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AST-0681-2022 l A' Office Use Only ACCESSORY STRUCTURE Permit#: A57- 0691 -do�3- Town ofQue b PERMIT APPLICATION permit Fee:$ 1 742 Bay Road,Queensbury,NY 12804 Invoice#: r--FDI��8 P:518-761-8256 www.gueensbury.net Flood Zone :yl� Reviewed WCA- 1 REVISED Project Location: ©cJ- (� 4� Tax Map ID#: zaj:� Subdivision Name: PROJECT INFORMATION: I E C� E 9 d E TYPE: Residential El Commercial, Proposed Use: NOV 21 2022 TOWN OF QUEENSBURY STRUCTURE: BUILDING& CODES ❑ Boathouse(with or w/o sundeck) ❑ Canopy ❑ Carport ❑ Cell Tower ❑ Deck ❑ Detached Garage(>300 s.f.) J Dock El Gazebo ❑ Pavilion El Pole Barn El Porch El Ramp ❑ Shed (<300 s.f.) ❑ Solar Panels(w/o rafter upgrades) ❑ 3-Season Porch ❑ Other: SQUARE FOOTAGE OF STRUCTURE: 1st floor: 2nd floor: Total square feet: Brief description of scope of project: vl' eylsY b�� ?�-�/�� '^'� 7"/Lx1,6' 6Z AIN 6 c.T Accessory Structure Application Revised January 2021 ADDIT OVAL PROJECf INFORMATION: 1. Estimated Cost of Construction:$ 2. Are there any structures not shown on the plot plan? ❑YES )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 If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of Queensbury.After 1 year from the initial application date,100%of the fee is retained. 3.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 January 2021 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): �L, � /Unlc fS�N 9�51- 4, 12eeill5 Mailing Address,C/S/Z: /Z,7 6 4/4� � �I/�/LXQ�1JZ���'�� Cell Phone: �7/g--5d! f Land Line: Email: /j�esiU%,���� e'en-rZfl "*2' • Primary Owneds): Name(s): 'Zo$i&T ;i(%/J d fy& , Mailing Address, C/S/Z: 467 l�L-G LI' �2 Cell Phone: Sl g--Z 3 Land Line: Email: e 11U'9*ft,9i'11/�c��j ❑ Check if all work will be performed by property owner only • Contractor(s): (List all additional contractors on the back of this form) Contractor Name(s): R651" Contractor Trade: Vd6EI��L/ Mailing Address,C/S/Z: l z 7 6 X AH7 K-1f' IZP Cell Phone: �-A�1491- -7 J- Land Line: Email: �s��;vl�� c- P dv-a/^f�cv ' **Workers' Comp documentation must be submitted with this application" • Architect(s)/Enjeineeds): Business Name: Contact Name(s): Mailing Address,C/S/Z: Cell Phone: Land Line: Email: Contact Person for any questions regarding this project: //JXG /IW IVAJ 1 SFfi , Cell Phone: Land Line: Email: lfdClo w� z3Z; Accessary Structure Application Revised January 2021 ADIRONDACK MADE LAKE GEORGE, NY • j EN GIN EERE� FOR LIFE ALUMINUM TUBE-FRAME DOCKS Hogan Fame ly Dock � I ARTICULATING @CANTILEVER DROLL-INS 107 Fitzgerald Rd ��r�S 518-361-5735 BESTBUILTDOCKS@6MAIL.COM 17 ASH DR. LAKE GEORGE, NY Queensbury, NY 12804 Hogan Family "U "Dock 12 16' 6' T T T NEW 6'X28' DOC N an, �. E gn w2 E_ n 2'X10' LU X�p n r O wOU ���� =fOPVIEW [ C E 0 V E 1o' GANGWAY tr m� Oz� °� CONNECTOR zo �o Z'.S 05 x o �,,� �m CAW NOV 21 2022 o J Q? N m o >- m TOWN OF QUEENSBURY Q BUILDING&CODES RG 4'X28' DOCK - 4' S. ADIRONDACK MADE LAKE GEORGE, NY EN� RED FOR LIFE ALUMINUM TUBE-FRAME DOCKS Robert Et Elizabeth Hogan ��, ARTICULATING*CANTILEVER 0 ROLL-INS 105 Fitzgerald Rd D 0 ., a�7$-361-5735 BESTBUILTDOCKS@CMAIL.COM comp_ 17 ASH DR. LAKE GEORGE, NY Queensbury, NY Dock Layouts - Close up of survey pECE0VE01 NOV 21 2022 b �-4 TOWN OF QUEENSBURY GLEN BUILDING&CODES r LAKEckl ""40-k—i-5 41 415; G— CAMP — =i� `'`' /�I �Illlll liilllll 42 G —•5 / / -o C 440 , li�illi il{I:11; 425, r' / '..DE 445 GARAGE _ /// ////G=—=_450 '— i _46065 g R� top'p _ -_ —— i —- m a LAN DSfI / yo _ ___ a7o Ir 5 i ROAD / MAR HA L a __ _'20=.34 ,-1�` ''% s y C 475 ! N y It ..r.D S-1 D1DlI1C11 m°w mrD ¢e�.1a 1.273 BEST BUILT PRODUCTS, INC 1276 RIDGE RD QUEENSBURY, NY 12804 ROBERT& ELIZABETH HOGAN DOCK#2: This is an explanatory sheet to help describe the dock project at 105 Fitzgerald Rd,Queensbury, NY 12804. 1. Customer has an existing,approved 4'x'28'dock on site. 2. Customer is requesting second dock, 6'x 28'at location and has the waterfrontage to allow for this. 3. New dock will be placed 10'from existing to north east of existing,creating a berth for boat 4. A 2'x 10'gangway(aluminum)will connect both docks Making a "U" dock 5. Typical form will be poured as on the existing dock(see drawing of form) 6. Dock will be built over winter and installed in spring 7. BBD docks are removable and will be seasonally to prevent ice damage. Questions in regard to this dock can be directed to Karl Brenneisen at bestbuiltdocks@gmail.com,or call (518)361-5735,acting as customers agent on this project. Thank you, Karl Brenneisen D E " E0VE NOV 21 2022 TOWN OF QUEENSBURY BUILDING&CODES