RC-0084-2020Office Use Only _
Permit REDO s¢C620
permitfee:$35 72
Rec.Fee:$§_GSO.DO
2Y//
@ i)
142 Bay Road.Queensbuy,NY 124
P:518-764-8256 wrwueensbury pt Invoice
Project Location:Lot 4 Blackberry Circl
Tax Map #:__289.18-1-35.4 Subdivision Name:__Blackberry Circle
TOWN BD.RESOLUTION 86-2013:$850 recreation fee for new dwelling units:single family,duplexes/two-family,
muttiplefamily,apartments,condominiums,townhouses andior manufactured &modular homes,but not mobile
homes.This is in addition to the permit fee(s).
CONTACT
INFORMATION:
Applicant:
Name(s):__Ryan Wid
Mailing Address,C/S/Z:__19 Bickberry Lane,Queensbury
Cell Phone:_(£18 __)307-0130 land line:)
Email:___ild@gmailcom
Primary Owner(s):
Name(s):Michael &Yvonne Wid
Mailing Address,C/S/Z:__19 Blackbery Lane,Queensbury
Cell Phone:_(_518__)951-0506 Land Line:_(518 _)793-9344
Email;__mkewid00@gmail.com
Oi Check if all work will be performed by homeowner only
Contractor(s):Workers’Comp documentation must be submitted with this application
Contractor Name(s):Creative Spaces i,LLC
Contractor Trade:General
Mailing Address,C/S/Z:19 Blackberry Lane,Queensbury
Cell Phone:_()_307-0130 Land Line:_()
Email:__‘pwild@gmail.com
List all additional contractors on the back of this form
Architect(s)/Engineer(s):
Business Name:___A Solid Build
Contact Name(s):__Jeremy Femet
Mailing Address,C/S/Z:1007 Elizabeth Street,Mechanicvile,NY 121168
Cell Phone:_(_5*8_)_810-4461 land Line:_()
Email:___asolidould@gmaiicom
Contact Person for Building &Code Compliance:__Jeemy Femet
Cell Phone:_{518 _)810-4461 Landline:_{}
Email:___asolidbuiid@gmail.com
Pringle Structure Packet whiz
re
PROJECT INFORMATION:
TYPE:__Commercial _*Residential
WORK CLASS:
X Single-Family __Two-Family Multi-Family #of units __)
Townhouse _Business Office _Retail _Hotel/Mote!
Industria/Warehouse __Garage(#ofcars__)__Other(describe )
STRUCTURE SQUARE FOOTAGE:GARAGE SQUARE FOOTAG!
1 floor:_1,828 1 floor:875
2"floor:2"floor:
3 floor:-Total square feet:
Basement (habitable space):
Total square feet:1.828
ADDITIONAL PROJECT INFORMATION:
1.Estimated Cost of Construction:$__200,000
2.Proposed use of the building:home
3.If Commercial or industrial,indicate the name of the business:
4.Source of Heat:Gas Oil Propane Solar Other:__geothermal
Fireplaces need a separate Fuel Burning Appliances &Chimney Application,one per appliance)
5.Are there any structures not shown on the plot plan?YES (@O)Explain:
6.Are there any easements on the property?YES @O)
7.SITE INFORMATION:
a.What is the dimensions or acreage of the parcel?_379,
b.Is this a corner lot?YES
c.Will the grade be changed asa result of the construction?YES.“@O)
d.What is the water source?PRIVATE WELL
e.Is the parcel on SEWER or a PRIVATE SEPTIC system?_Private
Principle Structure Packet Revised February 2019
DECLARATION:
lacknowledge that no construction shall commence priorto issuance of a valid building
permit and work will be completed within a 12 month period.
2.Ifthe work is not completed by the ‘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,focal building laws and ordinances,and in conformance with local zoning
regulations.
4,|acknowledge that prior to occupying the facilities proposed |,or my agents,will obtain a
certificate of occupancy.
