RC-0079-2018 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: RC-0079-2018
Tax Map No: 239.15-1-9
Permission is hereby granted to: David Cohen,Michelle Kaplan
For property located at: 18 CROOKED TREE 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: David Cohen Single Family-Addition $60,000.00
Owner Address: 60 Crane ST Total Value $60,000.00
Scarsdale,NY 10583
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Residential Interior Alterations 352 s.f.
Residential Additions 468 total sq.ft.: Game Room/Loft: 108 s.f., Screened Porch: 192 s.f.,Porch: 168 s.f.
$ 450.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,March 14,2019
(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 th expiirjation e.
Dated at the Town Queen �We ,March 14,2018
SIGNED BY: y for the Town of Queensbury.
Director of Building&Code Enforcement
D
FEB 2 7 2018 Office Use Only
ADDITI / ERATION PERM 11 Permit#:_ORC-0 0 7I ail
�PgWLW&I COES DES PermitFee:$row„ofQuueeosbury &
742 Bay Road,Queensbury,NY 12804 Invoice#: of
P:518-761-8256 www.gueensbury.net
Project Location: c r.,,
Tax Map ID#: �=a , �_ Subdivision Name:
CONTACT INFORMATION:
• A lican :
Name(s): � , t, w Off,'
Mailing Address, C/S/Z: 0 „
i 0 —
Cell Phone:_( ;2 1 )V qq _ q C12:; Land Line: ON LZ 3 �-
Emai1: a.It
• Primary Owner(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line: �)
Email:
• Contractor(s):
Business Name: T-6 ID
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line: �)
Email:
• Architects En ineer s :
Business Name: it W o..,-ns $
Contact Name(s): w I I
Mailing Address, C/S/Z: 6_[j,.
Cell Phone: 7 4� - ff-0J SF Land Line: �)
Email: • calr((,` c�w,s��w��� ) 1�.�sr�tsr`��, ✓s � <�-Y,
Contact Person for Building & Code Compliance:
Cell Phone: Land Line: �)
Email:
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
PROJECT INFORMATION:
TYPE: Commercial V Residential �15�
WORK CLASS:
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: aC �mI 1st floor: 3�S'oL-
2nd floor: 0 "`rL 211 floor:
SL4, n PaN�-)iW floor: / Screel 1 3rd floor:
t41UJeer: ( e6 4th floor:
Total square feet: � Total square feet: ?/
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ � d c3
2. If Commercial project, what is the proposed use:
3. Source of Heat (circle one): Gas Oil Propane Solar Other
Fireplaces need a separate Fuel Burning Appliances&Chimney Application
4. Are there any structures not shown on the plot plan? YES U Explain:
5. Are there any easements on the property? YES NO
6. SITE INFORMATION:
a. What is the dimensions or acreage of the arcel?
b. Is this a corner lot? YES N1-)
c. Will the grade be changed as a result of the construction? YES NO
d. What is the water source? PUBLIC cn2
e. Is the parcel on SEWER or a IVATE SEP system?
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
DECLARATION:
1. 1 acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to
fees and department approval.
3. 1 certify that the application, plans and supporting materials are a true and 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.
4. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate
of occupancy.
5. 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: . I,^,�
SIGNATURE: / DATE: Z
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
=Mar, 11. 2019 1 : 42PM� uMDIA :�t_�,�. �.a;:�• • T��/r<../,-,�, ys-� No. 7543 P. 2/4
(/>_-,, - MIDDLE DEPARTMENT INSPECTION AGENCY, INC. C
1) exci gi
that the electrical wiring to the electrical equipment listed below has been examined and is approved as S
i being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date **
�� noted below and is issued subject to the following conditions.
t
Owner: cDenno Construction Date: 02J25/2019 i59Occupant: ,6}Location•? Camp
44
18 Crooked Tree Lane S..
ktP Occupancy - Queensbury,Warren Co. NY
r'?
