AST-0505-2018 Kh TOWN OF QUEENSBURY
- 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
-
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: AST-0505-2018
Tax Map No: 295.17-1-10
Permission is hereby granted to: John Pagano
For property located at: 6 VERANDA LN
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
Type of Construction
Owner Name: John Pagano Porch-3 Season,Covered,Enclosed $8,000.00
Owner Address: 6 Veranda LN Total Value $8,000.00
•
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Anthony Goodspeed
6 Elmhurst DR
Queensbury,NY 12804
Plans&Specifications
convert existing deck to 3-season porch
305 sq.ft.
$ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,August 14,2019
(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 e expiration .a-.)
Dated at the To of Qu sb # T e..,.%',' ugust 14,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
1K
Office Use Only
i"raiT : --.� r 6-0S6 / �.
ACCESSORY STRUCTURE Per
PERMIT APPLICATION Permit Fee:$
Town oFQueensbury 742 Bay Road,Queensbury,NY 12804 invoice#: ~7 G
P:618-761-82 s6 www.queensburv.net
Project Location: v9v`,4,u cJ A 1 e,
Tax Map ID#: 9 1 7 " / ' I ® Subdivision Name° S .
CONTACT INFORMATION: ,_ f L a xu l 0: t�
LS
e Applicant: k" <
67.)v �n -5 Name(s): 7 194 is-
Mailing Address, C/S/Z: ( � v.4 c% CPaer,o-A,�, � ttiVi2
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Cell Phone: (�T(' ) 7 Cl 4j — i c' Land Line: (1 ) S"o- G%C1 e
Email: )PA 6 7 2 g' 7 e
• Primary Owner(s):
Name(s): T 1J ga..) Pia 5
Mailing Address, C/S/Z: 6 4 J L.o C)u eeA..5 Iav1�J ,��- I.Z 50 q
Cell Phone: ( S�� ) -7 etc` - 5 5 1 S/' Land Line: (A ' ) 1-// � - 670 d I
Email: PA-, 7 ai 6 "7 _ ASP
• Contractor(s):
Business Name: 14v 40,4d 6o0r9t Pei'--
Contact Name(s):
Mailing Address, C/S/Z: 41,„ 'lt i-c-/- C Ga A.,1 I rd
Cell Phone: ( S76 ) ,707 Y-1 k 7 '. Land Line: ( ) J
Email: a. 900c9Je- D vadtoa ,co
e 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: Av -i, 6--votOr
Cell Phone: (Ji, ) JU ?-/C,. Land Line: ( ) )
Email: 4_ g0c e.0,E),9
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
0
PROJECT INFORMATION:
TYPE: Commercial )( Residential
WORK CLASS:
Sens
\i-pecl',apga 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: 3'0 Li, S---
ADDITIONAL PROJECT INFORMATION:
a
1. Estimated Cost of Construction:$ X) C,9C)0 �'plc)
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:I. 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. lfthework is not completed by the 1 year expiration date the permit may be renewed, subject to fees
and department approval.
3. I 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. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of
occupancy.
5. 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: \,,,, f /2f)'
SIGNATURE: Ze,2„.,„ � � sDATE: `-
V
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
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- 3-season porch 305 s.f. - .L E III -
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MAP REFERENCE:
MAP OF A PROPOSED MODIFICATION
TO AN APPROVED 5UBDIV15ION
THE VISTAS ON WEST MOUNTAIN
BY: VAN DU5EN + 5TEVE5
DATED DECEMBER S. 2004
LAST REVI5EDs JANUARY 25. 2005
LANDS N/F OF - -
RAVEN INDUSTRIES
LOT 2
S600
f � �r ?d'9? 2S•F
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REVISED
SS l` Derr LOT 1 a
57,986 sq.ft.
2 STORY y 1.33 acres
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WOOD FRAMEDa
a�(( HOUSE
UTILITIES
CATCH BASINS
PY
of
oo
J/ PERMIT P1
v I HAVE PERSONALLY MEA�I.''r :
'TOWN DRAONAGE EASEMENT o FROM THE PROP1. ;f-;E
EA5EPIENT TO RAVEN ,��' P OPOSED STRUCTURE( ' 0; ,IGN'S
' INDUSTRIES FOR LANDSCAPIN f�Y
AND SIGN PLACEMENT
DATE
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lR. µ..'ryryrt . — 1{6`
14. 1A 19-25 .0 0
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DECEg0VE
>J� 6ec- AUG 0 7 2018
4 nr5g)W 11
TOWN OF ( UEESl3URY LANC3
COMMUNITY DEVELOPMENT
D u � Date: NOVEMBER 17, 199
j_j �J y, �NEARINGaEo ALTERATIONSLASURVEYORS
TO 13 SURVEY Scale 1'=30'
,[ MAP BEMWO A LICENSED 9.S SURVEYORS SELL IS A Map of a Survey made of
&�/� VIOLATION OF SECTION 7209.SUB-DIVISION 2,OF THE '
NEW YORK STATE EDUCATION LAW.'
^, MARKED
COPIw7H A FROM ME ORIGINAL OF THIS SURVEY Lot P Vistas
SEALED NITN AN OPogNAL OF 71E LAND SURVEYORS The w_,
SEJV.SHALL 8E CONSIDERED l0 BE VAUO TRUE COPIES'
. 'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE KITH THE
Land. Surveyors �SU �,�, � �� an West. Mountain
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
TO THE PERSON FOR IkfOM THE SURVEY IS PREPMED,AND SHEET 1 OF 1
ON"IS
BEHALF TO THE TIRE OOMPANY.GOVERNMENTAL
169 Haviland Road Queensbury, New York 12804 E GN�OF TM LENDING LISTED HEREON.
""° Town of Queenst' 9, Warren County, New York 1 6/09/05 HOUSE LOCATION
BRIARWOOD C143
.(518) 792--8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 92079-1
.17-1-10 / 57-1-10.4