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RC-000626-2016 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-000626-2016 Date Issued: Thursday, March 2, 2017 This is to certify that work requested to be done as shown by Permit Number RC-000626-2016 has been completed. Tax Map Number: 308.16-1-2 Location: 404 CORINTH RD Owner: Michele Sellingham Applicant: I and A Industries This structure may be occupied as a: Residential Alterations By Order of Town Board TOWN OF QUEEN/S�BURY Issuance of this Certificate of Occupancy DOES NOT relieve the [/ A property owner of the responsibility for compliance with Site Plan, ` L•Mr�1/ /d A7 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-000626-2016 Tax Map No: 308.16-1-2 Permission is hereby granted to: I and A Industries For property located at: 404 CORINTH RD 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: Michele Sellingham Single Family-Alteration $16,000.00 Owner Address: 404 Corinth RD Total Value $16,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Matthew Bjork 1151 Ballston Lake RD Ballston,NY 12019 Plans&Specifications Residential Alterations $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,September 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 of eensjed ember 21,2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Office Use Only Received Date: I► (/ Tax Map ID Tax Map ID 304.149 -l-Z Permit No. � Permit Fee hveICL Zone Rec Fee Historic Site _Yes _ No Site Plan# Subdivision Name Lot# Subdivision# Project Location 116(Z� 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). � _ $ Applicant �f' IV_5 Owner / Address 'G V 64 4 Address (�U c ld / K/Kato, I/V Phone/E-mail 576-171-A/3 'b tu' Phone/E-mail �ff— a ' ;A5u 4-- 5-18 Ma 1,cd �/ Contact Person for Building&Codes Compliance: �1Y,(„ Phone Z /� 72 a.. TYPE OF CONSTRUCTION */Check all that apply New Addition Alteration I"floor sf 2"d floor sf Total sf Height Single Family Two-Family Multi-Family (#of units_) Townhouse Business Office Retail-Mercantile Factory-Industrial Attached Garage 308.16-1 -2 RC 626-2016 (1, 2, 3, 4+) Michele Sellingham - Owner I & A Industries - Contractor Other 404 Corinth Road If commercial or industrial please indicate of business Town of Queensbury Building&Codes Principal Structure Application Revised September 2015 r�aa ,� �. � �. ,. ,, � _ -�: 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? O Are there easements on the property? 0 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 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 eejtto the above: J PRINT NAME: "lC( AQ,4,_ DATE: SIGNATURE: DATE: 91-/r—/-( 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 September 2015 REQUIREMENTS Submit two (2) sets of the following documentation with the application and fee: 1. Principal Structure Application 2. Plot plan drawn to scale with the use of a survey map if possible (40 scale=40 feet) a. Indicate proposed structure(s), showing setback dimensions from all surveyed property lines b. Show location of all existing structures on the property c. Show location of water supply(well or water lines) d. Show location and configuration of septic disposal system or sewer line 3. Structural drawings to include a. Floor plan b. Foundation plan c. Cross Sections d. Elevations e. Window and Door Schedule—see attachment f. Calculation sheet for Natural Light, Ventilation&Emergency Egress—see attachment 4. Registered Architect or Engineer's Stamp (signed & sealed)under the following circumstances a. Residential addition or alterations with construction costs over$20,000 b. Single Family Dwelling 1,500 sq. ft. or greater c. Any commercial construction 5. Checklist for single family or multiple dwelling or commercial project 6. REScheck or COMcheck signed&stamped: Downloadable version—www/energycodes.gov 7. Fireplace and/or woodstove solid fuel burning application, if applicable 8. Septic Disposal Permit 9. Electrical Inspection Agency—please see"Certified Electrical Form"on town website 10. Driveway permit, if applicable 11. Fee NOTES: I. Certificate of Occupancy: Before a Certificate of Occupancy is issued for a new residential or commercial structure,an as-built survey(plot plan)certified by a NYS licensed surveyor must be filed with our office. 2. Changes to Plan: Any changes prior to or during construction will require submittal of amended plans (review&re-approval is necessary) 3. Withdrawn Permits: 20% of the initial fee is retainable by the Town. No fee is refundable after I year from initial application date. 4. Additional review: All applications are subject to Zoning Administrator,Code Compliance and Structural Plan review. Town of Queensbury Building&Codes Principal Structure Application Revised September 2015 7 IMPROVEMENTS TO 404 Corinth Rd. Queensbury, NY 12804 PROPERTY OWNER Michelle Sellingham / 404 Corinth Rd. Qua hone: 518-321-4430 ;t TOWN OF QUEEN RY D Review Date: NOTES 1. All work is to be performed in accordance with manufacturer's instructions, NYS building and local building codes and any applicable national codes. 