RC-000321-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-000321-2016 Date Issued: Tuesday, November 8, 2016
This is to certify that work requested to be done as shown by Permit Number RC-000321-2016
has been completed.
Tax Map Number: 301.17-3-55
Location: 37 CAITLIN DR
Owner: Kelaco,LLC
Applicant: Collette Construction Inc.
This structure may be occupied as a: Single-Family Dwelling 2400 s.f.
Pointe West Subdivision,Lot 8 By Order of Town Board
2-car attached garage 580 sq. ft. TOWN OF QUEENSBURY
1-gas fireplace
Issuance of this Certificate of Occupancy DOES NOT relieve the
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 QUEENSBURY
742 Bay Road, Queensbury,NY 12804-5904 (5 18)761-8201
Community Development - Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: RC-000321-2016
Tax Map No: 301.17-3-55
Permission is hereby granted to: Collette Construction Inc.
For property located at: 37 CAITLIN DR
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
Owner Name: Kelaco, LLC Single Family-New $340,000.00
Owner Address: 35 Front ST Total Value $340,000.00
Lake George,NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
Collette Construction Inc.
38 Collette LN
Hudson Falls,NY 12839
Plans&Specifications
Single-Family Dwelling 2400 s.f.
Pointe West Subdivision, Lot 8
2-car attached garage 580 sq. ft.
1- as fireplace
$ 1,467.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, May 27, 2017
(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 Towno ween ury; f/� AVede d 1,2016
SIGNED BY: ' 4 for the Town of Queensbury.
Director of Building&Code Enforcement
Date: � _�_- L Permit No.
x
Tax Map ID :�n - t� > J � Permit Fee
Zone Historic? _Yes lNo Rec Fee i�
Subdivision Name
Lot# Site Plan#
�,�;:�7ti �'t,;,-�•�' �--- Subdivision#
Project Location 4,1- 3•I C�,7�,ti ��� rye��; ��'�r
TOWN DD.RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family,duplexes/two-family, multiple family,
apartments,condominiums,townhouses,and/or manufactured&modular homes, but not mobile homes. This is in addition to the
permit fee(s).
Primary Owner(s)
Address }- 7y / e c
Phone/Email _ --
tiTCS Ali ii d7" (G-//e '/V C ,.a: vc%i C• 1 —_.
Applicant a
C� le� �f�s 7'=
MAI
Address 'TO
Cry%/r f/p GYu /Y
Phone/Email I t Me)P �; d r!
c:� 1�o.'� r
Contractor i
�'P
Address ,ds'
Phone/Email
Contact Person for Building & Codes Compliance: p, _[,�%/„ �/ Phone
TYPE OF CONSTRUCTION
(Check all that apply New Addition Alteration 11 floor sf 2111 floor sf Total sf Height
Single Family —
Two-Family
Multi-Family
(# of units�)
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garage
(1, 2, 3, 4+) ��0
Other
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 r A-z"
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? AJC
Are there easements on the property? J 0
Site Information:
a. Dimensions or acreage of lot /e/ AC&z
b. Is this a corner lot? Yes _.,,/No
c. Will the grade be changed as a result of construction Yes No /17,ti;aL�
d. Public water or Private well(circle one) _u Private
e. Sewer or Private Septic System(circle one) Sewer vat
Value of all work to be performed(labor or materials) $ 3 51b
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: C.a A 4 DATE: $15-5-11C
SIGNATURE: k' .. �5 � 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 January 2016
Fuel Burning Appliance & Chimney Application Office Use Only
Received
DATE: S'l�� Tax Map ID
TAX MAP ID: Permit No.
ZONE: Pen-nit Fee
OWNER e PHONE/E-MAIL
ADDRESS
INSTALLER/
PHONE I E-MAIL
/
BUILDER IAP/P �
GG vC 7-W,
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: ((��
PHONE/E-MAIL e A BUILDING ADDRESS 3 C.c�l�Lln1 E�,Q
ROOM OF INSTALL: /!r . PLANNED INSTALL DATE: u I 2 6 i g
I
FUEL BURNING APPLIANCE INFORMATION WOOD COAL PELLET GAS OIL NOTE: ROUGH-IN&
STOVE FINAL INSPECTION ARE
FIREPLACE INSERT REQUIRED.
