BOTH-000359-2015TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
BOTH-000359-2015PermitNumber:
265.-1-73.1TaxMapNo:
Jeremy EntwistlePermissionisherebygrantedto:
1434 BAY RDForpropertylocatedat:
In theTown ofQueensbury, to construct orplace atthe above location in accordance with application together
with plot plans and other information hereto filed and approved and incompliance with the NYS Uniform
Building Codes and theQueensbury Zoning Ordinance
Type ofConstruction
Jeremy Entwistle$32,000.00OwnerName:Detached Garage
Owner Address:1434 BAY RD Total Value 32,000.00
Lake George, NY 12845
Contractor orBuilder'sName / AddressElectrical Inspection Agency
Plans & Specifications
Construction of a2,200 sq. ft. garage / workshop.
This structure isasecond garage - approved bythe ZBA byAV 62-2013 on12/18/2013.
630.00 Friday, November 27, 2020PERMITFEEPAID - THIS PERMIT EXPIRES:
Ifalonger period isrequired, anapplication for an extension must bemade to the code Enforcement Officer
ofthe Town ofQueensbury before the expiration date.)
Thursday, December 3, 2015DatedattheTownofQueensbury
SIGNED BY:for theTown ofQueensbury.
Director of Building & Code Enforcement
Office Use Onlv
ACCESSORY STRUCTURE APPLICATION
Received
DATE t,r /g ' -_o /5 Tax Map ID 2CoS: oo-1-73,/
TAXMAP ID alos OCA - 1- 73, % Permit No. 114 -Wo 359-o1o(S
ZONING
Permit Fee 45V,3, Od ..r
Rec Fee
HISTORIC SITE
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No Approvals 2o13
SUBDIVISIONNAME D 2/I JLCb rVl rP--Lot#_ T`Q if
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APPLICANT l C-I
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ADDRESS N 3 -1
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PHONE I' l\oS — PHONE
CONTRACTOR COST OF CONSTRUCTIOIN(ESTIMATED): $
ADDRESS: BUILD/NGADORESS:
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PHONE:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE PHONE
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse 10'floor sq.ft. 2"d floor sq.ft. Total sq,ft.Height
Boathouse with Sundeck
Deck
Detached Garage(#of cars—) dr key t!p`X S5 o Q S
Dock
Pole Barn
Porch-open
Porch-3 season,Covered, Enclosed
Shed
Other Accessory Structure(s)
Considered floor area&must comply with FAR(floor area ratio)requirements if located In the WR zone
DECLARATION: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit, I certify that the
application,plans and supporting materials are a true&complete statement description of the work proposed,that all work will be
performed in accordance with the NY State Building Codes, local building laws and ordinances; and in conformance with local
zoning regulations, I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of
occupancy. 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 occu cy. /!
I have read and agree to the above: Print Name vf 70(LDate: I h E-I/S
Signature: Date:
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014