AST-0650-2021 i
Office Use Only
ACCESSORY STRUCTURE Permit#: fi5"1 OGSb -any I
PERMIT APPLICATION /
Town ofQucens6ur}' Permit Fee:$
742 Bay Road,Queensbury,NY 12804 Invoice#: q) 141
P:518-761-8256 www.gueensbury.net
Flood Zone? Y N Reviewed By:
Project Location: I yg�jI
4 � � b ze,yve !Uq
Tax Map ID#:30� I .30 Subdivision Name: ITOWN
C Ell;
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LjPROJECCT IINNFORMATION: SEP O j 2021
TYPE: 2Residential ❑ Commercial, Proposed Use:
OF OUEENSBURY
LDING& CODES
STRUCTURE:
El Boathouse (with or w/o sundeck) ❑ Canopy El Carport ❑ Cell Tower El Deck
L" Detached Garage(>300 s.f.) ❑ Dock ❑ Gazebo ❑ Pavilion ❑ Pole Barn ❑ Porch ❑ Ramp
❑ Shed (<300 s.f.) ❑ Solar Panels(w/o rafter upgrades) ❑ 3-Season Porch ❑ Other:
SQUARE FOOTAGE OF STRUCTURE:
1st floor:
2nd floor:
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Total square feet:
S �
`i Brief description of scope of project:
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Accessory Structure Application Revised January 2021
' F
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$
2. Are there any structures not shown on the plot plan? ❑YES ao Explain:
3. Are there any easements on the property? ❑ YES2NO
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 If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of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 certifythat 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 a certificate of occupancy.
r
I have read and agree to the above:
A
PRINT NAME:
s'. l
SIGNATURE: LV DATE:
Accessory Structure Application Revised January 2021
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): ',N1"e-\
Mailing Address, C/S/Z:
Cell Phone: S t$ "5R a 04-1 Land Line: S(g' b3(� 3 I q y
Email: DykO lc SJ @c \tAlo
• Primary Owners :
Name(s): ,.r\
Mailing Address, C/S/Z:
Cell Phone: S\�5q `9 6N1 Land Line:
Email: 6-pV �ct5 �C\ 601C-V"*.
❑ Check if all work will be performed by property owner only
• Contractor(s): (List all additional contractors on the back of this form)
Contractor Name(s): f-, -W iS C44JVLN-C,1ZV°'-s
Contractor Trade: L
Mailing Address, C/S/Z:
Cell Phone: 5'1 �Z 3 Land Line:
Email: :s e5�64&SCCwAiz-vtc.�g-'s ` ) 6/HI&: I , C-0""l
**Workers' Comp documentation must be submitted with this application"
• Arch itect(s)/Eneineer(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
Contact Person for any questions regarding this project:
Cell Phone: Land Line:
Email:
Accessory Structure Application Revised January 2021
ai
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Residential Plan Review: 1- and 2- Family Dwellings
Y/N/NA U (1 of 2)
O\tS Two (2) full sets of plans
tJO Over 1,500 sq. ft. requires engineering stamp ielsr ikd /,F o P PT
Design loads on plans: 115 Wind Floor Loads 40 psf
�s (North of Rte. 149 60) 50 Ground Snow Load Sleeping Areas &Attics 30 psf
Calculations Decks 40 psf
Wind design for lake front properties
Window schedule with glass size & main doors/Air leakage < .5 cfm for doors, < .3 cfm for
OJ windows/Tempered glass in bathrooms
�L Door schedule/Main entrance 36" door
Emergency Escape or Bedrooms & Habitable Space
Above-grade: 5.7 sq. ft.
Grade: 5.0 sq. ft. �� 00�r
24" (h) x 20" (w) minimum ��
44" maximum height above door
Window control devices 24" or less 2"d story or 72" above grade
Egress window from basement 5.0 sq. ft.
