAME: 01P - L PERMIT#t: LOCATION: ., --I -ff Q DATE: TYPE OF STRUCTURE: S F0 � Comments: 4" BuildingYes No NIA Number Address visible from road ' I ��► �-C� �f �r� Chimney Height/°B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbin Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors R v Handrail 4 or more risers L r. Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more _Uua"deck,porches 36 inches or more 'Handr'i ermination at Newell Post or wall n error/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant t +` Z Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches -- Bathroom/Kitchen watertight Safety glazing/Wi dow in stairwells safety I n Interior Smoke D9fectors/Carbon Monoxide etectors Every level: Eve Bedr m: f — (� Outside every bedroom ea: / Inter Connected: Batte backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft:150 s .ft.vents — Bathroom Fans if no window Plumbing fixtures Foundation insulation to floor/Sticker on Panel a Duct work sealed properly/Blower Door Test Certification a Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum W Gypsum Basement stairs closed rise>4 inchesvt, Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving Light Bulbs 50% Final Survey Plot Plan t r Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification, if required LOkay to issue C/C or C 10 Temporary/Permanent L:1Building&Codes FormslBuilding&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 z Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's Z instructions or specifications is allowed. Permit# R _) Schedule Inspection ?) (t1 Time!?— ` � -- am anytime Inspect r 67A NameN&. M Address_ A &T) Rough InX Final_ Appliance Manufa Purer ��'t'� Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve i i Combustion Air 7 Hearth Extension (if any) Mantel Height above f/p opening V Witness Operation Tank Placement(if LP) CO Detection A V CSST Bonding Y White—Building Dept. Mello —Cust mer Pink—Fire Marshal Rough Plumbing / Insulation Inspection ke 6AP Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm part: am/pm 742 Bay Road, Queensbury, NY 128.04 inspector's Initials: � l NAME: ' PERMIT : 1 -303 LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A Rough Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout 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 Air/Head or b minutes esidential Check/Commercial Check lyvek Imilar Exterior Sealant ro er Vent, Attic Vent �1 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 ReporLrevised Nov 17 2003,revised February 15,2005, revised January 7,2008 Rough Plumbing / Insuls ion lnspe ion Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: �am/pm Depart: I J" am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: C� PERMIT : LOCATION: S INSPECT ON: TYPE OF STRUCTURE: Y N NIA Rough Plumbing /Nail Plates Plumbing Vent/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 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping 50 .S.1 for 5 minutes Insulation/ esidential Check/Commercial Check 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 properly1 No duct tape -01 COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 16,2006, revised January 7,2008 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart. am/pm 742 Bay Road, Queensbury, NY 128.04 Inspector's Initials: 4 NAME: -,v �►�. PERMIT ##: LOCATION: INSPECT ON: 4zi -v TYPE OF STRUCTURE: Y N NIA Rough Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 %inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout eve 100 feet/chan a of direction Pressure Test Drain/Vent ; Ail/Head 5 P.S.I, or 10 f#. