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RC-000218-2016 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: RC-000218-2016 Date Issued: Monday, May 22,2017 This is to certify that work requested to be done as shown by Permit Number RC-000218-2016 has been completed. Tax Map Number: 309.15-1-44.1 Location: 218 FIFTH ST Owner: Lin Lizhong Applicant: Lin Lizhong This structure may be occupied as a: 680 sq. ft.Residential Addition over existing garage. By Order of Town Board (remove existing roof over garage and construct 2 bedroom addition). TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the j 4 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 QI EEN SB U Y G 742 (Jay Road,Queensbury,NY 12804-5904 (518)761-8201 9 Community Development - Building& Codes (51..8) 761-8256 I,y BUILDING PERMIT Permit Number: RC-000218-2016 Tax Map No: 309.15-1-44.1 Permission is hereby granted to: .JEFFREY INCL E For property located at: 218 FIFTH 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 jype of!Construction Owner Name: Lin Lizbong Single Family-Addition $75,000.00 Owner Address: 218 Fifth Street EXT Total Value $75,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency JEFFREY II*lol.,EE 8 Inglee Mountain RIS (Queensbury,NY 12804 Plans& Specirications 680 sq. ft. Residential Addition over existing garage. (remove existing roof over garage and construct 2 bedroom addition). $ 136.00 PERMIT FEE PAIR -THIS PERMIT EXPIRES: Sunday, April 23, 2417 (lfa longer period is required,an application for an extension must be made to the code Enforcement officer of the Town of 7ee,rsbury before he expiration date.) Dated at the To of Chu asbu. 7 r Aril 28, 2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Office Use Only Received Date: Tax Map ID Permit No. pr Tax Map ID Permit Fe tf%711� 'aevn is Zone Rec Fee Historic Site Yes No Site Plan 4 Subdivision Name '411 Lot 4 Subdivision# Project Location 6 f.-/4 5' 1"e TOWNBI). RESOLUTION 86-2013: $850 recreation fee for new dwelling unit; n Ie fA(oy,,Id(0)1 f MfIt w y, multiple family,apartments, condominiums,townhouses,and/or manufactum odular homes, but no bie homes. This is in addition to the permit fee(s). "730E.E,L IT 11", 1111,f)I p',,J G& C 0D Applicant _7 Owner Z"^l Address Address Phone/E-mail IZ, Phone/E-mail Contact Person for Building&Codes Compliance: 5',(? Phone TYPE OF CONSTRUCTION ,/Check all that apply New Addition Alteration I`floor sf 2 n,floor sf Total sf Height Single Family Two-Family Multi-Family of units Townhouse Business Office Retail-Mercantile Factory-Industrial 309.15-1-44.1 RC 218-20116 Whong Lin (Jeff Iniglee) Attached Garage 218 (Fifth Street Extension 41, 2, 3, 4+) residential addition 2nd story 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) Gas Oil Propane Solar Other Fireplace: Complete a separate application for Fuel Burning Appliances&Chimneys Are there structures not shown on plot plan? �v Are there easements on the property? io Site Information a. Dimensions or acreage of lot b. Is this a corner lot? 01/10 c. Will the grade be changed as a result of construction Yes No d. Public water or Private well ,, w G✓r// e. Sewer or Private Septic System Value of all work to be petformed(labor or materials) $ DECLARATION.- 1. ECLARATION: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: Y ,��r-G l,L. if 4 eA DATE: SIGNATURE: _ ., � ,,�(.l t G j.��• 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 REScheck Software Version 4.6.2 w. Compliance Certlof nicate Project JEFF INGLEE Energy Code: 2010 New York Energy Conservation Location: Warren County, New York Construction Type: Single-family Project Type: Addition Climate Zone: 6 (7635 HOD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: QUEENSBUIRY, NY 12804 compliance: 4.29" Better Than Code Maximum UA: 95 Your UA: 91 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. EnvelopeAssemblies Gross Area ont Assembly or ;.avity C . U-Factor UA 11-Vallue R-Value erimeter Ceiling 1: Raised or Energy Truss 689 38.0 0.0 0M5 17 Wall 1:Wood Frame, 16" o.c. 747 21.0 0.0 0.057 38 Window 1: Wood Frame:Double Pane