Floor system sizing per table 502.3.1
Residential check ERI or Prescriptive method \t J
Driveway length: 300' or more-12' width required/500' or more,turnaround required
z, Foundation drainage on plans, if required
6" drop in 10' exterior grade
Framing cross section for each roof line, vertical fire stopping every 10' where
$S required/joist spans pg. 127
jJ A Ice & snow shield—24"from exterior wall
Platforms at exterior doors
ri Q Stairway headroom 6'8"; all stairs 36" width
Ij ,t, Stair run and rise
Winder run and rise
Spiral stairs meet requirements
Smoke detectors—battery backup & proper location, interconnected
v A Bathroom fixtures—proper clearance
'i Hall width-36" width
Handrails more than four risers on open sides
Railing&guards > 30"/basement stairs included/closed risers more than 4" in height
Safety glazing notes for required areas
Garage fire separation: %" gable end/5/8" under living space &%" on walls/20 min. door
and closer
�y .e Garage floor sloped
Attic access: gasket seal & R-value equal to roof insulation
4 ,Q Roof over 30"—22" x 30"/Crawl spaces 18" x 24" access
Residential Plan Review Revised March 2018
Residential Plan Review: 1- and 2- Family Dwellings
Y/N/NA (2 of 2)
Carbon Monoxide detector outside lowest sleeping area, on every level & interconnected
within 15' of sleeping area
Soil test results, if required
Septic to well or water line separation
All paperwork signed
Note on plans energy saving light bulbs 75%
Blower door test agency paperwork
a Floodplain Permit required —check map: 2 feet above flood elevation
-- Hurricane clips required
Floors less than 2 x 10 covered by%" gypsum or 5/8" wood panel
Manuals S &J required for heating system. Cold air return hard piped
Separate room for draft HVAC or hot water heater with fresh air
HRV shown and calculations
Baffles at eaves for insulations and knee walls
r✓17A Makeup air for range hood >400 cfm
S Continuous header for garage doors to end wall n6rtclQ�=4►G
Chimney rain cap shown for fireplaces
Deck hold down shown not less than 4 lags and bolts per table 507.2
i
Residential Plan Review Revised March 2018
1285/166 - \ f �J.y :,:..,.:.;"C.v' B7wan 4 I
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LOCATION MAP
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ce (Not lvaWlnl
Landsof Hart
I PHOr'OSEDN150RPT10A SORPT20DL.F.OPAwe, 38,645.9 Sq.FL± f A0.50RP71ONTRCNCN)PARCEL EXCEPTED IN 3403/160,887 Acre* in
(F Colton 10W 1..1.Mad 19701 Known ns468 Luzome Road'Tar,Ma No. 308,11.1.30 oA O5d eAN.To rrit
EXISTING NI: 7ACI1000GAILands PUF.CDIby La6olto,.,cm:Rnrrarmnl.TnNc1432/194
.Landa N1F Garrw E.8 Darlene1 I;PRor DONCNETESN5O ;(r;k 1 _� i '!
8751905 ION,
BFDRDOl,I t(OUSB) 'OE .
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2ND PARCEL IN 3463116,--•-lE "1ST PIEL IN 341i.V156• —It I S
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t, (VIED,pT l l) I' IV To
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r.'s A �ao.o/ ti /Y9 ss'' rEolesno
n/- -5:tv iv--720 •..5=AQ mV) — V-7o zs'ep''/41—�_
1 o Wost Mountau7 Road _ '—
Luzeme Road
. l LI VunDyann R,an:•,:�• /� :`'i' ... yl')r.
DEED REFERENCE: ,bps
Donald A,HunlTO 101".up= MAP
Cecil Hart NOTES:
D:1/11/2008 1) Existing site gredD Is essenllally OaL
R:1/1512008 3483/15 2) SItC gradn7g around propo!,ntl structure(s)
shall provide for positive stnrm water ,. 5rtVa.TFn IN
rnsDrfaway from suld idualswage' Town of Queelisbury Warren Co.
ZONING INFORMATION: 3) Installation of Individual sewage disposal
Parcel fall wilhin"Suburban Residential'Zone system and connection to,•aisting Town S61e' 1'=30' August 1
(SR-1A) of Oueunsbury water system shall be in
Minimum lot area: 1 Acre accordance with existing T1,Vm standards. 'uR':�a LUP Da'
Minimum lol wnith: 150 feet I CHARLES T.NACY
Minimum front setback: 30 feet ) f 1�Gtl ,r'0=LAND SUHVEVOR
_CHN Sl FF:k 1
Minimum side setback: 10 feel min,sum of I 4; S N aueeNSFURY NY IZaa
both sides; 30 feel { �/
Minimum rear setback; 20 feet I I ( C"rY4Y nit n:aQ<9W''.!"0 ik •Ji n+•�C Udallw vcd Jrwa,un a
! n a.;4r,g wPi;p arr nParal•;u,xn map B,wer)a 1>_—,d I.,
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