AST-0521-2022 ,
Office Use Only
ACCESSORY STRUCTURE Permit#: Psi • 2)032-
o PERMIT APPLICATION
Q ry $ r' kl•25
Town of uccnsbu Permit Fee:
742 Bay Road,Queensbury,NY 12804 Invoice it
P:518-761-8256 www.queensbury.net C
Flood Zone? Y N Reviewed By
Project Location: 14 Highview Road, Lake George, NY 12845
Tax Map ID#: 239.15-1-15 Subdivision Name: ; 1 I(�, Iwo I \I [ Pit
PROJECT INFORMATION: AUG 18 2022
TYPE: X Residential ❑ Commercial, Proposed Use: • AJ. • QUEENSBURY
BUILDING&CODES
STRUCTURE:
❑ Boathouse (with or w/o sundeck) ❑ Canopy D Carport ❑ Cell Tower X 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 X Other: Covered porch
& retaining
walls
SQUARE FOOTAGE OF STRUCTURE:
1st floor: Decks - 930 square feet
end floor: Covered Porch - 215 square feet
Total square feet: 1 ,145
Brief description of scope of project: Construct decks, roofed structure and concrete
retaining walls per the submitted plans.
Accessory Structure Application Revised June 2022
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$ 200,000.00
2. Are there any structures not shown on the plot plan? El YES ❑x NO Explain: •
All structures are shown on the plot plan
3. Are there any easements on the property? ® YES El NO
See note (4) on survey developed by Russell E. Howard
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 If,for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of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
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: (�
SIGNATURE: l DATE: ( �C-
Accessory Structure Application Revised June 2022
•
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): Redbud Development, Inc.
Mailing Address, C/S/Z: 2 Commerce Park Drive, Wilton, NY 12831
Cell Phone: 518.321.8169 Land Line: 518.691.0428
Email: geff@redbuddevelopment.com
• Primary Owner(s):
Name(s): Alice & Jack Lynch
Mailing Address, C/S/Z: 14 Highview Road,Lake George, NY 12831
Cell Phone: 617.999.4684 Land Line: N/A
Email: aflynch5421@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): Redbud Development, Inc.
Contractor Trade: General Contractor
Mailing Address, C/S/Z: 2 Commerce Park Drive, Wilton, NY 12831
Cell Phone: same as above Land Line: same as above
Email: same as above
**Workers' Comp documentation must be submitted with this application**
• Architect(s)/Engineer(s):
Business Name: Saratoga Engineering & Design
Contact Name(s): Doug Adams
Mailing Address, C/S/Z: 74 Rolling Hills Drive, Gansevoort, NY 12831
Cell Phone: 518.683.6899 Land Line:
Email: saratogaengndesign@nycap.rr.com
Contact Person for any questions regarding this project: Geff Redick
Cell Phone: 518.321.8169 Land Line: 518.691.0428
Email: geff@redbuddevelopment.com
Accessory Structure Application Revised June 2022
Deck and Roof Design checklist
ti515 —_---ss:
deck freestanding r a'ttach
___ Footing ,_--
'-6 Sono tubes sized for posts 4x4 8" 6x612"
IABig foot or footing for roof load
tii, Proper attachment to post and footing shown
Proper flashing or waterproofing to structure shown
tA Attachment to structure shown on plans
7' / Galvanized stainless ste oats shown NO ZINC COATED
Y1 Hex headed bolts NO CARRIAGE BOLTS
v
i
Diagonal bracing shown for deck over 24"
1EFloor joists parallel to carrying beams
I!_ Deck post to beam attachment shown
(IA Over 30" requires handrail
VOver 30" requires guards
'Ji Over 30" requires guards @ 34" to 38" in height and handrails @ 34"-38"
Revised 4/15/2021