CC-0698-2021 iow Office Use Only
ADDITION/ALTERATION PERMIT Permit#: CC — O to -
APPLICATION Permit Fee:$ ZOO
Town of Qcensbury
742 Bay Road,Queensbury,NY 12804
Invoice#:
P:518-761-8256 www.gueensbury.net
Flood Zone? Y R iewed By:
U P r-ei S
Project Location: -14 OLA,}I-etS ofi Ls„ke C�u,rg� —W e-Sfi
t4 i5 S+V -4-e- Cz o w-1-e_. °I J S Q o.cf+- uweRIn 51 o LA-r-y
Tax Map ID#: 2a �. Subdivision Name:
'"
PROJECT INFORMATION:
TYPE: Residential Commercial, Proposed Use: �(,DCV�an
Single-Family _Two-Family _Multi-Family (#of units ) —Townhouse
Business Office Retail _ Industrial/Warehouse _Garage (#of cars_)
Other(describe )
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor: 1 5 l Cv
2nd floor: V3 A 2nd floor: ^(��
3rd floor: 3rd floor: fJ
Basement (habitable space): Basement (habitable space): Pc
Total sq ft: Total sq ft: k15 (<
Scope of work to be done:
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pECo " E
SEP 17 2021
TOWN OF QUEENSBURY
Addition/Alteration Application BUILDING a CODES Revised January 2021
K. ,
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $
2. Source of Heat (circle one):_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 )-( NO Explain: .
4. Are there any easements on the property? _YES X NO
SITE INFORMATION:
• Is this a corner lot? _YES NO
• Will the grade be changed as a result of the construction? _YES >�NO
• What is the water source? 'x, PUBLIC _PRIVATE WELL
• What type of wastewater system is on the parcel? )<SEWER _PRIVATE SEPTIC
DECLARATION:
1. 1 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 If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of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 a true 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. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of
occupancy.
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 a certificate of occupancy.
I have read and agree to the above:
PRINT NAME:
SIGNATURE: DATE: °�•�� Zj
Addition/Alteration Application Revised January 2021
r .. c.
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): W 6-irC,C V 1-0 &4o y\.
Mailing Address, C/S/Z: \1 fJ aA( exe T t_ 400bc,-7
Cell Phone: (0!!�-_-T ) 7YA - 7744 Land Line: (8-47 ) *5°i - 4? 4 l (P
Email: Woo&n*o�n @ VSio�.vLL, cowl
• . Primary Owner(s):
Name(s): _
Mailing Address, C/S/Z: 2i�0a VJ . .C�an-�rec.1 20 S 5 r L `� a
Cell Phone: ( 2_2A ) ZSS - 'OCpoe Land Line: ( 841 ) 7�os - •4-Ce92
Email: @ Gla ices . cpon
❑ 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)/Engineer(s):
Business Name: V�J&Arr',-_� Tokm5oy-% Ave�,n i +e_C_'t5 C .
Contact Name(s): Wo_rre,�n ,,r oln.vX's,e-►1
Mailing Address, C/S/Z: % -I Q . Gtree-l" SFr-e�'� _ C�a1a �iv�� ZL_ Ceoo 69-
Cell Phone: (847 ) 7 74 - "j 7. -4- Land Line: ( 847 ) ;>Sg1 - a &l CP
Email: w � vIx n y0h @ W i a--Ck . CmvvI
Contact Person for Compliance in regards.to this project: \No rr,--m Tokv,5;e-vti
Cell Phone: ( 13,4-7 ) 774 - "77A4 Land Line: ( 0+7 ) -55'7 - R Ce I (P
Email: w 0HV150n w � n, ��.L� coov,n
Addition/Alteration Application Revised January 2021
COMcheck Software Version COMcheckWeb
Interlor Lighting Compliance Certificate
Project Information F�L� '�✓���
Energy Code: 2020 NYStretch Energy Code-2018 IECC
Project Title: Claire's-Queensbury, NY
Project Type: Alteration
Construction Site: Owner/Agent: DesignerlContractor:
1415,State Route 9 Warren Johnson
Space#122 WJA
Queensbury, NY 12804 19 N Greeley St
REVIEWED FOR Palatine, iL60067
8473599616
ENERGY CODE COMPLIANCE wjohnson@wjarch.com
Allowed Interior Lighting Power
A B' C D
Area Category Floor Area Allowed Allowed
(ft2) Watts/ft2 Watts
1-Retail 1516 0.91 1380
Total Allowed Watts= 1380
Proposed Interior Lighting Power
A B C D E
Fixture ID : Description/ Lamp/Wattage Per Lamp/ Ballast Lamps/ # of Fixture (C X D) -
Fixture Fixture Watt.
