2010-585 411akiTOWN OF QUEENSBURY
t4to
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100585 Date Issued: Monday, October 17, 2011
This is to certify that work requested to be done as shown by Permit Number P20100585
has been completed.
Location: 5 WARREN St
Tax Map Number: 523400-304-017-0001-007-000-0000
Owner: KATHLEEN H RUNNALLS
Applicant: KATHLEEN H RUNNALLS
This structure may be occupied as a:
Certificate of Occupancy(RES) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the s
property owner of the responsibility for compliance with Site Plan, „) d," ; V
1 / /
erkVariance, vir-
or other issues and conditions as a result of approvals by the Director of Building&Code Enfor ement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
`4,0 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100585 Application Number. A20100585
Tax Map No: 523400-304-017-0001-007-000-0000
Permission is hereby granted to: KATHLEEN H RUNNALLS
For property located at: 5 WARREN St
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 Value
Owner Address: KATHLEEN H RUNNALLS
5 WARREN St Certificate of Occupancy(RES) $13,600.00
HUDSON FALLS,NY 12839-0000 Total Value $13,600.00
Contractor or Builder's Name/Address Electrical Inspection Agency
HOME IMPROVEMNET GALLERY INC.
745-5097
10 SARATOGA Ave
SOUTH GLENSA FALLS,NY 12803-0
Plans &Specifications
2010-585
HUD REHAB
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,December 27, 2011
(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 ee u , December 27,2010
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
V---/-ZtrTh .1'Zf-'-7-71-74-5
.3a1. 17--)-- OFFICE USE ONLY
TAX MAP NO. PERMIT NO. /� — �/
FEES: PE RECREATION ENGINEERING '
,4
.. (If app{icai�le}
PERMIT INCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL BUILDING
'.rM''144 :11/ !
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TOIE\/IEW' j
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. ' /
APPLICANT/BUILDER: /4 44 -7:-../
f ��1� bb-eF6/4OWNER: /‘`PrG .gArr-
c.
ADDRESS: /O 5;//UJ-/C, i /1((. ,,<�r 6/ S ADDRESS: 4-'44P c/ ' ,XXiccC
F*-(Is ,.V. WA 3
PHONE NOS. d') 7Yr.S v`7 7 PHONE NOS. (5 /?) 7c/7`6Y7(
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE:/5L4 C,- .4.4e 4.4e PHONEr7", 7Y6'j'"J C
/ -7e� 7c%S rag? W
LOCATION OF PROPERTY: S �ti.4.iCdT_.- Sir/`
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES fob NO
IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z dLw LL co
O
PROJECT w O -J a 2=L- w d OU
LL
� U) I- ~Z Q Q c- NOLL LL.
C= orn
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE .. :0.- �[l -)
RETAIL-
MERCANTILE (q---- 7
FACTORY OR
. 1/7/
INDUSTRIAL
ATTACHED �)�ir �
GARAGE(1,2,3) C L�
OTHER
______
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: /1/
/
/ C� FUEL TYPE:
HEAT TYPE: *HOW MANY FIREPLACE(S): AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. 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 NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. 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 a•ree to the above.
