RC-0893-2021 Office Use Only
ADDITION/ALTERATION PERMIT Permit#:fZC, 06cV6- 202
_ APPLICATION
Permit Fee: $ aD
To m of Q_ ensbury
742 Bay Road,Queensbury,NY 12804 e,
Invoice#: � 1�
P: 518-761-8256 www.gueensburV.net
Flood Zone? Y Reviewed Bar
Project Location:
Tax Map ID #: 3og,R _3-icl Subdivision Name: v
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:
2nd floor: 2nd floor:
3rd floor: 3rd floor:
Basement (habitable space).: tBasement (habitable space):
Total sq ft: Total sq ft:
Scope of work to be done:
�5�-al l 1aa s.e inn e n� e��e ss c.�i I�GIo� ►� cabrn lv,8 x 11�,a. i,n. S �-.
b0- used as kedr nV .
DEC 22 2021
TO\NN OF Gu&COp SRY
BUILDIN
Addition/Alteration Application ,. Revised January 2021�
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ ( 130D
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 _YNO 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 -,e NO
• What is the water source? N
4 PUBLIC _PRIVATE WELL
• What type of wastewater system is on the parcel? _SEWER jPRIVATE-SEPTIC
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 If, for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of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. 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 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.
I have read and agree to the above:
PRINT"NAME:
SIGNATURE: DATE: I
Addition/Alteration Application Revised January 2021
t
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
N a m e(s): �►S (1G f fc)4 DI/V-Q
Mailing Address, C/S/Z: (�,k0.S-sc, os-e -H-'3 CkJC-
Cell Phone: ,51-8 ) 812-35i - S.kv s Land Line: Sib
Email: s„���kb� o 0
• Primary Owner(s):
Name(s): )q s�yC\a_
Mailing Address, C/S/Z: 9� NAcuS5a OsF_ y(
Cell Phone: (u58 ) 2: FIa-2?5a Land Line: (SIg 7Y
Email:
❑ Check 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): Pp uairA ay+ d L L C_
Contractor Trade:
Mailing Address, C/S/Z: 1M 2&ne, Q_Ucutn,I kd 0 rri on, AW laO(ns..
__Cell Phone: (Z�(3 ) 926�-'�q ) Land Line: � )
E m a i 1: �(la I�x u a a wl! rs C�.G rvt h� Co-m - -
"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 Compliance in regards to this project: CD :hy
Cell Phone: �_) Land Line: � )
Email:
Addition/Alteration 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
Window schedule with glass size & main doors/Air leakage < .5 cfm for doors, < .3 cfm for
windows/Tempered glass in bathrooms
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
44" maximum height above door
Window control devices 24" or less 2nd story or 72" above grade
Egress window from basement 5.0 sq. ft. '
Floor system sizing per table 502.3.1
vSk Residential check ERI or Prescriptive method
A Driveway length: 300' or more-12' width required/500' or more, turnaround required
Foundation drainage on plans, if required p ��
6" drop in 10' exterior grade
Framing cross section for each roof line, vertical fire stopping every 10' where
required/joist spans pg. 127
Ice &snow shield —24"from exterior wall
Platforms at exterior doors
ON-Stairway headroom 6'8"; all stairs 36" width
Stair run and rise
Winder run and rise
IC,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
afety glazing notes for required areas
Garage fire separation: %" gable end/5/8" under living space &%" on walls/20 min. door
and closer
Garage floor sloped
Attic access: gasket seal & R-value equal to roof insulation
Roof over 30"—22" x 30"/Crawl spaces 18" x 24" access
Continued on back 4 4
Residential Plan Review Revised October 2021
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 z i& 5t8 Cc
Soil test results, if required
Septic to well or water line separation
All paperwork signed
Note on plans energy saving light bulbs 90%
Blower door test agency paperwork
Floodplain Permit required —check map: 2 feet above flood elevation
t� Hurricane clips required
sc Floors less than 2 x 10 covered by%" gypsum or 5/8" wood panel
L- Manuals S &J required for heating system. Cold air return hard piped
`S Separate room for draft HVAC or hot water heater with fresh air
+< HRV shown and calculations
of Baffles at eaves for insulations and knee walls
it Makeup air for range hood >400 cfm
o Continuous header for garage doors to end wall
to Chimney rain cap shown for fireplaces
it Deck hold down shown not less than 4 lags and bolts per table 507.2
Residential Plan Review Revised October 2021
ESCAPE WINDOW & WELL LLC
28615 BEVERL'Y RD RomuLus, Ml 48174 PH:734-326.2455 FAX: 734-32
i
I BOWMAN KE MP 111� �2D
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ESCAPEWINDOW CUT SHEET
I ,
28 x 52 Egress --L/H INSWING S%H P�tME SIZE=TTT
NET CLEAR OPENING FOR EGRESS = 5.7725 SCE', PT.
