2006-091 i
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TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20060091 Date Issued: Tuesday, May 16, 2006
This is to certify that work requested to be done as shown by Permit Number P20060091
has been completed.
Tax Map Number. 523400-308-016-0002-010-000-0000
Location: 18 MERRITT Rd
Owner. TOBY & JO ANN DAWES
Applicant: TOBY & JO ANN DAWES
This structure may be occupied as a:
Garage Detached
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, ,(�f
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
(21W 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20060091 Application Number: A20060091
Tax Map No: 523400-308-016-0002-010-000-0000
Permission is hereby granted to: TOBY DEWES
For property located at: 18 MERRIT T Rd
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 Value
Owner Address: JOHN& CHRISTY CARPENTER Garage Detached $17,000.00
18 MERRITT Rd Total Value $17,000.00
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2006-091 TOBY DAWES
576 SQ FT DETACHED GARAGE
$57.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,March 20,2007
(If a longer period is requited,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 o
JDueensb y,March 20,2006
SIGNED BY for the Town of Queensbury.
Director of Building&&de Enforcement
__________ ______._________________0 % _ ._.___._______0
% �OFFICE USE ONLY
0
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iTAX MAP NO. PERMITNO. O + ; ;
,
', FEE PAID—,_)? BLDG.&CODES APPROVAL 0' ! 01
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ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION
Use this application for any structure other than the Principal Structure (house) to include, but
not limited to: garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3
entitled Accessory Structures-Sheds/Fences.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE
ISSUANCE OF A VALID PERMIT. NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS
RECEIVED A VALID BUILDING PERMIT.
OWNER: INSTALLER/BUILDER: �c�CC-'�.J Lei
ADDRESS: ADDRESS: V)�GS'Y3n
1
PHONE NOS. U I l PHONE NOS. (�h - )/
LOCATION OF PROPERTY:�/ n2_r r SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION:
ESTIMATED COST OF CONSTRUCTION: $ /74 oo-> ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: _e.W*L S PHONE: O/ � -�C / �3 S'
................................................................................................................................................................................................ ............................................... ............................................... ....
sT ND I PROP
1 FLOOR 2 FLOOR TOTAL OSE D
PROPOSED CONSTRUCTION HEIGHT
SQ.FT. SQ.FT. SO.FT. FT.&IN.
OPEN PORCH
DECK
........................................................................................................... ......................................... ....I.....................................................
s
3 SEASON,COVERED OR ENCLOSED PORCH-
RFCEI
D
...........................................................................................................................................i..................................................... .....................................................ti.....................................................i.....................................................
BOATHOUSE i
....................................................................................................��:�...a..6...f': ............ .............................
BOATHOUSE WITH SUNDECK T0%w y..
....................................�. . .aN.�."A,a.�••�..GOD.)_
DOCK .....................................................
SHED
POLE BARN
:.
.................................... .................................. . . . . ......................................... ....................................................................................................... ...............................................
DETACHED GARAGE(NO.OF CARS:)
........................................................................................................................................... ........5..7.._fa..........................................7V h.-.......................... .....5..`.(........................................ _ ...................................
OTHER ACCESSORY STRUCTURE:
........................................................................................................................................... .....................................................:......................................................;...................................................._I.....................................................
'CONSIDERED FLOOR AREA& MUST COMPLY WITH FAR [FLOOR AREA RATIO] REQUIREMENTS IF THE
STRUCTURE IS LOCATED IN THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge, the statements contained in the application, together with the plans
and specifications submitted, are a true and complete statement of all proposed work to be done
on the described premises and that all provisions of the Building Codes, the Zoning Ordinance,
and all other laws pertaining to the proposed work shall be complied with, whether specified or
noted, and that such work is authorized by the owner. Further, it is understood that I/we shall
submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested
by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a licensed
surveyor, drawn to scale, showing actual location of all new
construction. QUESTIONS? CALL 761-8256 OR EMAIL
codes@queensbury.net
I have read and agree to he above. VISIT OUR WEBSITE FOR MORE INFORMATION
Signed Dated:
/_ 6 www.queensbury.net
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�`' ' Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804