Signed
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes
or septic systems)
•
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
( f ,
BUILDING & CODES APPROVAL ZONING APPROVAL
/Z' Z)//°
DAT DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codesAqueensbury.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No www.queensbury.net
Occupancy Type: Construction Classification:
Assembly Occupancy Limi • M Special Conditions:
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: ///,y��am/prl,_ Depart: am/pm
Date Inspection request r ived: Inspecto Initials:
NAME: ( r PERMIT#: /0
LOCATION: �, it-,v J2- DATE: 7S/
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate 1 f
Gas Valve shut-off exposed/regulator 18 inches above grade /y o `d
Interior privacy/trim/doors/main entrance 36 inches 1 ")
Bathroom/Kitchen watertight n "
c me
refSafety glazing/Window in stairwells safety glazing Ls h ` pi/ p. y.--
Interior Smoke Detectors!Carbon Monoxide Detectors ,// Car‘-'t .5
O tsidee vel:every bedroom areaEvery Bedroom: `� ",✓47
fi
Inter Connected: Battery backup: /
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area f op)el e
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation to floor!Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical;Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Van- «- required
Flood Plain -ificati'n,if required
Okay to iss,e C/C • C/0[Temporary/Permanent]
L:1Building&Codes Forms\Building&Codeslinspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
illikkQueensbury Building & Code Enforcement - Residential anal Inspection
ice No. (518) 761-8256 Arrive: /2'u,am/pm Depart: am/pm
Date Inspection request rece'ved: ___ Inspector's Initials: Y'
NAME: -_G'`�' -14 /Je- PERMIT#: .=
LOCATION: 3--- " a rY‹- S i DATE: � /0-13--//
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall /
Interior/Exterior Railings 34 inches to 38 inches /,I/ : ti, /la, s
Deck Bracing/Handicapped Ramp Compliant ,,, y'`s'i't
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate •
/4 f Jam' `
Gas Valve shut-off exposed/regulator 18 inches above grade j
Interior privacy/trim/doors I main entrance 36 inches //‘,y., .`/
Bathroom/Kitchen watertight „�0 L 6)44'
! `
Safety glazing/Window in stairwells safety glazing S' ,�/f Ps- G4,; r.:c
Interior Smoke Detectors/Carbon Monoxide Detectors L �� /<
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical;Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/0[Temporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08; Revised 12/22/10,Revised 04/13/11
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
.-5Permit No. /t7 J(!> ...Cert. N2 2 2 0 3 Cut-in Card No.
Owner /�
yA /71/ 62-71)62-71) S TAX
Location $ w 4/22L .$T tom. "7),'
Installation Consisting of 3 r d2ff C45 t€* �AL412441.
W /1&/A/6 . - /fit D j U
Installed By . nmrr-/sa LI Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making ii.;'tions at any time, and if its
rules ar��vvliolated,the Comany shall have the right to r v• • this c-•s e.
Date V —/7-1/-
INSPECTOR
Member N.F.P.A.,I.A.E.I.
uv�r��,t V1C J K�11../1C 1
Dept. of Community Development
Building & Code Enforcement
Town of Queensbury (518) 761-8256
742 Bay Road
Queensbury, New York 12804 • �
Date: A 5/1
Property Location:
Owner/Tenant:
`i J BUILDING ^ SEWAGE SIGN
OTHER
r
REMARKS: Tax Map No.
0l i,2
-74 71ye e-1 a 715 C-1534-
CA: - 3, 447 -,.,n. —S:'r
CONTACT THIS OFFICE WITHIN �n'-,
Building Inspector
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518) 761-8256 Arrive: am/pm Depart: am/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#:
LOCATION: DATE:
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches 712r737-'- ✓`e
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing ,
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
Outside every bedroom area:
Inter Connected: Battery backup:
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification/Sticker on Paoel
Floor truss,draft stopping finished basement 1,Q00 sq.ft."-
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/.hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker 3 4/7/
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C l C or C/0[Temporary/Permanent
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10
IMPROVEMENTS TO
• TOWN OF UEENSBURIR 5 Warren Street
UEENSBURY, NY 12804
BUILDING & c' -' - ,�
Reviewed By SEPT` x
Date: /2-4wiv s =5 DEC �' 3
- -. � �F �' 4,`. 2U10
PROPERTY OWNER x `
Kathleen Stay n
5 Warren Street
Queensbury, NY 12804
Phone: 747-6471 y
•� ' ' QUEENSBURY
BUILDING DEPARTMENT
Ba:non:our limited examination, ar1Ce
LEAD-BASED PAINT HAZARDS wituromments slim'not Ise ccfulue antis are fn
Regulations New YorkState. with u �Codes of
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 project(attached)which has identified lead
hazards which must be corrected. These hazards and the rehabilitation work to remedy these hazards is
spelled out in the work specifications. The Contractor is responsible for reading the attached Lead-
Based Paint Risk Assessment Report. This is one reason why the report is attached to this document.
The contractor is responsible for addressing all property components listed as lead hazards.
