RC-000021-2016 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-000021-2016 Date Issued: Friday, November 18, 2016
This is to certify that work requested to be done as shown by Permit Number RC-000021-2016
has been completed.
Tax Map Number: 295.10-1-3
Location: 101 l WEST MOUNTAIN RD
Owner: Walter Meinecke
Applicant: Washburn Hills Construction, LLC
This structure may be occupied as a: Residential Addition 280 sq. ft.(office,
hobby room/storage) 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, 4 44t
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)751-8256
BUILDING PERMIT
Permit Number: RC-000021-2016
Tax Map No: 295.10-1-3
Permission is hereby granted to: Washburn Hills Construction,LLC
For property located at: 1011 West WEST MOUNTAIN 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: Walter Meinecke Single Family-Addition $22,000.00
Owner Address: 1011 West WEST MOUNTAIN RD Total Value $22,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Washburn Hills Construction,LLC
17 Woodland DR
Gansevoort,NY
Plans&Specifications
Residential Addition 280 sq.ft.(office,hobby room/storage)
$100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,January 19,2017
(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 thee iration date.
Dated at the Town ueens Mo uary 25,2016
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
~
|
PRINCIPAL STRUCTURE APPLICATION Office Use Only
Received
T al?c Map ID
I}otu:
UUJ JAN 2 1 err'"it No.
Tax Map 0 z I
Permit Fee
Zone
BUILDN' SHistoric Site Yes �-���' site Plan 4
Subdivision Name Lot Subdivision
Project Location i o J I Q8
TOWN 131). RESOLUTION : $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 isinaddition tmthe permit feeb)�
` '
'
Phone/E-mail Phone/E-mail 7-S�
Contact Person for Building&cCodes Compliance: H i I I Phone
TYPF,OF CONSTRUCTION
%/Check all that apply New Addition Alteration 11,floor sf 2n,floor sf Total sf Height
"Single Fam
Townhouse
Business Office
Retail-Mercantile
Factory -Industrial
Attached Garage
Other
If commercial or industrial please indicate of business
Town oCQueensbury Building&Codon Principal Structure Application Revised September 3Ol5
f'
Proposed use of building or addition OF(l r e
Source of Heat(circle one) - .- Gas Oil Propane Solar er
Fireplace: Complete a separate application for Fuel Burning
Appliances&Chimneys
Are there structures not shown on plot plan? d
Are there easements on the property? p
Site Information
a. Dimensions or acreage of lot �t -
b. Is this a comer lot? v
c. Will the grade be changed as a result of construction Yes L,--No
d. Public water or Private well
e. Sewer or Private Septic System �.y�► `-
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 I 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: c`3J nclyl It DATE: j J 21/ 16
/ U
SIGNATURE: DATE: i
For office usy
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
Town of Queensbury Building&Codes Principal Structure Application Revised September 2015
Builder Report Modernview Windows
60 School Lane
Fonda, NY 12068
Phone: 1-800-452-7535
Fax: 518-853-3299
BILL TO: SHIP TO:
E
LE COP'`
QUOTE# QUOTE DATE BID BY ORDER PLACED BY ORDER TAKEN BY
TBD I Quote Not Ordered kEVINH
JOB NAME CUSTOMER PO# TERMS CARRIER
LINE# DESCRIPTION QUANTITY ROOM/COMMENT
100-1 *Product*200 Series,Double Hung,Operating 2 light 11.8 sq.ft,vent 5.7 sq. ft.
*Call Size*3-0 X 4-10
*Overall Manufactured.Size* 37 1/2 X 60 1/2
*Overall Rough Opening*38 X 61
*Interior/Exterior*Frame Color:White
*Glass Options*Low E w/Argon
*Screen*Full Screen,Fiberglass Mesh 4
*Ratings*U-Factor:0-28,SHGC:0.29
*Wrapping-Frame Options*Standard J-Channel
3-'.s
VIEWED FROM EXTERIOR
LINE# DESCRIPTION QUANTITY ROOM/COMMENT
200-1 *Product*Patio Doors,Double Sliding Door,XO- 1 light 33.0 sq.ft. vent 16.4 sq.ft.
Vent/Fixed
*Call Size*6-0 X 6-8
*Overall Manufactured Size*71 1/4 X 79 1/2
*Overall Rough Opening*72 X 80
*Interior/Exterior*Frame Color:White
*Glass Options*Low E w/Argon
*Screen*Screen Shipped Separate
*Hardware*Lock Option:Dual-Point
*Ratings*U-Factor:0.28,SHGC:0.29
'�zs
VIEWED FROM EXTERIOR
LINE# DESCRIPTION QUANTITY ROOM/COMMENT
200-2 Screen Shipped Separately I
Screen Shipped Separately
.lyi� f 5 2016
VIEWED FROM EXTERIOR
Print Date: 1/22/2016 2:43:15 PM Page 1 Of 2
QUOTE# QUOTE DATE BID BY ORDER PLACED BY QRDEIZ TAKEN BY
TBD I Quote Not Ordered kF-NIINi-I
JOB NAME CUSTOTAER 1109 TER IS CARRIER
LINE# DE+'SCRIPTION QUANTITY ROOM/COMMENT
200-3 Hardware Shipped Separately l
Hardware Shipped Separately
VIEWED FROM EXTERIOR
PROJECTQuo'ru-
Unassigned jack Bill
Comments:
D sclaimer:
Print Date: 1122/2016 2:43:15 PM Page 2 Of 2
REScheck Software Version 4.6.2
r Compliance Certificate
D
Project
Energy Code: 2010 New York Energy Conservation JAN 2 5 2016
Location: Warren County, New York Ti, v' L, v- - C. .
