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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