RC-000629-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804.5904 (518)761-8201
y,
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000629-2016
Tax Map No: 227.18.1-17
Permission is hereby granted to: Thomas Uncher
For property located at: 14 HICKOK 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
Tvce of Construction
Owner Name: Thomas Uncher Single Family-Alteration $45,000.00
Owner Address: 196 Lake AVE Total Value $45,000.00
Saratoga Springs,NY 12866
Contractor or Builder's Name/Address Electrical Inspection Agency
0�1
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Plans&Specifications
Residential Addition first floor: 260 sq.ft.and second Floor 320 sq.It.
Cross Ref. Site Plan PZ 192-2016
$116.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,September 22,2017
(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 ex i.ratioo//n date.)
Dated at the Town o ueens [ / //Th ptember 22,2016
SIGNED BY: �d for the Town of Queensbury.
Director of Building&Code Enforcement
227.18-1 -17 RC 629-2016
PRINCIPAL STRUCTURE APPLICATION Tom Uncher
14 Hickok Lane
Date: 91)(F o Residential Addition
Tax Map ID Permit No.
Permit Fee A9 aQP jti 'ce 10.13
Zone Rec Fee »/4
Historic Site _Yes _ No Site Plan# � 'P Z_ ITA J-oiG
Subdivision Name Lot# Subdivision#
Project Location emAb�/
'P i 6 016
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TOWN BD. RESOLUTION 86-2013: $850 recreation a 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 fee(s).
Applicant Owner
Zrvn
Address Address
P 0.
Phone/E-mail Phone/E-mail nl 7D/�
r 60m
Contact Person for Building&Codes Compliance: a77 Phonelid
6�1(u or ,6e Ck Cd
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration V floor sf 2°d floor sf TTotal sf Height
Single Family
Two-Family
Multi-Family
(#of units )
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garage
(1, 2, 3, 4+)
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) G 7
;5 Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances & Chimneys
Are there structures not shown on plot plan?
Are there easements on the property? Ab
Site Information
a. Dimensions or acreage of lot r
b. Is this a corner lot?
c. Will the grade be changed as a result of construction _ Yes No
d. Public water or Private well yVc*pb
e. Sewer or Private Septic System j
rig
Value of all work to be performed(labor or materials) $
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: 1 ,
PRINT NAME: �!/1dINKtS LI Ylu�nN DATE:
SIGNATURE: DATE:
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
NATURAL LIGHT VENTILATION AND EMERGENCY EGRESS CALCULATION SHEET
Job Site Address:
Date: fa 9EP(• 201fa
Owner: '�lM idt I�IIEk? �hl1f, C�hl.l`�
Application No.:
Habitable Rooms Area of Room-Sq.Ft. Required light Actual light—sq.ft. Required ventilation Actual Ventilation sq.ft. Sq.Ft.opening for
8%of room 4%of room egress
r)iJ'G (z1-1 IT5 58,3 7 21.0 21.0
I
F5.V- 44
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
NATURAL LIGHT VENTILATION AND EMERGENCY EGRESS CALCULATION SHEET
Job Site Address:
Date:
Owner: '�tff U '1GIt lbl 1� I�hl-!�` `� SFP 16 2016
Application No.:
Habitable Rooms Area of Room-Sq.Ft. Required light Actual light—sq.ft. Required ventilation Actual Ventilation sq,ft. Sq.Ft.opening for
8%of room 4%of room egress
f j,c1 (zM
l.(Jdetz-i3,t? 2x &,b
Town of Queensbury Building&Codes Principal Structure Application Revised January W16
227.18-1-17 RC 629-2016
Tom Uncher
14 Hickok Lane
F'SchecCc loftlA arc Version 4-6.2 Residential Addition
"X Compliance Certificate
, I
Project Uncher/Daley Residence
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:
14 Hickok Lane Thomas Uncher/Jane Daley Curtis Dybas
Queensbury, NY 12804 19 Lake Aveneu 19 Deer Run
Saratoga Springs,NY 12866 Lake
George,
NY 12845
cdybas@yahoo.com
trade-offCompliance:Passes using UA
Compliance: 0.8%Better Than Code Maximum UA: 130 Your UA: 129
The%Better or Worse Than code Index reflects how close to compliance the house is based on code trade-Off rules.
