RC-000020-2016 r_—
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-000020-2016 Date Issued: Thursday, May 5, 2016
This is to certify that work requested to be done as shown by Permit Number RC-000020-2016
has been completed.
Tax Map Number: 295.10-1-53
Location: 84 SARA JEN DR
Owner: JOSEPH DOLAN,Shanta Dolan
Applicant: Shanta Dolan
This structure may be occupied as a:Residential Alterations 275 s.f.
Converting part of garage into living space w/FP By Order of Town Board
TOWN OF QUEENSSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, -`i//J� QQtttrrrjjAAF"' 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
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000020-2016
Tax Map No: 295.10-1-53
Permission is hereby granted to: JOSEPH DOLAN
For property located at: 84 SARA JEN DR
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: Shanta Dolan Single Family-Alteration $15,000.00
Owner Address: 84 SARA JEN DR Total Value $15,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
JOSEPH DOLAN
84 Sara-Jen DR
Queensbury,NY 12804
Plans&Specifications
Residential Alterations 275 s.f.
Converting part of garage into living space w/FP
$60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,January 21,2017
(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 off�ECEIIa ry; n A Wed a da 27,2016
SIGNED BY: (\ �d// �p/ for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCJPAL STRUCTURE APPLICATION Office Use Only
Date:
Permit No. QG'00002J0 Zallo
Tax Map ID Permit Fee rico ,lnv. Z28 ?A
Zone Historic? _Yes )<No 1 "+CT- *`.*1FE&),1rnv. 2Z,
Subdivision Name Le..u.u� Sy.Tgg Lot#-aft _ Site Plan#
#
Project Location yg,. Subdivision
of Q`o
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 feels).
Primary Owner(s)
Address g
�E..� DfL. F�f'.a v ztbki
Phone/Email
S/ - 6-6 A-p t A.&Z�
Applicant
Address
AHS
Phone/Email
Contractor
Address
Phone/Email
Contact Person for Building& Codes Compliance: Phone
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration I"floor sf 2"d floor sf Total sf Height
tngie Family
X 0Sf.
Two-Family
Multi-Family
(#of units
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garage
(1, 2, 3, 4+)
ther �.orov �d 10�� EXI Jaime t; (�E_
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 `�� �
Source of Heat(circle one) as 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? _Yes o
c. Will the grade be changed as a result of construction _Yes No
d. Public water or Private well (circle one) u Ic Private
e. Sewer or Private Septic System(circle one) Sewer riva e
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:
PRINT NAME: �� > ���`— _� DATE: 8 e
SIGNATURE: DATE: t 8 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
Fuel Burning Appliance & Chimney Application office Use Only
Received
DATE: 1 /$ 6 Tax Map ID
TAx MAP ID: —� Permit No.
ZONE: Permit Fee
OWNER PHONE/E-MAIL
ADDRESS
INSTALLER/ PHONE/E-MAIL y��57$y-
BUILDER ��ST �,Q,r= `- 6C(— 0C::)
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE:
PHONE/E-MAIL BUILDING ADDRESS
ROOM OF INSTALL: �t.At�?C tt PLANNED INSTALL DATE:
FUEL BURNING APPLIANCE INFORMATION WOOD COAL PELLET GAS OIL NOTE: ROUGH-IN&
STOVE FINAL INSPECTION ARE
FIREPLACE INSERT REQUIRED.
