RC-0357-2018 6w r
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: RC-0357-2018 Date Issued: Friday, July 6, 2018
This is to certify that work requested to be done as shown by Permit Number RC-0357-2018
has been completed.
Tax Map Number: 302.17-3-27
Location: 46 HIDDEN HILLS DR
Owner: CHARLES LEMERY
Applicant: Adirondack Basement Systems
This structure may be occupied as a: Residential Alterations (egress window)
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the (747.0 4
property owner of the responsibility for compliance with Site Plan, v -i\
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.
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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-0357-2018
Tax Map No: 302.17-3-27
Permission is hereby granted to: CHARLES LEMERY
For property located at: 46 HIDDEN HILLS 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: CHARLES LEMERY Single Family-Alteration $4,101.00
Owner Address: 46 Hidden Hills DR Total Value $4,101.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Adirondack Basement Systems
4 Jones RD
Halfmoon,NY 12065
Plans& Specifications
Residential Alterations(egress window)
$ 200.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, June 27, 2019
(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 Quee bury; 4W-ieft
, • e 27, 2018
41
SIGNED BY: � for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Permit;.: Q�J� T • 2Ol�
;� >, ADDITION/ALTERATION PERMIT
�` APPLICATION Permit Fee: $ 1-06
Town of Queensbury
742 Bay Road,Queensbury,NY 12804 Invoice#: a5 32
P: 518-761-8256 www.queensbury.net
Project Location: '{ (o 1r1\`S
Tax Map ID #: O2- • 11- - Subdivision Name: 4.14-1 ckis
CONTACT INFORMATION:
• Applicant:
Name(s): Aci , TXS51`214404* Sys
Mailing Address, C/S/Z: `/ 3.04 s i4 G/, . k,M Pit N (
Cell Phone: (Si& ) 3i ► - 6809 Land Line: (s/b ) 371 - ycz/
Email:
• Primary Owner(s):
Name(s): C ,) LE rM Q1r l��ce l v `
Mailing Address, C/S/Z: L/6 /-/r c �,vl {-��'��s dv ✓e V I zeo g
Cell Phone: ( ) Land Line: ( S/6 ) :i 9 3 2.' !J'
Email: ki RnZ 've j --eiti IOelSewi.N e C
• Contractor(s): I,
Business Name: “4,2 5I1
Contact Name(s): Jcvi Rcs2
Mailing Address, C/S/Z: 10 jQ Cl4 "/ PI'Z_ 1\/'(
Cell Phone: ( 5/6.- ) _39/ j'e9 Land Line: ( )
Email:
• Architect(s)/Engineer(s): ' E C t O V E
Business Name:
Contact Name(s): 4 _ I JUN 14 2018
Mailing Address, C/S/Z: N_
Cell Phone: ( ) Land Line: ( ) OF QUEENr
rrvG& CODES
Email:
Contact Person for Building & Code Com line:
Cell Phone: ( ) Land Line: ( )
Email: G1 �--
06A-WN C
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Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
PROJECT INFORMATION:
TYPE: Commercial ✓ Residential
WORK CLASS:
YSingle-Family Two-Family Multi-Family (#of units )
Townhouse Business Office Retail
Industrial/Warehouse Garage (#of cars ) Other (describe_ 0....)K5S UV t'✓lli 4/
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor:
2nd floor: 2nd floor:
3rd floor: 3rd floor:
Basement (habitable space): Basement (habitable space):
Total square feet: Total square feet:
ADDITIONAL PROJECT INFORMATION:
fG
1. Estimated Cost of Construction: $ t / I ('2 I ,
2. If Commercial project, what is the proposed use:
3. Source of Heat (circle one): Gas 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 NO
6. SITE INFORMATION:
a. What is the dimensions or acreage of the parcel?
b. Is this a corner lot? YES NO
c. Will the grade be changed as a result of the construction? YES NO
d. What is the water source? PUBLIC PRIVATE WELL
e. Is the parcel on SEWER or a PRIVATE SEPTIC system?
