AST-0763-2020 ,a
' l��Iil►, Office Use Only
ACCESSORY STRUCTURE
i' Permit#:
�J PERMIT APPLICATION
Town of Queensbury
Permit Fee:$
742 Bay Road,Queensbury,NY 12804 T�
P:518-761-8256 www.aueensbury.net Invoice#: 2c)-5
Project Location: l 90J/f -�
Tax Map ID#: �`7 Lpr �� UJ� Subdivision Name:
CONTACT INFORMATION:
• Applicant:
P
Name(s):
Mailing Address, C/S/Z: 67 f/
Cell Phone: �— ) Land Line: qq
Email: I"1 �Q-tU)
• PrimarV Owners
Name(s): aDDU c,ant
Mailing Address, / /Z:
Cell Phone:_�_) Land Line: �)
Email:
❑ Check if all work will be performed by homeowner only
• Contractor(s): Workers' Comp documentation must be submitted with thi§,application
Contractor Name(s):
Contractor Trade:
Mailing Address C�(2S/Z:
Cell Phone: �/ ) �( — Land Line: n m �7� !
Email: f
"List all additional contractors on the back of this form
DEC 0 4 2020 L
• Arch itect(s)/Engineer(s):
Business Name: ' t +fir' '„C.0�s, ,a, .,, , :D_.
Contact Name(s): r—Q /� �.
Mailing Address, C/S/Z:
Cell Phone:_�) Land Line:
Email:
Contact Person for Building & Code Compliance:r-hn c-5 �
Cell Phone: (,,r5 Ilip ) ,-:4b— I Land Line: (
Email: C_O
Accessory Structure Application Revised February 2019
PROJECT INFORMATION:
TYPE: Commercial 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:
2nd floor:
Total square feet: go
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$ 1A 11 60
2. If Commercial project,what is the proposed use: r s d
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. 1 acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. Ifthework 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. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of
occupancy.
5. 1 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 certificate of occupancy.
I have read and agree to the above:
PRINT NAME. o rjld
SIGNATURE: DATE:
Accessory Structure Application Revised February 2019
StewanfS
December 14,2020
John O'Brien
Town of Queensbury
Building and Codes Enforcement
742 Bay Road
Queensbury,NY 12804
Re: Generator Storage Shed:Stewart's Shop#415
1002 Route 9
Dear Mr.O'Brien,
Stewart's Shops Corp. has proposed to construct a storage shed to house a portable generator. The shed will be used for
storage purposes only. During a power outage the generator will be relocated closer to the store where it can be hooked up
to the transfer switch. The generator that will be stored at this location might not necessarily be used at this shop. The
generators get deployed to shops based on need and get moved from store to store based on outages.
Sincerely,
Chris Potter
Stewart's Shops Corp.
518-581-1201, Ext.4246
cpotter@stewartsshops.com
A.
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P.O. Box 435 Saratoga Springs, NY 12866