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AST-0199-2023
Office Use Only - ACCESSORY STRUCTURE Permit#: -SST— 0\Cel - 2.023 Town ofi c eb y PERMIT APPLICATION Permit Fee:$ )4 742 Bay Road,Queensbury,NY 12804 Invoice#: to.0 55 P:518-761-8256 www.queensbury.net Flood Zone? Y6) Reviewed B• Project Location: 441 lockhart mountain rd unit 20 top of the world, lake george Tax Map ID#: 2552.47-1-2 Subdivision N nae: PROJECT INFORMATION: TYPE: ® Residential ❑ Commercial, Proposed Use: STRUCTURE: U� Ir� �jIV� ❑ 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: 1 • SQUARE FOOTAGE OF STRUCTURE: 1st floor ` • 2"d floor Total square fee S Brief description of scope of project: Remove 2nd floor deck and rebuild with new material specified by architect. Install new cable railings on first and second floor deck. When work begins we will review a privacy wall that may have to have studs replaced. Replace cedar siding on both walls that will be affected during deck build Accessory Structure Application Revised June 2022 ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction:$ 14000 2. Are there any structures not shown on the plot plan? ❑ YES ® NO Explain: 3. Are there any easements on the property? ❑ YES © NO . 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 If,for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of Queensbury.After 1 year from the initial application date, 100%of the fee is retained. 3. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 4. I 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. I acknowledge that prior to'occupying the facilities proposed I, or my agents, will obtain a certificate of f occupancy. 6. I 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: Steven Madonna SIGNATURE: DATE: y2��- Accessory Structure Application - - Revised June 2022 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): madonna property management/Steven madonna Mailing Address, C/S/Z: 4 Beverly Drive North haven, ct 06473 Cell Phone: 203-996-3975 Land Line: Email: madonna.steven@gmail.com • Primary Owner(s): Name(s): steven madonna/christina madonna Mailing Address, C/S/Z: 4 bevelry drive north haven,ct 06473 Cell Phone: 203-996-3975 Land Line: Email: madonna.steven@gmail.com ® 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): Madonna Property Management Contractor Trade: general contracting Mailing Address, C/S/Z: 4 beverly dr, ,north haven ct 06473 Cell Phone: 203-996-3975 Land Line: Email: madonna.steven@gmail.com **Workers' Comp documentation must be submitted with this application** • Architect(s)/Engineer(s): Business Name: engineering america company Contact Name(s): george yasenchak Mailing Address, C/S/Z: 76 washington st saratoga springs ny 12866 Cell Phone: Land Line: 518-587-1340 Email: georgeyas3@yahoo.com Contact Person for any questions regarding this project: steven madonna Cell Phone: 203-996-3975 Land Line: Email: madonna.steven@gmail.com Accessory Structure Application Revised June 2022 . : Deck aDesign nd. Roof checklist Is deck freestanding or ttached . Footing Sono tubes sized forposts " 4x4 6x6 12 . Big foot or footing for roof load Proper attachment to post and footing shown Proper flashing or waterproofing to structure shown Attachment to structure shown on plans Galvanized or stainless steel bolts shown NO ZINC COATED Hex headed bolts NO CARRIAGE BOLTS . W) iiagonal bracing shown for deck over 24" Floor joists parallel to carrying beams Deck post to beam attachment shown Over 30" requires handrail Over 30" requires guards Over 30" requires guards @ 34" to 38" in height and handrails @ 34"-38" Revised 4/15/2021 : ._ JENGINEERING AMERIv v _ 8 Fielding Street Glens Falls, NY 12801 518-615-0201 Georgeyas3 yahoo.com February 5, 2024 Mr. John O'Brien Building Inspector Town of Queensbury, NY Re: As Built Report Unit 20 Deck Top of the World Dear Mr. O'Brien: This letter will serve to state that Unit 20 deck repair/replacement plans were prepared by me or by someone under my supervision. The deck construction was observed by me or someone under my direction during construction, and the deck was completed in substantial compliance with the drawings provided to the Town of Queensbury, NY, and any changes during construction were discussed between the Contractor and myself and approved by me prior to being implemented. If you have any questions give me a call. Sincerely George Yasenchak, PEi, Cc: R. Waugh—ToW N. Denno—Northern Builders