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TOWN Or QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000023-2016
Tax Map No: 301,15-1-55
Permission is hereby granted to: FOOTHILLS BUILDERS,LLC
For property located at: 20 ELK RIDGE 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: Joseph Leuci Single Family-New $150,000.00
Owner Address: 9 MOUNTAINSIDE DR Total Value $150,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
FOOTHILLS BUILDERS,LLC
9 Mountainside DR
Queensbury,NY 12804
Plans&Specifications
Peggy Ann Road Subdivision,Lot 5
SFD 1572 s.f.,garage 470 s.f.,FP
$1,284.90 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,January 26,2017
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury befojthepiration dkZ-
Queens
Dated at the Town T26,2016
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION
Office Use Only
Received Y 2
Date: 1 10 1(� C301, 15--1-55' Tax Map ID
Tax Map ID 301 I S� � • S S Permit No. -IJCJOU X23-^�l(c
Permit Fee zt
Zone Rec Fee546
Historic Site Yes -X No Site Plan#
Subdivision Name et-it- R I D t e c)R i v, Lot# S' Subdivision# a�
Project Location zc eo I<i h c c Di_gut
TOWN BD. RESOLUTION 86-2013: $850 recreation fee for new dwelling units--single family, duplexes/two-family,
i
multiple family,apartments,condominiums,townhouses, and/or manufactured & modular homes, but not mobile
homes. This is in addition to the permit fee(s). JNIV 2 2016 ,
Applicant OwnerAISB RY
�0c 141LL5 ��� i � 1 GRS SCS,' PIk LE1AiI n1=
Address Address
Ci Bl rJ
Phone/E-mail 1 - c. Phone/E-mail rn
F007H11-06LAIL0eR5 �J
L VN
Contact Person for Building&Codes Corimpliance: -Tc t~ J�e u c 1 _ _ Phone �]`�tP'3 S 2�
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration Int floor sf 2"a floor sf Total sf Height
Single Family V/ S 7 2- /S_j 2 2_
Two-Family
Multi-Family
(#of units
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
5
Attached Garage �
r�
( 2, 3, 4+)
Other I J
If commercial or industrial please indicate of business
Town of Queensbury Building&Codes Principal Structure Application Revised September 2015
If commercial or industrial please indicate of business
Proposed use of building or addition k e-� I b e ti—I J A L_
Source of Heat(circle one) Gas Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances&Chimneys C,--A 5 F i k e P t A(-F
Are there structures not shown on plot plan?
Are there easements on the property? N
Site Information
a. Dimensions or acreage of lot C' s R S
b. Is this a corner lot? N 0
c. Will the grade be changed as a result of construction Yes No
d. Public water or Private well P U,g L I t*
e. Sewer or Private Septic System PX r v A'TC SEPTI (
Value of all work to be performed (labor or materials) $ /S c' a
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 I 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. 1 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 S E P rA LE u c, I DATE:
SIGNATURE: —� � DATE:
4
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 2014
Fuel Burning Appliance & Chimney Application Office Use only
Received
DATE: I J I Tax Map ID
TAX MAP ID: �p � _1 - �Sr Permit No.
Permit Fee
ZONE: M � 2
OWNER FOO 1 N 1L.[.5 13" IL1)1_ 1ZS I_ L C RHONE/E-MAIL
ADDRESS �� M0"tj-iiA1NSf17E 1D L. G,f,1 Ny �? U`I GrnRI�-
C
INSTALLER/ -To E Le u C I PHONE/E-MAIL
BUILDER FU G, N I L L S 11LA i L 0 e i2 s 1►'1,
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE:
PHONE/E-MAIL " 3 S 2 C BUILDING ADDRESS 2C C-C Ie R 10 c-C A A.
r(,L 1.41LCS0ti1L0Cil-5N`1 0 6-MAIt • c1,,yj
ROOM OF INSTALL: C-R G A T PLANNED INSTALL DATE: A P rl-i L 2. ,4.,
FUEL BURNING APPLIANCE INFORMATION WOOD COAL PELLET GAS OIL NOTE: ROUGH-IN&
STOVE FINAL INSPECTION ARE
FIREPLACE INSERT ✓ 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: ; Model#:
Listed by: Number:
CHIMNEY INFORMATION
Masonry** (check 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: J a S e P fA Lc L_( C1 DATE: i I(1-1 /
SIGNATURE: DATE: 1111416
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
SEPTIC DISPOSAL APPLICATION Office Use Only
i ++ Received
DATE: _ 1119 19 E 1 (f Tax Map ID
TAX MAP ID: 3 G I S 1 — 1 , S� Permit No.
