2014-500 _ere. TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20140500 Date Issued: Thursday, November 20, 2014
This is to certify that work requested to be done as shown by Permit Number P20140500
has been completed.
Location: 233 SHERMAN Ave
Tax Map Number: 523400-302-018-0002-004-000-0000
Owner: CAROL J TRACEY-DINGMAN
Applicant: CAROL J TRACEY-DINGMAN
This structure may be occupied as a:
Residential Alteration By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property
owner of the responsibility for compliance with Site Plan, Variance, or r 4
other issues and conditions as a result of approvals by the Planning Board Direct i ing&Codes nforc'. ent
or Zoning Board of Appeals.
r
TOWN OF QUEENSBURY
FON 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20140500 Application Number: a20140500
Tax Map No: 523400-302-018-0002-004-000-0000
Permission is hereby granted to: CAROL J TRACEY-DINGMAN
For property located at: 233 SHERMAN 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 Value
Owner Address: CAROL J TRACEY-DINGMAN Residential Alteration $20,000.00
233 SHERMAN Ave Total Value
QUEENSBURY,NY 12804-0000 $20,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
RUSSELL LEHOISKY
338-6950
76 DEAN Rd
HUDSON FALLS NY 12839-0000
Plans&Specifications
2014-500 SHELTER PLANNING
Res. Alteration -replace doors& windows; upgrade electrical
$50.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, October 09,2015
(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 f Que sbu 4 Tb• .d)f , October 09,2014
SIGNED BY } - SEAL for the Town of Queensbury.
Director of Building&Code Enforcement
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PRINCIPAL STRUCTURE APPLICATION Office'use 0_nly —� V-3-)n 20\4 �
DATE Received (}rt
Tate&ID 3a . i gat-4
TAX MAP)D Permit No��� !:+uctP�.y,5vb
Permit Fee° \y%niNV ��
ZONING Rec
Site Plan#
HISTORIC SITE Yes No Subdivision #
SUBDIVISION NAME Lot#
TOWN Ba RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS,INCLUDING SINGLE FAMILY DWELLINGS,DUPLEXES
OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR MANUFACTURED &
MODULAR HOMES, BUT NOT MOBILE HOMES. THIS IS IN ADDITION
nADDITION TO THE PERMIT FEE.
APPLICANT cJ �'^�— GA L`i o-to OWNER 19 1o:antiV�kSr ✓t
ADDRESS ADDRESS 2 3 3 Skun An e
Q,a..%A N' vl. 8
o"
PHONE/E-MAIL PHONE/E-MAIL 74`/— - 37 / /- 6967
CONTRACTOR P.S5. . CAL," k7 `M s ,L COST OF CONSTRUCTION(ESTIMATED): $ 2 , o oo
ADDRESS: 6 •/ / t
Dom. BUILDING ADDRESS: 5A-w-t. `y 'i`o✓
S•
GIC-wg 1'j[ 5 P) _r - /2 f 63
PHONE/E-MAIL Sr7 T 338 - b •
S5 Q
331-6,4166 2kss ell �e�.3�y 59%
CONTACT PERSON FOR BUILDING&&CODES COMPLIANCE: O PHONE
nit Gt CD
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
New Addition Alteration 1 u floor sq.ft. 2n'floor sq.ft. Total sq.ft. Height
Single Family
Two-Family
Multi-Family
(#of units )
Townhouse
Business Office
Retail - Mercantile
Factory- Industrial
Attached Garage
(#of )
Other iien i,/%X 5, •
Town of Queensbury Building&Codes Principal Structure Application July 2014
If commercial or industrial 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 corner lot?
c. Will the grade be changed as a result of construction _Yes _ No
d. Public water or Private well
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,NY State 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. k /
I have read and agree to the above: PRINT NAME: w L°( t t L I DATE V I 2-
SIGNATURE: aS DATE_WOO 20 I t)
FOR OFFICE USE ONLY
Operating Permit Issued: Yes _No
Occupancy Type
Construction Classification -
Assembly Occupancy Limit
Special Conditions
2
Town of Queensbury Building&Codes Principal Structure Application July 2014
idsc/ ra0 '_
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart I v vt'am/pm
Date Inspection request received: Inspector's Initials: __ �/
NAME: 1 D�M PERMIT#: / - Sat)n7
LOCATION: WS-Alibi [ugh,mit
.An}2c ]DATE: /1- / 9-iy
TYPE OF STRUCTURE: R ¢n,Q,
Comments:
Yes No NIA
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches /'
Roof Complete/Exterior Finish Complete t/
Platform at all exterior doors
Handrail 4 or more risers WP
Guards at stairs, decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall Y
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill late
Gas Valve sa tri rs r ain nr 18 inches36 hese grade Q~ .
