AST-0616-2021 :A. Office Use Only
ACCESSORY STRUCTURE Permit#: -PST. O .6 b • 2t021
Town oFQuecns6ury PERMIT APPLICATION permit Fee:$
742 Bay Road,Queensbury,NY 12804 Invoice#: 4,,te �
P:518-761-8256 www.gueensbury.net
Flood Zone? Y Reviewed By(
Project Location:
Tax Map ID#: 50eD . _ l-cj Subdivision Name: AUG 19
2021
PROJECT INFORMATION: T B�/V OF UEENSgU
NG� CO SS
TYPE: k Residential ❑ Commercial, Proposed Use:
STRUCTURE:
❑ Boathouse(with or w/o sundeck) '[:] Canopy ❑ Carport ❑ Cell Tower ❑ Deck
Wetachedd-Garage(>300 s.f.) ❑ Dock ❑ Gazebo ❑ Pavilion ❑ Pole Barn ❑ Porch ❑ Ramp
❑ Shed(<300 s.f.) ❑ Solar Panels(w/o rafter upgrades) 11 3-Season Porch ❑ Other:
SQUARE FOOTAGE OF STRUCTURE:
1st floor: �'� •S'G o�y��Z�{
2nd floor: !!�/
Total square feet:
Brief description of scope of project:
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Accessory Structure Application Revised January 2021
j.
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$ JQ 41-6VC-)
2. Are there any structures not shown on the plot plan? ❑YES tONO Explain:
3. Are there any easements on the property? ❑ YESl 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 If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of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 a true and a complete statement and/or description
of the work proposed,that all work will be performed in accordance withthe 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: D L
SIGNATURE: _.Z/i DATE:
Accessory Structure Application Revised January 2021
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): 14m A-RaZC,
Mailing Address, C/S/Z: q-7 �,�,� c� ry. ,., At '
Cell Phone:,!j'�)k,'729-L�7Y/q Land Line:
Email: l�� 7�y�� �
• Primary Owner(s):
Name(s): -rl D
Mailing Address, C/S/Z:G �_
Cell Phone: Land Line:
Email:
'L 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**
• 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:
7
-Accessory Structure Application Revised January 2021
Residential Plan Review: 1- and 2- Family Dwellings
Y/N/NA (1 of 2)
Two full sets of plans
Over 1,500 sq. ft. requires i. mp
a� Design loads on plans: C50
5 Ind .,►1 Floor Loads 40 psf
(North of Rte. 149 60) Ground Snow Loa Sleeping Areas &Attics 30 psf
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
�V windows/Tempered glass in bathrooms
1� 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.
A Floor system sizing per table 502.3.1
/Jilk Residential check ERI or Prescriptive method
Driveway length: 300' or more-12' width required/500' or more,turnaround required
jAA Foundation drainage on plans, if required
6" drop in 10' exterior gradeti
�r 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
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
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
Residential Plan Review Revised March 2018
r�
Residential Plan Review: 1- and 2- Family Dwellings
Y/N/NA (2 of 2)
KN
Carbon Monoxide detector outside lowest sleeping area, on every level & interconnected
within 15' of sleeping area
Soil test results, if required
IG� Septic to well or water line separation
All paperwork signed,
Note on plans energy saving light bulbs 75%
N Blower door test agency paperwork
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
Makeup air for range hood >400 cfm
Continuous header for garage doors to end wall ��
Chimney rain cap shown for fireplaces
JAY Deck hold down shown not less than 4 lags and bolts per table 507.2
Residential Plan Review Revised March 2018
308.8-1-5 AST 0616-2021 (((CCC/✓/F�-
Abell, Dan
474 Sherman Ave
Detached Garage 576 s.f.
i i i r
AUG 19 2021 {
TowN OF
rnDES
t� TOWN OF QUEENSBURY
2L� BUILDING DEPARTMENT
BasE d on,our limited examination,compliance f
with ur comments shall not be construed as
indic ting,the plans and specifications are in
full mpliance with the Building Codes of
New ork State.
T WN OF QUEENSBURY
B ILDING & CODES DEPT.
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