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RC-000327-2015 TOWN OF QUEENSBURY QL 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: RC-000327-2015 Date Issued: Wednesday, August 31, 2016 This is to certify that work requested to be done as shown by Permit Number RC-000327-2015 has been completed. Tax Map Number: 288.20-1-17 Location: 18 GLEN LAKE RD Owner: Michele Niedermeyer Applicant: Michele Niedermeyer This structure may be occupied as a: Residential Alt./Add. 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, QJ4 Variance,or other issues and conditions as a result of approvals by the Director o wilding&Code Enfor ment 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-000327-2015 &P 20 1 5 • —2Z l Tax Map No: 288.20-1-17 Permission is hereby granted to: Michele Niedermeyer REVISED For property located at: 18 GLEN LAKE RD 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 Tyne of Construction Owner Name: Michele Niedermeyer Single Family-Addition $30,000.00 Owner Address: 18 Glen Lake RD Total Value $30,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Residential Alt./Add. PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 24,2016 (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 exp [yJ ion/ate.) Dated at the Town of eensb _ f/ /Iluesd 30,2015 SIGNED BY: yk' 'a for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150301 Application Number: A20150301 Tax Map No: 523400-288-020-0001-017-000-0000 Permission is hereby granted to: MICHELE D NIEDERMEYER For property located at: 18 GLEN LAKE Rd 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 Value Owner Address: MICHELE KIRCHNER Residential Alteration&Additior $30,000.00 18 GLEN LAKE Rd Total Value LAKE GEORGE,NY 12845 $30,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2015-301 Area Variance required - August 2015 ZBA mtg Residential Alt/Add 315 s.f. to fit existing foundation(note: removing existing porch area in order to construct additional living space). $0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 14, 2016 (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 Tow of Q ensb ;441:1 , eptember 14,2015 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Office Use Only JuneDate: June 3O,,V5 Tax Map ID Permit No. 2.01 i Tax Map ID caO -1-17 Permit Fee / fr h Zone Rec Fee Historic Site Yes ✓ No Site Plan# Subdivision Name Lot# Subdivision# TOWN BD. RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS - SINGLE FAMILY, DUPLEXES/TWO-FAMILY, MULTIPLE FAMILY, APARTMENTS, CONDOMINIMUMS, TOWNHOUSES,AND/OR MANUFACTURED&MODULAR HOMES,BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE. Applicant r dd 0 N i 13. / ff �/ Owner Same a5 awl'can+ Address tin i,l, �/ Address qle LAU Corqe, to/ axis Phone/E-mail 510 31.01 N 13 Phone/E-mail neheleus onto .Con' J Contact Person for Building&Codes Compl nce: Phone TYPE OF CONSTRUCTION ✓Check all that apply New A:' •I Alteration 1St floor sf 2'floor sf Total sf Height Single Familyl i (4) / 4r 315 s-F '� Two-Family l yl T� �r Q.�,/ �� L orv-49 Multi-Family (3isr �(#of units ) t7 72).e.eK Townhouse Business Office 1(6)l Retail -Mercantile eXics4-;Iry lu,c L 4A-7(6)-id( / (1; Factory Industrial Attached Garage (1, 2, 3, 4+) Other Town of Queensbury Building&Codes Principal Structure Application Revised September 2014 ` • it If commercial or industrial please indicate of business Proposed use of building or addition Source of Heat(circle one) Gas Oi Propane Solar Other Fireplace: Complete a separate application for Fuel Burning n Glll:�US� Appliances&Chimneys Are there structures not shown on plot plan? NO Are there easements on the property? Site