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RC-000335-2016 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-000335-2016 Date Issued: Thursday, October 12, 2017 This is to certify that work requested to be done as shown by Permit Number RC-000335-2016 has been completed. Tax Map Number: 295.14-2-9 Location: 11 WHIPPOORWILL RD Owner: ROBERT SILVESTRI,Teresa Bertolotti Applicant: ROBERT SILVESTRI This structure may be occupied as a: Residential Addition 490 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, r: 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-000335-2016 Tax Map No: 295.14-2-9 Permission is hereby granted to: Richard Fleming For property located at: 11 WHIPPOORWILL 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 Owner Name: Teresa Bertolotti Single Family-Addition $20,000.00 Owner Address: 11 WHIPPOORWILL RD Total Value $20,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Aency Richard Fleming 112 Lamplighter Acres Fort Edward,NY 12828 Plans&Specifications Residential Addition 490 s.f. $ 100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, .lune 8, 2017 (Ifa 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 Town rTue bury; 2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Office Use Only Date: 1& Permit No. - u� Tax Map ID Permit Fee Cal 4100 Zane I� Historic? _Yes No Ree Fee Subdivision Name Lot# Site Plan# Subdivision # Projcct Location TOWN BD.RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family, duplexes/two-family, multiple family, apartments, condominiums,townhouses,and/or manufactured& modular homes,but not mobile homes. This is in addition to the permit fee(s). Primary Owner(s) -rt. 1 +rs A, A-91c5\A Address � ueevtsl✓�✓� � Phone/Email 3 Applicant Address Phone/Email - ^ Contractor Addres ,r arrr : G� f Q��t 'c�war ci Phone/Email % c ` a c L Contact Person for Building& Codes Compliance: Phone 7-2 2 to i TYPE OF CONSTRUCTION ✓Check ail that apply New Addition Alteration I"floor sf 2n,floor sf Total sf Height Single Family �/ q96 y � Two-Family Multi-Family (#of units Townhouse Business Office Retail-Mercantile ' Factory- Industrial j' „ .SUN 2 2016 I Attached Garage TUEEN-6BURY �3Ul ulh! 8, CODES (1, 2, 3, 4+) Other Town of Queensbury Building&Codes Principal Structure Application revised January 2016 If commercial or industrial please indicate name of business Proposed use of building or addition ,,, i d e- +r eA Source of Heat(circle one) Gas Oil Propane Solar Other Fireplace: Complete a separate application for Fuel Burning Appliances&Chimneys Are there structures not shown on plot plan? a Are there easements on the property? Site Information: a. Dimensions or acreage of lot ; z ,Ar C,1 b. Is this a corner lot? Yes c. Will the grade be changed as a result of construction Yes No d. Public water or Private well (circle one) lic Private e. Sewer or Private Septic System(circle one) � rivate Value of all work to be performed(labor or materials) $ 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 t 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: s PRINT NAME: i�tiae�r� �. -8��-�i DATE: Cc SIGNATURE: DATE: 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 January 2016 CHECKLIST—SINGLE FAMILY PROJECT Project Name: REQUIRED—2 SETS Yes No N/A 1. Building Permit completed 2. Energy Code inspector's report from REScheck completed 3. Septic alteration 4. Solid Fuel Burning or Gas Appliance form completed V 5. Driveway Permit 6. Structural Drawings ✓ a. Floor plans b. Foundation plans ✓ c. Cross Sections ✓ d. Elevations e. Window&Door Schedule f. Natural Light,Ventilation and Emergency Egress 7. Plot plan: Show proposed structure(s)with setback dimensions from all surveyed property lines 8. Electrical inspection agency selected CHECKLIST—MULTI-DWELLING/COMMERCIAL Project Name: REQUIRED—2 SETS Yes No N/A 1. Building permit application completed 2. Energy Code COMcheck