RC-000248-2015TOWN 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-000248-2015 Date Issued: Monday, April 15, 2019
This is to certify that work requested to be done as shown by Permit Number
has been completed.
RC-000248-2015
Tax Map Number:
Location:
Owner:
309.10-1-72
2 Richard's PL
Melissa St. John
Melissa St. JohnApplicant:
This structure may be occupied as a: Residential Alterations 940 sq. ft.
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,
Variance, or other issues and conditions as a result of approvals by the
Planning Board or Zoning Board of Appeals.
Director of Building & Code Enforcement
F Y
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-000248-2015
Tax Map No: 309.10-1-72
Permission is hereby granted to: Dan Hunt
For property located at: 2 Richard's PL
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: Melissa St.John Single Family-Alteration $15,000.00
Owner Address: 31 American Way Total Value $15,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Dan Hunt
31 American Way
Queensbury,NY 12804
Plans&Specifications
Residential Alterations 940 sq.ft.
Permit Renewed on 10/22/2018 for an additional year
$ 200.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, October 24, 2019
(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 u sbury 4 Fr d y %- ..-r 30, 2015
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
r
Community Development- Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000248-2015
Tax Map No: 309.10-I-72
Permission is hereby granted to: Melissa St.John
For property located at: 4 Newcomb ST,B
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
Tvce of Construction
Owner Address: 31 American Way Single Family-Alteration $15,000.00
Queensbury,NY 12804 Total Value $15,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Dan Hunt
31 American Way
Queensbury,NY 12804
Plans&Specifications
Residential Alterations 940 sq.ft.
PERMIT FEE PAID-THIS PERMIT EXPIRES: Monday,October 24,2016
(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 Town of 000r, iday, to 15
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use Only
DATE C - Received
Tax Map ID
TAX MAP ID _2504• Ico -- Permit No. �- p
2 fll5Sub&ic
e Itm I . VIP
ZONING a LS LI
HISTORIC SITE _Yes ✓ No !Lj0UEEN
Q j 2t1 #
SUBDIVISION NAMESBURY
BUILDING & CODES
TOWN BD. RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS, INCLUDING SINGLE FAMILY DWELLINGS,
DUPLEXES OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR
MANUFACTURED&MODULAR HOMES, BUBUT
I `NOT MOBILE HOMES, THIS IS IN ADDITION TO THE PERMIT FEE. \
APPLICANT (prT 1 r 5 stn �kt o OWNER UY t I S-M
ADDRESS ADDRESS .31 ArT2( mC --)
t\,y is doppy Nob y
PRONE/E-MAIL rjtf-, - 1ql -R1 .5 PHONE/E-MAIL.SIV - rqI -8In53
bac-)I ac-) Rt l(CI- COST OF CONSTRUCTION(EISA 7MATED): $�! 1�
ADDRESS: 3I A fY`,�(1C�.Y1 L>AT_ BUILDING ADDRESS:''�1 b weuw( irnh S�nee-+
PHONE/E-MAIL _:�Co
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: t n PHONE
GH61
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
New Addition Alteration 1°'floor sq. ft. 2n°floor sq. ft. Total sq.ft. Height
Single Family qyv
Two-Family
Multi-Family
(#of units
Townhouse
Business Office
Retail - Mercantile
Factory- Industrial
Attached Garage
(# of )
Other
1
Town of Queensbury Building&Codes Principal Structure Application July 2014
If commercial or industrial indicate name of business
Proposed use of building or addition
Source of heat(circle one) rt C Gas Oil Propane Solar they
Fireplace: complete a separate application for Fuel Burning Appliances &
Chimneys
Are there structures not shown on plot plan? NO
Are there easements on the property? NO
Site Information
a. Dimensions or acreage of lot , 02 ac cf-S
b. Is this a corner lot? }0
c. Will the grade be changed as a result of construction Yes ✓ No
d. Public water or Private well Ptb\t C, Looker-
e.
ookere. Sewer or Private Septic System _\ r".+akc seplirtc, 5
Value of all work to be performed (labor or materials) $ \ OC�C>
DECLARATION:
1. 1 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. 1 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.
4. 1 acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of
occupancy.
5. 1 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: A"(-N DATE
SIGNATURE: 1njw4 Ilfl(l DATE 2A-15
FOR OFFICE USE ONLY
Operating Permit Issued: _Yes _No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
2
Town of Queensbury Building & Codes Principal Structure Application July 2014
SEPTIC DISPOSAL PERMIT Office Use ON
DATE 9 -9 - l 5 Received
,�nTax Map ID
TAX MAP ID � .�� ' --11 Permit No.