Information a. Dimensions or acreage of lot , L) aces b. Is this a corner lot? N 0 c. Will the grade be changed as a result of construction Yes / No d. Public water or Private well I C V1/416L ,4cr e. Sewer or Private Septic System Ya-e, Sepri Value of all work to be performed(labor or materials) $ Gi 6)6 "�" 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: PRINT NAME:Michele,b. N cterm DATE:jury c 00/5 SIGNATURE: ^0 it DATE: JOr° 34 o�O6 ' 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 2014 REScheck Software Version 4.6.2 0 Compliance Certificate FILE COPY gia' ©. -4-------1Project Neidermeyer Addition Energy Code: 2010 New York Energy ConservationJUS. 15ZOi Location: Warren County, New York Construction Type: Single-family TOWN �'UENSBURY Project Type: Addition BUILDING& CODES Climate Zone: 6 (7635 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Glen Lake Road Michele Neidermeyer AK Hayes Ill Queensbury, NY 12804 Glen Lake Road Northern Design &Building Assoc. Queensbury, NY 12804 Ltd. PO Box 47 Hudson Falls, NY 12839 518.747.2200 info@northerndesign.com Compliance. Passes using UA trade-off Compliance: 3.2%Better Than Code Maximum UA: 126 Your UA: 122 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 Gross Area Cavity Cont. Assembly or R-Value R-Value U-Factor UA Perimeter Ceiling 1: Flat Ceiling or Scissor Truss 420 38.0 0.0 0.030 13 Ceiling 2: Cathedral Ceiling 383 38.0 0.0 0.027 10 Wall 1: Wood Frame, 16" o.c. 726 21.0 0.0 0.057 34 Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 95 0.310 29 Door 1: Glass 40 0.310 12 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 719 30.0 0.0 0.033 24 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 Versio 4.6.2 a d to comply with the mandatory requirements listed in the REScheck Inspection Checklist. ' ' AK Hayes III ; .Ii 2�/ r•- -' 4-.',� . _—'16- °°•-• ��g/�cj Name-Title S 'nature ''y- D e 4 O � A 2 :A. teR .-`rJ: W N C?2 IF w ll • • -675 (� 4.1lisi,66N\-f Project Title: Neidermeyer Addition , f, 1 lI eport date: 07/09/15 Data filename: C:\Users\AK\Desktop\Neidermeyer\Michele Neidermeyer.rck Page 1 of 6 REScheck Software VersionChecklist 4.6.2 ci. 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 # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions & Req.ID 103.2 Construction drawings and 4; !,, ,' , ❑Complies [PR1]1 documentation sufficiently ) ] f; ❑Does Not demonstrates energy code ' '''''!0,1,01 � �dio,` ;compliance for the building i ,,q: DNot Observable ;envelope. !„ °0x ❑Not Applicable ory103.2, ;Construction drawings and g � ' 41 ���� rule y❑Complies 403.7 (documentation sufficiently fin, E� 'j❑Does Not [PR3]1 demonstrates energy code �� ; ' (-,0, �p! `, '❑Not Observable � , compliance for lighting and i 11:" !IIF', mechanical systems.Systems 1tlV -44<1; 1.!:;" _ ❑Not Applicable serving multiple dwelling unitsmt, tr: s must demonstrate compliance ,, 1 ' =with the commercial code. �;; , .r 10,0; A 403.6 Heating and cooling equipment is; Heating: : Heating: ❑Complies [PR2]2 'sized per ACCA Manual S based Btu/hr E Btu/hr }❑Does Not on loads per ACOA Manual J or : Cooling: Cooling: ;other approved methods. Btu/hr Btu/hr ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact (Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Neidermeyer Addition Report date: 07/09/15 Data filename: C:\Users\AK\Desktop\Neidermeyer\Michele Neidermeyer.rck Page 2 of 6 Section Foundation Inspection Complies? Comments/Assumptions & Req.ID 303.2.1 Exposed foundation insulation ❑Complies [FO11]2 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 High Impact (Tier 1) 2 Medium Impact (Tier 2) 3 Low Impact (Tier 3) Project Title: Neidermeyer Addition Report date: 07/09/15 Data filename: C:\Users\AK\Desktop\Neidermeyer\Michele Neidermeyer.rck Page 3 of 6 Section Plans Verified Field Verified # Framing/ Rough-In Inspection ValueValue Complies? Comments/Assumptions & Req.ID 402.4.4 :Fenestration that is not site built ❑Complies [FR20]1 is listed and labeled as meeting ❑Does Not AAMA/WDMA/CSA 101/I.S.2/A440 ENot Observable or has infiltration rates per NFRC 400 that do not exceed code ENot Applicable limits. 