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I for 15 minutes nsulation/Residential Check/Commercial Check ek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If Leguired unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation ReporLrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: " I Queensbury Building&Code Enforcement Arrive: am/pm Depart: a /pin 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: C PERMIT#: l --30-3 LOCATION: -nq- INSPECT ON: TYPE OF STRUCTURE: jrarrii:n�g�: Y A COS S: _ 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 �. � . A Headroom 6 ft. 8 in. s Notches/Holes/Bearin9 Wails Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D naus each We 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 Fire wall.2, 3, 4 hour restopping Penetration sealed 16 inch insulation in cav' min. Garage Fire Separation House side%inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/Wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (VV) 5.7 sf above/below grade 5.0 sf grade LABuiiding&Codes Forms-C)LD1Bufiding&CodesUnspawn Foam1Frarning FinsdOpFing inspection Repod.doc Revbed January 7,2= Rough Plumbing 1 Insulation Inspection Repo Office No. (518) 761-8256 Date Inspection request received: Queensbury Building Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 128.04 Inspector's Initials: NAME: A Lf 7 U' T PERMIT #: - 6� LOCATION: /e cA�-0 e- l INSPECT ON: v TYPE OF STRUCTURE: ___.. Y N NIA Rough Plumbing/Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout eve 100 feet/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 Air/Head 50 P.S.I for 15 minutes Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Pro er Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If Leguired unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: Rough Plumbing Insulation ReporLrevised Nov 17 2003, revised February 15,2005, revised January 7,2008 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacture ' instructions or specifications is allowed. Permit# Schedule Inspection — 9 Z Time =1-1 a m Inspe to Name�S( (j Address Rough In final_ Appliance ManZurer Model#Direct Vent Jcto Built Chimney Flue Size Double Wall ry y b Wa Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) �� 4, Firestop(s) Vertical Chase j Wall Penetration Vent Clearances to Combustibles �� '� �- �- � ►�� Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) CO Detection CSST Bonding White—Building Dept. Yello —Cust mer Pink—Fire Marshal Rough Plumbing / Mnsution Inspecti Report Office No. (518) 761-8256 Date Inspection r ue t received: Queensbury Building &Cale Enforcement Arrive: = Depart: =off a m 742 Bay Road, Queensbury, NY 128.04 lnspector's Initi ,, NAME: U P MIT LOCATION. INSPECT ON. /ice TYPE OF STRUCTURE: Y N/A ,,Rough Plumbing / ail Plates t PtA i /Vents in Place 1 %inch minimum Drain Size Fi b C-0�3 Eat Washing Machine Drain 2 inch minimum - Cleanout every 100 feet/change of direction Pressure Test /Vent Nd P.S. 0 ft. above highest connection for 15 minutes Pr re Test � Pply Piping P.S r 15 minutes dosftTion/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If r uired 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 Framing / Fires opping Inspection Report " Office No. (518)761-8256 Date Inspection uss Queensbury Building&Code Enforcement Arrive: a 742 Bay Road, Queensbury, NY 12804 Inspector's nitiai . NAME: PERMIT#: LOCATION: . INSPECT ON: --dZ TYPE OF STRUCTURE: Y XA COMMENTS Framing - ss 22" x 30"minimum ttic A Jack Studs/Headers Bracing/Bridging Joist hangers Jadc Posts/Main Beams l 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 %W 16 gauge 8 16D We each side 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 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 Ceillngfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. OM 5.7 sf above/below grade 5.0 sf grade L.Suilding&Codes Forms-01.06uilding&CodesUnspection FornwWruning Firestopping Inspedbn Report.doe Revised January 7,2008 Framing / Firestop iri In 3 idr� e rt � P 9 Pe Po Office No. (518)761-8256 Date Inspection request.received: Queensbury Building&Code Enforcement Arrive: MY= rt: h C lc,am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: 1. PERMIT LOCATION: A INSPECT ON: turn- TYPE OF STRUCTURE: N NSA COMME_„NTS: Framing Attic Access 22" x 3W minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jadc 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 % w 16 gauge 8 16D na{Is each side Draft stopping 1,000 sq. fl.floor trusses as on center qQd'!nd water shield 2 inches from.wall Fire separation 1, 2, 3 hour Fire wall.2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side's inch or 5/8 inch Type X Garage side 5/8 inch Type X Coiling/wall Windows Habitable Space/Bedrooms 24 In. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LABuilding&Codes Forms-01.131Buiiding&CodesUnspeclbn FornwWr caning FinNoWng inspection Report doc Revised January 7,2006 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: `�am/pm 742 Bay Rd., Queen bury, NY 12804 Inspector's Initials: NAME: Po� PERMIT NO.. LOCATION: INSPECT ON: 'Z — RECHECK: Comments and/or diagram Sail Type: Sand/ Loam/Clay Type of Water: Municipal Well Water Waterline separation distance ft. Well separation distance ft. er wells: ft. Well Casing Length 0' +/- -f Y N N/A 150,to w011 requirecW NO Absorption field: Total lehgth ft. Le th of each tre ch ft. Depth of trench ft. Size of Ston Seebage Pits: Number Size: x Stone Size Piping Size T BuMinq to tank Tank to Distribution Box Distribution Box to geld/ Pi C} j2 1, \ Openin4 Seale : _Y N d 6p _Y N Inle Outlet Pipes&Baffles Y N Manholes 12"or less below grade Y_N - [Provide extension collar if Yes Y N Location I Separations Foundation to tank ft. Foundation to absorption Separation of Pits ft. Conforms as per Plot Plan _Y N Engineer Report and As-Built N ETU Maintenance Contract _ provided Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear stem Use S tus- Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Whidng\2010\Building Codes Forms\Inspectlon Forms\Septic Inspecdon Repor_03 2910.doc (f,700 Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: T /f NAME: PERMIT#: LOCATION: J ✓' INSPECT ON: 1._ TYPE OF STRUCTURE: Comments Y N N/A Footings Piers s. f /-/•,l,r?�Z Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials fqp-ffiff�pftose on site. Foundati!t allpour Reinforceme la Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofmg 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 Under Slab PVIC/C t/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspecdon Report.doc Last printed 12/20/2005 9:24:00 AM Foundation inspection Re r l Port ,. Office No.(518)761-8256 Date Ins tioVst d: �l Queensbury Building&Code Enforcement Arrive: Depart: _ � 742 Bay Rd.,Queensbury,NY 12804 Inspector s kiNAME: L7 c�QI/-303LOCATION: - l�T�D lI TYPE OF STRUCTURE: Comm n Y N N/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 purpose on site. Foundation/Wallpour (Y Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterp—ro—offing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width e footing or w nder slab Backfill-PlunibingApproval n er a PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection fonns\Foundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Ae Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depart. am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 4:�19 NAME: ( .it PPERMIT LOCATION: ,; INSPECT ON: %, tzA -f� TYPE OF STRUCTURE: Comments Y N N/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 fNthis se on site. < �— Foundatio / allpour �Z Reinforcem -- Footing Dowels or Keyway in place Foundation Dampproofmg � Foundation Waterproofmg 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 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM C,l C) 5 -e - - i(J Z Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pnj Depart am/pm 742 Bay Rd.,Queensbury,NY 12904 Inspector's Initials: NAME: VA 4 PVT-1- PERMIT#: 3 d LOCATION: 13 INSPECT ON: / TYPE OF STRUCTURE: Commenb Y N NA 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 purpose on site. ti Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place -7ZRAKI 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 Backriill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior .R- Rough Grade 6 inch drop within 10 ft. L:\Bullding&Codes Forms\Building&Codes\Inspection Fonins\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM G;WNY Consuffing, LLC 69 Hayden. Point. Loop Diamond Point, NY 12824 $18.221-3240 05/01/2012 Collette Construction 38 Collette Lane: Hudson Falls,NY 12839 Inspection Address: 23 Jay Road