RC-000162-2015 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
—- Community Development-Building& Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-000162-2015 Date Issued: Tuesday, August 30, 2016
This is to certify that work requested to be done as shown by Permit Number RC-000162-2015
has been completed.
Tax Map Number: 303.8-1-13.2
Location: 216 Queensbury AVE
Owner: CRAIG BROWN
Applicant: CRAIG BROWN
This structure may be occupied as a:2-Family 1984 s.f.
By Order of Town Board
TOWN
�OFFQQUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, `f//1 1
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 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000162-2015 b9
Tax Map No: 303.8-1-13.2—
RE
�
L.01
Permission is hereby granted to: CRAIG BROWN ]rL .,0.034
E
For property located at: 216 Queensbury AVE
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
Owner Address: 214 Queensbury AVE Two-Family-New $100,000.00
Queensbury,NY 12804 Total Value $100,000.00
Contractor or Builder's Name 1 Address Electrical Inspection Agency
Larry Clute
6 HOLDEN AVE
Queensbury,NY 12804
Plans&Specifications
52,096.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,October 14,2016
(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 piration W
Dated at the Town Queen ry, T20,2015
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
er, TOWN OF QUEENSBURY
Fiore 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150189 Application Number: A20150189
Tax Map No: 523400-303-008-0001-013-002-0000
Permission is hereby granted to: CRAIG BROWN
For property located at: 216 Queensbury Ave
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: CRAIG BROWN Duplex $100,000.00
214 QUEENSBURY Ave Total Value
QUEENSBURY,NY 12804-0000 $100,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-189
Duplex 1984 s.f.
$396.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 01,2016
(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 To o eens ; A i , . , ne 01,2015
s,
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
•
PRINCIPAL STRUCTURE APPLICATION
Office Use Only
1'i Ij '\/1 .. Received
Date: IA VY\A1 ( - _ ax Map ID
Tax Map ID e.rmit No. 2.0 ~ -1
bct
ee MAY 2 2015 Qrmit Fee b
Zone N 12— lc Fee 11-00
Historic Site Yes V o _ TO W SURY Site Plan#
S
Subdivision Name 0-[ ey BUILD i ;''+ODE bdivision#
- -- u
TOWN BD. RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS - SINGLE
FAMILY, DUPLEXES/TWO-FAMILY, MULTIPLE FAMILY, APARTMENTS, CONDOMINIMUMS,
TOWNHOUSES,AND/OR MANUFACTURED&MODULAR HOMES,BUT NOT MOBILE HOMES. THIS
IS IN ADDITION TO THE PERMIT FEE.
Applicant Cr-`I� ibrnw Owner
Address _ 4 Address
abs prit I0q
Phone/E-mail /(11-- �2�� Phone/E-mail
Contact Person for Building&Codes Compliance: ern c) �h-'t-tn Phone
14(-e24
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration 1"floor sf 2nd floor sf Total sf Height
Single Family
Two-Family ✓ 991 9 CI Z j ' I Vo -"
Multi-Family l� ji1
(#of units )
Townhouse
Business Office
Retail -Mercantile
Factory- Industrial
Attached Garage
(1, 2, 3, 4+)
Other
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
If commercial or industrial please indicate of business
Proposed use of building or addition
Source of Heat(circle one) Gas Oil rop Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances& Chimneys /.Pc
Are there structures not shown on plot plan? N a
Are there easements on the property? Akcr Gi
Site Information
a. Dimensions or acreage of lot
b. Is this a corner lot? 1J0
c. Will the grade be changed as a result of construction t/ Yes No
d. Public water or Private well pJkla"c
e. Sewer or Private Septic System P n
Value of all work to be performed (labor or materials) $ /617 OW
DECLARATION:
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period.
2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval.
3. 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 NYS Building Codes,local building
laws and ordinances, and in conformance with local zoning regulations
4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of
occupancy.
5. 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:
PRINT NAME: Cvvl t ro Wh DATE: 7-1
\ J
SIGNATURE: DATE: 2 MA`( is
For office use only
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
•
SEPTIC DISPOSAL APPLICATION Office Use Only
Received
DATE: Tax Map ID
Permit No. 2e15—I bci
TAX MAP ID: Permit Fee
ZONE:
APPLICANT l/ tru I oi VnktATA PHONE/E-MAIL 7(,(-9j7i(,9
ADDRESS Z(( (N!-fiv►ANI Af-t—
INSTALLER/ ( PHONE/E-MAIL
BUILDER CC"V 'MA/✓\
OWNER (Jet,y4
ADDRESS G (,t a 1411--
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: C rot t) �JN7vtN1
PHONE/E-MAIL
RESIDENCE INFORMATION
Year Built #of bedrooms X gallons per bedroom =total Daily flow
1980 or older Garbage grinder installed Yes v 4 o
1981-1991 Spa or Hot Tub installed _Yes frNo
1992 Present
Ito -1(-10
PARCEL INFORMATION
Topography Flat rolling Steep slope 0— S %Slope
Soil Nature Sand ✓Loam Clay Other
Groundwater At what depth: 'f'(-- 3(r o
Bedrock/Impervious material At what depth: ►J D
Domestic Water Supply V Municipal Well(if well,water supply from any septic system absorption is ft.)
