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AST-0452-2023 Office Use Only ACCESSORY STRUCTURE Permit#: �� CZieb PERMIT APPLICATION Town of permit Fee:$ �S 742 Bay Road,Queensbury,NY 12804 Invoice#: P:518-761-8256 www.gueensbury.net Flood zone? Y N Reviewed By: Project Location: 7 n'\.o n,A, 1+21 l �r \/L— Tax Map ID#: ®�o S� 7 Subdivision Name: PROJECT INFORMATION: E U" _ f g TYPE: Residential [I commercial, Proposed Use: cRs I P TOWN OF QUEENSBURY STRUCTURE: L6UILDINU&COL�ES ❑ Boathouse(with or w/o sundeck) ❑ Canopy ❑ Carport ❑ Cell Tower ❑ Deck ❑ 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: I &D 2nd floor: Total square feet: to 0 Brief description of scope of project: h CJ h� i J� I ^C ��1 c6m �1(f+�J 'L fi i s /0 x 1 G . Accessary Structure Application Revised June 2022 v ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction:$ -7 s ©� 2. Are there any structures not shown on the plot plan? �( YES 1� NO Explain: PO 0 3. Are there any easements on the property? �LYES ❑ 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 suUmittal 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 If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of Queensbury.After 1 year from the initial application date, 100%of the fee is retained. 3.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 certifythat 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 1/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of certificate of occupancy. I have read and agree to the above: PRINT NAME: a 5 S Din-. o n-�- SIGNATURE: `-;� y`� DATE: Accessory Structure Application Revised June 2022 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • A licant: 1 Name(s): a35 'D- r o n -� Kai I�� �c�.r�o C�� Mailing Address, C/S/Z: Fr-7 Ki c�rnone',,- 4' )l Of i y�e C' (Ag?cc,t �{-y P y I � Cell Phone:_Er(40 &lc) �05-22 Land Line: Email: kA-mon- -f'oSs -, gal ) , co m • Primary Owner(s): Name(s): 4S Mailing Address, C/S/Z: Cell Phone: Land Line: Email: ❑ 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): .77"k co Contractor Trade: SNA )9u&i (dam r" Mailing Address, C/S/Z:_�7�Cm. {RA, q;t- 77D rt Ec�c--) r-A )JY ),;W?45� Cell Phone: Land Line:__S I Email: G ,, fn barn q ) Co Ins "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 June 2022 M O ®1 1 -- Ot e ASPHALT SHINGLESN y 1 !jC�� COW. RIDGE VENT - OPTIONAL �-R-_ t 1 PLYWD. �/ GI�ET EA. r= n N O /. SHEATHING FASTENED SIDE OF FAASIENED w/ ° I z-n r®- Z U (10) is 9/2 CROTrN x 9 1/4 STAPLES � Q r� ; Q w 24 RAFTERS ® 16' D.C. 8 12 16. Q rm I ,� (3) 1Od COMMON NAILS m p �� -RAFTER TO PLATE CONN. -(2) ONE SIDE, (1) OPP. ? ; T 194 FASCIA DST.. 24 TOP PLATE CJ (1) 2x4 COLLAR: ME 4" (SHEDS 018 18° LONG) OUPATEMP OR WK SIDING FASTEN LOWER TOP PLATE � N 00 1/2•COX PLYWD. 2x4 STUD WAIL ® 18m O.C. o INrO STUDS w/ (2) 12d NAILS -FASTENED w/. Od NAILS �i (1) 16d NAIL THROUGH BOT. OF 2x4 SOLE PLATE TO END OF STUD (TO)WOOD FDN.16d HAILS (PER FO SOLE OT) 8dBHAIILSYNJDYMFASTENED w/. 2x4 RMR JOISTS ® 12° O.C. COP �! FIX FLPL P.T. 4x4 FOUNDATION BEAMS (z) 1sa NAILS FROM JOIST TO WOOD MN. (PER FOOT) sr 1/2• TOWN OF QUEENSBURY 2 2- 1'-11° BUILDING-& CO ES DEP Reviewed y: � SECTION Date, �... 2. .2 SCALE: 3/8p= °—op ���1( 308.7-1-57 AST-0452-2023 TOWN OF QUEENSBURY � � Dumont, Ross BUILDING DEPARTMENT Based on our limited examination,compliance - 11 87 Richmond HIII Dr with our comments shall not be construed as indicating the plans and specifications are in Pre-fab shed 160 S.f. full compliance with the Building Codes of �a New York State. D .J F - ° rn C7 � ® N v Cm 160 O.C. � - - PROJ. # 20003 THE BACKYARD COLLECTION ®WN. BY. RJE JAN. 20, 2020 10' Wide PLAN Backyard Series Cape A40 I- i MAP REFERENCE, . SUBDIVISION MODIFICATION SUBDMSIONPLAN YICh17R. 4HOMAS SCHIAVOAe DATED.,AwARY9,1003 LAST REVISED-DECEMBER 17,2009 BY.'NACE ENGINEERING PC and VAN DUSEN 8 STEVES L4.N0 SURVEYORS U VN OUEENSSURYDING CODES 0. 1 / LOT 11 4� i d LOT 10 _ /• y1 / 3 153 sq. ft / / ryyL',�Ary _ .74 acres /',• j :� lY0'.CL7 781,831 S 08'43.00, W Ty Slap maAc for [Mel ''ULY ` an &"�-'Z S �'T� Scale 1'=39' Steves �[ - - Thomas J. farone: S-1 Land Surveyors And 'Son, Inc. 189 Havlland Road Quee¢abnry, New York 12804 v SHEET I OF 1 (518) 792-8474 New York Liu. No. 00135 Town of queenabury, Warren County, New York N0. DATE DESCRIPTION DP'Q N0.019e0-II