Permit Fee
ZONE: fy�r5
� - 3Sza
APPLICANT FO O T t{ 1 L t s A LkI t b f R 5 i-tc PHONE/E-MAIL
c � M
ADDRESS 0j M O Lk of T A I rJ S I D S b 0 E J N -1 12 6 C, `t
INSTALLER/ "Tc C (it L-t C4 PHONE/E-MAIL
BUILDER e-00 TR1LCS 131 Lot RS
OWNER -SQ L LE k 4 I
ADDRESS S ii m,c
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: 3 6 E 1_ E L` t
PHONE/E-MAIL s A M r=
RESIDENCE INFORMATTON
Year Built #of bedrooms X gallons per bedroom =total;Daily flow
1980 or older Garbage grinder installed Yes 'k No
1981-1991 Spa or Hot Tub installed Yes �No
1992-Present _ 11 C Au
U
PARCEL INFORMATION
Topography ✓ Flat rolling Steep slope %Slope
Soil Nature ✓ Sand Loam Clay Other
Groundwater At what depth: N V w r
Bedrock/Impervious material At what depth: N('+-j &—
Domestic Water Supply 1 Municipal Well(if well,water supply from any septic system absorption is_ft.)
Percolation Test Rate: I -S r-"I L1 per minute per inch(test to be completed by licensed engineer/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank size Lo�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 t S'u ft.;Each Trench 5 G'
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.1 have read the regulations and agree to
abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
PRINT NAME: 0 S E P 1A L1`" L4 DATE: I ' 114
SIGNATURE: DATE: :77 1`i l t
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
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: 518-745-4466 David Duell
Deputy.Highway Superintendent
Home: 518-745-0938
DRIVEWAY PERMIT
Date: l f `t l ('-
Applicant
wApplicant Name: -10 ( LL-7 u Z I / F()c 7 l LLS 13 k 1 Ln R s
Telephone No.: -1 q&- 3,- 2 0
Address to be Inspected ZO EL K Rf.by-C D 9, -
Return Address: Zv E i tt R 1 o
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: O 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)
O 12" O 15" O 18" O 24" O 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 September 2014
a
REScheck Software Version 4.6,2
Compliance Certificate
N yy
Project .
Energy Code: 2010 New York Energy Conservatit�'>t - - r- I'. k cc
Location: Warren County, New York j ` t
ul
Construction Type: Single-family '�N 21
Z '
Project Type: New Construction Q :a�,a
Conditioned Floor Area: 1,572 ft2 —F
Glazing Area 14% fiL JVi� L j R FSSIQNP
BUILD.. ;
Climate Zone: 6 (7635 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
Foothills Builders Vision Engineering, LLC
3 Bedroom Ranch 206 Glens Street
Lot 5 Suite 56
Queensbury, NY 12804 Glens Falls, NY 12801
Compliance: Passes using UA trade-off
Campliance: 0.4%Better Than Code Maximum UA: 274 Your UA: 273
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
FELE COPY
Gross Area
Cavity Cont.
Assembly or U-Factor UA
Wall 1: Wood Frame, 16" o.c. 1,638 21.0 0.0 0,057 78
Window 1: Vinyl Frame:Double Pane with Law-E 188 0.320 60
Door 1: Glass 40 0.320 13
Door 2: Solid 18 0.140 3
Door 3: Solid 26 0.200 5
Ceiling 1: Raised or Energy Truss 1,572 38.0 0.0 0.025 39
Basement Wall 1: Solid Concrete or Masonry 1,420 0.0 13.0 0.051 72
Wall height: 7.8'
Depth below grade: 6.8'
Insulation depth: 7.8'
Window 2: Vinyl/Fiberglass Frame:Double Pane with Low-E 8 0.400 3
Compliance Statement: The proposed building design described her"' consistent with the building plans, specifications, and other
calculations submitted with the permit application.The proposed II n has been designed to meet the 2010 New York Energy
Conservation Construction Code requirements in REScheck Ver ' n . nd to co he mandatory requireme is listed in
the REScheck lr�spection ecklist.
