PLANS PROJECT INFORMATION:
TYPE: Commercial S Residential
WORK CLASS:
Deck,Open Porch _Solar Panels(w/o rafter upgrades) Carport _Cell Tower
Shed Pavilion, Pole Barn,Canopy _Dock _Gazebo
Detached Garage Boathouse (with or w/o sundeck) _3-Season Porch
Other(description:
SQUARE FOOTAGE OF STRUCTURE:
1st floor: GOO
2nd floor:
Total square feet: 600
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$ /I 000
2. If Commercial project,what is the proposed use:
PaN�-
3. Are there any structures not shown on the plot plan? YES NO Explain: ,PE( D 14 et pfir A l/
4. Are there any easements on the property? YES G
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. I 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 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: S e.
SIGNATURE: DATE: ~ �t9
Accessory Structure Applicati Revised February 2019
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