AST-000244-2017 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-000244-2017 Date Issued: Wednesday, October 11, 2017
This is to certify that work requested to be done as shown by Permit Number AST-000244-2017
has been completed.
Tax Map Number: 253.3-1-3
Location: 44 HUNTER LN
Owner: Michael Savale
Applicant: Michael Savale
This structure may be occupied as a: Shed 192 sq. ft.
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: AST-000244-2017
Tax Map No: 253.3-1-3
Permission is hereby granted to: Michael Savale
For property located at: 44 HUNTER 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 Savale Shed $1,500.00
Owner Address: 44 Hunter LN Total Value $1,500.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Shed 192 sq.ft.
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,May 23,2018
(If a longer period is required,an application for an extension most be made to the code Enforcement Officer
of the Town of Queensb before th74-:Ce
non dt .
Dated at the Town o ueensb y 23,2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use OnIV
ACCESSORY STRUCTURE Permit
a
PERMIT APPLICATION Permit Fee:$ '
Torre of Queensbury
742 Bay Road,Queensbury,NY 12804 Invoice#: 7��
P:518-761-8256 www.oue'e``nsbury.net
Project Location: yq donee- LrRne-
Tax Map ID th 3-x-3 Subdivision Name:
CONTACT INFORMATION:
i
i
• Applicant: �, �(
Name(s): i GY'O� vf& TOWN OF QUEENSBURY
Mailing Address, C/S/Z: Hy Rattle,- orf
Cell Phone: (S-t ) -SrD 3E6y Land Line: � )
Email: nl SS.yok Q &C Cev✓l
Primary Owner(s):
Name(s):
Mailing Address, C/S/Z:
Cell Phone:�_) Land Line:
Email:
• Contractor(s):
Business Name: 5d.unt
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone:J ) Land Line:
Email:
• Architect(s)/Engineer(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone:_) Land Line: � )
Email:
Contact Person for Building & Code Compliance:
Cell Phone: Land Line: � )
Email:
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
PROJECT INFORMATION:
TYPE: Commercial Residential
WORK CLASS:
Deck,Open Porch _Solar Panels(w/o rafter upgrades) _Carport _Cell Tower
r
A Shed 1� K I�° _Pavilion, Pole Barn,Canopy _Dock _Gazebo
Detached Garage _Boathouse(with or w/o sundeck) _3-Season Porch
other(description: )
SQUARE FOOTAGE OF STRUCTURE:
lstfloor:
2nd floor:
Total square feet: IL
ADDITIONAL PROJECT INFORMATION:
�
1. Estimated Cost of Construction: $ QU
2. If Commercial project,what is the proposed use:
3. Are there any structures not shown on the plot plan? YES NN��O Explain:
4. Are there any easements on the property? YES /NO
DECLARATION: ll//
1. 1 acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. Ifthework is not completed by the 1 year expiration date the permit may be renewed, subject to fees
and department approval.
3. 1 certify that the application, plans and supporting materials are a true and complete statement and/or
description of the work proposed, that all work will be performed in accordance with the NYS Building Codes, local
building laws and ordinances, and in conformance with local zoning regulations.
4. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of
occupancy.
5. 1 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: l
PRINT NAME: tC�U o_wl_) C,
SIGNATURE: DATE:
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
r— — -- �var� r COPY
BUILDING DEPARTMENT
Based on our limited examination,compliance
with our comments shall not be construed as
indicating the plans and specifications are in
full compllance with the Building Codes of
New Yak State.
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Date:
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E C E O V
TOVVN OF QUEENSBURY
COMMUNITY DEVELOPMENT
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s4-c)ro.cse Shea 253.3-1-3 AST-000244-2017
0);uP Saval a Savale, Michael
yy AvA er Ln 44 Hunter Lane 192 s.f.
Shed
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SIGNATURE
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PERMIT- PLOT PLAN
` 12' CULVERT I HAVE PERSONALLY MEASURED THE DISTANCE
` FROM THE PROPERTY LINES TO THE O
PROPOSEW STRUCTURE(S) OR SIGN(S)
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Bate: NOVEMBER 17, 1997 "
-NAP B MINLICENSED LAND RVEDITCRS_SEAL ISA _ --_ - MC p of a Survey made for - _ _•..•_ µ ,S `�"�•' .
UNAUTHORIZED A A ALTERATION ADDITION YSON A SURVEY - -
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n NOLATICW OF SECTION 7209.SUB-DIVISION 2,OF THE
SXJCP. NEW YORK STATE EDUCATION LAW.`
'ONLY COPIES fWM THE Omc4t .Of R155VRVCY
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_ Ste = RFCO'1ATH cA N-AN oNOP THC w-?5mom
V -- SEAL SHALL,BE CONSIDERED TO BE VALID TRUE COPIES."
_ 'CERTIFICATIONS INDICAIEO HEREON SIGNIFY THATTHIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE - -
= T \ 7 7■ ■yt �/T��^�■ ■yam c.��r-,r; EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED _ -
- L a,rte/„ d S \1i..i. -v e J �.:/ .i t.,"J LAND SURVEYO(M SAIDTQRRFICCATICNS SHALL ASSOCIATION OF RUN�ONLY �+-� -
-TO THE PERSON FOR YAtCdJ THE SURVEY 1>PRlPAR171.AND- - -
SHEE 1 1 OF I
- ENT HIS BEHALF TO THE IITLE COMPANY,GOVERNMENTALBY THE NEW YORK - - -
169 Haviland Road Queensbury, New York 12804 �'C��°LENDING wJ°���n HEREON,AND Town of Qu e nsbury, Warren County, New York 1 19119107 FINAL SURVEY
- GABRIELSoN G1194
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DATE DESCRIPTION -
792-84 253.3=1--2/26-2-17.27 '