AST-000611-2016 TOWN OF QUEENSBURY
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742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
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Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: AST-000611-2016 Date Issued: Monday, April 10, 2017
This is to certify that work requested to be done as shown by Permit Number AST-000611-2016
has been completed.
Tax Map Number: 266.1-2-5.1
Location: 1748 RIDGE RD
Owner: Mark B.Lee
Applicant: Mark B.Lee
This structure may be occupied as a: Shed Addition 180 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,
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
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Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: AST-000611-2016
Tax Map No: 266.1-2-5.1
Permission is hereby granted to: Mark B.Lee
For property located at: 1748 RIDGE 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: Mark B.Lee Shed $700.00
Owner Address: 1748 RIDGE RD Total Value $700.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Shed Addition 180 s.f.
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,September 15,2017
(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 expiration date.)
Dated at the Town f Queens ry; �J TZhu ptember 15,2016
SIGNED BY: GwWlfr'/ /vl for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION Received
DATE 9 - 1 � - I L Tax Map ID
TAxMAP ID Permit No. QST (011 20l 7�
Permit Fee
ZONING
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HISTORIC S/TE I_IYes
' _✓No Approvals
SUBDIVISION NAME Lot#_
APPLICANT OWNER ✓ 1 x ( (� / ih P ��] 'P�n
ADDRESS ADDRESS ('
' I `7 �f R I\', r4 Io I l
PHONE 14: ' -7 PHONE
CONTRACTOR COST OF CONSTRUCTION(�ESy7/MATED): $ /n -1I�o
ADDRESS: BUILDING ADDRESS: ' (�� ag(l"t4
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PHONE:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE PHONE
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse 151 floor sq.ft. 2"d 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 AccessoryStruclure(s) S_,OEE I $o
••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: 'q R ft L Q Date: S
Signature: Date: !j A -l6
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
Cy-
op\
PFRMIT PLOT PLAN
I HAVE PERSONALLY MEASURED THE DISTANCE
FROM THE PROPERTY LINES TO THE
PROPOSED STIR URE(S) OR SIGN(S)
SIGNATURE DATE
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FILE COPY
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Based on our lirnit^_d e"',; n : 'n,rompP°^-e m
with our comments sl,;;-
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Landmax Data Systems, Inc.www.landmaxdata.com - Map ID: maps/WAR/523400/266_01.tif