RC-0517-2021 Office Use Only
ADDITION/ALTERATION PERMIT Permit#: C— 051'�- • L O 21
' APPLICATION Permit Fee: $ 2 2 a
Town of Qgeensbury
742 Bay Road,Queensbury;NY 12804 Invoice#:
P:518-761-8256 www.gueensbury.net
Flood Zone? Y N Reviewed By:.
Project Location: 2?j GC./� &E
Tax Map ID#: Z��I .15 , 2 . Z Subdivision Name:
PROJECT INFORMATION:
TYPE: Residential Commercial,-Proposed Use:
VSin le-Famil Two-Famil 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: 2"d floor:
3rd floor: 3rd floor:
Basement (habitable space): Basement (habitable space):
Total sq-ft: Total sq ft:
Scope of work to be done:
JUL 06
f r BU'L®liVG&�ENSSuaR '
caD'Es
Addition/Alteration Application Revised January 2021
ADDITIONAL PROJECT INFORMATION:
1. ':Estimated Cost of Construction: $-� T �®
2. Source of Heat (circle one): _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 _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 NO ,
r
• What is the water source? _ PUBLIC _PRIVATE WELL b f vvfo
What type,of wastewater system is on the parcel? _SEWER _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.
Z.- If,for any reason,the building permit-application is withdrawn, 30%of the fee is retained by the Town of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 priorto issuance of a certificate of occupancy.
I have read and agree to the above:
PRINT NAME:
SIGNATURE: DATE: bg
c�-
Mk�►ael .
Director of FWN 01PO .
Adirondack 8asaMGM
51a-371-Mi
Addition/Alteration Application Revised January 2021
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• A�Dlicant;
Name(AAA f—
Mailing.Address, C/S/Z:
Cell Phone: ) Land Line:
Email: Cdl�
• Primar Owners :
Name(s) MA V1
Mailing Address, C/S/Z: 3_ . k V- C.7 t
Cell Phone: Land Line: —
Email:-
El 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**
• Arch itect(s)/Eneineer(s):
Business Name:
Contact Name(s):
-Mailing;Address, C/S/Z:_
Cell Phone: �_) Land Line:
Email:
Y
Contact Person for Compliance in regards to this project: �1
Cell"Phone: Land Line:
Email:
Addition/Alteration Application Revised January 2021
Residential Plan Review: 1- and 2- Family Dwellings
Y/N/NA (1 of 2)
`( . Two (2)full sets of plans
jJtiA, 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
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.
JV Grade: 5.0 sq. ft.
24" (h)x 20" (w) minimum
44" maximum height above door
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
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 a 'Ly�p.w WJ04,
6" drop in 10' exterior grade ,r:Xl%W&—
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
A Platforms at exterior doors
[A Stairway headroom 6'8"; all stairs 36" width
IV a 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
t� Railing &guards >30"/basement stairs included/closed risers more than 4" in height
r� 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
f�
-1
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
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
Hurricane clips required
yJ Floors less than 2 x 10 covered by%" gypsum or 5/8" wood panel
f1 bk- Manuals S &J required for heating system. Cold air return hard piped
Separate room for draft HVAC or hot water heater with fresh air
/J HRV shown and calculations
Baffles at eaves for insulations and knee walls
/l1 Makeup air for range hood >400 cfm
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 March 2018
_1
289.15-124.2 AST 0517-2021
Grant, Jean
23 Cedar Ct
Egress Window aC� Y '
FILE
EGRESS MEASUREMENT SHEEN'
g �� � WINDOW SIZE:
L�
C Q [ LIDER STANDARD
48"x48"
LJUL 0 6 29,�
INSWING STOCK SIZES
28"x46", 31"x41`; 35:51Ix36"
TOWN OF QUEENSBURY
BUILDING& CODES WINDOW SIZE
.
D WX H
E
f
Standard 7"
Header f
B. ? tf
B —
u jW 42r
` b f9
Standard 57" t- TOWN OF QUEENSBURY +12
A i BUILDING & CODES DEFT:
u !_Reviewe By:
Date: ' ,- CHART FOR EGRESS SIZING
' E IS-HEIGHT WINDOW TOP
NEEDS.TO BE LOWERED FOR
CEILING OR HEADER'ETC
C SCAPEWEL: 42"or 54"wide /
" 4048-XX 40" max window width- l
4862-XX-54" 36" &48'
<44"tt
ELITE ROCKWELL: 66"wide
Small size 1-48" max window wwidth=60"
Medium size.2-60"
Large size 3-72"
CUSTOM WINDOWS NEED SEPARATE PRICING
t _
TOWN OF QUEENSBURY
BUILDING DEPARTMENT
Tie Into Tie.lnto Based on our limited examination,compliance
Interior Exterior with our comments shall not be construed as
Drainage Drainage indicating.the plans and specifications are in
full compliance with the Building Codes of
New York State.
csr am address date
freroA_
r R
. i
Prepared by: Prepared tor.
q7�t+ Bill Seabridge Jean Grant
Ild"ti'Lalc.®asmak' C 518-441.3038 ieananne421C-0wtmail.com
_ �__„s,; _ bitfLadirotxlackbasement.com C 518.798-8291
Ausmtr� genrsdalttn S1acF�tlsta° Adirand 3ck Ba_entt:nt Sysients P 518.796=1934
vrvnrr.adirondackhasement.cam Job location:
TF 800-752.5807 23 Cedar Ct,
O 518-371.9621 Queensbury.NY 12804
F 518-371-5888
Prepared on:
6-21-21
Product List
ERtess\;irCwaWelS,Rr nt» ERr SCoNer,Py,�rrL_rMedium f FruridationCut:4i Pauretl 1
Al,.K)n!m
Et;rr-ssWimvwE>xavitirni.NO 1 ri"two ExleiineDraui:rg;: VAruinsv.lnr._;•a 7
htirt�-etxervttstr access
Project Summary _
Acid Means of Egress
Customer Consent
Any alteratibn from tine above specif irations and corre�pcinding price adjustment fit necessary).vAll he made only at fly-Custntth;r'c request or anprovat,
Con pletin;the work in this Proposal at the time scheduled is contingent upon accidents or delays beyond atir cont rot.This Proposal is based primarily on
the Customer's desrriptfon of the problem.This Proposal may hewithdrawn if not accepted by the Gmainer:within 30 days.
Authorized Signature Date
Arcuptance of Contract--1,31W ve are aware of and agree to the contents of this Proposal,tilt°attached Job Detail sheet(s).and the attached Limited
Warranty,(together.the"Contrart").You are authorised to do the work as specified in the Contract.11vve vrill make the paym•.nt set forth in this Contract
al the time the project is completed.itwe will pay your service charge of 11-1/3:5 per month(161A per annum)if my/our account is 30 days or more past due.
plus your Alorney's fees and costs to collect and enforce this Contract. 1 t
Customer Signature L LE^ Dale c %�.-.
Customer has received a cnoyof the^Rt:'air Science"bovk_ Initial
A full perimeter system has teen recomatearied Initial
Adirondack Basement Systems Job location Page 1/6
4 Jones Rd Halfrttohn NY 12065 23 Cedar Ct,Queensbury NY 12804 6-21-21(2)
of 6 6/22/2021. 1:35 PB
Job Details
walkway >�
LX
Type of W211 Poured Concrete
Existing Wall Finish ........ . ... Plain
Existing Floor finish Concrete
Adirondack Basement Systems Job Location Page 216
a Jones Rd Halfrmaon NY 12065 23 Cedar Ct.Queensbury MY 12804 6-21=21(2)
.�F 612212021. 1:35 P3
EGRESS WORKSHEET
• IDENTIFY WHERE.ALL UTILITIES ENTER THE HOME AND WHERE
THEY RUN UNDERGROUND
MEASURE AND MARK THE DISTANCE FROM THE EGRESS TO THE
PROPERTY LINE
• DOES THE GRADE FALL AWAY FROM THE HOUSE WHERE THE
EGRESS IS GOING?
