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AST-0287-2023 Office Use Only J ACCESSORY STRUCTURE Permit#: pc ►►` ?S " 26 23 Town ofQ b ry PERMIT APPLICATION permit Fee: $ 742 Bay Road,Queensbury,NY 12804 Invoice#: `Q k n P:518-761-8256 www.gueensbury.net Flood Zone? Y � Reviewed B ' Project Location: Uc- 0 U Tax Map ID#: I-D Co of 5 Subdivision Name: . PROJECT INFORMATION: DIE TYPE: T9L Residential ❑ Commercial Proposed Use: I ! BUILDING STRUCTURE: ❑ Boathouse (with or w/o sundeck) ❑ Canopy ❑ Carport ❑ Cell Tower 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: G CD ,3Q. 2"d floor: Total square feet: �e Brief description of scope of project: (Z c=P r) P:-- AXIS'1^/ f�'4_G 0 Accessory Structure Application Revised June 2022 r r ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ ,�O©C7• C7 2. Are there any structures not shown on the plot plan? ❑ YES ;E NO Explain: 3. Are there any easements on the property? ❑ YES �LN0 DECLARATION: 1. I 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 If,for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of Queensbury.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. I have read and agree to the above: PRINT NAME: /V V, `gb�C WER SIGNATURE: J At g 0 14 / DATE: Accessory Structure Application Revised June 2022 f CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): Mailing Address, C/S/Z: . D Ltd DbElliLlD Cell Phone: cS) R— q 9 k-091-- Land Line: �n Email: 1. Rb];UE� la P, &MAI I UM —rr • Primary Ow er s : Name(s): Mailing Address, C/S/Z: Cell Phone: Land Line: Email: L�I 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): Contractor Trade: Mailing Address, C/S/Z: Cell Phone: Land Line: Email: "Workers' Comp documentation must be submitted with this application" • Arch itect(s)/Engineer(s): Business Name: Contact Name(s): Mailing Address, C/S/Z: Cell Phone: Land Line: Email: Contact Person for any questions regarding this project: Q, 20b 62LJ— .L:'��S Cell Phone: Land Line: Si Email: Accessory Structure Application Revised June 2022 Deck and Roof Design checklist Is deck freestanding or Ltta�ch 4- Footing Zino tubes sized for posts 4x4 " 6x6 12" g foot or footing for roof load Proper attachment to post and footing shown Proper flashing or waterproofing to structure shown Attachment to structure shown on plans Galvanized or stainless steel bolts shown NO ZINC COATED 4 Hex headed bolts NO CARRIAGE BOLTS 4Diagonal bracing shown for deck over 24" Floor joists parallel to carrying beams Deck post to beam attachment shown Over 30" requires handrail A"u- Over 30" requires guards WOver 30" requires guards @ 34" to 38" in height and handrails @ 34"-38" Revised 4/15/2021 TOWN OF QUEENS BURY 17U��D�N� COD S DEPT. : >� II` Reviewed y: r' 3 O x^ r •c': to `:` .+ i .;` .. :i.... f I .. ,+ .r „ .i ,/,,�4�•, .r�"f,�.�^' J, �..r'4w.. .( l^-Ft,1 ��+s."." .+. >o ��'� 4 .... '..Siw.",...�,�.:{.,.•..,«.....�`,.:..�.. ,...._.. .+.«-,s.....,..,,.>,,.................w.. ,w"t`v.,..,,«....,...,n,..,,<.,.,...-:;mow�" ' 1 'TOWN OF QUEENSBURY ' BUILDING DEPARTMENT Based on our limited examination,compliance ` t 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. '�' Ir I ;. .1 1 I �/' �Ir r•; �s� ., 4.'� 'I �����,r��b r(S�'p.bq _ w„t + 1 .v ,•'t�e'4 , i 1,:t,w�.• �?,,,,:,;�}. a { n i 'y�� d. .n.._-..ap.'�.,.p _• , !, I 11 C a_s P' ';gin'"sla -�•r'" , 1 I' �,e — ) 23 �C - - AST 0287 20 ,F1,{y'uE,,�?}:'rYrr$ •Y,G'.,1�'` I � �d i 4 1 ' I I)Y`,.:Jy!i�1r e:Yirv'a fit.;` I r':' F , .J'�'a j 1 4 E,' 9 Oakwood DrBoecher, Lynne ' 360 s.f. ti:,. Deck ._..r 5130123,1:53 PM 523400296009000205700000000001 jpg(1678x1231) r I L 4 n 2—L RQ1- IN 23' 1SWD/C 30' 2sWD/Unf B I} First Floor i ti �� 1\ 23' 1141 ft7 "s Second Floor RG1 483 ftz 750 ftz I --- :-.N it 30` ;I �j t j 8. I ; 4•. _IQ t r-Z I HAVE PEMONAM MEA3UHEU THE DISTANCE 20 -� FROM THE PROPERTY LINES TO THE `7D C PR POS D STRUCTURE(S)OR SIGNS) , 210 IT ;)m N z SIGNATURE rr https:flparcelsearch.quee6shury.net/RPSImages/Rel2012/52340029600900020570000000DOD1.jpg 1/1