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<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
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COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNrrIICCQIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No ..'.Q.:.. b...Cert. O4 4 Cut-in Card No.....
................................
Owner....-T�6�/ C Ls- L,�
Location.. ...
/�Ie...... ........,.........�......
.
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.