ingle Family Dwg. • �r l
Applicant: • -1 p
Charlton Electric i`'C' `�
C<; Bryon J. Bennett O �':4 4 9s�
513 Charlton Rd. .•� r '.,�
et› .02
Ai L. Ballton Spa, NY 1.2020 •:. .,411J MAR '1''i: 2019 �`
li
t1, Joseph A.Holmes
No iOWt OF.OEf4JSt' Y ,�
1j 032665107794•EL • • - BUILDING&COt,�.-°'` (�)
• Equipment: 5
1 Mini Split: 1 100 Amp. Sub Panel' 15 -Switches' 22 -'R�
l Nt
pceptaGes; 1'8 - Fixtures; 1'-30 Amp Water Heater; 2 - �%
•cal Smoke Detectors: 4-Arc Fault Breakers; 1 - 500 KW Electric Heater; 1 - 1500 KW Electric Heater; 1 -2000 KW STr)
• Electric Heatera�
Gez
ife5
4 �..... fir•:
g•
it
l
h"
�
kC This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and (G.i
above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership (G
�t. inspection. No warranty is expressed ar implied as to the mechanics,safety, etfl- of the property indicated above,this certificate shall be immediately null and void. tij�
li"� cency or fltness of the equipment for any particular purpose. Th s certificate Shall In the event that this certificate becomes invalid based upon the above conditions, t
f. be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon relnspeotien by Middle Department 4
Lif9 system to which this certificate applies be altered in any way,including but not limit- Inspection Agency, Inc. An application for inspection must be submitted to Middle (�
{C'.) ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation .
�a�• any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. 1"
A.
G1''s3,-• N i7v,c:J,-c. —4--...7:%.• ••*,C C :,,,Ai j Cg :'«�7•x\t,t-:�.,S:-•=z•:• 4 %n•sr� «i•`5. :z F•,; 7. ^,,°::i?:G��J.:{C''�'Rzt4':•Alk..:kv?.—.iv?:.;:h:G�..' ci:
;?;e�4U v :w; ;;•4S:v:!C,,,vkai�S4 '}tirS:ti.z.to �✓n tio:A � k...g�✓ ..?4,4 r� y 4J y -Aktfoa �,,A„.•,v.,!.,vr.`✓„,r..,-?/,'�fi
INSPECTION WORKSHEET (001143-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0079-2018 Case Module:Permit
Inspection Date:Tue Feb 26, 2019 Inspection Status:Partial Pass
Inspector:Charles Dyer Inspection Type:Residential Final Inspection
Job Address:Parcel Number:18 CROOKED TREE DR
Lake George, NY 12845
239.15-1-9
Contact Type Company Name Name
Primary Owner Kaplan, Michelle
Granted Permission Cohen, David
Granted Permission Kaplan, Michelle
Applicant Kaplan, Michelle
Architect Williams & Williams Designers Inc.
Primary Owner Cohen, David
Checklist Item Passed Comments
General Comments YES Provide guards and handrail at entry stairs
Provide window guards as discussed @ front room
Provide hand rail at stairs going to loft area, to return into wall
Final electric
2/26/19 items listed have been verified, structure is a family
game/guest game room, no kitchen or sleeping areas.
OK to issue temporary CO under conditions of site plan
certification and verification of working vanity and water
closet. 2/26/19
4 inch Building Number Address visible from road YES
3" Plumbing Vent through roof minimum 18 inch YES
Feb 26, 2019 Page (1)
INSPECTION WORKSHEET (001143-2019)
Checklist Item Passed Comments
Roof Complete / Exterior Finish Complete YES
Platform at all exterior doors YES
Handrail 4 or more risers YES
Guards at stairs,decks,patios 30" + above grade YES Provide window locks front room
Guard at stairwell at 34" or more YES
Window guards req:<2' above floor/6' above
grade - quick release installed
YES
Guard at deck, porches 36" or more YES
Handrail Termination at Newell Post or Wall YES
Interior/Exterior Railings 34 to 38 YES
Wood deck: 2'+ from grade dia bracing required -
H/C ramp compliant
YES
4+ Deck Joist Ledger Connections-24" From
Ends
YES
Deck Ledger-Bolted per Code YES
Grade away from foundation 6 with 10 feet NO Provide site plan certification
6 clearance to sill plate YES
Interior privacy/trim/doors/main entrance 36 YES
Feb 26, 2019 Page (2)
INSPECTION WORKSHEET (001143-2019)
Checklist Item Passed Comments
Bathroom / Kitchen Watertight NO No kitchen or sleeping area
Low flow toilet 1.3 gal/flushing cycle -
showerhead/faucet
NO
Smoke Detectors 3' from Kitchens & Baths R314 NO No kitchen
Every level, Every bedroom YES
Inter Connected YES
Battery backup: _____YES
Attic Access 22 x 30 minimum NO N/A
Attic Access Insulation = Attic R- Value NO N/A
Crawl Space Access 18 x 24 NO
Bathroom Fans, if no window YES
Plumbing fixtures NO
All Hot Water Systems: R-3 NO Seasonal structure
Relief Valve ,Heat Trap/Water Temp 110 deg or
less
YES
Fin Elect; Energy Saving Light Bulbs 50 Percent YES
Final Survey Plot Plan NO
Feb 26, 2019 Page (3)
INSPECTION WORKSHEET (001143-2019)
Checklist Item Passed Comments
Arc Fault Breaker Habitable Spaces NO
As Built Septic System YES
Site Plan / Variance required NO
OK to Issue Temporary C/O YES
OK to Issue C/O NO Provide listed items, call when ready
Feb 26, 2019 Page (4)
Dyer, Charles (Inspector)
• I
TO`%W OF QUEENSBURY SITE & ZONINGR+EQUIREN ENTS
EXISTING PROPOSED
p C C� E BYE --' AI�ArrYPr� SQ-FT.
