BOTH-000522-2016 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: BOTH-000522-2016 Date Issued: Tuesday, June 27, 2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000522-2016
has been completed.
Tax Map Number: 301.17-3-25
Location: 39 AUTUMN LN
Owner: Eileen Higgins-Matthews
Applicant: Eileen Higgins-Matthews
This structure may be occupied as a: Porch with roof 260 s.f.
13 ft.by 20 ft. 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,
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-000522-2016
Tax Map No: 301.17-3-25
Permission is hereby granted to: Red's on the Ground Services
For property located at: 39 AUTUMN 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
Tvce of Construction
Owner Name: Eileen Higgins-Matthews Porch-Open $7,000.00
Owner Address: 39 Autumn LN Total Value $7,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Red's on the Ground Services
54 McCrea ST
Fort Edward,NY 12828
Plans&Specifications
Porch with roof 260 s.f.
13 ft.by20ft.
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,October 18,2017
(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 expimtionn dateWo
Dated at the Town of ens n �ue8,2016
SIGNED BY: (-yVi+rr/ for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION Received
DATE rr�� Tax Map ID
Tax MAP ID J�� • IZ —J ' a A 6
I; r'. ,; ,, Permit No. r Gz Z ZOI
y) _ ' Permit Fee `SSU' c'U
ZONING PIPS i d-P_.In4-T cel Rec Fee
HISTORIC SITE (_Yes _%.60 Approvals
SUBDIVISION NAMEl('1G rfy n Qi q k S _Lot#
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APPLICANT l j eop, A GQ inf's- `A 1l 1 y�P WS OWNER 41:n lee n 41(Qj IS - MQJBX LLS1
ADDRESS c 3Ej ( .I'�AAk M4AL I aAJ. ADDRESS 39 Q(14-t, AIU ;n 10 PIC
yt c, y 2 -y a 4-
PHONE 8 (`�� I PHONE J a I� J- I (_.
CONTRACTOR _1QL'eV11 ,y ILf QVIO kCAQ COSTOPCONSTRUCTION(ESTIM/A'�TED,).' $�.�Y) .
ADDRESS: � 5 (S h`�/\-P l3(b U•h rA S2t'V�� JUILDIN� 3 I 1-7.1Ab2j 1(M a ICDA
5me (`"., 9. Ex+ way-j
518 a.2A - 110� 1 tib. 1aVA&
PHONE:
CONTACT PERSON FOR Buxom&CODES COMPLIANCE C I Ct.he n P e I'1(�l ona ka✓1 PHONE 2.22-166-7
TYPE OF CONSTRUCTION
Check all that apply Please Indicate measurements as required below
Boathouse 1 a'floor sq,ft. 201 floor sq.it, Total sq.ft. Height
Boathouse with Sundeck
Deck
Detached Garage(#of cars �)
Dock JLjj 'V
Pole Barn
Porch-open G x '
•' 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 occupancy.
VI
(�� 1�!
✓I have read and agree to the above: Print Name: Lt JPS 44 i 1,'1S 1 I 1 q f II It- /V� L'iL Date: )�-P
I/ QN t arM' A4k Signature: �ePO0 L. IA0 ' QU.VA,U Date: Y TI
Sc'- Vl-[ 5 .AC J, T 1
Town of Queensbury Building&Codes (y Accessory Structure Application July 2014
Existing House
3,_8"
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6 TOWN OF QUEENSBURY
mi in IN(-, A,268F, EPT.
Reviewed By:
Date: /
TOWN OF ^'
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Pier Layout FILE COPY
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2x12 Rafters @ 16" O.C.
min. 2x6 solar tie every 4'
t (2)2x12 beam
Existing House
4x4 post
/36" PT Railing
5/4" PT decking
/2x6 PT floor joists
@ 16" O.C.
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6x6 PT post
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_ 12" form tube
_ 24" round Footer base
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