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91-508 .41 CERTIFICATE OF OCCUPANCY TOWN 'OF QUEENSBURY WARREN COUNTY, NEW YORK Date August 2419. 95 This is to certify that work requested to be done as shown by Permit No. 91 s08 - , has been completed. This structure may be occupied as,a ALTERATION WITH ADDITION TO DWELLING SEELYE ROAD ' Location Owner. DELAPPA, DARWIN & CINDY TAX MAP NO. 16-1-15. 2 By Order Town Board TOWN OF QUEENSBURY Director of Bldg: do Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. o�1-508 WARREN COUNTY, NEW YORK I cri Darwin & Cindy is hereby granted to Dela a PP iv OWNER of property located at Seelye Rd, Cleverdale Street, Road or Ave. ro in the Town of Queensbury,To Construct or place a Alteration with addition at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is Star Route 210A Queensbury, NY 12804 no 2. CONTRACTOR or BUI LDER'S Name =J. Same �- N 3. CONTRACTOR or BUILDER'S Address rD fD rD 4. ARCHITECT'S Name C'! rD rD 5. ARCHITECT'S Address a fD 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( 7. PLANS and Specifications No. 744 sq ft Alteration with addition as per plot plan specifications and application 8. Proposed Use New roof and addition to garage $ 24.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 16, 19 92 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 16th Da of July 19 91 SIGNED BY _ /• for the Town of Queensbury Building and Zoning I' ctor TOWN OF QUEENSBURY REVIEWED BY 41 r FEE PAID $ CO tyy t`;pp P III OF `\:iUA.,E far' '': �' PERMIT NO. ItVi'-'' 7P\ eal 1j BUILDING PERMIT APPLICATIONi.t ': LI JUL 121991 + • BUILDING & CODE DEPT. A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO.INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application. • • • • • • • • • • • • • * • • • • • • • • • • • • • • • • • • • • • * • • • • • The owner of this property is: Darwin & Cindy DeLappa P.O. Address Star Route 210 A Queensbury, N.Y. 12804 Tel. 518-656-3035 Property Location Seelve Rd . Cleverdale Tax Map No. 16 /1 / 15 . 2 Has there been any split of this property since October 1, 1988? /XXX If yes Planning Board Review is necessary. yes no SUBDIVISION NAME, IF APPLICABLE LOT NO. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: Darwin DeLappa • NATURE OF PROPOSED WORK: ESI'IMATED MARKET VALUE OF • • Construction of a new building , CONSTRUCTION: S , 000 .00 Addition to a building * COMPLETE INFORMATION REQUIRED BELOW: • Size of property 230 ft x �6 ft. xxx Alteration to a building , • Existing Buildings(3) Size ft. x ft. (no change to exterior dimensions) " Proposed building - distance from property line: ---Other work (Describe) Remove 1 L0 • Front yard ft. Rear yard ft. ti>ne pole shed and make one ' Side yards 20 . 5 ft. and 26 ft. permanent peaked root garage roof • GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft. 1st Floor 744 sq. ft. " OCCUPANCY INFORMATION • 2nd Floor sq. ft. • - Primary Building - Other Floors sq. ft. " One Family Dwelling (not cellar or basement a . Two Family Dwelling TOTAL FLOOR AREA 744 sq. ft. • Multiple Dwelling/Number of units_ (glee of new structure ft x ft. - • Business Foundation-pier'slab, crawl/partial/full •' Industrial (circ e one) • Other • No. of stories (habitable space) 1 • Height (grade to ridge) 20.t, ft. • If addition, what will use be? \)eiu' Renk If residential, no. of families_ • c �J- i l v �- ( �0.