RC-000532-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804.5904 (518)761-8201
lit Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-000532-2016 Date Issued: Wednesday, February 22, 2017
This is to certify that work requested to be done as shown by Permit Number RC-000532-2016
has been completed.
Tax Map Number: 301.13-2-82
Location: 16 CHIPPEWA CIR
Owner: Eric Gilbert
Applicant: Eric Gilbert
This structure may be occupied as a: Residential Interior Alterations 490 s.f.
By Order of Town Board
TOWN OF QUEENSSBBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, ���rrjffYYY
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-000532-2016
Tax Map No: 301.13-2-82
Permission is hereby granted to: Eric Gilbert
For property located at: 16 CHIPPEWACIR
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: Eric Gilbert Single Family-Alteration $9,000.00
Owner Address: 16 CHIPPEWA CIR Total Value $9,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Residential Interior Alterations 490 s.f.
$73.50 PERMIT FEE PAID-THIS PERMIT EXPIRES: Monday,August 14,2017
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury beforjthee iration date.Dated at the Town Queens Fri ust 19,2016
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL. STRUCTURE APPLICATION I Office use Only
Date: 8/11/16
Permit No.
Tax Ma ID 301.13-2-82 — --
P Permit FCC 1:13.50
Zone ModmteDensityRawa) Historic? _Yes X No Rec Fee _
Subdivision Name Lot# Site Plan#
Subdivision# _
Project Location 16 Chippewa Circle --
TOWN BD.RESOLUTION 86-2013: $850 recreation fee for now 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).
Primary Owner(s)
Eric Gilbert
Address
46 Chippewa Circle
PhoneBmail EM_gilbert@hotmail.com / 518-232-7729
Applicant Eric Gilbert
Address 46 Chippewa Circle
PhZn mail EM_gilbert®hotmail.com / 518-232-7729
Contractor TBD
Address
Phone/Entail
Contact Person for Building&Codes Compliance: Eric Gilbert Phone 518-232-7729
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration 1 floor sf 2'floor sf Total sf Height
Single Family y x x x 490 sf(alteration area only)
Two-Family
Multi-Family
(#of units_)
Townhouse ----
i '.
Business Office
-- AUG 11 2015 - —
Retail-Mercantile
Factory-Industrial - _- -
Attached Garage
(l, 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 Recreation Room / open Floor Space
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? No
Are there easements on the property? No
Site Information:
a. Dimensions or acreage of lot 0.76 acres
b. Is this a comer lot? _Yes x No
c. Will the grade be changed as a result of construction _Yes x No
d. Public water or Private well(circle one) ubhc Private
e. Sewer or Private Septic System(circle one) Sewerrivat
Value of all work to be performed(labor or materials) $ 8,000 - 10,000
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:
PRINTNAME: Er' ilbert DATE:
SIGNATURE: DATE: 7 2• t
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
C�J( REScheck Software Version 4.6.2
Compliance Certificate
Project Gilbert Residential Modifications
Energy Code: 2010 New York Energy Conservation 301.13-2-82 RC-000532-2016
Location: Warren County, New York GilbertEric
Construction Type: Single-family r
Project Type: Alteration 16 Chippewa Circle
Climate Zone: 6 (7635 HDD) Residential Int. Alterations 490 s.f.
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
16 Chippewa Circle Eric Gilbert Robert Holmes
Queensbury, NY 12804 16 Chippewa Circle Jarrett Engineers, PLLC
Queensbury, NY 12804 12 E.Washington Street
Glens Falls, NY 12801
(518)792-2907
bholmes@jarrettengineers.com
,Compliance: Passes
Compliance: 2.8%Better Than Code Maximum UA: 72 Your UA: 70
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.
Assembly Or U-Factot UA
Floor 1:All-Wood joist/Truss:Over Unconditioned Space 490 30.0 0.0 0.033 16
Wall 1:Wood Frame, 16" D.C. 99 21.0 0.0 0.057 4
Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 17 0.290 5
Window 2: Vinyl/Fiberglass Frame:Double Pane with Low-E 17 0.290 5
Wall 2:Wood Frame, 24" D .C. T 168 21.0 0.0 0.056 9
Wall 3:Wood Frame, 16" D.C. - - 99 21.0 0.0 0.057 6
Wall 4:Wood Frame,24" D.C. ��jCj 1 1 2016 168 21.0 0.0 0.056 9
Window 3:Vinyl/Fiberglass Frame:Double Pane with Low-E 4 0.290 1
Window 4:Vinyl/Fiberglass Frame:Double Pane with Low-E �4 0.290 1
Ceiling 1: Cathedral Ceiling _ _._ _ . . . - - -154 30.0 0.0 0.034 5
Ceiling 2:Cathedral Ceiling 201 49.0 0.0 0.022 4
Ceiling 3:Cathedral Ceiling 154 30.0 0.0 0.034 5
Project Title: Gilbert Residential Modifications Report date: 08/11/16
Data filename: F:\DataFile\2016 Proj\2016 Resid\16-019 Gilbert\Work Docs\16019 16xxxx Bldg Pagel of 7
permit\Source Files\16019 160809 Gilbert ResCheck.rck
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. � � 2016.08.11 1138:55
Robert U.Holmes II,PE-Project Manager -04'00'
Name-Title Signature Date
Project Title: Gilbert Residential Modifications Report date: 08/11/16
Data filename: F:\DataFile\2016 Proj\2016 Resid\16-019 Gilbert\Work Docs\16019 16xxxx Bldg Page 2 of 7
permit\Source Files\16019 160809 Gilbert ResCheck.rck
REScheck Software Version 4.6.2
C�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
&Re .ID I Value Value Complies? Comments/Assumptions
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
[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
[PR2)2 sized per ACCA Manual 5 based Btu/hr Btu/hr ❑Does Not
on loads per ACOA Manual or Cooling: Cooling:
❑Not Observable
other approved methods.
