RC-000718-2016 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-000718-2016 Date Issued: Wednesday, November 29, 2017
This is to certify that work requested to be done as shown by Permit Number RC-000718-2016
has been completed.
Tax Map Number: 308.8-2-38
Location: 28 LEO ST
Owner: Rayanne Morin,KEVIN MORIN
Applicant: Rob Ross Constructing
This structure may be occupied as a: Residential Addition 256 s.f.
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, G•Z+nrr/
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-000718-2016
Tax Map No: 308.8-2-38
Permission is hereby granted to: Rayanne Morin,KEVIN MORIN
For property located at: 28 LEO ST
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: Rayanne Morin Single Family-Addition $20,000.00
Owner Address: 28 LEO ST Total Value $20,000.00
Queensbury,NY 12804
Contractor or Builders Name/Address Electrical Inspection Agency
Plans&Specifications
Residential Addition 256 s.f.
$100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,October 31,2017
(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 expiation date.)
Dated at the Town o ueensb on 12016
SIGNED BY: GNNnnn��77i___"III���/// Ad *�1for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use Only
Received
Date: O 3— 16 Tax Map ID
r ZUlb Permit No. — D
Tax Map ID 30,4?, K- 2. -_35, permit Fee 4100 I d()
Zone Rec Fee
Historic Site _Yes _ No ---Site Plan#
Subdivision Name Lot# Subdivision#
Project Location J.Jj� L ap St G?,, ,,A,V
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 Owner p awn e Pl
`� G`=rirac: ; c vi
Address — r S4, / Address �� ( 2p Or•
Try e✓,S 1 1-k ,l Q t+ ec-s b�
Phone/E-mail �l Phone/E-mail 7 Og
Contact Person for Building&Codes Compliance: Aron Ras S Phone �L60 I'i OS
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration 11 floor sf 2°d floor sf Total 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 i✓e w K;Jt,uQvl
Source of Heat(circle one) Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances& Chimneys N
Are there structures not shown on plot plan? /t/C7
Are there easements on the property?
Site Information
a. Dimensions or acreage of lot J > .3
b. Is this a corner lot? /✓o 11
c. Will the grade be changed as a result of construction _ Yes _ No
d. Public water or Private well /2' 1; C_
e. Sewer or Private Septic System PPi JL+7 1 C
value of all work to be performed (labor or materials) $ dI�OCXI�
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. 1 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: //
PRINT NAME: Il o��t �- N2,o.5 S i DATE: j Li- � ' I b
SIGNATUREDATE:
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
RE check Software Version 4.6.3
Compliance Certificate
Project Morin job
Energy Code: 2015 IECC 308.8-2-38 RC-000718-2016
Location: Glens Falls, New York
Construction Type: Single-family Morin, Rayanne & Kevin
Project Type: Addition 28 Leo Street
Climate Zone: 6 (7635 HDD)
Permit Date: Residential Addition 256 s.f.
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
28 Leo Kevin&Rayeanne Morin Rob Ross
Queensbury 28 Leo Rob Ross Contracting
Queensbury 56 First st
Glens Falls, NY 12801
518-743-9519
iCompliance: Passes using UA trade-off
Compliance: 3.6%Better Than Code Maximum UA: 55 Your UA: 53
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
Assembly Gross Area Cavity Cont. U-Factor UA
Perimeter
Ceiling 1: Flat Ceiling or Scissor Truss 256 38.0 0.0 0.030 8
Wall 1:Wood Frame, 16"o.c. - 326 19.0 0.0 0.060 16
Window 1:Vinyl/Fiberglass Frame:Double Pane 4 0.350 1
Door 1:Solid 20 0.150 3
Door 2:Glass UU i ]. 7 LU ib 33 0.220 7
Crawl 1:Solid Concrete or Masonry 256 0.0 13.0 0.063 10
Wall height: 5.0'
Depth below grade:4.0'
Insulation depth: 3.0'
Floor 1:All-Wood joistrrruss:Over Outside Air 256 30.0 0.0 0.033 8
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 2015 IECC requirements in
REScheck Version 4.6.3 and to comply with the mandatory requirements listed in the REScchheck Inspection Checklist. /
I l�ib Rl`:�S ce. ii CC,( �.11(q CYntr ✓ /[:.�"t t ✓'/i'�O I L' �� ��6
Name-Title Signature Date
Project Title: Morin job Report date: 10/17/16
Data filename: C:\Users\owner\Documents\REScheck\morin job.rck Page 1 of 9
REScheck Software Version 4.6.3
Inspection Checklist
Energy Code: 2015 IECC
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 Value Value Complies? Comments/Assumptions
& Req.ID
103.1, Construction drawings and -❑Complies
103.2 documentation demonstrate ❑Does Not
[PR1]1 energy code compliance for the
u� building envelope.Thermal ❑Not Observable
envelope represented on ❑Not Applicable
construction documents.
