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AST-0601-2022 It / _ r Office Use Only ,,, l,. ACCESSORY STRUCTURE Permit#: f \--- 0(QO l-- 2012_ TownfQucenshury PERMIT APPLICATION Permit Fee:$ 1Z-NO 742 Bay Road,Queensbury,NY 12804 Invoice#: 5 ',1/4.kq -1� P:518-761-8256 www.queensburv.net Flood Zone? Y InReviewed By • Project Location: 69 Wavely PI Tax Map ID#: 523400-296-008-0001-010-002-0000 Subdivision Name: Waverly PI PROJECT INFORMATION: TYPE: B Residential ❑ Commercial,Proposed Use: STRUCTURE: ❑ Boathouse(with or w/o sundeck) El Canopy ❑Carport ❑ Cell Tower El Deck ❑ Detached Garage(>300 s.f.) 0 Dock ❑ Gazebo ❑ Pavilion ❑ Pole Barn 0 Porch ❑ Ramp El Shed(<300 s.f.) ❑Solar Panels(w/o rafter upgrades) ❑3-Season Porch El Other: SQUARE FOOTAGE OF STRUCTURE: 1st floor: ill SEP 7 6 2022 11 2nd floor: TOWN OF QUEENSBURY Total square feet: 225 _t BUILDING&CODPS Brief description of scope of project: Existing pressure treated deck, railing &stair treads to be replaced with trex composite decking material and composite railing per attached trex photo Existing support structure, beams,joists, posts&footings to remain as is per the 2012 permit ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction:$27740 2. Are there any structures not shown on the plot plan? D YES ® NO Explain: 3. Are there any easements on the property? ❑YES 8 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 If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of Queensbury.After 1 year from the initial application date,100%of the fee is retained. 3. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 4. I 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. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of • occupancy. 6. I 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: Richard E Bergeron (.2L, SIGNATURE: 6.- DATE: 09/26/2022 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): Richard Bergeron Mailing Address,C/S/Z: 69 Wavely PI Queensbury,NY 12804 Cell Phone: 518-744-5392 Land Line: 518-798-7553 Email: rbergeron@roadrunner.com • Primary Owner(s): Name(s): Richard Bergeron Mailing Address, C/S/Z: 69 Waverly PI Queensbury, NY Cell Phone: 518-744-5392 Land Line: 518-798-1553 Email: rbergeron@roadrunner.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): Patriot Construction of Upstate New York, Inc. Contractor Trade: Mailing Address, C/S/Z: 4789 Jersey Hill Rd Amsterdam,NY 12010 - - Cell Phone: Land Line: 518-882-9185 Email: info@patriotconstructionny.com **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: Pr7l \tatYl Cell Phone: Land Line: \ ' El()) Email: ,, - 'MIMI :, Existing Home 0—1:i5 ' co ---. 1-i... :-_. Existing Porch 0 k--, —0 •—rn : ,zFa io reo'in Sandwich Beam ' 1 CP:f;u3 '..' , . ..._,...____.______ _____._______ ___ _. 1(pc Fa • ,Fl •......_ I , . , ..... , . . . . , ......., . ..,.. i 16'0" 1 , , • . , I , 12' 0" CJ CI CC is.) _ n , - —I a, • , pa 6. s•7o.' ..c. < i(3 • , : — e"\ CU eD 00 . ..gri-'_.1,16; , ...-.. - ; —I < •Ne I , ; (1) CD 0 FA • • . gostt 6'4!0.C. . 4'O' rt, -a pa 0 ,------, ki .,. .. „ , . . . - ci. ......... Tx ,. '- Railings with 2 x 2 balusters \ Sandwich Beam V/ 2 x 6 joists 16"0.C. ..."."-K &;hh/Z-) supporting joists 1 0 .• 20 0" I,....13:iOh VilfeBergeron ch 60 Waver y Hoge o Queensbury,NY N.) 1 ___ ......„. .... u-i 1%) 0 w NI ' - 11 , V ... '.. . . .„ .. ... . . . 4. ......- . -... ...-..,.-• . .. . • • TOWN OF.QUEENSBURY . B,UILDING-&CODES DEPT .... . . . Existing Porch • .. . . . ,. . . , . • RevieWe :.E-iy'. .,--- . . . . . . • . ., •. . . ,. . . ... . . .• 'Date.:. .• :,. 2.: - -----...-...,,,,...„.....,......., .._,.. .. . . . . " • " , ' i - • t. - 1.] li - LL .-_, 1 . . . -- 1 : , , . . Deck joists connected to existing TUN • i i porch sandwich beam using ,......,-4'.„..••-. 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'� '•''., , ..(; .::ir.'1,. -.'I''= I pate, P6HUARY.,Et,<2005 e.n Du s e a m .. o . , Na-of a Survey made for Steve s "`"""` CATHERINE A: PURDY ; Land Surveyors, LLC 'q "' Town of Quee ebury,Warren County.New York%.: :f: >''t;:.^•.:•l,. , ' q s, �+®m '' n,DESCRIFiRONI.,'1 ' .-DW4 NO.9°C112'31't' 89 8nvlland Road Qu cenebury, New York 12804 wuw.�oo....e..av�w N0.' BATE' i` i18) 792-0474 New York 11o..No. 50135