FIREPLACE,FACTORY BUILT* NOTE:
FIREPLACE,MASONRY
MANUFACTURER'S
FURNACE(GARAGE ONINSTALLATION MANUAL
LY) MUST BE AVAILABLE AT
TIME OF INSPECTION
*If factory built provide manufacturer name: NFbT u-GLo ; Model#:
Listed by: A Q S\WNumber:
CHIMNEY INFORMATION
Masonry** (check one) _BLOCK _BRICK _STONE
----------------
Flue TIE STEEL sizeininches
Material _'<DOUBLE WALL _TRIPLE WALL _INSULATED
**
If non-masonry provide manufacturer name: VN9.g,T-JJ-610 ;Model#: a\-F7 &r. a
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: DATE: t g l G
SIGNATURE: DATE: 0 6
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
i
ARAFf JEN DRIVE
S5923'40"E IRF
102.37'
UTUTES
0
Iz.�• � - Ptufbsrc.p �rlf�`-•t,s,�p
2 STORY 5
WOOD FRAME
HOUSE
00
fO
N N i N
Z i
f
LOT 9 ,
AREA
22,494 sq ft'
0.52 acres
i
L-
102.56'
N62*52'21"01
Q1,--C00O2-0
RECEIVED
L7�
Window Schedule Calculation Sheet
Job Site Address:
Date: t S t
Owner:
Application No.:
DIh Fyc Tn4tgt Tn.4Nsow
Window#or letter on plan 3 SP�6s \
Manuf.Name P
Model,/Type
Unit or Block#Cell size
Rough Opening Width S-7.15-
Rough
-7.15Rough Opening Height 65-.7S S,75 1'7,-7 S `l .'7S
Sq. Ft. Vent 7, S 1 — �-
Sq.Ft.Egress/Clear Opening S' — _
Clear Opening-width in inches 2JS
Clear Opening-Height in inches 3 —
Special Hardware or instruction �7 `
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
NATURAL LIGHT.VENTILATION AND EMERGENCY EGRESS CALCULATION SHEET
Job Site Address: F If So n.4 Q (fie
Date:
Owner:
Application No.:
Habitable Rooms Area of Room-Sq.Ft. Required light Actual light—sq.8. Required ventilation Actual Ventilation sq.ft Sq.Ft.opening for
8%of room 4%of room
egress
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
F711
GLAZING PERE'ORMANCE -TOTAL UNIT
Aluminum-Clad Exterior
DDUeLE.11UNG 'Vent Units
Qla!! Shaded Areas Mopt WERGY STAR%
mF'adormanco VRIues1
c lmm) Performance Criteria In Zonal Shown
Type of Glaring NPRC Danlllad Gap
Product FIII y of U.S, Canada,
GO{i � Zonv ER Zone
11/16' Advanced Lowli IG PEL-N 35.00256.00001 2,5 2 5 I mgno: 0,30 030 57 54
wah grill0s bctwoenahe-glav I•Ll.fl:35.00255 00001 0.70 0,27 51 I 54
Willi Slmulaled Divided Light PELN35 00256.00001 0,30 0.27 ; 51 ! 54
11/16'I Advanced LowE IG PELN.35 00257 00001 I 3 3 'argon 0.30 0,30 I 56 1 53
With @rlllee•6gtwean•the•glo4a PELN35-00258.00001 030 0,27 j 60 53
! widl Simulated Dlvlded Ll ht PE1,1A 35. is9•opDo! 0 30 0.27 1 50 83
1111641 8unp4fenaelN Low-SIG P€L•N•3500260.00001 � 2-,5 2:3 'nrnon 010 0,22 02 84
with grllba,bmwumnlhR,gwaa PEL•N•35,00261'00001 039 0,20 47 S4
with Simulated Olviddd U0h1 PCL•N35,U0262.OUtlui 030 0,20 47 j 94
11/14" 5Un9algnee Low•210 PELN•35.00263.00001 3 0 Argon: 0,50 0,28 S2 04
with grilld!•batwaenaha•@Iaaa PEL�N-7590264,00001 0,30 0,20 46 54 •_
Willi Slinulatad DlvldedLir pl PELN-35.00265•-00001 I 0,30 020 1 46 94
11/16' AdvaneudCamlort Law•E IQ PELN•39,00320=900012,9 1 25 /o(gan' 0,76 0,29 1 55 44 24
With grilloo,between4he-glace PEL11•35.00321.00001 1026 0271 49 44 1 22
With Simulated Divided Linin PRL-N-35,0032200001 1 , 026 0,27 I 49 44 22
11116 AdvanoodComfart Low•0IG PEL,N•99,Do320.0000? 3 3 Argon/ 0,26 027 ( 85 43 24
w101grlllea•6etwaen•lhvglase P111.1`1,35-00324,00000.26 0,26 49 43 22
with Simulated DIVldad Ulght PEL11•35-00325.00001 0 26 026 49 43 22
