Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
RC-0121-2020
Office Use Only ADDITION/ALTERATION PERMIT Permit#: RC- otz.1 -20L0 APPLICATION ., - Permit Fee: $ ZX( 0 Town of Queensbury 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.gueensbury.net Invoice#: Flood Zone? Y N Reviewed By: Project Location: k Z Te r o r►- MK Qtiv-&-t3\0ury1 /J Y 12, FOV Tax Map ID #: Subdivision Name: ?�7- 3 2. PROJECT INFORMATION: TYPE: X Residential Commercial, Proposed Use: 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: (0 50 SE 2nd floor: 2nd floor: AJ e,-%.k 3rd floor: 3rd floor:A) to ti , Basement (habitable space): Basement (habitable space): Total sq ft: Total sq ft: (a q 0 sL Scope of work to be done: 1 aV� Addition/Alteration Application Revised January 2021 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): Mailing Address, C/S/Z. gr3 a 4 i 1 j R ti Cell Phone: 54 ) 7 11A1-o 3 o o Land Line: � ) Email: ee l b 117a PY 4 ko® . co An • Primary Owner(s): c. S �— Name(s): Mailing Address, C/S/Z: Cell Phone: �_) Land Line: Email: )21��heck 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: Contact Name(s): Mailing Address, C/S/Z: Cell Phone: Land Line: � ) Email: Contact Person for Compliance in regards to this project: Cell Phone: Land Line: � ) Email: Addition/Alteration Application Revised January 2021 . i 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 X NO Explain: 4. Are there any easements on the property? _YES NO SITE INFORMATION: • Is this a corner lot? _YES NO • Will the grade be changed as a result of the construction? _YES X 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. If the work 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 atrue 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: PRINT NAME: SIGNATURE: DATE: I Z J Addition/Alteration Application Revised January 2021 &[>Supply Corp ASHRAE 62.2 HRV/ERV CALCULATION DATE:[3/4/20|7 one DIMENSIONS LENGTH WIDTH FLOOR AREA #FLOORS ABOVE GRADE TOTAL FINISHED FLOOR AREA BASEMENT TOTAL FLOOR AREA [1218]302.14-3-42 RC-0121-2020 Hajeck,Dan 12 Jerome AveBEDROOMSae]Residential Alterations 609 sf. Prt Kosala)PeerCertificateof Product Ratings ALIRI Certified Reference Number:203926723,Date:03-04-2020 Model Status:Active Brand Name:AMERISTAR Series Name:AMERISTAR A951X ‘Model Number:AG51?X508U4S"* Rated as follows in accordance with Department of Energy (DOE)furnace test procedures as published in the latest eaition of the Code of Federal Regulations,10 CFR Part 430 AFUE,(6)#950 Output Heating Capeiy (MBTUM):53 The following data is for reference only andis not certified by AHR Input Rating (MBTUH):60 Er(UMETUIYA:494 Eae including Eso(kWhiy):207 PE (watts)255 Configuration:Hoszental,Uptow Moble Home?:No Single Package Unit:No Eteatrone Ignition:Yes Electro-Mechanical Vent Damper(s):No Power Combustion ar Power Vent:Yes Condensing Type :Yes Diect Vent:Yes Electronically Cormmutated Motor (ECM):Yes Fuel Type:Natural Gas,Propane Gas Footnotet:This fumace is equipped with an Electronically Commutated Motor (ECM) Footnote?:(+or **or“)May be any suffix laters or numbers. {Ysetie"Model Status aye those that an AHR Carfieation Program Particpantis current producing AND seling or offing for sale;OR new moves that are beng‘nate but are not yt being procucedProductonStoppes"Mace Status are those tnt an AMR Ceficaon Program Patcark e longe presuang GUT fs Sul eling or ofang for eslceeee oy WAS indicate ao velar te,The new cubiened cans shown song wi he revous (Le,WAS)ang, DISCLAIMER [SARI doesnot endorse the product)ited on this Certiieate and makes no presentations,varantesor guarantees ast,and assumes no responsi fr, the product}feted on ths Certieate.ANRI expressly diam al labilty for camages of ay Kind arin et ofthe une or porformanc ofthe products),OF theuntitledalterationofdataUstodontisCerticate.Crt ratings are valié ony for medels and configurations listed nthe rocory at www.ahrldrestory.org ‘TERMS AND CONDITIONS ‘his Contifeate and ts cantons are proprietary peoducts of AHR.This Certifies shal nly be used fr inidual,personal and ‘confidential ofronce purposes.Te contents ofthis Certfteate may no,In whol oF in pat,bo reproduce copie dissominatod; ‘enleredinto a computer database;or otherwise utllod In any ferm or manner or by any means,except forthe user's nevi,personal and condortalretoronce.AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION ‘A REFRIGERATION INSTTUTE “Ta information forthe model chad on thie corfiate can be verified at www.abrideectory.on lick on “Verity Certificate”tink sn niin wier‘and entar the AHR Certified Refornce Number