Permit Fee
LOCATION OF INSTALLATION !'IPJ NeWCOmko —,LA9(-iG—T Approvals:
APPLicAN r� r^'
-ll`iCa �r)hn PHONE/E-MAIL 512) X11- crp�J
ADDRESS ?AYtYYl
Henca!1 iu.3N ubl
INSTALLEWBUILDER: 1an " - PHONE/E-MAIL SKl�&P
21 'c7Q3
ADDRESS: pRyiy_rYCGr\ i )irl Q)pL ^
OWNER �\.JI1;liiissa s{A� PHONE/E-MAIL 5j$5'-IQI
Address 31 R wi racs WtPf �l[`
l__ 1i' )
CONTACT PERSON FOR BUILDING&CODESCOMPUANCE: 5..x..5.1 ttl.U►-F- PHONE 'AC( -or'1��
RESIDENCE INFORMATION r
r Year Built #of bedrooms X Gallons per 69droom = Total Daily Flow
1980 or olcer 0 �.: Garbage grinder installed _Y ✓N
1981-1991 Spa or Hot Tub installed _Y N
1992-Present
PARCEL INFORMATION
Topography y Flat rolling _Steep slope _% slope
Soil Nature v Sand _Loam _Clay Other
Groundwater At what depth?
Bedrock I Impervious Material At what depth?
Domestic Water Supply ✓ Municipal Well(if well,water supply from any septic system absorption is_ft)
Percolation Test Rate: per minute per inch(test to be completed by licensed engineering/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank Size JADDL gallons(minimum size 1,000 gallons,add 250 gallons to size for each garbage grinder or spa or hot tub)
I System Type Absorption field with#2 stone Total length 160 ft.; Each trench_�x
Seepage Pit with#3 stone How many: size
_J
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 know 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 D' posal Ordinance.
Print Name: (n?II�I� + civ. Dale: 0 4!o
Signature: M3,V.01 1 4}SSav Date:
6
Town of Queensbury Building&Codes Principal Structure Application July 2014
WINDOW SCHEDULE CALCULATION SHEET
Job Site Address: 14C-)
Date �3-Cl - III
Owner
Application No.
Window=or Man W.Name Model/Type Unit or Block N Rough Opening Rough Opening Sq.Ft.Vend Sq.fl.egress/ Clear opening Clear opening Special
letter on plan Cell size Width Height dear opening width in Indies height In inches hardware or
Instructions
l 1?e l5�11 aLv 1a
a It L Ittoto ay
L I' to 1p ay3 to
t. It
4" `' to l0
It Ii LAX1, 1. to c0 a�
1hLAIRII c� a4 to
r7 It LA Iall
a
Town of Queensbury Budding&Codes Principal Structure Application July 2014
NATURAL LIGHT, VENTILATION AND EMERGENCY EGRESS REQUIREMENTS CALCULATION SHEET
Job Site Address:
Date 8
Owner
Application No.
Habitable Rooms Area of Room in W-1 .
Actual light square Required ventilation Actual Ventilation Sq.Ft.Opening for Remarks
Square Feet footage 4%of room area Square footage Egress
I4a3b a qea I
tq 1 1• to
'6aw)MOM LO
.a
r l0 5.d
9
Town of Queensbury Building& Codes Principal Structure Application July 2014
Generated by REScheck-Web Software
Compliance Certificate
Project ST JOHN RESIDENTIAL ALTERATIONS
Energy Code: 2010 New York Energy Conservation
Location: Warren County, New York
Construction Type: Single-family
Project Type: Alteration
Climate Zone: 6 (7635 HDD)
Permit Date: 10/01/2015
Permit Number: BP 2015-466
Construction Site: Owner/Agent: Designer/Contractor:
4B NEWCOMB STREET MELISSA STJOHN DAN HUNT
QUEENSBURY,New York 12804 31 AMERICAN WAY 31 AMERICAN WAY
QUEENSBURY,New York 12804 QUEENSBURY,New York 12804
518-791-8653 518-361-2931
Compliance: Passes
Compliance: 0.5%Better Than Code Maximum UA: 186 Your UA: 185
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 Cavity Cont.
meter
Ceiling:Flat or Scissor Truss 810 38.0 0.0 0.030 24
Wall:Wood Frame, 16in.o.c. 806 26.0 0.0 0.052 36
Window:Vinyl Frame,2 Pane w/Low-E 69 0.290 20
Door:Solid 42 0.200 8
Floor. Unheated Slab-On-Grade 126 10.0 0.767 97
Insulation depth:2.0'
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 Vers' 5.5.0 and to comply with the mandatory requirements listed in
the REScheck I spectign Checklist. \6 n
Name-Title Signature Date
Project Title: ST JOHN RESIDENTIAL ALTERATIONS Report date: 10/27/15
Data filename: Page 1 of 6
CREScheck Software Version 5.5.0
�J( 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
]PRl]1 documentation sufficiently ❑Does Not
demonstrates energy code ❑Not Observable
compliance for the building ❑Not
envelope. Applicable
103.2, Construction drawings and UComplies j
403.7 documentation sufficiently ❑Does Not
[PR311 demonstrates energy code ❑Not Observable j
,d compliance for lighting and
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
[PR2]2 sized per ACOA Manual 5 based - Btu/hr Btu/hr ❑Does Not
-on loads per ACOA Manual J or Cooling: Cooling:
other approved methods. ❑Not Observable
Btu/hr Btu/hr ❑Not Applicable
Additional Comments/Assumptions:
11 High Impact Mier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: ST JOHN RESIDENTIAL ALTERATIONS Report date: 10/27/15
Data filename: Page 2 of 6
Section
# Foundation Inspection Complies? Comments/Assumptions
& Req.ID
303.2.1 Exposed foundation insulation ❑Complies
[FO11]2 protection. ❑Does Not
.—VI []Not Observable
❑Not Applicable
403.8 snow melt controls. ❑Complies
[FO12]2 ❑Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 JHIgh Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: ST JOHN RESIDENTIAL ALTERATIONS Report date: 10/27/15
Data filename: Page 3 of 6
Section Plans Verified Field Verified
# Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions
& Req.ID
402.4.4 Fenestration that is not site built ❑Complies
[FR20]1 Is listed and labeled as meeting []Does Not
'AAMA/WDMA/CSA 101A.S.2/A440 []Not Observable
or has infiltration rates per NFRC
400 that do not exceed code ❑Not Applicable
limits.
