BOTH-000388-2015 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
— Community Development-Building& Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: BOTH-000388-2015 Date Issued: Tuesday, December 8, 2015
This is to certify that work requested to be done as shown by Permit Number BOTH-000388-2015
has been completed.
Tax Map Number: 301.9-1-3
Location: 9 APPLEHOUSE LN
Owner: CASEY CLARK,Elizabeth Clark
Applicant:
This structure may be occupied as a: Enclosing existing deck to create 3-season
porch By Order of Town Board
TOWN OF QUEENSBBURYA
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, �i��ttV��►►►LtttY" V
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: BOTH-000388-2015 P)p 2,CS, y 21
Tax Map No: 301.9-1-3 REVISED
Permission is hereby granted to: Elizabeth Clark
For property located at: 9 APPLEHOUSE LN
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
Tyne of Construction
Owner Name: Elizabeth Clark Porch-3 Season,Covered,Enclosed $12,000.00
Owner Address: 9 APPLEHOUSE LN Total Value $12,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
William Schmidt General Cont.Inc.
195 Ernst RD
Gansevoort,NY 12831
Plans&Specifications
Enclosing existing deck to create 3-season porch
PERMIT FEE PAID-TH1S PERMIT EXPIRES: Sunday,September 11,2016
(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 offtieRn uryy Thus y.. er 17,2015
SIGNED BY: \( for the Town of Queensbury.
Director of Building&Code Enforcement
ACCESSORY STRUCTURE APPLICATION
Received
DATE Tax Map ID 3O1,'t-1 -3
TAX MAP ID 52.3Li.0 0 . 301 . q -1...._-. Perm_ it No. P-0 (5' eti 1 2A-
ZONING P'-tj , C a Vermit Fee a
Rec Fee
HISTORIC SITE Yes V A royals
PP
SUBDIVISION NAME SEPLOI#'' Z0 I ,-)
APPLICANT ✓ TOWN OF QUEE e, ;,, 'Y z
(-0Q �° BUILDING& C=' (cifi '��
ADDRESS ( *fit 4//45 ADDRESS
( iutca, bG,t'`1 N y / tJ
PHONE (37c) q 4 yfbg PHONE
CONTRACTOR 'Ail GLI 19 I►1 tA+M t D T g., IJ . cow- IN(,COST OF CONSTRUCTION(ESTIMATED): $ I-1 , C?C C)
ADDRESS: 'C/ 5 L.,Z NS I ICD BUILDING ADDRESS: ( i-7 r a L H O U s t! G N
t /
f
PHONE: .518 S8LI Io14a I ' .. _ . . eiI
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE A-L E V Sctt-rn 1 D7--- PHONE 5I S 3 6,5 13 b J
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse 1st floor sq. ft. 2nd floor sq. ft. Total sq. ft. Height
Boathouse with Sundeck
Deck
Detached Garage (#of cars_) fj-7 3--g"C6141—
Dock
Pole Barn „ ell--6_1(DIC,k 1
cr) '
Porch open. _,_, �'
** Porch 3 season, Covered Enclosed `, �'2fr5
Shed
Other Accessory Structure(s)
** 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: C45�`` C1-47= r:. Date: 7/1;15-
Signature: ( ,'`A,,` Date: 9f-1/
1
Nov. 11. 201512: 31P MDIA No. 8142 P. 4/1
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
�oax(< es that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions.
Owner: Date:
Schmidt Const 11/11/2015
Occupant: Location:
15T FL Rear 9 Applehouse Lane
Occupancy: Queensbury, Warren Co. NY
rSingle Family Dwg,
Applicant:
PC Pritchard Elec.Contractor
104 Plum Poppy North
Ballston Spa, NY 12020
L J
No. Joseph A.Holmes
_144008.196161.EL
Equipment:
-Switches; 5- Receptacles; 3-Fixtures
This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This cartifimte applies only to the use,occupancy and
above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. upon a change in the use.occupancy or ownership
h+epecdon. No warranty is expressed or Implied as to the mechanical safety•efli- of the property indicated above,this certificate shall be immeuatety nun and void.
deny or fitness of the equipment for any particular purpose. This certificate shall In the event that dila certificate becomes invand basad upon the above conditions.
be valid for a period of one year from the some noted date. Should the eledtdcal this certificate may be revalidated upon reinspection by Middle Department
system to which this certificate applies be altered In any way,including but not limit- Inspection Agency.Inc. An application for irispacbon must be submitted to Middle
ed to.the introduction of additional electrical equipmem and/or the replacement of Departmenl inspection Agency, Inc.to initiate the inspection and revatidation
any q ins components Installed as df the above noted date,this eeniarate shall ba prooeas. A(ea will be charged for this service.