FIREPLACE,FACTORY BUILT* ✓ NOTE:
FIREPLACE,MASONRY
MANUFACTURER'S
INSTALLATION MANUAL
FURNACE GARAGE ONLY
MUST BE AVAILABLE AT
TIME OF INSPECTION
If factory built provide manufacturer name: '16 ; Model#: � V
Listed by: Number:
CHIMNEY INFORMATION
Masonry** (cheek one) BLOCK BRICK STONE
Flue TIE STEEL Size in inches
Material DOUBLE WALL `TRIPLE WALL INSULATED
** If non-masonry provide manufacturer name: ; 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:
PRINT NAME: //e/7 DATE:
SIGNATURE: DATE: ;f 5`
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
CHECKLIST—SINGLE FAMILY PROJECT Project Name:
REQUIRED—2 SETS Yes No N/A
1. Building Permit completed ✓
2. Energy Code inspector's report from REScheck completed
3. Septic alteration
4. Solid Fuel Burning or Gras Appliance form completed V
5. Driveway Permit
6. Structural.Drawings V`
a. Floor plans L,/
b. Foundation plans
c. Cross Sections
d. Elevations
e. Window&Door Schedule
f. Natural Light,Ventilation and Emergency Egress
7. Plot plan.:
Show proposed structure(s)with setback dimensions from all surveyed property lines ►/�
8. Electrical inspection agency selected
CHECKLIST—MULTI-DWELLING/COMMERCIAL Project Name:
REQUIRED—2 SETS Yes No N/A
1. Building permit application completed ,
2. Energy Code COMcheck and inspector's report form completed
3. Septic alteration
4. Solid Fuel Burning or Gas Appliance form completed
5. Driveway Permit
6. Structural Drawings
a. Floor plans
b. Foundation plan
c. Cross Sections
d. Elevations
e. Design loads including floor,snow&wind load
f. Seismic design
g. Plans signed&sealed by registered architect or engineer
h. Window&Door schedule
7. Plot plan:
Show proposed structure(s)with setback dimensions from all surveyed property lines
8. Electrical inspection agency selected
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
SEPTIC DISPOSAL APPLICATION Office Use Only
Received
DATE: Ib Tax Map ID
TAx MAP ID: Permit No.
ZONE: Permit Fee
APPLICANT LleA e_0 //p f f�, 4/41-f l� PHONE/E-MAm
ADDRESS '7x'0
J 0,4.57_ L- - A/ •� - �����
INSTALLER/ `` PHONE/E-MAIL
BUILDER (,eI!fev IN''
OWNER a A
ADDRESS
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: K Acv ($Ike A
PHONE/E-MAIL /,_r�dleoib rl, ' ((i//Q XLP Comt_(,rG6tr_
RESIDENCE INFORMATION
Year Built #of bedrooms X gallons per bedroom =total Daily flow
1980 or older Garbage grinder installed Yes No
1981-1991 Spa or Hot Tub installed Yes No
1992-Present
PARCEL INFORMATION
Topography _L/ Flat rolling Steep slope %Slope
Soil Nature j,-*' Sand Loam Clay Other
Groundwater At what depth: 9-a`
Bedrock/Impervious material At what depth: --
Domestic Water Supply ✓Municipal 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 QV gallons(min.size 1,000 gallons,add 250 gallons to size for each garbage cylinder or spa or hot tub
System Absorption field with#2 stone Total length -2-Q ft.:Each Trench S S
Seepage Pit with#3 stone How many: _;Size
Alternative System Bed or other type:
Holding Tank System Total required capacity? Tank size #of tanks
Notes: 1)Alarm system&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&approved. The installed system must match the
septic system layout on file—no exceptions.
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.I have read the regulations and agree to
abide by these and allrequirementsof the Town of Queensbury Sanitary Sewage Disposal Ordinance.
PRINT NAME: /C e.� fI'L T P DATE: _S f a J`!/9'
SIGNATURE: DATE: �12 �t
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
Town of Queensbury Thomas R. Van Ness
Highway Department Highway Superintendent
742 Bay Road, Queensbury,NY 12804 Home: 518-745-0929
Phone: 518-761-8211
Fax: 518-7454466 David Duell
Deputy Highway Superintendent
Home: 518-745-0938
DRIVEWAY PERMIT
Date: rI 5"1/6
Applicant Name: ee IAA c 0
Telephone No.: 3 K S S-8-79-72-
Address to be Inspected 'n cA',f"Lrti fit.