It O0E5 NOT provide an estimate of energy use or cost relative to a minimum code home.
EnvelQl2e Assemblies
Gross Area Cavity Cont. U-Factol UA
Assembly P', or R-Value R-Value
meter
Ceiling 1:Flat Ceiling or Scissor Truss 118 38.0 0.0 0.030 4
Ceiling 2:Cathedral Ceiling 312 38.0 0.0 0.027 8
732 21.0 0.0 0.057 32
Wall 1:Wood Frame, 16"O.C.
63 0.290 18
Window 1:Wood Frame:Double Pane with Low-E j
30 0.270 8
Window 2:Wood Frame:Double Pane with Low-E
'I
53 0.300 16
Window 3:Wood Frame:Double Pane with low-E
26 0.077 2
Door 1:Solid
Basement Wall 1:Solid Concrete or Masonry 334 11.0 0.0 0.087 29
Wall height:8.8'
Depth below grade: 4.0'
Insulation depth:8.0'
Basement Wall 2:Solid Concrete or Masonry 170 0.0 10.0 0.072 12
Wall height:4.0'
Depth below grade: 3.3'
Insulation depth:4.0'
Report date: 09/14/16
Project Title: Uncher/Daley Residence
Page 1 of 7
Data filename: Untitled.rck
iance Statement: The
n described here Is consistent with the
ions,and
calculations submitted with the proposed
application. prop d building has been designed toldmeet the 2010 cNewtYork Energy
Conservation Construction Code requirements In REScheck Version 4.6.2 and to comply with the mandatory requirements listed In
the REScheck Inspection Checklist. c.1 �! p l �I V
e-OtLR5 (2 1 NSI (l4'-_ Signature Date
NameName-Title
Project Title: Uncher/Daley Residence Report date: 09 2 of 7
Data filename: Untitled.rck Page 2 of 7
i
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 Field Verified Compiles? Comments/Asswn prions
# Pre-Inspection/Pian Review Value Value
&Re .ID - "--
103.2 Construction drawings and ❑complies
[PR111documentation sufficiently ;❑Does Not
.demonstrates energy code []Not Observable
compliance for the building ❑Not Applicable
envelope.
103.2. Construction drawings and ❑Complles
403.7 documentation sufficiently ❑Does Not
[PR3]1 demonstrates energy code ❑Not Observable
91 compliance for lighting and []Not Applicable
mechanical systems.Systems
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 S based Btu/hr Btu(hr ❑Does Not
on loads per ACCA Manual j or Cooling: Cooling: :oNot Observable
other approved methods. Btu/hr Btu/hr ❑Not Applicable
Additional Comments/Assumptions:
1 I High Impact(Tier 1) 1 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Uncher/Daley Residence Report date: Dg
Data filename: Untitled.rck Page 3 3 oof 7
f 7
i
Section
# Foundation Inspection Complies? Comments/Assumptions
&Re .ID
303.2.1 Exposed foundation insulation ❑Complies
[FO11]2 i protection. ❑Does Not
❑Not Observable
[]Not Applicable
403.8 snow melt controls. ❑Complies
[FO12]2 ❑Does Not
[]Not Observable'.
❑Not Applicable
Additional Comments/Assumptions-
1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Uncher/Daley Residence Report date: 09/14/16
Page 4 of 7
Data filename: Untitled.rck
Section Plans Verified Pleld 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/C5A 101/l.5.2/A440 . ❑Not Observable
:.or has Infiltration rates per NERC ❑Not Applicable
400 that do not exceed code
:limits.