�g,1 No. of rooms(excluding baths • Accessory Building No. of bedrooms 0 • xxxxx Detached Garage ONE/TWO Car No. of bathrooms 0 • Primary heating system nr_ • ._ Garage_Attached ONE/TWO Car w Type of fuel none ' __Private storage building • No. of fireplaces to be Installed none • __ Other Willa wood stove be installed n„ Central Air conditioning none • OV•ER ii fi TOWN OF QUEENSBURY REVIEWED BY ' .. 1�� - FEE PAID $ OD ki .IP. O tE a,3 m �` PERMIT NO. — tg OF .al.�E �4: . TS1f���\i� 1� 41, �:.I ,1BUILDING PERMIT APPLICATION i Y JUL 121991 • BUILDING & CODE DEPT. A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO.INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • The owner of this property is: Darwin & Cindy DeLappa P.O. Address Star. Route 210 A Queensbury, N.Y. 12804 Tel. 518-656-3035 Property Location Seelve Rd . Cleverdale Tax Map No. 16 /1 / 15 . 2 Has there been any split of this property since October 1, 1988? /XXX If yes Planning Board Review is necessary. yes no SUBDIVISION NAME, IF APPLICABLE • LOT NO. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: Darwin DeLappa • NATURE OF PROPOSED WORK: ESr;MATED,MARKET VALUE OF • • Construction of a new building , CONSTRUCTION: S 3 , 000 . 00 Addition to a building • COMPLETE INFORMATION REQUIRED BELOW: • Size of property 230 ft x 76 - 5 ft. xxx Alteration to a building , * Existing Buildings(3) Size ft. x ft. (no change to exterior dimensions) • Proposed building distance-from property line: YYX Other work (Describe) Remove 1 a- o� • Front yard ft. Rear yard ft. t-y-z � pole • shed and make one • Side yards 20. 5 ft. and 26 ft. permanent peaked root-garage roof • GROSS AREA OF PROPOSED STRUCTURE a If on corner, setback from side street ft. 1st Floor ' 744 • sq. ft. • OCCUPANCY INFORMATION • 2nd Floor sq. ft. * - Primary Building - Other Floors sq. ft. • One Family Dwelling (not cellar or basement • . Two Family Dwelling TOTAL FLOOR AREA 744 sq. ft. • Multiple Dwelling/Number of units • Business size of new structure ft x ft. emir, Foundation-pier'slab crawl/partial/fullit industrial (circ e one) • Other a llo. of stories (habitable space) 1 • Height (grade to ridge) 20.i ft. • If addition, what will use be? ) - If residential, no. of families_ • "i- Pf))- i ti Avi. -47) ( srcc-k. No. of rooms(excluding baths) • Accessory Building No. of bedrooms n ' xxxxx• Detached Garage ONE/TWO Car No. of bathrooms , o • WO Cat Attached Garage ONE/TWO Primary heath rystem n_ • r k. Type of furl none' • __Private storage building No. of fireplaces to be Installed none • Other Will a wood stove be installed r n • •Central Air-conditioning none OV• ER 7 TOWN OUEEN e6..;:'-, BUILDING PERMIT APPLICATION CONTINCLD - Fy BUILDING iPECIFICATIONS: JUL 121991 Type of construction, wood frame, fire safe. etc. concrete slab to ex9 s_tB > IV90§ Cfp®m®EPT. Wi11 any econd-hand r upgraded lumber be used? If so, for what?yes, for bracing) studding etc. footing foundation footing -foundation Foundation wall material cement b1 ork Thickness 18 inches 8inches Depth of foundation below grade (to bottom of footing) 4 feet Will there be a cellar? no Heated or unheated? unheated Floor sq. footage 744 sq ft. Will there be-a basement? no Will any portion be used as living space? no (If so, what portion? • sq ft. Type of use? 'Type of roof sloped/s at/shed/other Material of roof shingle • Size,,.wood studs "x 4 " spacingl6 " o.c. length 10 ft. old section has 24" oc Joists (floor beams) 1st floor "x " spacing . "o.c. span ft. =-,Joist (floor-beams)" 2nd floor "x . ." spacing "o.c. span ft. ..