AST-0234-2021 Office Use Only
ACCESSORY STRUCTURE Permit#: AS — ZOZ.I
Town of Quemsbury PERMIT APPLICATION Permit Fee:$_2 502
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742 Bay Road,Queensbury,NY 12804 Invoice#: 4310
P:518-761-8256 www.gueensbury.net Flood Zone? Y Reviewed By:i
Project Location:
Tax Map ID#: ago Subdivision Name:
PROJECT INFORMATION:
TYPE: Residential ❑ Commercial, Proposed Use:
STRUCTURE:
❑ Boathouse(with or w/o sundeck) ❑ Canopy ❑ Carport ❑ Cell Tower ❑ Deck
Detached Garage(>300 s.f.) ❑ Dock ❑ Gazebo ❑ Pavilion ❑ Pole Barn ❑ Porch ❑ Ramp
❑ Shed(<300 s.f.) ❑Solar Panels(w/o rafter upgrades) ❑ 3-Season Porch ❑ Other:
SQUARE FOOTAGE OF STRUCTURE:
1st floor:
2nd floor:
Total square feet:
Brief description of scope of project: P
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Accessory Structure Application Revised January 2021
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ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$
2. Are there any structures not shown on the plot plan? OYES PNO Explain:
3. Are there any easements on the property? ❑ YES NO
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 If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of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. Ifthework 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 1, 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.
I have read and agree to the above:
PRINT NAME: IV//-
SIGNATURE: DATE:
Accessory Structure Application Revised January 2021
V
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant- `�� F
Name(s): N� I h t Ir�� �v ce f 0� � P �dG� ,{���Z� fc
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Mailing Address, C/S/Z: / 1 q fpe het
Cell Phone: y W-7�`�'� and Line:S l S"7
Email: tMM f)O c.I e i1PRt40#-,V,
Primary Owner(s):
Name(s): �50,01LU
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
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):
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
"Workers' Comp documentation must be submitted with this application"
• Architect(s)/Engineer(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: A3
Email:
Accessory Structure Application Revised January 2021
Residential Plan Review: 1- and 2- Family Dwellings
Y/N/NA (1 of 2)
Two (2) full sets of plans
Over 1,500 sq. ft. requires engineering stamp
Design loads on plans: 115 Wind Floor Loads 40 psf
(North of Rte. 149 60) 50 Ground Snow Load Sleeping Areas &Attics 30 psf
Calculations Decks 40 psf
Wind design for lake front properties
Light and vent room schedule
Window schedule with glass size & main doors/Air leakage < .5 cfm for doors, < .3 cfm for
N windows/Tempered glass in bathrooms
N A Door schedule/Main entrance 36" door
Emergency Escape or Bedrooms & Habitable Space
Above-grade: 5.7 sq. ft.
Grade: 5.0 sq. ft.
24" (h)x 20" (w) minimum
I 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.
&/A4 Floor system sizing per table 502.3.1
Residential check ERI or Prescriptive method t) �Z cr
IVAll foam plastic on foundation & crawl space covered by 15 mi6tqe the mal barrier
Al Driveway length: 300' or more-12' width required/500' or more,turnaround required
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
required/joist spans pg. 127
p Ice &snow shield —24" from exterior wall
tjqo Platforms at exterior doors
Stairway headroom 6'8"; all stairs 36" width
�- Stair run and rise
Winder run and rise
Spiral stairs meet requirements
Smoke detectors—battery backup & proper location, interconnected
Bathroom fixtures—proper clearance
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
,4 Garage fire separation: %" gable end/5/8" under living space &%" on walls/20 min. door
and closer
Garage floor sloped
Residential Plan Review Revised August 2020
Residential Plan Review: 1- and 2- Family Dwellings
Attic access: gasket seal & R-value equal to roof insulation
J Roof over 30"—22" x 30"/Crawl spaces 18" x 24" access
Y/N/NA (2 of 2)
04 Carbon Monoxide detector outside lowest sleeping area, on every level & interconnected
within 15' of sleeping area
Soil test results, if required
J4 Septic to well or water line separation
-/ All paperwork signed
Note on plans energy saving light bulbs 75%
Blower door test agency paperwork
�j Floodplain Permit required —check map: 2 feet above flood elevation /,ro );-I
LA�'J Hurricane clips required
p, 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
XI HRV shown and calculations
Baffles at eaves for insulations and knee walls
Makeup air for range hood >400 cfm
-� Continuous header for garage doors to end wall/3" nailing pattern/strapping
Chimney rain cap shown for fireplaces
Deck hold down shown not less than 4 lags and bolts per table 507.2
Residential Plan Review Revised August 2020