West, Queensbury NY 12805 Report Number: 0501120 Dear Ken: At your request, the Blower Door. Inspection of the post construction test to verify infiltration rate of the house as per requirements of the NYS 2010.Energy Conservation Construction Code of the above property` was performed on 05/01/20.12. GRAM Consulting,•LLC is pleased to submit the following report. The following data was provided: - Square Footage of the house,excluding crawl space=1,170 SF - Volume of the house,excluding crawl space=13,260 CF Based on above,Ahe following test data was collected: - Infiltration Rate,including conditioned basement at 50 Pascal=1,502 CFM - ACH50,Actual,Changes per Hour at 50 Pascal.= 1,502X 60/13,260=6.8<7 The Instruments used for test were provided by the Energy Conservatory Digital Gauge DG-3 rated accuracy=+/-1%,calibrated minimum once;pet year. Thank you for selecting our'company.We appreciate the opportunity to be of service: Please call this office if there are any questions. Sincerely, �EOF NEW p� '1 M Q( Stan Grajny, PE' NYS HERS Energy Rater BER-041 'ccy NYS PE 0654064 055406 A fESSI ' Revised 4/14/2010 Effective Immediately — March 23, 2006 Septic System - As Built Plot Plan The Building Department will no longer allow systems to be covered until such time as an As-Built Plot Plan is received and approved by the Building Inspector. The installed system must match the septic system layout on file. There will be no exceptions. Director of Building and Codes Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 Town of Queensbury* Community Development Office *742 Bay Road, Queensbury NY 12804 DEPARTMENT OF THE ARMY C.f ; 1�ro�s1 US Army Corps of Engineers,ATTN: CENAN-OP-RU Upstate Regulatory Field Office -1 Buffington St., Building 10, 3`d FI. North Watervliet, New York 12189-4000 vim' if Jo 3 REPLY TO ATTENTION OF Upstate New York Section September 9, 2011 SUBJECT: Permit Application No. NAN- 2011-00828 by Patrick VanPuttec e Town of Queensbury, Warren County,New York Patrick VanPutte 3 Dellwood Place Binghamton,New York 13903 "� This office has reviewed your Joint Application for Permit dated July 19, 2011, and the attached drawings entitled"VanPutte Family Residential Re-Development", sheets 1 through 10, prepared by Jarrett Engineers, PLLC and last revised May 26, 2011. The submitted information describes a proposal that would consist of the following: The discharge of fill material into Glen Lake to stabilize approximately 58 linear feet of shoreline to prevent further erosion. Based upon the information provided, it appears that your proposed work may be authorized under Department of the Army nationwide general permit number: 13. Please refer to the enclosed material for information pertaining to the nationwide general permit program. The work may be performed without further authorization from this office provided the activity complies with the terms and conditions of the Nationwide Permits (NWP) and the permit conditions listed in Section B,No. 13, Section C, any applicable New York District regional conditions, and any applicable regional conditions added by the State of New York. Please note that NWP General Condition No. 12 requires the installation and maintenance of proper soil erosion and sediment controls during construction. Please note that this determination does not eliminate the need to obtain any other Federal, State or local authorizations required by law for the above described work, including any required permit from the NYSDEC. In order for us to better seine you,please complete our Customer Service Survey located at hltp•//www nap usace army miUbusiness/buslinks/regulat/index.php?survey Any inquiries can be directed to the undersigned at (518) 266-6358. Sincerely, evm ruce Project Manager Upstate New York Section Enclosures Cf: NYSDEC Region 5, Warrensburg 5-5234-00613/00001 Town of Queensbury Jarrett Engineers, PLLC REScheck Software Version 4.4.1 �.