402.4.5 -.IC-rated recessed lighting fixtures ❑Complies
[FR16]3 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
0-, 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]3 above 105 of or chilled fluids _ ❑Does Not
below 55 4F are insulated to R-3. ❑Not Observable
❑Not Applicable
403.4 Circulating service hot water R-_ R-_ ❑Complles
[F1118]2 pipes are insulated to R-2. ❑Does Not
❑Not Observable
—,[]Not Applicable
403.5 Automatic or gravity dampers are .❑Complies
[FR19]3 installed on all outdoor air []Does Not .
Intakes and exhausts. ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
i
i
I,
1 Htgh Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Uncher/Daley Residence Report date: 09/14/16
Data filename: Untitled.rck Page 5 of 7
Section
- Insulation Inspection Complies? Comments/Assumptions
303.1 ` ':i All installed insulation labeled or :Ocomplies
[IN13)' installed R-values provided. ODoes Not
❑Not Observable',
❑Not Applicable
Additional Comments/Assumptions:
i
I
1 High Impact(Tier 1) 2 Medium impact(Tier 2) 13 Law Impact(Tier 3)
Project Title: Uncher/Daley Residence Report date: 09/14116
Data filename: Untitted.rck Page 6 of 7
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
IF11711 of<7 ACH at 50 Pa.This ❑Not Observable
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- _chn _dm ❑Complies
[F1411 :construction with maximum ❑Does Not
4 �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
[F1912 Installed on forced air furnaces. []Does Not
[]Not Observable
❑Not Applicable
403.1.2 Heat pump thermostat Installed - ❑Complies
[Fliop on heat pumps. ❑Does Not
gi []Not Observable
❑Not Applicable
403,4 Circulating service hot water -❑Complies
[Fi1112 systems have automatic or ❑Does Not
9, accessible manual controls. ❑Not Observable
❑Not Applicable
401.3 Compliance certificate posted. .❑Complies
[F1712 :[]Does Not
•14 ❑Not Observable
[]Not Applicable
303.3 Manufacturer manuals for :❑Complies
[FI1813 mechanical and water heating ❑Does Not
equipment have been provided. ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
i
i
1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Uncher/Daley Residence Report date: 09/14/16
Data filename: Untitled.rck Page 7 of 7
2010 New York
Energy Conservation
Construction Code
Energy Efficiency
Certificate
Above-Grade Wall 21.00
Below-Grade Wall 11.00
Floor 0.00
Ceiling / Roof 38.00
Ductwork(unconditioned spaces):
Glass & Door Rating U-Factor SHGC
Window 0.29
Door 0.08
Heating &Cooling EqUipment Efficiency
Heating System:
Cooling System:
Water Heater.•
Name: Date:
Comments
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Insulation Certificate
DO NOT REMOVE. PLEASE POST NEAR ELECTRICAL PANEL.
This form must be filled out and posted to comply with building code requirements.
Meets IRC requirements. 2005 IRC - N1101.2, N1101A, N1101.8
7008 IRC - N1101.2,N1101.4, N 1101.8
2012 IRC - N1101.3, N1101.7, N1101.12
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insulation Certificate
DO NOT REMOVE. PLEASE POST NEAR ELECTRICAL PANEL.
This form must be filled out and posted to comply with building code requirements.
Meets IRC requirements: 2006 IRC - N1101.2,N1101A, N1101.8
2009 IRC - N1101.2, NJ 101.4, N1101.8
2912 IRC - N1101A N1101.7, N1101.12
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Insulation Ceftificate
DO NOT REMOVE. PLEASE POST NEAR ELECTRICAL PANEL.
This form must be filled out and postad to comply With Luilding code requirements.
t,4eets IRC requirements: 2006 IRC - N1101.2,N1101.4, N1101.8
2009 IRC - N1101.2, N1101.4,N1101.8
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