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RC-000492-2016
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-000492-2016 Date Issued: Tuesday,November 15, 2016 This is to certify that work requested to be done as shown by Permit Number RC-000492-2016 has been completed. Tax Map Number: 302.18-2-13 Location: 15 SEWARD ST Owner: Linda Skellie, WILLIAM SKELLIE JR Applicant: Home Improvement Gallery Inc This structure may be occupied as a:Residential Alterations By Order of Town Board TOWN OF QUEENSBBUURY�J Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, QQQvvviykkk" V 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 QL Community Development-Building& Codes (518)761-8256 BUILDING PERMIT Permit Number: RC-000492-2016 Tax Map No: 302.18-2-13 Permission is hereby granted to: Home Improvement Gallery Inc For property located at: 15 SEWARD ST 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: Linda Skellie Single Family-Alteration $0.00 Owner Address: 15 SEWARD ST Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Home Improvement Gallery Inc 10 Saratoga AVE South Glens Falls,NY 12803 Plans&Specifications Residential Alterations $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,July 28,2017 (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 of eens AI'uese, ,,2016 SIGNED BY: (-jVyrr/n /VJor the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Office Use Only Date: Permit No. k-— 2.2Q�io Tax Map ID Permit Fee $2°J Zone Historic? _'Yes No Ree Fee th\tvau, Subdivision Name Lot# Site Plan# Subdivision# Project Location 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 Address Phone/Email Contractor Address Phone/Email Contact Person for Building& Codes Compliance: �i iL 7"') Phone 7 5�5_- 1:11 to- O TYPE OF CONSTRUCTION ✓Check all that apply New Addition Alteration I" floor sf 2nd floor sf Total sf Height Single Family Two-Family Multi-Family (# of units Townhouse Business Office Retail -Mercantile Factory-Industrial Attached Garage (1, 2, 3, 4+) Other Town of Queensbury Building&Codes Principal Structure Application revised January 2016 •° e If commercial or industrial please indicate name of business Proposed use of building or addition Source of Heat(circle one) Gas Oil Propane 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 b. Is this a comer lot? Yes -,k- 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) $ 12 2 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. 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: &/, C�%G�j!^o DATE: z PAC SIGNATURE: DATE: 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 Awe M 9 1 A,9d `ld S ©0 'S JNicnne -ls p.iemos st RE 8 F inr � Jlan8SN33no J© NMOL •awoq slgl ul paipluapl spaezeu luted paseq-peal ou aaam aaagl S106IN03 WI'd31Nl 1NItld ( 3SVO-OV91 •awoq s!ql ul pailquapl sp.tezeq luted paseq-peal ou ajam ajagl pue Alladold slgl 1o; pawlo}1ad ueaq seq;uaws es a stj V Ns '(q£lJed �43O bZ) loafoad sial of Aldde splezeq luted paseq-peal to uollonpal aql 6ulwano6 suollEin6a) s,anH aXlalagl -aouelssse lelapa3 ql!M lied 10 aloclnn ul 10; pled aq il!m suolleo!l!oads �ilom esagl Aq 1o; palleo Atom uo!lel!I!gegaa aq1 „-a0uelsissy lelapaj 6ulnla0a�i 6ulsnoH .... .. ui splezeH lu1ed paseq-pea-I;o uollonpa�l,,........ aql 6u!p1e6a1 suolleln6ei panss! seq (©nH) luawdolanad uegln 8 6ulsnoH ;o luawlledaQ aql soot; S02i`dZVH 1NlVd ❑9S` 9-GVBl -plq jnoA ul selep uollaldwoo pue fuels 6ulpinojd uagm pulw ul }uawa.tlnbei sial dean aseeld -8we48wll gluow Z e ulgllm palaldwoa aq of sl >iaam [IV £ '43sn 38 Ol 3�]V SIVIJ3iVVq M3N `lib 'I-Jd1SNl (INH TIIAO21d Ol SNH3A „-Il`d.LSNI,, '(]310N 3SIM1 JDH10 SS3-lNn �Z -moiaq of uolllppe ui suolleoll!oads plepuels pagoelle puE sapoo 6ulpl!nq le0ol pue 6uipl!nq SAN 'suollonllsul s;lalnloelnuew gl!M aouep1000e ul pawlo}1ad aq of s! �1oM it'd L 'OPS�l1oA MON to sapo0 6u!PLnI agl gil,A aoueyduloo lin} ul a1e suolleop@c s pue sueid aq] 6ullealpul se panllauoo aq iou !legs sluallwloo Ino gl!m auuelldutoo`uol;eulumexa pslluui Ino uo paseq 1N3Ni1 JddK JNia-iine AanGSN33n6 j0 Nm01 UD O S99t,-E6L-M :auogd b08Zl. AN `tingsuaanp '" �' _ H 'IS plemaq 9 L o o alli8 is welll!AA pue epull +, U3NM4 Al2i3d0�ld E v _ M Ln Q rl � b08Zb AN 'tingsuaanp `� Z? is Plema5 9L ul O .