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RC-000521-2016 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-000521-2016 Date Issued: Friday,November 18, 2016 This is to certify that work requested to be done as shown by Permit Number RC-000521-2016 has been completed. Tax Map Number: 301.15-1-53 Location: 12 ELK RIDGE DR Owner: FOOTHILLS BUILDERS,LLC Applicant: FOOTHILLS BUILDERS,LLC This structure may be occupied as a: Single Family Dwelling w/FP 1605 s.f., Lot 3 By Order of Town Board Garage 528 s.f. TOWN ^OF QUEENSSBBUR�YJ Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, 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-000521-2016 Tax Map No: 301.15-1-53 Permission is hereby granted to: FOOTHILLS BUILDERS,LLC For property located at: 12 ELK RIDGE DR In the Town ofQueenshury,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/Address Electrical Inspection Agency FOOTHILLS BUILDERS,LLC 9 Mountainside DR Queensbury,NY 12804 Plans&Specifications Single Family Dwelling w/FP 1605 s.f.,Lot 3 Garage 528 s.f. $1,300.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,August 6,2017 (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 expi tion date.) Dated at the Town of ueensbu 4urs y s 11,2016 SIGNED BY: for the Town ofQueenshury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Office Use Only Date: _315 [ ILO Permit No. P-c—" FD 2-1 20 1�o Tax Map ID `` G3 Permit Fee �` -27 Zone 0 V, His� "Fib_Lot# � ny Yes No Rec Fee ib 5-0 Subdivision Name IC a � 1 •117� IM Subdivision# Project Location Z MCI VC TOWN BD.RESOLUTION 86-7013: $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). II Primary Owner(s) Address Phone/Email Applicant I SAMC Address CA Phone/Email Contractor Address Phone/Email � Contact Person for Building&Codes Compliance: Jot L c m L 1 Phone(S18) TYPE OF CONSTRUCTION ✓Check all that apply New Addition Alteration I"floor sf 2"d floor sf TotaI sf Height Single Family J r p� 2 '54 Two-Family Multi-Family (4 of units_) Townhouse Business Office `'''718 ZUT Retail-Mercantile Factory-Industrial Attached Garage -7 (1,& 4+) 5_z_0 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 Q S Q Source of Heat(circle one) as Oil Propane Solar Other Fireplace: Complete a separate application for Fuel Burning Appliances&Chimneys �f S «' S Are there structures not shown on plot plan? Are there easements on the property? No- Site Information: a. Dimensions or acreage of lot a S Y' 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) INUblic Private e. Sewer or Private Septic System(circle one) Sewer 'vate Value of all work to be performed(labor or materials) $ 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 1 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 1 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: pp [ PRINT NAME: �} b�Q,O� uVi DATE: SIGNATURE: C)�& ti� DATE: �J For office use only Operating Permit Issued: Yes No Occupancy Type Construction Classification Assembly Occupancy Limit Special Conditions Fuel Burning Appliance & Chimney Application Office Use Only Received DATE: to Tax Map ID TAx MAP ID: r 5_5 Pen-nit No. ZONE: NNE Permit Fee Ad cm OWNER PHONE/E-MAIL lNe-357-6 ADDRESSG An V INSTALLER/ PHONE/E-MAIL BUILDER Is SO 0--L CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: PHONE/E-MAIL Sift YVU BUILDING ADDRESS I ROOM OF INSTALL: `�r(� + ]1 I 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* 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 � '8 2 0 5 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. X HAVE READ AND AGREE TO THE ABOVE: PRINT NAME: &(,�nY l 4 DATE: J SIGNATURE: DATE: SEPTIC DISPOSAL APPLICATION Office Use Only Received DATE: Tax Map ID TAx MAP ID: $ — , — �j Permit No. ZONE: Permit Fee APPLICANT PHONE/E-MAIL --7q ADDRESS NVC INSTALLER/ PHONE 1 E-MAIL BUILDER OWNER ADDRESS CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: PHONE/E-MAIL 1�a Mt AUG 0 RESIDENCE INFORMATION Year Built #of bedrooms X gallons per bedroom =total Daily flow 1980 or older Garbage grinder installed —Yes XNo 1981-1991 Spa or Hot Tub installed Yes XNo 1992-Present �7 PARCEL INFORMATION Topography Flat rolling Steep slope %Slope Soil Nature Sand Loam Clay Other Groundwater At what depth: Bedrock/Impervious material At what depth: Domestic Water Supply Municipal _Well(if well,water supply from any septic system absorption is_ft.) Percolation Test Rate: 1.:::�per minute per inch(test to be completed by licensed engineer/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION Tank size 6 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 ft.;Each