RC-0515-2018TOWN 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-0515-2018Date Issued: Monday, August 5, 2019
RC-0515-2018
This is to certify that work requested to be done as shown by Permit Number
has been completed.
297.6-1-45
Tax Map Number:
19 BUTTERNUT HILL DR
Location:
BEVERLY GILL
Owner:
Kevin Maynard Construction
Applicant:
This structure may be occupied as a: Residential Alterations 200 s.f.
(laundry area)
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
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-0515-2018
Tax Map No: 297.6-1-45
Permission is hereby granted to: Collette Construction Inc.
For property located at: 19 BUTTERNUT HILL DR
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: BEVERLY GILL Single Family-Alteration $401000.00
Owner Address: 19 Butternut Hill DR Total Value $401000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Collette Construction Inc.
38 Collette LN
Hudson Falls,NY 12839
Plans& Specifications
Residential Alterations 200 s.f.
(laundry area)
$200.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,August 14, 2019
(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 Queensbury; Tuesday,August 14, 2018
SIGNED BY. � ;r, .w for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
y r ADDITION/ALTERATION PERMIT Permit#: �C—��1 �• 2-0 1b
APPLICATION Permit Fee: $ 200
Town of Clccncbuty
742 Bay Road,Queensbury,NY 12804 Invoice#: 0-4-5 2--
P:518-761-8256 www.queensbury.net 11
Project Location: 19 �f� a\ Oc'
Tax Map ID #: ''Prs 1 --.415 Subdivision Name:,
CONTACT INFORMATION: AUG 1 201
TOWN OF QUEENSBUB`�'
• Applicant:
BUILDING &CODES
Name(s): r,eui". � 1
Mailing Address, C/S/Z: (Ct'S ILI ��� �r�, �� I Z
Cell Phone: ( ) ( , 3 _ Land Line: I
Email: K e u,", � A�� � CiLsck SVinjc_O'\ e
• Primary Owner(s):
Name(s): %
Mailing Address, C S/Z: 2),Arktr e.J \ Cy- • JV (2-n)Y
Cell Phone: ( ) Land Line: ( cyr ) 11; --&'I'
Email:
• Contractor(s):
Business Name: \ce,.l®. y 1Kszsr-N CIA64-e
Contact Name(s): •;:.__ ,, _
Mailing Address, C/S/Z: ( �,(�-�-
Cell Phone: ( ) i Co 311. Land Line: (
Email:
• Architect(s)/Engineer(s):
Business Name: e,,1 A s ��^ � �-ei
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: ( ) Land Line: I
Email:
Contact Person for Building & Code Co e: -eid) rkfri\4s1/41 >�0-,e-
Cell Phone:
Email: - tea
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
R
PROJECTIJFORMATION:
TYPE: Commercial Residential
WORK CLASS:
Single-Family _Two Family _Multi Family (#of units )
t)d
Townhouse Business Office Retail
Industrial/Warehouse Garage (#of cars ) _Other (describe )
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 2-oO 1st floor:
2nd floor: 2nd floor:
3rd floor: 3rd floor:
Basement (habitable space): Basement (habitable space):
Total square feet: Total square feet:
ADDITIONAL PROJECT INFORMATION:L
1. Estimated Cost of Construction: $ as QUO'
2. If Commercial project, what is the proposed use:
3. Source of Heat (circle one): t : Oil ' Propane Solar Other
Fireplaces need a separate Fue Burning Appliances&Chimney Application
4. Are there any structures not shown on the plot plan? 6-41) NO Explain: ?C ZA S ' cc
5. Are there any easements on the property? YES CIL10.)
6. SITE INFORMATION:
a. What is the dimensions or acreage of the :_ cel? 1 , 33 A CL(
b. Is this a corner lot? YES f \`
c. Will the grade be changed as a result of the con cti ? YES NO
d. What is the water source? U LIC RIVATE WE
e. Is the parcel on SEWER or PRIVATE SEPT system?
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
1. I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period,
2. If the work is not completed 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 and/or
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: 1<:-.Q1/4)vv\
SIGNATURE: 1 61 UL1—,--1
DATE: C/�( X
•
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
cREScheck Software Version 4.6.5
(ei Compliance Certificate
Project AUG 10 2010
Energy Code: 2015 IECC TOWN OF QUEENSBURY
Location: Glens Falls, New York BUILDING&CODES
Construction Type: Single-family
Project Type: New Construction
Conditioned Floor Area: 200 ft2 •
Glazing Area 4%
Climate Zone: 6 (7635 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
Compliance: 10.3%Better Than Code Maximum UA: 39 Your UA: 35
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.
Env-lope Assemblies
Gross Area Cavity Cont.
Assembly or R-Value R-Value U-Factor
Perimeter
Ceiling 1: Flat Ceiling or Scissor Truss 200 49.0 0.0 0.026 5
Wall 1:Wood Frame, 16"o.c. 320 21.0 0.0 0.057 16
Window 1:Wood Frame:Double Pane with Low-E 16 0.029 0
Door 1: Solid 20 0.270 5
Wall 2:Wood Frame, 16"o.c. 40 30.0 0.0 0.049 2
Basement Wall 1:Solid Concrete or Masonry 160 0.0 21.0 0.041 7
Wall height:4.0'
Depth below grade: 3.0'
Insulation depth:4.0'
Compliance Statement: The proposed building design described here is consistent with the b 'ding plans,specifications,and other
calculations submitted with the permit application.The proposed building has been design to meet the 2015 IECC requirements in
REScheck Version 4.6.5 and to comply with the mandatory require ents listed in the RE heck Inspection Checklist.
6„
Name-Title Sign ture ' Date
Project Title: Report date: 07/24/18
Data filename: Untitled.rck Page 1 of 9
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