2007-328 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE (_)IF OCCUPANCY
Permit Number. P20070328 Date Issued: Thursday, May 15, 2008
This is to certify that work requested to be done as shown by Permit Number P20070328
`has been completed.
Location: 496 SHERMAN Ave
Tax Map Number. 523400-308-008-0001-009-000-0000
Owner: BION & LISA GREEN
Applicant: BION & LISA GREEN
This structure maybe occupied as a:
Storage Building By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the f/
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 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070328 Application Number. A20070328
Tax Map No: 523400-308-008-0001-009-000-0000
Permission is hereby granted to: BION & LISA GREEN
For property located at: 496 SHERMAN Ave
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 Value
Owner Address: BION&LISA GREEN
496 SHERMAN Ave Storage Building $2,700.00
QUEENSBURY,NY 12804 Total value $2,700.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
BP 2007-328
Storage Shed 336 sq. ft.
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,June 05, 2008
(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 To o eens , e a June 05, 2007
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
• I_______________________________________________________________- I_________________
OFFICE USE ONLY ; 1
cO
RECEIVED
' TAX MAP NO. PERMIT NO. 16
FEE PAID V • 00 BLDG. & CODES APPROVAL 0 ; �• u l I i
!TnvvN Ur i UcCw,DoJRY '
,
ACCESSORY STRUCTURE Bion T. Green 2007-328 )N
Use this application for any structure other th 496 Sherman Avenue ed to:
garage, shed, greenhouse, dock, deck, etc. 336 sq. ft. storage bldg. Structures-
Sheds/Fences.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT.NO INSPECTIONS WILL BE MADE UNTIL THE APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
OWNER: Q//V�~ /��T/��1P W INSTALLER/BUILDER:. iC,#ax) � Cs• Pr-�'A
ADDRESS: ®/7 b �72/�C�" N A ye, ADDRESS:�b ��er m A-1U Av e �/
PHONE NOS.7b f Dr) 7 IO PHONE NOS. 26 Z-03' q 7 6 a/2 " l/6 p'
LOCATION OF PROPERTY: �h cS�e.0.4f 41U If V e SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: 41?i� 6_ e•1iRLAM AV r,
ESTIMATED COST OF CONSTRUCTION: $ cQ 206 ANY OTHER ACCESSORY STRUCTURES ON PROPERTY? 5
IF YES, PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: 15:'e r-e-ou PHONE:
sr ND PROPOSED
PROPOSED CONSTRUCTION 1 FLOOR 2 FLOOR TOTAL HEIGHT
SQ.FT. SQ.FT. SQ.FT. FT.&IN.
OPEN PORCH
DECK
3 SEASON,COVERED OR ENCLOSED PORCH*
BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK
SHED 47
POLE BARN
DETACHED GARAGE(NO.OF CARS: )
OTHER ACCESSORY STRUCTURE:
*CONSIDERED FLOOR AREA&MUST COMPLY WITH FAR[FLOOR AREA RATIO]REQUIREMENTS IF THE STRUCTURE IS LOCATED IN
THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge,the statements contained in the application,together with the plans and specifications
submitted, are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Codes,the Zoning Ordinance,and all other laws pertaining to the proposed work shall be
complied with,whether specified or noted, and that such work is authorized by the owner. Further, it is understood that
I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance
being issued, as requested by the Zoning Administrator or Director of Building
and Codes, an As-Built Survey by a licensed surveyor,drawn to scale, QUESTIONS 7 CALL 761-8256 OR EMAIL
showing actual location of all new construction. cod es(ja1gueensbury.net
I have read and agree to the above. VISIT OUR WEBSITE FOR MORE INFORMATION
www.gueensbury.net
.Signed � Dated: c�s' 3� '"�
Name/Title(Printed) 1 ®N 6M-1 AJ eC
"`S` Touw of Qaieensbm,y - Com.m.i. rtity Development Office - 742 Bay Road, Qiaeerzsl7u t/, NY 12804