5.|understand that live are required to provide an as-built survey by a licensed land surveyor of
all newly constructed facilities priorto issuance ofa certificate of occupancy.
have read and agree to the above:
a
PRINT NAME:f;n wesvawamones2cVahyles!ep ore [20 lear,
S v
Principle Structure Packet Revised February 2019,
Office Use Only
FUEL BURNING APPLIANCE &Permit;RC-Comd-2O2H
CHIMNEY APPLICATION Permit Fee:$.
Invoice #:
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 wwwaqueensburynet
Lot 4 BlackberryCircleProjectLocation Tax Map ID:289.18-1-35.4
w
Room of Install:_Great Room Planned Install Date:_May 2020
ONE APPLICATION PER APPLIANCE*
CONTACT
INFORMATION:
Applicant:
Name(s)Creative Spaces Il,LLC
Mailing Address,C/S/Z:__19 Blackberry Lane,Queensburry
Cell Ph.:_(_518_)307-0130 Land Line:__()
Email:_‘pwild@gmail.com :
Primary Owner(s):
Name(s):Michael &Yvonne Wild
Mailing Address,C/S/Z:19 Blackberry Lane,Queensbury
Cell Ph._(_518 )951-0506 Land Line:__(_518 )793-9344
Email:_mikewild00@gmail.com
Ci Check if all work will be performed by homeowner only
Installer/Builder:Workers’Comp documentation must be submitted with this application
Contact Name(s):_Cfeative Spaces Ii,LLC
Contractor Trade:General
Mailing Address,C/S/Z:_19 Blackberry Lane,Queensbury,NY
Cell Phone:_(_518_)__307-0130 Land Line:_()
Email:
Contact Person for Building &Code Compliance:_Ryan Wild
Cell Ph.:_(518_)307-0130 Land
Line:
TTEmail:pwild@gmail.com
Principle Structure Packet Revised February 2018
FUEL BURNING APPLIANCE INFORMATION:
TYPE OF DEVICE:
Stove __Fireplace Insert __Fireplace
Fuel Fired Equipment (Garage Only,18”clearance per IMC 304.3)
X Fireplace,factory built**
Manufacturer’sname:__Majestic Model #s_Quartz 42 )
SOURCE OF HEAT:
Wood __Coal __Pellet _X Gas
CHIMNEY INFORMATION:
Masonry (require plans to be submitted):
block __brick _stone
Flue:
tile ___steel _size,in inches
Material*:
X double-wall __triple-wall_—__insulated
Manufacturer’s name:Model #:)
ADDITIONAL INFORMATIO!
1.Two inspections are required.A rough-in inspection,prior to installation and a final inspection,after
installation.
Manufacturer's installation manual must be available at the time of inspection.
Masonry fireplaces &chimneys require plans to be submitted.
Twenty-four (24)hour notification is required for inspections.
Workers’Comp insurance information is required with this application,
vrenr
Declaration:Construction/installation must conform to NYS Fire Prevention &Building Code and/or manufacturer
requirements.The applicant or owner agrees to comply with all applicable laws,ordinances,regulations and all conditions
that are part of these requirements and also will allow the inspector to enter the premises to perform the required
inspections.
have read and agree to the abov
PRINT NAM dw \w
sionarure:Wt 3.9 oare:_o lalroes
Principle Structure Packet Revised February 2018
Office Use Only.