� Compliance .Certificate CT Project Title: VanPutte Residence Energy Code: 2010 New York Energy Conservation Construction Code Location: Warren County,New York Construction Type: Detached 1 or 2 Family Building Orientation: Bldg.faces 135 deg.from North Glazing Area Percentage: 21% Heating Degree Days: 7635 Climate Zone: 6 Construction Site: Owner/Agent: Designer/Contractor: 23 Jay Road West Robert Holmes Robert Holmes Queensbury,NY 12804 Jarrett Engineers,PLLC Jarrett Engineers,PLLC 12 E.Washington St. 12 E.Washington St. Glens Falls,NY 12801 Glens Falls,NY 12801 (518)792-2907 (518)792-2907 bholmes@jarrettengineers.com bholmes@jarrettengineers.com 'Compliance:Passes using UA trade-off Compliance:0.40/6 Better Than Code Maximum ILIA:236 Your UA:235 The%Better or Worse Than Code index reflects how close to compliance the house is based on code tradeoff rules. It DOES NOT provide an estimate of energy use or cost relative to a minimumcode home. Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or Door Perimeter U-Factor Ceiling 1:Cathedral Ceiling(no attic) 840 38.0 0.0 21 Skylight 1:Wood Frame:Double Pane with Low-E 11 0.440 5 SHGC:0.26 Skylight 2:Wood Frame:Double Pane with Low-E 11 0.440 5 SHGC:0:26 Skylight 3:Wood Frame:Double Pane with Low-E 11 0.440 5 SHGC:0.26 Skylight 4:Wood Frame:Double Pane with Low-E 11 0.440 5 SHGC:0.26 Wall 1:Wood Frame,16"o.c. 185 21.0 0.0 10 Orientation:Left Side Window 11:Wood Frame:Double Pane with Low-E 9 0.280 3 SHGC:0.32 Orientation:Left Side Wall 2:Wood Frame,16"D.C. 142 21.0 0.0 8 Orientation:Left Side Window 12:Wood Frame:Double Pane with Low-E 9 0.280 3 SHGC:0.32 Orientation:Left Side Wall 3:Wood Frame,16"o.c. 234 21.0 0.0 11 Orientation:Back Window 14:Wood Frame:Double Pane with Low-E 7 0.280 2 SHGC:0.32 Orientation:Back Window 15:Wood Frame:Double Pane with Low-E 7 0.280 2 SHGC:0.32 Orientation:Back Window 16:Wood Frame:Double Pane with Low-E 7 0.280 2 SHGC:0.32 Orientation:Back Window 17:Wood Frame:Double Pane with Low-E 7 0.280 2 SHGC:0.32 Orientation:Back Project Title:VanPutte Residence f ~ w �4 Report date: 05/23/11 Data filename:F:\DataFile\2010 Projects Files\2010 Residential\10-032 VanPutte SP\Technical\Calcs\10032 110520 VanPutte RESCheck Energy Code (no crawl).rck Page 1 of 7 Window 18:Wood Frame:Double Pane with Low-E 6 0.280 2 SHGC:0.32 Orientation:Back Wall 4:Wood Frame, 16"o.c. 142 21.0 0.0 8 Orientation:Left Side Window 19:Wood Frame:Double Pane with Low-E 9 0.280 3 SHGC:0.32 Orientation:Left Side Wall 5:Wood Frame,16"o.c. 185 21.0 0.0 9 Orientation:Left Side Door 2:Glass 20 0.300 6 SHGC:0.24 Orientation:Left Side Wall 6-Lake Side:Wood Frame,16"o.c. 426 21.0 0.0 12 Orientation:Front Window 1:Wood Frame:Double Pane with Low-E 15 0.290 4 SHGC:0.32 Orientation:Front Window 2:Wood Frame:Double Pane with Low-E 15 0.290 4 SHGC:0.32 Orientation:Front Window 3:Wood Frame:Double Pane with Low-E 15 0.290 4 SHGC:0.32 Orientation:Front Window 4:Wood Frame:Double Pane with Low-E 15 0.290 4 SHGC:0.32 Orientation:Front Window 5:Wood Frame:Double Pane with Low-E 12 0.320 4 SHGC:0.28 Orientation:Front Window 6:Wood Frame:Double Pane with Low-E 12 0.320 4 SHGC:0.28 Orientation:Front Window 7:Vinyl Frame:Double Pane with Low-E 20 0.320 6 SHGC:0.28 Orientation:Front Window 8:Wood Frame:Double Pane with Low-E 20 0.320 6 SHGC:0.28 Orientation:Front Window 9:Wood Frame:Double Pane with Low-E 23 0.320 7 SHGC:0.28 Orientation:Front Window 10:Wood Frame:Double Pane with Low-E 23 0.320 7 SHGC:0.28 Orientation:Front Door 1:Glass 40 0.320 13 SHGC:0.27 Orientation:Front Wall 7:Wood Frame,16"o.c. 61 21.0 0.0 3 Orientation:Left Side Window 13:Wood Frame:Double Pane with Low-E 6 0.280 2 SHGC:0.32 Orientation:Left Side Wall 8:Wood Frame,16"o.c. 7 21.0 0.0 0 Orientation:Left Side Wall 9:Wood Frame,16"o.c. 189 21.0 0.0 10 Orientation:Back Window 20:Wood Frame:Double Pane with Low-E 19 0.280 5 SHGC:0.32 Orientation:Back Wall 10:Wood Frame,16"o.c. 7 21.0 0.0 0 Orientation:Right Side Wall 11:Wood Frame, 16"o.c. 61 21.0 0.0 2 Orientation:Right Side Door 3:Glass 20 0.300 6 Project Title:VanPutte Residence Report date: 05/23/11 Data filename:FADataFile\2010 Projects Files\2010 Residential\10-032 VanPutte SP\Technical\Calcs\10032 110520 VanPutte RESCheck Energy Code(no crawl).rck Page 2 of 7 SHGC:0.24 Orientation:Right Side Floor 1:All-Wood Joistlfruss:Over Unconditioned Space 780 38.0 0.0 20 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. Ro tr� (A. No`y►.cS II�.