Interior privy tri rs yin entrance 36 inches �/
Bathroom/Kitchen watertight
Safety glazing/Win in stairwells safety/lazing
Interior Smoke odors/Carbon M9�oxidf Detectors
Every level: Eve Bedroorh: t/_ --0
Outside every bedroom a: ! .
Inter Connected: -Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area , ,��
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft:150 sq.ft.vents Q C.�-d
Bathroom Fans,if no window
Plumbing fixtures °!-:
Foundation insulation to floor/Sticker on Panel � n 1
Duct work sealed property/Blower Door Test Certification V•.�`- —
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fire roofi /%hour fire door/door closer
s in eal Glass Enclosure
`Final Electrical;En Saving Light Bulbs 50%
F'marsurvey Pot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan I Variance required
Flood Plain Certification,if required0
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
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I OWN OF OUEEI4SBURY IMPROVEMENTS TO
EUJILD6h' U & COPTS "-DT. 233 Sherman Ave
Reviewed E` v _ Queensbury, NY 12804
Date: t,0 V:\ \.. -_
PROPERTY OWNER =+1 d
:� .Carol Tracey-Dingman
f
233 Sherman Ave '
Queensbury, NY 12804 --
Phone: 744-7937 or 581-0967 -! ii 1I I
NOTICE — —_
KRAFT PAPER INSULATION
MUST BE COVERED-By
WON-COMBUSTIBLE BARRIER =
NOTE 1: All work is to be performed in accordance with manufacturer's instructions, NYS
- building and local building codes and attached standard specifications in addition to below.
NOTE�5r}2: I �� QTHERWISE NOTED, "INSTALL" MEANS TO PROVIDE AND INSTALL.ALL NEW
F��MA``Ttt"F�'t&P,L/•MGR tSPBE
T10TE3.FA'L'L' o -KSS4&)II3EPERFORMED IN ACCORDANCE WITH MANUFACTURER'S
INSTR,UCIIO IS yr2)1 MELID1NG CODE, LOCAL BUILDING CODE AND GENERAL
SPECIFICATIONS
NOTE 4: CONTRACTOR IS REQUIRED TO OBTAIN ALL PERMITS.
NOTE 5:A CERTIFICATE OF OCCUPANCY FROM MUNICIPAL CODES DEPT. IS REQUIRED
BEFORE FINAL PAYMENT
Some or all of the rehabilitation work called for in these specifications must-be accomplished
pursuant to lead-safe work practices. TOWN OF QUEENSBURY
BUILDING DEPARTMENT
ncoomurmiemnittes dsleoint4eococnosmrpulieadnacesLEAD-BASED PAINT HAZARDSwteoduo
indicating the plans ant specifications are in
LEAD-BASED PAINT.HAZARDS full compliance with the Building Codes of
New York State.
Risk Assessment
A risk assessment has been performed for this property and project(attached)which has identified lead
hazards which must be corrected. These hazards and the rehabilitation work to remedy these hazards is
spelled out in the work specifications. The Contractor is responsible for reading the attached Lead-Based
Paint.Risk Assessment Report This is one reason why the report is attached to this document The
contractor is responsible for addressing all property components listed as lead hazards.
Contractor Certification
This project will require the contractor to undertake improvement activities that require lead-safe work
practices. Therefore the contractor must be trained and certified in accordance with regulations issued by
233 Sherman Ave 1
the US Environmental Protection Agency (EPA). The contractor must provide evidence of such
certifications prior to execution of the contract for improvements.
Interim Controls
The work to be done in accordance with.these specifications that addresses identified lead hazards is
designed to result in a lead-safe dwelling. The measures called for to reduce temporarily human
exposure or likely exposure to lead-based paint hazards are called Interim Controls.
