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AST-000191-2017
.,,/,----7 40101k\ TOWN OF QUEENSBURY - 742 Bay Road ueensb 4 y Q ury,NY 12804 5904 (518)761 8201 -�_ Community Development - Building& Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: AST-000191-2017 Date Issued: Friday, October 12, 2018 This is to certify that work requested to be done as shown by Permit Number AST-000191-2017 has been completed. Tax Map Number: 226.16-1-40 Location: 282 CLEVERDALE RD Owner: Leonard Romeo Applicant: Frank Denardo This structure may be occupied as a: Dock 555 s.f. (already constructed January 2017) By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the remP 4 ‘1,(' 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-000191-2017 Tax Map No: 226.16-1-40 Permission is hereby granted to: Elite Dock Co LLC For property located at: 282 CLEVERDALE 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 TYM of Construction Owner Name: Leonard Romeo Dock $15,000.00 Owner Address: 2 Griffmg PL Total Value $15,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical inspection Agency Elite Dock Co LLC PO Box 291 Cleverdale,NY 12820 Plans&Specifications Dock 555 s.f.(already constructed January 2017) $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,May 11,2018 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury-116--fore the exp' tion ate.) Dated at the Town of ueensb hur y 11,2017 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement i Office Use Only _ rs#!' Permit#: ll - i ACCESSORY STRUCTURE / PERMIT APPLICATION Permit Fee: $ 4o I0m11 of(.urrnsburn 742 Bay Road,Queensbury, NY 12804 Invoice#: 71 3 P: 518-761-8256 www.gueensbury.net Project Location: -/o c� C`f P--e— Tax Map ID #: dL�-Ga . 1� ' �-" �d Subdivision Name: ��- CONTACT INFORMATION: c c PR2620a ' B �• • Applicant: TOWN OF QUEEN&L'JRy Name(s): A; COMMUNITY DEVELC,:—.L Mailing Address, C/S/Z: �0 13r1x 11Ct 1 Cell Phone: ( ) 9- 1 Yf f Land Line: _36L1 s Email: C- ti te-de cc9 (to c, ;t , c_ ,-A • Primary Owner(s): Name(s): LrZy=4 Mailing Address, C/S/Z: .2 (9-1, gzIn Placc. Cell Phone: Land Line: �) Email: • Contractor(s): Business Name: V*e- ��(c 0 Contact Name(s): ;r iz _ 'OP-A,1000 Mailing Address, C/S/Z: Cell Phone: ) ) -7G/& 1g5q Land Line: � ) Email: P_It"fe d CCYLCC: r c°titc•'+l-cc,�� • 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 Shed _Pavilion, Pole Barn, Canopy Dock _Gazebo Detached Garage _Boathouse (with or w/o sundeck) _3-Season Porch _Other(description: ) - "1 SQUARE FOOTAGE OF STRUCTURE: t °` V 1st floor: 2nd floor: Total square feet: ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ 2. If Commercial project, what is the proposed use: 3. Are there any structures not shown on the plot plan? YES ,N©) Explain: 4. Are there any easements on the property? YES �O DECLARATION: 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. 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: _-�ranK bt d/AR-Qc. SIGNATURE: DATE: �,'►�'-/ Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017 a t t' a10, T I,.,": N ,,„ , _,._,, , _ ,., r,,,,,„,," - 47ilirt,,f,. :,1.44,,,,41 1. ,,, ,1! : s4::„.,-tr.;;;:::;_,i, ,,,,:,,,,:i:: , ,, „ , 4 4 , xl 3 I ' 4 1 y 3. - - .� -' mow - - JJ t sk .jy �T. �'�' ,r t-t .. - 1 -> �is rit1{''t- - r , ,, ' f` f a s ` ' i£ er' 0 -,,- ,- _ - _ .ems ti .ifi,,,,-.4°"*ap,;"- x gg I t = f.' --tt e 4.,‘ . - _ ,-:: .,, , „.. . , Lvi 1,--r .-, ,.-;-4,4 4 ' •'4"ff-t' - { �n ..: [----------- , — � at fit: t t rx. ' ,tt teaI :iti....41-,„„,,,,,,,.44.,,i - 4.1 ,...,::.,ift.i, !":, �4 X '` r