and inspector's report form completed 3. Septic alteration 4. Solid Fuel Burning or Gas Appliance form completed 5. Driveway Permit 6. Structural Drawings a. Floor plans b. Foundation plan c. Cross Sections d. Elevations e. Design loads including floor,snow&wind load f Seismic design g. Plans signed&sealed by registered architect or engineer h. Window&Door schedule 7. Plot plan: Show proposed structure(s)with setback dimensions from all surveyed property lines 8. Electrical inspection agency selected Town of Queensbury Building&Codes Principal Structure Application Revised January 2016 REScheck Software Version 4.6.2 NES Si_ w �- Compliance Certificate Ir US UJ Project Silvestri Addition NSA tio. 079015" Energy Code: 2010 New York Energy Conservation Location: Warren County, New York Construction Type: Single-family Project Type: Addition LD -- 6 Climate Zone: (7635 HDD}Permit Date: `Nn 2 2016Permit Number: il�l VIConstruction Site: Owner/Age01' QUEEi*��f�signerl ontractor: 11 Whippoorwill LDING & COD ?iS.IpN l=rtgineering, LLC Queensbury, NY 12804 206 Glen Street Suite 56 Glens Falls, NY 12801 trade-offCompliance:Passes using UA Compliance: 1.1%Better Than Code Maximum UA: 91 Your UA: 90 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 Assembly or Cavity Cont. LI-Factor UA Ceiling 1: Raised or Energy Truss 490 38.0 0.0 0.025 12 Wall 1: Wood Frame, 16" o.c, 567 21.0 0.0 0.057 27 Window 1:Vinyl/Fiberglass Frame:Double Pane with Law-E 60 0.320 19 Door 1: Glass 40 0.320 13 Crawl 1: Solid Concrete or Masonry 378 0.0 11.0 0.074 19 Wall height: 6.0' Depth below grade: 4.0' Insulation depth: 6.0' 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 Constru tion Code requirements in REScheck Versi 6.2 and to comply with the mandatory_requirements listed in the ES he Ins ion Checklist. p AI IC Nam Title Signature Data 295.14-2-9 RC-000335-2016 Silvestri, Robert 11 Whippoorwill Road Residential Addition 490 s.f. Project Title: Silvestri Addition Report date: 05/31116 Data filename: C,Wsersllrobision\Desktop\1141 Rescheck.rck Page 1 of 6 REScheck Software Version 4.6,2 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. Section Plans Verified Field Verified # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions & Req.ID 103.2 Construction drawings and ❑Complies IPR111 documentation sufficiently ❑Does Not y, demonstrates energy code compliance for the building ❑Not Observable envelope. ❑Not Applicable 103,2, Construction drawings and ❑Complies 403.7 documentation sufficiently ❑Does Not [PR3]1 demonstrates energy code compliance for lighting and ❑Not Observable mechanical systems.Systems ❑Not Applicable serving multiple dwelling units must demonstrate compliance with the commercial code. 403.6 Heating and cooling equipment is Heating: Heating: ❑Complies [PR212 sized per ACCA Manual 5 based Btu/hr Btu/hr ❑Does Not �. on loads per ACCA Manual J or Cooling: Cooling: other approved methods. ❑Not Observable Btu/hr Btu/hr ❑Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Silvestri Addition Report date: 05/31/16 Data filename: Causersllrobision\Desktop11141 Rescheck.rck Page 2 of 6 Section # Foundation Inspection Complies? Comments/Assumptions & Re .ID I — i 303.2.1 ;Exposed foundation insulation ❑Complies [F01112 ;protection. ❑Does Not ❑Not Observable ❑Not Applicable 403.8 Snow melt controls. ❑Complies [FO12]2 ODoes Not J ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Silvestri Addition Report date: 05/31/16 Data filename: C:\Users\lrobision\Desktop\1141 Rescheck.rck Page 3 of 6 Section Plans Verified Field Verified # Framing/Rough-in Inspection Value Value Complies? Comments/Assumptions & Re .ID 402.4.4 Fenestration that is not site built ❑Complies [FR20]1 is listed and labeled as meeting []Does Not AAMA/WDMAICSA 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 bl []Not Observable ❑Not Applicable 403.3 HVAC piping conveying fluids R- R- ❑Complies [FR17]2 above 105 4F or chilled fluids ❑hoes Not below 55¢F 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 u►° ❑Not Observable ❑Not Applicable 403.5 Automatic or gravity dampers are ❑Complies [FR19]2 installed on all outdoor air ❑Does Not U° intakes and exhausts. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Silvestri Addition Report date: 05/31/15 Data filename: CAUsersklrobision\1Desktop11141 Rescheck.rck Page 4 of 6 Section # Insulation Inspection Complies? Comments/Assumptions &Re .ID 303.1 All installed insulation labeled or ❑Complies [IN13]2 installed R-values provided. []Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 I High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Silvestri Addition Report date: 05/31/16 Data filename: CAUsers\lrobision\Desktop\1141 Rescheck.rck Page 5 of 6 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Re .Ip 402.4.2, Building envelope tightness ACH 50 = ACH 50 = ❑Complies 402.4.2.1 verified by blower door test result ❑Does Not [F117]1 of<7 ACH at 50 Pa.This U, requirement may instead be met ❑Not Observable via visual inspection, in which ❑Not Applicable case verification may need to occur during Insulation Inspection. 403.2.2 Duct tightness via post- cfm cfm ❑Complies [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 [FI912 installed on forced air furnaces. ❑Does Not , ❑Not Observable ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies [F110]2 on heat pumps. ❑Does Not ❑Not Observable ❑Not Applicable 403.4 Circulating service hot water ❑Complies [FI11]2 systems have automatic or ❑Does Not accessible manual controls. ❑Not Observable ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies [F17]2 ❑Does Not d ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for ❑Complies [FI18]3 mechanical and water heating El Does Not equipment have been provided. []Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low impact(Tier 3) Project Title: Silvestri Addition Report date: 05/31/16 Data filename: CAUsersllrob ision\Desktop11141 Rescheck.rck Page 6 of 6 2010 New York Energy Conservation Construction Code Energy Efficiency Certificate Insulation Rating R-Value Above-grade Wall 21.00 Below-Grade Wall 11.00 Floor 0.00 Ceiling / goof 38.00 Ductwork (unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.32 Door 0.32 Heating&Cooling . Y Heating System: Cooling System: Water Heater•. Name: Date: Comments Certificate of Electrical Compliance New York Atlantic-Inland, Inc. ti 997 McLean Road Ext. Cortland, NY 13045 Certificate No.:617129 Building Permit No: Issue Date: 6/19/2017 Building Permit Date: Inspected By: Devin Pratt Occupancy: R-3 OWNER SITE ELECTRICIAN Robert O. Silvestri 11 Whippoorwill Rd owner 11 Whippoorwill Rd Queensbury , NY 12804 11 Whippoorwill Rd Queensbury , NY 12804 Town of Queensbury Queensbury , NY 12804 SCOPE Addition Single Family Home 2 Rooms Plus Unfinished Basement INSPECTION INFORMATION Fans: 1 Paddle Fan w/Light �� I� Luminaires: 1 Luminaires E E 0 E Outlets: 11 Receptacles, 3 Switches F OCT d 6 217 E TOWILUNG&CODES Y This certifies that the process noted above was complete as specified at the time of inspection and any conditions not within the scope of the inspection are excluded. Because there exists a multitude of proprietary specifications,the adherence to the relevant Building Code of New York State is applicable to the electrical requirements on the above noted date and valid for one year forward. In connection with areas at the time of inspection and does not constitute areas that are enclosed,concealed or inaccessible. Should the electrical system be altered in any way, including,but not limited to,the introduction of new electrical equipment,this certificate shall be null and void. This certificate only applies to the occupancy use as stated. Changes in use,or occupancy as indicated above,negates this certificate in its entirety.