andthe date on which the ceriiete was sued, Which sted above,and the Cette No.which Is sted st bottoms right {©2020Air-Conditioning,Heating,and Refrigeration Institute “CERTIFICATE NO.:1752008700882 ‘This furnace qualifies for AFUE &AMACF Federal Energy Efficiency taxCreditwhenplacedinservicebetweenFeb172009andDec312016.Pt Rosana)Pee Certificate of Product Ratings Footnotes:May be installed in @ Manfactured/Mobile Home with BAYMFGH1O0A Kit Footnotes :Alr leakage <=2%of design allow rate in accordance with ASHRAE 193 DISCLAIMER [ARI does not endorse the products)listed on this Certiicato and makes no ropresontations.varantosorguarantses 2st,and assumes no responsibilty fr, the product)lato on thie Certieao,AHR!expressly eclaim al Habit for damages of ary Kind asing ou ofthe use or performance ofthe product),oF the Uuauiorized alteration of eat sted on this Certiete.Certiied ratings are valid ony for models and configurations Ist ntherectoryatwwwahraiestory.org TERMS AND CONDITIONS ‘his Centiteate and ts conten are propdotary products of AHR,This Crtficato shall only bo used fr individual,personal and confidgrtia eforonca purpores.Th contnts ofthis Certificate may not.in whe orin pat e reproduce;copied elssmnated; ‘nlored into a computer eatabase;or otherwise Ulled,any farm or manner oF by sry means,except forthe users inalidua personal and confidential veterence AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION |S REFRIGERATION HSTTUTE ‘he information forthe model eed on this eertifeate can be verted at www.abvdlrectory.org eck on “Verity Cortifioato”Ink wenile Ine,‘and enter the AHR Catiied Reference Nurnber and he dato on which the certificate was Iesuod ‘Welch s Isto above,andthe Cortfcate No,which Islisted at botfom Fit ©2020 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO,; — '?77#2#208Tav08s8 N 2015 IECC Energy Efficiency Certificate Ceiling /Roof 48.00 Ductwork (unconditioned spaces):ee od Heating System: Cooling System: Water Heater:—_aaaeeName:Date: Comments tt wrightsoft’Load Short Form Bow:camaz0EntireHouseBy:JAY PREMEIR PAVING Project Information For.DANNY HAJACKS JEROME AVE,QUEENSBURY,NY 12804 Pre iinieeel Htg Cig Infitration| Outside db (°F)-20 95 Method Simplified Inside db CF)70 %Construction quality Average Design TD (*F)90 20 Fireplaces 0 Daily range -M Inside humidity (%)30 50 Moisture difference (grb)31 482TTHEATINGEQUIPMENTCOOLINGEQUIPMENT Make AMERISTAR Make AMERISTAR Trade Trade Model A951X060BU Cond M4AC3024B1000N AHRI ref Coil 4PXCBU3024 AHRI ref Efficiency ~95.5 AFUE Efficiency OSEER Heating input 60000 MBtuh Sensible cooling ©Buh Heating output 58200 Btuh Latent cooling 0 Btuh Temperature rise 66 °F Total cooling 0 Btuh Actual air flow 800 cfm Actual air flow 800 cfm Air flow factor 0.016 cfmvBtun Air flow factor 0.050 cfrvBtuh Static pressure 0.05 in H20 Static pressure 0.05.in H20 Space thermostat Load sensible heat ratio 0.92 ROOM NAME Area Hig load Clg load Hig AVF Clg AVE «e)(tun)(Btun)(cfm)(cfm) LvING ROOM 209 aria 1420 138 a” BEDROOM 148 5385,1901 85 95 KITCHEN 140 6383 1367 101 68 BATH 48 2001 482 32 24 BASEMENT 638 28207 10854 445 542 Entire House d 1183,50689 16024 800 800 Other equip loads 0 0 Equip.@ 1.00 RSM 16024 Latent cooting 1358 t + TOTALS '1193 !50689 |17382 '800 |800 Calculations approved by ACCA to meet all requirements of Manual J 7th Ed a Ht wrightsoft™sn-suien vive:AREN soxnwcneon vac aovnitroheot HVAC 20:2D2NNY HALRCKS.Ip Cale=MAT.FrontDoor ese: MERICA € Glens Falls,NY 12801 518-615-0201 Georgeyas3@yahoo.com March 26,2020 Building Inspector Town of Queensbury,NY Re:12 Jerome St. Queensbury,NY Renovation Dear Si Mr.Hajeck just called me and said you were concerned that we were not showing the wall,some of the ceiling,and the crawl space insulation on the ResCheck.Thatis sort of correct. When filling out the ResCheck for an ‘Alteration’ResCheck automatically grants “exceptions”if the cavities are filled with insulation.The program granted these exemptions for the following: -“Ceiling 2”—the cathedral portion of the ceiling even though we are filling it with 8- in R25 FG insulation (see Typ.Const), “Wall 1”—the walls of the house even though the walls will be filled with R-21 FG insulation,and -“Crawl I”—the crawl space we got an exemption because we did not expose a framing cavity —yet we are adding a 48”R-10 blanket to the crawl space walls as shown on the Typ.Const. Ihave attached a copy of the Typical Const from the drawing set for your ease of review. If you have any questions regarding this letter,please contact me. Sincerely, Googe frnchahy PO George Yasenchak,P.E. Enc.