103.1, Construction drawings and ❑Complies
103.2, documentation demonstrate ❑Does Not
403.7 energy code compliance for
[PR3)1 lighting and mechanical systems. ❑Not Observable
Systems serving multiple ❑Not Applicable
10 dwelling units must demonstrate
compliance with the IECC
Commercial Provisions.
302.1, Heating and cooling equipment is Heating: Heating: ❑Complies
403.7 sized per ACOA Manual 5 based Btu/hr Btu/hr ❑Does Not
[PR2]2 on loads calculated per ACCA Cooling: Cooling: [-]Not Observable
y1 Manual J or other methods Btu/hr Btu/hr
approved by the code official ❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 13 1 Low Impact(Tier 3)
Project Title: Morin job Report date: 10/17/16
Data filename: C:\Users\owner\Documents\REScheck\morin job.rck Page 2 of 9
Section Plans Verified Field Verified
# Foundation Inspection
Req.ID Value Value Complies? Comments/Assumptions
&
402.2.11 Unvented crawl space wall R- R- ❑Complies See the Envelope Assemblies
[FO711 insulation 11-value. R- R- ❑Does Not table for values.
❑Not Observable
❑Not Applicable
303.2 Unvented crawl space wall ❑Complies
[FOB]' insulation Installed per ❑Does Not
c manufacturer's instructions. []Not Observable
❑Not Applicable
402.2.11 Unvented crawl space continuous ElComplies
[F0911 vapor retarder installed over ❑Does Not
exposed earth,joints overlapped ❑Not Observable
by 6 in.and sealed,extending at
least 6 in, up and attached to the ❑Not Applicable
wall.
402.2.11 Unvented crawl space wall _in. _in. ❑Complies See the Envelope Assemblies
[FO10]1 insulation depth of burial or ❑Does Not -table for values.
��. distance from top of wall. []Not Observable
❑Not Applicable
303.2.1 A protective covering is installed ❑Complies
[F011]2 to protect exposed exterior El Does Not
insulation and extends a ❑Not Observable
minimum of 6 in. below grade.
❑Not Applicable
403.9 Snow-and ice-melting system ❑Complies
[FO121' controls Installed. ❑Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) Low Impact(Tier 3)
Project Title: Morin job Report date: 10/17/16
Data filename: C:\Users\owner\Documents\REScheck\morin job.rck Page 3 of 9
Section Plans Verified Field Verified
# Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions
& Re .ID
402.1.1, Door U-factor. U-_ U-_ ❑Complies See the Envelope Assemblies
402.3.4 ❑Does Not table for values.
[FR111 []Not Observable
8 ❑Not Applicable
402.1.1, Glazing U-factor(area-weighted U-_ U-_ ❑Complies see the Envelope Assemblies
402.3.1, average). ❑Does Not table for values.
402.3.3,
❑
402.3.6, Not Observable
402.5 ❑Not Applicable
[FR2]1
8
303.1.3 U-factors of fenestration products ❑Complies
[FR4]1 are determined in accordance ❑Does Not
with the NFRC test procedure or ❑Not Observable
taken from the default table. ❑Not Applicable j
402.4.1.1 Air barrier and thermal barrier ❑Complies
[FR23]1 installed per manufacturer's ❑Does Not
0 instructions. ❑Not Observable
❑Not Applicable
402.4.3 Fenestration that is not site built ❑Complies
[FR2011 is listed and labeled as meeting ❑Does Not
HAMA/WDMA/CSA 101/I.5.2/A440
or has infiltration rates per NFRC ❑Not Observable
400 that do not exceed code ❑Not Applicable
limits.
402.4.5 IC-rated recessed lighting fixtures ❑Complies
[FR16]' sealed at housinglnterior finish ❑Does Not
and labeled to indicate s2.0 cfm ❑Not Observable
leakage at 75 Pa. ❑Not Applicable
403.2.1 Supply and return ducts in attics ❑Complies
[FR12]1 insulated>=R-8 where duct is []Does Not
>=3 inches in diameter and >_
R-6 where<3 inches.Supply and ❑Not Observable
return ducts in other portions of ❑Not Applicable
the building insulated>=R-6 for
diameter>=3 inches and R-4.2
for<3 Inches in diameter.