with Low-E 72 0.300 22 Floor 1.All Wood j olst/Truss:Over Unconditioned Space 429 30.0 0.0 0.0133 14 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 Version 4.6.2,arid;'66- reply with the mandatory requirements listed in the REScheck Inspection Checklist, G. MER JENSFN Name-Title �Igngure r I)ate 17 WEST ROAD SOUTH GLENS FAM 117, A1kJkt,6 A Re 'NEW YORK 1128f,11111 181)798-888 W J- Project Title:JEFF IN LEE Report date: 04/09/16 Data filename: Untitled.rck Page lof 6 2010 New Yak Energy C o nv ConstrUCtmMI"I Code duu 11LA' � 8 2 lani Wc T o IIS 111111" � ��� � m � Above-Grade Wall 21.00 Below-Grade wall 0.00 Floor 30.00, Ceiling / hoof 38.00 Ductwork (unconditioned spaces): !Window 01.30 Door IMMUMNIMMOMMIMEMEM !Heating System: Cooling System: Abater Heater. Name: Date: Comments 309.15-1-44.11 RC 218-20,16 Li,zhong Lin (Jeff Ingiee) 218 Fifth Street Extension residential addition 2nd story 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 [FI17]1 of&lt;7 ACH at 50 Pa.This ONot 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- cfm cfm ❑Complies [F1411 construction with maximum ❑Does 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 ❑Complies [Fl9]2 installed on forced air furnaces. ❑Does Not 9 ❑Not Observable ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies [FI10]2 on heat pumps. ❑Does Not , ❑Not Observable ❑Not Applicable 403.4 Circulating service hot water ❑Complies [F111]2 systems have automatic or ❑Does Not J accessible manual controls. []Not Observable ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies [FI712 ❑Does Not J []Not Observable ❑Not Applicable 303.3 Manufacturer manuals for ❑Complies [FI18]3 mechanical and water heating ❑Does Not 01 equipment have been provided. []Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 lHigh Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title:JEFF INGLEE Report date: 04/09/16 Data filename: Untitied.rck Page 6 of 6 Section, # r insulation Inspection Complies? Comments/Assumptions &Re .ID 303.1 All installed Insulation labeled or ❑Complies [IN13]2 installed R-values provided. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 11 High Impact Merl) 2 1 Medium impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title:JEFF INGLEE Report date: 04/09/16 Data filename: Untitled.rck Page 5 of 6 Section' Pians Verified Field Verified R # Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions & .ID 402.4.4 Fenestration that is not site built DComplies [FR20]1 Is listed and labeled as meeting DDoes Not AAMA/WDMAICSA 101/I.S.2/A440 []Not Observable or has infiltration rates per NFRC 400 that do not exceed code DNot Applicable limits. 402.4.5 IC-rated recessed lighting fixtures DComplies [FR16]2 sealed at housing/interior finish DDoes Not and labeled to indicate&It;=2.0 []Not Observable cfm leakage at 75 Pa. DNot Applicable 403.2.2 All joints and seams of air ducts, DComplies [FR13]1 air handlers,filter boxes,and DDoes Not building cavities used as return ducts are sealed. []Not Observable DNot Applicable 403.2.3 Building cavities are not used as DComplies [FR15]3 ducts or plenums. DDoes Not 4, []Not Observable DNot Applicable 403.3 HVAC piping conveying fluids R- R- DComplies [FR17]2 above 105 OF or chilled fluids DDoes Not below 55 4F are insulated to R-3. ❑Not Observable DNot Applicable 403.4 Circulating service hot water R- R- DComplies [FR18]2 pipes are Insulated to R-2. DDoes Not 144; []Not Observable DNot Applicable 403.5 Automatic or gravity dampers are DComplies [FR19]2 installed on all outdoor air DDoes Not intakes and exhausts. Mot Observable DNot Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title:JEFF INGLEE Report date: 04/09/16 Data filename: Untitled.rck Page 4 of 6 Section # Foundation inspection Complies? Comments/Assumptions &Re .ID 303.2.1 Exposed foundation insulation OComplies [17011]2 protection. ODoes Not J ONot Observable ONot Applicable 403.8 Snow melt controls. OComplies IF012]2 []Does Not []Not Observable []Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 1 Medium impact(Tier 2) 3 Low Impact(Tier 3) Project Title:JEFF INGLEE Report date: 04/09/16 