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RC-0431-2020 f`r Office Use Only 3 f �• . .. ADDITION/ALTERATION PERMIT Permit#: Q C —0 L 1 - Z020 APPLICATION Permit Fee:$ �c'J- 2© Town of Qucensbury 742 Bay Road,Queensbury,NY 12804 Invoice#: P:518-761-8256 wrww.queensburrv,..net , Project Location: H Mi c ' .Cte,1s IDvwt Tax Map ID#: : Q D RtO 1 )--1 Subdivision Name: S he"tal\ kreS CONTACT INFORMATION: • Applicant: Name(s): M A*i et,) GA\� Mailing Address, C/S/Z: '? e loci QuzGelynicti py izEzvi Cell Phone: ( ../$ ) %6/— 3V/5- Land Line: ( S/S ) 793-7999 Email: • Primary Owner(s): Name(s): mom \Qw a}- 4A I` .l l gen4x-IS UL Mailing Address, C/S/Z: q 8a//i31 ( zions Z /y taw Cell Phone: ( cr s- ) (.5,1 --3 r5 Land Line: ( c7 — ) 3--2? Email: ❑ Check if all work will be performed by homeowner only • Contractor(s): Worl ers' Comp documentation must be submitted with this application a Contact Name(s): -,I� La�I(�5 CCU Contractor Trade: 1 fARds/n,c ' <�S & . Mailing Address C S/Z: v1 a U I /r Cell Phone:j biO ) 3 C Land Line: ( Sf€S) 7 37'1-7 -7 Email: 61-1+5 Fay ApeS ' . -1Infitl 1-(_c)irla____L_ **List all additional contractors on thback of this form • Architect(s)/Engineer(s): _ if _��.._..-,__- Business Name: itc) '- L ..' _d 5;-_ ' ' I Contact Name(s): r\ i iI I' Mailing Address, C/S/Z: .;UN C a � m<J ,l Cell Phone: ( ) Land Line: I 2:7" -.-a--_-_. 7—.�° Email: RI II? m.zc `1:- ;; ` Contact Person for Building & Code Compliance: n . \I:r Cell Phone: Land Line: Email: Addition/Alteration Application Revised February 2019 PROJECT INFORMATION: TYPE: Commercial _ Residential WORK CLASS: ✓Single-Family _Two-Family Multi-Family(#of units Townhouse Business Office Retail _Industrial/Warehouse :/ Garage (#of cars I YY- ) Other(describe ) ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE: 1st floor: C''` 1st floor: 2nd floor: 2nd floor: 3rd floor: 3rd floor: ` Q nl Basement(habitable space): 1 () Basement(habitable space): Ivv Total square feet: 0 Total square feet: 1 \ P ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ (t.) 0 2. If Commercial project, what is the proposed use: 3. Source of Heat(circle one): 1 Oil Propane Solar Other Fireplaces need a separate Fuel Burning Appliances&Chimney Application 4. Are there any structures not shown on the plot plan? YES NO Explain: 5. Are there any easements on the property? YES 6. SITE INFORMATION: tS . , 1 a. What is the dimensions or acreage of the_parcel? e t�- aC(g b. Is this a corner lot? YES N c. Will the grade be changed as a res • the construction? YES d. What is the water source? PUBLIC PRIVATE WELL e. Is the parcel on SEWER or a PRIVATE SEPTIC system? fr(I/4712- -- Addition/Alteration Application Revised February 2019 • DECLARATION: • 1. I acknowledge that'no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees arid department approval. 3. I certify that the application, plans and supporting materials are a true and complete statement and/or 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. l 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: /ni4 64) ggt SIGNATURE: vv� Q DATE: UJ??