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RC-000378-2016 Amok TOWN OF QUEENSBURY 1W 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: RC-000378-2016 Date Issued: Monday, October 17, 2016 This is to certify that work requested to be done as shown by Permit Number RC-000378-2016 has been completed. Tax Map Number: 301.15-1-59 Location: 35 ELK RIDGE DR Owner: FOOTHILLS BUILDERS,LLC Applicant: FOOTHILLS BUILDERS,LLC This structure may be occupied as a: Leuci-Peggy Ann Rd. Subdivision,Lot 9 Single-Family Dwelling 1,605 sq, ft. By Order of Town Board 2-car attached garage 528 sq.ft. TOWN OF QUEENSBURY I gas fireplace QQ Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, �yF� 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. r - TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development- Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: RC-000378-2016 Tax Map No: 301.15-1-59 Permission is hereby granted to: FOOTHILLS BUILDERS,LLC For property located at: 35 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: FOOTHILLS BUILDERS,LLC Single Family-New $150,000.00 Owner Address: 9 Mountainside DR Total Value $150,000.00 Queensbury,NY 12804 Contractor or Builder's Name 1 Address Electrical Inspection Agency FOOTHILLS BUILDERS,LLC 9 Mountainside DR Queensbury,NY 12804 Plans&Specifications Leuci-Peggy Ann Rd. Subdivision, Lot 9 Single-Family Dwelling 1,605 sq. ft. 2-car attached garage 528 sq.ft. I gas fireplace $ 1,300.20 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,June 24,2017 (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 Town<Qeen ury; /,Wed d 29, 2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Office Use Onl Date: 621 U 11(19 Permit No. Tax Map ID j Permit F 0 C 3 ✓ N - Zone M D Historic? _Yes o F tea' Subdivision Name r✓L K R i a Lot#^ Site Plan# �� irJJ Subdivision# Project Location 35 E(-I< RMC-f QR_ TOWN BD.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 fees). Primary Owner(s) Fa01 uktLt3E(LI LL Address M 0,-VN I A INS 11)67 171,- Qvl+ =NS6op-1 NZSo Phone/Email 1 ) -� - 3 S 20 Fa O7HILt^s,r3WLo1L . C61111 Applicant L l Address S>yE ggavtr Phone/Email Contractor SA fns Address y>r� Phone/Email S fl 1n Contact Person for Building & Codes Compliance: �' b LE ''t ( Phone TYPE OF CONSTRUCTION ,/Check all that apply New Addition Alteration I'floor sf 2"4 floor sf Total sf Height Single Family loos Two-Family Multi-Family (# of units�} Townhouse Business Office Retail-Mercantile Factory-Industrial Attached Garage / (1, (D3, 4+) �Z8 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 KCS 1 De-N7 J A L Source of Heat(circle one) Gas Oil Propane Solar Other Fireplace: Complete a separate application for Fuel Burning Appliances&Chimneys G-A S Are there structures not shown on plot plan? N a Are there easements on the property? Site Information: a. Dimensions or acreage of lot 0 ,g S A CP_FS b. Is this a comer lot? Yes No c. Will the grade be changed as a result of construction Yes No d. Public water or Private well(circle one) Pub is Private e. Sewer or Private Septic System(circle one) Sewer Private Value of all work to be performed(labor or materials) $ /S-0, 000 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: 73 o S i P K tx L4-L4 DATE: & 8'1 SIGNATURE: DATE: (' $ l 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: (Q '$! (P Tax Map ID TAx MAP ID: Permit No. ZONE: (n D Permit Fee s18� d .7y63�za OWNER f0 p-I H l U S PHONE/E-MAIL I FOOT H 1(t G 41 L P f0 S►J GroA tL- ADDRESS R (ho w4A l Ns t()E h R 10 c l cirri INSTALLER/ PHONE/E-MAIL BUILDER Fo1-LS BuILD trPS CLO S-A m CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: _30E Le-%A- PHONE/E-MAIL PHONE/E-MAIL C6o7klU,�Nyi(LDF-at.Jy@ (i,-M II C" BUILDINGADDRESS 3S 15L{(- (Zlp &-6 D (_Std' lRb' sZa ROOM OF INSTALL: (,P GA-T k4 o rA PLANNED INSTALL DATE: Aw-"s' i 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: JOSE-Pik lekkcj DATE: _CSB/t 1 SIGNATURE: E:,aJIA_ DATE: Town of Queensbury Building&Codes Principal Structure Application Revised January 2016 SEPTIC DISPOSAL APPLICATION Office Use Only / Received DATE: (n��t t 4� Tax Map ID TAx MAP ID: 341 • (S—1 - S Permit No. ZONE: M p Perinit Fee no'f RI