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RC-000021-2016 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-000021-2016 Date Issued: Friday, November 18, 2016 This is to certify that work requested to be done as shown by Permit Number RC-000021-2016 has been completed. Tax Map Number: 295.10-1-3 Location: 101 l WEST MOUNTAIN RD Owner: Walter Meinecke Applicant: Washburn Hills Construction, LLC This structure may be occupied as a: Residential Addition 280 sq. ft.(office, hobby room/storage) 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, 4 44t 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 (518)761-8201 Community Development-Building& Codes (518)751-8256 BUILDING PERMIT Permit Number: RC-000021-2016 Tax Map No: 295.10-1-3 Permission is hereby granted to: Washburn Hills Construction,LLC For property located at: 1011 West WEST MOUNTAIN 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 Owner Name: Walter Meinecke Single Family-Addition $22,000.00 Owner Address: 1011 West WEST MOUNTAIN RD Total Value $22,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Washburn Hills Construction,LLC 17 Woodland DR Gansevoort,NY Plans&Specifications Residential Addition 280 sq.ft.(office,hobby room/storage) $100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,January 19,2017 (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 thee iration date. Dated at the Town ueens Mo uary 25,2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement ~ | PRINCIPAL STRUCTURE APPLICATION Office Use Only Received T al?c Map ID I}otu: UUJ JAN 2 1 err'"it No. Tax Map 0 z I Permit Fee Zone BUILDN' SHistoric Site Yes �-���' site Plan 4 Subdivision Name Lot Subdivision Project Location i o J I Q8 TOWN 131). RESOLUTION : $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 isinaddition tmthe permit feeb)� ` ' ' Phone/E-mail Phone/E-mail 7-S� Contact Person for Building&cCodes Compliance: H i I I Phone TYPF,OF CONSTRUCTION %/Check all that apply New Addition Alteration 11,floor sf 2n,floor sf Total sf Height "Single Fam Townhouse Business Office Retail-Mercantile Factory -Industrial Attached Garage Other If commercial or industrial please indicate of business Town oCQueensbury Building&Codon Principal Structure Application Revised September 3Ol5 f' Proposed use of building or addition OF(l r e Source of Heat(circle one) - .- Gas Oil Propane Solar er Fireplace: Complete a separate application for Fuel Burning Appliances&Chimneys Are there structures not shown on plot plan? d Are there easements on the property? p Site Information a. Dimensions or acreage of lot �t - b. Is this a comer lot? v c. Will the grade be changed as a result of construction Yes L,--No d. Public water or Private well e. Sewer or Private Septic System �.y�► `- Value of all work to be performed(labor or materials) $ (, 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 I 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`3J nclyl It DATE: j J 21/ 16 / U SIGNATURE: DATE: i For office usy 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 Builder Report Modernview Windows 60 School Lane Fonda, NY 12068 Phone: 1-800-452-7535 Fax: 518-853-3299 BILL TO: SHIP TO: E LE COP'` QUOTE# QUOTE DATE BID BY ORDER PLACED BY ORDER TAKEN BY TBD I Quote Not Ordered kEVINH JOB NAME CUSTOMER PO# TERMS CARRIER LINE# DESCRIPTION QUANTITY ROOM/COMMENT 100-1 *Product*200 Series,Double Hung,Operating 2 light 11.8 sq.ft,vent 5.7 sq. ft. *Call Size*3-0 X 4-10 *Overall Manufactured.Size* 37 1/2 X 60 1/2 *Overall Rough Opening*38 X 61 *Interior/Exterior*Frame Color:White *Glass Options*Low E w/Argon *Screen*Full Screen,Fiberglass Mesh 4 *Ratings*U-Factor:0-28,SHGC:0.29 *Wrapping-Frame Options*Standard J-Channel 3-'.s VIEWED FROM EXTERIOR LINE# DESCRIPTION QUANTITY ROOM/COMMENT 200-1 *Product*Patio Doors,Double Sliding Door,XO- 1 light 33.0 sq.ft. vent 16.4 sq.ft. Vent/Fixed *Call Size*6-0 X 6-8 *Overall Manufactured Size*71 1/4 X 79 1/2 *Overall Rough Opening*72 X 80 *Interior/Exterior*Frame Color:White *Glass Options*Low E w/Argon *Screen*Screen Shipped Separate *Hardware*Lock Option:Dual-Point *Ratings*U-Factor:0.28,SHGC:0.29 '�zs VIEWED FROM EXTERIOR LINE# DESCRIPTION QUANTITY ROOM/COMMENT 200-2 Screen Shipped Separately I Screen Shipped Separately .lyi� f 5 2016 VIEWED FROM EXTERIOR Print Date: 1/22/2016 2:43:15 PM Page 1 Of 2 QUOTE# QUOTE DATE BID BY ORDER PLACED BY QRDEIZ TAKEN BY TBD I Quote Not Ordered kF-NIINi-I JOB NAME CUSTOTAER 1109 TER IS CARRIER LINE# DE+'SCRIPTION QUANTITY ROOM/COMMENT 200-3 Hardware Shipped Separately l Hardware Shipped Separately VIEWED FROM EXTERIOR PROJECTQuo'ru- Unassigned jack Bill Comments: D sclaimer: Print Date: 1122/2016 2:43:15 PM Page 2 Of 2 REScheck Software Version 4.6.2 