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RC-000322-2015 TOWN OF QUEENSBURY 742 Bay Road Queensbury,NY 12804-5904 (518)761-8201 ot Community Development-Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: RC-000322-2015 Date Issued: Tuesday,November 15, 2016 This is to certify that work requested to be done as shown by Permit Number RC-000322-2015 has been completed. Tax Map Number: 308.9-1-17 Location: 692 LUZERNE RD Owner: Justin Blaise Applicant: Justin Blaise This structure may be occupied as a:2nd floor addition to attached garage By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the n property owner of the responsibility for compliance with Site Plan, 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-000322-2015 Tax Map No: 308.9-1-17 Permission is hereby granted to: Justin Blaise For property located at: 692 LUZERNE 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: Justin Blaise Single Family-Addition $15,000.00 / Owner Address: 692 Luzeme RD Total Value $15,000.00 ✓✓✓ Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Justin Blaise 692 Luzeme RD Queensbury,NY 12804 Plans&Specifications 2nd floor addition to attached garage $168.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,November 13,2016 (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 Queen ury; n /� Thr a�� her 19,2015 SIGNED BY: ('jI yj�l('/ /vf for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Office Use Only i ; Received U Date: oliz 'lots— Tax Map ID 1 j — 1 C:jj, Permit No. RC --UCV .3 ZZ- Tax Map ID 3400 Permit Fee 4 1 fob .OU Zone 1 (zs-aa 4,a\ Rec Fee Historic Site _Yes No Site Plan # __.._. Subdivision Name Lot# Subdivision# Project Location 9a Lu ter r, e- ROLI-d 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 feels). Applicant 7tSNAn ?6\alSe Owner StyS44r1 rz.� L045 Address qac fit) �nC mac] Address (oI a j, oZ*_-rne, Icl I�Jeens 6u r ivy �ee>, a I_�y Phone/E-mail _a _ (02�j O Phone/E-mail S $ a�a—l9 � O f'�1 A S�32o l( G)Sct Contact Person for Building&Codes Compliance: _7313,Si i r% fbl a;S Z Phone 5I8 -oVaL-6 TYPE OF CONSTRUCTION ✓Check all that apply New Addition Alteration 1s'floor sf 2nd floor sf Total sf Height Single Family Two-Family Multi-Family (#of units_) Townhouse Business Office Retail-Mercantile Factory-Industrial Attach(,Aage m e �" ce2 pl "I0�0nD 'lq � aH � t (oFT (1, 3° 4+) SX IS Other If commercial or industrial please indicate of business Town of Queensbury Building&Codes Principal Structure Application Revised September 2015 Proposed use of building or addition Source of Heat(circle one) Gas Oil Propane Solar Other Fireplace: Complete a separate application for Fuel Burning Appliances&Chimneys N A Are there structures not shown on plot plan? ,V D Are there easements on the property? lu C Site Information a. Dimensions or acreage of lot a• b y I P c ce-S 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 Pu b 1 C Wo4t� c- e. Sewer or Private Septic System Pr"V0J4z Stp+iG S 5k0'wN Value of all work to be performed (labor or materials) $ I Si o00 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. 1 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: mis-u i n e i o a s P DATE: I I 20(.5- SIGNATURE: 0tSSIGNATURE: aoDATE: 1 2 ? S 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 2015 — — ---- -- I.R.F.0LOT 3 I.R.F. I.R.F. 343.63 N_ TM LP.F. Co A 106 OCa a LOT 2 15 p1 (es per map ref.) p n y m 2.041 Acres jn O ; H Om - di Ln C "�' da 50 '~ N c c "' m C �M r Z M ;n O O ARCH . LANDS N/F OF HOUSE 7.71 ALDEN Can 77adil;nJ --------------------------- 3 iJ 15 - _ 292.50In _ 12" I.P.F. LUZERNE ROAD "I have seen or obseried, or believe I saw evidence of, all objects - as ouses, wells, trees, fences, etc.. --hown this oacument. I ai ' rep sent that I have (���yy�� ;er nally me red the ' tanc set or on the diagrah."CJ SIGMA RE DAT� f to i Q$ t 6- 1- iL O 3 pp ONV xJNldilf191 I r 8SP.33f p�O h 0cCS o 6 W LI 8 to ! I " I have seen or observed, or believe I saw evidence of, alf objects s as ouses, wells, trees, fences, etc., shown this document I of � reo sent that I have �:er pally me red the tanc set forth on the diagra?' SiGivA RE j i I rJ rri j ,an -VD09 W-0 0'» >-71n 2ca.9/ t,i-14 S, `P7a/J 3 00c1p, Alf? 2� 9SN330030h �tno O °1310 -VA/ ---ZY Ute, 72 REScheck Software Version 4.6.2 Compliance Certificate Project BLAISE ADDITION Energy Code: 2010 New York Energy Conservation Location: Warren County, New York Construction Type: Single-family Project Type: Addition Climate Zone: 6 (7635 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: QUEENSBURY, NY BLAISE,JUSTIN BLAISE,JUSTIN QUEENSBURY,NY QUEENSBURY, NY Compliance: Passes using UA trade-off Compliance: 2.9%Better Than Code Maximum UA: 102 Your UA: 99 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 avi Cont. Assembly or U-Factor UA Perimeter R- all e R-Value Ceiling 1: Fiat Ceiling or Scissor Truss 440 38.0 0.0 0.030 13 Wall 1:Wood Frame, 16"o.c. 558 21.0 0.0 0.057 23 Window 1:Wood Frame:Double Pane with Low-E 150 0.320 48 Floor 1:All-Wood Joist/rruss:Over Unconditioned Space 440 30.0 0.0 0.033 15 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. TVs+r� X31/41.