ADDITION TOTAL. .�.
Q.FT.
FEB Z 7 2018 A. Main House B41&g Footprint 2835 0 2835
J B. Lower Guest House(Upper) & Garage(Lower) 418 0 418
TOWN OF QUEENSBURY C. Adel alAccessory Structures) 0
BUILDING&CODES
Upper Cmst House 288 0 288
Wood Shed 200 -200 0
i
Game Roam 445 345 754
PAVED,GRAVEL OR OTHER HARD
D. 5722 4 5722
SURFACED AREA -
E. PorchesiDecks 4
Other 0
/ 1 G. Total Permeable(sf) 1€}908 105 11413
340
H. Parcel Area[43,560s4&faae] 64383 0 50383
LAKE !` --,�-.,--' -
Percentage ct Impermeable-Areaof S�
GEORGE I. [ 18.1% 4.24 18.20/9
Floor Area Ration Worksheet Allowed 2296 22%
Covered acture Area(si) 5509 145 5614
Floar Area Rano(Cvc eyed Stmt%She Area°i 9.1% 4.2 '0 9.30/0"
roc �r.,/tf,!1' •- ,
IOFTOWN
QUEENSBURY SITE.& ZONING REQUIREIV ENTS
o
i3i�ItiiER
KAPLAN AND DAVID
COHEN
Tare Parcel ID si 239-15-1-9
,
,
,
. 3 LLE
District
g A (WATERFRONT RESIDENTIAL
Z
' 3 '
-
Lot Size 14 A
r c
,
STRUCIUML
,
AREA Q TIRED EXISTING PROPOSED
kSlFRC�x
_ IT-I" 17 i
-" �• 3A
,
�
FRONT[ 1 N
,
,
,
SH
EL
• - ' �, INE
75, 24T
SIDE YARD
._: SIDE YARD [21 2 ' >25
-
- REAR YARD
[1 177 165'
'N"
NIA
REAR 1 ARU[+
�
TRA t'EL CORRIDOR N;A
HEIGHT Principal Resi ence[na�1 28'
.$ <28'
Height Accessory Structure(s)(Game R 16 161" WIT
P errne ataill 75°ro
ViVilAlilCE 1�' � Number of Parkng Spaces 2 g 5
�t rx�.:
WE
,
17r
ANCES REQUESTED FROM THE TOWN OF QUEENSBURY
z"
IANC . REQUIRED:— EXISTING: ;..PROPOSED:
E VARIANCE: �
r,r'' 1) MODIFICATION OF APRE—EXISTING, NON—CONFORMING STRUCTURE
`�A /.y'1,,- . !/. (CHAPTER 179-13-10) N/A j N/A N/A
r'"
FRONT &9"
; 2) NUMBER OF ACCESSORY STRUCTURES (CHAPTER 179-5-20) 2 : 4 3
! ... .}:;
5•
, : 8
I
;:wvi.✓Y 2± ;:d..;.!;.y.._;s;n':i:i:aax=:.;.V:; `1 a .—_ ... .._ - _.__ i
_—_ ._--___.._—._...._—. .—.—..........._—__....
