RC-000606-2016 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-000606-2016 Date Issued: Wednesday, February 8, 2017
This is to certify that work requested to be done as shown by Permit Number RC-000606-2016
has been completed.
Tax Map Number: 239.19-1-17
Location: 3219 State Rte 9L
Owner: Thalia Chase,LESTER CHASE III
Applicant: LESTER CHASE III
This structure may be occupied as a:436 s.f.Res.Add.
665 s.f. Res.Alt. By Order of Town Board
Cross Ref. Area Variance PZ-130-2016 TOWN OF QUEENNSSBU/RJY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, ���i//�LLLIINtt???KKK V
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
QL Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000606-2016
Tax Map No: 239.19-1-17
Permission is hereby granted to: Thalia Chase,LESTER CHASE III
For property located at: 3219 State Rte 9L
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: Thalia Chase Other-Addition $250,000.00
Owner Address: 3219 State Rte 9L Total Value $250,000.00
Lake George,NY 12845
Contractor or Builders Name I Address Electrical Inspection Agency
Plans&Specifications
436 s.f.Res.Add.
665 s.f.Res.Alt.
Cross Ref. Area Variance PZ-130-2016
$199.75 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,September 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 before the expiration date.)
Dated at the Town of ueensb J/vedny ptember 14,2016
SIGNED
for the Town of Queensbury.
Director of Building&Code Enforcement
Permit No. Dtx�lst�tr'_Z FO
Tax Map ID '3 y l - j Permit Fee A i C(q1�_
Zone RR - 5-A Historic? _yes No Rae Fee
Subdivision Name �Gry Lot# � Site Plan#
Sul�vlsion# ;
Project Location 3219 S!-� R•� '1L1() ,SL4ry
TOWN no.RESOLUTION 86-2013: $BSO recreation fee for new dwelling units—single family,duplaxot/two-family, multiplo f7mily,
apartments,condominiums,townhouses,and/or manufactured&modular homes,but not mobile homes. This Is In addition to the
permit feels).
PrimaryOwner(s) �zSker 611Se 79— 4'� M. GKASe.
Address V,,,S6v Al0Y
Phone/Email 5'/8 — 6d 9 �f L s'9 /pnn ZAAf , a Mel . C4
Applicant /
-'• )amt
Address
Phone/Email
Contractor
Address
Phone/Email
Contact Person for Building&Codes Compliance: � 0„^6Y ['I^ Phone s-2'S-9
J%YPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration 10 floor sf 2"d floor sf Total sf Height
Single Family 2 S�
60� a fi 6 pH-. �6�tfF, iJ
Two-Family
Multi-Family
(#of units—)
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garage
(1, 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 Re S �
Source of heat(circle one) Gns Oilodd Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances &Chimneys
Are there structures not shown on plot plan? Ald
Are there easements on the property? /lac
Site Information:
a. Dimensions or acreage of lot 'Z • o g
b. Is this a corner lot? _Yes / No
c. Will the grade be changed as a result of construction _Yes _No
d. Public water or Private well (circle one) Public n
e. Sewer or Private Septic System(circle one) Sewer rtv
Value of all work to be performed (labor or materials) is
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. 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:
I
PRINT NAME: h{S.ji*- u. C/V.( 23)�' DATE:
SIGNATURE: w � DATE: I 9
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
Generated by REScheck-Web Software
Compliance Certificate
Project Chase-Queensbury 2
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:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
3219 Ridge Road Lonny and Thalia Chase Justus Cameron
Lake George,New York 12845 Castaway Marina McKernon Group Inc.
3219 Ridge Road 381 New Road
Lake George, New York 12845 Brandon,Vermont 05733
518-669-5259 802-247-8500
lonnychase@gmail.com justus@mckernongroup.com
Compliance, asses
Compliance: 12.5%Better Than Code Maximum UA: 280 Your UA: 245
The%Better or worse Than Code Index reflects how dose to compliance the house Is based on code trade-of rules.
It DOES NOT provide an estimate of enemy use or cost relative to a minimum-code home.
Envelope Assemblies
Gross Area Cavity Cont.
Assembly Or U-Factor UA
Wall: Wood Frame, 16in.o.c. --- --- --- -- —
Exemption: Framing cavity not exposed.