Clearance Examination
A visual inspection and dust wipe sampling is required after the lead-based paint has been rendered
intact The inspector will look for visible dust and debris in areas where the defective lead-based paint
has been stabilized. Dust wipe samples in at least four moms are required. Dust wipes shall be taken in
all rooms where lead-based paint has been stabilized_
The contractor is responsible for obtaining a Lead-Based Paint Clearance from a certified firm. The
contractor is required to provide the owner/and the program administrator with evidence that a Lead
Hazard Clearance Examination was done after completion of the rehabilitation work Clearance is
required before final payment to the contractor wilt be approved.
This Clearance Examination must be done by an individual or firm licensed or certified to conduct such an
examination and must certify that the hazard reduction activities are complete and that no soil lead
hazards or settled dust lead hazards exist in the dwelling unit or work site. The cost of such Clearance 1
Examination is to be included as part of the contract total bid price for the rehabilitation work. It is the
contractor's responsibility to obtain such clearance. Final payment for completed work will be withheld
until such clearance is provided.
Recommendations
Please refer to the risk assessment report for recommendations, which are also incorporated into
specifications for each work element
Following each day's work and at the end of the project, any areas affected shall be property cleaned
using HEPA vacuums and wet wiping. Shop vacuums are usually NOT HEPA vacuums. It is the
contractor's responsibility to keep the site cleaned throughout the work process and pass final dust wipe
sampling and/or soil sampling at completion. is
All defective lead-based paint areas should be rendered intact by the following methods:
1. Wet sq-aping and wet sanding, or
2. Removed and replaced, or
3. Kept intact and covered with an impermeable layer(vinyl,aluminum,etc.)
233 Sherman Ave 2
LEAD-BASED PAINT INTERIM CONTROLS •
See also the standard specifications and the attached Lead Paint Risk Assessment Report for
detailed descriptions.
EXTERIOR
SIDING&TRIM-See also SIDING and WINDOWS below.
Side A-Front porch and porch columns
• Using lead-safe work practices,wet scrape and cover exposed railing/window sill with aluminum
coil stock(home owner to have color choice).
Side B—Window frames, including foundation window frames (14 floor and basement)
• Using lead-safe work practices,wet scrape and cover exposed window casing with aluminum coil
stock(home owner to have color choice).
INTERIOR
WINDOWS-See also WINDOWS below
Side B- 14 Floor, Back Bedroom Window Frame
• Using lead-safe work practices,wet scrape and paint exposed window trough
LIST LEAD-BASED PAINT PRICE HERE$ I .3U0
(Price includes any cleaning and clearance)
ELECTRICAL
All work is to be performed in accordance with manufacturer's instructions, NYS Building Code, Local
Building Code and attached ELECTRICAL SPECIFICATIONS.
1. Hall. First Floor
• Install lithium-ion battery operated smoke and CO detector.
2. Office(lst.Fioor, Front)
• Install lithium-ion battery operated smoke detector. ;.
3. Bathroom#1 i
• GFI protect existing receptacle at vanity and provide dedicated 20A circuit. New circuit may be !'
GFI protected at panel, or receptacles and switch may be separated in double-gang box
4. Laundry Room •
• Provide new GFI protected receptacle for washing machine, on dedicated 20A circuit
• GFI protect existing receptacle in wall near washing machine
5. Kitchen
• GFI protect all existing countertop receptacles,as necessary.
• Add 1 new GFI protected receptacle at countertop near sink/stove, on dedicated 20A circuit
• Provide dedicated 20A circuit for refrigerator,as necessary.
6. Bedroom#1 (Off Dining Room) •
• Install smoke detector, as above.
7. Bedroom#2 (Second Floor)
• Install smoke and CO detector, as above.
233 Sherman Ave 3
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8. Basement
• Install hard-wired smoke and CO detector with battery backup.
• Secure and staple loose Romex cables at ceiling near bottom of stairs.
• Provide GA protected receptacle for sump pump, on dedicated 20A circuit
9. Service
• Remove existing 100A service
• In same location, install new 200A service.
• New panel must have sufficient breaker spaces to accommodate all existing and new branch
circuits.
• All work will conform to current NEC.
