AST-000659-2017 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-000659-2017 Date Issued: Wednesday,November 22, 2017
This is to certify that work requested to be done as shown by Permit Number AST-000659-2017
has been completed.
Tax Map Number: 308.6-1-30
Location: 22 MICHAELS DR
Owner: Jordan Pond,Brianna Pond
Applicant: Michael Trombley
This structure may be occupied as a: Shed 160 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
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: AST-000659-2017
Tax Map No: 308.6-1-30
Permission is hereby granted to: Jordan Pond,Brianna Pond
For property located at: 22 MICHAELS DR
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
Tvoe of Construction
Owner Name: Jordan Pond Shed $3,000.00
Owner Address: 22 MICHAELS DR Total Value $3,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Garden Time
652 QUAKER RD
Queensbury,NY 12804
Plans&Specifications
Shed 160 s.f.
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,October 30,2018
(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 ofon 0,2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE Permit#: PVSN' Sg
PERMIT APPLICATION Permit Fee: $_� O
linvn of'QZucrnsbury
742 Bay Road,Queensbury,NY 12804
Invoice#:
P:518-761-8256 www.gueensbu(ry.net
Project Location: ZZ i c'�r►c.selS�`7(•
Tax Map ID #: ��• ' �� Subdivision Name:
CONTACT INFORMATION:
* Applicant: ,
Name(s): --ff-1,C-L t-L�k
Mailing Address C/S/Z: C? 7?-8 S
Cell Phone: _L� ) 910 –3gigLand Line: —)
Email:. C VSLS +1'o r1n clL4 l_� r,.,v%A-2/- c[lry�
• Primary Owner(s):
Name(s): f cAniwi,
Mailing Address, C/S/Z: -2.2 r, vQ-eASV,/,J
Cell Phone: (S1� ) 6? 3Land Line: �)
Email:
• 1 Contractor(s): _
Business Name:
Contact Name(s):
Mailing Address, C/S/Z
Cell Phone: AF
Email:
I UJ
• Architect(s)/Engineer(s): 1
Business Name:
Contact Name(s): TOWN OF QU lgNou
_ S
Mailing Address, C/S/Z:
Cell Phone: �_) Land Line: �)
Email:
Contact Person for Building & Code Compliance: i� r G ,
Cell Phone: S�8 ) 7 ��34 Land Line: � )
Email: �f f�rlVl�2f . '
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
PROJECT INFORMATION:
TYPE: Commercial _Z Residential
WORK CLASS:
Deck,Open Porch _Solar Panels (w/o rafter upgrades) _Carport _Cell Tower
V_Shed _Pavilion, Pole Barn, Canopy _Dock _Gazebo
_Detached Garage _Boathouse(with or w/o sundeck) _3-Season Porch
_Other(description: )
SQUARE FOOTAGE OF STRUCTURE:
1st floor:
2nd floor: r,
Total square feet: b
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$ 3a QD(�
2. If Commercial project,what is the proposed use:
3. Are there any structures not shown on the plot plan? YES A�NO Explain:
4. Are there any easements on the property? YES (Nq
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: A fn M�_fu
SIGNATURE: �A LA J -1 DATE: t6 Z G
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
tt, —
Building
Roof Sheathing Hea0ers and Jacks Steeper Roofs
.. ••. 1/2"4-ply plywood On all door frames to meet p
local and state building codes More overhead loft storage
Gable Vents and better eye appeal
Placed on both ends Rafters Architectural
for proper ventilation 2"x 4"-16"on center Shingles Drip Edge
double gusseted trusses 30 year warranty Solid Construction Under shingles on
for super strength asphalt shingles No particle board all sides assists
A• AVerhang choice of 6 colors Standard frame construction water run off
On all four sides protects I Used for houses ' Finished Soffit
from wall streaking I �, Weather tightness and
tfinished appearance
r �
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a
t
®® 00 �®
30 10
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/ Corner Protection
Maintenance free
IIf DoorHinges � Sturdy Flooring aluminum or Perma Trim
Exterior Siding Floor Joists 6"extra-heavy hinges Pressure treated 5-ply
5/8"Dura-Temp siding Pressure treated 3 per door 5/8"plywood fastened Sill Plates
or optional horizontal 2"x 4"-16"on center , with ring shank nails 2"x 4"sill plates on all walls
wood siding or j
vinyl siding in Side Walls
over a dozen colors Foundation 2 Slider Windows
Screens andforcq shutters included T�d"drjL r ir�bUEENSBUR'Y
4"x 4"pressure No char a for custom Places ement. Entrance Door ������ er (�•)c
treated timbers Heavy-constructed,
reinforcedhmain interior fr ILDING &
' *y6 with maintenance-fr
� P t vinyl Perma-Trim, ed OeV1ew8v•
Painted both sides i�il t •
Date:
)(:)R DIMENSIONS & 4X4 FOUNDATION BEAM SPACING
308.6-1-30 AST-000659-2017
14•Wide Building
164" Pond, Brianna & Jordan
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23 y�"i <-_223H' 34'h° ,.� 34 ys" 223p'i ,.� 23'k°.�
Shed 160 s.f.
12'Wide Building
138" -
33� T 34%" � 341 ~33 WE WILL GLADLY SUPPLY
YOU OR YOUR TOWN WITH
10'Wide Building
ENGINEERED PLANS OF
r 22W-. -__ 34W'_ 34Y4"--- G E STANDARD DESIGN SHEDS
AT NO CHARGE FOR EASY
8'Wide Building —
- 92" OCT 2 0 20V PERMITTING
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6'Wide Building TOWN OF C�UEENSBURY
BUILDING&CODES
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OCT 2 0 2Q11 K to-zt i7
SIGNATURE DATE
' TOWN OF OUEENSBURY
BUILDING&CODES
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