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AST-0418-2022 .1� Office Use Only ACCESSORY STRUCTURE Permit#: AST • 04-1$ - �pZ2 Town ofQueensbury PERMIT APPLICATION Permit Fee: $ � ' 742 Bay Road,Queensbury,NY 12804 ) Invoice#: rz>`bb P:518-761-8256 www.gueensbury.net I Flood Zone? Y <DV Reviewed By�•"�" Project Location: L(7,5 Tax Map ID#: 1� ' 2+GJ�ai� Subdivision Name: a ' & 1, r PROJECT INFORMATION: TYPE: Residential ❑ Commercial, Proposed Use: STRUCTURE: ❑ Boathouse (with or w/o sundeck) ❑ Canopy ❑ Carport El Cell Tower ❑ Deck ❑ Detached Garage (>300 s.f.) ❑ Dock W Gazebo ❑ Pavilion ❑ Pole Barn ❑ Porch ❑ Ramp ❑ Shed (<300 s.f.) ❑ Solar Panels(w/o rafter upgrades) ❑ 3-Season Porch ❑ Other: s_a�j SQUARE FOOTAGE OF STRUCTURE: JUL p 5 1st floor: i 2nd floor: TOWN OF OUEEC RY BUILDING DES Total square feet: Brief description of scope of project: Accessory Structure Application Revised June 2022 rY� ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction:$ GD 02 2. Are there any structures not shown on the plot plan? ❑ YES `R'NO Explain: 3. Are there any easements on the property? ❑ YES ❑ NO DECLARATION: 1. 1 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 If,for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of Queensbury.After 1 year from the initial application date, 100%of the fee is retained. 3.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: -- SIGNATURE: DATE: Accessory Structure Application Revised June 2022 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): ' Mailing Address, C/S/Z: j Cell Phone: Land Li e: I Email: 10A� ( 'D Q=1-0 +e • Primar Owner s Name(s): _ J Mailing Address, C/S/Z: Cell Phone: - J L nd Line: Email: b ❑ 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: Cell Phone: Land Line: Email: Accessory Structure Application Revised June 2022 Deck and Roof Design checklist Iscl ck freestanding or attached Footing Sono tubes sized for postA 44 8" 6 D2' Big foot or footing for roof load j 2,'o 0-3ic Proper attachment to post and footing showna)hJ��� Proper flashing or waterproofing to structure shown Attachment to structure shown on plans Galvanized or stainless steel bolts shown NO ZINC COATED I Hex headed bolts NO CARRIAGE BOLTS l Diagonal bracing shown for deck over 24" 1 ���,.�C7 ��¢;�,?n-7 AFloorjoists parallel to carrying beams Deck post to beam attachment shown 4k- Over 30" requires handrail it Over 30" requires guards Over 30" requires guards @ 34" to 38" in height and handrails @ 34"-38" Revised 4/15/2021 ,r I 5/ 'SLOK 1�2 i Z.j.tU 5 � e y T0V(N Cyr QUE N BU ` BUILDING & r rr RevieWe,--+ BA' 1 I Date; 1 s TOWN OF QUEENSBURY BUILDING DEPARTMENT Based on our limited examination,complianc �� 1 f C ` ��� ST ks)>4 C-OtE with our comments shall not be construed a S aaurr �� indicating the plans and specifications are i w ` �' �ST1t4 C- C full compliance with the building Codes New York State. ND JUL 0 5 2022 -X No TO SCPLE _ - - -- -- _-- _-__--___ TOWN Or QUEENSBURY vm DK BUILDING&CODES >�S �/ �,(�.�,`���,�• C-Cj�i��'~L-` ©�• 301.19-2-55 AST-0418-2022 ; Choppa, Brene 43 Queen Mary Dr �r--- Roof over cement patio S L,& UP 6 , l P r ��(0 l 1 0 CKLE Lp T'b�t7 7lb 36