2015-182 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
(aw Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20150182 Date Issued: Friday, August 12, 2016
This is to certify that work requested to be done as shown by Permit Number P20150182
has been completed.
Tax Map Number: 523400-289-014-0001-015-000-0000
Location: 15 PIONEER Pt
Owner: MICHAEL & PATRICIA O'CONNOR
Applicant: MICHAEL & PATRICIA O'CONNOR
This structure may be occupied as a:
Dock
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the J ) �
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.
A./k
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150182 Application Number: A20150182
Tax Map No: 523400-289-014-0001-015-000-0000
Permission is hereby granted to: MICHAEL& PATRICIA O'CONNOR
For property located at: 15 PIONEER Pt
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 Value
Owner Address: MICHAEL& PATRICIA O'CONNOR
546 GLEN St Dock $2,500.00
GLENS FALLS,NY 12801 Total Value $2,500.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-182
Dock 150 s.f.
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,June 03, 2016
(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 T o ueens ry; ' esday,June 03,2015
SIGNED BY '' for the Town of Queensbury.
Director of Building&Code nforcement
Town of Queensbury Building & Codes Office Use Only
Received
ACCESSORY STRUCTURE APPLICATION
Permit #
{{ Li= Permit Fee
Date S 1 I l S U Recreation Fee
\5 li., ) Approvals
Tax Map ID -
� MAY 2 0 2015 Pp
Zoning
Historic Site '`') • TOWN OF QUEENSBURY
Subdivision Name/Lot No. 4 � QQ
APPLICANT ` ' f hSav � ��H N 6 f4 OWNER
Address 1 S 9`�'� _11 c Address
4
Phone
-T-)9 6 �. , Phone
CONTRACTOR fAx.'\ } 'ti\`\.' 44`x' ESTIMATED COST OF CONST CTION $ .S U C
Address Building Address: L j � Jv�rP!'_P-O_'1 --
Phone
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE v�` Y Phone;?Ctij' 1
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
1st floor sq. ft. 2nd floor sq. ft. Total sq. ft. Height
Boathouse
Boathouse with Sundeck
Deck
Detached Garage(#of cars)
Dock 'cI 11 I '1 1 \ Z11 -V-
Pole Barn
Porch - Open
**Porch - 3 season, Covered,Enclosed
Shed
Other
** Considered floor area and must comply with 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 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 regulations. I acknowledge that prior
to occupying the facilities proposed. I or my agents will obtain a certificate of occupancy. 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 Nam IN Q-11 A L Q C rvre31 Date: S1-'l2
Signature: _ _ Date: 3.1- )
Town of Queensbury Building & Codes -Accessory Structure Application - December 2014
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ROPOSM STRUCTURE(S) OR SIGN(S)
TOWN OF CLEENSBLR
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SIGN'TEl
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