RC-000391-2015 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
4k- Community Development-Building& Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-000391-2015 Date Issued: Friday, September 30,2016
This is to certify that work requested to be done as shown by Permit Number RC-000391-2015
has been completed.
Tax Map Number: 296.14-1-52.2
Location: 68 COUNTRY CLUB RD
Owner: Dean Howland
Applicant: Howland Construction
This structure may be occupied as a: SFD 2476 s.f.
3-car attached garage 864 s.£ By Order of Town Board
Fireplace TOWN OF QUEENSBBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the �J
0//tetproperty owner of the responsibility for compliance with Site Plan, (�/f_�
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
ow Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000391-2015
Tax Map No: 296.14-1-52.2
Permission is hereby granted to: Howland Construction
For property located at: 68 COUNTRY CLUB 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 filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Tyne of Construction
Owner Name: Dean Howland Single Family-New $265,000.00
Owner Address: 95 Sunnyside East Total Value $265,000.00
Queensbury,NY 12804
Contractor or Builder's Name I Address Electrical Inspection Agency
Howland Construction
7 IROQUOIS DR DR
Queensbury,NY 12804
Plans&Specifications
SFD 2476 s.f.
3-car attached garage 864 s.f.
Fireplace
$674.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, December 8,2016
(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 of WondWeber 4,2015
SIGNED BY: r the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION
U - Officer use Only
Received
Tax Map ID i
Date: 17,11 r 2 2015 - ,Zp
Permit No.
Tax Map ID 29(e . / - - Z Permit Fee `7
Zone Rec Fee
Historic Site _Yes _Wo Site Plan#
Subdivision Name Lot# Subdivision#
Project Location Of Gob rd,
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).
Applicant Conn_ Cf,cn Owner -9*ik4LJ1 go�
Address $� �� Sk- Address 9S Su Sidc K.af
Cake Nq uecµ bu u 12&q
Phone/E-mail �l08 3 f$� Phone/E mail ��/_7Q/t
1 con J T 12WlA-JCWSJr,4t'0..
Contact Person for Building&Codes Compliance: 5aVe 46ZIAV . Phone 191-76 1 t
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration I"floor sf 29d floor sf Total sf Height
Single Family (Z� 1190 Z4?Co 3� All
Two-Family
Multi-Family
(#of units
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garage
(1, 2,04+) ✓ g✓Q�
Other
2 tc
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 f e5cLa c'e_
Source of Heat(circle one) a Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances &Chimneys
Are there structures not shown on plot plan? ND
Are there easements on the property? 5614- 6-1r�x
Site Information
a. Dimensions or acreage of lot 200 .21. gc reD
b. Is this a corner lot? 00
c. Will the grade be changed as a result of construction _ Yes _ cc No
d. Public water or Private well ?010k'�C_
e. Sewer or Private Septic System
Value of all work to be performed(labor or materials) $
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:
PRINTNAME: 7P4n H61" -m- DATE: 14,115—
SIGNATURE:
4,I/5SIGNATURE: - DATE: M1111-5--
For
1111SFor 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: I2I I I I S Tax Map ID
TAx MAP ID: -2q6. ig-I_ 5 -L Permit No.
Permit Fee
ZONE:
OWNER l PHONE/E-MAIL 7 Y/tea f L
ADDRESS JSf-�o t+> " CbHSh � C
INSTALLER/ .. (+�fed�G@ C0 PHONE/E-MAIL
BUILDER t f
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: PVI,AkF U e-W=S
PHONE/E-MAIL BUILDING ADDRESS 69. cognk!�5 C(Ub rA
ROOM OF INSTALL: PLANNED INSTALL DATE: AX/V
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: sit ;Model#: MHS-gcmDY 8 P5 Fe
Listed by: Number:
CHIMNEY INFORMATION �;fe& I¢ µo 0-V V
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: ' Pi 4�1rw� � DATE:
SIGNATURE: ���/� DATE:
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
SEPTIC DISPOSAL APPLICATION Office Use Only
Received
DATE: a/d/S Tax Map ID
TAx MAP ID: 244.,(y —/ — 5-z,.Z Permit No.