Retail (1516 sa.ft.)
LED 1: 21x2': Other: 1 18 30 540
LED 2:Trck Light: Other: 1 28 17 476
Linear Fluorescent 1: 2'x4' Existing:48"T8 32W(Super T8): Electronic: 3 6 40 240
Linear Fluorescent 2: 2'x2' Existing:48".T8 32W(Super T8): Electronic: 1 1 30 30
Total Proposed Watts= 12.86
'Interior Lighting 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 per application.The proposed interior lighting
systems have been designed to meet the 2020 NYStretch Energy Code-201 1 CC requirements in COMcheck Version
COMcheckW and to comply ith any applicable andatory regwreme s I s ed in the Inspection Checklist.
ur wV►
Name-Title Si nat re
� I
N� 035347.
0P•NEB
Project Title: Claire's-Queensbury, NY Report date: 09/29/21
Data filename: Page 1 of 5
T
COMcheck Software Version COMcheckWeb
Inspection Checklist
Energy Code: 2020 NYStretch 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
T-
# Plan Review Complies? Comments/Assumptions
& Re .ID
C103.2 ;,Plans,specifications, and/or ;❑Complies ;
[PR4]1 `calculations provide all information I❑Does Not
with which compliance can be I
:determined for the interior lighting ;❑Not Observable
jand electrical systems and equipment :❑Not Applicable ;
,and document where exceptions to ;
;the standard are claimed. Information ;
`provided should include interior
ilighting power calculations,wattage of;
:bulbs and ballasts,transformers and
control devices.
C405.11 New parking garages and new parking;❑Complies ;
[PR38]3 lots powered by the energy services !❑Does Not
for a building,and with 10 or greater
parking spaces, provide either: 1. :❑Not Observable
Panel capacity and conduit for the ,❑Not Applicable
future installation of minimum ;
208/240V 40-amp outlets for 5
percent of the total parking spaces
and not less than two parking spaces;
or 2. Minimum 208/240V 40-amp ;
outlets for 5 percent of the total
parking spaces and not less than two ;
parking spaces.
Additional Comments/Assumptions:
11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Claire's-Queensbury, NY Report date: 09/29/21
Data filename: Page 2 of 5
0 9
Section
# Rough-in Electrical Inspection Complies? Comments/Assumptions
& Reg.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
Ieeduce the connected lighting load in ;❑Not Observable
is reasonably uniform illumination �,❑Not Applicable
;pattern >=50 percent.
C405.2.1, I Occupancy sensors installed in ;❑Complies ;
C405.2.1. !classrooms/lecture/training rooms, ;❑Does Not
1 conference/meeting/multipurpose
[EL18]1 .rooms,copy/print rooms, ❑Not Observable
corridor/tran"sition areas, ;❑Not Applicable
i lounges/breakrooms, enclosed offices,
'open plan office areas, restrooms, ;
:storage rooms, locker rooms, I
;warehouse storage areas,and other
.spaces<=300 sgft that are enclosed ;
:by floor-to-ceiling height partitions.
Reference section language
lC405.2.1.2 for control function in I
!warehouses and section C405.2.1.3
Ifor open plan office spaces. ;
C405.2.1. ;Occupancy sensors control function in ;❑Complies ;
2 warehouses: In warehouses,the ❑Does Not
[EL19]1 'I lighting in aisl,eways and open areas is 1❑Not Observable;
controlled with occupant sensors that ,
.automatically reduce lighting power []Not Applicable
;by 50%or more when the areas are
unoccupied.The occupant sensors ;
!control lighting in each aisleway
I independently and do not control ;
lighting,beyond the aisleway being i ;
: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 f❑Not Observable;
I>=300 sq.ft. have controls 1) I❑Not Applicable
configured so that general lighting can PP icable
;be controlled separately in control ;
1zones 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
iso that general lighting power in each ;
,control zone is reduced by>=80%of I
;the full zone general lighting power i
within 20 minutes of all occupants ;
;leaving that control zone,and 4)are I
I configured such that any daylight
responsive control will activate space ;
general lighting or control zone i
general lighting only when occupancy i ;
;for the same area is detected. i ;
C405.2.2, ti Each area.not served by occupancy ;❑Complies
C405.2.2. }sensors(per C405.2.1)have time- ;❑Does Not
1, 3 switch controls and functions detailed
C405.2.2. t in sections C405.2.2.1 and C405.2.2.2,i❑Not Observable
2 ;❑Not Applicable
[EL21]1
I
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier.3)
Project Title: Claire's-Queensbury, NY Report date: 09/29/21
Data filename: Page 3 of 5
i - o
Section
# Rough-In Electrical Inspection Complies? Comments/Assumptions
&Req.ID
C405.2.3, Daylight zones provided with ;❑Complies ;
C405.2.3. individual controls that control the :❑Does Not
1, {lights independent of general area
C405.2.3. ;lighting within daylight zones in the ;❑Not Observable
2 ifollowing spaces: 1.Spaces with a ;❑Not Applicable ;
[EL23]2 ;total of more than 100 watts of
general lighting within sidelit zones
;complying with Section C405.2.3.2.
;General lighting does not include ;
lighting that is required to have i I
;specific application control in
accordance with Section C405.2.4.2.
Spaces with a total of more than 100 I
watts of general lighting within toplit
(zones complying with Section
1C405.2.3.1
C405.2.3.3.See code section
Daylight responsive
;control function and section ;
C405.2.4 ''Separate light!ng.control devices for ;❑Complies ;
[EL26]1 ;specific uses installed per approved ❑Does Not
lighting plans. ;❑Not Observable;
j ;❑Not Applicable
C405.2.4 ;Additional interior lighting power- ;❑Comp lies ;
[EL27]1 l allowed for special functions per the T❑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
❑Not 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. ❑Not Observable;
❑Not Applicable
C405.7 ;Electric motors meet the minimum ;❑Complies
[EL27]2 jefficiency requirements of Tables T❑Does Not
.C405.7(1)through C405.7(4). ❑Not Observable;
Efficiency verified through certification; ,
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 ;
[EL28]2 ;with ASME A17.1/CSA B44 and have :❑Does Not
automatic controls configured to I
reduce speed to the minimum 1❑Not Observable
i permitted speed in accordance with �❑Not Applicable
ASME A17.1/CSA B44 or applicable ;
local code when not conveying ;
I passengers.
C405.9 ;Total voltage drop across the ;❑Complies
[EL29]2 I combination of feeders and branch 1❑Does Not
;circuits<=5%. !❑Not Observable;
t ;❑Not Applicable
Additional.Comments/Assumptions:
1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Claire's-Queensbury, NY Report date: 09/29/21
Data filename: Page 4 of 5
i i
Section
# Final Inspection Complies? Comments/Assumptions
&Re .ID
C303.3, Furnished 0&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 1❑Does Not
!is shown on the approved lighting Observable;
:plans, demonstrating proposed watts , ,
:are less than or equal to allowed :❑Not Applicable ;
watts.
C408.1.1 ;Building operations and maintenance ;❑Complies
[F157]1 `documents will be provided to the 1❑Does Not
owner.Documents will cover
;manufacturers'
' ❑ Observable:
information,
' Not Obble;
; ,
;specifications, programming .❑Not Applicable
!procedures and means of illustrating ;
;to owner how building,equipment and
;systems are intended to be installed,
maintained,and operated.
C408.3 :Lighting systems have been tested to ;❑Complies ;
[FI33]1 ensure proper calibration,adjustment,',❑Does Not
;programming, and operation.
❑Not Observable;
❑Not Applicable
Additional Comments/Assumptions:
1 High Impact(Tier 1) 12 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Claire's-Queensbury, NY Report date: 09/29/21
Data filename: Page 5 of 5
FIRE MARSHAL'S OFFICE
Town of Queensbury
742 Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW FILE COPY
Claire's
1415 Route 9, Suite 122.
CC-0698-2021
9/20/2021
The following comments are based.on a review of submittals:
• Verify fire extinguisher location and inspection . .
• Location of exit/Emergency.lighting appear adequate. Function test will be
required
• Lock./ latches shall comply with Chapter 10 of 2020 IFC.
Verify paths of egress
Verify storage
• Verify.clearances to electrical-service panels
CO detection is required, if source is present
9 Knox Box key-is required
• NFPA 72 letter of compliance required.for any alterations to the fire .alarm
system.
• NFPA 13 letter of compliance required for any modifications to the
sprinkler system
Contractor to exercise caution'and provide protection for all fire alarm and
sprinkler devices, during constructio
Michael J Palmer
Fire Marshal
742 Bay Road
Queensbury NY 12804
firemarshal@queensbury.riet
Fi r e Marsha 1 's Office Phone: 518-761-8206. • Fax: 518-745-4437
firenmrshal@queensbunt.net zvzvzv.queensbunj.net