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AST-0558-2018
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development - Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: AST-0558-2018 Tax Map No: 295.6-1-21 Permission is hereby granted to: RICHARD ELTON For property located at: 9 LOREN DR 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 Type of Construction Owner Name: RICHARD ELTON Shed<300 s.f. $10,586.00 Owner Address: 9 Loren DR Total Value $10,586.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Shed Stop,Inc. 6854 State Route 4 Fort Ann,NY 12827 Plans&Specifications Shed 160 s.f. $ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, October 4, 2019 (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 e4xpiratio date.) Dated at the To of Q nsbu�• '� •, •ctober 4, 2018 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only -P�1 r Q K*3 ACCESSORY STRUCTUREF�rmit#: MINI ITAPPLJCAT1ON Permit Fee:$ O 0 742 Bay Road,Queensbury,NY 12804 invoice# D 8 ZS P. 518-761-8256 www.queensbury.net Project Location: 1�ri tAe Tax Map ID#: -21 S.,bdivision Name: Z.e I/ate d f14 -eJ ?ki,-(6e CONTACT I NFORIVI All ON: • Applicant: Name(s): /'wit I, ecd E //-G',i Mailing Address, C/J'Z r c Dr, C/veeo_i Lvw y1 it/ V ♦ fie'`1 Cell Phone: ) J3 Land Line: (-i tag ) '9 '' ° Email: -t c Ii . 1 1-c) ( ce • Primary Owner(s): Name(s): (iCI efd Cyr. ( b7J Mailing Address, C/SZ Gj i-G'✓'t',-t .p 1'1 Ver eee) a✓r y ,/ivy .2 Fe)� Cell Phone (- 1 f )&3 - s`- l Land Line: 1,s-7f ) .7 Q•1 - ''Q Email: ri elf ;-i :1- C� �,rC /. CO, • Contractor(s): gl" �vlytt Business Name: kd S Contact Name(s): C E B W Mailing Address, C/SIZ n ' Cell Phone: ( ) Land Line: ( SEP 0 q 2018 Email: TOWN OF( UEENSB;RY • Architect(s)/Engineer(s): BUILDING&CODE Business Name: Contact Name(s): Mailing Address, C/S'Z Cell Phone: ( ) Land Line: ( ) Email: Contact Pierson for Building& Code Compliance: £aic I r rna Cell Phone: ) Land Line: ( ) Email: Town of Queensbury Building&Qhde Enforcement Accessory aructure Application Fbvised April 2017 PRO,3T I NFORNI A11 ON: TYPE Commerdal Fesdential WORK CLASS Deck,Open Ickorch filar Panels(w/o rafter upgrades) Carport Cell Tower ) Sled Pavilion, Role Barn, Canopy Dock Gazebo Detached Garage Boathouse(with or w/o sundeck) 3- ason larch Other(description: ) SQUARE FOOTAGE OF STRUCTURE 1st floor: f`j / Cde te. it2[9//1 2nd floor: Total square feet: f- / 67 C ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ - SVie -CC/ S ©C> 2. If Commercial project,what isthe proposed use: 3. Are there any structures not shown on the plot plan? YES NO Explain: 4. Are there any easements on the property? YES NO DECLARATION: 1. I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. If thework is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 3. 1 certify that the application, plans and supporting materials are a true and 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. 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 alicensed land surveyor of all newly constructed faci lit ies prior to issuance of acertificate of occupancy. I have read and agree to the above: FIR NT NAM E c Gta id L,l S GNATURE 1 /'G IC DATE p/t/ Town of Queensbury Building&Code Enforcement Accessory 3ructure Application Revised April 2017 4 F • tt..E COPY ' TOWN OF QUEENSBURY BUILDING DEPARTMENT SARAH JEN Based on our limitedexamation,cm'''''' -s\s\ pance with our comments shall not be construed r indicati in .