• IS THERE PROPER CLEARANCE FOR THE EQUIPMENT NEEDED? 4-VO
• WHAT IS.THE TYPE OF SOIL? S
• ARE THEREFOOTER DRAINS? '��'�'
• IS THE CUSTOMER KEEPING THE REMAINING,S^QIL? ko
• IS THE BASEMENT CURRENTLY FINISHED? la,
• IS THERE WATER AND ELECTRICITY AVAILABLE?
• IS T ERE LANDSCAPING OR EQUIPMENT IN THE WAY? C.t 05
cv r-j 4-A10-- Vt:--
40
Front of house
csr name address date
I.AAwr Qvg=ms 61*y lj.y
• Job Worksheet Customer's Name
Worksheet only.This is nc,t a proposal
INSPECTION CHECKLIST .t/1 �� �� SeAG(/fJ�V• -
❑ Gather Information on Tour -
❑ Generate Initial Drawing
❑ Placement of Obstructions
❑ Pictures
❑ Solve the Mystery
❑ Show Your Findings
FOUNOATION REPAIR INSPECTION
Exterior
i
Roof Type:
Exterior Wall Type:
I
Foundation
Wall Type:
i Wail Height:
Unbalanced Fill:
Span to I nterior Support:
Joist
Joist Direction: N/S E/W
Joist Depth: b" $" 10" 12" t _
Ht.Soil/Floor to Floor Joist: \ `�
CONCRETE REPAIR INSPECTION -
Area 1:
x x L/S
Area 2:
x x US
Area 3:
{ x x US �.
V1 Area 4: �.
I x x L1S -3 9 .S l
Area 5:
x x L/S .
Crack Repair:
Joint Sealant:
jCPS Front: Back:
Compression Guard:
i
CUSTOMER WHY
Maintain Property Value.
Improve Quality of Life:
Restore Peace of Mind:
FILE COPY
EGRESS WORKSHEET
• IDENTIFY WHERE ALL UTILITIES ENTER THE HOME AND WHERE
THEY RUN UNDERGROUND
• MEASURE AND MARK THE DISTANCE FROM THE EGRESS TO THE
PROPERTY LINE
• DOES THE GRADE FALL AWAY FROM THE HOUSE WHERE THE
EGRESS IS GOING? Levc:L--
• IS THERE PROPER CLEARANCE FOR THE EQUIPMENT NEEDED?
• WHAT IS THE TYPE OF SOIL? Spa
• ARE THERE FOOTER DRAINS?
• IS THE CUSTOMER KEEPING THE REMAINING,S IL? to
• IS THE BASEMENT CURRENTLY FINISHED? t�&
• IS THERE WATER AND ELECTRICITY AVAILABLE? ' `Ze�
• IS THERE LANDSCAPING OR EQUIPMENT IN THE WAY? tides
t
I
4o
I
Front of house
csr name address date
bad QvexAs 41** til-
: -• .Basemen��
Job Work SheetCustomer Name: ���(� Ll�I! �U
Work Sheet only. This is not a Proposal.
SYSTEM FEATURES:
WaterGuard' L
TrenchDrain" � �I � tl
V
TripleSafe"
SuperSump•"
UltraSumpO
IceGuard!
t%i'Pipe
LawnScape"Outlet
RainChute V
DryTrakz
FloodRingb
+ FloodChek"
1 WellDuctJ
EverLast"Windows
I
cHou `"eWindow
Enclosures
es
ThermalDW Flooring �fJ�
MillCreek'"Flooring / /J► "
t
r
Basement Wall Systems
yma.r
SaniDry"
FlexiSpan'
r
CleanSpace'
HeatBlock"
TerraBlock"
Turtl"
Customer Accomplish List:
(2)
n t:':cp[?n .-d1 thv Iinrc
(3) l.)l -Tb
(4)
(5)
"—• — ----- — i't+�"1.1�'Ali lt:i 11�•(•Ic,�!I n L'
(8)
(9)
(10)_ Total Customer Investment
Co�;rigffl 3asemegt Systems(nc.20': f';hl=t :1}
• JNS tint=