Return Address: E Liu • J, A}..Y-
Applicant
y.Applicant must show exact location and width of driveway(s)to be connected to the highway by placing stakes
at the specified location
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action
has been taken:
STEP 1: ( ) Preliminary approval
NEED { ) Slight Swale
( ) Deep Swale
( ) Level with the road
{ ) Level with the top of the paved wing
Size culvert pipe to be used(if necessary)
( ) 12" ( ) 15" ( ) 18" ( ) 24" ( ) 36"
Preliminary inspection completed by: Date:
Approval by Highway Supt.: or Deputy Supt.:
Upon completion please resubmit this approval permit for a final approval.
.STEP 2: { ) Final Approval ( } Rejected
Date:
Thomas R.Van Ness,Highway Superintendent David Duell,Deputy Highway Superintendent
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
2010 New York
Energy conservation
Construction code MAW 2 5 2016
Energy Efficient � �
EU�ILD?!4G & 110 ES
Certificate
Insulation Rating R-Value
Above-Grade Wall 21.00
Below-Grade Wall 0.00
Floor 0.00
Ceiling 1 Roof 38.00
Ductwork (unconditioned spaces):
Glass&Door Rating U-Fartor SHGC
Window 0.30
Door 0.21
CoolingHeating&
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments
CRESc eck Software Version 4.6.0
�(J Compliance Certificate
Project Lot 8 - 37 Caitlin Drive
Energy Code: 2010 New York Energy Conservation
Location: Warren County, New York
Construction Type: Single-family
Project Type: New Construction MAY 2 5 2016
Conditioned Floor Area: 2,394 ft2 1 __-1_Q_U_
Glazing Area 13% T 1A OF I=tN.�Lj_
I
Climate Zone: 6 (7635 HDD) BUILDNG CODES
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
37 Caitlin Drive Kenneth Collette KELACO
Lot 8 Collette Construction
Queensbury, NY 35 Front Street
Lake George, NY 12845
commiance: Passes.using-UA trade-off
compliance: 2.6%Better Than Code Maximum UA: 311 Your UA: 303
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. Glazing
Assembly or R-Value R-Value or Door UA
Perimeter U-Factor
Ceiling 1: Flat Ceiling or Scissor Truss 1,004 38.0 0.0 0.030 30
Ceiling 2: Flat Ceiling or Scissor Truss 390 38.0 0.0 0.030 12
Wall 1: Wood Frame, 16" o.c. 1,648 21.0 OX 0,057 78
Window 1: Vinyl Frame:Double Pane with Low-E 215 0,300 65
Door 1: Solid 21 0.210 4
Door 2: Solid 38 0.210 8
Wall 2: Wood Frame, 16" D.C. 1,147 21.0 0.0 0.057 56
Window 2: Vinyl Frame:Double Pane with Low-E 152 0.300 46
Door 3: Solid 18 0,210 4
Compliance Statement: The proposed building design described here 44,�q�ostent with the building plans, specifications, and other
calculations submitted with th fication.The proposed b en ned to meet the 2010 New York Energy
ion (M �11 n
U�t�
Conservation Construction
IR=11t i ion 4 6.0 d to c ply ith the mandatory requi pments,listed in
the REScheck Inspectio I
Ced to
Ith th
Name-Title Signatu.
U
0
Project Title: Lot 8 -3 1 -m4r, Report date: 05/25/16
Data filename: CAUsersN
�4 k� \J udson\REScheck\Shea\Lot 8_37 Caitilin.rck Pagel of I
kQ*
;W
CREScheck Software Versions 4.6.0
�(J 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 i
& Req.3[JI Pre-lnspection/Plan Review Value I Value Complies? Comments/Assumptions
103.2 Construction drawings and ❑Complies
[PR111 documentation sufficiently ❑Does Not
demonstrates energy code
compliance for the building []Not Observable
envelope. ❑Not Applicable
103.2,Construction drawings and ❑Compiles
403.7 documentation sufficiently ❑Does Not
[PR311 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]"' sized per ACCA Manual 5 based Btu/hr Btu/hr []Does Not
`V on loads per ACCA Manual J or Cooling' Cooling:
other approved methods, QNot Observable
Btu/hr Btu/hr ❑Not Applicable
Additional Comments/Assumptions:
1 IHigh Impact(Tier 1) i 2 iMedium Impact(Tier 2) i 3 ILow Impact (Tier 3)
Project Title: Lot 8 - 37 Caitlin Drive Report date: 05/25/16
Data filename: C:lUserslPubliclDocumentsl udson`REScheck\Shea\Lot 8-37 Caitilin.rck Page 2 of 6
2010 New
York Foandatton Inspection es? Comments/Assumptions
Energy,
303.14 Exposed foundation insulation ;❑Complies
[FQll]? protection. ;❑Does Not
- i .❑Not Observable
❑Not Applicable
403.8 !Snow melt controls. ;❑Complies
[F012jz !❑Does Not
` ONot Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) '2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Lot 8-37 Caitlin Drive Report date: 05/25/16
Data filename: C:\Users\Public\DocumentsVudson\REScheck\Shea\Lot 8_37 Caitilin.rck Page 3 of 6
Section Plans Verged Field Verified
# Framing /Stough-In Inspection Value Value Complies? Comments/Assumptions
1402.4.4 Fenestration that is not site built ❑Complies
[FR20]1 is listed and labeled as meeting ❑Does Not
-� AAMA/WDMA/CSA 101/l.5.2/A440
or has infiltration rates per NFRC ❑Not Observable
400 that do not exceed code ❑Not Applicable
limits.
