2000-462 TOWN OF OUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development = Building & Codes (518) 761=8256
CERTIFICATE OF COMPLIANCE
Permit Number: 2000462 Date Issued: Friday, October 27, 2000
This is to certify that work requested to be done as shown by Permit Number 2000462
has been completed.
Tax Map Number: 523400- 141=000-0001-012-321=0000
Location: 328 BIG BOOM Rd
Owner: MARK NELSON
This structure may be used as a:
Shed 1 Storage Sheds
By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & ode Worcement
BUILDING PERMIT
Town ofQueensbury. 742 Bay Road, Queensbury, NY 12804
County of Warren (519) 761-8256
VALUE S 500 Building Permit No. 2000462
TAX MAP NO . 141 . - 1 - 12 . 321
NELSON . MARK & BARTH , JOY
Permission is hereby granted to
Owner of properly located at 328 $iG BOOM RD .
in the Town of Queensbury, to construct or place a STORAGE SHED
at the above location in accordance to application together with plot plans and other infimx abon hereto .filed and
approved and m compliance with the NYS Uniform Building Codes and the Queensbury Zoning C kdmanre,
Owner's Address:
328 BIG $OOM ROAD
QUEENSBURY , NY 12804
Contractor or Builder's Name.
NELSON , MARK
Contractor or Builder's Address:
Electrical Inspection Agency:
Tpe of Construction:
STORAGE. SHEDS .
Plans and Specifications:
144 SQ FT STORAGE, :SHED : AS PER . PLCD+T. PLAN SPECIFICATIONS
Proposed Use;
STORAGE SHED
15 July ,. 6 2002
$ PERMIT FEE PAID — THIS PERMIT EXPIRE S
(If a longer period is required, an application for an extension roust be made to the Code Enforeetnent
Officer of the Town of Queensbury before the expiration date.)
6 . : . d July 2000
Dated at the Town of Queensbury 1his Day of
SIGNED By for the Town of Queensbury
Enforoernent biit cer
_ U1 c in,g Permit Application
'own of QllG'E'11sbu y - Dept. efCrx►+►►rlutily Uetelr►bx►►e►lF, 742 1a'vRrxtrl, Quee►srbx►rY, NY 12804 1761-82561
NOTICE
�� BUILDING & CODE ENpORCE " ENT
Requirements prior to issuance
of this permit: PERAIlr PILE NO.
u
A percil must If* obtained before /beginning construction. No inspections PERMIT FEE PAID $
/
will be made until applicant Ims received 0 Zor ing Board Action
a 'VAIAD BUILDING PERMIT, Ali Area / Uwe HECHEAl *ION FEEP
applicants' spaoca on this application —
M1JST be completed axtd the signature Q Planning Boar ! Action HEVIEWEL] BY.
of the applicant must Appear an the -------
SPR 1 Subdivision 1 dthcr Budd►nR In.prrvar
lication Farm. t>�.r Recreation Fee payment
Applicant: '1 PnR1t- 8-T�5,r0x} Owner:
Address: Address:
Pllonc # { _____ Phone # ( .._ww) 7 $�' _73c5z
Property Locution: b
Tax Mal) Number
Subdivision Name: r_ f 1 r "Z • 3z
�" Section 13itick l ,r,t
NF►T K OF PROPOSED WORK * ESTIMATED MARKET VALUEF T E
New Building * CONSTRUCTION * $ �-
residence / commercial
Addition to Suildinge
residence / commercial OCCUPANCY xnrORMATION :
Alteration to Building* : Primary Building
residence / commercial Single Family � Dt ► '}
Residence / {Commercial Two Family Dwelling "
no cliarlge to exteKlor size Family DwellATIV 2000
Office
Otbpr WortcG•( deser ibe helow > r` fr Mercantile
Manufacturing , , d
Other
GROSS AREA OF PROPOSED STRUCTURE * - 1� I
If ADDITION ► what will use
1st Floor . . . . . . . . sq . ft . of new addition be7 :
2nd .F1'oor . 0 *'OlAl . . sq . ft .
other Fluure . . . . . sq . ft . f
( not unfinished cellar or basement ) ACCI SORY BUILDINGS *
_ Detached Garage . 2 car
TOTAL FLOOR AREA : -- ,,t- -� SQ . FT . Attacked Garage 1 , 2 car
PrS eater_ Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
Foundation Type : r3 will any second- hand or ungraded
Number of Stones : f lumber be used ? If so , for wliat7
( habitable space oryly )
ttei ht ( grade to r ,idce ) : 2. .feet WYPly o!r HEATING SYSTEMS
Number of f .i. replacet; and/ or woodstove ( circle all which applies ) Al
to be installed :` ! Electric / Oil / Gas / Wood r
Forced Hot Air / Baseboard / Other
Person responn,li,ble for supervision of work as regards to buildinci
codes is * _ 4rRt+L / 5 0 +.l ? ...— t7► &yo is .. eo j 7WO: '
Name Address Phone
Builder *
Plumber ;
Mason :
Electrician :
DE4 cz, RA7TCNJ.• Please sign belenv after you Imme carefully read lire stater►rent,
To the Crest of my knowledge tile: statements contained in this application, togethcr wills the plans
acid specifications skibinitted, area true and comltilete stalccnenl of all proixmccl work to be done ort
situ t.tescrit}ed premises and tliat ail provisions of the liuilding t:.'cxie, the Zoning 0rdictance and all
other laws pertaining to the proposed work shrill be complied with, wliellier specified or noted, and
that suc:tt work is autttorixed by the owner. Further, it is undersuxxl that I/we shall submit prior to a
Certilicate of Occupancy 'or Certificate of Compliance being isstied, an AS 'BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises,
Signature:
(owner, owner's agent, architect, contractor)
TOWN OF QUEENSBURY .,
i PWILDING & CONE KNFQRCMM_FoW
- 7" 4,Z SAY ROAR
QUEENSBURY NY 12844
t { (518) 761-8256 `} y
-- ARRIVE : DEPART :
PINAL INSPECTION REPORT RRSIAIS"TIAL
DATE INSPECTION REQUEST, RKCSIVED :
NAME
LOCATION
D ` `
DATE f /� ` PERMIT IE
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGEi PLUlV BIND SEPTIC INSULATION
FINAL ELECTRICAL,� WOODSTOVK OR FtR"LACB
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Based on our limited a amin�afmk
shall
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t^ pl M s and speciS�cattion are in tuN SUN 2 8 2000
co
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TOWN OF QUEENSBURY
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REVIEWED By0� FILE COPY
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DATE