RC-0312-2021 Office Use Only
ADDITION/ALTERATIONPERMIT Permit.#: PC— 0,5I2-- 202-
��'_.�,. APPLICATION Permit Fee:$
Town orQueensbwy
742 Bay Road,Queensbury,NY 12804 Invoice#:
P:518-761-8256 www.gueensbury.net
Flood Zone? Y N Reviewed By:
Project Location: 28 Tuthill Road
Tax Map ID#: 307.-1-19 & 20 Subdivision Name: NA
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: 367 1st floor:
2nd floor: 2nd floor:
3rd floor: 3rd floor:
Basement (habitable space): Basement(habitable space):
Total sq ft: Total sq ft:
Scope of work to be done: New sun roon addition for endless lap pool & hot tub
p � CE E
MAY 0 6 2021
TOWN OF QUEENSBURY
BUILDING&CODES
Addition/Alteration Application Revised January 2021
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ 75,000
2. Source of Heat (circle one): _Gas _Oil _Propane _Solar X Other Unheated
Fireplaces/inserts need a separate Fuel Burning Appliances & Chimney Application
3. Are there any structures not shown on the plot plan? YES X NO Explain:
4. Are there any easements on the property? _YES X NO
SITE INFORMATION:
• Is this a corner lot? _YES _NO
• Will the grade be changed as a result of the construction? _YES xNO
• What is the water source? _PUBLIC XPRIVATE WELL
• What type of wastewater system is on the parcel? _SEWER XPRIVATE 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.
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 If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of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: VV
SIGNATURE: DATE: Z
Addition/Alteration Application Revised January 2021
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): Sereena Coombes
Mailing Address, C/S/Z: 28 Tuthill Road, Queensbury NY 12804
Cell Phone:_�) Land Line: �)
Email:
Primary Owner(s):
Name(s): Sereena Coombes k1p17K V0C-jgL
Mailing Address, C/S/Z: 28 Tuthill Road, Queensbury NY 12804
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):
Contractor Trade: .
Mailing Address, C/S/Z:
Cell Phone: �_) Land Line:
Email:
**Workers' Comp documentation must be submitted with this application**
• Arch itect(s)/Engineer(s):
Business Name: Rucinski Hall Architecture
Contact Name(s): Ethan P. Hall'
Mailing Address, C/S/Z: 134 Dix Ave, Glens Falls NY 12801
Cell Phone: ( 518 )260-2888 Land Line: ( 518 )741-0268
Email: epha„@nyca, rr com
Contact Person for Compliance in regards to this project: Ethan P. Hall'
Cell Phone: ( 518 )260-2888 Land Line: ( 518 )741-0268
Email: ephall@nycap.rr.com
Addition/Alteration Application Revised January 2021
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contractor Name(s): Bpn,15w,N CprR,��'w�C��� LAX,
Contractor Trade: Y 1&L
Mailing Address, C/S/Z: It* Sou-Xupav �, j,r41G�L�aQL`T�� tom/ 12$�5
Cell Phone: Land Line:
Email: SI$ o- qIe 10g1 St$°Cp3(dSloSq
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contractor Name(s):
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contractor Name(s):
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contractor Name(s):
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone: Land Line:
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contractor Name(s):
Contractor Trade:
Mailing Address, C/S/Z:
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 engineerin 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
Light and vent room schedule
/� Window schedule with glass size & main doors/Air leakage < .5 cfm for doors, < .3 cfm for
k!-/ windows/Tempered glass in bathrooms
Door schedule/Main entrance 36" door 15-e-1 --
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 20 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
f 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
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
hApir Winder run and rise
Spiral stairs meet requirements
J - Smoke detectors—battery backup & proper location, interconnected
Heat detectors in attached garages—as of 4/1/2021
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: %" gable end/5/8" under living space &%" 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)
Garage floor sloped
Attic access: gasket seal & R-value equal to roof insulation
f� Roof over 30"—22" x 30"/Crawl spaces 18" x 24" access
�) Carbon Monoxide detector outside lowest sleeping area, on every level & interconnected
l 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
A- Separate room for draft HVAC or hot water heater with fresh air
HRV shown and calculations
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
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 2021