- Overlays (ceiling beams) "x " spacing " o.c. span ft. " Roof rafters 2- "x " spacing /1 o.c. spa 70 10 woo, 00 ri L O G • —Roof trusses (pre-engineered) spacing . " o.c. span •. ft. - - Exterior wall finish novelty siding wood of what: material?wood to match existing Interior--wall finish none. If a.garageis to be attached, describe materials to be used for FIRE SEPARATION: Is there to he an opening between garage and dwelling? If so will a Fire-rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? no Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in.. Water supply - Municipal or private well none to garage private well to house _SEPTIC-SYSTEM -Distance from ANY private well (including adjoining properties ft. (A separate application is necessary for any repair or new installation of septic system) FAME OF BUILDER. Darwin DeLappa ADDRESSsame as above TEL. NO. 518-656-3035 TAME OF PLUMBER _ ADDRESS " TEL. NO. FAME OF MASON Darwin DeLappa ADDRESS same as, above TEL. NO. same as above.. FAME OF ELECT.RICIAN ADDRESS TEL. NO. -7.' DECLARATION Toth best of_my knowledge and belief the statements contained in this application, together with the lans;snd specifications"submitted, are s`true and complete statement of all proposed work to be dome on te'described.premises and thatall proirisions of the BUILDING CODE, THE ZONING ORDINANCE, and Ii other lima pertaining to thi proposed work shall be complied with, whether specified or not, and that Bch-work is authorized byte owner. _Signature Owner-, owner's agent, architect, contractor PECUL CONDITIONS OF THE PERMIT: � r' '�. TOWN OF QUEENSBURY '. BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 � (518)745-4447 ARRIVE: ///V) DEPART: `f/r-- INSP:� FINAL INSPECTION REPOT - RESIDENTIAL DATE INSPECTION RQUEST REC VIED: W-1 5 S.... )--(DO(N)C", NAME 9 L`--ti�LOCATION c..12(7d�� 1 C') Cf��, •DATE PERMIT fl q / -gOg TYPE OF STRUCTURE , . - FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPT'C _ INSULATION FINAL ELECTRICAL WODDSTOVE OR FIREPLACE } v 2,4 J C '00 (; �'i��J N/A YES NO CHIMNEY HEIGHT/B VNT EIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK PORCH STEPS i CGS RELIEF VALVES FURNACE/HOT WATER OPERATE G INTERIOR TRIM/PRI ACY DOOR. FINISH FLOORS: BATH/KITCHEN W4TERTIGHT OTHER FLOORS •WEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS 4OKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REO. FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C Ye e6(X OX1741. e46://7" Ab rra re-' i elo = C_ -/,15.y TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 6,//+• NAME 20tit,(JJ ; r Ce_472C4 , %f9/."z LOCATION ?lets lye_ DATE Z f/7/'9 PERMIT I 9/-501 TYPE OF STRUCTURE a '. ald, f ,6,9 RECHECK APPROVED N/A YES NO -FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM/ FREEZING FOR 48 HOURS FOLLOWING i THE PLACEMENT OF THE CONCRE1/E. MATERIALS FOR THIS PURPOSE ON SITE/ FOUNDATION/WALL POUR REINFORCEMENT IN PLACE I I FOUNDATION/DAMPROOFING / ,_ACKFILL APPROVAL / ROUGH PLUMBING / PLUMBING VENT/VENTS IN PLACEI / PLUMBING UNDER SLAB ,FRAMING: JACK STUDS/HEADERS / BRACING/BRIDGING / 1 JOIST HANGERS / JACK POSTS/MAIN BEAM ;/ HEATING ROUGH-IN / INSULATION: FOUNDATION WALLS INTERIOR R- 1 FOUNDATION WALLS EXTERIOR R- FLOORS /� R- WALLS / R- CEILING /' R- 1 DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: � A � � 7/W .e ARRIVE 1---G-7 (' /� DEPART % :/ r/j� -� l_ U" ' INSPpCTOPt (i' TOWN OF QUEENSBURY 14'f BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME _ c.:.