L"6 aILO6PSNY G-Mgit-,cw APPLICANT Fp OT 1 L.L S 6%x i t.4 LL(, PHONE/E-MAIL I E l e) W 3 S Z 0 ADDRESS MO LWI A W S t o is D9, aLt,e e hj S 1-10-Y 17-POI INSTALLER/ PHONE/E-MAIL BUILDER sAme SSM OWNER . AW.' ADDRESS SAV'w- CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: �0 E Le-k Ll PHONE/E-MAIL S-A rw 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 '3 I t O 33o PARCEL INFORMATION Topography ✓r Flat rolling Steep slope %Slope Soil Nature ✓ Sand Loam Clay Other Groundwater At what depth: Nc N E Bedrock/Impervious material At what depth: 1p c.N E Domestic Water Supply v/ Municipal Well(if well,water supply from any septic system absorption is_ft.) Percolation Test Rate: )-5' per minute per inch(test to be completed by licensed engineer/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION Tank size 106 o 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 1 So ft.;Each Trench Sy 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 all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. PRINT NAME: b S P LE"k 4 DATE: & $ 16 SIGNATURE: C, DATE: 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: 518-745-4466 David Duell Deputy Highway Superintendent Home: 518-745-0938 DRIVEWAY PERMIT Date: 6/611 (, Applicant Name: Telephone No.: Address to be Inspected o b-E p Q Return Address: _ M mart q 1 NS 1 P D 9,1 v E aJ4e�N 5&%k X-1 141 17 b a 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 REScheck Software Version 4.6.2 Compliance Certificate ~�A F Mz Project Foothills Builders Energy Code: 2010 New York Energy Conservation Location: Warren County, New YorkLIJ :aLIJ - Construction Type: Single-family Project Type: New Construction Q. 0- 6l) �6 Conditioned Floor Area: 1,605 ft2 dcFS Glazing Area 11% Climate Zone: 6 (7635 HDD) Permit Date: JUN 2 Q 2016 i4� Permit Number: l C 'rrl+�v UF': EEN8'BURY Construction Site: Owner/Agent: Designer/Caritractor: I..!li._DING r3 CODES Elk Ridge Lot 9 VISION Engineering, LLC...... Queensbury, NY 12804 206 Glen Street Suite 56 Glens Falls, NY 12801 Compliance: Passes using UA tradt—. off Compliance: 1.2%Better Than Code Maximum UA: 326 Your UA: 322 The%Setter or worse Than Code Index reflects haw close to compliance the house is based on code trade-off rules. It DOES N07 provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Perimeter Ceiling 1: Raised or Energy Truss 1,605 38.0 0.0 0.025 40 Wall 1: Wood Frame, 16" o.c. 1,674 21.0 0.0 0.057 83 Window 1: Vinyl/Fiberglass Frame:Double Pane with Low-E 141 0.340 48 Door 1: Solid 18 0.140 3 Door 2: Glass 20 0.250 5 Door 3: Solid 40 0.340 14 Wall 2: Wood Frame, 16" o.c. 344 21.0 D.0 0.057 16 Window 2:Vinyl/Fiberglass Frame:Double Pane with Low-E 30 0.340 10 Door 4: Glass 40 0.340 14 Floor 1: Slab-On-Gra de:Unheated 43 10.0 0.684 29 Insulation depth:4.0' Basement Wall 1:Solid Concrete or Masonry 1,115 0.0 13.0 0.054 60 Wall height: 7.8' Depth below grade: 6.0' Insulation depth: 7.8' 301.15-1-59 RC-000378-2016 Foothills Builders LLC 35 Elk Ridge Dr., Lot 9 SFD 1605 SJ., garage 528 s.f., 1 FP Project Title: Foothills Builders Report date: 06/08/16 Data filename: C:\Users\DWR Desktop\Documents\REScheck\1145 Lot 9 Elk Ridge.rck Page 1 of 7 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 Conserua 'on Construetion�Cod equirements in REScheck Versio .2 and to comply with the mandatory requireme is lis ed in the RESc ck ins ction C list. Name Titl Signature Date Project Title: Foothills Builders Report date: 06/08/16 Data filename: C:IUsers\DWR Desktop\Documents\REScheck11145 Lot 9 Elk Ridge.rck Page 2 of 7 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 .ID 103.2 Construction drawings and ❑Complies [PR111 documentation sufficiently ❑Does Not U. 