// (�
Name-Ifftle Ignature Date
Project Title: Report date; 01/21/16
Data filename: CAUsers\DWR Desktop\Dropbox\VISION Engineering, LLCIActive Projects VE11075 - DES - Page 1 of 7
FHB Ranch Lot 5 rev11075-rescheck.rck
Project Title: Report date: 01/21/16
Data filename: C:IUsers\DWR Desktop\Dropbox\VISION Engineering, LLCIActive Projects VE11075 - DES- Page 2 of 7
FHB Ranch Lot 5 rev11075-rescheck.rck
CREScheck Software Version 4.6.2
�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
# Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions
&Req.ID
103.2 Construction drawings and s ❑Complies
[PR1)1 documentation sufficiently I
.' -,- � _ _ _.. �❑Does Not
Q demonstrates energy code I
compliance for the building -]Not Observable
envelope. I �r '.'t ❑Not Applicable
103.2, Construction drawings and - Com lies
403.7 documentation sufficiently ❑Does Not
[PR3]1 demonstrates energy code
compliance for lighting and -=[]Not Observable
mechanical systems.Systems J ❑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 RCCA Manual J or ; Cooling: Cooling:
other approved methods. j Btu/hr Btu/hr T❑Nat Observable
❑Nat Applicable
Additional Comments/Assumptions:
111 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Report date: 01/21/16
Data filename: C:\Users\DWR Desktop\Dropbox\VISION Engineering, LLC\Active Projects VE\1075 -DES- Page 3 of 7
FHB Ranch Lot 5 rev\1075-rescheck.rck
Section
# Foundation Inspection Complies? Comments/Assumptions
& Re .ID
303.2.1 Exposed foundation insulation []Complies
EF01112 protection. ❑Does Not
.14 ❑Not Observable
❑Not Applicable
403.8 'Snow melt controls. :❑Complies
[F01212 ;❑does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Report date: 01/21/16
Data filename: C:\UserslDWR Desktop\DropboxXVISION Engineering, LLCXActive Projects VE\1075 - DES- Page 4 of 7
FHB Ranch Lot 5 rev\1075-rescheck.rck
Section Plans Verified Field Verified
e Value Complies? Comments/Assumptions
& Req.ID _
402.4.4 Fenestration that is not site built T ❑Complies
[FR20]1 is listed and labeled as meeting ❑Does Not
AAMA/WDMA/CSA 101/I.5,2/A440
or has infiltration rates per NFRC ❑IVot 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]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
EINot Applicable
403.3 HVAC piping conveying fluids R- R- ❑Complies
[FR17]7 above 105 QF or chilled fluids ❑Does Not
below 55 QF are insulated to R-3.
❑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
I* intakes and exhausts. ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Report date: 01/21/15
Data filename: C:\Users\DWR Desktop\D ropbox\Vl SION Engineering, LLC\Active Projects VE\1075 - DES - Page 5 of 7
FHB Ranch Lot 5 rev\1 07 5-resc heck.rc k
Section
# Insulation Inspection Complies? Comments/Assumptions
&Re .ID
303.1 All installed insulation labeled or ❑Complies
[IN1312 installed R-values provided. ❑Does Not
J ❑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: 01/21/16
Data filename: C:\Users\DWR Desktop\Dropbox\VISION Engineering, LLC\Active Projects VE\1075 -DES- Page 6 of 7
FHB Ranch Lot 5 rev\1075-rescheck.rck
Section plans Verified Field Verified
# Finai Inspection Provisions Value Value Complies? Comments/Assumptions
& Recl.1113
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<7 ACH at 50 Pa.This
4, 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
[FI411 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
[17I912 installed on forced air furnaces. ❑Does Not
®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
[F]11]2 systems have automatic or []Does Not
accessible manual controls.
- []Not Observable
[]Not Applicable
401.3 Compliance certificate posted. ❑Complies
[FI711 ❑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 Comm ents/Assumptions:
1 High Impact (Tier 1) 12 IMedium Impact(Tier 2) 3 I Low Impact(Tier 3)
Project Title: Report date: 01/21/16
Data filename: C:1Users\DWR Desktopl1)ropbox\VIS10N Engineering, LLC\Aetive Projects VE11075 - DES - Page 7 of 7
FHB Ranch Lot 5 rev11075-rescheck.rck
2010 New York
Energy Conservation
Construction Code
Energy Efficiency
Certificate
Insulation Rating R-Value
Above-Grade Wall 21.00
Below-Grade Wall 13.00
Floor 0.00
Ceiling 1 Roof 38.00
Ductwork (unconditioned spaces):
Glass&Door Rating U-Factor SHGC
Window 0.32
Door 0.32
CoolingHeating&
Heating System;
Cooling System:
Water Heater:
Name: Date:
Comments
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