-b131W • Addition/Alteration Application Revised February 2019 ci. Generated by REScheck-Web Software 444( Compliance Certificate Project Ball residance Energy Code: 2016 IECC FILE COPY Location: Glens Falls, New York Construction Type: Single-family �) b\ VI° Project Type: New Construction % C (Di Conditioned Floor Area: 1,144 ft2 Glazing Area 16% Climate Zone: 6 (7635 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 17 Micheals dr. KEVIN HAVENS qUEENSBURY, NY 12804 REVIEIIl 22 OAK TING IEW C Is 22 OAKVIEW DR. �ift�� FORT EDWARD, NY 12828 'ji klhdrafting@gmail.com CQ®� COMPLIANCE :.s i�kRl�'�;+^3.J.f.. K-iSb Le 5 f.-'rS" ':.YXS.` ,Ain' ?� r7 a'V.. 3a.nR �..t-. r ,.4 t,✓ rr+; 1- ',.% -' Y'•, 7 s*w* 7f yt' �`omp�liarioe "Passs�usir�r�-UA trade dff x.; .w �.;dux-a,� y, "'� + rr,p � y �.. ��� 1 r -�;- , r� .. ...r..n... ASS n-rav�:�..f +r.x .. _ .r Y„ .c•...;fit�,w�hfi�".�".� ...R?,. ;�,�';is 7 �kRt'+:r .ai�.� r.�,ra'(*v. Sa:A':N$ .,a!�:.. � ...,C.. ?1.2.,��... 3'.e'.:Y;C:��.. eomplltin€tii 3.7%Better Than Code Maximum UA: 188 Your UA: 182 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 4 f. " = , Gross Area '-.fi ; } w ;, : + CaVity' Cont. ,, Assembly or U=Factor VA,,. r, t perimeter Ft Value R V�IuQ Ceiling: Raised or Energy Truss 1,144 49.0 0.0 0.020 23 Wall:Wood Frame, 16"o.c. 1,120 21.0 0.0 0.057 53 Door 2:Solid Door(under 50%glazing) 20 0.170 3 Door:Glass Door(over 50%glazing) 40 0.310 12 Door 1: Glass Door(over 50%glazing) 20 0.280 6 Window:Vinyl Frame 105 0.240 25 Window 1:Vinyl Frame to M 12 0.230 3 Floor:All-Wood Joist/Truss ®O C !��J , 88 25.0 0.0 0.038 3 Basement:Masonry Block w/Empty Cells Z Ti GI l� 1,088 0.0 13.0 0.050 54 Wall height:8.0' 0 C) ® FR Depth below grade: 7.0' 20 C — Insulation depth:8.0' O m o cn C 55 Project Title: Ball residance Report date: 07/29/20 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 2018 IECC requirements in REScheck Version : REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date • Project Title: Ball residance Report date: 07/29/20 ` REScheck Software Version : REScheck-Web CI Inspection Checklist Energy Code: 2018 IECC 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. �Q tio�n P a''-- Verified 1 FIeld Verified PPS llii��eetagr�/l 1-14�tevievu value Value Cmplles� C®rr►trosntslAssu�'a tir�zes 103.1, ,Construction drawings and Y ❑Complies 103.2 ;documentation demonstrate the Not [PR1]1 !energy code compliance for the } yj ;building envelope.Thermal _ ❑Not Observable ;envelope represented on',envelope Applicable construction documents. 103.1, Construction drawings and , " _ 1❑Complies 103.2, ;documentation demonstrate ' ` ❑Does Not 403.7 ;energy code compliance for [PR3]1 lighting and mechanical systems Not Observable Systems serving multiple a❑Not Applicable �' dwelling units must demonstrate compliance with the IECC Commercial Provisions. ; 302 , ;Heating and cooling equipment is; Heating: Heating: ;❑Complies.1 4037 sized per ACCA Manual S based Btu/hr Btu/hr '❑Does Not [PR2]z on loads calculated per ACCA Cooling: Cooling: Manual J or other methods Btu/hr Btu/hr :❑Not Observable J approved by the code official. ;❑Not Applicable , i Additional Comments/Assumptions: IT Hlgh Impact(Tier 1) 2: Medium Impact(Tier 2) 3 Low Impact(Tier 3) 7 Project Title: Ball residence Report date: 07/29/20 , tl®n Plaatr�Verified Meld!lerifiet# t~ou►datiar Inspectlon ®rnpll s? Cemnrie�otitu/,,. -, ,, icsr;s -�.i/atflud t/Alue - - 402.1 1 Conditioned basement wall R- R- ;❑Complies See the Envelope Assemblies [FO4]1 ;insulation R-value.Where interior R_ R- :❑Does Not i table for values. !{ :insulation is used,verification • may need to occur during ❑Not Observable Insulation Inspection.Not ❑Not Applicable required in warm-humid locations; :in Climate.Zone 3. '303.2 ;Conditioned basement wall y u ❑Complies t[FO5]1 ;insulation installed per r ❑Does Not , J manufacturer's instructions. ; 3 i ❑Not Observable Not Applicable 1402.2 9 i Conditioned basement wall ft ft ❑Complies ;See the Envelope Assemblies [[FO6]1 insulation depth of burial or DDoes Not ;table for values. J :distance from top of wall. ❑Not Observable ❑Not Applicable 303.2 1 A protective covering is installed i ❑Complies [F9 ]z to protect exposed exterior ❑Does Not 'insulation and extends a J minimum of 6 in.below grade. ['Not Observable i '; ❑Not Applicable 4039 Snow-and ice-melting system ❑Complies [FO1'2]. :controls installed. ❑Does Not • :❑Not Observable _- , ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) .2; Medium Impact(Tier 2) 3; Low Impact(Tier 3) Project Title: Ball residence Report date: 07/29/20 , • e4tl®n = )lurog Verlfigd Field Verified 0 Fraetelei /IRougH Ire Inspection frempil is7 Cmeenreerets/Assam tionE Value �Jalue 402.1.1, ;Door U-factor. ; U- U- ;❑Complies See the Envelope Assemblies 402.3.4 !ODoes Not table for values. [FR1]1 1 J ❑Not Observable' ❑Not Applicable , 402.1.1, Glazing U-factor(area-weighted U- U- ;❑Complies ;See the Envelope Assemblies 402.3.1, Iaverage). ❑Does Not table for values. 402.3.3, 402.5 :Not Observable [FR2]1 ❑Not Applicable 303.1 3 U-factors of fenestration products 7, ❑Complies [FR4]1 i,are determined in accordance ❑Does Not !with the NFRC test procedure or ` ` r ' , ;a ' , ' ;, 7❑Not Observable taken from the default table. „y .. ❑Not Applicable 402.4.1.1 'Air barrier and thermal barrier r ❑Complies [FR23]1 installed per manufacturer's ❑Does Not instructions. +Y- s ;t ❑Not Observable i '' , ❑Not Applicable j 402.4.3 ;Fenestration that is not site built i „z ?❑Complies [FR20]1 is listed and labeled as meeting ;} ❑Does Not AAMA/WDMA/CSA 101/I.S.2/A440 or has infiltration rates per NFRC ,Lr - _❑Not Observable 400 that do not exceed code ❑Not Applicable limits. 402.4 5 .:`f lC=rated recessed lighting fixtures' r ❑Complies [FR16] sealed at housing/interior finish ❑Does Not and labeled to indicate 5_2.0 cfm leakage at 75 Pa. ;❑Not Observable H '❑Not Applicabl e 403.3.1 Supply and return ducts in attics ,' Complies [FR12]1 insulated>= R-8 where duct is '❑Does Not >=3 inches in diameter and >= R-6 where <3 inches.Supply and ;❑Not Observable return ducts in other portions of r s❑Not Applicable the building insulated>= R-6 for diameter>= 3 inches and R-4.2 r .,, , for< 3 inches in diameter. 403.3.2 ;Ducts, air handlers and filter F.: ❑Com lies [FR1311 boxes are sealed with p �. ��❑Does Not joints/seams compliant with ' :International Mechanical Code or ❑Not Observable i ;International Residential Code,as ;r ;❑Not Applicable Lapplicable. _ 403 3 5 j Building cavities are not used as ❑Complies [FR15]3 ducts or plenums. '❑ ' Does Not = ;❑Not Observable r `f ❑Not Applicable r1 HighhIImpact(Tier 1) 2 Medium Impact(Tier 2) J 3.;:,Low Impact(Tier 3) Project Title: Ball residance Report date: 07/29/20 • Sectien Flans Ve lfied rjel,d�Verlfl®d Framing/Rough-in ie spectioto Complies? Comments/As'urmp lons ; RegJb Value Valu® 403:3 7 'Ducts declared to be within the ' { n .❑Complies [ • FR28]3;, -conditioned space are either 1) - ❑Does Not ;completely within the continuous ` air barrier and within the building ❑Not Observable °..thermal envelope,2) buried �, j❑Not Applicable within ceiling insulation in ,accordance with Section y R403.3.6 and the air handler is - i located completely within the , '' continuous air barrier and within �. the building thermal envelope ;and the duct leakage is<= 1.5 s z 's , ;, ' ; cfm/100 square feet of conditioned floor area served by --the duct system,or 3)the ceiling insulation R-value installed against and above the insulated ;':duct>=to the proposed ceiling , insulation R-value,less-the R- ', value of the insulation on the '' ,4033, ;HVAC piping conveying fluids - R- ; R- ;DComplies [FR17]z - above 105°F or chilled fluids :❑Does Not below 55°F are insulated to?R- ::-.,:-.:,:.,,:::::::,.,;;;:::,..:..:;.;';:.7:..1.'['.:,..,! 3 '❑Not Observable • ❑Not Applicable 403.4.1 Protection of insulation on HVAC - ? t + 4 ;DCompiies [FR24]1 piping. fv '❑Does Not ,44 ❑Not Observable ❑Not Applicable 403 5 3 ;Hot water pipes are insulated to R- R- ❑Complies [FR18]z t?R-3. ❑Does Not } ;❑Not Observable .❑Not Applicable ' 403;6 'Automatic or gravity dampers are ❑Complies [FR19]z ;installed on all outdoor air '❑Does Not i intakes and exhausts, rj❑Not Observable • r ,1 a❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 12`_ Medium Impact(Tier 2) . 3; Low Impact(Tier 3)-1 Project Title: Ball residence Report date: 07/29/20 S Li®n Plieis!/erifled Field Ve!fi4d f r; 1, - inRaloi�iH;l�Ppa�eioh e~om�ll .� Co;ri �ntffi/As�ua ►tlt�n� ea RegJD Valu® Wi�lue I .: 303.1 .±All installed insulation is labeled �❑Complies [IN13]z or the installed R-values f i r ' ❑Does Not provided. 1 � ❑Not Observable ❑Not Applicable 402.1.1, i Floor insulation R-value. R- R- ;❑Complies ;See the Envelope Assemblies 402.2.6 ; ❑ Wood 0 Wood IDDoes Not table for values. (IN1]1 ❑ Steel ❑ Steel '❑Not Observable I ❑Not Applicable 303.2 Floor insulation installed per ❑Complies 1402.2.7 ;manufacturer's instructions and ❑Does Not I[IN2]1 ;in substantial contact with the < 'underside of the subfloor,or floor ` ❑Not Observable I ',framing cavity insulation is in ; ? '❑Not Applicable i ;contact with the top side of 4 , sheathing, or continuous ' insulation is installed on the underside of floor framing and < „ extends from the bottom to the top of all perimeter floor framing ;members. 402.1.1, ;Wall insulation R-value.If this is a R- ; R- , IDConnplies i See the Envelope Assemblies 402.2.5, ;mass wall with at least 1/z of the ❑ Wood ;❑ Wood :❑Does Not i table for values. 402.2.E wall insulation on the wall :❑ Mass ;❑ Mass ❑Not Observable [IN3]1 i exterior,the exterior insulation J ;requirement applies(FR10). ;0 Steel ;❑ Steel DNot Applicable 303.2 i Wall insulation is installed per ['Complies [IN4]1 manufacturer's instructions. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: pi High Impact(Tier 1) 2; Medium Impact(Tier 2) ,33' Low Impact(Tier 3) Project Title: Ball residance Report date: 07/29/20 p �i0rr . Planl�Verifiedt Feld Verified final fln�petliiAr� r:ePOPI ins 7.7mgllea? `f 7".7 Y9E�n$3/�7 �.p is��ds -fig.'RegJ M/alu ._4lal,se j..F S 402.1.1, Ceiling insulation R-value, R- R- ;OComplies ;See the Envelope Assemblies 402.2.1, ; ❑ Wood ID Wood ;ODoes Not table for values. 402.2.2, ; ❑ Steel :❑ Steel ❑Not Observable 402.2.6 [FI1]1 • ;❑Not Applicable ; 303.1.1.1,;Ceiling insulation installed per 4 s 5� ❑Complies 303.2 ;manufacturer's instructions. ❑Does Not •[FI2]1 :Blown insulation marked every ; 300 ft2. ,-� '' ,; Not Observable ` Art i 's`;ONot Applicable 4022 3 ;Vented attics with air permeable r , f Y ❑Complies [FI22]z ,insulation include baffle adjacent 1❑Does Not to soffit and eave vents that : , 3:, ;r extends over insulation. ❑Not Observable °❑. . Nat Applicable . 4.02.2.4 ;Attic access hatch and door R- R- ❑Corplies [FI3]1 :insulation?R-value of the DDoes Not ;adjacent assembly. ONot Observable DNot Applicable 1402.4.1.2 ;Blower door test @ 50 Pa. <=5 ACH 50= ACH 50= j❑Complies [FI17]1 ;ach in Climate Zones 1-2,and ;0Does Not <=3 ach in Climate Zones 3-8. • ❑Not Observable `:❑Not Applicable 403.3.3 ;Ducts are pressure tested to cfm/100 cfm/100 ;❑Complies [FI27]1 :.determine air leakage with ; ft2 ft2 ;❑Does Not either: Rough-in test:Total leakage measured with a Not Observable ;pressure differential'of 0.1.inch DNot Applicable w.g.across the system including the manufacturer's air handler enclosure if installed at time of ;test.Postconstruction test:Total leakage measured with a pressure differential of 0.1 inch w.g.across the entire system ;including the manufacturer's air ; handler enclosure. 403.3.4 Duct tightness test result of<=4 cfm/100 j cfm/100 ❑Complies [F14]1 'cfm/100 ft2 across the system-or ; ft2 ft2 10Does Not ":<=3 cfm/100 ft2 without air handler @ 25 Pa.For rough-in ❑Not Observable ;tests,verification may need to ;❑Not Applicable ;occur during Framing Inspection. ; ; 403.3.2.1 ;Air handler leakage designated ❑Complies [FI24]1 by manufacturer at<=2%of : ,, ;' t❑Does Not design airflow. _f ,` ❑Not Observable z r ,❑ Not Applicable 4031 1 Programmable thermostats ;❑Complies [FI9]z 'installed for control of primary 1❑Does Not heating and cooling systems and initially set by manufacturer to ;❑Not Observable code specifications. F4 ❑Not Applicable 4031 2 Heat pump thermostat installed ❑Complies [FI10]z on heat pumps. ❑goes Not ,. ❑Not Observable Y ,:i❑Not Applicable 403 5 1 :Circulating service hot'water ❑Complies : [FI11]z , ;systems have automatic or ❑Does Not accessible manual controls. 