BOTH-000219-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: BOTH-000219-2016 Date Issued: Monday, May 1, 2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000219-2016
has been completed.
Tax Map Number: 308.7-1-31
Location: 37 WESTBERRY WAY
Owner: William Felthousen
Applicant: William Felthousen
This structure may be occupied as a: 160 s.f.gazebo
Subdivision: Pine Ridge Estates By Order of Town Board
TOWN OF QUEENNSSBURY
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 of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEI NSBURY
742 Bay Road, Queensbury,NY 1.2804-5904 (5 18)761-8241
1' Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: BOTH-000219-201.6
Tax Map No: 348.7-1-31
Permission is hereby granted to: Garden Titne
For property located at: 37 WESTBERRY WAY
In the Torun 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 Godes and the Queensbury Zoning Ordinance
Type of Construction
Owner Name: William Felthousen Porch-3 Season,Covered,Enclosed $7,424.04
Owner Address: 37 Westberry Way Total.Value $7,420.04
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Garden Time
652 QUAKER RD
Queensbury„NY 12844
------------
Plans&Specifications
160 s.f.gazebo
Subdivision: fine Ridge Estates
$ 50.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Monday,April 17, 2017
(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 Town
Que bury; Frp 4 i ril , 2016
NED BY: for the Town f Queensbury.
SIG o
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION
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PHONE:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE PHONE
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse 1 i floor sq.ft. 2n'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
Other Accessory Structures
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: �. . r r, r I' Gate: '
Signature: Date: / ✓' '
Town of Queensbury Building&Codes Accessory Structure Application July 2014