AST-000067-2017 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: AST-000067-2017 Date Issued: Monday, May 21, 2018
This is to certify that work requested to be done as shown by Permit Number AST-000067-2017
has been completed.
Tax Map Number: 316.18-1-1.4
Location: 4 BIG BAY RD
Owner: Jason Parrish, Karen Tinney
Applicant: Chris Parrish
This structure may be occupied as a: Shed 196 s.f.
By Order of Town Board
TOWN OF QUEENSBURY
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 QUEENSBURY
GL 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: AST-000067-2017
Tax Map No: 316.18-1-1.4
Permission is hereby granted to: Chris Parrish
For property located at: 4 BIG 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
Tyre of Construction
Owner Name: Jason Parrish Shed $0.00
Owner Address: 4 BIG BAY RD Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Shed 196 s.f.
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 3,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbyr.Lcetbre the ex anon date.
Dated at the Town of ueensb 4Frid ) ch 3,2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Oniv
ACCESSORY STRUCTURE APPLICATION Received
DATE _ Z 22- / 7 Tax Map ID (�
TAX MAP ID 311 . 1�-I_1,4 Permit No. A<JT-C(t; I - ZQ Vt
Permit Fee �U
ZONING Re F • � '� I
HISTORIC SITE _Yes No Ap ovals
SUBDIVISION NAME Lot#
APPLICANOWNER _k"geeni iiNitley t)5, v P.�(1fiSy
ADDRESS '11311, ,T d y , '12 17Y,04-( ADDRESS `7' e/ G .may ,PC>'
/ Uup-yvrfbi,RY Al /7aVO;-
PHONE (�l2) 6 6 q' 1S'2 7 6 PHONE (ZI Z') 92R - 2 ZS "J
CONTRACTOR COSTOFCONSTRUCT/ON(ESTIMATED): $
ADDRESS: BUILD/NGADDRESS: lb-r,, _
PHONE:
CONTACT PERSON FOR BUILDING&CODES COMPLIAPHONER? �G
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse 111 floor sq.ft. 2^d floor sq.ft. Total sq.ft. Height
Boathouse with Sundeck
Deck
Detached Garage(#of cars _)
Dock
Pole Sam
Porch-open
"" Porch-3 season,Covered,Enclosed
Shed Z sg F Z .5-19F-
Other Accessory Structure(s)
••Considered floor area&must comply with FAR(floor area ratio) requirements If located in the WR zone
DECLARAT/OM. 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. �7
✓I have read and agree to the above: Print Name: CLliP1 S /' ' S1 Date: 2'�
Signature: Date:
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
316.18-1-1.4 AST-000067-2017
Parrish, Chris
4 Big Bay Road _
Shed 196 sq. ff. ,
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i
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TOWN OF QUEENSBURY
BUILDING DEPARTMENT
I Based on our limited examination,compliance FILE C O P
i with our comments shall not be construed as
indicating the plans and specifications are in
1 full compliance with the Building Codes of
New York State.
_ i
24JI -�
TOWN OF QUEE
BUILDING & C=DIS
D
Reviewed By: !
Date:
t i l s rdi�6 f FEB 2 7 2017 [J FEB 2 7 2017
D
2�Y TOWidOFOI E
BUILDi JG= :" ;�NS_URY.;;� TOWN OF QUEENSBURY
COMMUNITY DEVELOPMENT
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