BOTH-000071-2017 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
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Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: BOTH-000071-2017 Date Issued: Thursday, August 17, 2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000071-2017
has been completed.
Tax Map Number: 296.11-1-17
Location: 6 BROWNS PATH
Owner: Michael Dier,Katherine Dier
Applicant: Michael Dier
This structure may be occupied as a:Residential Alteration 144 s.f.
Converting existing deck into 3-season porch By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
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: BOTH-000071-2017
Tax Map No: 296.11-1-17
Permission is hereby granted to: Michael Dier
For property located at: 6 BROWNS PATH
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 tiled and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Tvce of Construction
Owner Name: Michael Dier Porch-3 Season,Covered,Enclosed $10,000.00
Owner Address: 6 Browns Path Total Value $10,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Jeff Lindsay
PO Box 167
Pilot Knob,NY 12844
Plans&Specifications
Residential Alteration 144 s.f.
Converting existing deck into 3-season porch
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 31,2018
(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 a nation dakych3l,117
Dated at the Town o ueensb //Fri
SIGNED (((wwwMMM..."'__���"""VVV /Qfor the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Onlv
ACCESSORY STRUCTURE APPLICATION
Received
DATE o�1a g 7 Tax Map ID
TAXMAP)D 4- S2-3) o> _--Y-7{ n - i -I -7 Permit No. 12j0TA_r20,
ZONING Permit Fee '*mz"n
ROG•Feee- j vi\)Q(ip . 1513
HISTORIC SITE —Yes No Approvals
SUBDIVISION NAME Lot#
APPLICANT ��Y/ �k`� ;F �/ OWNER �
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ADDRESS /`�+� '4W N s ' 'i' r` ADDRESS
IS�Uf�S�Sf�1 Il /�a�
PHONE 57R - 9(0 b -0-hl PHONE
CONTRACTORa�rV�`yR 4 4AAk COST OF CONSTRUCTION/((ESTIMATED)' $
ADDRESS: l 'Jo K BUILDING ADDRESS:
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PHONE: _7 `t2- - 9S39'
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE PHONE
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements a
Boathouse 1 a1 floor sq.ft. J�TO�WN
Tgta Height
Boathouse with Sundeck NJ
7
Deck 20
Detached Garage(#of cars__jDock FOU
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 Uwe 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: �� S' Date: p /
Signature: Date: Y aW
1
Town of Queensbury Building &Codes Accessory Structure Application July 2014