402.4.5 IC-rated recessed lighting fixtures LIComplies
[FR16]2 :'sealed at housing/interior finish - []Does Not
and labeled to indicate&It;=2.0 []Not Observable
cfm leakage at 75 Pa. ❑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 OComplies -
[FR15]3 ducts or plenums. []Does Not
d'
[]Not Observable
❑Not Applicable
403.3 HVAC piping conveying fluids R-_ R-_ UComplies
[FR17]2 above 105 of or chilled fluids ❑Does Not
below 55 QF are Insulated to R-3. []Not Observable
❑Not Applicable
403.4 Circulating service hot water R-_ I R-_ OComplies
[FR18]2 pipes are insulated to R-2. []Does Not
Ji ❑Not Observable
❑Not Applicable
403.5 Automatic or gravity dampers are, EJComplies j -
[FR19]2 installed on all outdoor air - ❑Does Not
intakes and exhausts. ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Ter 1) 2 Medium Impact(Tier 2) 13 Low Impact(Tier 3)
Project Title: ST JOHN RESIDENTIAL ALTERATIONS Report date: 10/27/15
Data filename: Page 4 of 6
Section
# Insulation Inspection Complies? Comments/Assumptions
& Req.ID
303.1 All installed insulation labeled or ❑Complies
[IN1312 installed R-values provided. []Does Not
H, ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Ter 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: ST JOHN RESIDENTIAL ALTERATIONS Report date: 10/27/15
Data filename: Page 5 of 6
5ettl6n I Plans Verified Field Verified
# Final Inspection Provisions Value Value Compiles? Comments/Assumptions
6, Re .ID
402.4.2, Building envelope tightness ACH 50 = ACH 50 =_ ❑Complies
402.4.2.1 'verified by blower door test result" ❑Does Not
[FI17]1 of&It7 ACH at 50 Pa.This
.�, 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- _dm cfm Comply ies
[FI411 construction with maximum ❑Does Not
N,
'leakage of S dm to outdoors,or []Not Observable
12 dm across systems.For
rough-in tests,verification may ❑Not Applicable
need to occur during Framing
Inspection,with maximum
.leakage of 6 dm across systems
and 4 dm without air handler.
403.1.1 Programmable thermostats UComplies
[F]9]2 installed on forced air furnaces. ❑Does Not
U
[]Not Observable
❑Not Applicable
403.1.2 'Heat pump thermostat installed LJComplles
[FI1012 on heat pumps. ❑Does Not
❑Not Observable
❑Not Applicable
403.4 Circulating service hot water EJComplies
[FI1111 systems have automatic or ❑Does Not
,r
accessible manual controls. ❑Not Observable
❑Not Applicable
401.3 Compliance certificate posted. ElComplies
[FI712 ❑Does Not
J ❑Not Observable !,
❑Not Applicable
303.3 !Manufacturer manuals for DCompiles
[FI1813 mechanical and water heating ❑Does Not
.dequipment have been provided.
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: ST JOHN RESIDENTIAL ALTERATIONS Report date: 1027/15
Data filename: Page 6 of 6
2010 New York
Energy Conservation
Construction Code
Energy Efficiency
Certificate
Insulation Rating R-Value
Above-Grade Wall 26.00
Below-Grade Wall 0.00
Floor 10.00
Ceiling / Roof 38.00
Ductwork (unconditioned spaces):
Door Rating
Window 0.29
Door 0.20
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments
Harvey P.Wolfers,P.E.
CONSULTING ENGINEER
124 Broad Street
Hudson Falls,New York 12839
(518)747-6385,Cell:(518)222-9677
harveypwolfers(a),roadrunner.com
October 29,2015
Melissa St.John
31 American Way
Queensbury New York 12804
Dear Ms.St.John
Responding to the request of Dan Hunt, your contractor, I have this date, been to 4B Newcome Street to
visually inspect the structural renovation of an existing residential dwelling.
Selected photos,herewith enclosed,show the new and pre-existing structural details.
Upon satisfactory completion of the structural renovation currently in progress, I have determined that the
finished renovated residential dwelling shall be in compliance with the New York State residential code.
S
P
.. V p, tyo
a
GLic.N 0 41.iqa. eriod ends J ly 31,2017
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