�C to v Ol S[.NaW3AO�IdM M LA .—I CC Town of Queensbury Housing Rehabilitation Program Contract Clarifications and Addendums Property Owner Linda and William Skellie Project Address 15 Seward St. Queensbury NY 12804 Case File#2013-04 IDIS 32291 Vendor ID 77061 THE FOLLOWING CONTRACT ITEMS ARE CLARIFIED AS FOLLOWS: Contract Reference Clarification Floor plan drawings Room#102 is Bedroom#1 Room#201 is Bedroom#2 Room#202 is Bedroom#3 (Master facing street) Page 2 Electrical- Item#7, bedroom#2 Bedroom#2-Wall switch is to be at the door. Page 2 Electrical- Item#8, bedroom#3 Bedroom#3-Contract item is to install lithium-ion battery operated smoke detector. Page 2 Electrical- Item#8, bedroom#3 Except for the installation of a smoke detector, all items should be included under Item#9, basement. Page 3 Interior Carpentry-Item#1 Bathroom -Ceiling to be removed and replaced with drywall. No dollar amount changes are involved with the clarifications noted above Electrical-Basement/Other $200.00 to be added to contract -Provide dedicated circuit and install new Romex cable for electric range - Properly splice wiring to garage in appropriate junction box, with cover Electrical-Bathroom (NOTE: Ceiling will be removed $300.00 to be added to contract under interior carpentry) -Remove existing light fixture at shower -Install 6"recessed fixture inside shower area,with shower- rated trim ring -Install new surface fixture (approx. $30.00)at back of room -Include CFL bulbs 9 44 Homeowners Rehabilitation Officer Contractor New York State Homes and Community Renewal SHARS 201327 ELECTRICAL All work is to be performed in accordance with manufacturer's instructions, NYS Building Code, Local Building Code and attached ELECTRICAL SPECIFICATIONS. 1. Kitchen • GFI protect all existing countertop receptacle, as required. • Provide dedicated 20A circuits for refrigerator. 2. Hall • Install Lithium-ion battery operated smoke and CO detector. 3. Bedroom#1 • Install Lithium-ion battery operated smoke detector. �- #- 71 / .�/ Bathroom �s2 ce: 22A 7 G#` • Install new light fixture (approximately 30") at vanity, with wall switch control. Include CFL bulbs. , • Install GFI protected receptacle at vanity, on dedicated 20A circuit. �4k Stairs �� m • Cut back wood paneling around light switch at bottom of stairs and install switch plate. Upstairs Hall • Install smoke and CO detector, as above. 7. Bedroom#2 • Install Lithium-ion battery operated smoke detector. • Install ceiling light or wall sconce(approximately 30")with all switch at door. Include CFL bulbs. 8. Bedroom#3 • Install hard-wl a smoke and CO detector with battery backup. ,rd e� UnS • Cover all open junction boxes in ceiling. `,J• Provide plates for all receptacles in ceiling. ?amu jai �fll • Secure existing dryer receptacle and cable to block wall. • Provide GFI protected receptacle and dedicated 20A circuit for wash]machine.;Provide GFI protected receptacle and dedicated 20A circuit for smal -Rase��P 9. Basement le- 4-p • Secure and cover loose junction box above entry door. • Eliminate fuse for garage circuit. • Provide new wiring back to panel, as required. LIST ELECTRICAL PRICE HERE$ 2 15 Seward St. WINDOWS • Install new white vinyl, Energy Star-rated replacement windows(Pella Therma Star or equivalent) in the following locations. Window U factor will not be greater than .30. • All new windows will have full screens. • Where combination storm windows are removed, exterior stops will be covered with coil stock or painted to match existing trim. a Living room (DH) - 3 (replace casement) o Dining room (DH) - 1 o Bedroom#1 (DH) - 1 o Bathroom (DH) - 1 (privacy glass) o Upstairs Hall(DH) - 1 o Bedroom#2(DH) -2 o Bedroom#3(DH) - 1 • Basement(Slider) -3 Replacement Windows -13 LIST WINDOWS PRICE HERE$ INTERIOR CARPENTRY 1. Bathroom: Remove teftierftin ceiling. • Prime and paint with 2 coats of good quality, mildew resistant latex paint. LIST INTERIOR CARPENTRY PRICE HERE $ INSULATION 1. Exterior Walls: Blow in cellulose insulation to best possible R-value, prior to siding. 