ZONE: Permit Fee
APPLICANT '7e (,�„� PHONE/E-MAIL
ADDRESS $/o C�x�-r Club r e-"aC ,
INSTALLER/ PHONE/E-MAIL
BUILDER
OWNER
ADDRESS
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE:
PHONE/E-MAIL 79/- 70//
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 o
1992-Present e5 110
PARCEL INFORMATION
Topography ✓Flat rolling _Steep slope %Slope
Soil Nature 4-Sand _ am _Clay Other
Groundwater At what depth: Sec r-¢Iw f -
Bedrock/Impervious material At what depth: See. A-
4-Domestic Water Supply Municipal Well(if well,water supply from any septic system absorption is—ft.)
Percolation Test Rate: See per minute per inch(test to be completed by licensed engineer/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank size 17,�L 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 $Ce f
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 t�
requirements of�the Town of Queensbury Sanitary Sewage Disposal Ordinance.
�
PRINT NAME: /xt¢tt rw/H hr / DATE: 12,1111157-
SIGNATURE:
/ SSIGNATURE: ����� 6do� DATE: L
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 PERMITmay,/� en--e--
fX ru—
Date: G 1/5" o" "g�J a"
Applicant Name: or,),
Telephone No.: S/g —741--7011
Address to be Inspected Rd,
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 O Slight Swale
O Deep Swale
O 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 September 2014
Generated b
Y RESchec -
k lNeb Software i
Compliance Certificate
Project HOWLAND RESIDENCE
Energy Code: 2010 New York Energy conservation
Location: Warren County, New YorkILG vO
Construction Type: Single-family
Project Type: New Construction
Conditioned Floor Area: 2,476 ft2
Glazing Area 8%
Climate Zone: 6 (7635 HDD)
Permit Date: 12-10-2015
Permit Number: RC-000391-2015
Construction Site: Owner/Agent: Designer/Contractor:
68 COUNTRY CLUB ROAD DEAN&NICOLE HOWLAND HOWLAND CONSTRUCTION
QDEENSBURY,New York 12804 95 SUNNYSIDE EAST 7 IROQUOIS STREET
QUEENS8 URY,New York 12804 LAKE GEORGE,New York 12804
518-791-7011 518-668-3185
jake@howlandconstruction.com
i
Compliance: 34.2%Better Than Code Maximum UA: 341; Your UA: 297
The%Better ar 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
Assembly Gross Area
or Cavity Cent U-Factor ILIA
Ceiling:Flat or Scissor Truss 1,28040.0 0.0 0,029 37
Wall:Wood Frame, 16in.o.c. 1,404 21.0 0.0 0.057 80
Wall:Wood Frame,16in.o.c. 1,152 21.0 0.0 0.057 51
Window:Vinyl Frame,2 Pane w/Low-E 182
Door:Solid 0.330 60
Door:Glass 46 0.100 5
21 0.100 2
Basement:Solid Concrete or Masonry
Wall height:8.0' 1,248 0.0 13.0 0.050 62
Depth below grade:7.3'
Insulation depth:8.0'
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 Construction Code requirements in REScheck Version 5.5.0 and to comply with the mandatory requirements listed in
r the RESScheck Inspection Checklist.
Name Tttle Signature
Date
Project Title: HOWLAND RESIDENCE Report data: 12/10/15
Data filename:
Page 1 of 6
CREScheck Software Version 5.5.0
�(j 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 IPlans Verified Field Verified
# Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions
& Re .ID
103.2 Construction drawings and ❑Complies Requirement will be met.
[PR111 documentation sufficiently ❑Does Not
e, demonstrates energy code ❑Not Observable
compliance for the building
envelope. ❑Not Applicable
103.2, Construction drawings and ❑Complies
403.7 documentation sufficiently ❑Does Not
[PR311 demonstrates energy code ❑Not Observable
11. compliance for lighting and
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 ACCA Manual S based Btu/hr Btu/hr ❑Does Not
on loads per ACCA Manual j or Cooling: Conlin ❑
Cooling: Not Observable
other approved methods.
PP Btu/hr Btu/hr ❑Not Applicable
Additional Comments/Assumptions:
1 I High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: HOWLAND RESIDENCE Report date: 12/10/15
Data filename: Page 2 of 6
Section
# Foundation Inspection Complies? Comments/Assumptions
& Req.ID
303.2.1 Exposed foundation insulation ❑Complies Requirement will be met.
[FO1112 protection. ❑Does Not
❑Not Observable
[]Not Applicable
403.8 Snow melt controls. ❑Complies
[FO12)2 ❑Does Not
u ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 12 IMedium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: HOWLAND RESIDENCE Report date: 12/10/15
Data filename: Page 3 of 6
Section Plans Verified Field Verified
# Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions
& Req.ID
402.4.4 Fenestration that is not site built ❑Complies Requirement will be met.
[FR20]1 is listed and labeled as meeting ❑Does Not
1J AAMA/WDMA/CSA 101/i.S.2/A440 []Not Observable
or has infiltration rates per NFRC
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 housingfinterior finish []Does Not
u and labeled to indicate&It;=2.0 []Not Observable
cfm leakage at 75 Pa.