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: Gilbert Residential Modifications Report date: 08/11/16
Data filename: F:\DataFile\2016 Proj\2016 Resid\16-019 Gilbert\Work Docs\16019 16xxxx Bldg Page 3 of 7
permit\Source Files\16019 160809 Gilbert ResCheck.rck
Section
# Foundation Inspection Complies? Comments/Assumptions
& Req.ID
303.2.1 :Exposed foundation insulation ❑Complies
[F011]2 ;protection. ❑Does Not
❑Not Observable
❑Not Applicable
403.8 ''Snow melt controls. ❑Complies
[F012]2 ❑Does Not
v ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
111 High Impact(Tier 1) 12 IMedium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Gilbert Residential Modifications Report date: 08/11/16
Data filename: F:\DataFile\2016 Proj\2016 Resid\16-019 Gilbert\Work Docs\16019 16xxxx Bldg Page 4 of 7
permit\Source Files\16019 160809 Gilbert ResCheck.rck
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 I❑Complies
[FR2011 is listed and labeled as meeting ❑Does Not
Q) AAMA/WDMA/CSA 101/I.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. I❑Complies
[FR16]2 -sealed at housing/interior finish ❑Does Not
0, 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 []Not Observable
ducts are sealed.
❑Not Applicable
403.2.3 Building cavities are not used as ❑Complies
[FR15]3 ducts or plenums. ❑Does Not
v ❑Not Observable
❑Not Applicable
403.3 HVAC piping conveying fluids R-_ R-_ ❑Complies
[FR17]2 above 105 9F or chilled fluids ❑Does Not
below 55 9F are insulated to R-3. ❑Not Observable
❑Not Applicable
403.4 Circulating service hot water R-_ R-_ ❑Complies
[FR18]' pipes are insulated to R-2. ❑Does Not
9 ❑Not Observable
❑Not Applicable
403.5 Automatic or gravity dampers are ❑Complies
[FR19]' installed on all outdoor air ❑Does Not
,oJ 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: Gilbert Residential Modifications Report date: 08/11/16
Data filename: F:\DataFile\2016 Proj\2016 Resid\16-019 Gilbert\Work Docs\16019 16xxxx Bldg Page 5 of 7
permit\Source Files\16019 160809 Gilbert ResCheck.rck
Section
# Insulation inspection Complies? Comments/Assumptions
& Req.ID
303.1 All installed insulation labeled or ElComplies
[IN13]2 installed R-values provided. ODoes Not
J .❑Not Observable
ONotApplicable
Additional Comments/Assumptions:
1 1 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Gilbert Residential Modifications Report date: 08/11/16
Data filename: F:\DataFile\2016 Proj\2016 Resid\16-019 Gilbert\Work Docs\16019 16xxxx Bldg Page 6 of 7
permit\Source Files\16019 160809 Gilbert ResCheck.rck
Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Req.ID
402.4.2, Building envelope tightness ACH 50 =_ ACH 50 =_ ❑Complies
402.4.2.1 verified by blower door test result ❑Does Not
[FI1711 of&It;7 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- _cfm _cfm ❑Complies
[F1411 construction with maximum ❑Does Not
,o, leakage of 8 cfm to outdoors,or ❑Not Observable
12 cfm across systems. For ❑Not Applicable
rough-in tests,verification may pP
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
[F19]2 installed on forced air furnaces. ;❑Does Not
;❑Not Observable
`i❑Nat Applicable
403.1.2 Heat pump thermostat installed ❑Complies
[FI 10]2 on heat pumps. ❑Does Not
di
[]Not Observable
❑Not Applicable
403.4 Circulating service hot water ❑Complies
[FI11]3 systems have automatic or ❑Does Not
9 accessible manual controls. _ ❑Not Observable
u
❑Not Applicable
401.3 Compliance certificate posted. ❑Complies
[FI712 ❑Does Not
,J [-]Not Observable
❑Not Applicable
303.3 Manufacturer manuals for ❑Complies
[FI18]3 mechanical and water heating ❑Does Not
J 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) 1
Project Title: Gilbert Residential Modifications Report date: 08/11/16
Data filename: F:\DataFile\2016 Proj\2016 Resid\16-019 Gilbert\Work Docs\16019 16xxxx Bldg Page 7 of 7
permit\Source Files\16019 160809 Gilbert ResCheck.rck
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 30.00
Ceiling / Roof 49.00
Ductwork (unconditioned spaces):
Glass& Door Rating U-Factor SHGC
Window 0.29
Door
Heating&Cooling Equipment Efficiency
Heating System:
Cooling System:
Water Heater:
Name: Robert U.Holmes ll, PE Date: 8/11/16
Comments