AST-0726-2018 TOWN OF QUEENSBURY.. .�
.742 Bay Road,Queensbury,NY 12804-5904 (5.18)761-82.01
- Community Developmerit- Building& Codes (518) 761-.8256 .
CERTIFICATE OF COMPLIANCE-
Permit Number:. AST=0726-201:8. Date Issued: Wechlesday,November 21, 2018.
This is.to certify that work requested to:be done as shown by Permit Number AST-0726-2018.
has been completed. .
Tax,Map Number: 301.18-2-3
Location: 23 LAMBERT DR
Owner: Ronald Ball, Linda Ball
Applicant: Linda Ball
This structure.maybe occupied as a: Shed 440 s4
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 ofapprovals by the .:Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5004 (518)761.-8201
Community Development-Building&Codes (51.8)761-8256
BUILDING PERMIT
Pertnit Numb.eiv . AST=0726-2018
Tax Map No: 301.18-2-3
Permission is hereby granted to:. Ronald Ball,Linda Ball
For.propertylocated at: 23 , LAMBERT DR.
Q ury, P , . . .
In the Town of ueensb to construct or lace 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:. Ronald Ball Shed-<300 s.f. $0.00
Owner Address: 23 Lambert-DR
Total Value $0.06
Queensbury,-NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications.
Shed 440 s.f. .
$ 75-.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,November 20,2019
(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 'xpiration d ,)
Dated attheTown o Queen ue ovember 20,-2018:.
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Oft
a ! ACCESSORY STRUCTURE Permit::
L
PERMIT APPLICATION Permit Fee:$
Town of Queensbury
-742 Bay Road,Q,ueensbury,NY 12804 Invoice;;: �Al -
P:P:518-761-8256 www.gueensbury.net
Project Location: 2E!5
Tax Map ID Subdivision Name:
CONTACT INFORMATION:
® Applicant: 1 1
Name(s): 17jm DA J-. 1 y A a,) a
Mailing Address, C/S/Z: �L3 �-a>��1�►' E` ,
Cell Phone: 5 I i Land Line:- 5►9 ) 7 O az3
Email: Y-00- 1, -u n►-,er , 6Orr)
Primary.Owner(s):
Name(s):
Mailing Address,C/S/Z:
Cell Phone: ) Land Line:
Email•-
NOV 19 2018
O Contractor
TOWN OF QUEENSBURY.
Business Name: III
Contact Name(s):
Mailing Address, C/S/Z: ~�
Cell Phone: Land Line: ( )
Email:
o Architect(s)/Engi nee r(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line: ( )
Email:
Contact Person for Building& Code Compliance:. D��1 i3a-I
Cell Phone: ( 51" ' ) (o I q'`I (:T-� Land-Line: , Tq 0-:� 3 a
Email: K ball 3 01 b A 9) ro 0 aLir-u_h 2,V-, to r
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2011
PIROJLCT I�I,�OR MATION:
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/o sundeck) _3-Season Porch
Other(description: )
SQUARE FOOTAGE OF STRUCTURE-
lst floor: 44X �21T"X 2ff
2nd--floor.-
Total square feet- 0
ADDITIONAL PROJECT INFORMATION,,:✓✓
1. Estimated Cost of Construction:
2. If Commercial project,what is the proposed use:
3. Are there any structures not shown on the plot plan? NO Explain: �K
4. Are there any easements on the.property? YES NO
DECLARATION:
l.. 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.
have read and agree to the above:
PRINT NAME: �.131 C�CL. a'A I .
SIGNATURE: �'�'�'�— DATE:
Town of Queensbury Building&.Code Enforcement Accessory Structure Application Revised April 2017
301.18 2-3 AST-0726-2018
Ball, Linda & Ronald
i IECIE9WC,
23 Lambert Dr -
D
Shed 440 s.f.
NOV 19 2018
TOWN OF QUEENSBURY
BUILDING&CODES
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TOWN OF QUEENSBURY
BUILDING DEPARTMENT
Based on our limited examination,compliance
with our comments shall not be construed as
indicating the plans and specifications are in
full compliance with the Building Codes of
New York State,
THIS T N PROJECT
FILE COPY SITE ES FOR THE
TION OF CO TION
No.1 DESCRIPTION DATE
TOWN OF QUEENSBURY REVISIONS
BUILDING & CODES DEPT.
Reviewed By: (00/if-
Date: p W N
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DRAWING TITLE
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DRAWING No.
BUILDING SECTION A- 1
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