4 x ,. ❑Not Observable ` Not Applicable .. w_ 1 High Impact(Tier 1) 1 2-Medium Impact(Tier 2) I:3 i Low Impact(Tier 3) Project Title: Ball residence Report date: 07/29/20 , � All mechanical ventilation system "ElDoes Not [F125F-,_` fans not part of tested and listed HVAC equipment meet efficacy Not Observable and air flow limits per Table UNot Applicable Hot water boilers supplying h t E]Complies ea through one-or two-pipe hea ting systems have outdoor setback E]Not Observable control to lower boiler water ONot Applicable empe rature based on outdoor Heated water circulation systems Comp ies ump.The Does Not !system return pipe is a dedicated return pipe or a cold water supply 'E]Not Applicable pipe.Gravity and thermos- syphon circulation systems are not present.Controls for circulating hot water system pumps start the pump with signa for hot water demand within the occupancy.Controls automatically turn off the pump when water is in circulation loop is at set-point temperature and no demand for hot water exists. 463.5A-.`2':,Electric heat trace systems comply with IEEE 515.1 or UL '515.Controls automatically adjust the energy input to the Not Applicable heat tracing to maint El ain the desired water temperature in the mplies 403-.' Demand recirculation water �F, systems have controls that es Not manage operation of the pump and im t Observable Ii it the temperature of the E]Not Applicable water entering the cold water 403 54 ;Drain water heat recovery units t: ',,^,T]Complles '"tested in accordance with CSA DDoes Not ;B55.1.Potable water-side -]Not Observable -.-,!pressure loss of drain water heat 'E]Not Applicable recovery units< 3 psi for individual units connected to one ___.,,�Jor two showers. Potable water- side pressure loss of drain wat er heat recovery units<2 psi for d' *dual units connected to three or more showers. 404.1 90%or more of --- [F1611 fixtures have high efficacy lamps. ODo�N� LJNotObservable ' []NotApp|icab|e � Fuelges|igUbn have []CumpIies � nocnnbnuous pilot light. []DoeyNot | []Not Observable _ ' []Not Applicable Compliance certificate posted. []Complies [ onesNot L]NutObsemab|e []NotApp|icab|e _i _ ' z High I - 'c't(Tier----- ` ---t(Tier ' '— ^ ' Pr jactTitle: 8aUneoidnnce Report date: 07/29/30 ~ . ~ . . .. • 5tiG 19 Plan �grified Field;Vered FirnalnsparCkitsr�P'ravisl®n Compls8 C®�aet�ts/�esuef9ticsa�s °RcgJD .. . �Jalue Value 303.3 Manufacturer manuals for i❑Complies [FI113]3 mechanical and water heating Not • systems have been provided. r= i • Y ❑Not Observable = Not Applicable Additional Comments/Assumptions: • • Li]High Impact(Tier 1) 2'; Medium Impact(Tier 2) 3;'Low Impact(Tier 3) Project Title: Ball residance Report date: 07/29/20 2018 IECC Energy Efficiency Certificate .`S4 1 ==-ct 44 tk - ,,=k-a- lns ttatlo 1`Rating 4 •r ti qn �.r •„�aVallie' , t s 4 Above-Grade Wall 21.00 Below-Grade Wall 13.00 Floor 25.00 Ceiling/ Roof. 49.00 Ductwork (unconditioned spaces): } • i _41 re 0_ rt3x�a yea -i px.:.^ Y9 Glass&Doar:Rating 1 =a � � �' u`k U-Factor e ciGCs� Window 0.24 Door 0.31 . {."1 r. ? :t . i i i.:.�"e, Ne Y 1 a. �- Heating&CoolingEtluiptnent oaf } , tNG,��Eff ciency x; 'h Heating System: Cooling System: Water Heater: �'Hv",�#%r 4 y,t5{t i+in,G' r' t• �,rrfW � J.1 "r)7��.A X rJp�as �,f �t' a n .r� ;�,k Name: 7 t-- Date: -7/A 2e462 Comments