BOTH-000063-2016 TOWN OF QUEENSBURY
" 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
t
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: BOTH-000063-2016 Date Issued: Thursday, April 21, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000063-2016
has been completed.
Tax Map Number: 252.-1-76.2
Location: 1952 BAY RD
Owner: William Kelly
Applicant: William Kelly
This structure may be occupied as a: 960 sq.ft. Pole Barn-unheated structure
By Order of Town Board
TOWN OF QUEENSBUR/Yf
Issuance of this Certificate of Compliance DOES NOT relieve the r GGA v/,/ Aproperty 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 QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 {518}761-8201
Community Development- Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000063-2016
Tax Map No: 252.-1-76.2
Permission is hereby granted to: William Kelly
For property located at: 1952 BAY RD
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
Tyne of Construction
Owner Name: William Kelly Pole Barn $0.00
Owner Address: PO Box 346 Total Value $0.00
Blooming Grove,NY 10914
Contractor or Builder's Name I Address Electrical Inspection Agency
William Kelly
PO Box 346
Blooming Grove,NY 10914
Plans&Specifications
960 sq.R.Pole Bam-unheated structure
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,February 11,2017
(if a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the a iration date.
Dated at the Town o ueensb We n s February 17,2016
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Offloe Use ACCESSORY STRUCTURE STRUCTURE APPLICATION Received
DAM 1 L ? '.,J...'
� Tax Map ID
Permit No.
TAX MAP D __� -,—rt Permit Fee �,�.�''ut��'��
� Reo Fee
HISTORIC SITE Yes _jefNo Approvals
S�usDJtnsronr NAME
LL _& A tot#
IL 16ADORE95 c• i 3,4:14L Ao0REss �rY� ! 19
PHONE �I i if -� � t��tv �' PHONE � ,L-r-2
Co�traacroe � � G Carr c�xsTe cnoJvla$ne�ar�D� � .��-:g"�.�..=_
ADDRE36: ,�Gv 13JNLD18K±?ADDR88&: _ ��,,ZZ J�
PHONE: ....r........,r- __.�_,
Conrrat:rPsRsonrJ urtvJNa&rM=Comm1 PHONE
TYPE OF C01�4TRUC�OIV
Check all that apply Please Waste measurements as required below
Boathouse Id floor sq.% 9"floor sq,ft. Total sq.ft. Height
Boathouse with Sundsok
Deck
Detached Garage(#of cars._.�
Dock
Pale ,x '
Porch-open
�*Porch-3 season,Cowered,Enclosed
Shed
Other Accessory Sbucturs(s)
*'Considered floor area&must comply with FAR(Noor area ratio)requirements if located in the WR zone
DEccaRm= 1 acknowledge no construction activities shall be commenced prior to Issuance of a valid permft. I certify that the
application,pians 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. f also understand that fJwe are required to provide an as-bulli survey by a licensed land surveyor of ad newly
constructed facilities prior to Issuance of a certificate of occupancy.
✓I have read and agree to the above: Print Name: Dade: --.12=2-•'Z,r
Signature: Dade: Z -=- ��
1
Town of Queensbury Building&Odes. Amory Structure Application July 2014
252.00-1 -76.2 BOTH-0063-2016
William Kelly
1952 Bay Road
960 sq. ft. Pole Barn - unheated
TOWN OF 4UEENSBURY
BUILDING DEPARTMENT
Based on our limited examination,compliance
with our comments sha!1 not he construed as
indicating the plans and specifications are in
full compliance with the Bui€ ding Codes of
New York State.
TOWN OF QUEENSSURY
BUILDING & CODES -PT,
Reviewed v: f
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