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AST-000318-2017 TOWN OF QUEENSBURY QL 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: AST-000318-2017 Tax Map No: 309.14-1-48.22 Permission is hereby granted to: ROBERT STARK For property located at: 38 RICHARDSON ST In the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Tvce of Construction Owner Name: ROBERT STARK Deck $2,000.00 Owner Address: 38 Richardson ST Total Value $2,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Deck 152 s.f. 550.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 29,2018 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town o bury; j 2017 SIGNED / for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only ACCESSORY STRUCTURE Permit#: -P67—— 31c) PERMIT APPLICATION Permit Fee: $ Town of CZccnsbuq' 742 Bay Road,Queensbury,NY 12804 Invoice#: l"i05 P:518-761-8256 www.gueensbury.net Project Location: �� �� CI YaVCj SOXI Tax Map ID #: l 1` ZZ Subdivision Name: CONTACT INFORMATION: • Applicant: Name(s): eg'�Vfi cz-'1 y�✓ Mailing Address, C/S/Z: �-�Cy-)Cw LQ'el Sr - Cell Phone: Z)0 -� 9 (01- Land Line: Email: Primary Owner(s): Name(s): Mailing Address, C/S/Z: ------ - - Cell Phone:_�) Land Line: r fs Email: L"" 2017 • Contractor(s): i __.� Business Name: T�VVV OF QUEENSBURY Contact Name(s): --- — Mailing Address, C/S/Z: Cell Phone:. Land Line: Email: • Architect(s)/Engineer(s): Business Name: Contact Name(s): Mailing Address, C/S/Z: Cell Phone: 1 ) Land Line: Email: Contact Person for Building & Code Compliance: Cell Phone: Land Line: Email: Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017 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: F 2 ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ Z)o 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. 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. 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 1/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities priorto issuance of certificate of occupancy. I have read and agree to the above: / PRINT NAME: SIGNATURE: ,/� /�d�� DATE: Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017 �- -- 7 J++H"T+ 309.14-1-48.22 AST-000318-201 Stark, Robert ! n (�s'_( I-�-r`' h 38 Richardson Street U 4 y Deck 152 s.f. !Jt1 1 2Uay r_. -TR Vaf EERSl UR Q, UI D NG &i C I 11 ,yIND j©UEENSBURY — - Ull. DEQ halon,C liance — a oh urtimited examination,comp ed s ur - mments shall not bfUons are an di hag fie plans and es of s Tpmpliance with the ulldln� Codj i ewYork State, i TI--� - t- I --r - I 1 -17 I I I BU LL )G C n g II I 22.. E L i IV5 sit I ; j I I � - -- 1 1 I I -- I I , i - I T W Ofd UR '— JG r r S BU - — UI LSI- — -1 . I . I IIj I I I I -74=7-- 17 F I i ---i- __ — I , • JW 1 l� , •v ' 'o �o se 0 728 16 1264 �ptal z 40 .,.. ao-s 10 m F� ' �0s 3 A w ' N 'A237 j 0 50 N I klAF 239 17 OD u Try 2 A, 1.21 A(C) 13s 2 52 WEST ! 36 pISTR\GT 230 z�ess 15 W 53 1 Zp0 49 POWER CORP. 1.03 A(C) p a �, L\GHT\NG �I� MA�ARAMOHAWK _ �1 _�T 6 - w N D\SSR\DT p 36 48.1 �t a 8 Z 1.46 A 8 I N G 3 0 N ' T 48.22 f 3e 1.90 A ,8 N rn 7�A A A O N O ` Z 0 48.21 PERMIT PLOT P[A—NJ 0 2.60A w 1 HAVE PERSODIALLY ME,4SL!RL"D 1' D!STAPJGE a1 FROM THE PROPE RTY Lh`?G�TU Ti !E PRP,O�,' SED STI'UCI'U°E(S)0 -1GPJ(S) o 0 _1 7 3l�aol7 � ITE °7 m JN R_ DISTRICT TOWN OF a3 t1UEE'PJSfiURY 44 COMMUNITY DEi/ELOPMERIT 45