402.4.5 IC-rated recessed lighting fixtures ❑Complies [FR16]z sealed at housing/interior finish ❑Does Not and labeled to indicate&It;= 2.0 cfm leakage at 75 Pa. ❑Not Observable ❑Not Applicable 403.2.2 All joints and seams of air ducts, ❑Complies [FR13]1 air handlers,filter boxes, and ❑Does Not building cavities used as return ;ducts are sealed. ENot Observable ENot Applicable 403.2.3 Building cavities are not used as ❑Complies [FR15]3 ducts or plenums. ❑Does Not ['Not Observable ENot Applicable 403.3 HVAC piping conveying fluids R- R- ❑Complies [FR17]2 above 105 °F or chilled fluids ❑Does Not below 55 °F are insulated to R-3. [Not Observable ❑Not Applicable 403.4 Circulating service hot water R- R- ❑Complies [FR18]2 pipes are insulated to R-2. ❑Does Not ENot Observable 'ENot Applicable 403.5 Automatic or gravity dampers are ❑Complies [FR19]z installed on all outdoor air ❑Does Not intakes and exhausts. ENot Observable ENot Applicable Additional Comments/Assumptions: 1 High Impact (Tier 1) 2 Medium Impact (Tier 2) 3 Low Impact(Tier 3) Project Title: Neidermeyer Addition Report date: 07/09/15 Data filename: C:\Users\AK\Desktop\Neidermeyer\Michele Neidermeyer.rck Page 4 of 6 Section Insulation Inspection Complies? Comments/Assumptions & Req.ID 303.1 All installed insulation labeled or ❑Complies [IN13}2 installed R-values provided. ❑Does Not ENot Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact (Tier 1) 2 ?Medium Impact (Tier 2) 3 Low Impact (Tier 3) Project Title: Neidermeyer Addition Report date: 07/09/15 Data filename: C:\Users\AK\Desktop\Neidermeyer\Michele Neidermeyer.rck Page 5 of 6 Section Plans Verified Field 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 [F117]1 of&It;7 ACH at 50 Pa.This requirement may instead be met E❑Not Observable 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 'EComplies [F14)1 construction with maximum EDoes Not leakage of 8 cfm to outdoors, or 12 cfm across systems. For ['Not Observable 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 EComplies [FI9]2 installed on forced air furnaces. EDoes Not ENot Observable ❑Not Applicable 403.1.2 Heat pump thermostat installed EComplies [FI10]2 on heat pumps. EDoes Not ❑Not Observable ❑Not Applicable 403.4 Circulating service hot water ❑Complies [FI11]2 systems have automatic or EDoes Not accessible manual controls. [Not Observable ❑Not Applicable 401.3 Compliance certificate posted. EComplies [F17]2 EDoes Not ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for EComplies [F118]3 mechanical and water heating EDoes Not equipment have been provided. ❑Not Observable 3 ❑Not Applicable Additional Comments/Assumptions: 1 High Impact (Tier 1) 2 Medium Impact (Tier 2) 3 Low Impact (Tier 3) Project Title: Neidermeyer Addition Report date: 07/09/15 Data filename: C:\Users\AK\Desktop\Neidermeyer\Michele Neidermeyer.rck Page 6 of 6 1;4 2010 New York Energy Conservation Construction Code Energy Efficiency Certificate Insulation Rating R-Value Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.31 Door 0.31 Heating&Cooling Equipment Efficiency Heating System: Cooling System: Water Heater: Name: Date: Comments