AST-0284-2021 Office Use Only
ACCESSORY STRUCTURE Permit#: A-,�—>T` 02 - 2@ Z I
Town ofQuccnsbury PERMIT APPLICATION Permit Fee:$ )
742 Bay Road,Queensbury,NY 12804 Invoice#: 3b59
P:518-761-8256 www.gueensbury.net Flood Zone? Y /N J Reviewed,By:
Project Location: iG, 7 k), 'A�
Tax Map ID#: ,2 Subdivision Name:
PROJECT INFORMATION: D E. ,a d
TYPE: 99 Residential ❑ Commercial, Proposed Use: APR 2 7 2021
TOWN OF QUEENSBURY
STRUCTURE: BUILDING&CODES
❑ Boathouse(with or w/o sundeck) ❑ Canopy ❑ Carport ❑ Cell Tower I Deck
❑ Detached Garage(>300 s.f.) ❑ Dock ❑ Gazebo ❑ Pavilion ❑ Pole Barn ❑ Porch ❑ Ramp
❑ Shed (<300 s.f.) ❑ Solar Panels(w/o rafter upgrades) ❑ 3-Season Porch ❑ Other:
SQUARE FOOTAGE OF STRUCTURE:
1st floor: 75 .S fT
2nd
Total square feet:
Brief description of scope of project:
a Cl9''1 Sr I�u GT 7) C/t D ;f CC C SAS' 7-0 /9#
Accessory Structure Application Revised January 2021
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of construction:$ eeD
09)
2. Are there any structures not shown on the plot plan? ❑YES _%_&0 Explain:
3. Are there any easements on the property? ❑ YES $NO
DECLARATION:
1. 1 acknowledge that no construction shall be commenced prior to the issuance of a valid permit and will be
completed within a 12 month period.Any changes to the approved plans prior to/during construction will require
the submittal of amended plans,additional reviews and re-approval.
2. If,for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of
Queensbury.After 1 year from the initial application date, 100%of the fee is retained.
3. Ifthework is not completed by the 1 year expiration date the permit may be renewed, subject to fees
and department approval.
4. 1 certify that the application, plans and supporting materials are a true and a 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.
5. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of
occupancy.
6. 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. / 1
I have read and agree to the above:PRINT NAME: v4s
4toeEh cc �
SIGNATURE: DATE:
Accessory Structure Application Revised January 2021
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant: /�os L
14W✓�'yl�e' 1/
Name(s): ( �,`/low Gu
Mailing Address, c/S/Z: ,2
�y /260y
_
Cell Phone: S� B'�2 0- Y02.6 Land Line: 3 /9 77i9 `/2 7
Email: vosk (D Y-0,1c-Jy Lnr)er, CDyh
• Primary Owners :
Name(s):Mailing Address,Address, C/S/Z: SAl�c ids Above-
Cell Phone: Land Line:
Email:
❑ Check if all work will be performed by property owner only
• Contractor(s): (List all additional contractors on the back of this form)
Contractor Name(s): j C Il ec,*06fe/mc� jr��tq Sc�('�e���►^
Contractor Trade: G(fVle✓+ t C Ikr fAC TOIL- (/
Mailing Address, C/S/Z: J e 8 kk pp-ev, Sk-P-VI MA. ��' �u��'nS 1�U r 1 ky 1�8o�
Cell Phone: Land Line:
Email:
"Workers' Comp documentation must be submitted with this application"
• Architect(s)/Eneineer(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
Contact Person for any questions regarding this project:
Cell Phone: --57S - ,260- V 0Z S Land Line:
Email: C (0A4 (un nC-0, �✓Y>
Accessory Structure Application Revised January 2021
Deck and Roof Design checklist
4"-I Is deck frPP�ding or attached
"I'�J' Footing
CW� Sono tubes sized for posts 4x4 8" 6x6 12"
Big foot or footing for roof load
Proper attachment to post and footing shown
Proper flashing or waterproofing to structure shown
NA—Attachment to structure shown on plans
Galvanized or stainless steel bolts shown NO ZINC COATED
Hex headed bolts NO CARRIAGE BOLTS
rt� Diagonal bracing shown for deck over 24"
Floor joists parallel to carrying beams
Deck post to beam attachment shown
Over 30" requires handrail
i=J Over 30" requires guards
` Over 30" requires guards @ 34" to 38" in height and handrails @ 34"-38"
i
5/4 DECK BOARDS 2X8 BORDER JOIST
2X8 FACIA
2X6 JOIST
DECK BOARD
SKIRTING
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3,5' AVG. DECK HEIGHT
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ATT ION HOM4 OWNER
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UN
TOWN OF QUEENSBURY
BUILDING&CODES
TOWN OF QUEEN S�EPTs
BUILDING & COS FILE COPY
Reviewed Y- _
®ate: 3 6 �
295.18-154 AST-0284-2021
- Vosh, Lawrence
29 Willow Rd TOWN OF QUEENSBURY
Deck (around above grnd pool) 27B eaPnton on BUILDING i examination,compliance
- with our comments shall not be construed as
Indicating the plans and specifications are in
full compliance with the Building Codes of
New York State.
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