owe PermitSEPTICDISPOSALPERMITAPPLICATIONPermit Fee:5.Involce
Septic Variance?Yes
1742 Bay Road,Queensbury,NY 12804
P:518-761-8255 www.queensbury.net
Tax Map ID #:_289.18-1-35.4
Project Location:Lot 4 Blackberry Lane
Applican
Name(s):Creative Spaces Il,LLC
Mailing Address,C/S/Z:19 Blackberry Lane,Queensbury
Cell Phone:_(_518_)307-0130 Land Line:)
Email:___rpwild@gmail.com
Primary Owner(s):
Name(s):Michael &Yvonne Wild
Mailing Address,C/S/Z:19 Blackberry Lane,Quewensbury
Cell Phone:_(_518_)_951-0506 Land Line:_()
Email:__mikewild00@gmail.com
CO Check if all work will be performed by homeowner only
Contractor:Workers’Comp documentation must be submitted with this application
Contact Name(s):Ryan Wild
Contractor Trade:General
Mailing Address,C/S/Z:_19 Blackberry Lane,Queensbury
Cell Phone:_(_518 307-0131 Land Line:_(
Email:__rpwild@gmail.com
Engineer(s):
Name(s):Tom Nace
Mailing Address,C/S/Z:___Haviland Road,Queensbury
Cell Phone:_()Land Line:_()
Email:
Contact Person for Building &Code Compliance:___Ryan Wild
Cell Phone:(518)307-0130 Land Line:_(d
Email:
Principle Structure Packet Revised February 2019,
of bedrooms:|X gallons per
bedroom Garbage Grinder Yes
1980 or older|150 Installed?(circle one)
1981-1991 130 ‘Spa or Hot Tub Yes
Installed?(circle one)
1992-Present|110 2 410 220
a@
PARCEL INFORMATION:
Topography |Flat Rolling Steep Slope %Slope
Soil Nature X Sand Loam Chay ‘Other (explain:)
Groundwater ‘At what depth?
Bedrock/impervious material|At what depth?
Domestic Water Supply _XMunicipal __Well if well,water supply from any septic system absorption is__ft.)
Percolation Test Rate:per minute per inch (test to be completed by licensed engineer/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION:
Tank size 1250gallons (min.size 1,000 gallons,add 250 gallons for each garbage cylinder or spa/hot tub
System ‘Absorption field with #2 stone _|Total length ft.;Each Trench ft.
Seepage Pit with #3 stone |How many:;Size:
Alternative System |Bed or other type:
Holding Tank System Total required capacity?tank size 7 #of tanks.
NOTES:1.Alarm system and associated electrical work must be inspected by a Town approved electrical inspection
agency;2.We will no longer allow systems to be covered until such time as an as-built plan is received and
approved.The installed system must match the septic layout on file—no exceptions.3.As-built drawings must be
submitted prior to the inspection,if there has been a change to the submitted plans.
Declaration:Any permit or approval granted which is based upon or is granted in reliance upon any material
representation or failure to make a material fact or circumstance known by or on behalf of an applicant,shall be
void.|have read the regulations and agree to abide by these and all requirements of the Town of Queensbury
Sanitary Sewage Disposal Ordinance.
n
pawrname:_Kut J)DATE:biosVOoc)(SIGNATURE:ws OJ)pare;3(2\[2020
Principle Structure Packet Revised February 2019
ProjectSummarytHmuennsor:Entire House
WebREPS,LLC
1200 eand Nene
49 Blackborry Lano Lot4Mar08,2020
Kenneth D.Puxinas18BlackborryLane
22966 Prone 00.810:3200 Fax 88-0712000_Emal:ranual@vebrepsisn com Wh:ww soutien com Lanse:
CACDS4709aaleur)
For.Mike Wild,Creative S;
19 Blackber ine,Queer
Phone:518-951-0506 FaxNAEma:mikewild00@gmail.com
