RC-000448-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-000448-2016 Date Issued: Thursday, September 8, 2016
This is to certify that work requested to be done as shown by Permit Number RC-000448-2016
has been completed.
Tax Map Number: 302.17-4-10
Location: 7 RESERVOIR DR
Owner: O.Thomas Young
Applicant: Kelly Homes
This structure may be occupied as a: HUD Application
Roof work and some interior work By Order of Town Board
TOWN OF QUEENSBUURY
Issuance of this Certificate of Occupancy DOES NOT relieve the �„ _j/ 4
property owner of the responsibility for compliance with Site Plan, w IGG.
Variance,or other issues and conditions as a result of approvals by the Director of Building 8r.Code Enforcement
Planning Board or Zoning Board of Appeals.
r�
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development - Building & Codes (518) 761-8256
BTUILDING PERMIT
Permit Number: RC-000448-2016
Tax Map No: 302.17-4-10
Permission is hereby granted to: Kelly Homes
For property located at: 7 RESERVOIR 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: O.Thomas Young Single Family-Alteration $16,000.00
Owner Address: 7 Reservoir DR Total Value $16,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Kelly Homes
PO Box 4381
Queensbury,NY 12804
Plans&Specifications
HUD Application
Roof work and some interior work
$ 25.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Sunday,July 9,2017
(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 Townu bury; Thur y my 14,2016
WSIGNED BY: far the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use Only
�)/ Received
Date: �� 0/G Tax Map ID lZ� gt-
Permit No. 4
Tax Map ID 2,17 -q -!D Permit F e
Zone Rec Fee
Historic Site Yes No Site Plan#
Subdivision Name Lot # Subdivision#
Project Location _
JUL 12 2016
TOWN BD. RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family, duplexes/two-family,
multiple family, apartments, condominiums,townhouses, and/or manufactured & modular homes, but not mobile
homes. This is in addition to the permit fee(s).
Applicant / ��`� Owner
�7r -eS
Address Address
W6 Ay
Phone/E-mail / Phone/E-mail
Contact Person for Building&Codes Compliance: J rev e Lf/1 y Phone JiS ;< dY
TYPE,OF CONSTRUCTION D
✓Check all that apply New Addition Alteration Is`floor sf / 2nd floor sf Total sf Height
Single Family
Two-Family
Multi-Family
(# of units
Townhouse
Business Office
Retail -Mercantile
Factory-Industrial
Attached Garage
(1, 2, 3, 4+)
Other
If commercial or industrial please indicate of business
"Down of Queensbury Building&Codes Principal Structure Application Revised September 2015
Proposed use of building or addition
Source of Heat(circle one) Gas Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances& Chimneys
Are there structures not shown on plot plan?
Are there easements on the property?
Site Information
a. Dimensions or acreage of lot
b. Is this a corner lot?
c. Will the grade be changed as a result of construction Yes No
d. Public water or Private well
e. Sewer or Private Septic System
Value of all work to be performed(labor or materials) $
DECLARATION.-
1.
ECLARATION:1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period.
2. If work is not complete 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/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: 3-fwiek Y�'j /``�fir` DATE:
SIGNATURE: w7 DATE:
/ r1l
For office use only
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
Town of Queensbury Building&Codes Principal Structure Application Revised September 2015
TOWN CSFcFlNSBURY IMPROVEMENTS TO
Bt!lLD1NC } p." I�AEN7 7 Reservoir Dr.
�,, It', n compliance
Based on our Ih7itc, .. :>jp construed as Queensbury, NY 12804 JUL I �Q�s
with our comments :,, .1.. . ;�cfcations are m
indicating the plan
full comp!ianGe wtt#, int '3uilding Codes of
New York State.
PROPERTY OWNER ".
Thomas and Diana Young
7 Reservoir Dr.
Queensbury, NY 12804
MW
Phone: 518-792-0057
TOWN OF (�UEENSBURY
BUILDING & COID T.
Reviewed N: NOTES
Date:
1. All work is to be pe rmed in accordance with manufacturer's instructions, NYS building and local
building codes and any applicable national codes.
2: UNLESS OTHERWISE NOTED, "INSTALL" MEANS TO PROVIDE AND INSTALL. ALL NEW
MATERIALS ARE TO BE USED.
3. All work is to be completed within a 2 month timeframe. Please keep this requirement in mind
when providing start and completion dates in your bid.
LEAD-BASED PAINT HAZARDS
Regulations
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 certifications 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-based paint hazards are called Interim Controls.
