2015-377 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
(aw Community Development -Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20150377 Date Issued: Tuesday, September 08, 2015
This is to certify that work requested to be done as shown by Permit Number P20150377
has been completed.
Tax Map Number: 523400-295-000-0001-003-002-0000
Location: 34 THUNDERBIRD Dr
Owner: THOMAS & DEBRA SYLVIA
Applicant: THOMAS & DEBRA SYLVIA
This structure may be occupied as a:
Shed/ Storage Sheds
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director o Building&Cod nfor ent
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
VittAy
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150377 Application Number: A20150377
Tax Map No: 523400-295-000-0001-003-002-0000
Permission is hereby granted to: THOMAS & DEBRA SYLVIA
For property located at: 34 THUNDERBIRD Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: THOMAS & DEBRA SYLVIA Shed/Storage Sheds $3,200.00
258 FORTSVILLE Rd Total Value
GANSEVOORT NY 12831-0000 $3,200.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
BP 2015-377
140 sq. ft. Shed
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 26,2016
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T n of een - say,August 26,2015
14SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION Received
DATE W I II 11-S Tax Map ID .2(K,Oe - r - 3-)...
TAX MAP ID 2`LS. - 1 -1 . 2 Permit No. 2,0 ( ''. 1-1
Wr
Permit Fee fo/ 4"
ZONING �n c Fee
HISTORIC SITE Yes ✓ I-
!� (-' 1- I / E - -provals
:,_ .
SUBDIVISION NAME on Lot#
•D-e •, I!1 a 2 1 2015
APPLICANT )cN^ S Iv i ow E- - Sa.".
3`� —� f• •F QUEEN' S RY
ADDRESS C/ . s ci(SU "'PING& clams
Q,..._eensbw •/Q'l IiBoy
PHONE 13 2_r(II o LD 2- PHONE
CONTRACTOR Cc1rC1Qn 1 %Me._ COST OF CONSTRUCTION(E(ST.IMATED): $ 3Z ° . O 0
ADDRESS: CP s Z QAci�
tcJ ,`d BUILDING ADDRESS: C/ 1 `^^"ie(4`rte✓ k-c->
Q ..e.e ssbw7 N`I 1z�l 617,pl4-_ 3
PHONE: )gv.3 - D��S
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE PHONE
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse 1'floor sq.ft. 2"d floor sq.ft. Total sq.ft. Height
Boathouse with Sundeck
Deck
Detached Garage(#of cars_)
Dock
Pole Barn
Porch-open
** Porch—3 season,Covered,Enclosed
Shed 19 o
Other Accessory Structure(s)
**Considered floor area&must comply with FAR(floor area ratio)requirements if located in the WR zone
DECLARATION: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the
application, plans and supporting materials are a true&complete statement description of the work proposed,that all work will be
performed in accordance with the NY State Building Codes, local building laws and ordinances; and in conformance with local
zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of
occupancy. 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: ..II S`/(v�S Date: Y/2 i illi
Signature: .--71,t,---L-d- 3; Date: Y/21 //S-
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
Page 1of1
i-' ' Tom & Debra Sylvia BP 2015-377
34 Thunderbird Road
Shed 140 sq. ft.
TOWN OF QUEENSBURY
BUILDING DEPARTMENT
Based on our limited examination,compliance
with our comments sha?,r; l
indicating the plans and s c�ecificaf ons are rbe construed n
full compliance with the
New York State. Building Codes of
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