�, ^P� �rc!a���'�E����t� Name-Title Signature D to Project Notes: Submitted to Queensbury Dept.of Buildings and Codes,May 24,2011 Project Title:VanPutte Residence Report date: 05/23/11 Data filename:F:\DataFile\2010 Projects Files\2010 Residential\10-032 VanPutte SP\Technical\Calcs\l0032 110520 VanPutte RESCheck Energy Code (no crawl).rck Page 3 of 7 REScheck Software Version 4.4.1 Inspection Checklist Ceilings: ❑ Ceiling 1:Cathedral Ceiling(no attic),R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 2:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 3:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 4:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 5:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 6-Lake Side:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 7:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 8:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 9:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 10:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 11:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: Windows: ❑ Window 11:Wood Frame:Double Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features: Vanes Frame Type Thermal Break? Yes No Comments: ❑ Window 12:Wood Frame:Double Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments- ❑ Window 14:Wood Frame:Double Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments- ❑ Window 15:Wood Frame:Double Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features: Project Title:VanPutte Residence Report date: 05/23/11 Data filename:F:\DataFile\2010 Projects Files\2010 Residential\10-032 VanPutte SP\Technical\Calcs\10032 110520 VanPutte RESCheck Energy Code(no crawl).rck Page 4 of 7 #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 16:Wood Frame:Double Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 17:Wood Frame:Double Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 18:Wood Frame:Double Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 19:Wood Frame:Double Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: I ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2:Wood Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 3:Wood Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 4:Wood Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 5:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled 1-1-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 6:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 7:Vinyl Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 8:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Project Title:VanPutte Residence Report date: 05/23/11 Data filename:F:\DataFile\2010 Projects Files\2010 Residential\10-032 VanPutte SP\Technical\Calcs\10032 110520 VanPutte RESCheck Energy Code(no crawl).rck Page 5 of 7 ❑ Window 9:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: Vanes Frame Type Thermal Break? Yes No Comments: ❑ Window 10:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 13:Wood Frame:Double Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 20:Wood Frame:Double Pane with Low-E,U-factor:0.280 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. Skylights: ❑ Skylight 1:Wood Frame:Double Pane with Low-E,U-factor:0.440 #Panes Frame Type Thermal Break? Yes No Comments: ❑ Skylight 2:Wood Frame:Double Pane with Low-E,U-factor:0.440 #Panes Frame Type Thermal Break? Yes No Comments: ❑ Skylight 3:Wood Frame:Double Pane with Low-E,U-factor:0.440 #Panes Frame Type Thermal Break? Yes No Comments: ❑ Skylight 4:Wood Frame:Double Pane with Low-E,U-factor:0.440 #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 2:Glass,U-factor:0.300 Comments: ❑ Door 1:Glass,U-factor:0.320 Comments: ❑ Door 3:Glass,U-factor:0.300 Comments: J Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-38.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. 