CC-0382-2021 - Office Use Only
ADDITION/ALTERATION PERMIT Permit#: C - Q'.5$Z - ?�t1L1
APPLICATION Permit Fee:$ D
Town of Queensbury .
742 Bay Road,Queensbury,NY 12804
Invoice#: b
P:518-761-8256 www.gueensbury.net
Flood Zone? Y (N /. Reviewed Bya
Project Location: French Mountain Commons
Tax Map ID#: -288-1-55 Subdivision Name:
PROJECT INFORMATION:
TYPE: Residential Commercial, Proposed Use:
Single-Family —Two-Family _Multi-Family(#of.units ) _Townhouse
Business Office X Retail Industrial/Warehouse _Garage (#of cars_)
Other(describe )
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor:
2n8 floor: 2nd floor:
3rd floor: 3rd floor:
Basement(habitable space): Basement(habitable space):
Total sq ft: Total sq ft:
Scope of work to be done:
Two fire code sheetrock walls added to make sales floor smaller to approximately 1,320 square feet.
D ECETWE
MAY 2 5 -2021
TOWN OF QUEENSBURY
BUILDING&CODES
Addition/Alteration Application Revised January 2021
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$ $1,000
2. Source of Heat (circle one): X Gas _Oil _Propane _Solar_Other
Fireplaces/inserts need a separate Fuel Burning Appliances & Chimney Application
3. Are there any structures not shown on the plot plan? _YES X NO Explain:
4. Are there any easements on the property? _YES X NO
SITE INFORMATION:
• Is this a corner lot? YES X NO
• Will the grade be changed as a result of the construction? YES X NO
• What is the water source? X PUBLIC _PRIVATE WELL
• What type of wastewater system is on the parcel? X SEWER _PRIVATE SEPTIC
DECLARATION:
1. ,I acknowledge that no construction shall be commenced prior to the issuance of a valid permit and will be
completed within a 12 month period.Any changes to the approved plans prior to/during construction will require
the submittal of amended plans,additional reviews and re-approval.
2. .If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of
Queensbury.After 1 year from the initial application date, 100%of the fee is retained.
3. Ifthework is not completed by the 1 year expiration date the permit may be renewed, subject to fees
and department approval.
4; 1 certify that the application, plans and supporting materials are atrue and a 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.
5. I acknowledge that prior to occupying the facilities proposed I, or my agents, will.obtain a certificate of
occupancy. 3
6. 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 certificate of occupancy.
I have read and agree to the above:
PRINT NAME: �rtctc 1 r IceDo`�
SIGNATURE: �/ I DATE: I
Addition/Alteration Application Revised January 2021
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): Zachary Moore
Mailing Address, C/S/Z: 1439 US Route 9, Suite 9, Lake George, NY 12845
Cell Phone: 518 )683-0720 Land Line: 518 )792- 1483
Email:zmoorel@aol.com
• Primary,Owner(s):
Name(s): L&M Associates, LLC
Mailing Address, C/S/Z: 1439 US Route 9, Suite 9, Lake George, NY 12845
Cell Phone: 518 )683-0720 Land Line: ( 518 )792- 1483
Email:zmoorel@aol.com
Check if all work will be performed by property owner only
• Contractor(s): (List all additional contractors on the back.of this form)
Contact Name(s):
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone: Land Line: �)
Email:
"Workers' Comp documentation must be submitted with this application"
• Arch itect(s)/Engi nee r(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line: �)
Email:
Contact Person for Compliance in regards to this project: Art Belden
Cell Phone: 518 ) 791-0447 Land Line: 518 )792-1483
Email: beldo565@gmail.com
Addition/Alteration Application Revised January 2021
Y zi
COMcheck Software Version 4.1.5.3
Interior Lighting Compliance Certificate
Project Information -
Energy Code: 2018 IECC
Project Title: THE CANDY SPACE
Project Type: Alteration
Construction Site: Owner/Agent: Designer/Contractor:
1439 STATE ROUTE 9 UNIT 6 ZACK MOORE ROSE SEBASTIANI
LAKE GEORGE, NY 12845 518-683-0720 CADD
ZMOOREL@AOL.COM 716-997-6540
Allowed Interior Lighting Power
A B C D
Area Category Floor Area Allowed Allowed Watts
(ft2) Watts/ft2 (B X C)
1-Sales Area(Retail:Sales Area) 1366 1.22 1667
Total Allowed Watts= 1667
Proposed Interior Lighting Power
A B C D E
Fixture ID : Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D)
Fixture Fixtures Watt.
Sales Area(Retail:Sales Area 1366 sq.ft.)
