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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 WINDOW SCHEDULE Project: JAKE �LEJC=A; 1,,CNYOtea' Plan: jca�f / Mark Type Call number Area Egress Remarks Glass Vent Area Size A :Dy TW38+to4��/gx t 33 "'6 _71cmift"KI T, fit-{ TW 3v:32 f3'� , ;., 3•$2 1&Y+ , �,. ��� �`�'�� '- ,c L^'"'�� s•t�..tP'► as�� 3�?j�J� Q d Ri S 3 7 �ld� Df1D YB� � 7X77 �KYPJfW J + i �h v u yV Zg5EI rl al ocl ool aL) ! 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