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 [PR2]2 sized per RCCA Manual S based Btu/hr Btu/hr ❑Does Not d, on loads per RCCA Manual J or Cooling: Cooling: other approved methods. Btu/hr Btu/hr []Not Observable []Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Foothills Builders Report date: 06/08/16 Data filename: CAUsers\DWR Desktop\Documents\REScheck11145 Lot 9 Elk Ridge.rck Page 3 of 7 16, ection # Foundation Inspection Complies? Comments/Assumptions Re .ID 303.2.1 Exposed foundation insulation ❑Complies (FO1112 protection. ❑Does Not ! ' ❑Not Observable ❑Not Applicable 403.8 Snow melt controls. ❑Complies (FO1212 ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 12 IMedium impact(Tier 2) 13 Low Impact(Tier 3) Project Title: Foothills Builders Report date: 06/08/16 Data filename: C:\Users\DWR Desktop\Documents\REScheck\1145 Lot 9 Elk Ridge.rck Page 4 of 7 Section Plans Verified Field Verified # Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions & Re .ID 402.4.4 Fenestration that is not site built ❑Complies [FR20]1 :is listed and labeled as meeting ❑Does Not AAMA/WDMA/C5A 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 QNot Observable leakage at 75 Pa. ❑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. QNot Observable ❑Not Applicable 403.2.3 Building cavities are not used as DComplies [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 J 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 114 QNot Observable ❑Not Applicable 403.5 Automatic or gravity dampers are ❑Complies [FR19]2 installed on all outdoor air ;❑Does Not intakes and exhausts. QNot Observable i❑Not Applicable Additional Comments/Assumptions: 111 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Foothills Builders Report date: 06/08/16 Data filename: C:\Users\DWR Desktop\Documents\REScheck\1145 Lot 9 Elk Ridge.rck Page 5 of 7 Section # Insulation Inspection Complies? Comments/Assumptions & Req.ID 303.1 All installed insulation labeled or ❑Complies [IN13]2 installed R-values provided. ❑Does Not 8) ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 11 High Impact{Tier 1} 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Foothills Builders Report date: 06/08/16 Data filename: C:\Users\DWR Desktop\Documents\REScheck\1145 Lot 9 Elk Ridge.rck Page 6 of 7 Fs ection Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions Req.ID 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&lt;7 ACH at 50 Pa.This 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 '4, leakage of 8 cfm to outdoors,or 12 cfm across systems.For ONot Observable rough-in tests,verification may ONot 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 [Flg]2 installed on forced air furnaces. ❑Does Not J ❑Not Observable ONot Applicable 403.1.2 Heat pump thermostat installed ❑Complies [FI10]2 on heat pumps. ❑Does Not M' ONot Observable ONot Applicable 403.4 Circulating service hot water [ Complies [Flll]2 systems have automatic or Does Not accessible manual controls. DNot Observable ONot Applicable 401.3 Compliance certificate posted. ❑Complies [F17]2 ODoes Not ONot Observable ❑Not Applicable 303.3 Manufacturer manuals for ❑Complies [FI18]3 mechanical and water heating ODoes Not J equipment have been provided. ONot Observable ONot Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact{Tier 3} Project Title: Foothills Builders Report date: 06/08/16 Data filename: C:\Users\DWR Desktop\Documents\REScheck\1145 Lot 9 Elk Ridge.rck Page 7 of 7 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 10.00 Ceiling 1 Roof 38.00 Ductwork (unconditioned spaces): Glass&D. , , Window 0.34 Door 0.34 CoolingHeating& Equipment Heating System: Cooling System: Water Heater: Name: Date: Comments � z (c! ¢ W U) 1 0 < p W r u co N r•,. �' O pOww104 li W N J J W Y pwpa¢ZZz ..z z - �`. �Gm V o o �w�� awe 1 - _ �< i ¢o oa wzr� �:' zp LU M, �z > zp swY�p" O NN ZZZ JpW aUZZw? 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Installation Consisting ....... � � .Pt � ✓..... ........ .... ............................................ ................................. ..................................... .................................... . . ............................................................... InstalledBy............1 .............................................................Lic.No................................................... The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making i spections at any time, and if its rules are //violated, 77the JCompany shall have the right to ay�ke this c icate. Date....1P...-k..(i..�.1...�.............. INSPECTOR.....i•••••>`. L . .. ........................... Member N.F.P.A.,I.A.E.I.