RC-0676-2023 f 1 Office Use Only
ADDITION ALTERATION PERMIT
� Permit#: to1-to 2-D2-3
Town ofQuee n APPLICATION Permit Fee:$ 2
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.queensburv.net Invoice#: 4Q6E,
Flood Zone?C-e Reviewed By:6U4 7-
Project Location: 2- V12 •
Tax Map ID #: 2Z'34-0O 308.. 14 ( —2-5 Subdivision Name: E $' t t•""�'"
PROJECT INFORMATION:
TYPE: K.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: Vi 1st floor:
2nd floor: 0 2nd floor:
3rd floor: 0 3rd floor:
Basement (habitable space): Basement (habitable space):
Total sq ft: Total sq ft:
I
Scope of work to be done: 21- �( 1- 57D(2—y D I
OCT 202023
TOWN OF QUEENSBURY
BUILDING&CODES
r.
Addition/Alteration Application Revised June 2022
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ 10) 600
2. Source of Heat (circle one): 'Gas El Oil El Propane El Solar El 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? El YES le NO
SITE INFORMATION:
• Is this a corner lot? ❑ YES 1:4 NO
• Will the grade be changed as a result of the construction? ❑ YES 14/NO
• What is the water source? lt PUBLIC El PRIVATE WELL
• What type of wastewater system is on the parcel? El SEWER El 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 If,for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of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. I 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. I acknowledge that prior to occupying the facilities proposed I,, or my agents, will obtain a certificate of
occupancy.
6. I 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: A61-4`01- ---5 ( r-e> '�/1
SIGNATURE: DATE: /0 Z-j
Addition/Alteration Application Revised June 2022
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): po-ew'r!d-
Mailing Address, C/S/Z: �i 4M, Y5�- 1? •
Cell Phone: ( Sly ) Land Line: ( ) / /4
Email: �an
• Primary Owner(s):
Name(s): Satate.
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)
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)/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: dIN
Cell Phone: ( ) — 2124 Land Line: (
Email: t\ @, GGurci e,A-r(vv\&lox, GOM
Addition/Alteration Application Revised June 2022
Residential Plan Review: 1- and 2- Family Dwellings
Y/N/NA ' (1 of 2)
etc6 Two (2) full sets of plans
165 Over 1,500 sq. ft. requires engineering stamp
Design loads on plans: 115 Wind Floor Loads 40 psf
'' > i (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. t k..
41,E Floor system sizing per table 502.3.1
*' Residential check ERI or Prescriptive 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
� l Framing cross section for each roof line, vertical fire stopping every 10' where
/1' . required/joist spans pg. 127
tIce &snow shield—24" from exterior wall
" Platforms at exterior doors
Stairway headroom 6'8"; all stairs 36" width
Stair run and rise )`"n ' ui3/ ��,� r` . �& r
Winder run and rise I 1`'' C�
.—Spiral stairs meet requirements
`ij; Smoke detectors—battery backup & proper location, interconnected .61 j) -9
yfi,947 Bathroom fixtures—proper clearance
zf/�� Hall width-36" width
pfj Handrails more than four risers on open sides
AAA- Railing&guards > 30"/basement stairs included/closed risers more than 4" in height
— Safety glazing notes for required areas
..ti Garage fire separation: 'A" gable end/5/8" under living space &%" on walls/20 min. door
NtA" and closer
lAr Garage floor sloped
,1 Attic access: gasket seal & R-value equal to roof insulation
P ..e7 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
lr%"/ within 15' of sleeping area
Soil test results, if required 5- Dsure