Notes:19 Blackberry Lane queensbury,NY 12804 Lot 412804
Design Information
Weather:Queensbury,NY,US
Winter Design Conditions
Outside db 3 °F
Inside dbDeDesignTD73°F
Heating Summary
Srugure 40381.Btn437Btuhealvent(125:cfm)9864 Btuh
OutsideairHumidification 9601 Btuh
Piping 0BtuhEquipmentload60283Btuh
Infiltration
Method ‘Simplified
Construction quality ‘Semi-ightFireplaces0
Heatir Coolir
Area (®)3268Solano()2362121080Arcapgsttour0.19onEquivAVE(cin)6 39
Heating Equipment Summary
Make Water-Furance 5 Series
Trade 500411
Model NDV/NDHO64Ht
AHR ref 8570180
Efficiency 82700PHeatinginputHeatingoutputossStn
Temperature rise ‘37 °F
Actual air fow 1361 dm
Airflow factor 0.033 cfrvBtuh
Static pressure 0 inH20,
Space thermostat
Cpacity balance point =0°F
Backup:
Input=0 KW,Output
0
Btuh,100 AFUE
Summer Design Conditions
Outside db 85 °F
Inside db 15 °F
Design TD 10 °F
Daily range M
Relative humiaity 50 %
Moisture difference 26 grb
Sensible Cooling Equipment Load Sizing
Structure (28328Btu236BlunCehalvent(116 chm)1207 Btuh
Outside air
Blower 1707 Btuh
Use manufacture’dalamutiEgjapmensanefoa
Latent Cooling Equipment Load Sizing
1.003147 Btuh
Stucture 7307 Btuh
Ducts 366.Btuh
Central vent (116 cf)2025 Btuh
Outside air
Equipmentiatent oad 9697 Buh
Equipment Total Load (Senr+Lat)41174 Btuh
Reg,total capacity at 0.76 SHR 35 ton
Cooling Equipment Summary
Make Water-Furanoe 5SeriesTradeSOA
Sond NOVINDHO64H1
AHRIref 8570180
Eficiency 1429EER
Sensible cooling 36850 Btuh
Tatent cooling 1637 Buh
Total cooling 48487 Bun
Actual air flow 4361 am
Airflow factor 0048.ciyetuhStaticpressure0inoLoadsensibleheatratio076
Calculations approved by ACCA to meet all requirements of Manual J 8th Ed.
20!=Hy ‘igh Sute8 Unters 2019 100,16 RSLT6008ACER.Spaces Ni 8 Blaser Lanecup Cale =MB FrontDoor eas:N
0e0-Mar 7 120130,
Page
Manual S Compliance Report sete th Mackborry LaneLotAEwrightsoftDate:Mar03,2020,ne Entire House By:Kenneth D.Puzinas
Plan:19 BlackborryLaneWebREPS,LLC
1800 82nd Nenu Sute $203,\oro Beach FL32966 Prone 8008103280 Fax 888-071-2009 Ena:manual@webropsssa.com A:www actucedgncom iceno:CACDSATOO
Project Information
For Mike Wild,Creative Spacesi49BlackberryLane,Queensbury,NY
Phone:518-951-0506 Fax NA
Email:mikewildOO@gmail.com
Cooling Equipment
Design Conditions
Outdoor design DB:846°F Sensiblegain:31477 Bun Entering coll DB:77.1°F
Outdoor design WB:=70.6°F Latent gain:9697 Btuh Entering coil WB:63.7°F
Indoor design DB:‘75.0°F Total gain:41174 Buh
Indoor RH:50%Estimated airflow:1361 cim
Manufacturer's Performance Data at Actual Design Conditions
Equipmenttype:WSHP.
Manufacturer.Water-Furance 5Ser Model:NOV/NDHO64H1
Actual airfiow.1961 im’
Sensible capacity:36850 Buh 117%ofload
Latent capacity:11637 Btun 120%ofload
Total capacity:48487 Buh 118%ofload SHR:76%
EreteDesignConditions
Outdoor design DB:-25°F Heat loss:60283 Btuh Entering coil DB:63.1°F
Indoor design DB:70.0°F
Manufacturer's Performance Data at Actual Design Conditions
Equipmenttype: WSHP
Manufacture.Water-Furance 5Ser Model:NOV/NDHO64H1
Actual airflow:1361 cin
Output capacity:84253 Buh 140%ofload Capacity balance:58 °F
Supplemental heat required:0 Btuh
Backup equipment type:Elec stip
Manufacturer:Mode
Actual airfow:1361 im
Output capacity 0 KW O%ofload Temp.rise:OF
Meets all requirements of ACCA Manual S.
