2015-315 TOWN OF QUEENSBURY
I=s742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20150315-42143 Date Issued: Tuesday, August 1, 2017
This is to certify that work requested to be done as shown by Permit Number P20150315-42143
has been completed.
Tax Map Number: 297.10-1-22
Location: 17 TERRACE RD
Owner: Lisa Peoples
Applicant:
This structure may be occupied as a: Building Permit Renewed 7/31/18 pd.
$100 as permit expired 7/24/16. By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the r
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 12804-5902 (518)761-8201
CommunityFifir$1
Development- Building&Codes (518) 1- 2
p 76 8 56
BUILDING PERMIT
Permit Number: P20150315 Application Number: A20150315
Tax Map No: 523400-297-010-0001-022-000-0000
Permission is hereby granted to: LISA PEOPLES
For property located at: 17 TERRACE 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 Value
Owner Address: LISA PEOPLES Shed/Storage Sheds $10,000.00
17 TERRACE Rd Total Value
QUEENSBURY,NY 12804-0000 $10,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-315
Pool House 12' x 24'
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,July 24,2016
(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 n of eens is . . y 24, 2015
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION Received
DATE 7 � Tax Map ID 1-2r / i- A
TAX MAP ID ,P2-91
Permit No. Zo t�
Permit Fee
ZONING
Rec Fee
HISTORIC SITE Yes X No Approvals
SUBDIVISION NAME Jt°c. Lot#
APPLICANT 1 v C I;4(C OWNER f Qt eLy)
ADDRESS /%9
- ADDRESS / 7 -i rrG"T L e /`"t c aid -
/<hn /C7/5- /,,k:
PHONE 2-22 9�6 PHONE s - -792 -//OS-
CONTRACTOR
/O-CONTRACTOR ` `emir 4,4-/
COST COST OF CONSTRUCTION(ESTIMATED): $ /6.3 v
ADDRESS: BUILDING ADDRESS: / / /erirCZ.0 e U Zz.C</
(PbhrC oCSVth stpd- 652 -3p6
PHONE: ' 6r d 003--5802
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE "�' `f`�`E'� PHONE "= "¢6(�
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse 1 s'floor sq.ft. 2nd floor sq.ft. Total sq.ft. Height
Boathouse with Sundeck
Deck
Detached Garage(#of cars_)
Dock
Pole Barn
Porch-open
"Porch—3 season,Covered,Enclosed
Shed rL L- `l /.4 x,94/1 rif
Other Accessory Structure(s)
""Considered floor area&must comply with FAR(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&complete statement description of the work proposed,that all work will be
performed in accordance with the NY State Building Codes, local building laws and ordinances; and in conformance with local
zoning 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 Name: Date:
Signature: L��1 Date: 7/7/..1-
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
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TOWN OF QUEENSBURY
BUILDING DEPARTMENT
Based on our limited examination,compliance
with our comments shall not be construed as
indicating the plans and specifications are in
full compliance with the Building Codes of
New York State.
TOWN OF QUEENSBURY
BUILDING & CO* s 'T.
Reviewed -y: ili
Date: ,�,
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheirn,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Perrnit No.X.).CR lbl G5.......Cert. N2 40633 Cut-in Card No.....................................
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Owner................. .QCT.. .........................................................................................................G,...
Location..... ...... .................................................
................... ........
Installation Consisting of../.... ...7_455.................
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....21.0.6.......................................................................I............................................................
....................................................................................................................................................................................
InstalledBy....P.....C C-10e...............................................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making inAlEMMI's at any time, and if its
rules are violated,the Company shall have the right to r this cert/ficalpe,
............... INSPECTOR.............. .... ....... ....................................................
Member N.F.P.A.,I.A.E.I.