BOTH-000463-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
QL Community Development-Building& Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: BOTH-000463-2016 Date Issued: Friday, October 14, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000463-2016
has been completed.
Tax Map Number: 303.5-1-16
Location: 49 MEADOWBROOK RD
Owner: John Guerrie
Applicant: John Guerrie
This structure may be occupied as a:252 sq. ft.porch
Paid$50 on Sept.2,2016 to renew permit for one year until Sept. 5,2017 By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, �Y
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
OL Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000463-2016
Tax Map No: 303.5-1-16
Permission is hereby granted to: John Guerrie
For property located at: 49 MEADOWBROOKRD
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: John Guerrie Porch-3 Season,Covered,Enclosed $10,000.00
Owner Address: 49 Meadowbrook RD Total Value $10,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Picnic DuMoulin
25 W Jay RD
Lake George,NY 12845
Plans&Specifications
252 sq.R.porch
PERMIT FEE PAID-THIS PERMIT EXPIRES: Monday,September 5,2016
(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 Town of Queensbury; e d y, �ptember 9,2015
SIGNED BY: jed� for the Town of Queensbury.
Director of Building&Code En orcement
C C E 0 W Use 1
ACCESSORY STRUCTURE 17LICATION ed
DATE AUG 2 7 2015 lap ID
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TAKMAPID 03 —/ / WN OF QUEEN-SBU )pe No. �—
ZOMNG fyJ �7 BUILDING &CODES Pe Fee 0 , of
Rec Fee
HisroRic SITE _Yes Y No Approvals
SUBDIVISION NAME �J / Lot#_
APPLICANT _ To�� P �ue,e'e//✓J OWNER
ADDRESS 9 yYI ,yDaw,cSCD�AC ADDRESS
PHONE9,Ia� PHONE 1
CONT'R.4CTOR pl e IfA 44 '-e� �34 d*k&4//V COST OF CONSTRUCTION(ESP6IATEDL $ r 6-000 J' '
ADDRESS: 6ytsT J/�'S'� �/� ��� BWUNNG ADDRESS:
PHONE: y��j
CONTACT PERSON FOR BUILDING&CODES CONPLUUVCE //C�.LIGT �U '0060 y PHONE o�a�- Sid
TYPE OF CONSTRUCTION
Check all that apply Please Indicate measurements as required below
Boathouse 14 floor sq.ft. 2nd floor sq.ft. Total sq.ft. Height
Boathouse with Sundack
Deck
Detached Garage(#of cars
Dock
Pole Barn
Porch-open
'•Porch-3 season,Covered,Enclosed ase I
Shed
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 Uwe are required to provide an as-bulft survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy. d
VI have read and agree to the above: Print Name: 6ru e1C,,(1&- Date: 7 Z -D
Signature: Date:
1
Town of Queensbury Building&Cedes Accessory Structure Application July 2014
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Based on our limited examination,compliance
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COMMONWEAUH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Read-Manheim,PA 17545 .
MUNICIPA(.CERTIFICATE - ELECTRICAL APPROVAL
Permit No.................. ..................Cert.Nd 42 312 Cut-in Card No.....................................
- owner......................... ....n..4.r..,,....... .........................................._...........................................
Location ..9......l.. .Chldsias 1.�3/�u¢i.4.../5. .................... zyl.......... i
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The comliudns following governed the issuance of this certificate,and any ccrtifcme previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation condition as of date. Upon the
introduction oradditional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its '
roles are violated,the Company shall have the right to revoke this certificate.
Date........L. .:"... .'/..f0............ INSPECTOR.
Member N.EPA.,IA.E.I.
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