RC-0305-2021 2-1
Office Use Onlv
ADDITION/ALTERATION PERMIT Permit#: f 4--BIOS— 20 2-
APPLICATION Permit Fee:$ 2110 r
742 Bay Road,Queensbury,NY 12804
Invoice#:
P:518-761-8256 www.gueensbury.net
Flood Zone? Y OReviewed By:
Project Location: I Z(Zear AjM�a, qove'KSW�
Tax Map ID #: C` 1 _ -48 Subdivision Name: --'
PROJECT INFORMATION:
TYPE: '� Residential` Commercial, Proposed Use:
Single-Family _Two-Family _Multi-Family (#of units ) —Townhouse
Business Office _Retail _Industrial/Warehouse V/Garage (#of cars 2. )
_Other (describe )
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: V`^R-CO- 't 9- IO 1st floor:
2nd floor: 2nd floor:
3rd floor: 3rd floor:
Basement (habitable space): Basement (habitable space):
Total sq ft:30 (oOu s Total sq ft:
Scope of work to be done: —C
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Addition/Alteration Application Revised January 2021
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $
2. Source of Heat (circle one):_Gas _Oil _Propane _Solar_Other poi
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? AYES NO
SITE INFORMATION:
• Is this a corner lot? '� YES NO
• Will the grade be changed as a result of the construction? _YES ✓NO
• What is the water source? PUBLIC )( 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 If,for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of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. Ifthework 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: IAuv gee-f-U)q_(ttc-
SIGNATURE: DATE: Z�
Addition/Alteration Application Revised January 2021
CONTACT INFORMATION: PLEASE PRINT LEGIBLY C+R TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): YGY � �
Mailing Address, C/S/Z: U \2-
4�J,
Cell Phone: Land Line: � )
Email: w b3 cyY,c,►�.Go►�-�
• Primary Owner(s):
Name(s): CLS t c.e�r
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): k
Contractor Trade: ;'- �: C A
Mailing Address, C/S/Z: a. v?
Cell Phone: Land Line: S7 Q ) - D$
Email: -aroAc�L►nov-Y- 4► k U biV'2• &o w,
"Workers' Comp documentation must be submitted with this application**)v-
• Architect En ineer s :
Busin a e5-7
: o
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line: �)
Email:
Contact Person for Compliance in regards to this project: "pNicisnr
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
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
J� Light and vent room schedule
Window schedule with glass size & main doors/Air leakage < .5 cfm for doors, < .3 cfm for
►J-//hr windows/Tempered glass in bathrooms
,J Door schedule/Main entrance 36" door
Emergency Escape or Bedrooms & Habitable Space
Above-grade: 5.7 sq. ft.
n 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
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
,j Foundation drainage on plans, if required
6" drop in 10' exterior grade
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
14 Stairway headroom 6'8"; all stairs 36" width
rJ A Stair run and rise
Winder run and rise
j Spiral stairs meet requirements
►j fv Smoke detectors—battery backup & proper location, interconnected
Heat detectors in attached garages—as of 4/1/2021
1 Bathroom fixtures—proper clearance
„/ Hall width-36" width
JA 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: %" gable end/5/8" under living space &Y2" on walls/20 min. door
and closer
Residential Plan Review Revised March 2021
Residential Plan Review: 1- and 2- Family Dwellings
Y/N/NA (2 of 2)
�-e S Garage floor sloped
Attic access: gasket seal & R-value equal to roof insulation
nj A Roof over 30" —22" x 30"/Crawl spaces 18" x 24" access
Carbon Monoxide detector outside lowest sleeping area, on every level & interconnected
r-� within 15' of sleeping area
>J A . 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
-�s 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
Baffles at eaves for insulations and knee walls
t j Makeup air for range hood >400 cfm Sl —
.�. Continuous header for garage doors to end wall/3" nailink p tern/strapping
Chimney rain cap shown for fireplaces
"Al � Deck hold down shown not less than 4 lags and bolts per tab 507.2
Residential Plan Review Revised March 2021