I � v
1 3) FRONT YARD BUILDING SETBACK (CHAPTER 179; TABLE 1: TABLE OF j
• - k
�►
�a_ AREA REQUIREMENTS) 25 ! 17 1 17'1
w ) SIDE YARD BUILDING SETBACK CHAPTER 179-3 040 ( ------ -— .__.--_. _
_I
,
4 C A. 5 b (3
�.- 25' 1 logo 11.9-
) ACCESSORY STRUCTURE HEIGHT (CHAPTER 179-5-20) -
VNRIIINICE -- _ .. -r_. - . ,' 5 '°` (C '
MOOIFICA OF 11
`
19
PRE-4XIMM NON-COMR)MM 81 MW
RT 9L
_
VAFAVM s ,
-
Nummn
O AlccEssoR,r
ISSUED FOR CONSTRUCTION
a ,
-
ACCESSOF 6LMll1NlX3 MIEIt 1T �' ! a !y,• 1-25-18 NUUtU CONDI I TUNS UI- APPHOVAL + ISSUED FOH CONS I RUC I ION
�. i�''� (NO CHANGES THIS SHEET)
•�, 12-14-17 �A� SUBMITTED TO THE TOWN OF QUEENSBURY PB AND ZBA FOR REVIEW
PLOT FLAN �.
.:JrJ,-, Y Iti1EASURE THS DISTANc DATE REV# ISSUED/REVISIONS
P f 4r t PROPERTY LINOS TO THE 'DOCUMENTS PROVIDED IN SUPPORTOFTHIS DESIGN MAY BS USED ONLY FOR THE USE SPECIFIED IN THE'ISSUS/REVISION'BLOCK ABOVE.THEY MAY NOT BE USED FOR ANY OTHER
U STRUCTURE(S) OR SIGNS) PURPOSE,NOR INCORPORATED IN ANY 9UBSSQLIENT DESIGN WORK,WITHOUT THS WRITTEN CONSENT OF JARRBTT ENGINEERS,PLLC.ONLY DOCUMENTS LABELED AS'[sSUBD FOR
CONSTRUCTION'MAY BE USED FOR SAMS.USSR SHALL HOLD JARRETT ENGINEERS,PLLC HARMLESS AND DEPEND JARRETT SNGINBSRS,PLLC FROM ANY UNAUTHORIZED USS.'
DATE - -
bf- N�wY PERMITTING PLAN `�
0 C2 N00
* q�, GAME ROOM RECONSTRUCTION ^ M
MICHELLE KAPLAN & DAVID COHEN go
GRAPHIC SCALE 18 CROOKED TREE LANEv - Q
10' 0 5' 10' 20' ' ° ' TOWN OF QUEENSBURY, NEW YORK r 06
�� vc0
PERMITTING PLAN (IN FEET) A )� ,1��� JARRETT Enineers 05 0)JSCALE: SEE GRAPHIC SCALE g , PLLC .2 4, N
Civil &Environmental Engtneenng '> LO
H. THOMAS JARRETT M M
P.E. #57509 12 EAST WASHINGTON STREETGLENS FALLS, N.Y. C o }cn,
COPYRIGHT a 201 PHONE: (518) 792-2907 r. Q
ONLY COPIES OF THIS DRNNWG VM A A = V V1
BLUE SEAL SHALL BE CONSIDEIiMTM JANUARY 2018 PRO # 15-041VASHEET: 3 OF 7 N V °r °
AND LID
ALTERATION OFTHIS DOCIIMENTEXCEPr BASESHEET:22x34
BY A LICENSED ENGNEER iS UNLAWFUL. PLOTTED/REVISED:12/14/17 12:00 PM
TOWN O QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
C RTIFICAT OF OCCUPANCY
Permit Number: RC-0079-2018 Date Issued: Tuesday, May 21, 2019
This is to certify that work requested to be done as shown by Permit Number RC-0079-2018
has been completed.
Tax Map Number: 23 9.15-1-9
Location: 18 CROOKED TREE DR
Owner: David Cohen, Michelle Kaplan
Applicant: Michelle Kaplan
This structure may be occupied as a: Residential Interior Alterations 352 s.f.
Residential Additions 468 total sq. ft.: Game Room/Loft: 108 s.f., Screened Pon By Order of Town Board
192 s.f., Porch: 168 s.f. TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.