RC-000820-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
QL Community Development-Building& Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-000820-2016 Date Issued: Monday, October 30, 2017
This is to certify that work requested to be done as shown by Permit Number RC-000820-2016
has been completed.
Tax Map Number: 301.14-1-82
Location: 76 PEGGY ANN RD
Owner: Edmund Brochu
Applicant: Edmund Brochu
This structure may be occupied as a: Detached garage addition 240 sq. ft.
Cross Ref.AV PZ 237-2016 approved 10/19/2016 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
Dire for of Building&Cod orc nt
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
QL 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000820-2016
Tax Map No: 301.14-1-82
Permission is hereby granted to: Edmund Brochu
For property located at: 76 PEGGY ANN RD
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 Name: Edmund Brochu Other-Addition $2,000.00
Owner Address: 76 Peggy Ann RD Total Value $2,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Detached garage addition 240 sq.ft.
Cross Ref.AV PZ 237-2016 approved 10/19/2016
$50.00 PERMIT FEE PAID-TI US PERMIT EXPIRES: Tuesday,December 19,2017
(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 expiration date.)
Dated at the Town of eensbu ( / JQfond 9,2016
SIGNED BY: (-jVjKj/ /•VJ for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION
Received
DATE Tax Map ID 3a./4 '( 't�S�
TAXMAPID - �- aZ Permit No. �L 9,110 __1;1_6/6o
ZONING PZ Permit Fee
Rec Fee ` wzIU 3210
HISTORIC SITE (] Yes �V No Approvals
SUBDIVISION NAME PPCG\/ !'f 11/I iZl�/� //Lot# ✓�I
APPLICANT G�IYh 4 h� �'�almlG �OCIa OWNER
"A {/�� /� /J _J
ADDRESS I G CC / ki/) A Gi ADDRESS rt•� ��� ��
NOV ?.9 2016
PHONE X51 ) 0�1� PHONE
CONTRACTOR COST OF CONSTRUCTION(ESTIMATED) $ V�_!L'}••
ADDRESS: BUILDING ADDRESS: �i r✓7 r_ \\V
PHONE:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE rd "-'rQCN UI PHONE
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse I"floor sq. ft 2n°floor sq. ft. Total sq.ft. Height
Boathouse with Sundeck
Deck
Detached Garage(#of cars J-) d� ( n Q
Dock
Pole Bam
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 Itwe 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. n
�l have read and agree to the above: Print Name: C /I'1 q M�/ t' (7 1-6 C 4 14 Date:
Signature: �5' r2 f t/ sem/ Date:
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
Ed Brochu
76 Peggy Ann Rd
Garage addition
22'
12'
-
iU eki5� �S
Sir (Ad 22'
West side
SW 10'
12'
10'
East Side
bate .r: Lands NI F of
,. ` ..
Rat P -
• _ rick P. & Janice Vitto
1
•
688 1005 .
Lands NI F of .
George R. & 'Joahi T. Sankey f ;
Limits of
O � Jc 8571'292 J -c� Stockade Fence
ccupatlon Septic a4fj*� Sx-
G' c/ (Fallen OyerD..
-
Cover
Iron Pipe Found
�0.2Below Grade
Wood Board
/ y00. � •,� � ,.,�-Fence
OO, r
Wood Ramp
Iron Pipe Found ° Shed
/ f 0.2'Above Grade #.
/ / 1
N
RELOCATION DETAIL
.
PROPOSED SHED R,
1.N: 201 . .
SCALE: .. :
f, ,x Stockade Fence
Lands.Nl F of:._ / (Fallen ll
Kathleen P. OPsak, M.D:':as. Trus ae ''.[7lSting
of: the. Kotl"een P.. Orsak, VM D. Trust Area 20.; 000 Square Feet'
3103181- Q (0
.459. Acres ±)
Inn
Wood Ramp o Shed ,
4 /.
Wood Board
°Q Fence NOTES:
_ Q
��. 1. THIS.MAP WAS PREPARED WITHOUT THE BENEFTT
'OF AN:ABSTRACT "OF TITLE OR' AN UP-TO'-DATE:
TITLE REPORT AND IS SUBJECT TO FACTS
ti�J Vinyl Fence ` 5to ela. oo CONTAINED ..THEREIN:.
hiou5e o._ hot ryQC OFFSETS BETWEEN BUILDINGS .AND PROPERTY
Tub
' .. LINES ARE ROUNDED TO THE. NEAREST 01
51 .i THESE
I! A/c.unYt /`>a ;a O SHOULD`NOT BE ,.USED TQ`'ESTABLISH PROPERTY
Lamp LINES. co
ti base
Generator
3. SURVEYF'D PARCEL IS SUBJECT. TO'EASEMENTS OF �
f:lec.Meter - - .. - - - - — i�CCCiRt�.