❑Not Applicable
403.2.2 All joints and seams of air ducts, ❑Complies
[FR1311 air handlers,filter boxes,and ❑Does Not
d, building cavities used as return ❑Not Observable
ducts are sealed.
[]Not Applicable
403.2.3 Building cavities are not used as ❑Complies
[FR1513 ducts or plenums. ❑Does Not
e ❑Not Observable
❑Not 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-_ ElComplies
- [FR18]' pipes are insulated to R-2. ❑Does Not
+_,, []Not Observable
❑Not Applicable
403.5 Automatic or gravity dampers are ❑Complies Requirement will be met.
[FR19]' installed on all outdoor air ❑Does Not
intakes and exhausts.
- []Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 j High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)71
Project Title: HOWLAND RESIDENCE Report date: 12/10/15
Data filename: Page 4 of 6
Section
# Insulation Inspection Complies? Comments/Assumptions
& Re .ID
303.1 All installed insulation labeled or ❑Complies Requirement will be met.
[IN13]2 installed R-values provided. ❑Does Not
U, ❑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: HOWLAND RESIDENCE Report date: 12/10/15
Data filename: Page 5 of 6
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
[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
[FI411 construction with maximum ❑Does Not
leakage of 8 cfm to outdoors,or ❑Not Observable
12 cfm across systems.For ❑Not Applicable
rough-in tests,verification may
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 ElComplies
[F]9]2 installed on forced air furnaces. ❑Does Not
u ❑Not Observable
❑Not Applicable
403.1.2 Heat pump thermostat installed ❑Complies
[FI10]2 on heat pumps. ❑Does Not
ur ❑Not Observable
❑Not Applicable
403.4 Circulating service hot water ❑Complies
[Flll]z systems have automatic or ❑Does Not
accessible manual controls. []Not Observable
❑Not Applicable
401.3 Compliance certificate posted. [ Complies Requirement will be met.
[FI7]2 ❑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 Comments/Assumptions:
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: HOWLAND RESIDENCE Report date: 12/10/15
Data filename: Page 6 of 6
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 / Roof 40.00
Ductwork (unconditioned spaces):
Glass & Door Rating U-Factor SHGC
Window 0.33
Door 0.10
Heating&coming Equipment Efficiency
Heating System•
Cooling System•
Water Heater:
Name• Date•
Comments
.. 1
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Map Reference
Map of. . .
Lloyd f. Jones, Jr.
i By: Van DU5en SteVe5
I
I
Date: 25 September 2007
Last Rev15ed. 9 April 2008
or
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LOT 2
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Area = 1 . 21 ±- acres ', _
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Marrinci Notes X.
Note: Only title surveys bearing the maker' i
Capped Rod Set \ 1 — _ _
e - - -� ` - SES' 2 8
ernbo55e6 seal should be relied upon sine
other than embossed sea! copies may c ntain �
e �l0ori� ” '�, �, Tl �+�l l t. q ,J�:?�I�°�"=,..e` URY
una'.uthorized and undetectable modifiHa
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Ce tification5 on this boundary survey map signify
that the map Was prepared in accordance With the . Certification Town of Queen5bur�l Count of wa,'rren
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cur rent existing Code of Practice for Land Surveys
adc>ptea by the New York State Association of I hereby certify to pean H. Howland, III, Nicole Dubois Howland, State o ' New York
® Old Republic Title Insurance Company and Homestead Funding
- Prc fe5sionai Surveyors, Inc. The certification is —
lirr,ited to the per5ori5 for whom the boundary survey Scale : 1 — 20 feet Date: i G January 2Q
Corp., Its successors and/or assigns, as their Interests may
rnat2 is prepared, to the title company, to the
go'/ernr,iental agency, and to the lending institution appear, that this plat was prepared from an actual -
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Revised: 19 September 20I 6
list don this bounc'aly 5urvc y niap. on the .gr nd ,survey according to record survey ar d Map py
Final survey/certification.
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enc:roachrnents are not alevays known and often must LA\f-
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E GEORGE, N W YORK 12845 -
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19 September 201 6
be estimated. If any uriderground impr•overnents or
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