RC-0766-2021 Office Use Only
ADDITION/ALTERATION PERMIT Permit#: QG-a -�a 2�?.k
APPLICATION Permit Fee:$ I-I ,0E:�
Town of
742 Bay Road,Queensbury,NY 12804 Invoice#:
P:518-761-8256 www.aueensbury.net
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� � Flood Zone? Y N Reviewed By:
Project Location: F//mil C. �C�'eon/ E
Tax Map ID#: Jo /r lq- .2 " 18 Subdivision Name:
JY
PROJECT INFORMATION:
TYPE: ✓ 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: 9/1 Sq
2nd floor: 2nd floor: 943 sy
3rd floor: 3rd floor: ,8OAX( S .ew m
Basement(habitable space): Basement (habitable.space):
Total sq ft: Total sq ft: o? 0,F3 S9- �
Scope/of work to be done: A"D IZ 1✓Ul/IG/C
;)tT�iIS IS 4 Jllfe ,tis�d�m" /nsd4Q"Ge . --
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OCT 15 2021
TOBUILDOF NOG&ENSI CODES BURY
Addition/Alteration Application Revised January 2021
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ADDITIONAL PROJECT INFORMATION: /
1. Estimated Cost of Construction: $ ✓A(fiWOWA
2. Source of Heat(circle one):VGas _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 &".'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 ;--N'O
• What is the water source? ✓ PUBLIC _PRIVATE WELL
• What type of wastewater system is on the parcel? EWER _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 If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of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. 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 certificate of occupancy.
I have read and agree to the above:
PRINT NAME: &61-ve?wc— lid 1OW 1 G
SIGNATURE: DATE: IdAhal
Addition/Alteration Application Revised January 2021
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
Norgienrr& .
• Applicant: General Contracting LLC
Name(s): 38 Saratoga-Ave .
Mailing Address, C/S/Z: So.Glaris '
NY wom
Cell Phone: ( Land Line: (179 j 79 7 9
Email:
• Primary Owner(s):
Name(s): &V/,W THAW A/c-�11,� W
Mailing Address, C/S/Z: 9/ NC-6�wAw (,#Vac
Cell Phone: (J7_,F )3a/ -.380� Land Line:
Email: -1-111,use 32. &JAA,,1 GcM
❑ 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):
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone:�`) Land Line:
Email:
"Workers' Comp documentation must be submitted with this application"
• Architect(s)/Eneineer(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone:�_) Land Line:
Email:
Contact Person for Compliance in re ards to this project: 6; V e,
Cell Phone: ( J/r� )a'�!J— IV7 Land Line: (S/9 ) M- 7 9
Email:. ai"i/ Gem
Addition/Alteration Appfication Revised January 2021
Residential Plan Review: 1- and 2- Family Dwellings
Y/N/NA (1 of 2)
Two (2)full sets of plans
-f,S 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
da a,- PPVn" ' Calculations Decks 40 psf
Wind design for lake front properties
Window schedile with glass size & main doors/Air leakage < .5 cfm for doors, < .3 cfm for
windows/Tempered glass in bathrooms K a&6
Door schedule/Main entrance 36" door
Emergency Escape or Bedrooms & Habitable Space
Above-grade: 5.7 sq. ft.
Grade: 5.0 sq. ft.
/p 24" (h)x 20" (w) minimum �J
44" maximum height above doori � h��'��
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
Ll-. s Residential check ERI or Prescri tive method
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
Ice & snow shield—24"from exterior wall
Tt,S Platforms at exterior doors
Stairway headroom 6'8"; all stairs 36" width S —'
r� Stair-run and rise s
J 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
--<� 5 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 -CXjChAA
Attic access: gasket seal & R-v a equal to roof insulation
Roof over 30"—22" x 30"/Crawl spaces 18" x 24" access
Residential Plan Review Revised March 2018
r_f
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Residential Plan Review: 1- and 2- Family Dwellings
Y/N/NA (2 of 2)
f 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
Floodplain Permit required —check map: 2 feet above flood elevation
T _H.urricane clips required
ti( Floors less than 2 x 10 covered by%" gypsum or 5/8" wood panel
rJ Manuals S &1 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
L11 Baffles at eaves for insulations and knee walls
Makeup air for range hood > 400 cfm
ram, Continuous header for garage doors to end wall
N 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 March 2018