%;r- . i I Gt,�r, ` /J i LOCATION SP'�r i &'� f2 DATE /Z ,9/ PERMIT 0 cJ/-S6j TYPE OF STRUCTURE /({///'s. o. /�✓9c/�17r�� RECHECK ; APPROVED V3/41-/ N/A YES NO FOOTINGS/PIERS L' i ;) MONOLITHIC POUR FORM / REINFORCEMENT IN PLACE /. THE CONTRACTOR IS RESPONSIBLE` FOR PROVIDING PROTECTION FRO O+ FREEZING FOR 48 HOURS FOLLO 3NG THE PLACEMENT OF THE CONCRETt. MATERIALS FOR THIS PURPOSE OF SITE FOUNDATION/WALL POUR I REINFORCEMENT IN PLACE/ FOUNDATION/DAMPROOFIN BACKFILL APPROVAL / Y/.cif, (! ROUGH PLUMBING / PLUMBING VENT/VENTT& IN PLAC PLUMBING UNDER SLAB FRAMING: / ! . - JACK STUDS/HEADERS BRACING/BRIDG'ING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: .//(2. Gi_.r,4o5, C C'66-Y, ARRIVE f' . DEPART I/ ‘2 -e ' NSPECT R TOWN OF QUEENSBURY P/7) BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME 44t 9' 6.414 LOCATION ,1LifJGZ_ £1 DATE ri f iq f PERMIT #9/3:0/ TYPE OF STRUCTURE A W/ L2e14 4 &Bet RECHECK APPROVED /�JJ N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF ' E CONCRETE. MATERIALS FOR THI PURPOSE ON SITE FOUNDATION/WALL P UR REINFORCEMENT IN PLACE FOUNDATION/DAMPR00 NG X(BACKFILL APPROVAL ROUGH PLUMBING 1 PLUMBING VENT/VENTS kN PLA E • PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS 1 BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM /% FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH-IN ill \\ INSULATION: / 1 FOUNDATION WALLS NTERIO ; R- FOUNDATION WALLS XTERIOR R- FLOORS R- WALLS / IR- CEILING / 11- DUCT WORK OR PhPING IN UNHEATED SPACES / REMARKS: rr ARRIVE 3 . ,vji DEPART , '' INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED j// ( Vi NAME / jut 6/44 z LOCATION r ,pplp_ , digAittlQb DATE f /3 /q/ PERMIT # TYPE OF STRUCTURE Gd add RECHECK / APPROVED / N/A YES NO )(MONOLITHIC FOOTINGS/PIERS _ POUR FORM / REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPS1 ORIBLE FOR PROVIDING PROTECTION/FROM FREEZING FOR 48 HOURS FO LOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE ' FOUNDATION/WALL POUR ," REINFORCEMENT IN PLACE 4. FOUNDATION/DAMPROOFING BACKFILL APPROVAL 1f ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE ./ PLUMBING UNDER SLAB I FRAMING: - ;," JACK STUDS/HEADERS d ' BRACING/BRIDGING 11 JOIST HANGERS JACK POSTS/MAIN BEAMA FIRESTOPPING WALLS ?1 CEILING / M FIREWALLS HEATING ROUGH—IN INSULATION: FOUNDATION WALLS INTERIOR R— FOUNDATION WA1LLS EXTERIOR R— • FLOORS R— WALLS R— CEILING R— DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 1� C( 6 I `rt,UGM' L-I jLhe S- 07 ARRIVE - Le) DEPART 2=:- c—J — - INSPECTOR . • . .. . , ••••' • .'•' _.., , .. . . . . • . . • •. .•: ," . • . ' ,..•I .•',... • . „. . . . .. . . ... . • • • I - ... ••••. '.'. • •-...... ,., q4464( • 1! . A*1 I c#.14 cc • i., . 7 ce.$z 7-,, ,„ •. .. . ..,•: . . ... . . .... 4 4A, ,__ •....._ -PACs( ' -.s.. • -.777 '!'.---- . • 4. .. ..:::, :'sm. , , .. . ,.'........ 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TOWN OF QUEENSi! -1':? • . .1 til• . .. .. .. . , • . , • • ri)s7.6: 7411.-:.:{ortTzt\-1-11 . • ta.‘„, • kJ Q li JUL 12. 1991 _ . •. . . • . • • • •. .. .. ., . . •• • • • BUILDING & CODE DEPT. . , • . . . .. . .k, ,.. • , . . • . i_Or • - , i . • • - SCALE I — —1 0; " • ' • • . • • • . . TOWN OF QUEE,1\3 • URY , • • • • ,i, -1)ist e Low.) )6I- PPA . . . 1:::... , . ..... . LE .SML.VE. P....C-LE t I ease.4 • `0 y) . . V. • . • • . . . .. • . • Zoning Administrator . . batTi,....i.:.11.11,... • , . . • •.. , i 6 •• • • . . G Pt.. .1\6--C-- • --k TOE alF..,EitiEENS130,rs ,j , k 1_0 m%/1/43 u m \) 1 - ,gya\-v te vi\il _ _ _ _ _ _ _ ___ _ ._ . ) pki,i �" ^ >�. N. 1 .---N.- Fe-LT + S ► 1 LO 121991 v_o y K 770 PF ToP P t I-et, 711z_ . Coro 11 5 ORw�C7E v,�,yL FAt=IA kN 4/6 liSP . V'11JH 1, S o FPl r C., tLimG ForsT —''may -- -— <--'Novel U O0 W o0Q is�,4cr W � Z NOV�. � �, HoY A+�-�c.