RC-000250-2016 TOWN OF QUEENSBURY
low 742
Bay Road,Queensbury,NY 12804.5904 (518)761-8201
munity Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-000250-2016 Date Issued: Friday, October 21,2016
This is to certify that work requested to be done as shown by Permit Number RC-000250-2016
has been completed.
Tax Map Number: 301.12-I-21
Location: 22 HELEN DR
Owner: Leigh Kenyon,JASON KENYON
Applicant: JASON KENYON
This structure may be occupied as a:Residential Addition: 576 s.f.to SFD,96
s.£.to existing garage;plus gas fireplace By Order of Town Board
Evergreen Subdivision, Section 3 (SB 12-73) TOWN
^OF QUEENSSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, ttt�"///GGG��+✓����
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.
I.OWN. OF QUEENSBURY
f
742'Baty Road,QUeenshury„'PAY 12804-5904 (5115)761-52611
Community Development - Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: R.C-000250-2016
'fax Map No: 3611.12-1-21
Permission is hereby granted to. Viele Contracting
For propcaly located at: 22 111 1.,EN DR
In theTown ofQueensbury,to construct or place at the above location in accordance with application together
ther
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 Nanne: JASON KENYON Single Family-Addition S120,61oo.t 0
Owner address: 22 Helen DIZ Total Value $12o,t10,61.t1'0
Queensbury,NY 12804
Contractor or Builder's Nature/address Electrical Inspection agency
Vicie Contracting
1 1 Igoe Run
Gaansevoort,NY 121131
Plans&Specifications
Residential addition: 576 s.f.to SFD,96 s.f.to existing garage
Evergreen Subdivision.,Section 3 (SB 12-73)
$165.20 I'1l1WIT FI^;E,PAID-THIS PERMITEXPIRES:XPIRES: Friday,April 28,2017
(1fza longer period is required,an application for an extension must be made to the code Enforcement Officer
of the°'fowr of Queensbury before the expiration date.)
Dated at the Town of ry; "uesd' Ml 6
SIGNED BY: tear the Town of ueensbaary.
Director of Building,&Code Enforcement
PRINCIPAL STRUCTURE APPLICATIONOffice Use Only
Date: Permit leo.
Tax lwlaP,ll Permit Fee ` - ,, nS °7
Zone Historic? Yes No Roc Fee
.� �...
Subdivision Name I of# Site PlanSubdivision
Project Location
TOWN BU.ti'CSOLUTtC?N 8 -2+1;11- $850 recreation fee for new dwelling units single family,duplexes/two-family, multiple family,
apartments,condominiums,townhouses,and/or manufactured tic mioduilar homes,but not mobile homes. This is in addition to the
permit feels).
Primary Owner s)
Address
k40e_
Phone/Email Le ck ii 57iF 3�2,9-/')40 Zcj'nq�c'
Applicant ��« � �� h �� �
V�br�a �
Address
Helt,, Or APR y
Phone/Email ,*
+Cniraetw i�i..IfQiP�wfk�� E1`3s °y
�iiia, �„ ��, u � !`�"K`�L7"l �i✓� �� � m�
Address PJY
Phone/Email
Contact.Person for Building& Codes Compliance- Phone
TYPE OF CONSTRUCTION
VCu'heek all that apply New Addition Alteration l sa floor sf 2nd floor sf Total sf Height
Single Family4r Y
Two-Family
Multi-Family ._...._._____._.
(#of units .....
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garagetl �
Cather
Town of Queensbury Building&Codes Principal Structure Application revised January 2016
If commercial or industrial please indicate name of business
Proposed use of building or addition
Source of Heat(circle one) Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances&Chimneys
Are there structures not shown on plot plan?
Are there easements on the property?