• Label all breakers.
• Contractors will be responsible for all service orders, fees and inspections.
LIST ELECTRICAL PRICE HERE$ 1T/000
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. /
o Living Room(DH) 5 ✓, - )eS 12o•
o Office(DH) 2• t7 (�
o Bath#1 (DH) 1•(from awning) ,. /
o Laundry(DH)) 4 /7C l l C u e
o Kitchen(DH) 1 (from casement) ✓
o Dining Room 2 / 0-- 1 S :
o Bedroom#1 (DH)DH) 1 ,/
2firel-eaSeMe."0—Ou i / / I 1UG -
o Basement(Slider) 4 V 7 �T/�
Note: Replace framing for basement windows with pressure-treated lum r,as necessary.
Total Replacement Windows: �3 ya�r"�'�' �7 •
LIST WINDOWS PRICE HERE$ /0,oe
?�
233 Sherman Ave 4
ENTRY DOORS
1. Front Porch:
• Install new white vinyl-dad wood-core storm door, mid-view style with self-storing glass and
screens (Larson or equivalent)
2. Living Room:
• Install new pre-hung, energy star-rated steel or fiberglass entry door,
9-lite style(Pease,Therma Tru or equivalent).
• Finish according to manufacturer's specifications with good quality latex paint •
• Cover exterior brickmould with coil stock
• Provide new entry lockset(Kwikset or equivalent)and deadbolt, keyed alike.
• Reinstall existing interior trim or install new trim of same style and finish.
3. Dinin. Room ,o ..rch
• Install new •:.: ••or, as above. t'CA -7
4. Back Porch:
• Existing steel entry boor does not open and Gose properly.
• Adjust or re-install door for proper function. •
• Install 1x3 common pine casing at interior.
Entry Door 1
Storm Doors SOU C •
LIST DOORS PRIDE HERE$
/ •.r
•
INTERIOR CARPENTRY
1. Stairway
• Tighten existing handrail.
• Install 4 new 1x3 oak balusters(1 per stair tread)for fall protection, same style and finish as
existing balusters.
2. Basement stairs
• Install graspable wood handrail. •
• Provide additional supportfbracing for outer stair stringer(coming loose from concrete landing).
LIST INTERIOR CARPENTRY PRICE HERE$ <00
EXTERIOR CARPENTRY
1. Front Steps j
• Remove existing masonry steps and dispose of all debris. '
• Repair or replace porch structure in area of steps,as necessary.
• Install new pressure-treated steps of same dimension.
• Install pressure-treated railings at both sides of new steps,with 2x2 square balusters.
LIST EXTERIOR CARPENTRY PRICE HERE$ 7o0
1
233 Sherman Ave 5
es
SIDING: MAIN HOUSE AND FRONT PORCH bd /?d
1. Fascia, Eaves, and Soffits ///y TS• Repair, replace or install coil stock at gables and fascia. 7
• Repair, replace or install ventilated vinyl soffits. - CA/j 77dd WS
2. Window jambs and sills SCIC._
• Install coil stock. CFO
t) Y
3. Door Casings
Install coil stock. -
LIST SIDING PRICE HERE$ V lb i 7620 C v
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$
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233 Sherman Ave 6
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233 Sherman Ave,Queensbury, NY 12804
LEAD-BASED PAINT 4,
�j4 3oo 1
ELECTRICAL000- •
f /%
WINDOWS �l c ' 9�SOO •
ENTRY DOORS Wj_Warr IR 3& 0
INTERIOR CARPENTRY •ry c00 •
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EXTERIOR CARPENTRY i ,7,0 0
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SIDING ;";t �e,O •
.
'
TOTAL COST $ � GZ� 1 i eD ',
EXTRAS COST $ 'I
1
20/x{ 1
Estimated Starting Date: I
Estimated Ending Date:
Signature of Principal: ICAOj
My signature also indicates that I ave rad and•e dersta • the attached GENERAL CONTRACT I
TERMS AND CONDITIONS.
Name of Company: aCe#4`-12447
Address: a/b-srn o✓R '
Phone: 37r 33S b9s-z7 iI
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CONTRACTOR: RETURN ALL SEVEN(7) PAGES TO HERE
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233 Sherman Ave