2. UNLESS OTHERWISE NOTED, "INSTALL" MEANS TO PROVIDE AND INSTALL. ALL NEW MATERIALS ARE TO BE USED. 3. All work is to be completed within a 2 month timeframe. Please keep this requirement in mind when providing start and completion dates in your bid. LEAD-BASED PAINT HAZARDS Requisitions The Department of Housing & Urban Development (HUD) has issued regulations regarding the ..........Reduction of Lead-Based Paint Hazards in ....... Housing Receiving Federal Assistance." The rehabilitation work called for by these work specifications will be paid for in whole or part with Federal assistance. Therefore HUD's regulations governing the reduction of lead-based paint hazards apply to this project(24 CFR Part 35). Risk Assessment A risk assessment has been performed for this property and there were no lead-based paint hazards identified in this home. LEAD-BASED PAINT INTERIM CONTROLS There were no lead-based paint hazards identified in this home. NOTICE FOAM INSULATION MUST BE COVERED BY A 15 MINUTE TOWN OF QUEENSBURY THERMAL BARRIER sul_UWG exaniiRrMn,c Based on our limited exani,nation,compliance with our comments shSG nr or-, construed as indicating the plans amo opecifications are in 404 Corinth Rd., Queensbury full compljance wi;r the c.6ldbgl Codes of New York„tete. NOTICE 308.16-1-2 RC 626-2016 KRAFT PAPER INSULATION Michele Sellingham - Owner MUST BE COVERED BY 18, A Industries - Contractor NON-COMBUSTIBLE BARRIER 404 Corinth Road 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 • Provide GFI protected receptacles and dedicated 20A circuit for microwave (this may involve removing and reinstalling under cabinet microwave). • Provide dedicated 20A refrigerator circuit, as required. • Provide 1 new GFI protected countertop receptacle at left of sink, on dedicated 20A circuit. • Remove receptacle, wire and circuit breaker for old electric range. • Cover all open breaker spaces in main panel with proper tabs. 2. Hall • Install Lithium-ion battery operated smoke and CO detector. 3. Bedroom#1 (front) • Install Lithium-ion battery operated smoke detector. 4. Bedroom#2/Laundry Install smoke detector, as above. 5. Bathroom • GFI protect existing wall receptacle (opposite toilet), as required. 7. Crawlsoace • Install smoke and CO detector, as above. • Provide wall switch control for existing ceiling light, at opening to crawlspace. LIST ELECTRICAL PRICE HERE $ PLUMBING 1. Crawlsoace • Remove existing water heater and dispose of properly. • Install new Energy Star rated electric water heater of same capacity. • Provide new thermal blanket. LIST PLUMBING PRICE HERE $ EXTERIOR CARPENTRY 1. Bilco Entry • • Install new pressure-treated steps best possible rise and run. • Install graspable wood handrail at right side. • Install 1-piece, insulated cover for opening to crawlspace, using 2"foam board, covered for fire code. 2. Rear Eave • Install new vinyl gutter and down spouts after siding is completed (See Below) 404 Corinth Rd., Queensbury 3. Entry Door Kitchen • Remove and reinstall existing entry and storm doors after structural work is completed (See Below). LIST EXTERIOR CARPENTRY PRICE HERE SIDING 1. Trim • Cover eaves, gable, door and window Casings with white aluminum coil stock. !_1 • Cover soffits with white vinyl soffit material. 2. Main House • Remove 3 or 4 lower courses of siding around perimeter of house • Repair or replace damaged sheathing as necessary • Cover sheathing (existing and/or new)with ice and water shield to minimum 3 ft. high v • Re-install siding LIST SIDING PRICE HERE $ STRUCTURAL 1. Crawlsoace (See especially back and left corner and right side under kitchen door) • Replace all damaged structural elements-sill plate, rim joists,joists-with pressure treated lumber. • Seal around wood and block with spray foam or mortar. • PLEASE NOTE: Subfloor repairs are noted under FLOORING. LIST STRUCTURAL PRICE HERE $ FLOORING 1. Kitchen • Repair damaged areas of subfloor. • Install new sheet vinyl flooring (approximately 15.00 sq. yd. uninstalled) over appropriate underlayment. • Homeowner will have choice of stock color/pattern. • Include quarter round or base shoe at perimeter, finished to match existing trim. _ 2. Bedroom #2/Laundry G� • Same as kitchen. LIST FLOORING PRICE HERE $ 404 Corinth Rd., Queensbury INSULATION 1. Crawlspace • Remove all old fiberglass insulation in ceiling and dispose of properly. t/ • Install new R-19 fiberglass, properly secured. 2. Attic: • Blow in cellulose insulation to achieve minimum R-38. • Maintain adequate ventilation for roof. LIST INSULATION PRICE HERE $ MISCELLANEOUS • Treat house for pests. L LIST MISCELLANEOUS PRICE MISCELLANEOUS PRICE HERE $ 404 Corinth Rd., Queensbury 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$ 404 Corinth Rd., Queensbury I f COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 doe Run Road-Manhelm,PA 1751S MUNICIPAL CERTIFICATE . ELECTRICAL APPROVAL Permit No.____.._......................Cert. N2 40710 Cut-in Card No...,., owmer.._ .1...N....(rrfr ff-trh,/� Location. � ¢ .. ..2�. ..f.....M...,....1.",v....................... ., P,...<,.,,.......... instal pm Consisting of.3...9�7r eA.y....(,..... .�.�v 1,..d �-4r.. AA/;C S/A.1..f �✓. ................... ... ....,..,..... N....3if77V.. �.s.,...0r.r..5c. .,..� l,,K .................... Lir,No, ...... The condi 7oflitviltg e the iuuonc�of ih�unilluntn,and any oartiflcate ryroviously issued is cancelled:- Thn certificate only coven the electrical equipment and inwlallonon %xtnditians as of date Upon the intruduction of additional equipment or alterations,application ahall he promptly made fbr inspection. Inspectors of this Company shall have the privilege of makin nwpeutionw at any time, and if its rules arc/violated,the Company shall have the right to ovo Ihiw rli a1q,(� Datt.! Z 3.....�.f............. INSPECTOR.... �, ��`;�t!!It!11R Mombor NAAA.,I.A,L1,