RC-000511-2016 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-000511-2016 Date Issued: Wednesday, June 21, 2017
This is to certify that work requested to be done as shown by Permit Number RC-000511-2016
has been completed.
Tax Map Number: 295.19-1-47
Location: 3 PINEWOOD AVE
Owner: David Casey
Applicant: Hilltop Construction
This structure may be occupied as a:Residential Addition first floor 352 sq. ft.
includes 3-season porch and laundry room and master bathroom. By Order of Town Board
TOWN OF QUEENSBBURY
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
1W
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000511-2016
Tax Map No: 295.19-1-47
Permission is hereby granted to: Hilltop Construction
For property located at: 3 PINEWOOD AVE
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: David Casey Single Family-Addition $85,000.00
Owner Address: 3 Pinewood AVE Total Value $85,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Hilltop Construction
51 Crowley RD
Hudson Falls,NY 12839
Plans&Specifications
Residential Addition first floor 352 sq.ft.
includes 3-season porch and laundry room and master bathroom.
$100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,August 13,2017
(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 ex/pi tion
JJJdatkdugust
Dated at the Town of ueensb • f/ �hu18,2016
SIGNED BY: �/ for the Town of Queensbury.
Director of Building&Code Enforcement
r1U_NU1rAL J'IRUU I UME AYYL1UA'1'1U1N Office Use Onlv
Date:- Permit No. l � �8_Cao Ifo
Tax Map ID 9 Permit Fee ;cc 9
Zone Historic? _Yes No Rec Fee
Subdivision Name G(
Lot# Site Plan#
Subdivision#
Project Location Au.e .
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) 4\J; d ao-n %� C-,_
Case
Address 3 PA LM , k e e h 56L,.r
I rLc,�,•)o 0
Phone/Email 7q3 "371 '1 J I Case 3 E y 0610 C) . CO vr-*�
Applicant T( `-�o
Address 51 k o c-A H Ud son Fa 1(s 11 tin
Phone/Email 0335' Cmd a hillfo Cortstrucf`onco . com
Contractor
r-a.n
Address
Phone/Email
Contact Person for Building&Codes Compliance m re c hi S n. Phone as q- $r/0 y
TYPE OF CONSTRUCTION
,/Check all that apply New Addition Alteration 11 floor sf 2nd floor sf Total sf Height
Single Family s��a 55 A
Two-Family 1J�7
Multi-Family
(#of units
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garage
(l, 2, 3, 4+)
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 3- ouon 0
_"ui,dKy Masfer
Source of Heat(circle one) E X i 5'f i n Gas Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances &Chimneys 110 h
Are there structures not shown on plot plan? n a
Are there easements on the property? n O
Site Information:
a. Dimensions or acreage of lot 3 Q C re S q 3 X 150
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) Public Private
e. Sewer or Private Septic System(circle one) Sewer Private
Value of all work to be performed(labor or materials) $ 135, 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: 01Y)dv S• DATE:
SIGNATURE: 0.'A" 'J QaLa–t" DATE: F- -off/G
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
1ZREScheck Software Version 4.6.2
Compliance Certificate
Project Dave &Janice Casey
Energy Code: 2010 New York Energy Conservation
Location: Warren County, New York AUG
Construction Type: Single-family
Project Type: New Construction
Conditioned Floor Area: 160 ft2
Glazing Area 3%
Climate Zone: 6 (7635 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
3 pinewood ave.
Queensbury, NY 12804
,Compliance: Passes using UA trade-off
Compliance: 20.0%Better Than Code Maximum UA: 45 Your UA: 36
The%Better or 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
Gross Area Cavity Cont' U-Factor UA
Assembly or R-Value R-Value
Perimeter
Ceiling 1: Raised or Energy Truss 160 38.0 0.0 0.025 4
Wall 1:Wood Frame, 16"D.C. 336 21.0 0.0 0.057 19
Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 9 0.290 3
Crawl 1: Solid Concrete or Masonry 168 0.0 10.0 0.079 10
Wall height: 4.0'
Depth below grade: 3.0'
Insulation depth:4.0'
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:!ns been designed to meet the 2010 New York Energy
Conservation Construction Code requirements in REScheck VerSID
and t comply�ith the ry requirements listed in
/9-Nathe RESChtgk^pection Checklis . p�
/A l6ec)AM V—S r uta - A^ 49-
Name-Title
me-Title Sig ture SE - Y Date
�nKEIT6'
295.19-1-47 RC-000511-2016 `\ z
Casey, David & Janice
3 Pinewood Avenue F o
Res. Add. (porch, laundry, bath) 352 s.f.
Project Title: Dave &Janice Casey L Report date: 07/18/16
Data filename: Untitled.rck Page 1 of 6
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 Verifled Field Verifled
# Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions
&RC .ID
103.2 Construction drawings and ❑Complies
[PR1]1 documentation sufficiently ❑Does Not
demonstrates energy code
compliance for the building []Not Observable
envelope. ❑Not Applicable
103.2, Construction drawings and ❑Complies
403.7 documentation sufficiently ❑Does Not
[PR311 demonstrates energy code ❑Not Observable
40 compliance for lighting and ❑Not Applicable
mechanical systems.Systems
serving multiple dwelling units
must demonstrate compliance
with the commercial code.
