AST-0155-2021 Office Use Onlv
ACCESSORY STRUCTURE
_ PERMIT APPLICATION Permit#: T—�� J
Trnvn ofQaeensbun Permit Fee:$ ADO
742 Bay Road,Queensbury,NY 12804 �
P:518-761-8256 www.gueensbury.net Invoice#:
Project Location: 5 3 W, Mt J OIL
Tax Map ID#: 30� g t)J _l _�_ Subdivision Name:
CONTACT INFORMATION:
• Applicant
Name(s): RA �1y5Ck aL,--
MailingAddress, C/S/Z: 5To2) 0J. Mtv\ k,a (,?Lt-eeJAS1bLLvl�-1
Cell Phone: 73 ) '7 I 5 y$3'� Land Line:
Email:
• Primary Owner(s):
BAR 2 5 2
Name(s): e C���
Mailing Address, C/S/Z: RY
Cell Phone:�_) Land Line: BUILDING& CODES
Email:
Check if all work will be performed by homeowner onl
• Contractor(s): Workers' Comp documentation must be submitted with this application
Contractor Name(s):
Contractor Trade:
Mailing Address, C/S/Z:
Cell Phone:�_) Land Line:
Email:
"List all additional contractors on the back of this form
• Architect(s)/Engineer(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: ( Land Line:
Email:
Contact Person for Building &Code Compliance:
Cell Phone:�_) Land Line: )
Email:
Accessory Structure Application Revised February 2019
s r:
PROJECT INFORMATION:
TYPE: Commercial Residential
WORK CLASS:
Dec ,Open Porch _Solar Panels(w/o rafter upgrades) _Carport _Cell Tower
Shed _Pavilion,Pole Barn,Canopy _Dock _Gazebo
Detached Garage _Boathouse(with or w/o sundeck) _3-Season Porch
Other(description: )
SQUARE FOOTAGE OF STRUCTURE:
1st floor:
2nd floor: Z�
Total square feet:
ADDITIONAL PROJECT INFORMATION'
1. Estimated Cost of Construction:$ �fLJ
2. If Commercial project,what is the 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 the work 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 a certificate of occupancy.
I have read and agree to the above:
PRINT NAME: A nYrw I>( K
SIGNATURE: DATE: !D /20
Accessory Structure Application Revised February 2019
WOOD SIDING
5/8" T1-11 PRESSURE TREATED
24" OC STUDS (DOUBLED UNDER SEAMS) & 24" OC TRUSSES
(66%thicker siding easily spans 24" OC stud spacing,with doubled support under seams.
to equal the same amount of wood as in 16" OC spacing)
W ail = W • PRESSURE TREATED and features a LIMITED LIFETIME WARRANTY against termites
s 0) and fungal decay
CL • Tried and true PREMIUM grade REAL PLYWOOD SIDING
CD W 5/8'thick,66%.THICKER than many competing sidin roducts
3 C N Comes water sealed with 4 YEAR water sealerIE
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AVAILABLE COATINGS;;VYATER-_SEALER.(ONLY) —' a
3/8" LP SMART PANEL,
TOWNOF Qi.1 +�i 'URY
V• !. ; • , A BUILDING&.CODES 24�� OC STUDS (DOUBLED UNDER SEAMS) & 24 -
Ul • CUTTING EDGE TECHNOLOGY, z ed iaood product that is WATER RESISTANT
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® • ZINC BORATE TREATED:nTOug,h 4 hei,resist fungal decay and termite damage.FL
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i • Comes with a 50 YEAR.L)MITED VfARRANT't
' AVAILABLE COATINGS: PAINT& URETH—A'NE.{Of1LY)_
EXTERIOR WILDERNESS SERIES
PARNT COLORS STAIN LORAPPEARANCE*
We are roud ae r:=-r..: '�`'?il�=r, a s:Saries
SOL[D COLOR APPEARANCE` p �,a_-',our new Line.of Urethane finished
portable bW1ds sgs. ';,:; ;-;: _ ,;:; : L?5rnarrsioe:and;coated with the
indusir 's bast c.sa:4 .=, -.;:a _ �i;,ns'a;e rustic,;attractive and built to last.
s A E.11:8bLe in,ani =.r_r�,. � cz'_vcic;s
BARN WHITE. n
RED YG'AP GRAY
See pricing for Urethane upgrade on page 8.
s BEIGE . _t." �¢t. _ " I t
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"Actual colors may vary from those displayed in brochure.See deal.er.for actual color swatch.
BYO is not responsible for colors not snatching tFie brochure.
1
TV
: WOODEN BUILDING
K
:METALROOF' COMLUR
RUSTIC RED
HUNTER GREEN
r
SHINGLE COLORS" "
... DARKBROWN
NiET - - - _
AL ADVANTAGES SHINGLE" AGES
29 Gauge high quality metal. .Resider teal grade architectural shingles.,
30:YEAR LIMITED WARRANTYyear:Ilmit�d'yrarranty
All metal roofing comes with a 30 year limited warranty atch your hi ¢eristang,bu�lding(s)
against rust through.
Match your home or existing building(s)or offer a nice
CHOOSE
METAL OR SHINGLE ROOF
contrast or focal point.
• hoes hot depend on foreign oil as a raw material.
BUILDINGSSAME PRICE ON ALL
Mdtal is 100%recyclable&virtually worry-free.
'Actual colors may vary from those displayed in brocnrsre:See dilater for actual color swatch
BYO is not responsible for oolozs.not ms z3 >�srda?he.brochure.
FLOORING7P' "INS
• ix, ,Pressure treated skids are notched for floor joists which greatly inereas�sstrerig h and prevents twisting-sfandard
• 16 inch on center pressure treated floor joists-standard
-.12 inch on center pressure treated floor joists- optional(standard on garages)
j ,ni'2u4 Pressure treated floor joists-standard
2x6 Pressure treated floor joists- optional
518"CDX,grade square edge,Pressure treated plywood
•Lifetime warranty against termites &fungal decay
Gitbose.this flooring if you want a lifetime warrant against
y g termites&fungal decay and are,not as concerned nth small
}mperfections and knots'in the appearance or seam gaps due to shrinkage from the pressure treating process
314'Pressure treated plywood—optional
YOU CHOOSE: treated square edge or T&G SAME PRICE
Gi 5f8".Tongue;and-Groove,•Engineered Panels
*�xceptiorial strength and stiffness for a flatter, more statile floor
•i cee of[mots and patches with a thermally fused face .
• "dvanced:i•esins are moisture resistant
Gx u6se fhis,if you want a seamless floor with a virtually fla less`appearancQ
3/4"Tbng,ue'and;Groove,Engineered Panels—optional
F
5=as4 srd floor designed for 40 lb/sq:ft.LIVE LOAD and 200 lb/sq. ft. POINT LOAD. Additional options are available
a�a tiaalr/tvebsite for more heavy duty options.
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