application207.15-/-}OFFICE
TAX MAP NO.
FEE PAID,
onsen
ACCESSOR
Use this application for any structure other than the PrinciNotlimitedto:garage,shed,greenhouse,entitled Accessory Structures-Sheds/Fences.
‘A PERMIT MUST BE OBTAINED BEFORE WORKISSUANCEOFAVALIDPERMIT.NO INSPECTIO}RECEIVED A VALID BUILDING PERMIT.
owner:TeEiy T.Dailey
aAppress:14 WY,St Ext
ECEIVEateStampOCT18200
TOWN OF QUEENSEAPPEFORTIONSETON
ipal Structure (house)to include,butdock,deck,etc.Refer to Informational Brochure No.3
BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORENSWILLBEMADEUNTILTHEAPPLICANTHAS.
wstaureneunoer:Je Grey V-Qai ky
ADDRESS:
prone nos,18)743-og9s°PHONE Nos.
LOCATION OF PROPERTY:_S@nie_‘SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION ANDIOR INSTALLATION:Gane-
ESTIMATED COST OF CONSTRUCTION:
IF YES,PLEASE LIST:
$15,000 any OTHER ACCESSORY STRUCTURES ON PROPERTY?
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE:PHONE:
PROPOSED CONSTRUCTION 1"FLOOR
80.FT.
2°FLOOR,
80.FT.
PROPOSED
HEIGHT
FT.&IN.
TOTAL,
8a.FT.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH?
BOATHOUSE
BOATHOUSE WITH SUNDECK
Dock
‘SHED
POLE BARN
XC DETACHED GARAGE (NO.OF CARS:2-4 Bilo
OTHER ACCESSORY STRUCTURE:
“CONSIDERED FLOOR AREA &MUST COMPLY WITH FAR [FLOOR AREA RATIO]REQUIREMENTS IF THE‘STRUCTURE IS LOCATED IN THE WATERFRONT RESIDENTIAL ZONE,
To the best of my knowled
and specifications ige,the statements contained in the application,together with the planssubmitted,are a true and complete statement of all proposed work to be doneonthedescribedpremisesandthatallprovisionsoftheBuildingCodes,the Zoning Ordinance.and all other laws pertaining to the proposed work shall be complied with,whether specified ornoted,and that such work is authorized by the owner.Further,it is understood that lAve shallsubmitpriortoaCertificateofOccupaneyorCibytheZoningAdministratororDirectorofBuil
surveyor,drawn to scale,showing actual location of all newconstruction.
[have read any rove.
Signed Dated:
iding and Code
‘ertificate of Compliance being issued,as requesteds,an As-Built Survey by a licensed
‘QUESTIONS 7 CALL 761-8256 OR EMAIT
des ensbury.net
VISIT OUR WEBSITE FOR MORE INFORMATION,
www.queensbury.net
ee Town of Queensbury +Community Development Office +742 Bay Road,Queensbury,NY 12804
BILGL 11-05