EMERL ERGY 'VENT"ING = SAME AS NET CLEAR OPENING 6.7725 SO. F
SCREENED VENTING l LOWE S�,SIE I OP1t Y = 3:0+5 SQ. FT..
NET DAY LIGHT = 1�PI��+V€6~tta AREA 6.24-Sty. FT.
F,
I'�UNUFACTUR4R . ESCAPE WINDOW 8 WELL Ll,C.
AAMA OVERALL RATING = I -R25-48 X 72
I ,
W I GARDIAN CLIMAGUARD 71138 LOW-E INSULATED GLASS
AIR-FILLED/U-VALUE-.29 "ARGON FILLED! U- VALUE=n24
ESCAPE WIh1DM 8-WELL C 0 0
P TRICK 41ILLER
Ballard and$on Construction LLC
151 Stone Quarry RD
Halfmoon, NY 12065 US
ballardandson@gmail.com
ADDRESS SHIP TO ESTIMATE# 1089
Tina Beswick Tina Beswick DATE 12/07/2021
39 Massachusetts Ave 39 Massachusetts Ave
Queensburry, NY 12804 Queensburry, NY 12804
IPN�
Egress Window Installation
The scope of work is as follows:
Excavate foundation on the exterior of the home down to the
footing and install drainage.
remove a small area of finished wall in basement to get to
concrete wall. D C �n
Install temporary moisture barrier for cutting inside basement. !Y/
Cut the foundation wall from outside only.
Install pressure-treated lumber into rough opening. Create a DEC 22 2O�21
stacked 2 x 8 header that is supported by jacks for Weight
bearing support,Waterproof rough opening. TOWN OF QUEENSBURY
Install vinyl single hung in-swing window size 28"x52" Low-E BUILD
Install flashing tap to encapsulate new window for waterproofing. -BUILDING&CODES
Finish with white PVC board.
Install 2 inch foam board under well to protect from frost.
Boman Kemp window well will be fastened into foundation with
no less than a 6 inch reveal to ground level.Tie into footing drain
with 4 inch pipe and fill with stone to allow for drainage.
Install the ladder,well grate and clear cover.
Remove all excess material and concrete wall section.
Homeowner will be restoring inside and make ready for paint.
Exclusions 0.00
Work Does Not Include:Any permits,fines, or fees or
unforeseen conditions,
foundation waterproofing or repair to waterproofing, damage to
underground utilities not marked by UFPO (Leech Field,
Sprinklers, Pet Fences ETC), top soiling, raking, or seeding, or
rock excavation.
Payment Terms 0.00
50%payment due at start of project with remaining balance due
upon work completion. Estimate is good for 60 days.
SUBTOTAL
Thank you for choosing Ballard and Son Construction for your project.
TAX 0.00
TOTAL $
Accepted By Accepted Date
Thank you for choosing Ballard and Son Construction for your project.
Commercial
ElectricTM 1005 758, 024
WHITE
LED
COLOR CHANGtN, �:= ;
�n FLUSH MOUNT
• LOW PROFILE DESIGN
• REPLACES (3)
60 WATT BULBS
• EASY INSTALLATION
WITH THE QUICK
INSTALL BRACKET
• ASSEMBLED DIMENSIONS:
12.8 IN DIA X 1.38 IN H
I t i Adjust Color
D �ITE(.40C1� 5, of Light with syr
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1 INTEGRATED MAINTENANCE-FREE,
i' LIGHT SHINES BRIGHTER"
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13in 1? DIMMABLE LED.,, • 1365
7CC11NOL�GY: .•l9 3� - '
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DEPT NUMBER:27L
PO NUMBER:
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Commercial
Electric
Can be used to
al comply with
Califomta Title USE AND CARE GUIDE'
UIDE
124 High Efficacy
requirements
LED INTERIOR EDGE-LIT ADJUSTABLE COLOR
13 IN. FLUSHMOUNT
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to the store:
Duestions, problems, missing parts?$afore returning
`` .. Friday,g a•rrl•-u"p.rn.,EST,Saturday
call Commercial 1=Fntnr Customer Sernc°
8 a.m. -7 p.m., EST, Monday
1-877-827-8313
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