RC-0100-2021 Office Use Only
ADDITION/ALTERATION PERMIT Permit#: QC - 6100 ' ?AZ)
APPLICATION permit Fee:$ 220 —"
Town of Queensbury
742 Bay Road,Queensbury,NY 12804
Invoice#:
P:518-761-8256 www.clueensbury.net
Flood Zone? Y N Reviewed By:
Project Location: 51 -PAEVINJ C,yri-T
Tax Map ID #: —I-C:> Subdivision Name: �l tl.l-i4G-1�. 'k-F s err, �.
PROJECT INFORMATION:
TYPE: X 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:
2nd floor: 2nd floor:
3rd floor: 3rd floor:
Basement (habitable space): Basement (habitable space): S9 D
Total sq ft: Total sq ft:
Scope of work to be done:
MAR ®8 2821
T BUILDO NGUEEiVSBU
&.CODESRY
Addition/Alteration Application Revised January 2021
1 -
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $
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_ :
e Is this a corner lot? YES x NO
e Will the grade be changed as a result of the construction? _YES X NO
e What is the water source? X PUBLIC _PRIVATE WELL .
e What type of wastewater system is on the parcel? SEWER _PRIVATE SEPTIC
DECLARATION:
L- 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 If,for any reason;the building permit application is withdrawn, 30%of the fee is retained by the Town of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 thework 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 I, or,my agents, will obtain a certificate of
occupancy.
6. 1 also understand that-1/we are required to provide an as-built survey by 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:
Addition/Alteration Application Revised January 2021
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• A licant:
Name(s): �—ZIZoA/t_ ' Co&Ls"{YI:IALDZW
Mailing Address, C/S/Z: 1 -Fb2'T- k) ZLt
Cell Phone: IT) }. S(P 1 - Ce 331 Land Line: (Si e ) 4 Bo -'7-7.s--6
Email: (g C:. (Z C=AAt4-1 t_ CcW
• 'Primary owner(s):
Name(s): ELLED0 1 c,
Mailing Address,.C/S/Z: 5q 1>rGll1N' 6-0ow-T
Cell Phone: ( V45 ) ZSq 511-7 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)/Engineeds):
Business Name: ILA-*i i=L Val, 7,%4- Mi p. E
Contact Name(s): -Doti,2 :�J&LJ
Mailing Address, C/S/Z: 7. 0. 3ov Sn la (a(jEn 5 2uS lV�_ 12 o I
Cell Phone:_) Land Line: ( St% 799 - 1521e4
Email: t>1?_q A,A1 _ 1l W R-P E ccim
Contact Person for Compliance in regards to this project: t___
Cell Phone: ( 5tjb Cp 33 I Land Line: ( )
Email: �'�- �NL. BJi�flc+2-S INCH INAk . _ COM
Addition/Alteration Application, _ Revised January 2021
Residential Plan Review: I- and 2m Family Dwellings
Y/N/NA In (1 of 2)
Two @ full sets of plans
Over ,500 sq. ft. requires engineering stamp
Design loads on plans: 115 Wind Floor Loads 40 psf
W l� (North of Rte. 149 60) 50 Ground Snow Load Sleeping Areas &Attics 30 psf
Calculations Decks 40 psf
Wind design for lake front properties
Light and vent room schedule
N 1fJ Window schedule with glass size & main doors/Air leakage < .5 cfm for doors, < .3 cfm for
N I 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.
— Floor system sizing per table 502.3.1
Residential check ERI or Prescriptive method
A All foam plastic on foundation &crawl space covered by 15 minute thermal barrier
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
r�V 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
Platforms at exterior doors
Stairway headroom 6'8"; all stairs 36" width
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
Railing &guards > 30"/basement stairs included/closed risers more than 4" in height
Safety glazing notes for required areas
Garage fire separation: W gable end/5/8" under living space &W on walls/20 min. door
and closer
Garage floor sloped
Residential Plan Review Revised August 2020
Residential Plan Review: I- and 2® Family Dwellings
K 4- Attic access: gasket seal & R-value equal to roof insulation
uIA Roof over 30"—22" x 30"/Crawl spaces 18" x 24" access
Y/N/NA (2 of 2)
ll Carbon Monoxide detector outside lowest sleeping area, on every level & interconnected
N 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
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
Separate room for draft HVAC or hot water heater with fresh air
HRV shown and calculations
pJ Baffles at eaves for insulations and knee walls
Makeup air for range hood >400 cfm
Continuous header for garage doors to end wall/3" nailing pattern/strapping
d 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 August 2020
RX Date/Time 06/0812021 13:28 15162731202 P.003
Jun, 8. 2021N 1 :06P MDIR No, 6893 P. 3/4
MIDDLE DEPARTm NT INSPECTION A.GENCYp INC.
W-40Z&that the electrical wiring to the e I ctrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following onditions.
Owner: Cerrone Bldrs Date:
05/25/2021
Occupant: Locatio
Basement T9 Davin Ct-
Occupanc�Ingle Family Dwg. Queensbury,Warren Co. NY
Applicant: �
Cerrone Builders ;
Gianni Cerrone
1589 Rt 9 :.
L Fort Edward, NY 12828 .J
Joseph A.Holmes �C, +D loo - Z 1
No. _145314160242EL
Equipment:
5-Switches; 14-Receptacles; 10-Fixture's;"2-Sm ke Detector, 1'-Arc Fault Breake 2
EQV �
JUN 0 9 2021
`...' . . .. TOWN-OF QUEENSBURY
BUILDING&CODES
This certificate applies to the electrical wiring to the electrical equipm nt listed immediately null and void. This certificate applies only to the use.occupancy and
above and the installation inspected as of Me above noted date based a visual ownership as indicated harem. Upon a change in the use,occupancy or ownership
inspection. No warranty is expressed or implied as to the mechanical sty,effi- of the property indicated above,this certificate shall be immediately null and void,
ciency or fitness of the equipment for any particular purpose. This ce ' to shall In the event that this certificate becomes invalid based upon the above conditions,
be valid for a period of one year from the above noted date. Should th lectriasl this certificate may be revalidated upon reinspection by Mlddte Department
system to which this certificate applies be altered in any way,including b I not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle
ed to,the introduction of additional electrical equipment andlor the rep, ..'it of Department inspection Agency, Inc.to initiate the inspection and revalidation
any of the components Installed as of the above noted date,this certific4 shall be process. A fee will be charged for fhis service.
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