r Compliance Certificate D Project Energy Code: 2010 New York Energy Conservation JAN 2 5 2016 Location: Warren County, New York Ti, v' L, v- - C. . Construction Type: Single-familyf11i_r' URY Project Type: Addition "` o_i Climate Zone: 6 (7635 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Compliance: Passes using UA trade-off Compliance: 2.3%Better Than Code Maximum UA: 176 Your UA: 172 The%Better or Worse Than Code Index reflects how close to compliance the house is based an code trade-off rules. It DOE5 NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Assembly or r Perimeter Ceiling 1: Raised or Energy Truss 280 38.0 0.0 0.025 7 Wall 1: Wood Frame, 16" o.c. 384 21.0 0.0 0.057 19 Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 54 0.280 15 Floor 1: Slab-On-Grade:Un heated 192 10.0 0.684 131 Insulation depth: 4.0' 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 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. ,In LGA. F4 ri- 2 Name-Title gnat Date EFIL:E COPY Project Title: Report date: 01/22/16 Data filename: Untitled.rck Page 1 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 .I113 103.2 Construction drawings and ❑Complies [PR1)1 documentation sufficiently ❑Does Not 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)1 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 [PR212 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not on loads per ACCA Manual J or Cooling: Cooling: other approved methods. Btu/hr Btu/hr ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 I High impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Report date: 01/22/16 Data filename: Untitied.rck Page 2 of 6 Section # Foundation Inspection Complies? Comments/Assumptions & R+eq.ID 303.2.1 Exposed foundation insulation ❑Cornplies [FO11]2 protection. ❑Does Not z ❑Not Observable ❑Not Applicable 403,6 Snow melt controls, ❑Complies [FO12]2 ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact (Tier 3) Project Title: Report date: 01122/16 Data filename: Untitled.rck Page 3 of 6 Section Plans Verified Field Verified # Framing/ Rough-in InspectionValue Value Compiles? Comments/Assumptions & Req.ii� 402.4.4 Fenestration that is not site built ❑Complies [FR20]1 is listed and labeled as meeting ❑Does Not AAMA/WDMA/CSA 101/1,5.2/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 ❑Not Observable cfm leakage at 75 Pa. El 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. []Not Observable ❑Not Applicable 403.2.3 Building cavities are not used as " ❑Complies [FR15]3 ducts or plenums. ❑Does Not []Not Observable []Not Applicable 403.3 HVAC piping conveying fluids R- R- ❑Complies [FR17]2 above 105 QF or chilled fluids ®Does Not below 55 QF are insulated to R-3. ®Nat Observable []Not Applicable 403.4 Circulating service hat water R- R- ❑Complies [FR18]2 pipes are insulated to R-2. ❑Does Not kt ❑Not Observable _ ❑Not Applicable 403.5 Automatic or gravity dampers are ❑Complies [FR19]2 installed on all outdoor air ❑Does Not ._�. intakes and exhausts. [Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact (Tier 3) Project Title: Report date: 01/22/16 Data filename: Untitled.rck Page 4 of 6 Section # Insulation Inspection Complies? Comments/Assumptions & Req.1D 303.1 All installed insulation labeled or ❑Complies VN1312 installed R-values provided. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 111 High Impact (Fier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact (Tier 3) Project Title; Report date: 01/22/16 Data filename: Untitled.rck Page 5 of 6 Section Plans Verified Field Verifier! #k Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.113 402.4.2, Building envelope tightness ACH 50 = ACH 50 = ❑Complies 402.4.2.1 :verified by blower door test result ❑Does Not [F]17]1 of<7 ACH at 50 Pa,This r,. requirement may instead be met ❑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 ❑Complies [F14]1 construction with maximum ❑Does Not leakage of 8 cfm to outdoors, or ❑Not 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 [Fl9]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 ! ❑Nat Observable ❑Not Applicable 403,4 Circulating service hot water ❑Complies [FI11]2 systems have automatic or ❑Does Not 9i accessible manual controls, ❑Not Observable ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies [FI7]2 ❑Does Not 41 ❑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 I High Impact(Tier 1) 2 Medium Impact (Tier 2) 3 1 Low Impact(Ti 31 Project Title: Report date: 01/22/16 Data filename: Untitled.rck Page 6 of 6 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 10.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.28 Door :Heating&Cooling Equipment Efficiency Heating System: Cooling System: Water Heater: Name: Date: Comments