403.3.3.5 Building cavities are not used as ❑Complies
[FR15]3 ducts or plenums. ❑Does Not
❑Not Observable
❑Not Applicable
403.4 HVAC piping conveying fluids R-_ R-_ ❑Complies
[FR17]' above 105 QF or chilled fluids []Does Not
below 55 9F are insulated to alk-
- 3. []Not Observable
❑Not Applicable
403.4.1 Protection of Insulation on HVAC ❑Complies
[FR24]1 piping. []Does Not
10 ❑Not Observable
❑Not Applicable
403.5.3 Hot water pipes are insulated to R-_ R-_ ❑Complies
[FR18]2 all-3. ❑Does Not
❑Not Observable
❑Not Applicable
403.6 Automatic or gravity dampers are ❑Complies
[FR19]' Installed on all outdoor air ❑Does Not
intakes and exhausts. ❑Not Observable
❑Not Applicable
1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Morin job Report date: 10/17/16
Data filename: C:\Users\owner\Documents\REScheck\morin job.rck Page 4 of 9
Additional Comments/Assumptions:
11 High Impact(Ter 1) 2 Medium Impact(Tier 2) 3{;:Low Impact(Tier 3)
Project Title: Morin job Report date: 10/17/16
Data filename: C:\Users\owner\Documents\REScheck\morin job.rck Page 5 of 9
section Plans Verified Field Verified
# Insulation Inspection value Value Complies? Comments/Assumptions
&Re .ID
303.1 All installed insulation is labeled []Complies
[IN1312 or the installed R-values []Does Not
Jprovided. ❑Not Observable
❑Not Applicable
402.1.1, Floor insulation R-value. R- R- ❑Complies See the Envelope Assemblies
402.2.6 ❑ Wood ❑ Wood ❑Does Not table for values.
[IN111 ❑ Steel ❑ Steel
� []Not Observable
❑Not Applicable
303.2, Floor insulation installed per ❑Complies
402.2.7 manufacturer's instructions and ❑Does Not
[IN211 in substantial contact with the ❑Not Observable
y,, underside of the subfloor, or floor
framing cavity Insulation is in ❑Not Applicable
contact with the top side of
sheathing, or continuous
insulation is installed on the
underside of floor framing and
extends from the bottom to the
top of all perimeter floor framing
members.
402.1.1, Wall insulation R-value.If this is a R- R-_ ❑Complies See the Envelope Assemblies
402.2.5, mass wall with at least%of the ❑ Wood ❑ Wood ❑Does Not table for values.
402.2.6 wall insulation on the wall ❑ Mass ❑ Mass ❑Not Observable
[IN311 exterior,the exterior insulation
0 requirement applies(FR10). ❑ Steel ❑ Steel ❑Not Applicable
303.2 Wall insulation is installed per ❑Complies
[IN411 manufacturer's instructions. ❑Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact Merl) 2 1 Medium Impact Mer 2) tg Low Impact(Tier 3)
Project Title: Morin job Report date: 10/17/16
Data filename: C:\Users\owner\Documents\REScheck\morin job.rck Page 6 of 9
Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
&Re .ID
402.1.1, Ceiling insulation R-value. R- R- ❑Complies See the Envelope Assemblies
402.2.1, Wood table for values.
402.2.2, ❑ ❑ Wood ❑Does Not
402.2.6 ❑ Steel L] Steel []Not Observable
[Fill' ❑Not Applicable
303.1.1.1, Ceiling insulation installed per ❑Complies
303.2 manufacturer's instructions. ❑Does Not
[F1211 Blown insulation marked every
300 ft'. ❑Not Observable
❑Not Applicable
402.2.3 Vented attics with air permeable ❑Complies
[F122]2 insulation include baffle adjacent ❑Does Not
to soffit and eave vents that
extends over insulation. ❑Not Observable
❑Not Applicable
402.2.4 Attic access hatch and door R-_ R-_ ❑Complies
(FI311 Insulation ZR-value of the ❑Does Not
adjacent assembly. ❑Not Observable
❑Not Applicable
402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50=_ ACH 50=_ ❑Complies
[FI1711 ach in Climate Zones 1-2,and ❑Does Not
<=3 ach in Climate Zones 3-8. ❑Not Observable
❑Not Applicable
403.2.3 Duct tightness test result of<=4 cfm/100 cftn/100 ❑Complies
[1714]1 cfm/100 ft2 across the system or ft' i ft2 ❑Does Not
<=3 cfrn/100 ft2 without air ❑Not Observable
handler @ 25 Pa.For rough-in
tests,verification may need to ❑Not Applicable
occur during Framing Inspection.
