BOTH-000572-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
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Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: BOTH-000572-2016 Date Issued: Wednesday, December 21, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000572-2016
has been completed.
Tax Map Number: 240.6-1-23
Location: 0 Hanneford RD
Owner: Burkhart Family Irrev Inc Trust
Applicant: Driftwood Contracting
This structure may be occupied as a:Detached Garage 280 sq. ft.
By Order of Town Board
/TO WWNN OFF QUEEENSBURY
Issuance of this Certificate of Occupancy 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
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
OL Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000572-2016
Tax Map No: 240.6-1-23
Permission is hereby granted to: Driftwood Contracting
For property located at: 0 Hanneford 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: Burkhart Family Irrev Inc Tmstu Burkhart Detached Garage $24,000.00
Owner Address: 132 Seelye RD Total Value $24,000.00
Cleverdale,NY 12820
Contractor or Builders Name/Address Electrical Inspection Agency
Driftwood Contracting
28 Spotwood DR
Corinth,NY 12822
Plans&Specifications
Detached Garage 280 sq.ft.
$0.00 PERMIT FEE PAID-TFRS PERMIT EXPIRES: Friday,September 1,2017
(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 o ueen Thur r 1,2016
SIGNED BY: /Q/ for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION Received
DATE h/ Tax Map ID
Tax Mar ID 0• / �j Permit No. PS07f+
Permit Fee `771
ZONING Rec Fee
HISTORIC SITE —Yes _No Approvals
SUBDIVISION NAME Lot#_
APPLICANT �2.(�r�6d LNsV ��i OWNER
ADDRESS ZP f '26fSOA'� ✓�0_ ADDRESS
t�W-O—tA;t jA)y /Z9Z_Z
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PHONE / 2-6 — 7(7IF PHONE 'e2,-3 S'_3 —�7`7` 5
CONTRACCOSTOFCONSTRUCTION(ESTIMATED):
ADDRESS: BUILDING ADDRESS:
PHONE:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE sTro / ��I '1-2 PHONE / ZJ 771P
TYPE OF CONSTRUCTION
Check all that apply Please Indicate measurements as required below
Boathouse 131 floor sq.ft. 21"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. 1 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 Uwe 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: Date:
Signature: Date:
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
240.6-1 -23 BOTH 572-2016
Marianne Burkhart
Contractor: Driftwood Contracting
41 Hanneford Road
Detached garage 280 sq.ft. TOWN OF QUEEN BURY
BUP PNG DEP'R- ENT
Based on our limited 2.;;rn a•"u rom^liance
with our comments sl::; "
ndicating the pians ane ;,ecifia;t onsuere In
full compliance wilt, the building Codes of
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_ 240.6-1 -23 BOTH 572-2016
Marianne Burkhart
Contractor: Driftwood Contracting
41 Hanneford Road
_ Detached garage 280 sq.ft.
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