2011-465 TOWN OFQ UEENSBURY
� � Q742 BayRoad,Queensbury,NY 12804- 902 (518)7 1-
ry, 5 G 8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20110465 Date Issued: Wednesday, October 03, 2012
This is to certify that work requested to be done as shown by Permit Number P20110465
has been completed.
Tax Map Number: 523400-278-000-0001-043-000-0000
Location: 631 STATE ROUTE 149
Owner: ANDREW& DAWN PLISCOFSKY
Applicant: ANDREW& DAWN PLISCOFSKY
This structure may be occupied as a:
Shed/ Storage Sheds
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.
TOWN OF QUEENSBURY
I FIT* 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20110465 Application Number: A20110465
Tax Map No: 523400-278-000-0001-043-000-0000
Permission is hereby granted to: ANDREW&DAWN PLISCOFSKY
For property located at 631 STATE ROUTE 149
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: ANDREW&DAWN PLISCOFSKY Shed/Storage Sheds $3,700.00
631 STATE ROUTE 149 Total Value
LAKE GEORGE,NY 12845 $3,700.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-465
160 sq ft shed
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, September 28,2012
(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 wn o uee 9u �ay, September 28,2011
�r '7
SIGNED BY ` for the Town of Queensbury.
Director of Building&Code Enforcement
ICE USE ONLY. "
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TAXMAF'NO. . •
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PERMIT N0. I 4Y (c. . �[`l• g; •tie {' y ^,�;, ,I
FEE PAID �(/Th s BLDG.&CODES APPROVAL
• '.,
:iJ',JVN '._)i.JLL EBUF Y ;
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 OFA VALID PERMIT. NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED
A VALID BUILDING PERMIT.
OWNER: DQLOn. �p6iI5C 5Kv�. INSTALLER/BUILDER:' G 61'4-''\�+
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ADDRESS: (P3I. t �'.6? LAKE_ 4DDRESS: ' ID LA-a -••2 Ir O4�A yin
6 t
7Q12k
PHONE NOS. ! _12 1r7-1I ?3-q J S-6 PHONE NOS. '
LOCATION OF PROPERTY: (p3 t j 4— I 9 SUBDIVISION NAME: V'1 e- •
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION:
•
HAS THERE BEEN A SITE PLAN REVIEW:VARIANCE OR SUBDIVISION APPROVAL? O YES O
IF SO,INDICATE APPLICATION NO.AND DATE OF APPROVAL:
ESTIMATED COST OF CONSTRUCTION: $ 37 00. ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? Vl 0
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
•
ar no PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2' FLOOR TOTAL HEIGHT
SQ.FT, SQ.FT. $Q.Ft FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH*
• BOATHOUSE .. •
BOATHOUSE WITK1SUNDECK
DOCK
/
l6J >,/ ( SHE l 1774. '
POLE BARN
DETACHED GARAGE(NO.OF CARS:_ ) .
•
OTHER ACCESSORY STRUCTURE:
*CONSIDERED FLOOR AREA & MUST COMPLY WITH FAR.[FLOOR AREA RATIO] REQUIREMENTS IF THE
STRUCTURE IS LOCATED IN THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge, the statements•contained in the application, together with the plans
and specifications submitted, are a true and complete statement of all proposed work to be done
on the `described premises and that.all provisions of the Building Codes, the Zoning Ordinance,
andall, other laws pertaining to the proposed work shall be complied with, whether specified or
noted, and that such work is authorized by the owner. Further, it is understood that I/we shall
submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, as•requested
by the Zoning Administrator or Director.of Building and Codes, an As-Built Survey by a licensed
surveyor, drawn to scale, showing actual location of all new
construction.
• QUESTIONS? CALL 761.8256 OR EMAIL
Queensbury Building & Code Enforcement - Residential - :I section
Office No. (518)761-8256 Arrive: a►• :
s
TOWN OF-QUEENSBURY -. ,
a,. _ t.• Al •
- - Reviewed By -'
ti Date: U ef LaunS o v.
fn , AI L •o Mi`DE.t.
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U o"t• 4$`30 5w� ` $
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IA el II TOWN OF QUEENSBURY 3cOO•2Z - -
• BUILDING DEPARTMENT "°�°`°�—
,� `'" Based on our limited examination,oomph-
•
c .� (', with our comments shall not be constru
> indicating the plans •D,)(-.1 specifications • f _
0 �0t1 full compliance ,^f n,;ilding Cods 0 ..__. .
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Canton 8 x 12 Light Gray with Dark Gray Trim and Black Shingles Standard
CONFIGURATION
— Standard 30 Year
/ _ Architectural Shingles
ti , Sturdy 2"x 4"Wall
-1-1() Construction with
5/8" Pressure Treated Plywood
ti I Floor
I
1f,- Double Entrance Doors
^TS^•a^^4 r++ t
' i ' E
Two 18"x 27"Windows
1 nF' • with Shutters or Trim
• "'s �I� J , , '' Gable Vents
Choice of Siding
' 'i 'i 4.* ,. 1 and Trim Colors
Canton 10 x 16 Clay with Almond Trim and Slate Shingles
Popular Upgrades
�.., TO CONSIDER
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ft, .s � ; . Barn Sash Flower Boxes
i' ; 1
k- Window
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0771 k'kt,',(1,4, , 0,•/14' ,i __ . Ii
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Canton 12 x 20 Almond with Blue Trim and Slate Shingles with Larger Ramp
optional Cupola Windows
Beautiful Storage for Your Tools, Toys, and All That Yard Stuff 9