Percolation Test Rate: 3 30 .{ e per inch(test to be completed by licensed engineer/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank size 1240 gallons(min.size 1,000 gallons,add 250 gallons to size for each garbage cylinder or spa or hot tub
System Absorption field with#2 stone Total length WO ft.;Each Trench 60
Seepage Pit with#3 stone How many: ; Size
Alternative System Bed or other type:
Holding Tank System Total required capacity? Tank size #of tanks
Notes: 1)Alarm system&associated electrical work must be inspected by a Town approved electrical inspection agency;2)We will
no longer allow systems to be covered until such time as an As-Built plan is received&approved. The installed system must match the
septic system layout on file—no exceptions.
Declaration: Any permit or approval granted which is based upon or is granted in reliance upon any material representation or failure
to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations and agree to
abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
PRINT NAME: Cra dl rourv, DATE: 2 I. A( I S
SIGNATURE: �/ DATE: 2 ton.Al C S
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
1
V /,N / NA Residential Plan Review: One & Two Family Dwellings
Two (2) full sets of plans
,Over 1,500 sq. ft. requires engineering stamp
7 Design loads on plans: 90 Wind Floor Loads 40 psf
(north of Rt. 149 60) 50 Ground Snow Load Sleeping Areas & Attics 30 psf
Calculations
F// 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) minimum
/ 44" maximum height above door
✓ Residential: Check paperwork compliance and Inspection checklist -Okay
Driveway length: 300' or more -12' width required / 500' or more -turnaround required
Foundation insulation to basement floor
rJ Damp proofing / Waterproofing materials on plans
coundation 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 & 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 2nd story
Smoke Detectors -battery backup and proper location interconnected
Bathroom fixtures -proper clearance _
t,- -7 Hall width -36" width
./ Handrails more than four risers on open sides
, - Railing & Guards + 30" / Basement stairs included / Closed risers more than 4" in height
Safety glazing notes for required areas
'Garage fire separation
/6arage floor sloped
Attic access
,.f 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
moil Test results, if required
�eptic to well or water line separation
All paperwork signed
Note on plans energy saving light bulbs
BB ewer door test agency paperwork
_✓ Floodplain Permit Required -Check Map
Truss ID Signage
Residential Plan Review -1 & 2 Family Dwellings 1-5-2015
Fuel Burning Appliance & Chimney Application Office Use Only
Received
DATE: Tax Map ID
TAX MAP ID: Permit No.
Permit Fee
ZONE:
OWNER PHONE/E-MAIL
ADDRESS
INSTALLER/ PHONE/E-MAIL
BUILDER
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE:
PHONE/E-MAIL BUILDING ADDRESS
ROOM OF INSTALL: PLANNED INSTALL DATE:
FUEL BURNING APPLIANCE INFORMATION WOOD COAL PELLET GAS OIL NOTE: ROUGH-IN&
STOVE FINAL INSPECTION ARE
FIREPLACE INSERT REQUIRED.
FIREPLACE,FACTORY BUILT* NOTE:
MANUFACTURER'S
FIREPLACE,MASONRY
INSTALLATION MANUAL
FURNACE(GARAGE ONLY) MUST BE AVAILABLE AT
TIME OF INSPECTION
*If factory built provide manufacturer name: ; Model #:
Listed by: Number:
CHIMNEY INFORMATION
Masonry** (check one) BLOCK BRICK STONE
Flue TIE STEEL Size in inches
Material DOUBLE WALL TRIPLE WALL INSULATED
** If non-masonry provide manufacturer name: ; Model #:
DECLARATION: Construction/installation must conform to NYS Fire Prevention & Building Code and/or
manufacturer requirements. The applicant or owner agrees to comply with all applicable laws, ordinances,
regulations,and all conditions that are part of these requirements and also will allow inspector's to enter premises
to perform required inspections.