11/16" Naturol5un LOWE IQ ' PEL435,00272.00001 2,5 2,5 argon] 030 096 • 64 56 33
Willi grllles•4etween4he•giass PEL•N35-00273-D0001 l 030 0,50 57 56 6, 30
with Simulated 0lvldad Light PEL•N39.00274.00001 030 0,50 1 57 56 1 30
1111611 NaturalStm LowE IQ PEL,14•35.00275,00001 I 3 3 arr7un 0.30 055 65 56 33 '
Willi dllebbalwoalnhu glaac PEL•N•39.00276•
0 Op00t 0.30 • 0180 57 94 80 i
with 51mulated Divided Light 111161,1 9.00277.00001 I i 0,30 0,90 97 56 30
R.Vahro-1N.Fador
SNGC-Solar l/ea Geln Coa311gant Climate Zones
VLT%-Visible Light Tramphslon
CR-Condemullon Rmislanero V ��
ER-Canadian EnerBY Rnfmy ��C-'�tny
11)Gladng padwmmnce velumere cakubsid based on NFRC 100,NPRC 200 and NRC 500. �, �Iae14kt., rl / I•s' "`'`?h
ENERGY STAR-values menpdewdle 20161Vunlon 6lalteno,
121 fin values shown am Loud on Canada•s epdatvrt ENCRGY STAR-20141n18a11ve
Sea the Product Porlormanu sncaon br maw dmallN inlormatlon or Wdl www enrrgyarargov for Enpgy Smr guldNhws '•Ir.�
Rev 01/1272016 Pali*2016 Aschilecho.1Design Manual l Dieleon08.0ponings l wladowsand Doors/www PellaADM cop W-HG-10
GLAZING PERFORMANCE -TOTAL UNIT
Rectangillar, Angled and Curved Shapes
FIXEDWINDOW
a Glass Jim) Perfermane Values Shodod Areas Meat ENERGY 5TARw
T Padormanro Criteria In Zones Shown
Type of Glaring 141`13C CurtlRed Gap
0 Produel8 Fill
Ext Int 1 h
1 Zone ER Zona
13/16' l.hrat 3 3 a1r O,A7 068 i 7: i
WthIG Slfllieoi)a{vn;pll•Ilie•glUei 44 1 O.AY 10621 65 44
id/16'�CloerlG 4 I A I 0u OA? 0,64 72 , 43
with rlll4s•between4he•gloal 1 0.47 0,60 64 43 V.
13/IG" IAdvancod LOWE IG PEl,,V1fl-0207500001 3 3 'ar<Ion 01.tl 0,321 62 59 e•!al 24
W1111 grilles between tha-glass PEL.N.16.02076.00001 7 0.211 0,29S$ 39 22
-12/16 A.Ivmicaa how C IG - f(I:N•18 021 11.0130(11 4 4- siren 0.27 q 32 61 56 20
vn1+ nllotLulwc;n4hoglabs PCL.N•IU112112.00001 0.27 029 55 98 23
13!16 A v4nced Lpw 010 PELN•10 UlfAA00001 b I 8 orHon .27 082 60 87 26
with grilles between.tho pleat PEL-N•10 0214000001 0.27 429 :i4 57 -s, 23
13/1e SUneofenaeTM 1pW 1110 1 PELN•10•02903 omi I 3 3 �emon 1 0 21 0 24 57 00 20
j with telllgrbntween•Il+e•pluas PEbN 9002084000of l oil 0 2g sl 60q
131141 ISvnDafansaTM Low.B 10 P00,18.02 1 19,QQDQI 4 4 amen 1 0,27 024 Se y-3 •,!• �p
i with Orlllal-batweemthe•41ass PELN•10-02120.00001 0,27 0.27 91 59 tq I
13%16" 9un0efanaeTM Ww-C IG PELN-18 02155.00001 l 5 5 arnan 027 0 24 56 56 _ 20
will'R0119e-botw0004he• lean PELN-18.02156.00001 0.27 0.22 30 58 _17 I
13716" Advance)ComfortLoWL'IG PELIJ•18 02103.000091 3 3 orgon� 0.1!3 0.32 69 47 30
will rillambatween•Iho.gloas PELN-18-02104.00001 1 023 027 54 47 28
13116' AdvancodComfPrtLow-E IG PELN-IB•02139000011 A 4 argon 0.23 0.31 59 46 29
with Rrllles hetweemthe•010si PELN-180'1140.00001' 0 Z3 . 028 53 44 27
13716" !Advanced(omlod LV W E IG PELN 18 U2175.ODU01 5 8 argon 1 0.2:1 0,31 59 45 29 •�
with pilllambatweendhp• leas PGL-N98.02176.OU0091 023 0,28 53 45 27
13/16' NaturaiflunLow•EIG PELN 18.02091,00001 3 3 Oman 027 0,60 70 I 59 - 38
with rlll9i.batween4ho•nlaa5�PCL N48.02092.00001 I 0,29 Q55 62 59 36
13116' Natural5un Low.810 PrL�N•98.02127.00001, 4 4 argon 0,20 0,59 69 $8 1 99
with 00116a•belweun•thu.olxas'PE4N.18 U212BAWA1 0.28 083 68 88 36
13/16" NaturaiBan Low•010 I,P8LN48.02163.00001' 0 0 argon 0,28 OA8 68 5? 39 ,.
