2024-0417 Office Use Only
ACCESSORY STRUCTURE Permit#: 070024 OLi17
APPLICATION
\ 4 Permit Fee:$- 0.0n
Toxin of Q:�'--b
742 Bayload,Queensbury,NY 12804 Invoice#:
P:518-761-8256 www.queensbury.net
Flood Zone? TYPE: ,
• Reviewed By: C/A-A-9__
Project Location: 18 Wayne Ct.
Tax Map ID#: 308.10-1-50 Subdivision Name: Herald Square
PROJECT INFORMATION:
TYPE: B Residential ❑ Commercial,Proposed Use:
STRUCTURE:
❑ Boathouse (with or w/o sundeck) ❑ Canopy ❑ Carport ❑ Cell Tower ❑ Deck
❑ Detached Garage (>300 s.f.) ❑ Dock ❑ Gazebo ❑ Pavilion ❑ Pole Barn 2/Porch 04,-
❑ Ramp ❑ Shed (<300 s.f.) ❑ Solar Panels (w/o rafter upgrades) ❑ 3-Season Porch
❑ Other:
SQUARE FOOTAGE OF STRUCTURE:
1st floor: 192.0
2"d floor:
Total square feet: 192.0
Brief description of scope of project: Front porch shed style.
Accessory Structure Application Revised May 2024
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$1 0,000.00
2. Are there any easements on the property? ® NO ❑ YES
3. Are there any structures not shown on the plot plan? 8 NO ❑ YES Explain:
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 If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of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. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees
and department approval.
4. I 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. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of
occupancy.
6. I 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:
Christoph. r Biddiscombe
SIGNATURE�"—`"'�\ DATE:
08/08/24
Accessory Structure Application Revised May 2024
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): Christopher Biddiscombe
Mailing Address, C/S/Z: 18 Wayne Ct.
Cell Phone: 518 361 1781 Land Line:
Email: cdbiddy@mac.com
• Primary Owner(s):
Name(s): Christopher Biddiscombe
Mailing Address, C/S/Z: 18 Wayne Ct.
Cell Phone: 518 361 1781 _ Land Line:
Email: cdbiddy@mac.com
8 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**
• Architect(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: Christopher Biddiscombe
Cell Phone: 518 361 1781 Land Line:
Email: cdbiddy@mac.com
Accessory Structure Application Revised May 2024
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