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BOTH-000380-2016
TOWN OF QUEENSBURY MNA 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: BOTH-000380-2016 Date Issued: Thursday, August 25, 2016 This is to certify that work requested to be done as shown by Permit Number BOTH-000380-2016 has been completed. Tax Map Number: 301.9-140 Location: 38 WESTERN RESERVE TRL Owner: NICHOLAS GIUMARRA Applicant: NICHOLAS GIUMARRA This structure may be occupied as a: Pole Barn(to be used as pool house)256 s.f. By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the rJ 4 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 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: BOTH-000380-2016 Tax Map No: 301.9-1-40 Permission is hereby granted to: NICHOLAS GIUMARR.A For property located at: 38 WESTERN RESERVE TRL 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 Type of Construction Owner Name: NICHOLAS GiUMARRA Pole Barn $1,800.00 Owner Address: 38 Western Reserve TR Total Value $1,800.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Pole Barn(to be used as pool house)256 s.f. $ 50.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,June 17,2017 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury bWeWiratio. at )Dated at the To of Qu ay,June 22, 2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only ACCESSORY STRUCTURE APPLICATION I � Received DATE f 1 C�/// ' Tax Map ID TAX MAP ID 3C + — r ` Permit No. &- 2--on ZONING y'Z�5 Permit Fee C50, Y,11 ,c c Q I S Rec Fee HISTORIC SITE Yes No Approvals SUBDIVISION NAME Lot# I � I `+ - �`..�..�,�. � �• ; .sem APPLICANT u " t �'� G OWNER ADDRESS �) �'��4�L',S�C�`il (,��j �J� +ADDRESS PHONE �C> ��` �`° '� PHONE J � CONTRACTOR �� L COST OF CONSTRUCTION(ESTIMATED $ ADDRESS: f~—� BUILDING ADDRESS: PHONE: CONTACT PERSON FOR BUILDING &CODES COMPLIANCE G_ �{ �`��"� PHONE TYPE OF CONSTRUCTION Check all that apply Please indicate measurements as required below Boathouse Vt floor sq.ft. 2nd floor sq.ft. Total sq.ft. Height Boathouse with Sundeck Deck Detached Garage(#of cars Dock PoleBarn 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 W one 261 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. 6 ,/I have read and agree to the above: Print Name: I �`� `' "` `t 'r `t Date: �' f /� ' Signature: _ _ Date: ' r 4• l4— 1 Town of Queensbury Building&Codes Accessory Structure Application July 2014 �� o d' oo 01=�J ti A lV 1 9 0 � °M 0— c. e9'0 ?� l o rl end doo -3 !� -906��8t 'aae1S TOA MON 0 se 0 jc�, n t!llra" a Uelidtu� Ilsl} \ u P ail; 6uV01pul se pa -uausu.ioo iso Wllm \ eoue;ldW'L ino uo paseg � f11KP� 1S \ 1� .k,.,1NIGII LVa 0 JO NMOi ��,4� t l�l`dru��c d 7l 2 I yn�1 LDS -4H 1 (■/� I.7Y51'T �J Il ')•^ �IV'�t�3 d L i1P�n 01 'J's 9 S Z (asnou food) uae8 alod ave aleal anuasa�l uaalsam RE PIN 'eaaewmE) 91OZ-08£000-HIOS Ota-1-6-TO£ ► as � � t�SyZ�Q� 'O / 1 MASS tv jC GT j I ai w sill Q 8 N92'1 t701•N ANt1dlT ORM x VJ zz m ,f ,o n I K a n O. gid l \" _ < j \ ) \ g @ 2 \ 0 Ln 0 ) ! 2( ?\ ; 77 0 // o LU $ Of ± m � < GS e km § \ 2 � \ L / j / < \ k ^ ) k§ / V) * / ± \r 0 / 5 o LU S 00 u L § = 2/ ¥ = u} / \ 5 \ , ! ! . [u R � / tea 0 a 6 20 ^ 0 = / } / jo r Cl) Lq \ . / ?«} G _ < m ¢ Alp % ¢© N m \ U � C LU \ N \\ _ ON \ n LX ¢ Y U C) Z N- rn a 0 � H lz 'n'zt pot -E �N � ro W 0 � N 01 " z a w W W N Z Q J Q C0 ¢