7 Reservoir Dr., Queensbury 1
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 owneriand the Town of Queensbury with evidence that a
Lead Hazard Clearance Examination was done after completion of the rehabilitation work.
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 contractor's responsibility to obtain such clearance. Final payment for completed work will be
withheld until such clearance is provided.
Recommendations
Please refer to the risk assessment report for recommendations, which are also 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 cleaned throughout the work process and pass final dust wipe
sampling and/or soil sampling at completion.
All defective lead-based paint areas should be rendered intact by the following methods:
1. Wet scraping and wet sanding,or
2. Removed and replaced,or
3. Kept intact and covered with an impermeable layer(vinyl, aluminum,etc.)
LEAD-BASED PAINT INTERIM CONTROLS
NOTE 1: Sun porch sides and windows do not have deteriorated lead-based paint as per report
and so do not need to be painted.
NOTE 2: All original wood window frames and trim are peeling and chipping and tested positive
for lead-based paint. Inaccessible interior window troughs have deteriorated, lead-based paint as
assumed per the Lead-based Paint Report. Lead-Safe Work Practices to be followed as required.
Exterior Painting i Z
1. Wood Siding, left and right gable ends Side B and D Walls, below vinyl Zl�► X
• Wet scrape and wet sand
• Prime and paint with two coats of good quality exterior latex paint to match existing
r �
2. Front roof soffit(Side A)
• Same as above
3. Front door trim (Side A)
• Same as above
7 Reservoir Dr., Queensbury 2
4. All exterior wood window frames, trim, and sills, and interior troughs
• Remove storm windows
• Wet scrape and wet sand
• Prime and paint with two coats of good quality exterior latex paint to match existing.
• Reinstall storm windows
LIST LEAD-BASED PAINT INTERIM CONTROLS PRICE HERE$
NOTE: Refer to the attached lead-based paint risk assessment report pertaining to areas that have
tested positive for defective lead-based paint. The items listed above note where lead-based paint
interim controls need to be followed. The original intent of the specifications for such items as listed
below was to require work for energy efficiency, health and/or safety/security reasons and would have
been specified whether or not deteriorated lead-based paint was found.Therefore, any such items that
have or may have deteriorated lead-based paint are to be priced separately as indicated below.
LEAD-BASED PAINT INTERIM CONTROLS PRICE HERE $
ELECTRICAL
1. Kitchen
• GFI protect all existing countertop receptacle, as required.
• Provide dedicated 20A circuits for microwave, dishwasher and refrigerator, as necessary.
2. Hall
• Install Lithium-ion battery operated smoke and CO detector.
3. Bedroom#1
• Install Lithium-ion battery operated smoke detector.
4. Bedroom#2
• Install smoke detector, as above.
5. Bedroom#3
• Install smoke detector, as above.
5. Basement h '+
• Install smoke and CO detector, as above. Pticz_lr "
• Provide GFI-protected receptacle and dedicated 20a circuit for washing machine.
• GFI protect double receptacles on post. 9r f l,Ozj� 2
NOTE: We must receive a copy of the electrical inspection with ALL items listed,as above.
LIST ELECTRICAL PRICE HERE$
7 Reservoir Dr., Queensbury 3
a-
REPLACEMENT WINDOWS
• Install new white vinyl, Energy Star-rated replacement windows(Pella Therma Star or equivalent)
in the following locations.
• Window U factor will not be greater than .30.
• All new windows will have full screens.
• Where combination storm windows are removed, exterior stops will be covered with coil stock or
painted to match existing trim.
• Basement(Sliders) -4
Replacement Windows -4 Total
LIST REPLACEMENTWINDOWS PRICE HERE$
ROOFING
1. Main House, Attached Garage and Back
• Remove existing roofing and dispose of properly
• Repair or replace sheathing as required
• Install ice and water shield over entire roof.
• Install new drip edge and all required flashings.
• Install new architectural grade shingles. Homeowner will have choice of stock color.
• Provide continuous ventilation at ridge.
2. Photographs
• Contractor will provide progress photographs at the following stages:
a After roof is stripped.
o After installation of ice and water shield.
o After sheathing repairs, if any.
LIST ROOFING PRICE HERE$
NOTE:ANY FINISHED SURFACES DAMAGED DURING THE COURSE OF REHABILITATION WORK
SHALL BE REPAIRED AND FINISHED TO MATCH ORIGINAL CONDITION. CONSIDER THIS IN
YOUR BIDS, DO NOT INCLUDE AS EXTRAS.
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$
7 Reservoir Dr., Queensbury 4