Window:Vinyl Frame,2 Pane w/Low-E 70 0.270 19
Window:Vinyl Frame,2 Pane w/Low-E 126 0.280 35
Window:Vinyl Frame,2 Pane w/Low-E 73 0.290 21
Door:Glass 80 0.300 24
Door: Glass 40 0.300 12
Basement:Solid Concrete or Masonry 320 0.0 13.0 0.062 20
Wall height: 5.0'
Depth below grade: 4.3'
Insulation depth:4.5'
Wall:Wood Frame, 16in. o.c. 1.056 21.0 0.0 0.057 49
Window:Vinyl Frame,2 Pane w/Low-E 107 0.270 29
Window:Vinyl Frame, 2 Pane w/Low-E 82 0.280 23
Ceiling: Steel joist/Rafter,16in.o.c.,2x10 475 49.0 0.0 0.028 13
Project Title: Chase-Queensbury 2 Report date: 09/02/16
Data filename: Page 1 of 7
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 5.5.0 and to comply with the mandatory requirements listed in
the REScheck Inspection Checklist.
Name-Title Signature Date
Project Notes:
Alteration:new windows in existing house.Additlon: new space on south side of existing house.
�EOF NEW
F ao \
a o 1Ccw
F� 9'0s, 7'
Project Title: Chase-Queensbury 2 Report date: 09/02/16
Data filename: Page 2 of 7
REScheck Software Version 5.5.0
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 1 Plans Verified Field Verif led
# Pre-Inspection/Plan Review Value value Complies? Comments/Assumptions
& Req.IDl__
103.2 Construction drawings and ❑Complies
[PR111 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
[PR3J1 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
[PR21' sized per ACOA Manual S based Btu/hr— Btu/hr ❑Does Not
on loads per ACCA Manual J or Cooling: Cooling: []Not Observable
other approved methods. Stu/hr Btu/hr_ ❑Not Applicable
Additional Comments/Assumptions:
1'.High Impact(Tier 1) j 2 Medium Impact(Tier 2) 3 Low Impact(Tier 31
Project Title: Chase-Queensbury 2 Report date: 09/02/16
Data filename: Page 3 of 7
Section I
# 1 Foundation Inspection Compnesi Comments/Assumptions
&Req.ID I_
303.2.1 Exposed foundation insulation ❑Complies
[FO1212 protection. []Does Not
❑Not Observable
❑Not Applicable
403.8 Snow melt controls. ❑Complies
[FO12]z []Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Chase-Queensbury 2 Report date: 09/02/16
Data filename: Page 4 of 7
Section Plans Verified Field Verified
# Framing/Rough-in Inspection Value Value Compiles? Comments/Assumptions
& Req.ID _ _
402.4.4 Fenestration that is not site built ❑Complies
[FR2011 is listed and labeled as meeting ❑Does Not
"" AAMA/WDMA/CSA 101A.5.2/A440 ❑Not Observable
or has infiltration rates per NFRC
400 that do not exceed code ❑Not Applicable
limits.
402A.5 IC-rated recessed lighting fixtures ❑Complies
[FR1612 sealed at housinglnterior finish ❑Does Not
M 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
[FR1311 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
[FR1513 ducts or plenums. ❑Does Not
[]Not Observable
❑Not Applicable
403.3 HVAC piping conveying fluids R-_ R ❑Complies
[F111711 above 105 QF or chilled fluids ❑Does Not
below 55 QF are insulated to R-3.
❑Not Observable
❑Not Applicable
403.4 Circulating service hot water R-_ R•_ ❑Complies
[FR1812 pipes are insulated to R-2. ❑Does Not
it
[]Not Observable
❑Not Applicable
403.5 Automatic or gravity dampers are ❑Complies
[FR1912 installed on all outdoor air ❑Does Not
intakes and exhausts. []Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 ,High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low ImpdCt(Tier 3)
Project Title: Chase-Queensbury 2 Report date: 09/02/16
Data filename: Page 5 of 7
Section
# i Insulation inspection Complles7 Comments/Assumptions
&
Req.
IDI __
303.1 All installed insulation labeled or OComplles
[IN13]= Installed R-values provided. ❑Does Not
ONot Observable
ONot Applicable
Additional Comments/Assumptions:
11HIgh Impact(Tier 1) 2 Medium Impact(Tier 2) T 3 !Low Impact(Tier 3)
Project Title: Chase-Queensbury 2 Report date: 09/02/16
Data filename: Page 6 of 7
Section Plans Verified Feld 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<7 ACH at 50 Pa.This (]NotObservable
,a. requirement may instead be met
'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
ed; 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
[FI911 installed on forced air furnaces. ❑Does Not
❑Not Observable
ONot Applicable
403.1.2 Heat pump thermostat installed OComplies
[FI10]2 on heat pumps. ❑Does Not
e ❑Not Observable
❑Not Applicable
403.4 Circulating service hot water ❑Complies
[F1111' systems have automatic or ❑Does Not
accessible manual controls. ❑Not Observable
❑Not Applicable
401.3 Compliance certificate posted. ❑Complies
[F17]2 ❑Does Not
❑Not Observable
❑Not Applicable
303.3 Manufacturermanuals for ❑Complies
[F1181; mechanical and water heating ❑Does Not
equipment have been provided. ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
r1 Iw h Impact(Tier 1) r2 Medium Impact(Tier ---T-31 Low Impact(Tier 3)
Project Title: Chase-Queensbury 2 Report date: 09/02/16
Data filename: Page 7 of 7
-?e2010 New York
l Energy Conservation
Construction Code
Energy Efficiency
Certificate
Insulation Rating R-Value
Above-Grade Wall 21.00
Below-Grade Wall 13.00
Floor 0.00
Ceiling /Roof 49.00
Ductwork(unconditioned spaces):
Glass& Door Rating 1.1-Factor SHGC
Window 0.28
Door 0.30
Heating&Cooling Equipinent Efficiency
Heating system:
Cooling System: _
Water Heater:
Name: Date:
Comments
Feb. 20. 2017 10: 10A MDIA No. 1051 P. 4/4
MIDDLE DEPARTMENT INSPECTION AGENCY, INi?eC.