402.4.5 IC-rated recessed lighting fixtures ❑Complies
[FR16]2 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]' air handlers,filter boxes, and ❑Does Not
V. building cavities used as return
ducts are sealed. ❑Not Observable
[]Not Applicable
403.2.3 Building cavities are not used as ❑Complies
[FR15]3 ducts or plenums. [-]Does Not
!
[-]Not Observable
-.0-Not-Applicable
403.3 HVAC piping conveying fluids R- R- [-]Complies
€FR1712 above 105 QF or chilled fluids ❑Does Not
below 55 4F are insulated to R-3.
r ❑Not Observable
❑Not Applicable
403.4 Circulating service hot water R- R- ❑Complies
[FR18]2 pipes are insulated to R-2. ❑Does Not
. ❑Not Observable
❑Not Applicable
403.5 Automatic or gravity dampers are ❑Complies
[FR19]2 installed on all outdoor air ❑Does Not
XA intakes and exhausts.
[-]Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 JHigh Impact(Tier 1) 2 1Medium Impact (Tier 2) 13 Low Impact(Tier 3)
Project Title: Lot 8 - 37 Caitlin Drive Report date: 05/25/16
Data filename: C:1Users\PubliclDocumentsWudson\REScheck\SheaNLot 8_37 Caitilin.rck Page 4 of 6
2010 We
York Insulation,lnspection Complies?. Comments/Assumptioins
Energy
303',1 -:;All installed insulation labeled or i❑Complies
[IN131. 3installed R-values provided. ;❑Does Not
;❑Not Observable'
.;i ;❑Not Applicable
Additional Comments/Assumptions:
1 I High Impact(Tier 1) 2'.' Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Lot 8-37 Caitlin Drive Report date: 05/25/16
Data filename: C:\Users\Public\Documents�udson\REScheck\Shea\Lot 837 Caitilin.rck Page 5 of 6
Section Plans Verified Field Verified
& R p,lp Final Inspection Provisions Value I Value Complies? Comments/Assumptions
402.4.2, Building envelope tightness ACH 50 = ACH 50 = ❑Complies
402.4.2.1 verified by blower door test result ❑Does Not
i[F117]1 of<7 ACH at 50 Pa.This []Not Observable
,9 requirement may instead be met
via visual inspection, in which ❑Nat Applicable
case verification may need to
occur during Insulation
Inspection.
403.2.2 Duct tightness via post- cfm cfm ❑Complies
[FI4]1 construction with maximum []Does Not
t-. leakage of 8 cfm to outdoors, or ❑Nat Observable
12 cfm across systems. For
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
[F19]2 installed on forced air furnaces. ❑Does Not
❑Not Observable
❑Nat 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 T� MComplies
[FI11]2 systems have automatic or ❑Does Not
accessible manual controls. ❑Not Observable
❑Not Applicable
401.3 Compliance certificate posted. ❑Complies
[FI7]2 ❑Does Not
❑Not Observable
❑Not Applicable _
303.3 Manufacturer manuals for ❑Complies
[FI18]3 mechanical and water heating ❑Does Not
equipment have been provided. ❑Not Observable
[]Not Applicable
Additional Comments/Assumptions:
1 -High Impact (Tier 1) 2 ',Medium Impact{Tier 2) 3 Low Impact(Tier 3) v J
Project Title: Lot 8 - 37 Caitlin Drive Report date: 05/25/16
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