BOTH-000411-2015 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: BOTH-000411-2015 Date Issued:
This is to certify that work requested to be done as shown by Permit Number BOTH-000411-2015
has been completed.
Tax Map Number: 297.17-1-21
Location: 39 MEADOW LN
Owner: Michael Travis
Applicant: Michael Travis
This structure may be occupied as a:288 sq. ft.shed
By Order of Town Board
TOWN OF QUEENNSSBUR/fY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, ���(((///G((�✓�� it" V
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-000411-2015
Tax Map No: 297.17-1-21
Permission is hereby granted to: Michael Travis
For property located at: 39 MEADOW LN
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
Tvce of Construction
Owner Name: Michael Travis Shed $7,500.00
Owner Address: 39 Meadow LN Total Value $7,500.00
Queensbury,NY 12804
Contractor or Builders Name/Address Electrical Inspection Agency
ILK Lo
Plans
&Specifications
1,p7s sq.R.shed
ZA 0
$40.00 PERMIT FEE PAID-TMS PERMIT EXPIRES: Friday,December 9,2016
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.
Dated at the To of Quee ury; A T e ecember 15,2015
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION
Received
DATE 0 eccrr 6CIL �/ Z C r I Tax Map ID
TAxMAP ID S�3Y�o -x9 �- c l�-�r �i -cam/n f cf �° �FpermitNo.
ZONING 'Permit Fee
Rec Fee
HISTORIC SITE _Yes No Approvals
SUBDIVISION NAME �,•r Q&C� EA"k,a/' Lot#
/'/r
APPLICANT —14A c. /K/Arj OWNER
ADDRESS 3 9 *1 Eaod s.✓ ADDRESS AA t
PHONE /r') - 7SQ �O S//.� PHONE
CONTRACTOR COST OF CONSTRUCTION(ESTIMATED): s 7So &
ADDRESS: BUILDING ADDRESS:
PHONE: p
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE / // -0. [ �IL�� /.I PHONE .S_1 b-7%p 0 y1'7
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse 1°'floorsq.ft. 2ntlfloor 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)
"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.
✓I have read and agree to the above: Print Name: �r1.4 F ✓/ Date:
Signature: tee--� Date: I�
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
HOME OUTDOOR STRUCTURES FURNITI1. "'^.. r4
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Size: 12'-x
Siding Type:Vinyl
Standard for Shed: 9/7y/�AG�t.J("k-,
-- - choice of length
pressure treated rafters and T&G underlay 7`7 p y /
asphalt shingles
DEC 1 0 2015 vinyl siding&shutters 1/
��'' ' ` -" pressure treated plywood ✓ Lin
T0�6� Cr �-: --,< SURY Pyw floor
BUILDING CODES unfinished interior
(2)30"x qo"windows
TOWN OF QUEENSBUR`t
(z)36"x 96"15-lite aluminum doors -
SUILf�I�':-�
Standard forGazebo- Review
choice of length Dais. l\-
A-handrail,A-upper rail
pressure treated rafters and T&G underlay
asphalt shingles TOWN N QUEEN.,c
BURY
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New York State Residential Code,
^i TOWN OF QUEENSBURY
BUILDING DEPARTMENT ;
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