RC-000407-2016 WON 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-000407-2016 Date Issued: Tuesday, December 13, 2016
This is to certify that work requested to be done as shown by Permit Number RC-000407-2016
has been completed.
Tax Map Number: 308.13-1-4.21
Location: 45 Pitcher RD
Owner: David Howard
Applicant: DDDJ Enterprises
This structure may be occupied as a: Single Family Dwelling w/FP 1498 s.f.
Garage 792 s.f. By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the n /�
property owner of the responsibility for compliance with Site Plan, (a_+g4f/ �vJ
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) 761-8256
BUILDING PERMIT
Permit Number: RC-000407-2016
Tax Map No: 308.13-1-4.21
Permission is hereby granted to: DDDJ Enterprises
For property located at: 45 Pitcher 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 tiled and approved and in compliance with the NYS Uniform
Building.Codes and the Queensbury Zoning Ordinance
Type of Construction
Owner Name: David Howard Single Family-New $150,000.00
Owner Address: 470 West WEST MOUNTAIN RD Total Value $150,000.00
Queensbury,NY 12804
Contractor or Builders Name/Address Electrical Inspection Agency
DDDJ Enterprises
470 West WEST MOUNTAIN RD
Queensbury,NY 12804
Plans&Specifications
Single Family Dwelling w/FP 1498 s.f.
Garage 792 s.f.
$1,318.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 30,2017
(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 oues
SIGNED BY: �i1] for the Town of Queensbury.
Director of Building&Code Enforcement
a sass vx.. ....n.. ..�a s.av v�. vaai. < ai . i.aaa,a a R.vi• 1J 111i:C VJC"gy
Date: r �z o U—� `
fax Ma ID Permit No. !
Map __&�• " 1 — � �� Permit Fee 1
Zone I listori ? Id R � e ' 6. G O
t Site Ian#
Subdivision Namnw1 �h dL of
=��`` l.; SubdtvTSi ##
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Project Location lialt r�lidca
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 fee(s).
Primary Owner(s)
Address
Phone/Email
Applicant ..� '�'�� � �7►�►f��' `tt'V LNt�-i-r'
Address d'T 10
Phone/Email
Contractor
Address 490 r� �
7�
Phone/Email — r02�-- _ �•�J
I 'Pfr<� PtdG-tU
Contact Person for Building&Codes Compliance: tu� Phone `fMIS
TYPE OF CONSTRUCrtON
✓Check all that apply New Addition Alteration 1"floor sf 2nd floor sf Total sf Height
Single Family � � /P7%.�
Two-Family
Multi-Family
(#of units )
Townhouse
Business Office
Retail -Mercantile
Factory-Industrial
Attached Garage
✓ �� let It
(1, 2'(D 4+)
Other
Town of Queensbury Building&Codes Principal Structure Application revised January 2016
If co mercial or industrial please indicate name of business
Proposed use of building or addition 6 I Nats Mal U4 VVIGP
Source of Heat(circle one) Gas Oil ro an Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances&Chimneys
Are there structures not shown on plot plan?
Are there easements on the property?
Site Information:
a. Dimensions or acreage of lot X -9,0-7 AC,9
b. Is this a corner lot? Yes No
c. Will the grade be changed as a result of construction Yes ✓ No
d. Public water or Private well (circle one) Public Private
e. Sewer or Private Septic System(circle one) Sewer Private
Value of all work to be performed(labor or materials) $ Kk7"000
DECLARATION.-
1.
ECLARATION.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. 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: T „r
SIGNATURE: DATE: T'7_JMtJe2ah
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: _1� �uQ Tax Map ID
TAx MAP ID: •j ( •• �,( Permit No.
ZONE:
Permit Fee
OWNER PHONE/E-MAIL
ADDRESS � 12404INSTALLER/ �� y1 I PHONE/E-MAIL
BUILDER � � /"�� 1I�Cr�
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: &CAbW L
PHONE/E-MAIL -M X02&6 BUILDING ADDRESS
ROOM OF INSTALL: L VI W�r PLANNED INSTALL DATE:
FUEL BURNING APPLIANCE INFORMATION WOOD COAL PELLET GAS OIL NOTE: ROUGH-IN&
STOVE FINAL INSPECTION ARE
FIREPLACE INSERT REQUIRED.
