BOTH-000062-2016 ~ 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-000062-2016 Date Issued: Wednesday, February 17, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000062-2016
has been completed.
Tax Map Number: 303.10-1-18
Location: 0 Sanford ST,Off
Owner: Adirondack Aesthetic Arts
Applicant: William Brender
This structure may be occupied as a: Shed 192 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, /7
Variance,or other issues and conditions as a result of approvals by the Director of Building&Cade 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-000062-2016
Tax Map No: 303.10-1-18
Permission is hereby granted to: William Brender
For property located at: 0 Sanford ST,Off
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
Owner Name: Adirondack Aesthetic Arts Shed $800.00
Owner Address: 138 Upper Platt ST Total Value $800.00
Glens Falls,NY 12801
Contractor or Builder's Name/Address Electrical Inspection Agency
William Brender
243 Sanford ST
Glens Falls,NY 12801
Plans&Specifications
Shed 192 s.£
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,February 10,2017
(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 expi tion date.)
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Dated at the Town of y F ary 16,2016
SIGNED BY: for the Town of Queensbury_
Director of Building&Code Enforcement
Office Use Onl
ACCESSORY STRUCTURE APPLICATION Received
DATC 112-<61 if, Tax Map ID
is Permit No.
TAx MAP ID
Permit Fee4�
ZONING resyja&C/A Rao Fee
HISTORIC SITE Yes _,L Na FES 1 al-0, Approvals
SUBDIVISION NAME Lot# /�
APPLICANT wt V ' t OWNER Ga jw , t� Ai` )
ADDRESS 2-+3 ADDRESS
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PHONE_ _'__-2_to " 9 PHONE
CONTRACTOR S CU57'Ofi CONSTRUCTIONLESTIMAT1rD); $ AW
ADDRESS: OILDING ADDRESS: RL2tj S-J----
PHONE: Q,
CONTACT PERSON FOR BUILDING&CODES COMPLPHONE Z 10 -sq"
TYPE OF CONSTRUCTION
Check atl that apply Please indicate measurements as required below
Boathouse t"floor sq.ft. 211d floor sq.ft. Total sq.ft. Height
Boathouse with Sundeck
Deck
Detached Garage(#of cars`)
Dock
Pole Barn
Porch-open
" Porch—3 season,Covered, Enclosed
Shed
Other Accessory Structure(s) ) 9 s { - /92— Is
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"Considered floor area&must compt with FAR(floor area ra4requirements 1f located In the INR zone
QECLARAvom 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: yr r e A_r Date:
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Signature: Date:
Town of Queensbury Building&Codes Accessory Structure Application,July 2014
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