Site Information:
a. Dimensions or acreage of lot
b. Is this a corner lot? Yes �_No
c. Will the grade be changed as a result of construction X No
d. Public water or Private well(circle one) Public Private
e. Sewer or Private Septic System(circle one) Sewer Private
Value of all work to be performed(labor or materials) $AARIMMM /20,0oo
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: e#4b J d Ie. DATE: 5/'
SIGNATURE: Z-� DATE:
For office use only
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
Towyn of Queensbury Building&Codes Principal Structure Application Revised January 2016
Fuel Burning Appliance & Chimney Application Office Use Only
Received
DATE: at2�_6
I_�r Tax Map ID
TAX MAP ID: 36 f , [L[
Permit No. /kG dSZr-j0 f L_
Permit Fee SZ�
ZONE:
OWNER r IPf� PHONE/E-MAIL. C S^
ADDRESS +
INSTALLER/ r PHONE/E-MAIL b e l t 6 �rac brj
BUILDER , f I f1 t C i r �S 5-c $3
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: /tr
PHONE/E-MAIL ` S 5_-C S Z -7 BUILDING ADDRESS d) /-le lei-; Dry vcf G 6Z'
ROOM OF INSTALL: i�e C2,,, PLANNED INSTALL DATE:
FUEL BURNING APPLIANCE INFORMATION WOOD COAL PELLET GAS OIL NOTE: ROUGH-IN&
S'T'OVE FINAL INSPECTION ARE
FIREPLACE INSERT X REQUIRED.
FIREPLACE,FACTORY BUILT` NOTE:
MANUFACTURER'S
FIREPLACE,MASONRY
INSTALLATION MANUAL
FURNACE(GARAGE ONLY
MUST BE AVAILABLE AT
TIME OF INSPECTION
*If factory built provide manufacturer name: Madel #:
Listed by: Number:
CHIMNEY INFORMATION
Masonry** (Check one) BLOCK BRICK STONE
Flue TIE STEEL Size in inches
Material LK- DOUBLE WALL TRIPLE WALL INSULATED
** If non-masonry provide manufacturer name: C_ ; Model #:
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 inspector's to enter premises
to perform required inspections.
I HAVE READ AND AGREE TO THE ABOVE:
PRINTNAME: DATE: S~
SIGNATURE: DATE:
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
REScheck o ea is Version
Compliance Certificate
1 QT1 1 4—:L
0
Project SAKE & LEIGH KENYON
Energy Code: 2010 New York Energy Conservation ��
Waurr+en County, ' � ,r t,1 � LL
Location: Neuwr York � � � �� / � � � C17
Construction Type: Single-family
Project Type: Alteration . APR #
Climate Zone: 6 (76"35 HDD) ;a
Permit gate:
I" � �� IPw I�u " ''" C
Permit Number: . "
,w V( iii )DES
CV
Construction Site: Owner/Agent:
Designer/Contractor:
esiga�o ntracto.,.r
22 Hohn Drive Jake Leigh Kenyon e sen
Queensbury, NY 12804 2 2Helen Drive 17 West Road
Queensbury, NY 12'804 South Glens Falls, NY 12803 N
(518) 798-3859
)'' ��aw✓ /ice hJ a !m �iG! y,,;, ✓ r r c !1 ,,, r / / r f�':el J Ipi, G'z �
Compliance: 5.8,4 Better Than Cade M 9ximurn UA: 86 Your UA: 81
The 1".getter 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..
Enyelope Assemblies
mom=
Ceiling 1; Flat Ceiling or Scissor Truss 576 38.0 0.0 0.030 1.7
Wall 1:Wood Frame, 16" ox, 576 21.0 0.0 0.057 29
Window 1:Wood Frame:Double Pane with Low-E 46 0.300 1.4
Door 1: Glass 20 0.300 6
Floor 1:,411-Wood JoistlTTruss:Over UnconditionedSpace 576 38.0 0.0 0.026 15
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 4,6.1 and to tornply.with the mandatory requirements listed in
the REScheck Inspection Checklist.
JENSES' nates
Name Title irw t w, . c 116..»
