RC-0185-2018 TOWN OF QUEENSBURY
LAOS
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-0185-2018 Date Issued: Tuesday, November 27, 2018
This is to certify that work requested to be done as shown by Permit Number RC-0185-2018
has been completed.
Tax Map Number: 315.7-2-79
Location: 196 HUDSON POINTE BLVD
Owner: Charles Moore
Applicant: Charles Moore
This structure may be occupied as a: Residential Garage Addition
352 sq. ft. By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the „4
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.
4
r' :gx_- ' _ 1. TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: RC-0185-2018
Tax Map No: 315.7-2-79
Permission is hereby granted to: Charles Moore
For property located at: 196 HUDSON POINTE BLVD
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: Charles Moore Attached Garage-Addition $20,000.00
Owner Address: 196 Hudson Pointe BLVD Total Value $20,000.00
Queensbury,NY 12804 -
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Residential Garage Addition
352 sq.ft.
$ 250.00. PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,April 25,2019
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queens.._.r before to` '-exp. atio •.ste
Dated at the Town f Quee s i y Wr_ ,April 25,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
PRH' CIPAL STRUCTURE APPLICATION Office Use Only
Received �/ �i f 2-" i
Date: Tax Map IDz,6�.?- -� !
� -
Permit No. Re, I k5 /i'
Tax Map ID Permit Fee
Zone Rec Fee
Historic Site Yes V No Site Plan#
Subdivision#
Subdivision Name 1-1,1,,g O r.) i,,..'re Lot# 1)9
Project Location ta Irt us 0,Q P® i---/re 131,.k0
►Y-Nvotu�, o32Z
TOWN BD. RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family,duplexes/two-family,
multiple family,apartments,condominiums,townhouses,and/or manufactured&modular homes, but not mobile
homes. This is in addition to the permit fee(s).
Applicant /j h A(Z-6 O RR Owner e.)ARie_i o o k
Address , 94 " ,e0 0) [IL-lc&Address P3/4 lvSl'o+-i P01 c-ub
( gyp (Ay Putt agoit Q uee_Nsiuk j.iv9 tDc90�f
Phone/E-mail 618.,7 P-9-3 p Phone/E-mail � - 99SedloLE
Auc -1,00f�@--1i,fl owe.et a- CAvek9k%QReC-- ToPiaSR,CoiL, _
Contact Person for Building&Codes Compliance: N(Ltp,J' P& a® Phone Si 99,p_di6`f
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration 1st floor sf 2nd floor sf Total sf Height
• . Single Family
Two-Family
Multi-Family ��a'h I ^�
TOWN OF Q<T`��:F213a i.F,,,_
(#of units ) `� <°$��°°��
COMMUNITY i;'7'VEL =Pi411
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garage vr
1 2, 3, 4+)
Other
If commercial or industrial please indicate of business
Town of Queensbury Building&Codes Principal Structure Application Revised September 2015
• Proposed use of building or addition S+0,A e-
'Source of Heat(circle one) r Gas Oil Propane Solar Other flew
Fireplace: Complete a separate application for Fuel Burning
Appliances & Chimneys 1)•0 VL
Are there structures not shown on plot plan?
Are there easements on the property?
Site Information
a. Dimensions or acreage of lot , f9 gQ
b. Is this a corner lot? N
c. Will the grade be changed as a result of construction Yes V No
d. Public water or Private well � i tG
e. Sewer or Private Septic System
Value of all work to be performed(labor or materials) $ _
DECLARATION:
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period.
2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval.
3. I certify that the application,plans and supporting materials are a true and complete statement/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. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of
occupancy.
5. 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.
I have read and agree to the above:
PRINT NAME: Ck c i 0\o DATE: a "APO
SIGNATURE: ( h&iLrot. DATE: g4
For office use only
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
Town of Queensbury Building&Codes Principal Structure Application Revised September 2015
EcEil
10
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315.7-2-79 RC-0185-2018
APR 19 201$ Moore, Charles
196 Hudson Pointe Blvd.
TOWN OF QUEENSBURYGarage Addition 352 s.f.
BUILDING&CODES
e i... G +L Wew rye Kks°t`'4..g w t LL e
TOWN OF QUEENSBURY
BUILDING DEPARTMENT
2 D -Ye m L. f ciaL. 1 ,,, withBasedo on our limited examination,compliance
f t with our comments sham ',et t construed as
' � pp �, indicating the plefns ana specifications are in
'C.e $ W . 0 N Eves i0 0) full compliance with the building Codes of
New York State.
�` f`. e.S, TOWN OF QUEENSBURY /
Roll_ Sid je, dirt- B ` CODES DEPToY
Revie e aye —�'�
Date: =Z.. ri)
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,,-- Community Development Office i
Town of Queensbury • 742 Bay Rd. .>
Queensbury, New York •12804 PLOT PLAN
Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines.
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PERMIT PLOT PLAN
I HAVE PERSONALLY MEASURED THE DISTANCE 30VdS N3310 *V01-i
FROM THE PROPERTY LINES TO THE
PROPOSE STRUCTURE(S)OR SIGN(S)
RE . DATE
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