Septic to well or water line separation _
All paperwork signed
Note on plans energy saving light bulbs 90%
jay-_ Blower door test agency paperwork
Floodplain Permit required -check map: 2 feet above flood elevation
l -i 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
k-Separate room for draft HVAC or hot water heater with fresh air
AJA4- HRV shown and calculations
Vi.. Baffles at eaves for insulations and knee walls
/VW Makeup air for range hood >400 cfm
ft- Continuous header for garage doors to end wall
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 October 2021
Item Operation Location Unit Price Ext. Price
1 I • Azi1 IL 200 1 Stationary/Vent None Assigned $1,603.96 $1,603.96
' _1 __ _1 __, -, RO Size=60"x 47 5/8" Unit Size=59 1/2"x 47 1/8"
&"1 �I,AN i 1 Mull: Facto Mulled, Andersen Stack Mull, 1/8 Aluminum Horizontal Mull Material
i4�` \` m PSA 4' 11 1/2"Xl' 11 1/2"/PSA 4' 11 1/2"X1' 11 1/2", Unit, 4'4( Se`€I Awnin Installation Flan e, White Exterior Frame, Pine
1 1 1 I I' w/Unfinished Interior Frame, Unit 1:Vent, Unit 2: Stationary, Dual Pane Low-E4 Standard Series Argon Fill Contour Finelight
69.5 RO-60 Grilles-Between-the-Glass 4 Wide, 2 High, Specified Equal Light Pattern, White, w/White,.3/4"Grille Bar, Traditional Trim Stop
Profile Stainless Glass/Grille Spacer, Traditional Folding, Stone, Stone, Full Screen, Aluminum
Hardware: PSA Traditional Folding Stone PN:1521041
Insect Screen 1: 400 Series Awning, PSA 59.5 x 23.5 Full Screen Aluminum Stone
Unit# U-Factor SHGC ENERGY STAR
Al 0.28 0.29 NO
A2 0.28 0.29
- T- Item (2,yt Operation Location Unit Price Ext. Price
-_I!_ 300 2 AA None Assigned $724.38- $1,448.76
1 ;�:;; RO Size=42 1/8"x 56 7/8" Unit Size=41 5/8"x 56 7/8"
,' i
---=0T== TW3446 Unit,40(YSerieas)Double-Hung, Equal Sash Installation Flange, White Exterior Frame White Exterior Sash/Panel Pine
,C !'® w/Unfinished Interior Frame, Pine w/Unfinished Interior Sash/Panel, AA, Dual Pane Low-E4 Standard Argon Fill Finelight Grilles-
Between-the-Glass Standard Grille Alignment, 4 Wide, 2 High, Colonial Pattern, White, wlWhite, 3/4"Grille Bar, Stainless Glass/
41.626
R0 42125 Grille Spacer, Traditional, 1 Sash Locks Stone (Factory Applied), WhiteJamb Liner, White, Full Screen, Aluminum
Insect Screen 1: 400 Series Double-Hung, TW3446 Full Screen Aluminum White PN:1610148
Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area (Sq. Ft)
Al 0.3 ' 0.28 NO Al 37.8750 24.2500 ;'6:40000
1E4c
e
:7C
0 2023
Lk
TOWNi=OUE NSBURY
'Pwet15 BUIr,�� �c S
• Quote#:.4774583 Print Date: 10/5/2023 1:07:48 PM UTC All Images Viewed from Exterior Page 2 of 3
i �2a ��- 1 �i
•
9 �-'> Kati
O „ -9
Cs 0
s
. .0 / u! 6 �
3 . �
/( `C- , -p - /4.
vp 0 JS$p . 'r�
•
Ni . • - -2_ _
Q . r _
•
'o P` ` a w VIil
2 1x 2e ! :•"' o
• ' i- STORY A )D t rI 614 a
N - v-
'1� • •Xi -�` '/
- D` S
+35` Tk h / • /
°i os
•
/.'-'' .d
TE[iP/vo.✓E % D ti
ELLCr.P/C • / i / '
mo o_ :i / h C, f,t i
•• / i • C05) f,
r i
'_ . �\ to �.;. � r/ / \ Z • ; \ ;
p i yti
`'ci i N I •a ." 31739 �,
R �FTIIE SlAZ� a
p .I#/E.PE4Y CE.?i' //.0-- ......%\.......s.s.:\%NJ:0...N _ _ .._ / i_ _ .\ elf, ;\ ..1.40 NI •
.�A�YIES A. ANO
.0 . ,5� \/AU.09 J; T.POEl. .r.PA, GLE.(%j' F,914',5-
• / /L� /✓AT/D�4.94 BAifr,(' ill T.PUJT COMA / /TS
• / �f'UM6.cc. . JOR.1 ,Q O.vO/ ' esttry et/J' ADO 040
•t/A.o ,PEF1•,p,E,/c
.PE.ou.9l/C rind i•✓t'v,Q,124 Z Co.?..o,9.d.Y r,4477
A.s/fvQEO 4,/.p o OF
/Ai •
r///.r ,jAv.o .11),SU' •DRE'.04-9.a.0 F,Pa f ,941 acre/az
�crio,✓rwo of
\ .F/4Y.o .s'U.'JE-1' ACrcRO/.►,* To QECo/20 ,
Otif � J�/4C J , y . .0 S'CQ/,OT/O,YJ A.c%d .SNOILjs Ti`14" ZOCAT7O.✓ OF