- full ork State. wtth -� - — l` - S�5°41 p2�� �°? O0 105e 75' /11 ELEC t -,,/ '// c�v° !1 a TEL t I .JWNOFQU ' v. k`. UILDiNG & f ►) : sil .. eviewed By :Am, . .I11rInn 1 ate: p 'Inas I . - . 1 0, 1 c4 ._t.,--------\ ›.. si.oaf Cg F ,—,7""------ . i SAE "p�}SE. IRK 0 i ASPHALT0- 7 - - _ _ 00 6 H ,, •Z, t 4,, „,,..".,-..--- a Po — 2o.`sv' -00 4.1 Iclo,; 0A C4 Z4- --- 0 a 1,... 2 9 _. ,,, .4.,c--i 26,019 sq ft , ''v _ 0.60 acres co f 2 d , 5 -J (7 i O o t TiII cv c' -._ 131.38 N 85°41 21 fit/ • .� i LERLAND IyARK PRASEONE PERMIT PLOT PLAN § r )1 \ I I HAVE PERSONALLY MEASURED THE DISTANCE • : ,► ;' FROM THE PROPERTY LINES I O THE II ) it ;! PROPOSE ST gUCT - i iibil? ! I _ = j¢ u�L�s� oR sl�t��s� - 1 , I SIGNATURE DATE C ` s M ; • . - a y �e' +y ice. $�',,� �, '-4` '; "--.' ; a a':"7:::.t..-„;:4':•_,:,,l':--:'';!--1.,71*i''''''''':;1*----,......,-:,,..,,-. �( + l p.-•.-t,,,,_''..,A7n 77,...:,,i,j;;;;;;;,;i..,:,:?!k,,,,44.t.-':;1;:'-',..-,_...;''.-,:._--.,::-.:„-,-;',:::'---, . - '. - ----'-':::::::- ...-' '.'„'-:- •`�„ ` '�L„ -- ...- � ,:',.-'.:,,:..'_".5.1.,,,il,,I..,.:,...-_,,-.‘,:,-,'1,..,.,,,,..--;.,.:1..,....'„,,_.:,,,'_'.,..:.....i,...-.__.,,, , ,, , .tea - - } _` ,,,,, . ,_..,,:„7. , .:...,...;.,.,;.,::::_iT,k..:_,.,..... ..t,,,s4--,..-.':-... ,-..--.,-,•:;.,_--.....:-.-„J...--,-..;-.s:;M_'--------- -•-- , . .;,!: : .:.i ,.„..._, ,L..._ .:,-,,-':.,!.ii.:'-i,:--",_,..,......:..,.:..4R-,i,".-.....-:-:"!"_.."-:,. .„'.*,,,,,,,,._,.!i.",..,,..,:.:.;..„.::,!..:,..,i'i,i'..,,-...',-...-•:".'•-:-7.--••:.-"-,. . .. � `"„ r Y '`for _ 4 M ig .,y q4. v�' : r -y fj_u I i ,.r+5G �'�' ''" • • { :��� a "T��.� 'Y ' ' �„i4i' +-- - sp as ,•� c -.. � "° z - Y.4 a ,'s, x. - � a:„ ;rt ;1 s 4 7i "' ' ``° ..,, . _ k"> tax t t„'z � Sbti " 4 W .'L ts} ' w.� " r Y' 8 • , SALE S IN it149-—- - ' E SHED STOP -._ ___\:„:\:,,,...,_:„....„____:_i___ "___ gi SOLD To: Deliver to: once UsJ Dates Sale: Paid: Phone: Sold By: WAYNE Email: _ Stock# DESCRIPTION: List 10X16 ADK CABIN WITH 4' PORCH 5/12 PITCH CH $5,419.00 FINISHED INTERIOR 4 WINDOWS & DOOR $4,000.00• TOUNGE AND GROOVE NOTTY PINE / WAINS COT INCH 3 - 30X40" WINDOWS NO GRIDS 1 20 W/C,? 36" 9 LITE DOOR . HARDWOOD FLOATING FLOOR 16" DELIVERY! r 1 oll RAMP SITE PREP PRICE IS BASED ON NO MORE THAN'. $475.001 6 INCHES OUT OF LEVEL.` Full List Price` $9,894.00 I I Make all checks payable to Shed Stop,Inc. $9,894.00 Delivery of shed may take 4 to 8 weeks,custom orders may take longer. Subtotal Building Permits and placement are the responsibility of the Customer as required. Tax Rate 7.00°/ Shed Stop Inc.,or its subcontractors,will not be held liable for any property damage that includes, but is not limited to,ruts,damages to septic tanks or leach fields,plants, Sales Tax 692.58 shrubs, lawns,walkways or driveways incurred during the delivery and set up process. Site must be prepared and accessible at time of delivery. Total $10,586.58. Raking&leveling of site will cost additional. Payment(w/) THANK YOU FOR YOUR BUSINESS! Balance Due $10,586.58` Deposit . �' PCf 1, Customer Signature Delivery Customer Signature Loading Instructions Shed Stop,Inc. 6854 State Rt.4 Fort Ann,NY 12827 Phone: 518-639-3055 Fax: 518-639-3056 fortannshedstop.com