applicationf aye (Cae OFFICE USE ONLY ~
£tax mar NotITpermitno._la-153
EE PAID,#1 3.60 aoc &CODES APPROVAL,m
HUDFPBUIBINGECooeS
ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION
Use this application for any structure other than the Principal Structure (house)to include,but not limited to:
garage,shed,greenhouse,dock,deck,etc.Refer to Informational Brochure No.3 entitled Accessory Structures-Sheds/Fences.3
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFOREISSUANCEOFAVALIDPERMIT.NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED
AVALID BUILDING PERMIT.
OWNER:_Di due WWaerTHt fi55 INSTALLER/BUILDER:__Torew (MATT He cas 5
ADDRESS:_{@ Cépat Pr,diko Clone WY.ADDRESS:_I8chOAd Or hide Comes Ady.
PHONE NOS._$]¢~66%-9>to 1 PHONE NOS.__$/%~O98 -F2G{
LOCATION OF PROPERTY:
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SUBDIVISION NAME:aLocaroNoFRcrCEEDGOveTRiCTINSNDORSTALATONacy(elgds pa_/(5 ReBbEon
HAS THERE BEEN A SITE PLAN REVIEW;VARIANCE OR SUBDIVISION APPROVAL?EVES 1 NO
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:SUP620/3
ESTIMATED COST OF CONSTRUCTION:$_iy —__ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?_A/o-
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE:Toray MW 4-rtudévcls PHONE:(67-52
/‘roo |2°FLOOR Tota,|PROPOSEDPROPOSEDCONSTRUCTIONmoeaaeYsare|HEIGHT |
‘OPEN PORCH ||
|DECK |3 SEASON,COVERED OR ENCLOSED PORCH*
BOATHOUSE
=BOATHOUSE WITH SUNDECK
|1?erpock|“Px 357/640 1 Oak 2=Aboowe Sheed
SHED
POLE BARN
DETACHED GARAGE (NO.OF CARS:)
|
OTHER ACCESSORY STRUCTURE:
“CONSIDERED FLOOR AREA &MUST COMPLY WITH FAR [FLOOR AREA RATIO]REQUIREMENTS IF THE‘STRUCTURE IS LOCATED IN THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge,the statements contained in the application,together with the plansandspecificationssubmitted,are a true and complete statement of all proposed work to be doneonthedescribedpremisesandthatallprovisionsoftheBuildingCodes,the Zoning Ordinance,and all other laws pertaining to the proposed work shall be complied with,whether specified orNoted,and that such work is authorized by the owner.Further,it is understood that live shallsubmitpriortoaCertificateofOccupancyofCertificateofCompliancebeingissued,as requestedbytheZoningAdministratororDirectorofBuildingandCodes,an As-Built Survey by a licensed
surveyor,drawn to scale,showing actual location of all newconstruction,
‘QUESTIONS 7 CALL 761-8256 OR EMAIL
|have read and agree to the above.
VisiT OUR WEBSITE FOR MORE INFORMATION
q ts www.queensbury.netSignedNalMWpol’Dated:4fto|ie
Town of Queensbury +Community Development Office »742 Bay Road,Queensbury,NY 12804