AST-000776-2017 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-000776-2017 Date Issued: Wednesday, December 26, 2018
This is to certify that work requested to be done as shown by Permit Number AST-000776-2017
has been completed.
Tax Map Number: 308.12-1-31
Location: 103 BURNT HILLS DR
Owner: Harry Troelstra
Applicant: Harry Troelstra
This structure may be occupied as a: Gazebo 275 s.f.
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the (- G 45(2---
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-000776-2017
Tax Map No: 308.12-1-31
Permission is hereby granted to: Garden Time
For property located at: 103 BURNT HILLS 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
Type of Construction
Owner Name: Harry Troelstra Gazebo $6,000.00
Owner Address: 2 CARLTON DR Total Value $6,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Garden Time
652 QUAKER RD
Queensbury,NY 12804
Plans& Specifications
Gazebo 275 s.f.
$ 40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,January 5, 2019
(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 Townof sbFr y J uary 5,2018
:Y,
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
offi-ce Use Diii\,
Perimit
ACCESSORY SYRUCYUK
Permit Flee: '�
r RMIY APPLICATION
Town of Queensbury
742 Bay Road,Queensbury,NY 12804 lrwoice
P:518-761-8256
Project Location: 10�D <?:kxv,
�t V"')
Tax Map ID k-L Subdivision Name:
CONTACT INFORMATION:
a Applicant:
Name(s): lk 19A9 L 5 T-9 fi-
Mailing Address, C/S/Z: 2- zfd12 c-r-0 yz- /?.
ale
Cell Phone; 3A1 - -2- 9q1 Land Line: iT"
Primary Owner(s):
Name(s): Reg C."
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
D LE G Le U VV LE
o Contractor(s)a DEC 15
Business Name: CAXV6&'�-n T�Y-yu ) I I
2017
Contact Name(s): �OtJRY
Mailing Address, C/S/Z: BUILDING&Q012ES
Cell Phone: Land Line:
Email:
o Architect(s)/Engineer(s):
Business Name: Pt--
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
r
yyK. i3iYif ilei;iGi _ Resideniiai
WORK CLASS:
Deck, Open Porch _Solar Panels (w/o rafter upgrades) —Carpori Cell Tower
Shed _Pavilion, Pole Barn, Canopy _Dock _�X Gazebo
Detached Garage _ Boathouse (with or w/o sundeck) _3-Season Porch
Other(description: )
SQUARE FOOTAGE OF STRUCTURE:
1st floor: 2 7 S
2nd floor:
.o
Total square feet: 2-
ADDITIONAL
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$ � 0 c,cam.
2. If Commercial project,what is the proposed use:
3. Are there any structures not shown on the plot plan? YES NO Explain:
4. Are there any easements on the property? YES
DECLARATION:
I. 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. If the work: 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 1, 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: (1 f_ G 7 R74
SIGNATURE: DATE:
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
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308.12-1-31 RC-000639-2017 s
Michaels Group Homes LLC
103 Burnt Hills Drive, Lot 31
// / SFD w/FP 1715 s.f., Garage 515 s.f. a
PERMIT PLOT PLAN
I HAVE PERSONALLY MEASURED THE DISTANCE
FROM THE PROPERTY LINES TO THE
PRO SED S URE(S)OR SIGN(S)
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TOWN OF QUEENSBURY i
BUILDING DEPARTMENT Q jr�r sit ,U�
ased on our limited examination,compliance
I ith our comments shall not be construed as
cating the plans anb s ecifications are in
compliance with the �uildmg Codes of
New York State. _
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308.12-1-31 AST-000776-2017
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Troelstra, Harry �� `�
103 Burnt Hills Drive
Gazebo 275 s.f.
Gazeb i
TICONDEROGA * SARATOGA
2 5, [75, 9'x12' $4,230 $4,765 $5,890
'•"" " °'"+ 11'x15' 5665 6,360 7,775
1 'x18' 8,305 13'x18' 7,160 8,010 9,690
451 'x2 2 # 15'x20 8,310 9,545 11,820
TOWN OF QUEENSBURY a
fl
BUILDING&CO S
"Oval'. 10 Sided Oval
Floor Plan Floor Plan
Our standard oval gazebo with a pagoda roof.(15) A ten-sided gazebo which s reads the octagon's
l tit f•••• 'itG�
� n
� look into
0
CHAMPLAIN CLEVERD
ALE
0 $1` 10' $5,665 $6,455 $8,0 5 8'x14' $4,47 5,285 $
6,31
w
1 12' 6,635 7,530 9,3 PI 8'x16' 4,895 5,830 6,98
14' 7,600 8,595 10,6 i�+••y .a...aw 1116.141. 8'x18' 5,325 6,380 7,65
Elk 1ie fe�.�
4,"1111" x 16' 8,635 9,975 12,68 ' 8'x20' 5,750 6,925 8,32
- 18' I 9,555 11,025 14,49 10'x14' 5,220 6,085 7,40
A� 20' 110,780 12,425 15,81 � , 10'x16' 5,735 6,745 8,24
i
II &lEfIld 11 P OR ! I l # 10'x18' 6,250 7,410 9,090
Mm
I 1 10'x20' 6,770 8,070 9,915
1 10'x22' 7,285 8,735 10,755
Octagon Floor Plan 12'x16' 6,680 7,760 9,210
12'x18' 7,325 8,590 10,160
Add a pagoda roof with a curved rafter to the Rockhurst which make Shown in Vinyl. 12'x20' 7,965 9,420 11,110
this superior to all else! (11) Our most popular oval-shaped 12'x22' 8,560 10,195 12,060
8-sided gazebo with a rectangular 12'x24' 9,155 10,970 13,010
look because of elongated front and 141x18' 8,285 9,585 10,930
rear sections. It also has scalloped 14'x20' 9,005 10,525 12,010
r* handrails and distinctive upper rails. 14'x22' 9,725 11,460 13,105
14'x24' 10,445 12,400 14,180
8 sided Oval
Floor Plan
ALGONQUIN
�"M � .
8'x14' $5,290 $6,230 $7,885
8'x16' 5,810 6,885 8,640
8'x18' 6,310 7,520 9,430
8'x20' 6,830 8,175 10,220
,10'x14', 6,170 7,185 8,740
110'x16'1 6,780 7,955 9,625
J10 x18'j 7,390 8,725 ,560
110'x20' 7,995 9,495 110,450
^ 110'x22' 8,625 10,285 12,370
its
U(, ► / � 112'x16' 7,855 9,120 10,530
112'x18' 8,625 10,100 11,560
- - CA �..v �rraGn narkaaeS An oval gazebo with a mini pagoda 112'x20' 9,380 11,060 12,585
roof. (14) 112'x22" 10,095 11,975 13,595
c 308.12-1-31 AST-000776-2017 C112'x24'1 10,795 12,865 14,625
I` N Troelstra, Har 114'x18'j 9,710 11,235 13,765
8 sided Oval 114'x20'110,570 12,335 14,965
103 Burnt Hills Drive Floor Plan 114'x22' 11,430 13,435 16,110
275 s.f.
Gazebo 114'x24'!12,290 14,530 17,310
r • tromotions www.CiardenTimeinc.com Gazebos