BOTH-000191-2016 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-000191-2016 Date Issued: Tuesday,May 23, 2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000191-2016
has been completed.
Tax Map Number: 227.14-1-6
Location: 48 PULVER RD
Owner: Eleanor Ball,DAVID BALL
Applicant: DAVID BALL
This structure may be occupied as a: Dock 698 s.f.
By Order of Town Board
TOWN OF QUEENSBBUURY //JJ __
Issuance of this Certificate of Compliance DOES NOT relieve the _ t/ �ot
property owner of the responsibility for compliance with Site Plan, ��wvyyyFFF"' y/
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
742 Bay Road,Queensbury,Nva' 12804-5904 (518)761-8201
,i to
Community Development- Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000191-2016
Tax Flap No: 227.14-1-6
Permission is hereby granted to: Elite Dock Co LLC
For property located at: 48 PUL,VER RD
In the'Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and ether information hereto filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Ty-P e of Construction
Owner Name: Eleanor Ball Dock $8,000.00
Owner address: 3 Andrew DR Total Value $8,000.00
Acton,MA 01721
Contractor or Builder's Name/address Electrical Inspection Agency
Elite Dock Co LLC
PO Box 291
Cleverdale,NY 12820
Plans&Specifications
Dock 698&E
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,April 6,2017
(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 of ury; 2016
SIGNED BY: " for the Town of Queensbury,
C �
Director of Building&Code I nl'orcement.
Office Use Only
ACCESSORY STRUCTURE APPLICATION Received
DATETax Map ID
TAx MAP ID 2, Z Permit No.
Permit Fee 'k 2io a vD 4 65
ZONING Rec Fee
Hisromc SITE Yes _Zr No Approvals
SUBDIVISION NAME Lot#
APPLICAN ................
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ADDRESS ADDRESS
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PHONE PHON5
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Q&CQDES COMPLIANCE
TYPE OF COWMUCTION
Check all that apply Please Indicate measurements as required below
Boathouse 1 floor sq.ft. 2111 floor sq.ft, Total sq.ft. Height
Boathouse with Sundeck
Dock
Detached Garage(#of cars
Dock
Pole Barn
Porch-open
1*Porch—3 season,Covered,Enclosed
Shed
Other Accessory Structures)
Considered floor area&must comply with FAR(floor area ratio) requirements If located In the WR zone
DECLARATIOAP 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: F 24 Date:
Signature: Date:
Town of Queensbury Building&Codes Accessory Structure Application July 2014
Ball E EU Lin
Pulver Road
APS R 0 7 20116
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