AST-000133-2017 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: AST-000133-2017 Date Issued: Tuesday, August 15, 2017
This is to certify that work requested to be done as shown by Permit Number AST-000133-2017
has been completed.
Tax Map Number: 289.11-1-33
Location: 9 GLEN HALL DR
Owner: RONALD MACKOWIAK
Applicant: RONALD MACKOWIAK
This structure may be occupied as a: Detached Garage 528 s.f.
Cross Ref.Z-AV-8-2017 and P-SP-9-2017 By Order of Town Board
TOWN
^OF QUEENSSBBURYJ
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
OL Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: AST-000133-2017
Tax Map No: 289.11-1-33
Permission is hereby granted to: RONALD MACKOWIAK
For property located at: 9 GLEN HALL 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
Tvce of Construction
Owner Name: RONALD MACKOWIAK Detached Garage $30,000.00
Owner Address: 9 Glen Hall DR Total Value $30,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Sherwood Acres Construction Corp.
324 N Woods Club RD
Minerva,NY 12851
Plans&Specifications
Detached Garage 528 s.f.
Cross Ref.Z-AV-8-2017 and P-SP-9-2017
$79.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,April 14,2018
(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 ex/R1nationn date.)
Dated at the Town of ueensb j / 17rid t 14,2017
SIGNED BY: (G G,,ArrrM/M/__/"��I«/// /� for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION Received
DATE /-;7.- Tax Map ID _
TAx MAP ID O�2 3 3
G / Permit No.
o / .. �� "/ "-'
ZONINGGr/�/�J Permit Fee
Rao Fed 1 r1�o i vv 1 In l5
HIS1'ORICSITE _Yes ZNo AppXvals
SUBDIVISIONNAME Lot#_ ,/�j_
APPLICANT �GY��y J� / //.'¢"��G'!'✓y�"�' WNE �C 6wy�
ADDRESS / +/gti �`1/1i��/ �YiY� ADDRESS _ //l G�`�N/ m�"G/ Z APV M
[.('iCB�'�`�7�/!�y�a2�'� �/yES-r✓-s'!ri„�.r��/1/ /y o�-�1
PHONE aG�- SG 5 -��o�G PHONE
p3
CONTRACTOC08TOFCONSTRUC7rON&87IMATED): $
ADDRESS:
Ga.�v irwv� �iitn� r[LMAR
PHONE: 6f�- ��a _G zzG 31 2017
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE PHONE
BUILDING&CODES
TYPE OF CONSTRUCTION
Check all that apply Please Indicate measurements as required below
Boathouse I"floor sq.ft. V floor sq.ft. Total sq.ft. Height
Boathouse with Sundeck
Deck
Detached Garage(#of cars dZlj/r �a= SZ� /S' -/v
Dock
Pole Earn
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
DECLARATIOM. 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, 1 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 occu Y.
✓I have read and agree to the above: Print Name: Date: �y 1
Signature: Date:
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
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