403.3.2 Ducts are pressure tested to cfm/100 cfm/100 ❑Complies
[F12711 determine air leakage with ft' ft' ❑Does Not
either: Rough-in test:Total
leakage measured with a ❑Not Observable
pressure differential of 0.1 Inch ❑Not Applicable
w.g. across the system Including
the manufacturer's air handler
enclosure If Installed at time of
test.Postconstmction test:Total
leakage measured with a
pressure differential of 0.1 inch
w.g. across the entire system
including the manufacturer's air
handler enclosure.
403.3.2.1 Air handler leakage designated ❑Complies
[F12411 by manufacturer at<=2%of ❑Does Not
design air flow.
[]Not Observable
❑Not Applicable
403.1.1 Programmable thermostats ❑Complies
[FI912 installed for control of primary ❑Does Not
heating and cooling systems and ❑Not Observable
initially set by manufacturer to
code specifications. ❑Not Applicable
403.1.2 Heat pump thermostat installed ❑Complies
[F]10]2 on heat pumps. ❑Does Not
❑Not Observable
❑Not Applicable
403.5.1 Circulating service hot water ❑Complies
[FI111' systems have automatic or ❑Does Not
accessible manual controls. []Not Observable
❑Not Applicable
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Morin job Report date: 10/17/16
Data filename: C:\Users\owner\Documents\REScheck\morin job.rck Page 7 of 9
Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Re .ID
403.6.1 All mechanical ventilation system ❑Complies
[F125]2 fans not part of tested and listed ❑Does Not
HVAC equipment meet efficacy ❑Not Observable
and air flow limits.
❑Not Applicable
403.2 Hot water boilers supplying heat ❑Complies
[FI26]2 through one-or two-pipe heating ❑Does Not
systems have outdoor setback
control to lower boiler water ❑Not Observable
temperature based on outdoor ❑Not Applicable
temperature.
403.5.1.1 Heated water circulation systems ❑Complies
[F126]' have a circulation pump.The ❑Does Not
system return pipe is a dedicated [-]Not Observable
return pipe or a cold water supply ❑Not
pipe.Gravity and thermos- Applicable
syphon circulation systems are
not present. Controls for
circulating hot water system
pumps start the pump with signal
for hot water demand within the
occupancy.Controls
automatically tum off the pump
when water is in circulation loop
is at set-point temperature and
no demand for hot water exists.
403.5.1.2 Electric heat trace systems ❑Complies
[FI29]2 comply with IEEE 515.1 or UL ❑Does Not
515. Controls automatically
adjust the energy input to the ❑Not Observable
heat tracing to maintain the ❑Not Applicable
desired water temperature in the
piping.
403.5.2 Water distribution systems that ❑Complies
[F130]2 have recirculation pumps that ❑Does Not
pump water from a heated water ❑Not Observable
supply pipe back to the heated
water source through a cold ❑Not Applicable
water supply pipe have a
demand recirculation water
system.Pumps have controls
that manage operation of the
pump and limit the temperature
of the water entering the cold
water piping to 1049F.
403.5.4 Drain water heat recovery units ❑Complies
(F131]2 tested in accordance with CSA ❑Does Not
855.1. Potable water-side ❑Not Observable
pressure loss of drain water heat
recovery units< 3 psi for ❑Not Applicable
individual units connected to one
or two showers.Potable water-
side pressure loss of drain water
heat recovery units<2 psi for
individual units connected to
three or more showers.
404.1 75%of lamps in permanent ❑Complies
[FI6]' fixtures or 75%of permanent ❑Does Not
fixtures have high efficacy lamps. ❑Not Observable
Does not apply to low-voltage
lighting. ❑Not Applicable
404.1.1 Fuel gas lighting systems have ❑Complies
[F123]3 no continuous pilot light. ❑Does Not
❑Not Observable
❑Not Applicable
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Morin job Report date: 10/17/16
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Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Re .ID
401.3 Compliance certificate posted. ❑Complies
[F17]2 ❑Does Not
[]Not Observable
❑Not Applicable
303.3 Manufacturer manuals for ❑Complies
[F118]3 mechanical and water heating ❑Does Not
systems 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(Ter 3)
Project Title: Morin job Report date: 10/17/16
Data filename: C:\Users\owner\Documents\REScheck\morin job.rck Page 9 of 9
2015 IECC Energy
Efficiency Certificate
Insulation Rating R-Value
Above-Grade Wall 19.00
Below-Grade Wall 13.00
Floor 30.00
Ceiling / Roof 38.00
Ductwork (unconditioned spaces):
Glass&Door Rating U-Factor SHGC
Window 0.35
Door 0.22
,Heating&Cooling Equipment Efficiency
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments