AST-000337-2017 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-000337-2017 Date Issued: Thursday, October 12, 2017
This is to certify that work requested to be done as shown by Permit Number AST-000337-2017
has been completed.
Tax Map Number: 289.13-1-22
Location: 35 BIRCH RD
Owner: Kathy Sanders
Applicant: Ridgeside Contracting
This structure may be occupied as a: Dock 240 s.f.
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, aJ44!t
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
4
BUILDING PERMIT
Permit Number: AST-000337-2017
Tax Map No: 289.13-1-22
Permission is hereby granted to: Ridgeside Contracting
For property located at: 35 BIRCH 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: Kathy Sanders Dock $8,200.00
Owner Address: 6629 Pelhams TER Total Value $8,200.00
Centreville,VA 20120
Contractor or Builder's Name I Address Electrical Inspection Agency
Shawn Callahan
Plans&Specifications
Dock 240 s.f.
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,June 23,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury re thj
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e.)
Dated at the Town of Q ensbu ,2017SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
ACCESSORY STRUCTURE APPLICATION Office Use Only
Received
DATE /o h5_11 Tax Map ID c;)- .r3 -i-5a
TAx MAP ID a �q , 13 `I- - Permit No. �}f:�T- 'T -7
3bQ 13-
ZONING R_Q S Permit Fee t1
r
HlsroRlcSlrE Yes � No Ree Fee
� �� NEI ?>b_
SUBDIVISION(NAME `, 1 ' Lot# royals C
APPLICANT �G��1\ll �C�11/ \\C OWNER
ADDRESS i�) ( C ADDRESS (` �\ a\
PHONE PHONE
Q(,2_7
CONTRACTOR ��� k'ti (�'�f I'L! C /�Y��r�G � COST OF CONSTRUCTION(ESTIMATED)' $ Y I l 6 6 a
ADDRESS: L10 BUILDING ADDRESS: - G,i
PHONE: �I62 /7 ,) - 77J O' !l_ I_
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE J�'`5 w✓i. �q l V l q✓� PHONE
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
Detached Garage(#of cars
Dock
Pole Barn
Porch-open
-Porch-3 season,Covered,Enclosed
Shed
Other Accessory Structures)
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 Itwe 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-
V1 have read and agree to the above: Print Name: \ ' _N ;] Date: 5 0 I�
Signature: �' `,_.. Date: L t
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
289.13-1-22 AST-000337-2017
3 S 1S I r� Sanders, Kathy
35 Birch Road
Dock 240 s.f.
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BUILDING & CO)PES T. a "
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Date: /�l\J(/V�/G/ 1..• _\1\` 'P
TOWN OF QUEENSBURY
BUILDING DEPARTMENT
Based on our limited examination,complian
with our comments shall not be construed a 34 3 e'
indicating the plans and specfications $re i 'W. ;e ` s .•
'full compliance with the Building Cod2s o
NewYork'State. 111
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