BOTH-000212-2015 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
L Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: BOTH-000212-2015 Date Issued: Monday, October 3, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000212-2015
has been completed.
Tax Map Number: 226.19-1-79
Location: 244 LAKE PKWY
Owner: GEORGE HEARST III
Applicant: GEORGE HEARST III
This structure may be occupied as a: Sundeck only 512 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, �/ / lie�
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
OL Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000212-2015 (BP L°I--> 98D)
Tax Map No: 226.19-1-79
Permission is hereby granted to: GEORGE HEARST III REVISED
For property located at: 244 LAKE PKWY
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 Address: 244 Lake Parkway Deck $0.00
Lake George,NY 12845 Total Value $0.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Edward Carr,Jr.
28 CARR LN
Lake George,NY 12845
Plans&Specifications
Sundeck only 512 s.f.
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Monday,October 17,2016
(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 of teen �/Jprtda c ,2015
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE AP LICATION
Received
DATE CA 6, � 6 Li � ^� Tax Map ID 80VAA -OOQ Z)2-2JD�-S
TAx MAP ID 22.6 , — — VWr
oeeZONING K� r O U7 HISTORIC SITE Yes �No e Op s
SUBDIVISION NAME
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APPLICANT �7/�y`Gpf��ir(i I�{ eet rj� ILI, OWNER G�•t-Ci GC�-� �T / CL--6
ADDRESS 4 ADDRESS
w/ ?.-,i /mss-c_. !may X25
PHONEj�/ !! r4 PHONE
CONTRACTOR Z fes( fd A - LCC✓r, J� COST OF CONSTRUCTION(ESTIMATED)
ADDRESS: 2y �r K�I<-Q- BUILDING ADDRESS: + ,�/nl'� /✓'��( I Y'(�y✓��'
PHONE:
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE LL5 l� ��^� PHONE
TYPE OF CONSTRUCTION �G — 12
Check all that apply Please indicate measurements as required below
Boathouse 1"floor sq.ft. 2nd floor sq.ft. Total sq.ft. Height
Boathouse with undec �1
Deck l 2
Detached Garage(#of cars
Dock
Pole Barn
Porch-open
"Porch-3 season, Covered, Enclosed
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 occ ncy.
✓I have read and agree to the above: Print Name: t )� 1 C/}L ? Date: A2 3 1S
Signature: Date: l ��
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
TOWN OF QUEENSBU 'r TOWN OF
BUILDING DE gpTMENT
BUILDING & CO PT. Based on ourlimitedexarninTME
with our comments sh-q not be con mPlianrued ae
Reviewed y: ndicatur the p fid#'
full con iancelunjbathesQ'ficahons
Date: New York state, wldin9 Cc are in
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George Hearst U)
5 Momrow Terrace <
Menands, NY 12204
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Permit# 5234-21-15 Standard Activity Permit
Parcel# 226.19-1-79,Town of Queensbury
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continuous cribbing
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open sided
boatcover/sundeck
to' 51 .4
DE UN
SEP 18 2015
LAKE GEORGE PARK COMMISSION
Schedule A r V
Page 4 of 7
Permit #5234-35-15 "
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page 6 of 7
Permit 5234-35-16
George Hearst
D 5 Mom
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SEP 1 B 2015
I Permit# 52342145 Standard Activity Permit
LAKE GEORGE PARKCONMISSION Parcel# 226:19-1-79,Tom of Queensbury
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Page 7 of 7
Permit #5234-35-15
George Hearst
5 Mommw Terrace
-- T= Menands,NY 12204
Permit# 5234.21-15 Standard Activity permit
Parcel# 226:19-1-79,Town of Queensbury
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COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
920tor • 7 z•-=M36 =Is
Permit No.......n................ ...[..�.......Ceert. 44824
Cut-in Card No.....................................
Owner.............? .. c r( �?
................................. ................................................................................................................
?tet
Location 9.Y..'-/.. .t ...px. ..t..........................................�.,�.... ..........................
Installation Consisting of.� /...T.............�...�1..� �..�.��t�..l ..�. c.._�..................
'i --.`.-.....�....�!�.'..............................................................
............................................./....................n................................................................................................................
InstalledBy.......6 .. i... ......................................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of maki m pections at any time, and if its
rules are violated,the Company shall have the righVtore ke t c nate.
Date...y:1..�..-.1. :............. INSPECTOR.. ...... ........ ...................
Member N.F.P.A.,I.A.E.1.