RC-000508-2016 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: RC-000508-2016 Date Issued: Wednesday, December 14, 2016
This is to certify that work requested to be done as shown by Permit Number RC-000508-2016
has been completed.
Tax Map Number: 289.17-1-35
Location: 97 BIRDSALL RD
Owner: Dominick Dimartino,Kathleen DiMartino
Applicant: Burke Bros.Builders,Inc.
This structure may be occupied as a: Residential Alteration
Breezeway connecting SFD and Garage By Order of Town Board
Cross Ref. Site Plan PZ-62-2016 and Area Variance PZ-64-2016 TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, �y�Y
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: RC-000508-2016
Tax Map No: 289.17-1-35
Permission is hereby granted to: Burke Bros.Builders,Inc.
For property located at: 97 BIRDSALL 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: Kathleen DiMartino Single Family-Alteration $10,000.00
Owner Address: 83 Crystal Beach RD Total Value $10,000.00
Moriches,NY 11955
Contractor or Builder's Name/Address Electrical Inspection Agency
Burke Bros.Builders,Inc.
PO Box 105
Lake George,NY 12845
Plans&Specifications
Residential Alteration
Breezeway connecting SFD and Garage
Cross Ref.Site Plan PZ-62-2016 and Area Variance PZ-64-2016
$60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 11,2017
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensb before the axxjZi.ration date.)
Dated at the Town Queens ( / lr Tue�a[$�//t ,2016
SIGNED BY: Cwt./KI/ �,YJ � for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION
Received
DATE Tax Map ID
TAX MAP ID 191 ,177 - I - h:, Permit No. 50 E3 - 7jo. t V,
ZONING ��f� . 1 Permit Fee 4 to n
pp Fee
HISTORIC SITE Yes No Approvals
��y� OD
SUBDIVISION NAME
� Lot#
APPLICANT 1,1,�1� �o '1 i� OIL.JLC4C + I_�14Lee j
`'� �tc�Y$ lJ:>.�.�L' -I-s-�L OWNER ,r�,2 I71y�(,�yl,�p( C/
ADDRESS ?X' `)`� ✓ ADDRESS 7JJ (slt.�f% i P.-)
ZNy lad I (T V4 J-r i t9�ti
PHONE �J t "` ✓ S� PHONE '5( • 5�o so'' C24yi
CONTRACTOR gg � ""{5 ��^•-�tLK'� COST OF CONSTRUCTION(ESTIMATED) $y
ADDRESS: ��- "�'F- l� BUILDING ADDRESS: 17 12f 9,;7hL.L, P �h
N`f (-0-V
PHONE: y`� " _3o S-4
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE D u'`x-`^u 5 �a.r-� PHONE S7� 796-63a l
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse 1 floor sq.ft. 2nd floor sq.ft. Total sq.ft. Height
Boathouse with Sundeck 291b
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 oc/c�!Pancy.
.11 have read and agree to the above: Print Name: l.o r_nt �� l w� �� Date:
Signature: Date: 3—(
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014