I HAVE READ AND AGREE TO THE ABOVE:
PRINT NAME: DATE:
SIGNATURE: DATE:
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
Town of Queensbury Thomas R. Van Ness
Highway Department Highway Superintendent
742 Bay Road, Queensbury,NY 12804 Home: 518-745-0929
Phone: 518-761-8211
Fax: 518-745-4466 David Duell
Deputy Highway Superintendent
Home: 518-745-0938
DRIVEWAY PERMIT
Date:
Applicant Name:
Telephone No.:
CD'24
Address to be Inspected
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
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 inspection completed by: Date:
Approval by Highway Supt.: _ or Deputy Supt.:
Upon completion please resubmit this approval permit for a final approval.
STEP 2: ( ) Final Approval ( ) Rejected
Date:
Thomas R. Van Ness, Highway Superintendent David Duell, Deputy Highway Superintendent
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
Window Schedule Calculation Sheet
Job Site Address:
Date:
Owner:
Application No.:
5-er � I„� L C � Jr►/� 1I
Window# or letter on plan
Manuf.Name
Model/Type
Unit or Block# Cell size
Rough Opening Width
Rough Opening Height
Sq. Ft. Vent
Sq. Ft. Egress/Clear Opening
Clear Opening-width in inches
Clear Opening-Height in inches
Special Hardware or instruction
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS CALCULATION SHEET
Job Site Address:
Date:
Owner:
Application No.: 5G•tt . CPI
Habitable Rooms Area of Room-Sq.Ft. Required light Actual light—sq.ft. Required ventilation Actual Ventilation sq.ft. Sq.Ft.opening for
8%of room 4%of room egress
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
__�_.
_' -_---'_-_-____�_ _-_____ _- ~~�°~ ~�_~, /^ �^ ^~ I.,--/- .�
- ---
-_-~ -- ._
Generated - W are
Compliance Certificate
Project
Energy Code: 2010 New York Energy Conservation 2 ` ' '` 1 I1�
Location: Warren County, New York D
Construction Type: Single-family y �/ Z 2 20��
Project Type: New Construction `� �� ,,
.3
Conditioned Floor Area: 0 ft2
Glazing Area 9% 1" ES
Climate Zone: 6 (7635 HDD) Ta 010‘1
C�p
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
a a a iE
Compliance: 7.9%Better Than Code Maximum UA: 331. Your UA: 305
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.
Envelope Assemblies
Gross Area Glazing
Cavitjr Cant.
Assembly or or Door UA
Perimeter R-Value R-value U-Factor
Ceiling: Raised or Energy Truss 992 38.0 0.0 0.025 25
Wall: Wood Frame, 16in. o.c. 1,134 19.0 0.0 0.060 68
Wall: Wood Frame, 16in. o.c. 1,134 19.0 0.0 0.060 54
Window:Vinyl Frame, 2 Pane w/Low-E 116 0.350 41
Door: Solid 40 0.068 3
Door: Glass 80 0.350 28
Floor: Heated Slab-On-Grade 126 10.0 0.684 86
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 buildin,, as been designed to meet the 2010 New York Energy
Conservation Construction Code requirements in REScheck Versio . .t d tp comply with the mandatory requirements listed in
the ESc
heck Inspection Checklist.
kl � 29
Name- e ✓1't l
Si. ire Date
Project Title: Report date: 09/04/14
Data filename: Page 1 of 6
REScheck Software Version 5.5.
Inspection Checklist
Energy Code: 2010 New York Energy Conservation Construction Code
Requirements: 0.0% were addressed directly in the REScheck software
Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each
requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
r Section
Plans Verified Field Verified ;
# I tire-Inspection/plan Review Value Value Complies? ' Comments/Assumptions
&Req.ID
103.2 Construction drawings and EComplies
[PR1]1 documentation sufficiently ❑Does Not
demonstrates energy code
compliance for the building ❑Not Observable
envelope. ❑Not Applicable
1103.2, Construction drawings and ❑Complies
403.7 documentation sufficiently ❑Does Not
[PR3]1 demonstrates energy code
compliance for lighting and ENot Observable
mechanical systems. Systems ❑Not Applicable
serving multiple dwelling units
must demonstrate compliance
with the commercial code.
1403.6 Heating and cooling equipment is Heating: Heating: ❑Complies
[PR2]2 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not
on loads per ACOA Manual J or Cooling: Cooling:
other approved methods. Btu/hr Btu/hr ❑Not Observable
:Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 !Medium Impact(Tier 2) 3 ;Low Impact(Tier 3) 1
Project Title: Report date: 09/04/14
Data filename: Page 2 of 6
•
'2010 Newt
York 1 Foundation Inspection Complies? 1 Comments/Assumptions
Energy E
303.2.1 Exposed foundation insulation EComplies
[F01112 protection. ❑Does Not
Not Observable
ENot Applicable
403.8 Snow melt controls. Complies
{[ FO12]2 ❑Does Not
['Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) , 2 Medium Impact(Tier 2) 3 !Low Impact(Tier 3)
Project Title: Report date: 09/04/14
Data filename: Page 3 of 6
:2::
. Plans Verified ! Field Verified
Framing/Rough-In Inspection+ Complies? Comments/Assumptions
•
....
