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BOTH-000196-2015
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-000196-2015 Date Issued: Wednesday, December 23, 2015 This is to certify that work requested to be done as shown by Permit Number BOTH-000196-2015 has been completed. Tax Map Number: 296.18-1-5 Location: 63 QUAKER RD Owner: OMALL FAMILY LTD PARTNERSHIP Applicant: OMALL FAMILY LTD PARTNERSHIP This structure may be occupied as a: Roof over existing loading dock 320 s.f. Floormaster By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the J 4 property owner of the responsibility for compliance with Site Plan, 97 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-000196-2015 Tax Map No: 296.18-1-5 Permission is hereby granted to: GFI Metal Building For property located at: 63 QUAKER 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 Tvce of Construction Owner Name: OMALL FAMILY LTD PARTNERSHIP Other Accessory Structure(s) $10,000.00 Owner Address: 63 Quaker RD Total Value $10,000.00 Queensbury,NY 12804 Contractor or Builders Name/Address Electrical Inspection Agency GFI Metal Building 506 Queensbury AVE Queensbury,NY 12804 Plans&Specifications Roof over existing loading dock PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,November 13,2016 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensb beforjmthee nation date.) Dated at the Town Queens Thu m er 19,2015 SIGNED BY: �VJ for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only ACCESSORY STRUCTURE APPLICATION Received DATE gaoo vmc ll map TAX MAP ID �, lan8SN33n0=iANo. -r�--�e-- ///f�<< ��— pQPer itif 15D ZONING �jl�], V j i 41ec F6e HIsToRlc SITE _Yes 4 No )r -o�! SUBDIVISION NAME /t LAGFa< X81# �� - ao 45- APPLICANT G!/y%�LG �) OWNER - C)r)C)A (42- L©I ADDRESS �✓ Ql//fieG�2 /J % ADDRESS PHONE T�_:gLJ2 ✓�(�� PHONE CONTRACTOR �"7 � 16�J���J� COST OF CONSTRUCTIONLESTTIIM�AATED: $ ZI ADDRESS: '` "7 'U��//�,,f�'v BUILDING ADDRESS: PHONE: CONTACT PERSON FOR BUILDING&CODES COMPLIANCE PHONE - y3.�3617" TYPE OF CONSTRUCTION Check all that apply Please Indicate measurements as required below Boathouse 111 floor sq.it, 2nd 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 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: C Date: Signature: Date: 1 Town of Queensbury Building&Codes Accessory Structure Application July 2014 [ARRE7T&gineers. PLLC avff&FavimmnezolEwneerinz Final Report of Special Inspections Date: December 23,2015 Project: JE# 15-030 Location: Mark Plaza-FloorMaster(Boychuk), Quaker Road, Town of Queensbury Owner: Al Boychuk Owner's Mailing/Physical Address: 63 Quaker Road Queensbury,NY 12804 Project/Structure: FloorMaster Loading Dock Structural Engineer(s)of Record: Drawing Set(s) by American Buildings — Job # A15FO328A — FloorMaster — Last Revison 10/28/2015 — Final Erection Drawings for Construction. Drawing Set Stamped by Eugene C. Anselm,NYS Lic.No. 088842,dated 10/30/15. To the best of our knowledge, based on available information, the Special Inspections required for the loading dock constructed at the Mark Plaza - FloorMasters have been performed and all structural construction work has been completed substantially in accordance with the design plans prepared by American Buildings — Job # A15FO328A — FloorMaster — Last Revison 10/28/2015 —Final Erection Drawings for Construction - stamped by Eugene C. Anselm and the New York State Building Code. Respectfully Submitted, of Naw Y JARRETT Engineers, PLLC ter ` o Hoy y q� 2015.12.23 � �✓�� � 11 :43:52 -05'00' N0.002020 Robert U. Holmes II, P.E. �upgoresu�o��y Project Manager Robert U. Holmes II P.E.#082026 FADataR1eU015 ProjV0/5 CommV5-030 BoychuklWork DocsVSpecia(Iasp.Letter.doc 12 East Washington St. 518-792-2907 Glens Falls NY 12801 fax 518-798-1864