Contractor Certification
This project will require the contractor to undertake improvement activities that require lead-safe work
practice. Therefore the contractor must be trained and certified in accordance with regulations issued by
the US Environmental Protection Agency(EPA). The contractor must provide the Town of Queensbury or
its representative with evidence of such certification prior to execution of the contract for improvements.
Interim Controls
The work to be done in accordance with these specifications that addresses identified lead hazards is
designed to result in a lead-safe dwelling. The measures called for to reduce temporarily human
exposure or likely exposure to lead-base paint hazards are called Interim Controls.
Clearance Examination
A visual inspection and dust wipe sampling is required after the lead-based paint has been rendered
intact. The inspector will look for visible dust and debris in areas where the defective lead-based paint has
been stabilized. Dust wipe samples in at least four rooms are required. Dust wipes shall be taken in all
rooms where lead-based paint has been stabilized.
The contractor is responsible for obtaining a Lead-Based Paint Clearance from a certified firm. The
contractor is required to provide the owner/and the Town of Queensbury with evidence that a
Lead Hazard Clearance Examination was done after completion of the rehabilitation work.
Stay 5 Warren Street 1
Clearance is required before final payment to the contractor will be approved.
This Clearance Examination must be done by an individual or firm licensed or certified to conduct such an
examination and must certify that the hazard reduction activities are complete and that no soil lead
hazards or settled dust lead hazards exist in the dwelling unit or work site. The cost of such Clearance
Examination is to be included as part of the contract total bid price for the rehabilitation work. It is
the contractors responsibility to obtain such clearance. Final payment for completed work will be withheld
until such clearance is provided.
LEAD-BASED PAINT INTERIM CONTROLS
Summary of Findings
The attached risk assessment dated March 3, 2010 has designated the following areas as Lead-Based
Paint Hazards and IMPROVEMENTS REQUIRE LEAD-SAFE WORK PRACTICES:
Hazard A
INTERIOR
Living Room:
Window well,side B
Bedroom#2:
-Window sill(dust)
EXTERIOR
Soil drip line side C(3)
Recommendations
The risk assessment made the following recommendations which are incorporated into specifications for
each work element.
Following each days work and at the end of the project, any areas affected shall be properly
cleaned using HEPA vacuums and wet wiping. Shop vacuums are usually NOT HEPA vacuums.
It is the contractor's responsibility to keep the site properly clean throughout the work process
and pass final dust wipe sampling and/or soil sampling at completion.
Other components found to contain lead-based paint and in an intact condition are not considered
"hazards", using criteria in the 1995 HUD Guidelines for the Evaluation and Control of Lead-Based
Hazards in Housing.
LEAD-BASED PAINT INTERIM CONTROLS
See the attached Lead-based Paint Risk Assessment Report.The following items require lead-safe
work practices:
1. Living room window well, wet scrape and wet sand and finish to match existing.
2. Bedroom#2, sill(s); clean
3. Exterior, drip line side C (3); cover drip line with 4 inches bark mulch
LIST LEAD PRICE HERE $ 7°Z‘: a°
(Also to include any additional lead cleaning and clearance)
Stay 5 Warren Street 2
ELECTRICAL
All work is to be performed in accordance with manufacturer's instructions,NYS Building Code,Local
Building Code and GENERAL ELECTRICAL SPECIFICATIONS. CONTRACTOR IS REQUIRED TO
OBTAIN AN ELECTRICAL INSPECTION FOR ALL WORK AND TO PROVIDE A CERTIFICATE OF
COMPLETION BEFORE FINAL PAYMENT. A LIST OF ELECTRICAL INSPECTORS IS INCLUDED IN
STANDARD ELECTRICAL SPECIFICATIONS.Where specifications call for replacing two prong outlets
with grounding receptacle(s)the contractor is required to provide grounding to the first floor if there
is a basement area. For properties without a basement,and for all second floor areas,use existing
grounding methods,if any;in these instances only the contractor is not responsible to run new cable
to provide a ground where none is available. GFI receptacles have to be grounded.N-014=600
-
1. Kitchen
► Provide and install hard-wired smoke detector with battery back-up at location near master
bedroom(Bedroom#1)
► GFI protect existing countertop receptacle at right of sink (in box with switch)
► Replace old style receptacle to left of sink with GFI receptacle
► Install GFI protected receptacle at small piece of countertop to left of stove,on dedicated 20A
circuit.