Sales Floor Lighting:24"Dia Sales Fixture:.LED Other Fixture Unit 50W: 1 11 48 528
Back Room Lighting:2x4:LED Panel 41 W: 1 4 41 164
Total Proposed Watts= 692
LightingInterior PASSES
Interior Lighting Compliance Statement
Compliance Statement. The proposed interior lighting alteration project represented in this document is consistent with the
building plans,specifications,and other calculations submitted with this permit application.The proposed interior lighting
systems have been designed to meet the 2018 IECC requirements in COMcheck Version 4.1.5.3 and to comply with any
applicable mandatory requirements listed in the Inspection Checklist.
6-23-24
Name-Title e Signature Date
REVIEWED FOR
ENERGY CODE COMPLIANCE
Project Title: THE CANDY SPACE Report date: 06/23/21
Data filename: G:\CADD PROJECTS\The Candy Space-Com Check\THE CANDY SPACE-COMCHECK.cck Page 1 of 6
COMcheck Software Version 4.1.5.3
Inspection Checklist
Energy Code: 2018 IECC
Requirements: 0.0% were addressed directly in the COMcheck software
Text in the "Comments/Assumptions" column is provided by the user in the COMcheck Requirements screen. For each
requirement,the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed.Where compliance is itemized in a separate table, a reference to that table is provided.
Section
# Plan Review Complies? Comments/Assumptions
&Re .ID
C103.2 ;Plans,specifications, and/or ;❑Complies
[PR4)1 !calculations provide all information !❑Does Not
with which compliance can be
;determined for the interior lighting :[]Not Observable
;and electrical systems and equipment �❑Not Applicable
;and document where exceptions to
!the standard are claimed.Information
provided should include interior 1
;lighting power calculations,wattage of;
!bulbs and ballasts,transformers and !
control devices.
Additional Comments/Assumptions:
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: THE CANDY SPACE Report date: 06/23/21
Data filename: G:\CADD PROJECTS\The Candy Space-Com Check\THE CANDY SPACE-COMCHECK.cck Page 2 of 6
1 �
Section
# Rough-In Electrical Inspection Complies? Comments/Assumptions
&Re .ID
C405.2.2. ;Spaces required to have light- ❑Complies
2 reduction controls have a manual ;❑Does Not
[EL22]1 :control that allows the occupant to 1❑Not Observable
;reduce the connected lighting load in
a reasonably uniform illumination ,❑Not Applicable
pattern >=50 percent.
C405.2.1, ;Occupancy sensors installed in ;❑Complies
C405.2.1. classrooms/lecture/training rooms, T❑Does Not j
1 ;conference/meeting/multipurpose
[EL18]1 ;rooms,copy/print rooms, ❑Not Observable
lounges/breakrooms,enclosed offices, 1❑Not Applicable ;
;open plan office areas,restrooms,
!storage rooms, locker rooms, 1 :
:warehouse storage areas,and other
;spaces<=300 sgft that are enclosed
1by floor-to-ceiling height partitions. 1 1
!Reference section language
C405.2.1.2 for control function in
warehouses and section C405.2.1.3
;for open plan office spaces.
C405.2.1. ;Occupancy sensors control function in ;❑Complies
2 !warehouses: in warehouses,the ;❑Does Not
[EL19]1 ;lighting in aisleways and open areas is; ;
;controlled with occupant sensors that ;❑Not Observable;
:automatically reduce lighting power : Not Applicable
by 50%or more when the areas are ;
:unoccupied.The occupant sensors
!control lighting in each aisleway
;independently and do not control ;
!lighting beyond the aisleway being
;controlled by the sensor.
C405.2.1. ;Occupant sensor control function in :❑Complies
3- :open plan office areas:Occupant ;❑Does Not
[EL20]1 'sensor controls in open office spaces ❑Not Observable
>=300 sq.ft. have controls 1) ![]Not Applicable
configured so that general lighting can ;
;be controlled separately in control ;
;zones with floor areas<=600 sq.ft.
;within the space, 2)automatically turn
;off general lighting in all control zones
within 20 minutes after all occupants
:have left the space,3)are configured ;
so that general lighting power in each ;
:control zone is reduced by>=80%of 1 :
;the full zone general.lighting power.
:within 20 minutes of all occupants ;
:leaving that control zone,and 4)are :
:configured such that any daylight
:responsive control will activate space ;
:general lighting or control zone : 1
;general lighting only when occupancy
:for the same area is detected.