20201712940=tH wrightsore-=SOFT oy.suteo Unters!2019 180,16 RSL T6096aeFRRsespacesWG)9SldberyLanesyp Cale=MUB FrontDoor wens
BROAN
BROAN®ERV200 ECM
Part no,ERV200TE
50 to 210 CFM (0.4 in.w.g.)
THE FUTURE OF FRESH AIR
The whole home ventilation system is centerpiece of today’s
energy-efficient homes.Broan introduces its new HE that combines
the best performance with the best energy efficiency to provide
resher,purer air your home ata lower overall operating cost.That's
Pure Efficiency.
The ERV200 ECM Is the perfect solution for mid to large size homesinneedforthemostenergy-efficient ventilation solution.
Up to 210 CFM at 04 in.wg.
High efficiency energy recovery core with a sensible recovery
efficiency of 8496 at 32°F and 65%at -13°F
German-made ECM*motors
Minimal power consumption of 22 W and 2.9 CFM/Watt at 64 CFM,
Merv 6 grade filters and optional HEPA fitration
Electronic balancing and no balancing dampers
Electronically Commutated Motor.
REPAIRSAND
MAINTENANCE
The ERV200 ECM high output ECM motors are permanently lubricated.
The electronic circuit board eliminates electromechanical parts,
reducing repair time to a minimum.
WARRANTY
The ERV200 ECM is protected by a 5-year warranty on parts only,except
for the energy recovery core,which is covered by a 10-year warranty,
with the original proof of purchase.
Available at
ENERGY RECOVERY VENTILATOR
Controls
ssts—‘_S..C(‘CS(C;*W
The exclusive VTOW main wall control is the only compatible wall
control tobe used with the ERV200 ECM.
At installation,use the VT9W main control to perform electronic
balancing,whitout balancing dampers!
Optional auxiliary controls also available;for more details,refer to the
User Guide -Main and auxllary wall controls avaliable at wwrw-broan.com.
Option
HEPA Filter 22528
Additional 03 in.wg,static pressure a highest speed to be considered.
Refer to the HEPA filter instructions for more detals
im ™Defrosting System
nus Femme
The ERV200 ECM uses a unique
defrosting method.No negative
pressure is created by air
exhausted tothe outdoors,as the
airs recirculated into the house,
helping to prevent any backdraf.
Use the VTOW to choose one of the 3 defrost modes available,according
to your needs:
Standard (factory set regular mode)
Plus (extended defrost for colder areas)
Discretion (keeps the same speed when performingdefrostaperformingventilation)
Dinos oc nres 7a ATSreeSmwoanoDiscrrnonPuss
e [moe]am ma Ta [Gems]Tem
andies|andien|toro|vas [vero|vans|vsns|isna
watie-27|4w0-17|890|95|1690|620|12720-|vans
WSie20|swe|ewo|ap0|veo|190|vos|10720‘
15|laws [eso|ao|1550|wo|v000|ros
mare|man No DEPROST
Outdoor temperate rend by a thermistor located nade the unk nat esha
tom outige por
Requirements and standards
Complies with the UL 1812 requirements regulating the installation
of Energy Recovery Ventilators
Complies with the CSA C22:2no.113 Standard applicable to ventilators
Complies with CSA C444 requirements regulating the instalation of
Energy Recovery Ventilators
Technical data was obtained from published results of tests relating
to CSA.C439 Standards
HV certified and ENERGY STAR®*qualified
This product eamed the ENERGY STAR®by meeting sic energy efficiency guidelines set by Natural Resources Canada and the EPA.It meets ENERGY STAR®
