2015-440 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: P20150440 Date Issued: Wednesday, March 23, 2016
This is to certify that work requested to be done as shown by Permit Number P20150440
has been completed.
Tax Map Number: 523400-279-000-0001-053-000-0000
Location: 930 STATE ROUTE 149
Owner: GARY& JUDITH WEST
Applicant: GARY& JUDITH WEST
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 n �J
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code nforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
rgia
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150440 Application Number: A20150440
Tax Map No: 523400-279-000-0001-053-000-0000
Permission is hereby granted to: GARY&JUDITH WEST
For property located at: 930 STATE ROUTE 149
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: GARY&JUDITH WEST Shed/Storage Sheds $3,256.00
930 STATE ROUTE 149 Total Value
QUEENSBURY NY 12804-0000 $3,256.00
Contractor or Builder's Name /Address Electrical Inspection Agency
GARDEN TIME
652 OUAKER RD
OUEENSBURY,NY 12804
Plans&Specifications
2015-440
Shed 140 s.f.
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 24, 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 Tow of Q ensb ;4 I , , eptember 24,2015
14
SIGNED BY '' for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION Received
DATE zc//,5 Tax Map ID
TAX MAP ID �'
iq ._I._5r3 Permit No. ‘5-L1`��
Permit Fee
ZONING Rec Fee
HISTORIC SITE Yes V, No Approvals
SUBDIVISION NAME Lot# Q
APPLICANT �T 11)A.`1�1 G 11 '1 OWNER C;;;41,�Y• /'i r-5)-
`7
ADDRESS 3L) ✓1 ) 1&' /' ADDRESS c& /619
z a/lkr A),\( 'y /mac
PHONE 2g CP/7 PHONE 9�/
CONTRACTOR / le-16-175v—
COST OF CONSTRUCTION(ESTIMATED): $ 5-�
ADDRESS: S1 C -11‘; BUILDING ADDRESS:
PHONE: �`� p "O���� ._it 7- / j'
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE 1=c�r PHONE 79;1-031
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse 15'floor sq.ft. 2nd floor sq.ft. Total sq.ft. Height
Boathouse with Sundeck
Deck
Detached Garage(ft of cars )
Dock
Pole Barn
Porch -open
** Porch—3 season,Covered, Enclosed
Shed / 1/(7 /Lf1)
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: *7� GUv Date: Q//W/5
Signature: �L. .(�( t,. Date: (71/9/1
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
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Stock ID Number: 1510581
Size: 10'X 14'
Style: DALTON
Siding Type: DURATEMP a
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Details: 5 1
• LT GRAY DURATEMP Siding
• WHITE Trim Date:
vs4.- ,,, ____ _ i‘,
• CHARCOAL GRAY Shingles
Customized Options:
• Upgrade To 24x36 Windows$100.00
• Perma Trim Corners$65.00 TOWN OF QUEENSBURY
• 4x10 Loft$100.00 BUILDING DEPARTMENT
• Upgrade To 6'Double Door$75.00 Based on our limited examination,compliance
with our comments shall not be construed as
indicating the plans and specifications are in
full compliance with the Building Codes of
New York State.
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