RC-0437-2023 i � Office Use Only
J ADDITION/ALTERATION PERMIT permit#: M -2T23
Town ofQucensbry APPLICATION
� Permit Fee: $ 22� '
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.gueensbury.net Invoice#:
Flood Zone? Y Reviewed BVD''�
Project Location: e;_S�U ins bS4 14 /1
Tax Map ID #: �/�� ` �� % Z _ Subdivision Name:
PROJECT INFORMATION:
TYPE: Eg Residential ❑ Commercial, Proposed Use:
17 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): Basement (habitable space):
Total sq ft: Total sq ft:
Scope of work to be done: `�(�` �J�« C4 e4' , AK0 L�Lc LS� jl ( ht"S
her sLC
Chose_+
Addition/Alteration Application Revised June 2022
ADDITIONAL PROJECT INFORMATION:1. Estimated Cost of Construction: $ (1,, )6 o
2. Source of Heat (circle one): L I 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 51"NO Explain:
4. Are there any easements on the property? ❑ YES ❑ NO
SITE INFORMATION:
• Is this a corner lot? ❑ YES 51 NO
• Will.the grade be changed as VPIUBLIC
reult of the construction? El YES M(N0
• What is the water source? ❑ PRIVATE WELL
• What type of wastewater system is on the parcel? SEWER ❑ PRIVATE 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 If,for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of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: (1 Z
Addition/Alteration Application Revised June 2022
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): _l�earG J2 AANd U SC3�e t\
Mailing Address, C/S/Z: 3— >Cs,se c-!- /a ody
Cell Phone: ( S VS g 1 Z- 32 '3:1 Land Line: � )
Email: 9 0 s
• Primary Owner(s):
Name(s): (5or-u c end Ll se, erg
Mailing Address, C/S/Z: 33 e G6,-.- c—X N`1 3,?d L/
Cell Phone: ( 5 l g ) b iZ: 3 Z 37 Land Line:
Email: 9 }b,ti J c Ale- c ^I P c vr\dt a n ynCheck 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 Liner �)
Email:
"Workers' Comp documentation must be submitted with this application"
• Arch itect(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:
Cell Phone: Land Line: � )
Email:
Addition/Alteration Application Revised June 2022
BUILDING LINE
BOMAN KEMP CLEAR LEXAN GRATE COVER
CL BOMAN KEMP STEEL SAFETY GRATE
I l BOMAN KEMP 4040 "EASY-BUCK"
L �\.P FINISHED GRADE LINE APPROX. 3" BELOW WELL
SLOPE GRADE AWAY FROM WELL
BOMAN KEMP 4040 - -- _ -
DOUBLE INSULATED VINYL WINDOW _�ITIl=FII=III=III=l117-
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= BOMAN & KEMP 5236-60 "EASY-WELL"
BOMAN; KEMP 4'-0 ESCAPE LADDER
(WHEN EXIT.HEIGHT EXCEEDS 44")
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A WALL SECTION THRU. WINDOW WELL
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SPEC SHEET
2852 Escape TM Window
Dimensions
,,Exterior Frame Width, ; 28.00" Exterior Frame Height 52,00"
Jamb Depth f 3.25" Product Depth 4.125"
!Clear Opening Width 20.50" Clear Opening Height i 47.00"
Net Clear Opening j 6.69 SF jugbt Surface Area 6.24 SF
Vent Opening W x H; 21.3125"x 20.6875" 1Ventilation Area 3.06 SF
.Wood RIO Width 1 28.50" Wood RIO Height j 52.375"
Product Details
Frame/Sash Color :, I White IHardware Color.: i White
i 1
`Frame Material ! Vinyl-welded Sash Material Vinyl-welded
;Sash Lock One cam-action Frame Lock j One multi-point single actuator
Weight 40.50 lbs. Screen Half removable fiberglass
f
frame-Type i Block Window Type Casement
i I d
,Window Use Type Remodeling, new construction Window Handing Left or Right
i
Glass Type Low-E Glazing Type { Double-pane with Argon gas
ilJ-Factor 0.29 �SHGC 0.39
Accessories-
APPLIANCE MONITORING
Better Control in Any Environment j
The Fresh Air Ventilation Control (FAVC) can monitor up to four exhaust fan appliances like a bathroom fan, range
hood, clothes dryer and gas fireplace. Our C-Sensor and P-Sensor relays data back to the FAVC which can then
adjust fresh air intake. Each sensor works independently or in concert with the others to monitor environmental
changes, providing increased or decreased ventilation as needed.
Current Sensor ��:;;:�; ;.f Pressure Sensor
C���n•o� ;?:
The C-Sensor senses the operation of air- _ The P-Sensor senses a change in air P•ann•c�
exhausting devices, such as range hoods, pressure within the exhaust duct of an "I
clothes dryers, bathroom fans, central exhausting device, such as a kitchen __0_ -_
vacuum systems, etc. It acts as a switch to s range hood, clothes dryer, central
provide a 24 VAC input signal to the Fresh -^ == exhaust system, etc. It transmits a signal to a make-up air
Air Ventilation Control (FAVC), which then system, such as the Fresh Air Ventilation Control ventilation
operates the fresh air damper(FAD) and activates the HVAC system, in order to provide make-up air for the exhausting
central fan. Fresh, outside air is then drawn into the house, device. The P-Sensor may also be used in a stand-alone
providing make-up air for the exhausting device(s). passive make-up air system to control a 24V fresh air damper
(FAD) that is ducted to the outdoors/exterior of the structure.
The C-Sensor may also be used in a stand-alone make-up air
system to control a 24V fresh air damper.
Specifications
Model Product Description Voltage Watts Part#
Current-Sensing Senses the',operatiori'of air-exhausting devices and,acts as a switch to
C-Sensor Makeup Air Sensor • provide a 24 VAC input signal to the FAVC Ventilation_Control;which then 24 3 46676500
Damper Control operates the FAD.fresh air-damper and activates the HVAC,central fan.
Pressure-sensing Senses a change air in pressure within the exhaust duct of an exhausting
P-Sensor Makeup Air Sensor device and sends a signal to a makeup air system, such as the FAVC in 24 3 46676500
Damper Control order to provide makeup air for the exhausting device.
The SmartExhaustT" Smart Switch Fan
The easiest, most cost efficient way to help make a home ASHRAE 77
62.2 compliant. The SmartExhaust turns the bathroom fan into an `tj„
automatic exhaust system that helps eliminate stale air from the home. ` - Y
Features - '
• Makes standard bathroom fans ASHRAE
62.2 compliant
• Microprocessor technology provides precise
ventilation times '
• Fan runs every hour for set ventilation period °` '* •,�'
• Controls the fan and light... all-in one switch
• Helps prevent mold and mildew'
• Helps meet ventilation codes ���
Bathroom
Specifications
Model Product Description Voltage Watts Part#
SEC SmartExhaust'" Programmable control'for exhaust fans 120 — 46591000
Technical Service: 800.742.8368 • field controls.com 17