AST-0536-2021 Office Use Only
ACCESSORY STRUCTURE ' Permit#: O�;&n - 2MZ)
PERMIT APPLICATION Permit Fee:$ '
742 Bay Road,Queensbury,NY 12804 Invoice#:
P:518-761-8256 www.aueensbury.net Flood Zone? Y N Reviewed By:
Project Location: 10 Mabel Terrace, Queensbury, NY 12804
Tax Map ID#: 308.10-1-68 Subdivision Name: Herald Drive
PROJECT INFORMATION:
DECE ' E
TYPE: X Residential ❑ Commercial, Proposed Use:
0
JUL 16 �QL1
STRUCTURE: T ( OF QUEENSBU Y
BUILDING&CODES
❑ Boathouse (with or w/o sundeck) ❑ Canopy ❑ Carport ❑ Cell Tower Dec
❑ Detached Garage (>300 s.f.) ❑ Dock ❑ Gazebo ❑ Pavilion ❑ Pole Barn ❑ Porch ❑ Ramp
Shed (<300 s.f.) ❑ Solar Panels(w/o rafter upgrades) ❑ 3-Season Porch ❑ Other:
SQUARE FOOTAGE OF STRUCTURE:
1st floor: 200 sq ft
2nd floor: N/A
Total square feet: 200 sq ft
Brief description of scope of project:
Previous shed (10'x 10) will be replaced with prefab 20'x 10' shed. Crushed stone
pad will be placed by property owner prior to shed delivery.
Accessory Structure Application Revised January 2021
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ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$>00. t�d
2. Are there any structures not shown on the plot plan? DYES �NCI Explain:
3. Are there any easements on the property? ❑ YES NO
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 If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of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. 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 atrue 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: 10jr-6c") f5
SIGNATURE: DATE: l6 02
Accessory Structure Application Revised January 2021
L ,
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): Andrew Cawrse
Mailing Address, C/S/Z: 10 Mabel Terrace, Queensbury, Ny 12804
Cell Phone: 413-250-2648 Land Line:
Email: Andrew.Cawr.se@gmail.com
• Primary Owner(s):
Name(s): Andrew Cawrse
Mailing Address, C/S/Z: 10 Mabel Terrace, Queensbury, Ny 12804
Cell Phone: 413-250-2648 Land Line:
Email: Andrew.Cawrse@gmail.com
❑ 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): Mohawk Valley Sheds
Contractor Trade: Construction
Mailing Address, C/S/Z: 2480 State Highway 30 A, Fonda, NY. 12068
Cell Phone: 518-212-3131 Land Line: 518-212-3131
Email: Ron@mohawkvalleysheds.com
**Workers' Comp documentation must be submitted with this application**
• Arch itect(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 January 2021
TOWN OF QUEENSBURY '
- = FTOWN
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BUILDING & CODES
DEPT. _
Reviewed B : 00IRVALLEY 6
Date: 2 1 2021
cab;as and Mnre... UEENSBURY 8& CODESSpecification of Storage Sheds -�
1. Foundation timbers : 411 x 4" pressure treated lumber or larch
2. Sub flooring: floor joists are 2 x 4- 16" on center (Garage storage units are 8" o.c.)
3. Flooring: 51811 LP Prostruct flooring with Smartfinish
4. Walls: 2 x 4 - 16" o.c.
S. Windows: adjustable 4 grid single pane with screens
6. Doors: 7/16" LP Smartside front with reinforced interior frame and locking door
handle
7. Overhead doors: 9' x 71 overhead garage door
8. Door Hardware: Black door hinge with T handle Latch with lock
9. Siding: 3/8" LP Smartside wood siding or Vinyl siding
10. Rafters: 2 x 4 - 1611 o.c. 65lbs per sqft snow load and 115 mph wind speed
11. Roofing: 7/16" OSS with 30 year Owens Cornings Shingles or 29 ga. Metal
12. Paint: 100%a`self priming.acrylic paint
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ILVING DEPARTMENT
Based on ami ed examination,compliance
with u�-comments snap riot be ntre a
indicating the plans and'specifications are in Limited warranty on all sheds
full compliance with the Building Codes of
New York State,
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BUILDING& CODES
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