AST-0786-2021 Office Use Only
ACCESSORY STRUCTURE Permit#: d--'�e)b- ?-tyZ%
�'— PERMIT APPLICATION
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Town ofQuccnsbury Permit Fee:,$r,G G�
742 Bay Road,Queensbury,NY 12804 Invoice#:
P:518-761-8256 www.gueensbury.net Flood Zone? Y Reviewed By:
Project Location: yJ *C—t
� �C.r� d 1,Tax Map ID#:S � Subdivision Name:
PROJECT INFORMATION: D EC E UW IE
TYPE: X, Residential ❑ Commercial, Proposed Use: OCT 20 2021
TOWN OF QUEENSBURY
STRUCTURE: BUILDING&CODES
❑ Boathouse(with or w/o sundeck) ❑ Canopy ❑ Carport ❑ Cell Tower ❑ Deck
Detached Garage(>300 s.f.) ❑ Dock ❑ Gazebo ❑ Pavilion ❑ Pole Barn ❑ Porch ❑ Ramp
❑ Shed(<300 s.f.) ❑ Solar Panels(w/o rafter upgrades) ❑ 3-Season Porch ❑ Other:
SQUARE.FOOTAGE OF STRUCTURE:
1st.floor: 1/ 6
2nd floor:
Total square feet:
Brief description of scope of project:
r? 60- 6,211--;�l IJ-0
f�►'1®l s/71 d P >2 %�.z v� A1/D ®®
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Accessory Structure Application Revised January 2021
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$
2. Are there any structures not shown on the plot plan? ❑YES XNO Explain:
3. Are there any easements on the property? ❑ YES N(NO
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.
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 If,for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of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: 1�ie���e�SC�
C� — +
SIGNATURE: DATE:
Accessory Structure Application Revised January 2021
Y ,
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant: �r
Name(s): v �S
Mailing Address, C/S/Z:
Cell Phone: �a a Land Line:
Email: �d �a$�LI q'�'0.0�• Crp�
Primary Owner(s):
Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
`Check if all work will be performed by property owner only
• Contractors : (List all additional contractors on the back of this form)
Contractor 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:
Contact Person for any questions regarding this project:
Cell Phone: y>/ .�� � 7��/ Land Line: S e�-�/� �7—)
Email: 6�y l.2�
Accessory Structure 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
pbl�' (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 2"d story or 72" above grade
Egress window from basement 5.0 sq. ft.
�Y IN- Floor system sizing per table 502.3.1
MA Residential check ERI or Prescriptive method
Driveway length: 300' or more-12' width required/500' or more, turnaround required
A Foundation drainage on plans, if required
^5 6" drop in 10' exterior grade
L�q- 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
pr Stairway headroom 6'8"; all stairs 36" width
y)JA Stair run and rise
IJ Winder run and rise
.k Spiral stairs meet requirements
gIN'Smoke detectors—battery backup & proper location, interconnected
Bathroom fixtures—proper clearance
A 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: %" 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
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)
44 II 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
1; All paperwork signed
Note on plans energy saving light bulbs 90%
IJ Blower door test agency paperwork
Floodplain Permit required —check map: 2 feet above flood elevation
Hurricane clips required
fl. Floors less than 2 x 10 covered by%" gypsum or 5/8" wood panel
�k 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
fjh 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 October 2021
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