Construction Type: Single-familyf11i_r'
URY
Project Type: Addition "` o_i
Climate Zone: 6 (7635 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
Compliance: Passes using UA trade-off
Compliance: 2.3%Better Than Code Maximum UA: 176 Your UA: 172
The%Better or Worse Than Code Index reflects how close to compliance the house is based an code trade-off rules.
It DOE5 NOT provide an estimate of energy use or cost relative to a minimum-code home.
Envelope Assemblies
Gross Area Cavity Cont.
Assembly or r
Perimeter
Ceiling 1: Raised or Energy Truss 280 38.0 0.0 0.025 7
Wall 1: Wood Frame, 16" o.c. 384 21.0 0.0 0.057 19
Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 54 0.280 15
Floor 1: Slab-On-Grade:Un heated 192 10.0 0.684 131
Insulation depth: 4.0'
Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2010 New York Energy
Conservation Construction Code requirements in REScheck Version 4.6.2 and to comply with the mandatory requirements listed in
the REScheck Inspection Checklist.
,In LGA. F4 ri- 2
Name-Title gnat Date
EFIL:E COPY
Project Title: Report date: 01/22/16
Data filename: Untitled.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
& Re .I113
103.2 Construction drawings and ❑Complies
[PR1)1 documentation sufficiently ❑Does Not
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 S based Btu/hr Btu/hr ❑Does Not
on loads per ACCA Manual J or Cooling: Cooling:
other approved methods. Btu/hr Btu/hr ❑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: Report date: 01/22/16
Data filename: Untitied.rck Page 2 of 6
Section
# Foundation Inspection Complies? Comments/Assumptions
& R+eq.ID
303.2.1 Exposed foundation insulation ❑Cornplies
[FO11]2 protection. ❑Does Not
z ❑Not Observable
❑Not Applicable
403,6 Snow melt controls, ❑Complies
[FO12]2 ❑Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
111 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact (Tier 3)
Project Title: Report date: 01122/16
Data filename: Untitled.rck Page 3 of 6
Section Plans Verified Field Verified
# Framing/ Rough-in InspectionValue Value Compiles? Comments/Assumptions
& Req.ii�
402.4.4 Fenestration that is not site built ❑Complies
[FR20]1 is listed and labeled as meeting ❑Does Not
AAMA/WDMA/CSA 101/1,5.2/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 ❑Not Observable
cfm leakage at 75 Pa.
El 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
[]Not Observable
[]Not Applicable
403.3 HVAC piping conveying fluids R- R- ❑Complies
[FR17]2 above 105 QF or chilled fluids ®Does Not
below 55 QF are insulated to R-3.
®Nat Observable
[]Not Applicable
403.4 Circulating service hat water R- R- ❑Complies
[FR18]2 pipes are insulated to R-2. ❑Does Not
kt ❑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 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact (Tier 3)
Project Title: Report date: 01/22/16
Data filename: Untitled.rck Page 4 of 6
Section
# Insulation Inspection Complies? Comments/Assumptions
& Req.1D
303.1 All installed insulation labeled or ❑Complies
VN1312 installed R-values provided. ❑Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
111 High Impact (Fier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact (Tier 3)
Project Title; Report date: 01/22/16
Data filename: Untitled.rck Page 5 of 6
Section Plans Verified Field Verifier!
#k Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Req.113
402.4.2, Building envelope tightness ACH 50 = ACH 50 = ❑Complies
402.4.2.1 :verified by blower door test result ❑Does Not
[F]17]1 of<7 ACH at 50 Pa,This
r,. 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 ❑Not Observable
12 cfm across systems. For
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
[Fl9]2 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
! ❑Nat Observable
❑Not Applicable
403,4 Circulating service hot water ❑Complies
[FI11]2 systems have automatic or ❑Does Not
9i accessible manual controls,
❑Not Observable
❑Not Applicable
401.3 Compliance certificate posted. ❑Complies
[FI7]2 ❑Does Not
41 ❑Not Observable
❑Not Applicable
303.3 Manufacturer manuals for ❑Complies
[FI18]3 mechanical and water heating ❑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(Ti 31
Project Title: Report date: 01/22/16
Data filename: Untitled.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 0.00
Floor 10.00
Ceiling / Roof 38.00
Ductwork (unconditioned spaces):
Glass&Door Rating U-Factor SHGC
Window 0.28
Door
:Heating&Cooling Equipment Efficiency
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments