RC-000599-2016 TOWN OF QUEENSBURY
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Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: RC-000599-2016 Date Issued: Wednesday,November 2, 2016
This is to certify that work requested to be done as shown by Permit Number RC-000599-2016
has been completed.
Tax Map Number: 226.19-1-33
Location: 6 PINE TREE LN
Owner: Gregory Bodenhom
Applicant: New England Structural
This structure may be occupied as a: Residential Alterations
install piers under cottage 1,302 sq.ft. By Order of Town Board
TOWN OF QUEENSBU,RggY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance,or other issues and conditions as a result of approvals by the
Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000599-2016
Tax Map No: 226.19-1-33
Permission is hereby granted to: New England Structural
For property located at: 6 PINE TREE LN
In the Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Tvceof Construction
Owner Name: Gregory Bodenhom Single Family-Alteration $0.00
Owner Address: 6 North 4th ST Total Value $0.00
New Hyde Park,NY 11040
Contractor or Builder's Name/Address Electrical Inspection Agency
New England Structural
285 W.Circular ST
Saratoga Springs,NY 12866
Plans&Specifications
Residential Alterations
install piers under cottage 1,302 sq.ft.
$195.30 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,October 5,2017
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town ueens n /J We e da r 5,2016
SIGNED BY: (.4igA('/ /al for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL Sl'R DatC'1;URI, APPLICATION Office Use Only
e: ' / / �+ PC Sq4-aol(0
Permit No.
Tax Map ID o2 �- /-33 Permit Fee
Zone Historic? _Yes /No Rec Fee
Subdivision Name Lot# Site Plan#
/p�
Project Location �c �1 , Lyke &WrV_ Subdivision#
TOWN BD.RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family,duplexes/two-family, multiple family,
apartments,condominiums,townhouses,and/or manufactured&modular homes, but not mobile homes. This is in addition to the
permit fee(s).
Primary Owner(s) P'br MI 5
C G D��h 0
Address t� T+`tc.
Phone/Email 579 0-6 - W2 3 o/ SUS S6 y5
Applicant L k y1c"vQ C`7
J p`ih fD.�
Address 7-Y -n T /a b
Phone/Email
Contractor
Address 1 k9 Li St A11M fi S 5 n 6
Phone/Email co
Contact Person for Building& Codes Compliance: Phone
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration I"floor sf 2°d floor sf Total sf Height
Single Family "W'31
` / �
Two-Family VAdef
Multi-Family
(#of units_)
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garage
(1, 2, 3, 4+)
Other
Town of Queensbury Building&Codes Principal Structure Application revised January 2016
If.commercial or industrial please indicate name of business
Proposed use of building or addition
Source of Heat(circle one) Gas Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances & Chimneys
Are there structures not shown on plot plan?
Are there easements on the property?
Site Information:
a. Dimensions or acreage of lot
b. Is this a corner lot? _Yes _ o
c. Will the grade be changed as a result of construction _Yes _No
d. Public water or Private well(circle one) Public Private .W
e. Sewer or Private Septic System (circle one) Sewer Private X
Value of all work to be performed (labor or materials) $ / 'd' oo d
DECLARATION.
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. If work is not complete by the I year expiration date the permit may be renewed, subject to fees and
department approval.
3. I certify that the application, plans and supporting materials are a true and complete statement /
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
4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate
of occupancy.
5. 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: DATE:
SIGNATURE: (/! DATE: Q ? d
For office use only
Operating Permit Issued: _Yes —No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
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ENGINEERING SERVICES
Mr. & Mrs. Bodenhorn
6 Pine Tree Lane
Lake George, N.Y. 12845
Scope of work and mise. instaffation detafs
Scope of work:
• hstaKconcrete piers under cottage
• Install 4(Width) 2x8 carrier beams under main'cottage
• Re-support existing floor frame of cottage on new beams supported by new 6x8 posts
sand new-concrete piers
Installation detalfs:
Concrete pier rebar detail:
4 - #4 bars vertical
4- #4 b•ars.hor'rzontat;,place 6" max from top and`bottom of pier,
Mid pier spacing 12" OC (max). Typical
Fastenersshown are bySimpson Strong Tie.
Attach A23Z angles to concrete pier w/4— 3/8" x 1 %" tapcons
to wood.,post w,/4 -#8 x 1 %" screws
Attach TP37 plates to beam and post with 12-8d nails.
6 in post and 6 in'beam.
285 West Circular St. *Saratoga, NY 12866 * Office: 518-465-0283
New England
ENGINEERING SERVICES
Mr. & Mrs. Bodenhorn 226.19-1-33 RC 599-2016
6 Pine Tree Lane Gregory Bodenhorn
6 Pine Tree Lane - Assembly Pt.
Lake George, N.Y. 12845 Res. Alterations - install piers under cottage
Scope of work
• Install concrete piers under cottage
• Install4(Width) 2x8 carrier beams under main cottage
• Re-support existing floor frame of cottage on new beams supported by new 6x8 posts
and new concrete piers
285 West Circular St. *Saratoga, NY 12866 * Office: 518-465-0283