_ ; �
= 2 Story House ,v I� Co
m 4. NO'-PROPERTY 'CORNERS WERE SET AS APART OF
4 THIS SURVEY.
-. ? Landscaping Lands NIF. of
porch ,'
Robin M: Kenny
042300'
Garage MAP REFERENCE;
F(
--v 1T PLO r f=`"Q l 1, PEGGY ANN PARK SUBDIVISION .
N� r1r 'IJI l �;',; r T'r�=ClSiAKE ' DATED. FEBRUARY 2C 1975
Transformer %r,„/,,. �..' r��,,i f L f,�� l:.v_!Y' Er�. ,
Cable TY,
Meter p'' �i: j -7• �, ;.Ic_, Ti BY: JOHN 8. 1fA11( `DUSEN LICENSED LAND SURVEYOR..
�Pedestai I., rd ' F RO i�`Jl I I T7 °I�r __ r
�' i��f'�a `� J[ ,'tfv i EJr.`-lam) 'a vlC�i�s(�) FILED: MAY.06, 1977
�` BOOK OF'MAPS NO, 101 PAGE 77
'Lamp DATE
CJty, URE
N6�ps� -6 DEED REFERENCE.
30�, d ,____Stone 1.' MARJORIE J. BRONK AND JUDITH -
' Wall
ANNE BRONK
^ Q O® Landscaping ` 1�t. TO
Timbers . ,'J s %,"�`'� EDMUND RROCHU AN:O JAMIE BROCHU
,.. "�
47401 _ DATED..AUGUST 31; 1995
RECORDED SEPTEMBER 01, 1995
`�► � BOOK 956'.OF DEEDS, PAGE 178
_Transformer o
�Cabla TY.
j Box LAND LEGEND:'.Phone _
,� ! 2 I = LOT NUMBERS PER NAP REFERENCE
\ = LAMP
0 = PROPERTY CORNER .
a tee 'SEPTEMBER ER "13, 201E
/^�� _ = 'UNAUIHORIZEI)ALTERATION OR ADDITION TO A SURVEY .. .
.'DIU
MAP BEARING A LICENSED.LAND SURVEYORS SEAL ISA Map of a
Survey 7x1aC $.:for =SCGiIf' 1"=�Q�
.' VIOLATION,OF SECTION 7208.SUO-DINSION'Z OF THE _ _ ..
NEW YORK STATE EDUCATION LAW.'
- 'ONLY COPIES FROM THE ORIGINAL.OF.THIS SURVEY
e7v "MARKED WITH"AN ORIGINAL OF THE LAND SURVEYORS
_-. SEA(.SI)ALt.DE CONSIOERED.TO RE VALID TRUE GOPIES'
'CERIN VCy WAS,RWATEO HEREON SIGNIFY THAT = Edmund
� 7_ 1 _ -
_ 7HYS.SUItVE'f WAs.PREPAREO IN ACCORDANCE MT1H.THE L(11.L ,j(,\j - "
- - EASTINy CODE OF PRACTICE FOR LAND WRVEYORS ADOPTED - -
L i]. d S u r V e y o r 5 DY DTHE'NEW YORK STATE ASSOCIATION OF PROFESSIONAL
�.,,J LAND`vURVkYORS.SAID CERTIFICATIONS SHALL RUN.ONLY �u��+�+
. . TO Mg PERSON FOR WHOM'THE SURVEY IS PREPARED.AND - �1�1{ 1 OF -
189 . aviland. Road Queensbury, Ne�v York 128Q4 "� D T f Queensbury, Warren County, New York
HI$BEHALF TO THE TIRE COMPANY.GOVERNMENTAL.
c NGT ANO LENDING INSTITUITION uSTEO HEREON,AN own o pp /�'�.Qq/��Qq��
.'t _ .,: _ _ 0 7HE ASSIGNEES OF THE UENDUiG.IN571TVT10N•' _ _ LJROCHU C30
34 .-
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