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BOTH-000119-2015 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-000119-2015 Date Issued: Monday, October 31,2016 This is to certify that work requested to be done as shown by Permit Number BOTH-000119-2015 has been completed. Tax Map Number: 226.16-1-46 Location: 266 CLEVERDALE RD Owner: ALBERT CHANESE,Martha Chanese Applicant: ALBERT CHANESE This structure may be occupied as a: Boathouse and Dock 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 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building& Codes (518)761-8256 BUILDING PERMIT Permit Number: BOTH-000119-2015 Tax Map No: 226.16-1-46 Permission is hereby granted to: ALBERT CHANESE For property located at: 266 CLEVERDALE RD 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 Tyne of Construction Owner Address: 54 Hamilton AVE Boathouse $0.00 Fords,N.1 08863 Total Value $0.00 Contractor or Builder's Name/Address Electrical Inspection Agency Adirondocks 136 Stone Schoolhouse RD Lake George,NY 12845 Plans&Specifications Boathouse and Dock $115.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,October 23,2016 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury beforethe piraf'on da Dated at the Town fQuee ry, T October 29,2015 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only ACCESSORY STRUCTURE APPLICATION Received DATE /0h Tax Map ID TAx MAP ID / - - Permit No. jN ` 2-0 5 r-- ZONING .i Permit Fe ©= i V0, Rec Fee HISTORIC SITE Yes No Approvals SUBDIVISION NAME r Lot# APPLICANT o ` / lel lyf l�1/o e— OWNBR J717_ �ee7`-f �`fyX�' ADDRESS J- y Q i ADDRESS ! IG'/ iXe a 4114 Z PHONE /_ - / lc� PHONE CONTRACTOR /fico/I"� D 'SCO-TOFCONSTRUCTION(O ITM M): $ ADDRESS: Z,3 62 e )C[OI,,�lf_Scf � 1QUILDINO A22 ESS: Cn � PHONE: CONTACT PERSON FOR BUILDING&CODES COMPLIANCE r /'? PHONE 2(,'2`��3 TYPE OF CONSTRUCTION Check all that apply Please Indicate measurements as required below Boathouse 1"floor sq.k. 2nd floor sq.ft. Total sq.ft. Height Boathouse w#k4kvWW © S Deck Detached Garage(#6 of cars^) Dock Q S Q Pole Barn Porch-open "Porch—3 season,Covered,Enclosed Shed Other Accessory Structure(s) •R Considered floor area&must comply with PAR (floor area ratio)requirements It 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. ✓I have read and agree to the above: Print Name: Dale: Signature: /.' [ �`I -�� Date: f� 1 Town of Queensbury Building&Codes Accessory Structure Application July 2014