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. Project Title:VanPutte Residence Report date: 05/23/11 Data filename:F:\DataFile\2010 Projects Files\2010 Residential\10-032 VanPutte SP\Technical\Calcs\10032 110520 VanPutte RESCheck Energy Code (no crawl).rck Page 6 of 7 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. Cl 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 and cooling equipment efficiency are clearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts in unconditioned spaces or outside the building are insulated to at least R-8. Cl 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 181A or UL 181 B. Building framing cavities are not used as supply ducts. Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. 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: LI 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:VanPutte Residence Report date: 05/23/11 Data filename:F:\DataFile\2010 Projects Files\2010 Residential\10-032 VanPutte SP\Technical\Calcs\10032 110520 VanPutte RESCheck Energy Code(no crawl).rck Page 7 of 7 2010 New York Energy Conservation Construction Code Certificate Insulation Rating R-Value Ceiling/Roof 38.00 Wall 21.06 Floor I Foundation 38.00 Ductwork(unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.32 0.28 Skylight 0.44 0.26 Door 0.32 0.27 CoolingHeating& Heating System: Cooling System: Water Heater: Name: Date: Comments: NEW YORK state department of Nirev R.-Shah,M.D.,M.P.H.Commissioner HEALTH Sue Kelly Executive DeputY•Commissioner, July 27,2011 Patrick VanPutte 3 Dellwood Place Binghamton,NY 13903 Re: Request for Specific Waiver 23 Jay Rd.,Town of-Queensbury, Warren County Dear Mr. VanPutte: The New York State Department of Health Glens Falls.District Office has received your.request for a sp'ecific,waiver from the requirements of Subpart 5-1;Appendix 57B of the State Sanitary Code for the property located at,23-Jay-Rd.;in the Town of Queensbury,.Warren"County New York., 'This single family residence must be reconstructed due to extensive fire damage, and has. been subject to review and approval by the Town of Queensbury Board of Health,.Planning ti Board and'Zoning Board of Appeals. The.specific waiver'has been requested to allow for attenuation of surface water runoff from_a } single family residence located-oneapproximately 0.l.acres of property. Shallow infiltration devices have been proposed within 40' feet of the existing well. The infiltration devices are not within the direct path of drainage to the drinking water supply. The s ecific waiver is hereb p y approved with the following conditions': 1. THAT the existing well'be grouted a minimum of 6' per the August 1,.2011 e-mail from Mr. Jarrett. It is recommended-that the existing well be-grouted for the entire length of casing or a minimum of-19 feet due to the potential for non-caving unconsolidated materials and coarse gravel,which is typical of the Hinckley Cobbly Sandy Loam soil ,found in the area; and 2. THAT a professional engineer licensed to practice in New York State certify to the, , Department in writing that the ultraviolet disinfection system has been-installed in ` accordance with the manufacturer's specifications,and that all raw water.quality delivered to the ultraviolet disinfection.system is-within the required water quality parameters established by the manufacturer,prior to obtaining a Certificate of Occupancy. The purpose of Department of Health review is to verify compliance with the State Sanitary Code and in no way guarantees proper system design, installation and operation. This waiver is HEALTH.NY.GOV f acebook.coMMYSDOH . twitter.com/HeaithNYGov ; invalid if any proposals are modified, site conditions change that were considered for approving , this waiver or the approval conditions above are not met. Sincerely,. Kristine L. Wheeler Public'Health Engineer II Glens Falls District Office Cc: Ms. Gabalski,NYSDOH GFDO Mr._Thomas-Jarrett9_P.E.,_l2 East Washington St., Glens Falls,NY 12801 _ '•Mf.David Hatin%Mr. Craig Brown,Town of Queensbury, Bay Rd. Queensbury, NY 12804