► Provide dedicated 20A circuit for refrigerator, as necessary
2. Master Bedroom(Bedroom#1)
► Provide and install hard wired smoke detector with battery back-up
3. Hall(Off dining room)
► Provide and install hard-wired smoke&CO detector with battery back-up
4. Bedroom#2
► Provide and install hard wired smoke detector with battery back-up
5. Bedroom#3
► Provide and install hard-wired smoke detector with battery back-up.
6. (Attic
Provide and install hard wired smoke&CO detector with battery back up
7. Basement
► Provide and install hard wired smoke&CO detector with battery back up
► Pro '.- •- , GFI .r. - -- _ - • 1.1• mac ••- •• •_e.-- ' '
► Repair improper splice in Romex cable at back right of basement;protect in metal or plasti
box wi
► - Ovide wall switch control for exists Ile
,:...._-,:,:;.�lig i ure • •om/) /6/ j_
vi
C
► - •wie cover or - - •- - _ ri ..� UI S. J c2 e,
LIST ELECTRICAL PRICE HERE $ 02°521- 4'-)
•
Stay
26S3-
Stay 5 Warren Street 3
WINDOWS
All work is to be performed in accordance with manufacturer's instructions, NYS Building Code,
Local Building Code and STANDARD WINDOW SPECIFICATIONS.
Ener. Conservation Factors: Window U Factor must not be •reater than .30.
['v '`•,.:34ac�el�..ALL- x,��`,-`3 _ a��=_a, wa �a1.�
1. Install new Energy Star rated white vinyl replacement windows (Pella Therma Star, Kas Kel 3000
Series or Equivalent) in the following locations:
All windows will have full screens.
• Basement(hopper) 7(1 w/dryer vent)
Total Replacement Windows 7
LIST WINDOWS PRICE HERE I 7 99-
DOORS
All work is to be performed in accordance with manufacturer's instructions,NYS Building Code,
Local Building Code and STANDARD DOORS SPECIFICATIONS.
1. Basement
• Install new prehung Energy star rated steel or fiberglass entry door(Therma Tru, Pease or
equal), flush style
► Finish according to manufacturer's specifications with good quality latex paint
► Provide new entry lockset&deadbolt(Weiser, Kwikset or equal) Keyed alike.
8torrrrpoor 1- C Entry Door 1
LIST DOORS PRICE HERE $ 1c Y,-5 -sr
CARPENTRY - INTERIOR
All work is to be performed in accordance with manufacturer's instructions,NYS Building Code,
Local Building Code and STANDARD CARPENTRY AND PAINTING SPECIFICATIONS.
1. L vtrrq-Rziam liag,t
• Re air .
2. Basement
► Install appropriate wooden handrail at upper area of stairs
3. Attic
► Install appropriate wooden handrail at stairs
► Tighten &secure upper railing
4. Stairway(from Living Room)
► --'1 • - -•• ecure railin• a '• - /
► Install s•uare balusters, no greater than 4 inches 0.6. Aj'!
► c.rime and paint meters to ma c r= -•
LIST INTERIOR CARPENTRY PRICE HERE $ `16 r d0
Stay 5 Warren Street 4
CARPENTRY- EXTERIOR
All work is to be performed in accordance with manufacturer's instructions, NYS Building Code,
Local Building Code and STANDARD CARPENTRY AND MASONRY SPECIFICATIONS.
1. Front Porch Steps
► Repair damaged missing bricks to match existing
► Provide and install wrought iron handrail at steps
2. Chimney
► Repair upper blocks
LIST EXTERIOR CARPENTRY PRICE HERE $ 2 5 -
INSULATION
All work is to be performed in accordance with manufacturer's instructions, NYS Building Code,
Local Building Code and STANDARD INSULATION SPECIFICATIONS.
