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BOTH-000113-2016 C N v i u � w Q Q O Un L} CG rq O � C . .a rw 'C cq n y VS H CC � Q✓ � � � y C LU a N 2 a. z . cl N '�' 0Cco O U a v R v r rw M_ a cV c� N C H Q.. u U nl to O co 0 r�1 9> d7 tF., vt v p al C L'a .ti n ani s v tC C T©" OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: BOTH-000113-2016 Tax Map No: 309.7-1-46 Permission is hereby granted to: Candace Sullivan For property located at: 34 HOLDEN AVE 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 Owner Name: Candace Sullivan Porch-Open $0.00 Owner Address: 34 HOLDEN AVE Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name 1 Address Electrical Inspection Agency Richard Fleming l l2 Lamplighter Acres Fort Edward,NY 12828 Plans&Specifications 220 sq.fl.Open-Porch $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 4,2017 (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 uee ry; /J We d 9,2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only ACCESSORY STRUC"T"URE APPLICATION Received DATE Z I / Tax Map ID _09. _ r 4 TAx MAP ID ?'( l -/r Y —— Permit No. � � t d 113 d It f l,j r ,Za , :( Permit Fee ZONING 5� lv ,_��1 v• �� Rec Fee Hlsromc SITE Yes No Approvals Suamvis=NAME p [ f `/ Lot# p / 'f APPLICANT na ct 6 L J u ! � 1 V r't� C3WNEFi (a nd�(C Sw 111 toi ji ADDRESS Avg ADDRESS 3(d H b L-D Co y a&Y4 as't��4 �')q S/0 q PHONE 51 �3 Z&010 PHONE � i b �3Z (31 0 CONTRACTORh P�p �LFrf'rA rncj (Iosrat°cONSTRucrlONtasrrMarED): $ ADDRESS: k3ulLplNG pDREss: _ PHONE: )T 15 7_-z2 C1,6 1 CONTACT PERSON FOR BUILDINGG&CODES COMPLIANCE TOWN OF qty�>=NSBURY PHONE TYPE OF CONSTRUCTION Check all that apply Please Indicate measurements as required below Boathouse 1s1 floor sq.ft. Zed floor sq.ft. Total sq.ft. Height Boathouse with Sundeck Deck Detached Garage(#of cars` ) Dock Pole Barn Parch-open r 309.7-1 -46 BOTH-113-201 ** Porch—3 season,Covered, Enclosed Candace Sullivan Shed 34 Holden Avenue Other Accessory Structure(s) 220 sq. ft. open-parch **Considered floor area&must comply with FAR(floor area ratio) requirements If located In the WR zone DECLARATIom 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. f ✓I have read and agree to the above: Print Name: C610(10e �( r ��j Date: Signature: iu C75RLtUaI Date: 1 Town of Queensbury Building&Codes Accessory Structure Application July 2014 Cn CD r ocL Cc -. ti C/ CYkt e. � � zx o b C.)j 0 i -u C y nom' c ID CD as CD C @ C O` VLF ' o rn O N Q CD Kp LQ � 4 i CS rrl aj C CCD N o Z 0% go ., o m r) 9 m 177 Z cn _j m `T Fn ii c � 43 CO W Cl) Cf)C) z 0 UJ() CO ,LIM 00 0- 0n C125 z C)i CLr� a �• Gt um I Lj\ to n N tp � � I 5 f � y O 9 F�� � Una m C�m: ©Z, = Qcra, f 1 crnn