« Name-Title Si re Date NOTICE KRAFT PAPER INSULATION - MUST BE COVERED BY Priem Or OUriif NON-COMBUSTIBLE BARRIER vizi oI r comments s ; hP n_,[V� 35 mlicalmg tihe plans and s-)-rdfcations are in 22 -2g1s full compliance with the Building Codes of Daae New York State. C NOTICE FOAM INSULATION MUST BE COVERED BY A 15 MINUTF THERMAL BARRIER Project Title: BLAISE ADDITION Report date: 11/10/15 Data filename: C:\Users\stevef\Desktop\plans\BLAISE\BLAISE.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 Pield Verified # Pre-inspection/Plan Review Value Value Complies? Comments/Assumptions & Req.ID 103.2 Construction drawings and ❑Complies [PR111 documentation sufficiently ❑Does Not demonstrates energy code []Not Observable compliance for the building envelope. ❑Not Applicable 103.2, Construction drawings and ❑Complies 403.7 documentation sufficiently ❑Does Not [PR311 demonstrates energy code ❑Not Observable 14 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 [PR212 sized per ACCA Manual S based Btu/hr— Btu/hr_ ❑Does Not d, on loads per ACCA Manual J or Cooling: Cooling: []Not Observable other approved methods. Btu/hr— Btu/hr— ❑Not Applicable Additional Comments/Assumptions: (_1g p (Tier 1) ]Medium Impact(Tier 2) 3 Low Impact(Tier 3) 1 Hi h Im ad ��_ Project Title: BLAISE ADDITION Report date: 11/10/15 Data filename: C:\Users\stevef\Desktop\plans\BLAISE\BLAISE.rck Page 2 of 6 Section # Foundation Inspection Complies? Comments/Assumptions & Re .ID 303.2.1 Exposed foundation Insulation ❑Complies IF01112 protection. ❑Does Not U' ❑Not Observable ❑Not Applicable 403.8 Snow melt controls. ❑Complies [FO12]2 ❑Does Not 01' ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 I High Impact(Tier 1) -[YMedium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: BLAISE ADDITION Report date: 11/10/15 Data filename: C:\Users\stevef\Desktop\plans\BLAISE\BLAISE.rck Page 3 of 6 Section pians 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/WDMA/CSA 101/l.5.2/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 ❑Com lies [FR16]2 sealed at housingfinterior finish []Does Not U 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 9, building cavities used as return ❑Not Observable ducts are sealed. ❑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]' above 105 OF or chilled fluids ❑Does Not J below 55 OF 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]' installed on all outdoor air ❑Does Not intakes and exhausts. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: I.1 jHigh Impact (Tier 1) 2]medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: BLAISE ADDITION Report date: 11/10/15 Data filename: C:\Users\stevef\Desktop\plans\BLAISE\BLAISE.rck Page 4 of 6 Section # Insulation Inspection Complies? Comments/Assumptions & Re .ID 303.1 All installed insulation labeled or ❑Complies [IN13)' installed R-values provided. []Does Not �! ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 1 Nigh Impact(Tier 1) L41Medwm Impact(Tier 2) 13 11-ow Impact(Tier 3) Project Title: BLAISE ADDITION Report date: 11/10/15 Data filename: C:\Users\steveADesktop\plans\BLAISE\BLAISE.rck Page 5 of 6 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & 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]2 of<7 ACH at 50 Pa.This 41 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 [FI412 construction with maximum ❑Does Not 91 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 [FI9]2 installed on forced air furnaces. ❑Does Not 0 []Not Observable ❑Not Applicable 403.1.2 Heat pump thermostat Installed ❑Complies [FI10]2 on heat pumps. ❑Does Not V ❑Not Observable ❑Not Applicable 403.4 Circulating service hot water ❑Complies [FIJI]2 systems have automatic or ❑Does Not 14 accessible manual controls. ❑Not Observable ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies [FI7]2 ❑Does Not []Not Observable ❑Not Applicable _ 303.3 Manufacturer manuals for ❑Complies [FI18]3 mechanical and water heating ❑Does Not Q equipment have been provided. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: j 1 High Impact (Tier 1) _ - ��Medium Impact(Tier 2) 13 Low Impact(Tier 3) Project Title: BLAISE ADDITION Report date: 11/10/15 Data filename: C:\Users\stevef\Desktop\plans\BLAISE\BLAISE.rck Page 6 of 6 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No.QL'�j22•Q�tS..art. N2 29159 Cut-in Card No..................................... Owner..........//.....'T....1.%.L �. .......................n........................................../......................................... Location... ...... .......l�i ...............................(.a..�4 ............ Installation Consisting of .1. ..�:�.y....C , _ ........................................................................................................................................... .................................................................................................................................................................................... InstalledBy.................�x&.6'....................................................Lic.No................................................... The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making ' p ctions at any time, and if its rules are violated,the Company shall have the right to v this rt11.� at��%� � Date.../'—..-. '.r ........... INSPECTOR.... .... ....... .........'//......................................... Member N.F.P.A.,I.A.E.I.