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= TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: RC-000447-2016
Tax Map No: 308.6-1-32
Permission is hereby granted to: Solar City
For property located at: 18 MICHAELS DR
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: Jeffrey Dorvee Single Family-Alteration $18,889.00
Owner Address: 18 MICHAELS DR Total Value $18,889.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Solar City
PO Box 670
Amsterdam,NY 12010
Plans&Specifications
Solar Panels,no rafter upgrades
$ 30.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,July 8,2017
(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 ofdn ,2016
SIGNED BY: r7i :_ze r the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION
Received ]P- 2
DATE Tax Map ID
TAx MAP 1D 308.6 - 1 - 32 Permit No. {r-—000` ' Al, t
ZONING Permit Fee
Rec Fee
HISTORIC SITE Yes ✓ No Approvals
SUBDIVISION NAME Lot#
APPLICANT L o re e n M e h e r OWNER Jeffrey D orvee
ADDRESS P.O. Box 670 ADDRESS 18 Michaels Drive
Amsterdam, NY 12010 Queensbury, NY 12804
PHONE 518-332 -0671, Fax: 518-212-2874 PHONE 5182220568
CONTRACTOR Solar City COST OF CONSTRUCTION(ESTIMATED): $ 18,889.00
ADDRESS: P.O. Box 670 BUILDING ADDRESS: 18 Michaels Drive
Amsterdam, NY 12010 Queensbury, NY 12804
PHONE: 518 - 332 - 0671
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE Loreen Meher PHONE 518-332-0671
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse I floor sq.ft. 2"d floor sq.ft. Total sq.ft. Height
Boathouse with Sundeck
Deck
Detached Garage(#of cars_)
Dock
Pole Barn
Porch-open JUt 1
2 2 16
**Porch—3 season, Covered, Enclosed
Shed
Other Accessory Structure(s) 581.13 sq ft
**Considered floor area&must comply with FAR(floor area ratio)requirements if located in the WR zone
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. } )1
✓I have read and agree to the above: Print Name: �L z Date:
Signature: Date: 7 - 11 - 16
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014