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AST-000378-2017 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 QL Community Development-Building& Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: AST-000378-2017 Date Issued: Wednesday, July 5, 2017 This is to certify that work requested to be done as shown by Permit Number AST-000378-2017 has been completed. Tax Map Number: 295.12-1-4 Location: 1115 State Rte 9 Owner: Great Escape Theme Park, LP Applicant: Glenn Durlacher This structure may be occupied as a: Moving 160 sq.ft.shed to approved location per Area Variance and Site Plan Review. By Order of Town Board Shed currently exists on parcel. TOWN OF QUEENSBURY Cross Ref.Z-AV-30-2017 and P-SP-32-2017 Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, ttt tt(((///000ii?JJkkk" 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-000378-2017 Tax Map No: 295.12-1-4 Permission is hereby granted to: Glenn Durlacher For property located at: 1115 State Rte 9 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: Great Escape Theme Park,LP Shed $2,000.00 Owner Address: It 15 State Route 9 Total Value $2,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Moving 160 sq.ft.shed to approved location per Area Variance and Site Plan Review. Shed currently exists on parcel. Cross Ref.Z-AV-30.2017 and P-SP-32-2017 $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 29,2018 (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 ofueensbu f //hur 2017 SIGNED BY: G^�Kt/ �V1 for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only �7p —7 ACCESSORY STRUCTURE Permit#:yi5 j /a` - / PERMIT APPLICATION Permit Fee: $ 'b� lows ofQuwimbury 742 Bay Road,Queensbury,NY 12804 Invoice#: P:518-761-8256 www.gueensbury.net ,(] z-ray- 30 -.)a 17 Project Location: \�S e�< �°v�t ( P-SPNrdd . 3]-3017 �! L Tax Map ID #: `7 5 �2 — Subdivision Name: CONTACT INFORMATION: if I+ fJ • Applicant: `----• -- -_.�� Name(s): TU17id i)r Mailing Address, C/S/Z: Cell Phone: ) Land Line: ( _) Email• i Primary Owner(s): /t - Mailing Address, C/S/Z: Cell Phone: �_) Land Line: Email: • Contractor(s): Business Name: Contact Name(s): Mailing Address, C/S/Z: Cell Phone: Land Line: 1 ) Email: • Architect(s)/Engineer(s): Business Name: Contact Name(s): Mailing Address, C/S/Z: Cell Phone: Land Line: �) Email: Contact Person for Building & Code Compliance: Cell Phone:�_) Land Line: �) Email: Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017 PROJECT INFORMATION: TYPE: Commercial Residential WORK CLASS: Deck, Open Porch _Solar Panels(w/o rafter upgrades) _Carport _Cell Tower .,--'Shed _Pavilion, Pole Barn,Canopy _Dock _Gazebo Detached Garage _Boathouse (with or w/osundeck) _3-Season Porch _Other(description: ) SQUARE FOOTAGE OF STRUCTURE: 1st floor: 2nd floor: Total square feet: ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ Z ep& 2. If Commercial project,what is the proposed use: 3. Are there any structures not shown on the plot plan? YES A NO1 Explain: 4. Are there any easements on the property? YES NO DECLARATION: 1. I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. Ifthework is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 3. 1 certify that the application, plans and supporting materials are a true and complete statement and/or description of the work proposed, that all work will be performed in accordance with the NYS Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. 4. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of occupancy. 5. 1 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: SIGNATURE: DATE: Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017 41 na ' ty I I kI-1 co CD A / 1 • f , � • / l�f 1/„ a lllaaa � � ��� ,.� � �,� f • • l) �yne r T Ay F Lo • „ / W J� 1 � r P ; ro 3Y,• t r l wr. i i1,4 rk cQq- �x dt�i� ��Aje v:s . s REQUIREMENTS FOR SUBMITTAL: I. Completed Accessory Structure permit application TWO (2) COPIES OF THE FOLLOWING: 2. Structural drawings, which include: a.Signed &sealed architect or engineer stamp IF the cost of construction is over$20,000 b.Floor plan c. Foundation plan d.Cross sections e. Elevations f. Window & Door schedules–printed on the drawings is acceptable g.Calculation sheet for natural light, ventilation & emergency egress 3. Plot plan, using a survey map if possible, which includes: a. Drawn to scale (i.e. 1 inch = 30 feet) b.Indicate proposed changes, with setbacks c. Include all structures on the property d.Include location of water supply(well or water lines) e. Include location &configuration of septic system or sewer line 4. REScheck(residential projects) or COMcheck (commercial projects), signed and stamped— www.energycodes.gov ADDITIONAL INFORMATION: 1. Any changes to the approved plans prior to or during construction will require the submittal of amended plans, additional reviews and re-approval. 2. If, for any reason, the building permit application is withdrawn, 20% of the fee is retained by the Town of Queensbury. After 1 year from the initial application date, 100%of the fee is retained. 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Durlacher, Glenn - , . . . . " .- . . . . . . . . . . . . . - 1115 State Route - 9 . . . . . . Shed move t . . . " o approved location) . - - . .. .. - - - - -- _._.._ _ _..,-. - -. - - . - --- - N ._ - - ,. .:•