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
I. 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 and 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. 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: 5co-0 "e/U-o, k
SIGNATURE: zt/k_. DATE" t`Li ��
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
INSPECTION WORKSHEET (004915-2018)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:
Inspection Date:
Inspector:
Case Module:
Inspection Status:
Inspection Type:
RC-0357-2018
07/06/2018
Charles Dyer
Permit
Passed
Residential Final Inspection
Job Address:Parcel Number:46 HIDDEN HILLS DR
Queensbury, NY 12804
302.17-3-27
Contact Type Company Name Name
Granted Permission LEMERY, CHARLES
Applicant Adirondack Basement Systems [Adirondack Basement Systems] ,
Primary Owner LEMERY, CHARLES
Contractor Adirondack Basement Systems [Adirondack Basement Systems] ,
Checklist Item Passed Comments
General Comments YES For egress window in basement
4 inch Building Number Address visible from road NO
Chimney Height / B Vent / Direct Vent Location NO
Chimney Rain Cap Installed NO
Fresh Air Intake NO
Fresh air supply 3' from grade NO
3" Plumbing Vent through roof minimum 18 inch NO
Outside Spigots have Air Gap NO
Roof Complete / Exterior Finish Complete YES
Platform at all exterior doors NO
Handrail 4 or more risers NO
Guards at stairs,decks,patios 30" + above grade NO
Guard at stairwell at 34" or more NO
Window guards req:<2' above floor/6' above grade -
quick release installed
NO
Guard at deck, porches 36" or more NO
Handrail Termination at Newell Post or Wall NO
Interior/Exterior Railings 34 to 38 NO
Wood deck: 2'+ from grade dia bracing required - H/C
ramp compliant
NO
Jul 06, 2018 Page (6)
INSPECTION WORKSHEET (004915-2018)
Checklist Item Passed Comments
4+ Deck Joist Ledger Connections-24" From Ends NO
Deck Ledger-Bolted per Code NO
Grade away from foundation 6 with 10 feet NO
6 clearance to sill plate NO
Gas Shut-off Exposed & Regulator (18) Above Grade NO
HVAC Vent Terminal 10' from Lot Line & Openings NO
Dryer Duct Max Length 35', Labeled Over 35'NO
Interior privacy/trim/doors/main entrance 36 NO
Bathroom / Kitchen Watertight NO
Low flow toilet 1.3 gal/flushing cycle -
showerhead/faucet
NO
Safety glazing: w/in 5' of tub/shower - stairwell win/adj to
drs
NO
Smoke Detectors: Carbon Monoxide NO
CO in Bedrooms w/Gas NO
Smoke Detectors 3' from Kitchens & Baths R314 NO
Every level, Every bedroom NO
Outside every bedroom area NO
Inter Connected NO
Battery backup: _____NO
Attic Access 22 x 30 minimum NO
Attic Access Insulation = Attic R- Value NO
Attic Access Gasketed NO
Crawl Space Access 18 x 24 NO
Bathroom Fans, if no window NO
Plumbing fixtures NO
Backflow Preventors where required NO
Foundation insulation to floor NO
Energy Sticker on Elec. Panel:R-Val. & Heating Sys NO
All Hot Water Systems: R-3 NO
Jul 06, 2018 Page (7)
INSPECTION WORKSHEET (004915-2018)
Checklist Item Passed Comments
Duct work sealed properly NO
Intake Openings NO
Range Hood 400+ cfm-Fresh Air REQUIRED NO
Blower Door Test Certification NO
HRV or ERV Installed per Bedroom Requirements NO
Floor truss, draft stop- fin base 1,000 sq. ft.NO
Emergency egress below grade NO
Furnace shut-off w/in 30 ft. or w/in line of site NO
Oil Furnace Shut-Off at Entrance to Furnace Area NO
Propane Tank: Proper Setback from Prop Line/Struct NO
Furnace Hot Water Heater operating NO
Low water shut-off boiler NO
Relief Valve ,Heat Trap/Water Temp 110 deg or less NO
Encl. Stairs Sheetrock Underside minimum ½ Gypsum NO
1/2" Gypsum or House Wall and Gable NO
5/8" Type X with Living Space Above NO
20 Minute Fire Door/Self-Closing Hardware NO
Seals on Garage Doors, esp. Wood NO
Basement stairs closed rise greater than 4 inches NO
Basement Egress: 5s.f. window w/sill or Bilco door NO
Basement ceiling covered 2x8 fl joist or less NO
Fireblocking at fl joist 80 s.f. or less NO
Garage Floor Pitched NO
1/2" Gypsum-Bsmt Ceiling<2x10 Frame/TJI/Fl. Truss NO
Gas Log In Sealed or Glass Enclosure NO
Fin Elect; Energy Saving Light Bulbs 50 Percent NO
CSST/other piping in conduit if buried,if required NO
Final Survey Plot Plan NO
Jul 06, 2018 Page (8)
INSPECTION WORKSHEET (004915-2018)
Checklist Item Passed Comments
Arc Fault Breaker Habitable Spaces NO
Flex Gas Pipe Bonding NO
As Built Septic System NO
Sewer Dept. Inspection Sticker NO
Site Plan / Variance required NO
Flood Plain Certification, if required NO
Fuel Tanks above flood plain elevation NO
Buried Fuel Tanks anchored in flood zone NO
Truss ID Signage Installed at Electrical Meter NO
OK to Issue Temporary C/O NO
OK to Issue C/O YES
Jul 06, 2018 Page (9)
Dyer, Charles (Inspector)