BOTH-000425-2015TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000425-2015
Tax Map No: 315.5-1-6
Pertnission is hereby granted to: Alfred Pettit
For property located at: 107 West WEST MOUNTAIN 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
Tvce of Construction
Owner Name: Alfred Pettit Deck 6,000.00
Owner Address: 107 West Mountain Rd Total Value 6,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Alfred Pettit
107 West Mountain Rd
Queensbury,NY 12804
Plans&Specifications
Deck 326 s.f.
50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,December 17,2016
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 ury; e ecember 23,2015sb
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
ACCESSORY STRUCTURE APPLICATION
Office Use Only
Received
DATE 2 // Tax Map ID
TAx MAP ID 315,5-I-[, Permit No. l i â l
ZONING M b R DEC 17 20 5
Permit Fee c-30
Rec Fee
HISTORIC SITE Yes No
Approvals
SUBDIVISION NAME / Lot#
yAPPUCANT 1 Per-&- OWNER SAME
ADDRESS O-7 W' nITtJ' 2D ADDRESS
Zveeas6unj , NY 12eoV
PHONE SI E -+3 38- 6975 PHONE
JCONTRACTOR 6 L F ( d W Cl f 2 COST OF CONSTRUCTION(ESTIMATED): $
ADDRESS: BUILDING ADDRESS:
PHONE:
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE AL PfTT1 T(OW n e 2) PHONE 336â69-257
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse 1"floor sq.ft. 2n°floor sq.ft. Total sq.ft. Height
Boathouse with Sundeck
Deck DECKIS sx IS'Z (282 54 ft) WA LKWAJ (12 Xq2" S 32656,
Detached Garage(#of cars rt
Dock
Pole Bam
Porch-open
Porch-3 season, Covered, Enclosed
Shed avt J612 X J8 295 SQAluv fl
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.
C
I have read and agree to the above: Print Name: k)Ifyr d PerhT Date: al 1 7 It S
Signature: 1(a Date: lZ(1 rls
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
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Based on our limited examine+ion,compliance
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full compliance with the uilding Codes of
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