I
�that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions.
Owner: Loni Chase Date. 02/06/2017
Occupant:Addition /1 St FI Rear LocatioW219 Rt. 9L
Occupancy.Ingle Family Dwg. Queensbury, Warren Co. NY
�
Applicant: Brownell Electric
126 East Rd. F.
Fort Edward, NY 12828.;
L 1q. J
Joseph A.Holmes
No. 144004204998EL_
Equipment:
5-Switches; 35-Receptacies; 38=Fiittures;'1 -S'urfa'ce Unit; 1 - Dishwasher
�C� plo • � \ b
� ECE
E0
Fe 2 2 2017
~ TOWN OF QUEENSnURY
BUILDING 8•_C_0S
This ceNficate applies to the electrical wiring to the electrical equipment listed immediately null and void. ThIg certificate applies only M the use.occupancy and
above and the installation Inspected as of the above noted date based on a visual ownership as indicated hereln. Upon a change in the use,occupancy or ownership
inspection. No warranty is expressed or implied as to the mechanical safety,eta• of the property indicated above,this cenitleate shall be Immediately null and void.
dency pr fimese of the equipment for any pellicular purpose. 'rn73eertifieatt oboe In Iha even)that this cenlllra[e becomes invalid based upas the above conditions,
------- - -- --------------------
be valid for a pedod of one year fmm the above noted date. Should the electrical this Certificate may De rlvatidaletl Upon reinspection by Middle Department
SyS18m to which this certjtieate tlpplieS D!alllretl in any way,inGuding but not limllInspecdpn Agency,Ina. An application for inspection mUel be submirtttl to Mitltll!
ad to.the introduction d atltlitional 9leciri®I equipment andlor the replecemeM M Department Inspection Agency, InC. t0 initiate the inSOecaon and revalitleticn
any of the components installed ae of the aDtivt notetl tlate.this cerofcate shell he process, p lee wnl be chargltl for this service.
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UNAUTHORIZED TION OR ADDITION TO A SURVEY. MAP
BEARINC A UCENSED LAND SURVEYOR'S SEAL IS A RECORD NORTH
VIOLATION OF SECTION 7209, SUBDIVISION
St 2. OF THE NEW
Niiiamw___
YORK STATE EDUCAMON IW.
ONLY COPIES FROM THE ORIGINAL OF THIS SU KE0
ORIGINALWITH AN OF E d0 SURVEYOR'S EMBOSSED - ;��� map r�f�r���� '
SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPT
PR E0 E OF
IS SU I
ABS7RWr OF TITLE OR ITTLE REPORT AND IS. THEREFORE,
SUBJECT TO ANY EASEMENTSS, COVENANTS. ORR t
F RECORD OR ANY STATEMENT OF FAC7S SUCH
DOCUMENTS WOULDDISCLOSE. f
I
ELEVA
TIONS ARE BASED ON APPROXIMATE U.S.O.S. VERTICAL
I
ONE FOOT CONTOUR INTERVAL
JOHN P. MATTHEWS AND DIANE H. MATTHEWS TO LESTERN. I
CHASE III AND THAUA M. 7 DATED 21 JUNE 0
RECORDED IN THE WARREN COU KBS CE IN
UBER 3305 OF DEEDSATPACE1 0.
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MAP
OF A SURVEY FOR JOIN P. MATTHEWS DATED MARCH
6 FILED IN THE WARREN COUNTY CLERK'S OFFICE ON
22 JUNE 2007 PREPARED D. L.. DICKINSON ASSOCIATES. ,
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land -now or foedy+ of j
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REVISED 4/7�: ,.DDED PROPOSED ADDITION
SURRT BY
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COMPLETION: j
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LAND THAI-W.M. 7/28/09
MAP C
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1 TOWN OF WARREN UN YORK 49363 CORITi'
YORK '
09-356
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