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AST-0425-2018 ` as k , ' TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building& Codes (518) 761-8256 CFERTIFICATE OF COMPLIANCE Permit Number: AST-0425-2018 Date Issued: Thursday, August 16, 2018 This is to certify that work requested to be done as shown by Permit Number AST-0425-2018 has been completed. Tax Map Number: 279.15-1-29 Location: 3 AZURE DR Owner: Mary Ponda Applicant: Mary Ponda This structure may be occupied as a: Deck 432 sq, ft, 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. .f'` �$ ` . TOWN OF QUEENSBURY ),727,-,...v :: , ` 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: AST-0425-2018 Tax Map No: 279.15-1-29 Permission is hereby granted to: Tom Utter For property located at: 3 AZURE 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: Mary Ponda Deck $3,600.00 Owner Address: 3 Azure DR Total Value $3,600.00 Queensbury,NY 12804. Contractor or Builder's Name/Address Electrical Inspection Agency Tom Utter 17 Queen Mary DR Queensbury,NY 12804 Plans&Specifications Deck 432 sq.ft. $ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday,July 16,2019 (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 Town Quee bury; M•' %a A,. -"6,2018 SIGNED BY: \ for the Town of Queensbury. Director of Building&Code Enforcement pp_ e. • Office Use Only .. /C---, ACCESSORY STRUCTURE Permit Ac I ���`�-C3 l a PERMIT APPLICATION Permit Fee:$ /aceJ e Town of Queensbury 742 Bay Road,Queensbury,NV 12804 invoice#: P:518-761-8256 www.queensbury.net • Project Location: 3 A zLerc Qv ue_ Tax Map ID#: ,-79`lc.�a-9 Subdivision Named) w�tJ cia, �C� at-) ®2 0 CONTACT INFORMATION: ri, 7 <1 © Applicant: Name(s): M.cs.i'1 epV2de : 1)f_ : 7s ,i!l i H Mailing Address, C/S/Z: 3 A 7 Are., ?,e_, Cell Phone: ( a 1 $' ) - -1 --LiaLiL/ Land Line: ( ) TOWN OF oUEENSBURY, Cfd',���,UN `fie CZYC..aP;vir.�a a I Email: O Primary Owner(s): Name(s): 50� Mailing Address, C/S/Z: Cell Phone: ( ) • Land Line: ( ) Email.; t Contractor(s): Business Name: o r " bt-Ner Contact Name(s): Mailing Address, C/S/Z: i 1 U-ec-n-• PiGu-ii OJN vc_ 0utae.k.r4't'`,21 iJ LA .-- Cell Phone: ( ,- / r) ,1-a-•--72.01.4 (Ladd Line: ( ) / I Email: Mr-VS-9- msv-i. Lo ni `--._/ ( / o Architect(s)/Engineer(s): Business Name: Contact Name(s): Mailing Address, C/S/Z: Cell Phone: ( ) Land Line: ( ) Email: Contact Person for Building&Code Compliance: ,n tikt-er Cell Phone: ( S(S- ) aa_9.--`?a-©Lf Land Line: ( ) Email: Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017 Pfr PROJECT INFORMATION: TYPE: Commercial /Residential WOR CLASS: • De pen Porch Solar Panels(w/o rafter upgrades) _Carport Cell Tower Shed _Pavilion, Pole Barn,Canopy Dock Gazebo Detached Garage Boathouse (with or w/o sundeck) 3-Season Porch Other(description: SQUARE FOOTAGE OF STRUCTURE: 1st floor: .53-- 2nd floor: / , Total square feet: / 3 2-- SE ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction:$ 3 ( ° 2. If Commercial project,what is the proposed use: 3. Are there any structures not shown on the plot plan? YES li` Explain: 4. Are there any easements on the property? YES 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. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 3. I 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. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of occupancy. 5. 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. I have read and agree to the above: PRINT NAME: / tótJ sj 1it��z SIGNATURE: E-7441 DATE: 6' 2 [r Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017 ia wu . ,,,,'Nt.,'% . , , . , • . . . TOWN OF QUEENSBURY, ' i \ ' l BUILOING DEPARTMENT •;aed on oor limited�1(re±'s inatcon,coididiiaic,e 1' , tt IECEUVEIR1 , k:@ ,••M9 0�';nnn Su dp ,...... .uA,..+tu�+w°^w» a s .;,,, - ,re„.c�a..sv; .; ul� °��� d a °cV6Gati �Vs � off' 11J) , ,,,al; ,,,,p„,.�c ,,,,th 'ilia building Code , ot JUL ZD� uti' v�� bd' Ott . aQucEovEssBDuERpYT. i 1 iil', "*"*\6 cif>e,...--- , ry Date I_ t � ...,i , .n 3, FILE C 'Y I a.x to spr, • .... ___— �.,.� -- _. . .ne a.. a� ,,, ------Y . , , . istd: ‘ -....,......k. 9...i ....--------:------ . i ,. ' 279.15-1-29 AST-0425-2018 • . . ' ' Li Ponda, Mary t,:ow , tI +1411 3 Azure Drive 1 1 Deck t b,. • � a t. 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'; / ! , I . / .....,..-,,,,..- ...,...„, NI .. - „ - iff, 1 : ...„------ „--- ---- - . . I ..,----------- ....------- 1 ..„----------- 1 pERiv.,_DT t_ 1 . I HAVE PERSONALLY MEASURED THE DISTANCE ' FROM THE PROPERTY LINES TO THE , . I PROPO ED STRUCTURE(S)OR SIGN(S) 1 1 1 SIGNATURE .. - i— i,,i ET,,,,