�a sum Si 0 S 1 p/n� �X 4 SCvOS -� iSn�W Ek�Sn'�yt 't�NG l lo" C E►J Tom. O'Xro' T` NEW LAQ 4. '. �'t !S1L- GAB, '' ■ r- l‘lr LQNCeL"i`�= i3toc ic (614+ut R5rtiM6-� �R,aoE ._ �-aoN aan ont 8 XS x •& 'Clort.t.1 6- Ii g ibl! • r- - B Pi k I.E n G-ill2A. fir/ .`"-P(2.o Po a . CP% Le 'Pe,G ,PA2C 84 I I 1 IDP RV.);n.} -DELAPPA . . WI := 1 . 618- .6S6, - 303S 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: BOTH-000051-2016 Date Issued: Thursday, May 17, 2018 This is to certify that work requested to be done as shown by Permit Number BOTH-000051-2016 has been completed. Tax Map Number: 227.17-1-32 Location: 61 SEELYE RD Owner: Cindy Delappa, DARWIN DELAPPA Applicant: The Dock Doctors This structure may be occupied as a: Sundeck, open-sided 339 s.f. 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. i TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 ' - Community Development- Building& Codes (518)761-$256 BUILDING PERMIT Permit Number: BOTH-000051-2016 Tax Map No: 227.17-1-32 Permission is hereby granted to: The Dock Doctors For property located at: 6I SEELYE 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 fled and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Tvue of Construction Owner Name: Cindy Delappa Boathouse with Sundeck $53,000.00 Owner Address: 61 SEELYE RD Total Value $53,000.00 Queensbury,NY 12804 Contractor or Builder's Name 1 Address Electrical Inspection Agency The Dock Doctors 19 Little Otter LN Ferrisburg,VT 05456 Plans&Specifications Sundeck,open-sided 339 s.f. $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,February 2,2017 (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 ofeensb Mond F 2016 SIGNED BY: �Q1 for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only ACCESSORY STRUCTURE APPLICATION / q / Received DATE Tax Map ID I p TAxMAPID 22� . - f 3� Permit No. > 6n-� -Q 0001--1 "Lotti' � _ ZONING W(Z'ua � Permit Fee � ��, w��g kcn 4dF��lb HrsraRlcSITE Yes � No 1 Approvals SUBDIVISION NAME Loi:# APPLICANT -Fkt U xt Ooeb rs OWNER Q4 W i K ti d �l k y ADDRESS q t,%ff1e 6 #er L44.4- ADDRESS PC>&d FCr1',%-l6VXj VT KgSl GuteeAsbAry , N"f LZS04 PHONE PHONE S 16- 65G 1035 0�r4 5-19-1? - W0q CONTRACTOR ��¢ �Dvc per�fy�S COST OF CONSTRUCTION(ESTIMATED): $ 53 1000 00 ADDRESS: 7 Ls- f t It O f[J er L a n j& BUILDING ADDRESS: 54KAC AS Alaav'C. FerOsbwg, VT//Q!M(o PHONE: 002--81-7- CONTACT 02-Q - P-CONTACT PERSON FOR BUILDING&CODES COMPLIANCE (010 r&C 7 Or PHONE TYPE OF CONSTRUCTION Check all that apply Please indicate measurements as required below Boathouse 1't floor sq. ft_ 2"d floor sq.ft. Total sq.ft. Height Sundeck-OPev,. -s Gde� ^' 33 9 ^' 33 [ Il" W t II Deck Detached Garage(#of cars 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 occupancy. ` ,/I have read and agree to the above: Print Name: I Da#e; 112�z�/� Signature: 1 Town of Queensbury Building &Codes Accessory Structure Application July 2014 � =m=ama0 10 ) 9S'790 i.__3J _ \ NY-1�,�,e # ® . g } \ � - � « \ CL O § RM - @ $2 \ n \ . \ ME � &� - � T—M , « e 222 m \ o *{( 5 %~® S . \\, (\\ � \ 5\ — \ % . � \\ �0 \» 2 L ° � _ @ \ « 2 �C . \ w , . _ � 2 IL --- \ & 2\ 2 -§ LL- \\ `r s 31tl0 I/`�'`a.'� 7 V H O ne J 9?. OJ /1 Y 01If18 01 03A02lddG w 95790 1A'9210BSwMJ j -11 W p OI 3NVJ 213110 91111-1 61 v d d v-1 1 siopoa auy � o +I `Q 3 0 = N +I di O IN PQ DI M � N z �a W $R o F AB 1 V dOD E) /1 m inu of 0 IAONddv w N D9SISMo 0 2mv_l 1/, ali'laaed v d(A v� Q W N � 3Ntl�a3110 31111 6 ? 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