AST-000654-2017 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-000654-2017 Date Issued: Friday, September 14, 2018
This is to certify that work requested to be done as shown by Permit Number AST-000654-2017
has been completed.
Tax Map Number: 308.18-2-2
Location: 36 Brickoven RD
Owner: Daniel Hunt
Applicant: Daniel Hunt
This structure may be occupied as a: Shed 320 sq. ft.
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
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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-000654-2017
Tax Map No: 308.18-2-2
Permission is hereby granted to: Daniel Hunt
For property located at: 36 Brickoven 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
Tvce of Construction
Owner Name: Daniel Hunt Shed $5,000.00
Owner Address: 36 Brick Oven RD Total Value $5,000.00
Queensbury,NY 12804
Contractor or Builders Name/Address Electrical Inspection Agency
Daniel Hunt
36 Brick Oven RD
Queensbury,NY 12804
Plans&Specifications
Shed 320 sq.ft.
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,November 2,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of ueensbun hurs a 2,2017
SIGNED BY: GIWJA('/ /PJ for the Town of Queensbury.
Director of Building&Code Enforcement
OffilCe Use QDly
0
Permit it f-ee:
Toni of Queensbury
942 Bay Road,Queen sbu,y,MV Is 280,0, i svosce #:
P:18-761-8256 �?,�,/ar iu,_� 5f3 9'.'a/erae:
Project Location,
rays Map iD H. 3 l✓% s�» I � � � Subdivision Named
V
CONTACT INFORMATION- 0
Applicants OCT 112017
ame(s) 0,V► TOWN OF UEENS I
Viailing Address, C/S/Zo --3(p 13 'r-�t1Fti (�1��'%� ��G �v}_ COMMUNITY DEVELOPMENT
-ell Phone: SlS )_ 3 (e 1— c; 3% Land Line: � )
maiw;Lb1��1-�t�c -1 Qi7&
PH ary Owner
yame(s): a.ti J VI
Viailing Address, C/S/Z:
-ell Phone: Land Line:
-mail:
Contractor(s):
lusiness blame: ���, � ✓�'�
:ontact Name(s): 2 y„ a-.n rx_lm z-
Mailing Address, C/S/Z:
:ell Phone: Land Line: � )
-mail:
Arch Itect(s)JEngineer(s)o
3usiness Dame:
:ontact Name(s):
Mailing Address, C/S/Z:
:ell Phone: Land Line: � )
:mail:
Contact Person for Building & Code Compliance: a®V\ t ��
Cell Phone: ( ! ) '3(� f �I �/ LandinL e:
Email:
own of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
AOXCY fiy roWATION.-
TVP9.' Cosr;rnerciGiResider:�:iai
WORK CLASS.
_ D k, Open Porch _Solar Panels(w/o rafter upgrades) _Carport Cell Tower
Shed _Pavilion, Pole Barn, Canopy _Dock Gazebo
Detached Garage _Boathouse (with or w/o sundeck) _3-Season Porch
Other(description: )
SQUARE FOOTAGE OF STRUCTURE:
1st floor: Q
2"d floor:
Total square feet: 'Ap
kDDITIONAL PROJECT INFORMATION:
ov
1. Estimated Cost of Construction:$ S 0 00y
2. If Commercial project,what is the proposed use:
3. Are there any structures not shown on the plot plan? YES NO Explain:
4.. Are there any easements on the property? YES NOS
DECLAMA'T'ION:
1. I. acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 1.2 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.
have read and agree to the above:
'RINT NAME: PC
kIGNATURE: DAME: 0 I y l
own of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
TOWN OF QUEENSBURY
BUILDING & CODES EPT.
Reviewed By:
Date: ..�4 ,7
TOWN OF OUEENSBURY
BUILDING DEPARTMENT
Based on our limited examination,compliance
with our comments shall not be construed as
indicating the plans and specifications are in
full compliance with the Building Codes of
New York State.
FILE KCOPY11
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308.18-2-2 AST-000654-2017
Hunt, Daniel
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Daniell Hunt 36
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16 SFD w/ 2-ca att. garage
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