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RC-0201-2019TOWN OF QUEENSBURY 742 Bay Road, Queensbury,NY 12804-5904 (518)761-8201 Community Development- Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: RC-0201-2019 Tax Map No: 289.10-1-13 Permission is hereby granted to: Tracy Taylor For property located at:21 JAY RD In the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Type of Construction Owner Name: Tracy Taylor Single Family-Alteration 181500.00 Owner Address: PO Box 1344 ST Total Value 181500.00 Rutland,VT 05701 Contractor or Builder's Name/Address Electrical Inspection Agency Plans& Specifications Residential Addition 64 s.f. Residential Alteration 161 s.f. porch with balcony) 450.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Monday,April 20, 2020 If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town of Queensbury; Friday,April 19, 2019 SIGNED BY.for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only ADDITION/ALTERATION PERMIT Permit#: 2C — 02.0 2-01 APPLICATION Permit Fee: $ D(:) Town of Qucensbury 742 Bay Road,Queensbury,NY 12804 Invoice It (.(311P:518-761-8256 www.queensbury.net Project Location: - _1 cs-o-z_cc Tax Map ID #:2 1,16 -i-1 Subdivision Name: ECIEBWirtiI CONTACT INFORMATION: lr:11 APR 1 2 2019 1 Applicant: TOWN OF OUEi-.LNSEitin. Name(s): Tracy Taylor SUPtn;l€ "'` ''''' '`' mow........... Mailing Address, C/S/Z: PO Box 1344, Rutland VT 05701 Cell Phone: _(_802 )_770-9527 Land Line: _( N/A Email: ttaylor@killington.com Primary Owner(s): Name(s): Tracy and Justine Taylor Mailing Address, C/S/Z: PO Box 1344, Rutland, VT 05701 Cell Phone: _(_802 770-9527 Land Line: _( N/A Email:ttaylor@killington.com XX 0 Check if all work will be performed by homeowner only Contractor(s): Contact Name(s): Contractor Trade: Mailing Address, C/S/Z: Cell Phone: _( Land Line: _( Email: List all additional contractors on the back of this form Architect(s)/Engineer(s): Business Name:Rice Design Services Contact Name(s): _Mike Rice Mailing Address, C/S/Z: 7 Robin Drive, Warrensburg,NY 12885 Cell Phone: _(_518 932-9951 Land Line: _( Email: _michaelrice27@gmail.com Contact Person for Building & Code Compliance: _Same Cell Phone: _( Land Line: _( Email: Addition/Alteration Application Revised February 2019 w PROJECT INFORMATION: TYPE: Commercial XXsidential WORK CLASS: X 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: 161 SF 2nd floor:_64 SF 2nd floor: 3rd floor: 3rd floor: Basement (habitable space):Basement (habitable space): Total square feet: 64 SF Total square feet: 161 SF ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $_$18,500 2. If Commercial project, what is the proposed use: IX(3. Source of heat: Gas Oil Propane Solar Other Fireplaces need a separate Fuel Burning Appliances & Chimney Application 4. Are there any structures not shown on the plot plan? YES ENO Explain: 5. Are there any easements on the property? YES ENO 6. SITE INFORMATION: a. What is the dimensions or acreage of the parcel? _13,522 SF/.031 Acres b. Is this a corner lot? YES X NO c. Will the grade be changed as a result of the construction? YES ENO d. What is the water source? PUBLIC X PRIVATE WELL e. Is the parcel on SEWER or a PRIVATE SEPTIC system? _Private Septic Addition/Alteration Application Revised February 2019 w DECLARATION: 1. I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 3. I certify that the application, plans and supporting materials are a true and complete statement and/or description of the work proposed, that all work will be performed in accordance with the NYS Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. 4. I acknowledge that .prior to occupying the facilities proposed I, or my agents, will obtain a certificate of occupancy. 5. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above: PRINT NAME: Tracy Taylor DATE: 4/9/2019 Addition/Alteration Application Revised February 2019 FUEL BURNING APPLIANCE & Office'luse Only 1 CHIMNEY APPLICATION Permit#: �c � Permit Fee:$ Town of Qucensbury 742 Bay Road,Queensbury, NY 12804 Invoice#: �O P:518-761-8256 www.gueensbury.net I **ONE APPLICATION PER APPLIANCE** Project Location: i T4"1 us.. Tax Map ID#: Room of install: �� C�./�-i" Planned Install Date: 9 �< FUEL BURNING APPLIANCE INFORMATION: a TYPE OF DEVICE: —Stove —Fireplace Insert —Fireplace rss I' {rl 00 —Fuel Fired Equipment (Garage Only: 18" clearance per IMC 304.3) f �`- v Fireplace,factory built (**Manufacturer's name: k�-V' Model#: �J,,J)C i 4Z-3(c1.LiF-B) SOURCE OF HEAT: / Wood Coal Pellet i, Gas CHIMNEY INFORMATION: Masonry (require plans to be submitted): block brick stone ZIF lue: � —tile steel —size, in inches _Material*: —double-wall —triple-wall--insulated (*Manufacturer's name: 4CW2-T`1J 4 �c*�'�1�� +-►��'�'-v�� Model#: ,byp \JE"ioG SyS S Fuel Burning Appliance&Chimney Application Revised December 2020 1 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): Mailing Address, C/S/Z: -2— l,c--1_t () Cell Phone: S( 02 Land Line: Email: • Primary Owner(s): Name(s): �Arvl Mailing Address, C/S/Z: Cell Phone:_( ) Land Line: _( ) Email: Check if all work will be performed by property owneronly • Installer/Builder: Workers' Comp documentation must be submitted with this application Contact Name(s): Contractor Trade: Mailing Address, C/S/Z: Cell Phone: _( ) Land Line: _( ) Email: Contact Person for any questions regarding this project: Cell Phone: Land Line: �) Email: ADDITIONAL INFORMATION: 1. Two (2) inspections are required. A rough-in inspection, prior to installation and a final inspection, after installation. 2. Manufacturer's installation manual must be available at the time of inspection. 3. Masonry fireplaces & chimneys require plans-to be submitted-. - 4. Twenty-four(24) hour notification is required for inspections. S. Workers'Comp insurance information is required with this application. Declaration: Construction/installation must conform to NYS Fire Prevention & Building Code and/or manufacturer requirements. The applicant or owner agrees to comply with;all applicable laws, ordinances, regulations and all conditions that are part of these requirements and also will allow the inspector to enter the premises to perform the required inspections. I have read and agree to the above: PRINT NAME: ''�h t SIGNATURE: L— _ DATE: Z� Fuel Burning Appliance&Chimney Application Revised December 2020 KYNENE THE EVOLUTION OF INSULATION MSULATION CERTIFICATE i1 his�-Gr(M, rulust Pie fulled out and posted to cofflp)y vath bullidincg code Iregmavempn tz. WIC-ets ORC, fi-Gogeuilremenitsa �00 Opts-4�a 10a. ,Pia a®a.4,G�9a 14Da 2009 DEC-Rl1 O-T.2,MT 10a.4,M11011.8 ®a�u M110a.12 The following spray polyurethane foam product(s)has/have been installed. ❑LD-C-50 ❑LD-R-50 ❑MD-C-200 ❑MD-R-200 ❑MD-11-210 VOther i4fo c Please consult International Building Code(IBC),Chapter 26-Plastic and International Residential Code(IRC)2006 IRC R314,2009 IRC R316,2012 IRC R316-Foam Plastics for specific requirements.The aforementioned Icynene spray polyurethane foam insulation system(s)has/have been installed in accordance with manufacturer's processing guidelines to provide a thermal resistance of: - ATC-a Onsolatcd Aged R-Va oue ThAckatess* Attic Area R- at inches Sloped Ceilings R- LJ at inches Walls(location): l � 0 , � R-® at inches Walls(location): R- at U inches Floors(over an unheated crawl space) R- —� at inches Crawl Space Perimeter R- at inches Basement Walls R- at inches other(location): (}p- —� R- at L +� inches "Nominal thicknesses are representative of field,spray-applied foam material. .lobsite Address ra Date of Insulation Installation Building Contractor Insulation Contractor flo r lv Ll ronttl Insulation Contractor Phone Installed By Lab b bf lR n�n�SULAMOM n M N 1 Please post near electrical panel UZMAN E N G I N E E R I N G June 24, 2019 Rice Design Services 7 Robin Drive Warrensburg, New York 12885 Re: Taylor Residence Addition Dear Mike: have reviewed the plans for the Taylor Addition in Glen Lake, New York to size a beam to open the wall between the existing house and addition. The opening will be 20 foot. To support the loading, a 3 ply 1.75"z11.875" LVL will be required. This will be supported by posts at each end. Additionally, during the excavation of the foundation, it was discovered there was no foundation under the existing wall. A new 10"x20"concrete foundation shall be poured under the existing foundation and extending 12 feet down each side. If you have any questions, please feel free to contact me. Sincerely; e`5�,n;estga�iargq,JrJrr e AIV Zen B. U n, PE, SE, PEng, F.NSPE 'a. .9Ht1itM' Presi ent zeyn@uzmanengineering.com 5cJ0� ,,� 116 E. • Street, . • 00