C405.2.2, ;Each area not served by occupancy 1❑Complies ;
C405.2.2. sensors(per C405.2.1)have time- :❑Does Not
1, !switch controls and functions detailed ;❑Not Observable
2 ;
C405.2.2. lin sections C405.2.2.1 and C405.2.2.2.:❑Not Applicable
[EL21]2
1 JHigh Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: THE CANDY SPACE Report date: 06/23/21
Data filename: G:\CADD PROJECTS\The Candy Space-Com Check\THE CANDY SPACE-COMCHECK.cck Page 3 of 6
Section
# Rough-in Electrical Inspection Complies? Comments/Assumptions
&Re .ID
C405.2.3, ;Daylight zones provided with ;❑Complies
C405.2.3. individual controls that control the i❑Does Not
1, Tights independent of general area
C405.2.3. ;lighting.See code section C405.2.3 ;❑Not Observable
2 Daylight-responsive controls for ;❑Not Applicable ;
[EL23]2 ;applicable spaces,C405.2.3.1 Daylight;
;responsive control function and
:section C405.2.3.2 Sidelit zone.
C405.2.4 ;Separate lighting control devices for ;❑Complies
[EL26]1 (specific uses installed per approved [❑Does Not
lighting plans.
UNot Observable;
❑Not Applicable
C405.2.4 ;Additional interior lighting power ;❑Complies ;
[EL27]1 :allowed for special functions per the ;❑Does Not
;approved lighting plans and is ;
;automatically controlled and ❑Not Observable
;separated from general lighting. ;❑Not Applicable ;
C405.3 ;Exit signs do not exceed 5 watts per ;❑Complies
[EL6]1 !face. ;❑Does Not
i UNot Observable
❑Not Applicable
C405.6 ,Low-voltage dry-type distribution ;❑Complies
[EL26]2 electric transformers meet the ;❑Does Not
;minimum efficiency requirements of
'Table C405.6. UNot Observable
:[]Not Applicable ;
C405.7 Electric motors meet the minimum ;❑Complies ;
[EL27]2 efficiency requirements of Tables . ;❑Does Not
;C405.7(1)through C405.7(4).
Efficiency verified through certification UNot Observable
under an approved certification ;❑Not Applicable
program or the equipment efficiency
;ratings shall be provided by motor
i manufacturer(where certification
programs do not exist).
C405.8.2, ;Escalators and moving walks comply ;❑Complies
C405.8.2. with ASME A17.1/CSA B44 and have QDoes Not
1 ;automatic controls configured to
[EL28]2 'reduce speed to the minimum ❑Not Observable
:permitted speed in accordance with i❑Not Applicable ;
;ASME A17.1/CSA B44 or applicable
)local code when not conveying
!passengers. 1
C405.9 ;Total voltage drop across the ;❑Complies
[EL29]2 :combination of feeders and branch :❑Does Not
!circuits<=5%.
;❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low impact(Tier 3)
Project Title: THE CANDY SPACE Report date: 06/23/21
Data filename: G:\CADD PROJECTS\The Candy Space-Com Check\THE CANDY SPACE-COMCHECK.cck Page 4 of 6
Section
# Final Inspection Complies? Comments/Assumptions
&Re .113
C303.3, Furnished O&M instructions for ;❑Complies
C408.2.5. systems and equipment to the ;❑Does Not
2 building owner or designated i
[FI17]3 representative. !❑Not Observable
;❑Not Applicable ;
C405.4.1 {Interior installed lamp and fixture ;❑Complies ;See the Interior Lighting fixture schedule for values.
[FI18]1 lighting power is consistent with what ;❑Does Not i
his shown on the approved lighting i❑Not Observable;
plans,demonstrating proposed watts ;❑Not Applicable
;
!are less than or equal to allowed
watts.
C408.1.1 ;Building operations and maintenance ;❑Complies
[F157]1 'documents will be provided to the :❑Does Not
owner.Documents will cover
manufacturers' information, ❑Not Observable
'specifications,programming ;❑Not Applicable ;
!procedures and means of illustrating ;
;to owner how building,equipment and;
systems are intended to be installed, 1
maintained,and operated. ;
C408.2.5. }Furnished as-built drawings for ;❑Complies
1 ttelectric power systems within 90 days :❑Does Not
[FI16]3 ;of system acceptance.
;❑Not Observable
1.ElNot Applicable
C408.3 :Lighting systems have been tested to ;❑Complies
[FI33]1 censure proper calibration,adjustment, T❑Does Not
;programming,and operation. ; ;
❑Not Observable,
.:[]Not Applicable
Additional Comments/Assumptions:
1 IHigh Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: THE CANDY,SPACE Report date: 06/23/21
Data filename: G:\CADD PROJECTS\The Candy Space-Com Check\THE CANDY SPACE-COMCHECK.cck Page 5 of 6
y
Project Title: THE CANDY SPACE Report date: 06/23/21
Data filename: GACADD PROJECTS\The Candy Space-Com Check\THE CANDY SPACE-COMCHECK.cck Page 6 of 6