1. Attic
► Replace damaged missing fiberglass insulation at,rafters
► Insulate knee walls to minimum R-19 r-u
► Blow in 6 inches dense pack cellulose at attic floor ill-' l- my ✓er
► Provide and install weatherstripping kit, including sweep.At door to attic
► Adjust weatherstripping kit at basement door
► Provide and install weatherstripping kit at front door in enclosed porch
LIST INSULATION PRICE HERE $ -‘°
STRUCTURAL
All work is to be performed in accordance with manufacturer's instructions, NYS Building Code, Local
Building Code and STANDARD SPECIFICATIONS.
1. Front Porch
• Determine cause of sagging at left corner area
• Repair structure as necessary
• Restore all repaired areas to original appearance
2. Back Porch
• Make structural repairs, as above
LIST STRUCTURAL PRICE HERE 02 ago• al
Stay 5 Warren Street 5
t `
•
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 $ C'
•
6
Stay 5 Warren Street
•
Stay, 5 Warren Street, Queensbury, NY 12804
LEAD 714 a, ,"
ELECTRICAL
WINDOWS /7r?
DOORS /fa' PS.a) V
CARPENTRY-INTERIOR /� vO. V
CARPENTRY-EXTERIOR 2s-dd.
INSULATION 2 3 T` ?. a► V
STRUCTURAL
TOTAL COST: $ h" ‘,c) 1 �v
EXTRAS
TOTAL EXTRAS: $
Estimated Starting Date: // i /,/
Estimated Ending Date: 2//4/
NOTE: ALL WORK IS TO B COMPLETED BY MARCH 4, 2011.
Signature of Principal: GSC
Name of Company: --f- C �°t
CONTRACTOR: RETURN ALL SEVEN (7) PAGES TO HERE
Stay 5 Warren Street 7
�� r
is _t /
Queensbury Building & Code Enforcement - Residential Fina)Anspection
Office No. (518) 761-8256 Arrive: -2,'3D am/pm Depart: am/pm
Date Inspection request received: Inspector's Initials: Dg-
/
NAME: = -Nk. I\ - '\ i t PERMIT /(..,(. ,_
LOCATION: �, ; / ( -.,� DATE: J - {; f
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors A/9164-
Guard
/
Handrailard4 t more risers _ fill
O r13.. /`//'f.- A/„`-
Guards at stairs,decks,patios more than 30 inches above grade ¢f�
Guard at stairwell at 34 inches or more A Guard at deck,porches 36 inches or more �e` d4 4 � ���
Handrail Termination at Newell Post or Wall GA-- X.Pk y
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant - 51�c� no • C'ed
�
Grade away from foundation 6 inches with 10 feet - er-r t ur ic)
6 inch clearance to sill plate �"
/ - Jeh, ,
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches �' //
Bathroom/Kitchen watertight ��/Gh�°� 4i1 J'w> t�
Safety glazing/Window in stairwells safety glazing /
Interior Smoke Detectors/Carbon Monoxide Detectors fpr ,im'f c 41
Every level: Every Bedroom:
Outside every bedroom area: �/
Inter Connected: Battery backup: - /✓7/e'-Tnu/ ine_/ 'Y e.
Attic access 30 inches x 22 inches x 30 inches(height)in accessible areaj�,>'J c^'
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents prr,et4-� /
Bathroom Fans,if no window > //
Plumbing fixtures Gi/E4ske-.)