`402.4.4 Fenestration that is not site built DComplies
'[FR20]1 is listed and labeled as meeting ❑Does Not
AAMA/WDMA/CSA 101/I.S.2/A440 •
or has infiltration rates per NFRC ❑Not Observable
400 that do not exceed code ❑Not Applicable
limits.
'402.4.5 IC-rated recessed lighting fixtures ❑Complies
[FR16]2 sealed at housing/interior finish ❑Does Not
and labeled to indicate&It;= 2.0
cfm leakage at 75 Pa. ['Not Observable
❑Not Applicable
403.2.2 All joints and seams of air ducts, ❑Complies
[FR13]1 air handlers, filter boxes, and ❑Does Not
building cavities used as return
ducts are sealed. ['Not Observable
❑Not Applicable
;403.2.3 Building cavities are not used as ❑Complies
[FR15]3 ducts or plenums. ❑Does Not
[Mot Observable
❑Not Applicable
403.3 HVAC piping conveying fluids R- R- ❑Complies
[FR17]2 above 105 4F or chilled fluids ❑Does Not
below 55 4F are insulated to R-3.
❑Not Observable
❑Not Applicable
;403.4 Circulating service hot water R- R- ❑Complies
[FR18]2 pipes are insulated to R-2. ❑Does Not
• ['Not Observable
❑Not Applicable
'403.5 Automatic or gravity dampers are ❑Complies
[FR19]2 installed on all outdoor air ❑Does Not
intakes and exhausts.
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 •Low Impact(Tier 3) . .J
Project Title: Report date: 09/04/14
Data filename: Page 4 of 6
2010 New J
York insulation Inspection Complies? Comments/Assumptions
Energy
303.1 All installed insulation labeled or EComplies
[IN1312 installed R-values provided. ❑Does Not
[Not Observable
❑Not Applicable
Additional Comments/Assumptions:
•
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 13'j Low Impact(Tier 3)
Project Title: Report date: 09/04/14
Data filename: Page 5 of 6
Section
# Final Inspection Provisions Plans Verified Field Verified Complies? I Comments/Assumptions !
& Re lD. i Value i Value
1402.4.2, Building envelope tightness ACH 50 = ACH 50 = ❑Complies
402.4.2.1 verified by blower door test result EDoes Not
[F117]1 of&It;7 ACH at 50 Pa.This
requirement may instead be met ❑Not Observable
I via visual inspection, in which ❑Not Applicable
case verification may need to
occur during Insulation
i Inspection.
:403.2.2 Duct tightness via post- cfm cfm EComplies
1[F14]1 construction with maximum ❑Does Not
leakage of 8 cfm to outdoors, or
12 cfm across systems. For ['Not Observable
rough-in tests, verification may ❑Not Applicable
need to occur during Framing
Inspection, with maximum
leakage of 6 cfm across systems
and 4 cfm without air handler.
;403.1.1 Programmable thermostats ❑Complies
[FI9]2 installed on forced air furnaces. ❑Does Not
❑Not Observable
I ❑Not Applicable
!403.1.2 Heat pump thermostat installed ❑Complies
'[FI10]2 on heat pumps. ❑Does Not
❑Not Observable
❑Not Applicable
!403.4 Circulating service hot water ❑Complies
[F1ll]2 systems have automatic or ❑Does Not
accessible manual controls.
❑Not Observable
❑Not Applicable '
401.3 Compliance certificate posted. ❑Com lies
[F17]2 Oboes Not
❑Not Observable
❑Not Applicable
[303.3 Manufacturer manuals for ❑Complies
[F118]3 mechanical and water heating ❑Does Not
equipment have been provided.
❑Not Observable
1 ❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact (Tier 2) 3 j Low Impact(Tier 3)
Project Title: Report date: 09/04/14
Data filename: Page 6 of 6
C , :
I Energy enservation
Code
Energy Efficiency
I
Certificate
insulation Rating R-Value
Above-Grade Wall 19.00
Below-Grade Wall 0.00
Floor 10.00
Ceiling / Roof 38.00
Ductwork (unconditioned spaces):
Window 0.35
Door 0.35
Heating&Cooling Equipment Efficiency
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments