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AST-0403-2018TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: AST-0403-2018Date Issued: Wednesday, July 17, 2019 AST-0403-2018 This is to certify that work requested to be done as shown by Permit Number has been completed. 308.6-1-67.2 Tax Map Number: 38 WARREN LN Location: Maegan Gillis Owner: Michael LeBlanc Applicant: This structure may be occupied as a: Deck 300 s.f. 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. �m J TOWN OF QUEENSBURY •. 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: AST-0403-2018 Tax Map No: 308.6-1-67.2 Permission is hereby granted to: Michael LeBlanc For property located at: 38 WARREN 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 Type of Construction Owner Name: Maegan Gillis Deck $1,800.00 Owner Address: 38 WARREN LN Total Value $1,800.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency ML Contracting 34 Warren LN Queensbury,NY 12804 Plans&Specifications Deck 300 s.f. $ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,July 10,2019 (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 Queen my; ,yTues .; y.ly 10,2018 SIGNED BY: �1 for the Town of Queensbury. Director of Building&Code Enforcement . , Office Use Only rAgi:: 4 ACCESSORY STRUCTURE Permit it T— LA Os-2,Q) PERMIT APPLICATION Permit Fee:$ 12rD Town of Cbgensbury 742 Bay Road,QueensburY,NY 12804 invoice M (215c1 P:518-761-8256 www.queensbury.net Project Location: Otiggn La/)- Tax Map ID #: 30g • - 1 - a Subdivision Name: CONTACT INFORMATION: * Applicant: , Name(s): ry) Cheizt Lig b )4n c e 6 ; ( I ;si Mailing Address, C/S/Z: 3 t Lia/eRen lie, Cell Phone: ( It ) q 5-s-- I Land Line: (51 Cc ) i')43 03 1-7 Email: ed9 16r) (is-0 cj old ( ea,Y\ • Primary Owner(s): Name(s): Mailing Address, C/S/Z: Cell Phone: ( Land Line: ( Email:. I in) ig • Contractor(s): 2 5 2018 ISili Business Name: rn x L Din re ( 114 'res. Contact Name(s): c5,4jne., Mailing Address, C/S/Z: _.v(3&6616nRY Cell Phone: ( Land Line: ( Email: O 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: Atef\l-c-euf‘r Cell Phone: ( ) Land Line: ( Email: • Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017 PROJECT INFORMATION: TYPE: Commercial Residential WORK CLASS: c'a Deck,Open Porch _Solar Panels(w/o rafter upgrades) Carport Cell Tower Shed _Pavilion, Pole Barn,Canopy Dock Gazebo Detached Garage Boathouse (with or w/o sundeck) 3-Season Porch Other(description: SQUARE FOOTAGE OF STRUCTURE: 1st floor: 2"d floor: Total square feet: 3- Do ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction:$ f (3 60 2. If Commercial project,what is the proposed use: 3. Are there any structures not shown on the plot plan? YES NO Explain: 4. Are there any easements on the property? YES NO DECLARATION: I. I 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. I 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. 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: v C e L f SIGNATURE: AA, DATE: ( � Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017 V. ,,.., ...e...- _ _..........,, , if • Pe sso Re 1444, ..4tee.1 K . ----J j 0 ---b ....._. TOWN OF REaRY BUILDING DEPARTMENT ,,1 j\ .).._,- ‘,/c" Ck72-`4,--te : Based on our limited examination,compliance with our comments shali clot be construed as `--1 sc V 44' indicating the plans and specifications are in 4..., „,'!:?1,r,-IN full compliance with the Building Codes of ,, .k.4,. tit. New York State. ..,?..., ri- --, --- --------Q----------- ----r 1 -„, --- , -,,, 1 L _ ,- ( , .-, 1 •,-. A-. p..) ,i. i )t ,, - -- • 1 , --- 1 -4-- ; I- '• v ,,--- - - '.,_ . ' 0— , I 1 11 ,,;)_, , _......... 1 , _, ) i i TOVVN OF QUEENSBURN6 1 E BUILDING & C0,9WYEP ?a,1*) Reviewed y:,_LIAPAA, t Date. PLAitegii 4- , c4) .i-sLC314 ' vyix-.4k-- ). ---1--0 ,,k ...›a-t,k- PrZc2c2-612__VArZ-1)k-LYAR-4=) ,S c-z-,5-02.._ ---‘----"Ja7z--411- r • , $ ----, 13 ,,,,, ,,....-- rm__,,zuaEc_E.N IE (ti,- LE 0:BE:Rp ToBwig.D0 i JUN 2 511 2018 , . . f)0_, 42ce . (.4 , ' -:-.,-.; - _ _ Di i,: '11' c:):\ IC\!I. 1C1 . 308.6-1-67.2 AST-0403-2018 LeBlanc, Michael 38 Warren Lane Deck 300 s.f. •-•. • ---;—r r1-• —•,- l'1' , , rrr• —. i-•—•1 , --,•-• .7".•:. .- —• ;• . , • . ..1 i. 1•••f. . 3 ,. ----"'t4,=•*- "a1A- • A '1• • • ' - ---- -4:44.4.44.•,..' • `'' ":1 •''' Li !'71'• 7"?...i'....1. 44,- 1•,.......,i,,._„ `......i.......-,1,-,..,....••,,,,.......••••!--7......1,-)A.-.., -• • -'":, i' . ' 1 - - ---'--------- --__Ez -•• ''-AL,.i•• - •• .... l• •'} -JAN:: ';.--1 i:',. ---7,...—",,,--------_--d •"-•=:..,. •-::11*- ' . *.''.›.*::'*' 41},•'-‘ f t,' =14'...'‘,''..,i's.'*Ilt,'.' ',A,*; ' '*).V4'1 l' .?„,__ 2' ,...;-•;,-.7.' 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