Trench 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 Or nance. PRINT NAME: lc'n� 1 1✓t V l b DATE: SIGNATURE: DATE: 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 DuelI Deputy Highway Superintendent Home: 518-745-0938 DRIVEWAY PERMIT Date: 16 Le Applicant Name: f�� oh i�� � S f rS Telephone No.: J1 -1 G � ZW Address to be Inspected ► 4'`� Return Address: (,� �� - 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 AUG 0 8 2016 ( ) 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 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL �o 44832 .. Cut-in Card No.................................... Permit No........................................Ceert. Owner... ��J �L :..!�.:1�(Ln ........r.. ......... ...... ... ........ ..... ................................................ . . Location..Z..!f .... �...P..��.67....... ........................................../.... .... ...... Install t' Consistin of_5_ �!U. .. r f... �...�.!/I...l'1... g .... �.... 11�:�St.. .��........ ?-........�.,.. �Gl/f............................................... ............................. ..................................................................................................................................................... InstalledBy.....t.e..:.. .jrQ. ........................................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 inspections at any time, and if its rules are violated,the Company shall have the right-torev ke this ificate. Date.....8-1-7-Z. ... G.......... INSPECTOR...... .t................. ............ . . .......................... Member N.F.P.A.,I.A.E.1. REScheck Software Version 4.6.2 Compliance Certificate Project Foothills Builders �y Energy Code: 2010 New York Energy Conservation Location: Warren County, New York ET -,� Construction Type: Single-family Project Type: New Construction �4 079Ln �3 � Conditioned Floor Area: 1,605 ft2 &SS10N�� C _ 00 Glazing Area 11% r,4 r-1 Climate Zone: 6 (7635 HDD) Lr) � Permit Date: Ln Permit Number: G L3 Construction Site: Owner/Agent: Designer/Contractor: m Lot 3 Vision Engineering LLC Queensbury, NY 12804 206 Glen Street Suite 56 d Vi Glens Falls, NY 12801fl Lr)•' 0 LP1 m Q) Q0 t ompliance: Passes using UA trade-off t Cy� U_ Coinpliance: 1.4%Better Than Code Maximurn UA: 281 Your UA: 277 rel J The i Better or worse Than Code Index reflects how close to compliance the house is based on Code trade-off rules. 0W ^ It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. �r 0 0 r'4 L L M ly r--1 C/7 Envelope Assemblies Gross Area cavity Cant. Per meter Wall 1: Wood Frame. 16" o.c. 1,674 21.0 0.0 0.057 83 Window 1:Vinyl Frame:Double Pane with Low-E 141 0.340 48 Door 1: Glass 40 0.320 13 Door 2: Solid 18 0.140 3 Door 3: Solid 201- 20 0.250 5 Ceiling 1: Raised or Energy Truss AUG C� � 1,605 38.0 0.0 0,025 40 Basement Wall 1: Solid Concrete or Masonry 1,488 0.0 11.0 0.057 85 Wall height: 7.8' Depth below grade: 6.8' Insulation depth: 7.8' 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 Constr tion Code requirements in REScheckVer 4.6.2 and to comply with the mandatory requirements listed in the M�Iflnspeftion Checklist. Name- le Signature Date Project Title: Foothills Builders Report date: 08/06/16 Data filename: C:%Usersllrobision\Dropbox\VISION Engineering, LLCIActive Projects VE11169 - DES - FHB Page 1 of 6 Lot 3 Ranch11169 - rescheck.rck r fZREScheck 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 & Req.ID 103.2 Construction drawings and ❑Complies [PR1]1 documentation sufficiently ❑Does Not demonstrates energy code Y compliance for the building ❑Nat 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 ❑Nat 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 ACCA Manual S based Btu/fir Btu/hr ❑Does Not on loads per ACCA Manual J or Cooling: Cooling: other approved methods, []Not Observable Btu/hr Btu/hr ❑Not Applicable Additional Comments/Assumptions: 1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low impact(Tier 3) Project Title: Foothills Builders Report date: 08/06/16 Data filename: C:\Usersllrobision\Dropbox\VISION Engineering, LLC\Active Projects VE11169 - DES - FHB Page 2 of 6 Lot 3 Ranch11169 - rescheck,rck Section # Foundation Inspection Complies? Comments/Assumptions 6r.Req.!