403.6 Heating and cooling equipment Is Heating: Heating: ❑Complies
[PR2]1 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not
on loads per ACCA Manual J or Cooling: j Cooling: ❑Not Observable
other approved methods. Btu/hr Btu/hr
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Dave &Janice Casey Report date: 07/18/16
Data filename: Untitled.rck Page 2 of 6
.section
# Foundation Inspection Complies? Comments/Assumptions
&Re .ID
303.2.1' Exposed foundation Insulation ❑Complies
[Foil]' protection. ❑Does Not
t✓' []Not Observable
❑Not Applicable
403.8 Snow melt controls. '❑Compiles
[F012]2 ❑Does Not
[]Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 I High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 13 Low Impactfiler 3)
Project Title: Dave &Janice Casey Report date: 07/18/16
Data filename: Untitled.rck Page 3 of 6
Section Plans Verified Field Verified
# Framing/Rough-in Inspection Value Value Complies? Comments/Assumptions
& Re .ID
402.4.47 Fenestration that Is not site built ❑Complies
[FR20]1 is listed and labeled as meeting ❑Does Not
AAMA/WDMA/CSA 101/I.S.2/A440 []Not Observable
or has Inflltratlon rates per NFRC
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
V, and labeled to indicate&It;=2.0
cfim leakage at 75 Pa. [_-]Not Observable
❑Not Applicable
403.2.2 All Joints and seams of air ducts, ❑Complies
[FR13]1 air handlers,filter boxes,and ❑Does Not
u. building cavities used as return ❑Not Observable
ducts are sealed.
❑Not Applicable
403.2.3 Building cavities are not used as ❑Complies
[FR15]3 ducts or plenums. ❑Does Not
[]Not Observable
❑Not Applicable
403.3 HVAC piping conveying fluids R-_ R-_ ❑Complies
[FR17]2 above 105 OF or chilled fluids ❑Does Not
9, below 55 of 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
[]Not Observable
❑Not Applicable
403.5 Automatic or gravity dampers are ❑Complies
[FR19]2 installed on all outdoor air []Does Not
intakes and exhausts. ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
111 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Dave &Janice Casey Report date: 07/18/16
Data filename: Untitled.rck Page 4 of 6
,Section
# Insulation Inspection Complies? Comments/Assumptions
& Re .ID
303.1 ' All Installed Insulation labeled or ❑Complies
[IN13]2 Installed R-values provided. ❑Does Not
❑Not Observable
❑Not Applicable .
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier3)
Project Title: Dave &Janice Casey Reportdate: 07/18/16
Data filename: Untitled.rck Page 5 of 6
section Plans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
& Re .ID
402.4.2; Building envelope tightness ACH 50 =_ ACH 50=_ ❑Complies
402.4.2.1 verified by blower door test result ❑Does Not
[F[17]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 I❑Complles
[FI411 construction with maximum ❑Does Not
$ leakage of 8 cfm to outdoors,or []Not Observable
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
[F1912 'Installed on forced air furnaces. ❑Does Not
[]Not Observable
❑Not Applicable
403.1.2 Heat pump thermostat Installed ❑Complies
[FI10]2 on heat pumps. ❑Does Not
❑Not Observable
❑Not Applicable
403.4 Circulating service hot water ❑Complies
[FI11]2 systems have automatic or ❑Does Not
V, accessible manual controls. []Not Observable
❑Not Applicable
401.3 Compliance certificate posted. ❑Complies
[FI7]2 ❑Does Not
V []Not Observable
❑Not Applicable
303.3 Manufacturer manuals for ❑Complies
[FI18]3 mechanical and water heating ❑Does Not
equipment have been provided. j ❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Iter 3)
Project Title: Dave &Janice Casey Report date: 07/18/16
Data filename: Untitled.rck Page 6 of 6
�( 2010 New York
j Energy Conservation
Construction Code
Energy Efficiency
Certificate
Insulation Rating R-Value
Above-Grade Wall 21.00
Below-Grade Wall 10.00
Floor 0.00
Ceiling / Roof 38.00
Ductwork (unconditioned spaces):
Glass&Door Rating U-Factor SHGC
Window 0.29
Door
Heating &Cooling Equipment Efficiency
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments
3/13/2017 6 : 13 PM FROM : 5183146044 TO: +15187454437 P. 1
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_ BUILDING & CODES
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295.19-1-47 RC-000511-2016
Casey, David & Janice
3 Pinewood Avenue
Res. Add. (porch, laundry, bath) 352 s.f.
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169 T-Iaviland Road. Queensbury, New York 12804 � ACFi;orAe+nEE.*�mrrGnlsnlvmc+laSlEuhFxEcrtAF4t `�'Oi?ltZi of Queensbury, Warren COI:IZity, New York
TO RIE ASSTCNEES OE lNE EENUN6 INSIIN IICYi' - t
(518) 792- 474 New York ftic. Na. 50135CASEY G1601
N0. DATE
D `" RIP710N OW G. NO. 06074
295.19-1-47 / 81--G-19