FIREPLACE,FACTORY BUILT* V11,
NOTE:
FIREPLACE,MASONRY MANUFACTURER'S
FURNACE(GARAGE ONLY) INSTALLATION MANUAL
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: lL• •- �� lff�
Sv -
IGNATURE: DATE: d A(9 �
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
SEPTIC DISPOSAL APPLICATION Office Use Only
n�
/ Received
DATE: �7 Ow 0611j Tax Map ID
TAx MAP ID: �. 1"3 .. .g,+, t Permit No.
ZONE: ,. , Permit Fee
APPLICANT "X)3 PHONE/E-MAIL
ADDRESS Q D( 2&4-
INSTALLER/
INSTALLER/ cx>_ PHONE/E-MAIL
BUILDER �}�$
M0 .�• 1
OWNER f-""'r'� - Gam►
ADDRESS F' •/
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE:
PHONE/E-MAIL 741''107�
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 l p
PARCEL INFORMATION
Topography Flat rolling Steep slope %Slope
Soil Nature Sand Loam Clay Other
Groundwater At what depth:lbif FWA106? - 6~e
Bedrock/Impervious material At what depth: tt Oacu:� 6WApm
Domestic Water Supply v/ Municipal Well(if well,water supply from any septic system absorption is_8.)
Percolation Test Rate: 11n*11 per minute per inch(test to be completed by licensed engineer/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank size 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 8.;Each Trench_*0' _
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: �• Qi
SIGNATURE: DATE: 07
Town of Queensb Building&Codes Principal Structure Application Revised January 2016
RESceck Software Version 4.6.1
Compliance Certificate___,____.,_
Project New Ranch Model Home JUN $ 2416
_.
Energy Code: 2010 New York Energy Conservation +.
Location:
Warren County, New York T-1-1�`'[[
Construction Type: Single-family
Project Type: New Construction
Orientation: Bldg. faces 45 deg. from North
Conditioned Floor Area: 1,489 ft2305.1 -1-4.21 RC-000407-2016
Glazing Area 10%
Climate zone: 6 (7635 HDD) Howard, David
Permit Date: �j Pitcher Road
Permit Number: 1� w�FP 1498 s.f., garage 792 s.f.
Construction Site: Owner/Agent: Designer/Contractor:
Pitcher Road DDD) Enterprises Ethan Peter Hall
Queensbury, NY 12804 470 West Mountain Road Rucinski Hall Architecture
Queensbury, NY 12804 134 Dix Ave
Glens Falls, NY 12801
518-741-0268
ephall@nycap.rr.com
Compliance: using performance
Compliance: 1.1%Better Than Code
Envelope Assemblies
Gross Area Cavity Cant.
Perimeter
Ceiling 1: Raised or Energy Truss 1,489 38.0 0.0 0.025 37
Wall 1: Wood Frame, 16" o.c. 600 21.0 0.0 0.057 30
Orientation: Front
Window 1: Wood Frame:Double Pane with Low-E 54 0.320 17
SHGC: 0.25
Orientation: Front
Door 1: Solid 20 0.300 6
Orientation: Front
Wall 2:Wood Frame, 16" o.c. 380 21.0 0.0 0.057 20
Orientation: Right side
Window 2:Wood Frame:Double Pane with Law-E 6 0.320 2
SHGC: 0.25
Orientation: Right side
Door 2: Solid 18 0.300 5
Orientation: Right side
Wali 3: Wood Frame, 16" o,c. 600 21.0 0.0 0.057 28
Orientation: Back
Window 3: Wood Frame:Double Pane with Law-E 63 0.320 20
SHGC: 0.25
Orientation: Back
Project Title: New Ranch Model Home Report date: 06/27/16
Data filename: YAHoward Construction\Dufour Residence0vision Road Model.rck Pagel of 7
Gross Area Cavity Cont.