2. Attic: • Blow in cellulose insulation to achieve minimum R-38. • Maintain adequate ventilation for roof. LIST INSULATION PRICE HERE$ SIDING /`-e 1. Main House& Front Porch- Cwt" • Repair damaged areas of existing fiber siding, as necessary. • Install vinyl siding over appropriate backing. • Homeowner will have choice of stock color. 3 15 Seward St. 2. Trim: • Install white coilstock at eaves, fascia, casings and all other trim. • Install white vinyl at soffits and at porch ceiling. • Wrap 2 posts at front porch. 3. Basement: • Insulate rim joist with 2"of spray foam. • Seal all penetrations to first floor. LIST SIDING PRICE HERE $ HEATINGIPLUMBING 1. Replace 3 corroded bleeder valves at boiler. 2. Check boiler for high CO level and service as required LIST HEATINGIPLUBMING PRICE HERE$ NOTE:ANY FINISHED SURFACES DAMAGED DURING THE COURSE OF REHABILITATION WORK SHALL BE REPAIRED AND FINISHED TO MATCH ORIGINAL CONDITION. CONSIDER THIS IN YOUR BIDS, DO NOT INCLUDE AS EXTRAS. Extras 1. Identify additional separate cost to install or remove additional items not mentioned in specifications that may be necessary to comply with code and complete the job in a satisfactory manner and list separately here. 2. Items not listed as additional are assumed to be included in contractors bid price. LIST EXTRAS PRICE HERE$ 4 15 Seward St. • A�D0 OATE(M11201 YYY) CERTIFICATE OF LIABILITY INSURANCE o7ro1rzals THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT ANTHONY DEMATTOS OEM attos Insurance Ag ency,Inc PHONE `— — FAX u— PO BOX 2022 NQ.-EA;---- E-MAIL 158 RIDGE ST ADDRESS: GLENS FALLS,NY 12501 INSURERR(S)_AFFORDING COVERAGE MAIC# INSURER A: MAIN STREET AMERICA ASSURANCE CO 29939 INSURED Home Improvement Gallery Inc INSURER B: NATIONAL GRANGE MUTUAL INS CO _- 14788- 10 Saratoga Atie South Glens Falls,NY 128034839 trlsuRERc 1N9URER D: INSURER IL INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRL($ TPOUCY EFF POLICY L TYPE OF INSURANCE POLICY NUMBER I MMMDfYYYY MMIDDIYYYY 1 LIMITS A I COMMERCIAL GENERAL LIABILITY 'Y I 'BPV34611 103/Od/2016 103104!2017 I EACH OCCURRENCE Is tow ow rD ---— I CLAIMS-MADE 11 OCCUR ! I P5(Ea occurre 1 _._ 500,000 MED E�(Arty one person) —(s 10,000 PERSONAL 8 ADV B�tY_ $ 1,-- L AGGREGATE LMR APPLIES PER: ! GEDIERAL AGGREGATE (S Z 000,000 GEN _ POLICY ��,R O. OC LI I PRODUCTS-COVP/OP AGG S Z 000,000 - , �-- ----__------I-- OTHER: 5 B 'AuToMoaiLEuAstLrIY IY I jBiV34611 0310412016 ;0310412017 i Eaa�aidenS�cLEUMR !S — 1.000,000 ANY AUTO 1 I j BOOLY NIRIRY(Per person) I S ---- OWNED SCHEDULED i i AUTOS ONLY AUTOS BODILY IIlAN2Y(Per accident) S —_ --- HIRED N040WWD 1 PROPERTY DAMAGE�S AUTOS ONLY AUTOS ONLY I Per acc dent i 7 I ,S B UtNeRELLAIJABOCCUR iCUV34611 103/04/2016 ',0310412017 i EACHOCCURRENCE —_ S 1,OOD,000 EXCESS UAB CLAMS-Mu Qt 1 i I -AGGREGATE `—^5 1,000,D00 OED RETENTION S 10,000 A WORKERS COMPENSATION iW1V34611 ;03/0412016 ',0310412017 STATUTE i ER i _ AND EMPLOYERS'UABIUTY YIN I 1 ANY PROPRIETORIPARTP£RIEXECUTNE E.L.EACH ACCIDENT S 500,000 OFFICERIMEIMER EXCLUDED? 1 N I A4 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 500,000 1 yraes,describe under I 500,000 DESCRIPTIONOFOPERATIONS below EL.DISEASE-POLICY LIMIT ,$ I i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Tawe of Queensbury ACCORDANCE WITH THE POLICY PROVISIONS. 742 BayRd Queensbury,NY 128N AUTHORIZED REPRESENTATIVE i X31988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD