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CC-0634-2021 Office Use Only M� ADDITION/ALTERATION PERMIT Permit#: Cc 2021 APPLICATION Permit Fee: $ 7bi-m of CLeenshury 742 Bay Road,Queensbury,NY 12804 Invoice#: P:518-761-8256 www.gueensbury.net - Flood Zone? Y L�N�� iewed B i Project Location: 7j� C"/ 4AO— Tax Map ID #: 308, 7-0 r _ J7� Subdivision Name: �l'C/�P K9 Psis�`7 e� PROJECT INFORMATION: TYPE: Residential _X_ Commercial, Proposed Use: _Single-Family _Two-Family Multi-Family (# of units ) —Townhouse Business Office _Retail _ Industrial/Warehouse _Garage (# of cars_) Other (describe �` k ADDITION SQUARE FOOT �� ALTERATION SQUARE FOOTAGE: On 1st floor: i� C 1st floor: 660 2"d floor: ��1�� ` 2"d or: 3rd floor: r146r: Basement (habitable space): '0®c`3b� sement (habitable space): Total sq ft: �NG�� Total sq ft: 660 Scope of work to be done: �9�/s`5 G� /�mil' t�Gl r�S •C> ��-, C E' .s ��--Q f r� Nj 4'�Ke IL VV 5 op 4VI ,¢��P Der r�,✓� x � (JA Addition/Alteration Application Revised January 2021 ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ 4��Cq 2. Source of Heat (circle one): _Gas _Oil _Propane _Solar YOther Fireplaces/inserts need a separate Fuel Burning Appliances & Chimney Application 3. Are there any structures not shown on the plot plan? _YES _KNO Explain: 4. Are there any easements on the property? _YES NO SITE INFORMATION: • Is this a corner lot? YES ANO • Will the grade be changed as a result of the construction? YES XNO • What is the water source? X PUBLIC _PRIVATE WELL • What type of wastewater system is on the parcel? 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 If,for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of Queensbury.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 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 certificate of occupancy. I have read and agree to the above: f PRINT NAME: ` SIGNATURE: DATE: Z�Z� Addition/Alteration Application Revised January 2021 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: r Name(s): 00W,1,70y Mailing Address, C/S/Z: AIV 12O V"7 Cell Phone: (37c y ) 65 /S Z' Land Line: 57 ) Z-3�c9 7GP6 Email: :Z ,'/ a 1 C° 111"4,leelvei-ov • Primary Owner(s): Name(s): Mailing Address, C/S/Z: Cell Phone: Land Line: �) Email: 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** • Architect(s)/Engineer(s): Business Name: A/ Contact Name(s): Aqe- Mailing Address, C/S/Z: Cell Phone: ( Land Line: Email: &IQ h dj-! ldcJ iG C, C'®M . Contact Person for Compliance in regards to this project: Cell Phone: (,57� ) �'✓5` - 4535 Land Line: 01-B Email: Addition/Alteration Application Revised January 2021 6` • Contractor(s): Workers' Comp documentation must be submitted with this application Contractor Name(s): G"' o&yk S b /"�� • --Z✓� Contractor Trad e: �— 9 �c�u1i , �`�� cl�''z S 9` 4A ,L Mailing Address, C/S/Z: /d6 S ,¢y� ,9 f/,%/�P �✓/✓� Sv�`J� 3�w �"ll�A /�y Cell Phone: 3��- r55-7((9j Land Line: 9 Sid-- 23� Co903 - Email: • Contractor(s): Workers' Comp documentation must be submitted with this application Contractor Name(s): Contractor Trade: �1 ` Mailing Address, C/S/Z: /9— � 'C /��J y P�`�• l zZv Cell Phone: 5?8 Land Line: / Email: dOl—f - • Contractor(s): Workers' Comp documentation must be submitted with this application Contractor Name(s): Contractor Trade: Mailing Address, C/S/Z: Cell Phone: Land Line: Email: • Contractor(s):Workers' Comp documentation must be submitted with this application Contractor Name(s): Contractor Trade: Mailing Address, C/S/Z: Cell Phone: Land Line: • Contractor(s): Workers' Comp documentation must be submitted with this application Contractor Name(s): Contractor Trade: Mailing Address, C/S/Z: Cell Phone: Land Line: Email: Addition/Alteration Application Revised January 2021 FIRE MARSHAL'S OFFICE Town of Queensbury 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW Okie Properties FILE COPY 75 Carey Road , Suite 2 CC-0634-2021 - - 8/31/2021 The following comments are based on a review of submittals: • Verify fire extinguisher location and inspection • Verify location and operation of exit/Emergency lighting. • Add CO detection office area Michael J Palmer Fire Marshal 742 Bay Road Queensbury NY 12804 . firemarshal@queensbury.net Fire Marshal 's Office Phone: 518-761-8206 Fax: 518-745-4437 firemarshal@queensbure�net zvzvzv.queensbury.net i_, w f John O'Brien From: Mike O'Connor<mikeoc@alltekenergy.com> Sent: Tuesday,September 7,2021 12:14 PM To: John O'Brien Cc: Kate Deck,Mike Palmer,Craig Brown Subject: RE:SUITE#2 OFFICE ALTERATIONS 75 CAREY ROAD JOHN, SORRY FOR DELAYED RESPONSE I WAS AWAY ON VACATION LAST WEEK. BELOW ARE THE SPECS ON THE HEAT PUMP WE ARE USING TO HEAT AND COOL THE OFFICE SPACE FOR SUITE 2 AND 75 CAREY RD. Michael O'Connor, Pres Alltek Energy Systems, Inc. mikeoc@alltekenergy.com 518-857-1555 BLUERIDGE BMHH18Y20 KIT STANDARD FEATURES Convenient remote control enables unique temperatures to be set per zone. High-efficiency inverter technology allows for even cooling and heating while reducing energy costs. Gold fin condenser.coil coating extends the life of your system by protecting it from corrosion. Intelligent sleep function adjusts to your sleep pattern in order to maximize your comfort and reduce energy costs. User controls direct air flow. Intelligent defrost reduces energy and defrost time by only defrosting when needed. THIS SYSTEM INCLUDES* Blueridge BMHH18Y20C x1 18,000 BTU 20 SEER Single Zone Hyper Heat Ductless Mini Split Outdoor Condenser 1 L Blueridge BMHH18Y20WM x1 18,000 BTU Single Zone Hyper Heat Wall Mounted Ductless Indoor Air Handler Alpine 40880250133136 x1 25 Foot 1/4 LL 1/2 SL Ductless Mini-Split Line Set Alpine MW4/025 x1 25' 14/4 Stranded Ductless Mini-Split Wire -Non-Shielded(600 Volt) Alpine AHMSA1 xl Adapter 5/16" x 1/4" for Ductless Mini-Split Systems 2 i 1'1f Alpine AHDH2O x1 5/9in Inner Diameter Drain Hose;20ft Length Alpine AG-WHP10 x1 . 1/2 x 48 Inches, #10 Gauge Electrical Whip C. a.: J ow ,t Alpine AG-DCT x1 Safety Non-Fused Electrical Disconnect DiversiTech 230-WS2 x1 2.5" Wall Sleeve for SpeediC'hannelTM Line Set Covers 3 i a a j il�r Blueridge 17317000A50985 xl Remote Control r�® 4 - lir At 12,000 BTU(1 Ton)20 SEER Single Zone Ductless Mini-Split Heat Pump System Blueridge BMKH12-20YN4GA SPECS Ambient Temperature Range (Cooling) -22/ 122 OF Ambient Temperature Range (Heating) =22/86 OF Mini=Split System Type Heating/Cooling e Low Ambient Cooling Yes Product Type Mini Split HIT Total Cooling Capacity 1.5 Ton(s) Heating Capacity 18000 BTU 4 Cooling BTUs 17000 BTU Cooling Tonnage 1.5 Tons Total Cooling Capacity BTU 18000 BTU SEER 20 SEER Maximum Heating Output BTU 18000 BTU Energy Efficiency Ratio 12.5.EER Coefficient of Performance 3.13 COP Heating Seasonal Performance Factor 10.3 HSPF Refrigerant , R-410A WIFI Yes (With Adapter) Moisture Removal 3.8 Pts/Hr Minimum Ambient Temperature,(Heating) -22°F Factory Precharge 25 Feet Minimum Ampacity 18 Amps . Maximum Fuse/Breaker 25 Amps 5 u . a Maximum Line Length per Zone. 98 Feet Maximum Height Difference 66 Feet Line Set Connection Type, Flare Compressor Type Inverter ENERGY STAR® Qualified No Zones 1 Liquid Line Size . . 1/4 Inchcs Suction Line Size 1/2 Inches Indoor Air Handler Size,W x H x D 38.98 x 12.4 x 8.58 Inches . Sound Rating,Indoor 26.5/36/-45.5 Decibels Sound Rating; Outdoor 57.5.Decibels Maximum Line Length all Zones 98 Feet Outdoor.Condenser Size,W x H x D .33.27 x 27.64 x 14.29 Inches Indoor Air Handler Weight 26.89 Lbs Outdoor Condenser Weight 108 Lbs Indoor Air Handler Type(s) Wall Mounted Voltage 6 208 -,2�0 Volts Frequency 60 Hz Voltage Phase 1 Compressor Warranty 7 Years Parts Warranty 5 Years . ACCESSORIES From:John O'Brien [mailto:JohnO@queensbury.net] Sent:Tuesday,August 31,20218:26 AM To: Mike O'Connor<mikeoc@alltekenergy.com> Cc: Kate Deck<KateD@queensbury.net>; Mike Palmer<MikeP@queensbury.net>; Craig Brown <CraigB@queensbury.net> Subject:SUITE#2 OFFICE ALTERATIONS 75 CAREY ROAD Mike, Please provide the catalog cuts and specifications for the heating and cooling system for the office area which you were required to submit for suite#1. In the meantime I will forward this onto planning and zoning and the Fire Marshal's office for their review and approval. Thanks! John O'Brien Code Enforcement Officer Town of Queensbury Town of Queensbury