Perimeter
Door 3: Glass 48 0.320 15
SHGC: 0.25
Orientation: Back
Wall 4: Wood Frame, 16 o.c. 380 21.0 0.0 0.057 21
Orientation: Left side
Window 4: Wood Frame:Double Pane with Law-E 6 0.320 2
SHGC: 0.25
Orientation: Left side
Basement Wall 1: Solid Concrete or Masonry 474 13.0 0.0 0.066 31
Orientation: Front
Wall height: 7.9'
Depth below grade: 6.0'
Insulation depth: 7.5'
Basement Wall 2: Solid Concrete or Masonry 300 13.0 0.0 0.066 20
Orientation: Right side
Wall height: 7.9'
Depth below grade: 6.0'
Insulation depth: 7.5'
Basement Wall 3: Solid Concrete or Masonry 474 13.0 0.0 0.066 30
Orientation: Back
Wall height: 7.9'
Depth below grade: 6.0'
Insulation depth: 7.5'
Window 5:Vinyl Frame:Double Pane with Low-E 12 0.320 4
SHGC: 0.25
Orientation: Back
Basement Wall 4: Solid Concrete or Masonry 300 13.0 0.0 0.066 19
Orientation: Left side
Wall height: 7.9'
Depth below grade: 6.0'
Insulation depth: 7.5'
Window 6:Vinyl Frame:Double Pane with Law-E 12 0.320 4
SHGC: 0.25
Orientation: Left side
Mechanical Equipment
Description
Forced Hot Air Gas 93 AFUE
Electric Central Air Electric 13 SEER
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.. ed to meet the 2010 New York Energy
Conservation Construction Cade requirements in REScheck Version 4.6.1-and t andatory requirements listed in
the REScheck Inspection Checklist.
Ethan Peter Hall-Architect
Name-Title TDate
a
V
Project Title: New Ranch Model Home Report date: 06/27/16
Data filename: YAHoward Construction\Dufour Residence0vision Road Model.rck Page 2 of 7
REScheck Software Version 4.6.1
Inspection Checklist
Energy Code: 2010 New York Energy Conservation Construction Code
Requirements: 100.0% 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 ❑Complies Requirement will be met.
[PR1]i documentation sufficiently ❑Does Not
demonstrates energy code Location on plans/spec: A-
compliance for the building ❑Not Observable 1
envelope. ❑Not Applicable
103.2, Construction drawings and ❑Complies Requirement will be met.
403.7 documentation sufficiently ❑Does Not
[PR3]1 demonstrates energy code ❑Not Observable Location on plans/spec: A-
compliance for lighting and ❑Not Applicable
1
mechanical systems.Systems pp
serving multiple dwelling units
must demonstrate compliance
with the commercial code.
403.6 Heating and cooling equipment is Heating: Heating: ❑Complies Requirement will be met.
[PR2]2 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not
on loads per ACCA Manual J or Cooling: Coolin Location on plans/spec: A-
other approved methods. 9 ❑Not Observable 1
Btu/hr Btulhr ❑Not Applicable
Additional Comments/Assumptions:
j 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3Law Impact(Tier 3)
Project Title: New Ranch Model Home Report date: 06/27116
Data filename: Y:1Howard ConstructionlDufour ResidencelDivision Road Model.rck Page 3 of 7
2010 New
York Foundation inspection Complies? Comments/Assumptions
Energy
303.2.1 Exposed foundation insulation ❑Complies Exception: Requirement is not applicable.
[FO11]2 protection. ❑Does Not
i = ❑Not Observable
❑Not Applicable
403.8 Snow melt controls. `❑Complies Exception: Requirement is not applicable.
[F012]2 ❑Does Not
�' ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 1 High Impact(Tier 1) 1 21mediurn Impact(Tier 2) 1 3 IlLow Impact(Tier 3}
Project Title: New Ranch Model Home Report date: 06/27/16
Data filename: YAHoward Construction\Dufour Residence\Division Road Model.rck Page 4 of 7
Section Plans Verified Field Verified
# Framing /Rough-In Inspection Value Value Complies? Comments/Assumptions
& Req.l�
402.4.4 Fenestration that is not site built ❑Complies Requirement will be met.
[FR20]1 is listed and labeled as meeting []Does Not
V1. AAMA/WDMA/CSA 101/l.S.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 Requirement will be met.
