AST-0734-2018 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: AST-0734-2018 Date Issued: Wednesday, December 12, 2018
This is to certify that work requested to be done as shown by Permit Number AST-0734-2018
has been completed.
Tax Map Number: 303.20-1-53
Location: 4 PARK AVE
Owner: Andrew Harrington
Applicant: Andrew Harrington
This structure may be occupied as a: Deck 456 s.f.
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the (- 4449 4
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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: AST-0734-2018
Tax Map No: 303.20-1-53
Permission is hereby granted to: Andrew Harrington
For property located at: 4 PARK AVE
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: Andrew Harrington Deck $6,500.00
Owner Address: 4 Park AVE Total Value
$6,500.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Deck 456 s.f.
$ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,December 4, 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 To f Quee bury; / T s 4 a hi = her 4, 2018
�Y
SIGNED BY: 1Pf \ for the Town of Queensbury.
Director of Building&Code Enforcement
ACCESSORY STRUCTURE Permit#: Si- 0731l Lot
PERMIT APPLICATION
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Town of Queensbury
742 Bay Road,Rueensbury,NY 12804 /
P:518-761.8256 www.aueensburL-netNOV j e at: rU�p
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Project Location: TOWN OF QUEENSBURY
BUILDING&CODES
Tax Map ID #: 7c�� zv - �-5 3
Subdivision Name:
CONTACT INFORMATION°
• A licanto
Name(s):
Mailing Address, C/S/Z:
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Cell Phon
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Email: Land Line:
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Primary Owner(s)°
Name(s): vvve
Mailing Address, C/S/Z:
Cell Phone:� )
Email: Land Line:
• Contractor(s)°
Business Name: C
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: ( )
Email: Land Line: �)
• Architect(s Enineer(s)°
Business Name: _
Contact Name(s)
Mailing Address, C/S/Z:
Cell Phone:
Email: Land Line:
Contact Person for Building & Code Com liance:
Cell Phone:�) ca 0-�-0' C f in
Email: r Land Line: (
Town of Queensbury Building&Code Enforcement
Accessory Structure Application Revised April 2017
' PROJECT INFORMATION:
TYPE: Commercial Residential
WORK CLASS:
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: 145
2nd floor:
Total square feet: ` I
ADDITIONAL PROJECT INFORMATIONN: J�
1. Estimated Cost of Construction:$ 12 5 00
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 0
DECLARATION:
1. 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• � ��1 (/�
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SIGNATUR • DATE:
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
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NOV 2 0 2018
7.73utgrNSITED
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TOWN OF QUEENSBURY
BUILDING & CO D PT.
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a.7-,---4-k-,-2- .-- - • -- Reviewed By°
Date: (
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TOWN OF QUEENSBURY
A _.._
..,, BUILDING DEPARTMENT
Based on our limited examination,compliance
with our comments shall not be construed as
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indicating the plans and specifications are in
full compliance with the Building Codes of
New York State,
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303.20-1-53 AST-0734-2018
Harrington, Andrew
4 Park Ave
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