RC-0049-2018TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-0049-2018 Date Issued: Friday, February 8, 2019
This is to certify that work requested to be done as shown by Permit Number
has been completed.
RC-0049-2018
Tax Map Number:
Location:
Owner:
252.-1-36.4
304 LOCKHART MOUNTAIN RD
Richard Schnurbusch, Richard Filbert
Dean HowlandApplicant:
This structure may be occupied as a: Residential Interior Alterations
1st Floor: 1,000 sq. ft.
2nd Floor: 144 sq. ft. bathroom
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
Planning Board or Zoning Board of Appeals.
Director of Building & Code Enforcement
IUW1N Ur YULLINaIjumy
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: RC-0049-2018
Tax Map No: 252.-1-36.4
Permission is hereby granted to: Dean Howland
For property located at: 304 LOCKHART MOUNTAIN 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: Richard Schnurbusch Single Family-Alteration $19,500.00
Owner Address: PO Box 2271 Total Value $19,500.00
Ogunquit,ME 03907
Contractor or Builder's Name/Address Electrical Inspection Agency
Dean Howland
PO Box 708
Lake George,NY 12845
Plans&Specifications
Residential Interior Alterations
1st Floor: 1,000 sq.ft.
2nd Floor: 144 sq.ft.bathroom
$ 343.20 PERMIT FEE PAID THIS PERMIT EXPIRES: Wednesday, February 6, 2019
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensb fore the iration da
Dated at the Town of ueens dies, ruary 6,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use OnIv
-0
ADDITION/ALTERATION PERMIT
Permit#: kc L4 q-:)L-,n
APPLICATION Permit Fee: $
Town of Queensbury
742 Bay Road,Queensbury,NY 12804 Invoice#: (2
P:518-761-8256 www.queensbury.net
Project Location: 3o
Tax Map ID H: Subdivision Name:
CONTACT INFORMATION:
FEB 0 5 2018
Applicant: TOWN OF QUEENSBURY
Name(s): 7 �2WAI 11SIL L)F:\Ipi nPMFP'-
Mailing Address, C/S/Z: fo T=-,C -7C'ff--
-
Cell Phone: ) 7l/ _?Qt/ Land Line:
Email: T_4�a C
0 Primary Owner(s):
Name(s): R 1,&k a-,-L m F1 1,6e,-t
Mailing Address, C/S/Z: PI) B&y 9 a7! 039o7
Cell Phone: ( 51t- "7 q/-170 1 U Land Line: -5-18r 66�- 3 MY
Email:
* Contractor(s):
Business Name: Dezz'-)
Contact Name(s): '5
Mailing Address, C/S/Z: ?b bcx '70K
Gnry_ /J I/
Cell Phone: ( s(� ) -Ilel-7o11 Land Line:
Email: 71.-1w op
* Architect(s)/Engineer(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
Contact Person for Building & Code Compliance:
Cell Phone: --,)Y'/-�lt — Land Line: 5-78- i�,6L
Email: aAw.
el-d 6n"t<i-n ril'o'k O.
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
PROJECT INFORMATION:
TYPE: Commercial Residential
WORK CLASS:
Sv Ingle-Family _Two-Family Multi-Family (#of units )
Townhouse Business Office Retail
_ Industrial/Warehouse _Garage (#of cars ) _Other (describe )
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor: 1000
2nd floor: 2nd floor:
3rd floor: 3rd floor:
4th floor: 4th floor:
Total square feet: Total square feet:
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $
2. If Commercial project, what is the proposed use:
3. Source of Heat (circle one): Gas Oil Propane Solar Other
Fireplaces need a separate Fuel Burning Appliances &Chimney Application
4. Are there any structures not shown on the plot plan? YES NO Explainooh
5. Are there any easements on the property? YES NOyp�`
6. SITE INFORMATION: p
a. What is the dimensions or acreage of the parcel? I 71
b. Is this a corner lot? YES QAOD
c. Will the grade be changed as a result of the construction_______..YES NO
d. What is the water source? PUBLIC PRIVATE WELL
e. Is the parcel on SEWER or a PRIVATE SEPTIC system?
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
DE:'CL,ARATION:
1. 1 acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to
fees and department approval.
3. 1 certify that the application, plans and supporting materials are a true and complete statement and/or
description of the work proposed, that all work will be performed in accordance with the NYS Building
Codes, local building laws and ordinances, and in conformance with local zoning regulations.
4. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate
of occupancy.
5. 1 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.
have read and agree to the above:
PRINT NAME:
157AASIGNATURE. � `�'��_ DATE: i
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
MAP REFERENCE:
MAP OF A SUBDIVISION
MADE FOR
MARIANNE E. GRANGER u
DATED MARCH 17, 1999
REVISED APRIL 27, 1999 N_FTIC�
BY VAN DUSEN & STEVES SAG
LAND SURVEYORS, LLC
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TVI €�SgNALLY MEAIJ THE pl �° ° `m
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FRO THE�Rp�'ERTY SINES r TANCE I THIS CERTIFICATION SMALL RUN ONLY TO THE PERSONS Q
PROF OSEf?ST O THE
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_ (S BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY co jR s
Si A- RE �i Cg AND LENDING INSTITUTION LISTED HEREON. M y C
DA E CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL C J
IN5TITUTION5 OR SUBSEQUENT OWNERS. nj .D -'T
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CERTIFIED BYi------____--_--_ --ar---
MATTHEW C. 5TEVE5, LLS NYS 50135
LANDS N/F OF DATED- MARCH 3. 2003
McLAUGHLIN
t`''''''���e ���y _ �D+atEel FEBRUARY 20, 2003
T 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY ��(( gY - - Scale 1'=100'
- MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A Map of a Survey made for
Ap VIOLATION OF SECTION 7209,SUB-DIVISION 2,OF THE
Ate/..\AJ�I NEW YORK STATE EDUCATION LAW."
Y1NLY COPIES FROM THE ORIGINAL Of THIS SURVEY
MARXED WITH ANORIGINAL THE;AND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE
COPIES.'
.CEPTIFICA71ONS INDICATED HEREON SIGNIFY THAT
-
Steves
THIS SURVEY WAS PREPARED IN ACCORDANCE VATH THE DANIEL ILLMAN
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
=vT �`/f BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LL RUN ONLY
L a� S �r v e J o .R" s TONTHE PERSON FOR D SURVEYORS. 'WHOM THE SURVEY STIFICATIONS APREPAR D.AND SHEET 1 O'1
yy��((gg '{� y ,y ayp�{ ! ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL P{1 County,
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V�7 S1a�l nd ®all Queensbury, rVYe�Y York ifr Ll3d gt AGENCY AND LENDING INSTITUITION LISTED HEREON,AND Town of Queensbury, 'Darren County, New York GILMAN
PO THE_IGNEES Of TIE TENDING IN97ri UT1ON.'
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG, NO. BG227-4