[FR16]2 sealed at housing/interior finish ❑Does Not
and labeled to indicate&It;= 2.0 ❑Nat Observable Location on plans/spec:A-
cfm leakage at 75 Pa. 1
❑Not Applicable
403.2.2 All joints and seams of air ducts, ❑Complies Requirement will be met.
[FR13]1 air handlers,filter boxes, and ❑Does Not
building cavities used as return Location on plans/spec: A-
ducts are sealed. ❑Nat Observable 1
❑Nat Applicable
403.2.3 Building cavities are not used as ❑Complies Requirement will be met.
[FR15]3 ducts or plenums. ❑Does Not
❑Not Observable Location on plans/spec:A-
❑Not Applicable 1
403.3 HVAC piping conveying fluids R- R- ❑Complies Exception: Requirement is
[FR17]2 above 105 PF or chilled fluids E]Does Not not applicable.
below 55 QF are insulated to R-3.
❑Not Observable
❑Not Applicable
403.4 Circulating service hot water R- R- ❑Complies Exception: Requirement is
[FR18]2 pipes are insulated to R-2. ❑does Not not applicable.
❑Not Observable
❑Not Applicable
403.5 Automatic or gravity dampers are ❑Complies Requirement will be met.
[FR19]"2 installed on all outdoor air ❑Does Not
intakes and exhausts. ❑Not Observable Location an glans/spec: A-
❑Not Applicable 1
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: New Ranch Model Home Report date: 06/27/16
Data filename: Y:\Howard Construction\Dufour Residence0vision Road Model.rck Page 5 of 7
2010 New
York Insulation Inspection Complies? Comments/Assumptions
Energy
303.1 All installed insulation labeled or ❑Complies Requirement will be met.
[IN13]2 installed R-values provided. ❑Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low impact(Tier 3)
Project Title: New Ranch Model Home Report date: 06/27/16
Data filename: YAHoward Construction\Dufour Residence0vision Road Modei.rck Page 6 of 7
Section 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 Requirement will be met.
402.4.2.1 verified by blower door test result ❑Does Not
[F117]1 of<7 ACH at 50 Pa,This Location on pians/spec: A-
requirement may instead be met ❑Not Observable 1
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 Exception: All ducts and air
[F14]1 construction with maximum ❑Does Not handlers are located within
f leakage of 8 cfm to outdoors, or ❑Not Observable conditioned space.
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 Requirement will be met.
[F19]2 installed on forced air furnaces. ❑Does Not
❑Not Observable Location on plans/spec: A-
❑Not Applicable 1
403.1.2 Heat pump thermostat installed ❑Complies Exception: Requirement is
[F110]2 on heat pumps. ❑Does Not not applicable,
❑Not Observable
❑Not Applicable
403.4 Circulating service hot water ❑Complies Exception: Requirement is
[Flll]2 systems have automatic or ❑Does Not not applicable.
accessible manual controls.
❑Not Observable
❑Not Applicable
401.3 Compliance certificate posted. ❑Complies Requirement will be met.
[F1712 ❑Does Not
❑Not Observable
❑Nat Applicable
303.3 Manufacturer manuals for ❑Complies Requirement will be met.
[F118]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 JLow Impact(Tier 3)
Project Title: New Ranch Model Home Report date: 06/27/16
Data filename: Y:1Howard Construction\Dufour Residence\Division Road Model.rck Page 7 of 7
2010 New York
Energy Conservation
Construction Cade
Energy Efficiency
Certificate
Insulation Rating R-Value
Above-Grade Wall 21.00
Below-Grade Wall 13.00
Floor 0.00
Ceiling 1 hoof 38.00
Ductwork (unconditioned spaces):
Glass &Door Rating U-Factor S;HGC
Window 0.32 0.25
Door 0.32 0.25
CoolingHeating&
Forced Hot Air 93 AFUE
Electric Central Air 1.3 SEER
Water Heater:
Name: Date:
Comments