Data filename: Untitled.rck Page 3 of 6 '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 # Pre-inspection/Plan Review Value Value Complies? Comments/Assumptions &Re .ID 103.2 Construction drawings and ❑Complies [PR111 documentation sufficiently ❑Does Not V) demonstrates energy code compliance for the building ❑Not Observable envelope. ❑Not Applicable 103.2, Construction drawings and [ Complies 403.7 documentation sufficiently ❑Does Not [PR3]' demonstrates energy code compliance for lighting and ❑Not Observable mechanical systems.Systems ❑Not Applicable 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 ACCA Manual S based Btu/hr Btu/hr ❑Does Not on loads per ACCA Manual J or Cooling_ Cooling ❑Not Observable other approved methods. Btu/hrBtu/hr ❑Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title:JEFF INGLEE Report date: 04/09/16 Data filename: Untitled.rck Page 2 of 6 I _J N83°21 '5811 E 49.48' 'r ' TENSION TREET 314" IPF 3/4" Iris ... c�RS o LANDS NIF OF F11 9 11 a��° I I QTIMOTHY DAKEN Lu 3320/108 i I cD - � Q u-.�Z u- WQ i U- --1 LL 0 O,0N �C� N CID - -co u wo Z0 � zz `' � © CIA U- Z �C\l o I � __ Z © � (nom N ,' 60 ZZ—' Q co-o I °°c�°� p� � C) Co ¢w LANDSN/FOE LANDS N/F OF z¢ a M � Z Z`r � `'o ¢ RANDY&AMY McCANE _ LANDS N/F OF LANDS N/F OF ! co (D „ I Q _ +z 1208/182 KATHLEEN BRIGGS TODD &JACKIE TIMMS o o z u -� Q MICHAEL & VERONICA i 874/172 Z t CHASE 915/47 ¢ > ` rr 1256/237 I a LU I/2" IRF I O LL �. \ S ° 0Q 0 2\� „�e� ti� 67 2 ° �1 '36 „.. w 2 Ng.2 ' S2"E LANDS N/F OF 0 2 P1$3 `s Ss,�F !� IPF 41 26 �1- 5 1� CARRIE JAVA 51 E1 7 .01 I I t 1448/208 112" IRF- N8202.3 �\ v,C 129.74 I F� - �r8 ` LANDS N/F OF r� wss 1 �' WALTER BOHLMAN AREA 1273/329 }"; _9 104,891 SQ. FT. 2,41 ACRES AIF IN CONC. - -- WSS r v � .• �0�� Of t CORNER .21 .� Q c- ��Il �l SIl11j r'. k 1 - : • — , . - _... t<'- ]ON�iOI0 H1 G- j17 h s. a . 1 {/ d�Aidrl I ✓L.. � G� °N "LANDS N/F OF JOHN&MICHELLE'LOGAN I`�J`I�.l.11 l�������1 � i •�o C'f�'�� c� .; ... � � 1102/93, �{ IV 4? WSS 8 WSS ;F LANDS N/FF ° DEED REFERENCE: 3 PETER BISHOP .: 4958/283CP JAMES R. AIKEN - DAVID BISH . HEATHER E. SORENSEN AIKEN D r' TO I ,- 7i LIZHONG LIN BIFANG CHEN ! APR I $ 2016 � W55 LANDS N/F of , wss WILLIAM TWIST DATED:MARCH 29, 2013 l� `_ 1 ?079/270 's BOOK 4723 PAGE 93 TOWN OF QUEENSBOy ' �4.9jeT `� - BUILrn1Njr&CODES s� �Q LEGEND: `�� Wss c1' MAP REFERENCES: i 0 IPF= IRON PIPE FOUND =_ MAP OF A SURVEY MADE FOR 0 IRF= IRON ROD FOUND - VILNIS NEILANDS I '0 CIRF= CAPPED IRON ROD FOUND DATED:AUGUST 31, 1994 QRs ® _ J 0 AIF- D LAST REVISED: SEPTEMBER 18, 1996 C/RS — CAPPED RON ROD SET/TO BE SET �•0� , El WSS= WOOD STAKE SET BY: VAN DUSEN& STEVES � � = UTILITYPOLE LANDS N/F OF' MAP OF A SURVEY MADE FOR CHAIN LINK FENCE R '` CLANDS N OF' JAMES R. AIKEN& - ,\ 1079/283 HEATHER E. SORENSEN-AIKEN NOTE: DATED: DECEMBER 11, 2003 BY: VAN DUSEN& STEVES NOT ALL IMPROVEMEP TS SHOWN AT THE TIME OF THE SURVEY. i N. ` Du sUPL.UTnORI'ED ALTERATION CRADDITICN TOASIiR'!EY � e• •• - 5, 201 5 • • ,. . - ' . O t • June 1 Scale o MAFE3CAR1NGAtICCNSCDWiDFAJLVEYCR.55EPL15A �- - Map of a Survey made for. •- & I New luKr,5TATE EDUCATION MV.' ue -ves 'ONLY COPIES FROM THE Of THE LOr Till5U V.RVEF ®� ` - - MAR2'.ED WITH AN OR1GIr1AL CE THE LAND SURV ErgFS ®� SEAL SMAll BE CGN5IDEFSD,TO BE VALID TRUE COPIE5.' - 1 'CERTIFICV ON5 INDICATED HEPYON SIGNIFY THAT - - - TN15 SURVEY E OF PREPARED IN f.AND 5MCEYOK TNC - �y /a /y ' 1 EX113Y THE CODE Or PRAL}1C_FORATIO SURVEYORS ADOPTCD ,e`.-J�/ -1¢ _ a(�,/'- - 1 - 7® r s 13Y THE RVIPORI.STATEASSOCIATIONOPPL-1?SNIGML I - - TO T E FEFE N F SAID CERTIEI CATIONS 5 W_RIND.M 169 Haviland Road Queensbury, New York 12804 AGENCYANI ENDINGI5T'TUnIONJ5ED fON,AND`D Town of Queensbury, Warren County, New York COP,IPANY,GOVERNMENTAL SHEET I OF 1 !25 Of 1 6/25/15 CORNERS/LINES MARKED " ON HIS BEHALF TO TnE TITLI} (ENDING U:STITUTION.• - Lin C2939 „ w York li 135 DESCRIPTION . 94126-Lin(15 0547 ......... ,. ,. 5® ...... ., .. ,. DWG NO (518} 792 8474 New . LO9.15-1-44.1 RC 218-2016 ' TAX PARCEL: 309.15-1-44.1 hong Lin (Jeff Inglee) 218 Fifth Street Extension ° residential addition 2nd story s