with grlllae belw6pmtha• luta PCL.W$02164.00001 I 1 0.28 0.82 61 57 36
1' Advanced Low-11,IG - PELN 11302301.000011 6 6 orgolt 0.27 0311 60 811 24 '
with grlllunbetwoen•tha gluts PCL-N10 U2302.OA001 0,27 0,29 54 88 _ 23
1• un0af4neaTM LOW,E 10 PEL-N.10 02217.00001 6 6 Anton 1 0.27 0,24 !_55 08 _ 20
with dlles•beiween•tho-piens PELN.18 02318 0p001 11 0,27 0.22 50 511 19
1` AdvancodCondort Low-E IG PEI,N 18 02329.0001 d 6 orHon, 0.23 0,31 58 46 29
with grilles betwomthe. luta PBL.N.10,02330 00001 I 0 23 0,28 52 46 27
I- ;Nataml%nn Low•E IG PEL N.I a.02:109 10000 11 6 6 mnoni 0,29 Q,Sd 67 5137 .
with gellos lnewonn On:glass.PELN 18.02310.00001 020 , 0.51 61 S7 1 30
.._ _
. .. Ll'I;.._ _ -_ _ :`'.'97•
13116' ,Brenae Advpncad Low 01G 'FUL•N•10.02103.00001' 5 1 3 Argon 0271 029 40 60 I 23 1
with rlilea•bvawvnahe Iasi PE4N•1&02181.00001 0,27 0.26 36 60 I 21
13/16" Grey Advanced Low•E IG 1P8L•N•1 U-02191.000011 0 3 1o(oon. 027 026 34 60 21
with grllles•hutween•the•glaaa PEL-N-18.02192.00001 i 1 027 0.24 31 60 20
13/16' Green Advanced Low•E IG PEL•N.15 02199.00001 5 3 emon 027 0.28 ; 45 60 22
with gdlba•balween•tha•glase PEL•N18.02200AOU01 1027 0.25 ' 43 60 21
13/16' ReflacNve Bronze IG PEL•N.18.02227-00001 5 5 ap 0,31 _! 0,30 18 54
with grlllas batween•Uie• leas PEL.N•16.02228-00001 0.31 0.27 16 1 54 I
13/16" Rallective Gray IG PCI.-N•18.0223S•00001 5 5 an 10.31 0.27 , 15 . 54 1 _
with gdlies-between-the-class PEI••N•1 02236.00001 0.31 0,24 • 14 1 54 �_
1' Reflect]"Bronze lG PEL-NAB-02367 00001 6 6 - air 031 0.27 16 1 54
with grlllea•between-Uie•alaas PPL.N48.02388-00001 0.31 0.25 15 54
1' AellediveGrav IG PE-W- 13.02395,00001 6 6 air 1 0.31 0.25 13 54 _
_. _
1 with giilh•...c:w•n•b...gLrs PEL-N.18-02346.00001 � 0.31 0.22 12 I 54
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