Foundation insulation/Insulation Certification/Sticker on Panel ,/ / ih' /
Floor truss,draft stopping finished basement 1,000 sq.ft. ti /Vs l7J�-4 /' h e-
Emergency egress below grade /
Gas Furnace shut-off within 30 feet or within line of site G 4s#h- ,s-914.441 <_r/oc°-n`°/
Oil Furnace shut-off at entrance to furnace area J'
Furnace/Hot Water Heater operating /' / v / /AS' PC /--
Low water shut-off boiler f°k�e s Kj)
Relief Valve(s)installed/Heat Trap/Water Temp 110 �l pi � -
Enclosed Stairs Sheetrock Underside minimum'/"Gypsum �C€ (--1‘ ''
"
Basement stairs closed rise>4 inches
Garage Floor Pitched (vJt�Pe , //
Garage fireproofing 1%hour fire door/door closer / ¢ � t rc�u
Duct work Sealed properly — i�o�,,k /� /.4, 4
Gas Logs in Sealed or Glass Enclosure /
Final Electrical � G�� �/,
Final Survey Plot Plan et` /� ;n���"c!-
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding - /IAt / e l c ��e-:./jA�s,�'�"� '''
As Built Septic System/Sewer Dept. Inspection Sticker
Site Plan I Variance required
Flood Plain Certification •'red 1!/
Okay to issue C/C or /0 emporary/Permanent]
L:\Building&Codes Forms\Building&Codes\Inspection Fomis\Residential Final Inspection Form_revised_100405.doc; Revised
January 7,2008;Revised 6/26/08; Revised 12/22/10
Queensbury Building & Code Enforcement - Residiti- 'nal In pection
Office No. (518) 761-8256 Arrive: 7 : . 11•,, .. .rt: :1 a pm
Date Inspection request received: Inspector's Ini �-"
,. ! �F�
NAME: / � 1"1-A. 1: PERMIT#: ,
LOCATION: (L,c t_� /"t� i yOATE: a , .
TYPE OF STRUCTURE:
1, i°--` Comments:
Yes No N/A
4" Building Number Address visible from road ; 1-; ("=
s
•Inspector's No ''/ '' 'y'r
.
Date tom' - top'" 20 II
COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC.
(Consulting and Fire Inspection Services)
(Incorporated in the states of Maryland,New York,Pennsylvania,Delaware and West Virginia)
Desiring Certification of Approval, application is made for inspection of electrical installation in the premises
described below.On demand,applicant agrees to pay for inspection service in accord with schedule of charges.
PLEASE PRINT.' n
Owner 7 Type Bldg. EG ❑Other
Occupant , Building Permit No. i
Job Loc ti n 5 4 f `''' .. City` .`1114 °!t /it a r(Swimming
StateCounty W4 " t Twp. M/C# Pool-New Old❑
Directions to Job Site
Application Four R ah Wiring❑ Fixtures Service❑ or .... , ' l II c ,..ii' �'
Work-New Additional❑ Bldg.-New El Ready for Inspection 2.-34/
f
APPLICANT'S {� A ./1j g
kA
SIGNATUREvrk, *` �` LICENSE M PERMIT 0
•
PLEASE �j
PRINT NAME PHONEMEI cif
c v j
APPLICANTS4 C, AllV A C UTILITYNF (-"} + (�r/j
ADD S r? �r { �^
O +I 14 S ]t,,, b_ 3 J'% j OFFICE TO
CITY � w'1 ¢¢¢ STATE [� ZIP CO E���s1-.� L SE NOTIFIED
ROUGH WIRING SP E BELOW FOR USE OF INSPECTORS ONLY
OUTLETS AMP SERVICE PUMP
EQUIPMENT
SWITCHES HEATP PUMP
SURFACE
,f__ RECEPTACLES- ef, Cr.rUNIT-- - _ ----- -_- - DISPOSAL-UNIT
MEDIUM BASE RANGE DISHWASHER
FIXTURES
7 MOGUL BASE+ 'f i� WATER
HEATER DRYER
j
FIXTURES
FLUORESCENT AIR AMP. RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER FRAC.H.P.
QUARTZ FIXTURES VENT FANS
MOTORS:H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1-1/2 2 3 5 7-1/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
Inspector's Comments:
Installed by(if other than applicant): ---; -k_. _ — — __
OFFICE USE ONLY WORK INSPECTEDREPOR- 0 0
NOTIFIED TED ad JO FEE PAID
U
SERVICE DATE i CON- TOTAL $/CO
Date Received: TRACTOR
R.W.DATE OWNER CHECK NO. /7 c".5
FINAL DATE.' OCCUPANT CHARGE
Certificate No.:
KATE NEEDED GENT CASH
Date Sent: YES ODUP ELEC.
LT.CO.
___•., k t 1 /SPECTOR
Progress 0 t !!
THIS APPLICATION EXPIRES ONE YEAR FROM DATE MAKE ALL FEES PAYABLE TO C.E.I.S.INC.
WHITE/OFFICE PtNK/INSPECTOR YELLOW/OFFICER GOLD/CUSTOMER