® 303.2.1. Exposed foundation insulation ❑Complies [FOI1]2protection. ❑Does Not ❑Not Observable, ❑Not Applicable 403.8 Snow melt controls. ❑Complies [FO. 12]2, ;❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 I High Impact(Tier 1) 2. Medium Impact(Tier 2) 3 Low Impact(Tier 3} Project Title: Foothills Builders Report date: 08/06/16 Data filename: C:\Usersllrobislon\Dropbox1VlSION Engineering, LLC\Active Projects VE11169 - DES - FHB Page 3 of 6 Lot 3 Ranch11169 - rescheck.rck Section Plans Verified Field Verified # Framing/ Rough-in Inspection Value Value Complies? Comments/Assumptions 6c Req.li} i 402,4,4 Fenestration that is not site built ❑Complies [FR20]1 is listed and labeled as meeting ❑Does Not AAMA/WDMA/CSA 101/LS.2/A440 1211 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 cfm leakage at 75 Pa. ❑Not Observable ❑Nat Applicable 40 3.2.2 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 J' ❑Not Observable ❑Nat 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. ❑Not Observable ❑Not Applicable 403,4 Circulating service hot water R- R- ❑Complies [FR18]z pipes are insulated to R-2. ❑Does Not ❑Not Observable ❑Not Applicable 403.5 Automatic or gravity dampers are ❑Complies [FR1912 installed on all outdoor air ❑Does Not 3 intakes and exhausts, ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: I �High Impact(Tier 11 2 ]Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Foothills Builders Report date: 08/06/16 Data filename: C:1Usersllrobision\Dropbox\VISION Engineering, LLCIActive Projects VE11169 - DES - FHB Page 4 of 6 Lot 3 Ranch11169 - rescheck.rck 'Section # Insulation Inspection Complies? Comments/Assumptions & Req,ID 303.1 All installed insulation labeled or ❑complies [IN1312 installed R-values provided. ❑Does Not ❑Not observable ❑Not Applicable Additional Comments/Assumptions; 1 [High Impact(Tier 1) 2' Medium Impact (Tier 2) 3 how Impact(Tier 3) Project Title: Foothills Builders Report date: 08/06/16 Data filename: C:1Usersllrobision\Dropbox\VISION Engineering, LLC\Active Projects VE11169 - DES - FHB Page 5 of 6 Lot 3 Ranch11169 - rescheck.rck Section Plans Verified Field Verified 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 [FI17]' of&lt;7 ACH at 50 Pa.This ❑Not Observable requirement may instead be met 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 12 cfm across systems. For -]Not Observable 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 [FI9]2 installed on forced air furnaces. ❑Does Not ❑Not Observable _ .....�__...__._.-_:__--------_..._—:_____ ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies [FI1012 on heat pumps. ❑Does Not ❑Not Observable ❑Not Applicable 403,4 Circulating service hot water ❑Complies [FI1112 systems have automatic or ❑Does Not accessible manual controls. ❑Not Observable ❑Not Applicable 4013 Compliance certificate posted. ❑Complies [F17 ❑Does Not ❑Nat Observable ❑Not Applicable 303.3 Manufacturer manuals for v ❑Complies [FI 1813 mechanical and water heating ❑Does Not Y, equipment have been provided. ❑Not Observable []Not Applicable Additional Comments/Assumptions: 1 JHigh Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Law impact{Tier 3} Project Title: Foothills Builders Report date: 08/06/16 Data filename: C:\Usersllrobision\Dropbox\VISION Engineering, LLC\Active Projects VE\1169 - DES - FNB Page 6 of 6 Lot 3 Ranch11169- rescheck.rck 2010 New York Energy Conservation Construction Code Energy Efficiency Certificate Insulation Above-Grade Wall 21.00 Below-Grade Wall 11.00 Floor 0.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): Door,Glass& Window 0.34 Door 0.32 Heating&Cooling,Equipment Heating System• Cooling System: Water Heater: Name: Date- Comments ti ti l �n C 1 7 .7 dvIv dVd Z 4 Z n jy !BVI LE ynuoi vni T Q p VIW } QO K� SK'4-U' "' � JN Ua0 ZN ZU k? 01 U w0 y, aZpm O KZ " z aLJ 00 � W0 r' Z' oa m0 �N > aU0 mQa aoo�� �K co -d rc Z w rc> NK JN N ��� r rfn �w VILLUmF F¢ p �Nw w tea' m wozZa a' o ? ww0 N N� }o Ezyq� q Ka a w maw > po u'i¢ LIMUO 0. �°' o u m o a I� e"'� vpi i oN a �Ra a ovwi FN. aZ=aa �vt 'ten o W J QO Q a OVv~i a .w O �j�UW} A Ct2 ° h o� U �m o f ow o0 o om Kw.TFz j71, W K� zm � o oma z< NN� app a ¢'m�Fa OONp JUYU v~i 0 lLLK UI W�� JO OJO Ka 1-�7JK � az o- MWp Q ZZ o0W OQ O a Kp0 zp_ O= Npr,2 y� M Oa0a3WJlwi C., WZW 1.K. m LaLWw WW 45< 1m Kd KF WIiZ W2o Via o ttwK m� ¢a0 �w ZZzp WQOZUK.3 'Z1m z a�0 v0 �Nw in -rn=z�'z ry > 000F1-rcxOO w>o �ilsa� a o v� 7w ON P28- "-'p a U 95EEDv)�i U3d woz p' < o�-p m\o a F WN�'yJ awrc w yZ�� z�m��a N GL QOK �J.a'-'in �c� Nfn w ��} 13 W W v�,,77 88 I I a I Gy w N ¢ o K �o ? oorr 0� mw�Z.aw , ga�t'8x On ofl',omp Cryo F Mfl wm }> pin ¢awawz d wog a o Lw mw zMw za z0i�¢o p 1� o Z 003 yK 0m2 0, 0m�F al- C yi n a in io t3 Oy W � 00 O Cn C 15 ti R Oar E� Nit O P"'11-4dso ,L9'9Zl M„9Z, °L F.90S „a �o o} wa ONM, $ a3 �NIOIIl18;N N 00 NM0. 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