17 Q"U"EST IAD' "� Date
SOUTH GLENS FAL l.A
Project Notes: NEW"YORK 128 °
Renovation of (518)798-3859
Single Family Residence �
Or NO�
Project Title:JAKE& LEIGH KENYON Report date: 03/29/16
Data filename: C:`aUsersNPeter Documents`wREScheck\Kenyon.rck Pagel of 6
REScheck Software Version 4.6.1
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
&Re .ID value Value Complies? Comments/Assumptions
103.2 Construction drawings and []Complies
(PRl)l documentation sufficiently ❑Does Not
t`
demonstrates energy code
compliance for the building ❑Not Observable
envelope. ❑Not Applicable
103.2, Construction drawings and ❑Complies
403.7 documentation sufficiently ❑Does Not
IPR311 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)or Cooling: Cooling: ❑Not Observable
other approved methods. Btu/hr Btu/hr
[]Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title:JAKE& LEIGH KENYON Report date: 0329116
Data filename: C:\Users\Peter\Documents\REScheck\Kenyon.rck Page 2 of 6
2010 New
York Foundation Inspection Complies? Comments/Assumptions
-York
303.2.1 Exposed foundation insulation ❑Complies
IF01112 protection. ❑Does Not
❑Not Observable
❑Not Applicable
403.8 Snow melt controls. []Complies
[FO12]2 ❑Does Not
J
Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact Crier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title:JAKE&LEIGH KENYON Report date: 03/29/16
Data filename: C:\Users\Peter\Documents\REScheck\Kenyon.rck Page 3 of 6
Section Plans Verified Field Verified
# Framing/Rough-in Inspection Value Value Complies? Comments/Assumptions
402.4.4 Fenestration that is not site built OComplies
[FR20]1 is listed and labeled as meeting ODoes Not
AAMA/WDMA/CSA 101/1.S.2/A440
or has infiltration rates per NFRC ONot Observable
400 that do not exceed code ONot Applicable
limits.
402.4.5 IC-rated recessed lighting fixtures OComplies
[FR16]2 sealed at housingrnterior finish ODoes Not
and labeled to indicate&It;=2.0
cfm leakage at 75 Pa. ONot Observable
ONot Applicable
403.2.2 All joints and seams of air ducts, OComplies
[FR13]1 air handlers,filter boxes,and ❑Does Not
building cavities used as return
ducts are sealed. ❑Not Observable
ONot Applicable
403.2.3 Building cavities are not used as ❑complies
[FR15]3 ducts or plenums. ODoes Not
ONot Observable
❑Not Applicable
403.3 HVAC piping conveying fluids R- R- OComplies
[FR17]2 above 105 OF or chilled fluids ODoes Not
below 55 OF are insulated to R-3.
ONot Observable
J
ONot Applicable
403.4 Circulating service hot water R- R- OComplies
[FR18]2 pipes are insulated to R-2. ODoes Not
ONot Observable
ONot Applicable
403.5 Automatic or gravity dampers are ❑Complies
[FR19]2 installed on all outdoor air ODoes Not
intakes and exhausts. ONot Observable
ONot Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title:JAKE&LEIGH KENYON Report date: 03/29/16
Data filename: C:1Users\Peter\Documents\REScheck\Kenyon.rck Page 4 of 6
2010 New
York Insulation Inspection Complies? Comments/Assumptions
Energy 1 _
303.1 All installed insulation labeled or OComplies
[IN13]2 Installed R-values provided. ODoes Not
ONot Observable
ONot Applicable
Additional Comments/Assumptions:
11 High Impact{Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact{Tier 3)
Project Title:JAKE&LEIGH KENYON Report date: 03129/16
Data filename: C:\Users\Peter\Documents\REScheck\Kenyon.rck Page 5 of 6
e ,
Section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
&Re .ID
402.4.2, Building envelope tightness ACH 50= AGN 50= ❑Complies
402.4.2.1 verified by blower door test result ❑Does Not
[FI17]1 of&It;7 ACH at 50 Pa.This
requirement may instead be met []Not Observable
via visual inspection,in which ONot 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 ONot Applicable
need to occur during Framing
Inspection,with maximum
leakage of fi cfm across systems
and 4 cfm without air handler.
403.1.1 Programmable thermostats ❑Complies
[F19]2 installed on forced air furnaces. ❑Does Not
❑Not Observable
❑Not Applicable
403.1.2 Heat pump thermostat installed ❑Complies
[F110]2 on heat pumps. ❑Does Not
Y' ❑Not Observable
ONot Applicable
403.4 Circulating service hot water ❑Complies
[Flll]2 systems have automatic or ❑Does Not
s accessible manual controls. ONot Observable
❑Not Applicable
401.3 Compliance certificate posted. OComplies
[F1712 ❑Does Not
ONot Observable
ONot Applicable
303.3 Manufacturer manuals for ❑Complies
[FI18]3 mechanical and water heating ❑Does Not
equipment have been provided. ❑Not Observable
ONot Applicable
Additional Comments/Assumptions:
111 High Impact(Tier 1) 2 Medium Impact{Tier 2) 3 1 Low Impact{Tier 3}
Project Title:JAKE&LEIGH KENYON Report date: 03129/16
Data filename: C:\Users\Peter\Documents\REScheck\Kenyon.rck Page 6 of 6
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