BOTH-000426-2015 r TOWN OF QUEENSBURY
y, 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: BOTH-000426-2015 Date Issued: Friday, October 28, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000426-2015
has been completed.
Tax Map Number: 315.5-1-6
Location: 107 West WEST MOUNTAIN RD
Owner: Alfred Pettit
Applicant: Alfred Pettit
This structure may be occupied as a: Shed 295 s.f.
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the n
property owner of the responsibility for compliance with Site Plan, ( �2)
G_ (/ /,vf
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
W— W 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000426-2015
Tax Map No: 315.5-1-6
Permission 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
Type of Construction
Owner Name: Alfred Pettit Shed $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
Shed 295 s.f.
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,December 17,2016
(If a longer period is required,an application for an extension must he made to the code Enforcement Officer
of the Town of Queensbury before tJexpo tion t .)
Dated at the To of Qu n bury; day,December 23,2015
SIGNED BY: V for the Town of Queensbury.
Director of Building&Code Enforcement
ACCESSORY STRUCTURE APPLICATION office use Only
Received
DATE ���1��/.f Tax Map ID
TAxMAPID 315.E-I-[, Permit No. f�fT14 -(2--)C) ZD/S
h -Permit Fee `lv. CO
ZONING /"rAs!/� r�tC � � 21.,:"
Rec Fee
HISTORIC SITE _Yes No Approvals
SUBDIVISION NAME "� Lot#
APPLICANT /y l IPE 7-7-1T OWNER S,'I M 6
ADDRESS /O-7 L"' 29 ADDRESS
(au eeis(qu.rtt NY I2LVOV
PHONE PHONE gIt /
CONTRACTOR SELF l 01-k;()1E-<. COST OF CONSTRUCTION(ESTIMATED): $
ADDRESS: BUILDING ADDRESS:
PHONE:
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE �f L Pf`TTi T(cc;,� r 2) PHONE 336-6970—
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse 1''floor sq.ft. 2ntl floor sq.ft. Total sq.ft. Height
Boathouse with Sundeck
Deck Sx 15
Detached Garage(#of cars J Tri
Dock
Pole Barn
Porch-open
** Porch—3 season, Covered, Enclosed
Shed It-311TA- 1-1- 1,369
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: /7 167d P T T— Date: 12/17/1S_
Signature: h 1 r� I Date: IZIQ1IS
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
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with our comments shat' iol b construed as b
indicating the plans and snecif ations are in t� I
full compliance will) the ..uild ig Codes of
New York State.
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