AST-0708-2021 Office Use Only
ACCESSORY STRUCTURE Permit#:- 46T-
-raW11 ofCZcbuiy PERMIT APPLICATION Permit Fee: $ 0 "
742 Bay Road,Queensbury,NY 12804 Invoice#: 1
P:518-761-8256 www.gueensbury.net
Flood Zone? Y Reviewed By(�- ���'�y l
Project Location:,Mj VIOVWT PATA. , /-PP dF 17f& Wo" VA(jr49
Tax Map ID#: �15� ?Jq , — Subdivision Name:
PROJECT (INFORMATION:
TYPE: 11 Residential ❑ Commercial, Proposed Use:
STRUCTURE: �/
❑ Boathouse (with or w/o sundeck) ❑ Canopy El Carport ElIYJ 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:
2"d floor: A.7t) S�
Total square feet: g. o SVr D V
SEP 1 y 2021
Brief description of scope of project: T W/V 01,Q DING�ENSS
URY
1eMOV,kL OF CxtSDIN( 'P�t►c-/ Fi2+ Yt r/l6-. OODEs
)NS- NEW FeWl A Deciu N&s At4o 'ZMu n1(n's.
SUPPORT w&nl13&2s PG2 kmr HTW PoAAS.
Accessory Structure Application Revised January 2021
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ I a i oco
2. Are there any structures not shown on the plot plan? ❑YES INC) Explain:
3. Are there any easements on the property? ❑ YES EX
DECLARATION:
I. 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 If, for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of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. V
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:
SIGNATURE: DATE: 1 of a
Accessory Structure Application Revised January 2021
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): t4&&TFf�L1J
Mailing Address, C/S/Z __2>3ATNE _ VOW 1�60-TOzS C6f4AJP .S NY 1V��
Cell Phone: (51S) 79(o-toV1q Land Line: NIA
Email: nde rw el(04he✓n (b"
• Primary Owner(s):
Name(s): STC-vT: 1 NEu.S ' ^,'�--
Mailing Address, C/S/Z: L{qt 1GIG�Q{ZI IY�IIN• iU. Vm Ir J9 kE, C-�0+�
Cell Phone:OW083-P.:791 Land Line: N
Email: 0I,t
❑ Check if all work will be.performed by property owner only
Contractor(s): (List all additional contractors on the back of this form_)
Contractor Name(s): NbrL--rr)erJ 13U1LD&Z_c_
Contractor Trade: 13VIL,06yZ.JC6Ni12ACT09
Mailing Address, C/S/Z: 33 ATWaJ-- OA-Oi POe z(_6kNazS
Cell Phone 7477(D -(AA4 Land Line: IgrA-
Email: rl&kno@ f{'�'LEVn�Id.C(�171
"Workers' Comp documentation must be submitted with this application"
C_O 5 AdIC-1
Arch itects)/Engineer(s):
Business Name: C J&4NE&?Jn1G A-MEtICA C3UAAPAIQq
Contact Name(s): � e6c V/ASc 5\1r_1 1C_
Mailing Address, C/S/Z: 7(o WASMAICsr M 5T. S/449;M6A SPQ-10 &S
Cell Phone: NIA Land Line: Gl 5�7- 1340
Email: 1,coqe-yas VA O.Coin
Contact Person for any questions regarding this project:
Cell Phone: (5-(&)-JqV ,o(,�4 Land Line: �4
Email: ( .t'►l�lU� (LOYAlWA Coe>'1
Accessory Structure Application Revised January 2021
TOW ROA ARCHITECTURAL CONTROL FORM
Date Submitting: 8/31/2021 Estimated Start Date 9/21/21
Name Steven Wells Date 8/31/21
Name Steven Wells Estimated Completion Date 10/15/21
TOW Addres-`PMOW Email Address Steve@mackfire.com
Phone# 860-863-2787 Alternate Phone#
DESCRIPTION OF MODIFICATION Please provide a brief description of modification, and
attach/include drawings, exterior elevations, floor plan, and detail of materials to be used, pictures,
catalog pictures, brochures and color samples.
Replacement and extension of upper deck per attached plans. Saddle colored Trex Select decking will be utilized with a Keyl_ink-
American series cable rail system supported by Kona color posts and rails. Colors match existing colors used on other TOW projects.
Please submit a site plan showing the exact location of modification being requested in relation to your
home and property lines. Existing decks, walkways, driveways, etc., should also be indicated.A copy
of the land survey is acceptable.
I have discussed this modification with my neighbors who will be directly impacted by the proposed
modification.DYes Q Noaw
Steven Wells�� 0. •» ¢
Signature of Owner
Submit request either by emailing to the PM(propertymanager.tow@gmail.com) or mailing to Top of
the World Homeowners' Association,Attn:Architectural Committee, 441 Lockhart Mtn. Rd., Site 2,
Box 47, Lake George,,NY 12845
Date received by Architectural Committee
Date of reply by Architectural Committee
Sign for Architectural Committee:
❑Approved ❑Not Approved- Approved ith_Conditions
COMMENTS:
All work is to be completed in a professional manner in compliance with all applicable building codes
and the TOWHOA published standards. All work shall be subject to inspection and coordination with
the TOWHOA Property Manager and local building officials if applicable. If making exterior siding
repairs, the Property Manager shall be notified once.the damaged wood is removed to inspect the
sheathing and framing before replacement of materials.
-I It nit _
-- BUILDING
DIN&N89URY
U
Deck and Roof Design checklist
IC-3 Is deck freestanding o attached
Footing"-� c ?y�t�
n/A Sono tubes sized for posts 4x4 8" 6x6 12"
I Ll Sig foot or footing for roof load
Proper attachment to post and footing shown
Proper flashing or waterproofing to structure shown
[t- /Attachment to structure shown on plans
Galvanized or stainless steel bolts shown NO ZINC COATED
N Hex headed bolts NO CARRIAGE BOLTS
Diagonal bracing shown for deck over 24"
I� Floor joists parallel to carrying beams
*Deck post to beam attachment shown
NIA Over 30" requires handrail
Over 30" requires guards
lbOver 30" requires guards @ 34" to 38" in height and handrails @ 34"-38"
Revised 4/15/2021