requirements only when used in Canada,
Dimensions:ERV200 ECM at NOTE:Au unrs rome WERE CATED TO
4 SE EETTE Bon setahdoo.We (ie Semea
vane
anArmornw -Te ‘rwemon (E02 6°onMeren TO 7”
1043 mm);
3
95 my“-(LOO beeeae4:Fresh a 70 abn Pom=|
ome [10mm
VENTILATION PERFORMANCE FAN CURVES ACCORDING TO SPEED
Expo|NerSume ‘Geos RF 2
I
some Pmasunt|"An iow SorBersPalma[low [whe]ow [wh [us]om|win gs letEchoust25-01 [ii0}333|396 [vir]236|aor [113]239"|206350-02 [107]226|3e4|108]229|30s [08]250_|391So75|03 [vos]219|372 [105|203|377 [105-292 [37 *|
joo}04 [99|210 357 [ror]214|364 [ror 213|362 Ff —125|05 [96 203|34s|97 |-206-|-350_|97|205-|348 é
iso[cos far [tea a30 95L1971335oa[197 [335é175}07 [er [145 [314|09|106|aif a9|108|319 g
zoo|os|ex|177|301 [a5|179|304|65|179|304 Pa \
225|09|79|168|205|81|171|290|81|171|290 7 \
250 [10|75|159|270|76 162|275|76[161|273 °
27s {11[71 [151|257 |72]153|260|72[152|258 .°head ==~
von com (Us =nx0.4719)
Enercy PERFORMANCE
Fuuycoceoreser]Nev Am Fiow|Poe,‘Aerancet|Uren mcr!ROM 50 CFM TO MAGMUM SPEED.
se][us[om [athe mm
0-32 [30]64|105]77
0-32 [55 117]199|a3
0|32 [0]170]289|83
25-15 [30]64 [109]36
25|-13 [55 ]117]1991 66
35.|95 [30]64 [109]21
58
58a *Indicates total recovery efficiency,not sensible recovery efficiency.
slglalelalale|
HE f
ale
lelelslele
le
35|95 [oa]v36]231]53 a7 NOTE:Al specifications are subject to change without notice.
SPECIFICATIONS
Model:ERV200 ECM+Optional HEPA Fier sEnergyRecovery Core:Part Number:ERV200TE +Insulation:Expanded polystyrene Gencmaseaen a oie ae
Total Assembled Weight (including +Mounting:Suspension by chains and springs Exchange surface.136:(126mm)
polymerized paper core):96 Ib,(43.6 kg)‘or wall bracket system “Weights 26 b.(11.8kg)
Oval shaped ports:fit 6"round ducts +Supply and Exhaust Blower Motors:“Type:Counterfiow
Drains Optional "2.German-made ECM motors *Material:Polymerized paper
Protection type:Thermally protected Warranty:10 years«
Gore Fiore2washableMervfers+VT9W wall control offering 5 manual modes:+Unit Electrical Characteristics:
Housing:Pre-painted stee!Recirculation,20 MIN/H,Continuous,Smart Volts Frequency Amps Watts.
and Turbo 20 60H 22135,
REMARKS
BRGAN Broan NuTone LC 926 Wes State Set Harr W027 (17-962 7525
worwibroan.com 'ERVZ00ECMa160602,tt mes 2 Wu
JLT Building Services, LLC
700 Indian Road
Fort Plain, NY 13339
518-925-7718
jltbuildingservices@gmail.com
Blower Door Test Results Report
Test Date: May 6,2021
Client Name: Mike Wild
Client Address: 19 Blackberry Lane
Queensbury,NY
Test Site Address: 19 Blackberry Lane
Queensbury, NY
Test Data
Area Tested [cult]: 35,652 cult
Infiltration Rate Results[CFM@50pa]: 449 cfm50
ACH50#as tested at 50 Pascal: .76ach
2018 Code N1102.4.1.2 requires 5 3ach
Based on our test results your building.................. PASSED
Air Infiltration Testing for 2018 IECC Residential Code Provisions and 2020 NYS Energy Code R402.4.1.2
I certify the above information as performed in accordance with Resnet/ICC380,ANSI E779 or ASTM E1827 protocols,and BPI
standards using up to date calibrated Retrotec equipment models#5101 and#DM32 as required.
Thank You for choosing JLT Building Services LLC.
Jim Telfer
BPI ID#5058106