AST-000862-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
la Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
PerinitNumber: AST-000862-2016 Date Issued: Monday, January 9, 2017
This is to certify that work requested to be done as shown by Permit Number AST-000862-2016
has been completed.
Tax Map Number: 301.17-247
Location: 861 SHERMAN AVE
Owner: Michael Duggan
Applicant: Michael Duggan
This structure may be occupied as a: Detached Garage addition 328 s.f.
By Order of Town Board
TOWN OF QUEENSSBUR�Y/
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, lli+Wvi2i14' V
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: AST-000862-2016
Tax Map No: 301.17-247
Permission is hereby granted to: Michael Duggan
For property located at: 861 SHERMAN AVE
In the Town of Queensbury,to construct or place at the above location in accordance with application together
with plat 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: Michael Duggan Detached Garage $4,000.00
Owner Address: 861 SHERMAN AVE Total Value $4,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Detached Garage addition 328 s.f.
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,January 5,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of as urs&J ,,2017
SIGNED BY: , r the Town of Queensbury.
Director of Building&Code Enforcement
vmce use only
ACCESSORY STRUCTU E APPLICATION Received
DATE f�. I Tax Map ID
TAX WPM 3v ^ . i "�,� Permit No.
Permit Fee
ZONING
59e-Fee w(o0
hfisromc SITE —Yes No Approvals
SUBDIVISION NAME L�.C.t;�Q}'1 UiefZ? 5"W"�, I_ot#
APPLICANT OWNER /y- �O�C-/ r/I�'��E�i.�(i•+- / '�
ADDRESS ADDRESS _ ��(!I /✓� ��
PHONE Sf�' /7 �-�- PHONE �� - er- 6 '2s—
CONTRACTOR �ti� COSrOFCONSTRUCTION(IESTIMATED/)1:-_$
ADDRESS: BUILDING ADDRESS: (J V� Le�_
PHONE:
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. 2nd floor sq.ft. Total sq.ft. Height
Boathouse with Sundeck
Deck
Detached Garage(#of cars _)
Dock kr
Pole Barn
Porch-open
••Porch-3 season,Covered,Enclosed
Shed
Other Accessory Structure(s) ""'' .
"Considered floor area&must comply with FAR(floor area rats gOu1"4"odea—gl�/R one
�� CC ODES
DECLARATION: I acknowledge no construction activities shall be commenced prior to Ise 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: t. �ir Date: Z Ce
Signature: ! Date:
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
ECE � d E D 301.17-2-47 AST-000862-2016
D
Duggan, Michael
861 Sherman Avenue
TOWN OF OUEENSBURY Detached Garage 328 s.f.
BUILDING &CODE
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TOWN OF QUEENSBURY
" ' V F
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_ Based on our limited examination,compliance
" — with our comments shall not be construed as
indicating the plans ano
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NOTICE eoPI Sacewlmtheuildincodes of
Nwcompliance
FOA INSULATION MUST BE ..
--COVERED BYA45 MINUTE
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