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RC-000167-2015 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 t Community Development-Building& Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: RC-000167-2015 Date Issued: Monday,November 7, 2016 This is to certify that work requested to be done as shown by Permit Number RC-000167-2015 has been completed. Tax Map Number: 301.17-1-44 Location: 17 JOHN ST Owner: DONALD ROTH Applicant: DONALD ROTH This structure may be occupied as a:Enclosed Porch 144 s.f. 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, 4d 4 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. Amok TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 me Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: RC-000167-2015 $f 2O15'��vc7 Tax Map No: 301.17-144 REVISED Permission is hereby granted to: DONALD ROTH For property located at: 17 JOHN ST 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 Address: Single Family-Addition $15,000.00 Total Value $15,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency DONALD ROTH 17 John ST Plans&Specifications PERMIT FEE PAID-THIS PERMIT EXPIRES: Monday,October 3,2016 (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 ueensb [ / /p but er 1,2015 SIGNED BY: /VJ for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 FitiM Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150430 Application Number: A20150430 Tax Map No: 523400-301-017-0001-044-000-0000 Permission is hereby granted to: DONALD & JEAN ROTH For property located at: 17 JOHN St 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: DONALD &JEAN ROTH Enclosed Porch $15,000.00 17 JOHN St Total Value $15,000.00 QUEENSBURY,NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency BALOGH CONSTRUCTION 793-6794 20 JOHN St OUEENSBURY NY 12804-0000 Plans&Specifications 2015-430 Porch--3 season 144 s.f. $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 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 To n of Q ensb , , 1 ctober 01, 2015 11.SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement F I_: - Onl ACCESSORY STRUCTURE A ' • a!►, V DATE gE / ' T 2. 0 SEP 14 2 • . ID + - 1 2-O; TAX MAP ID =i7b ;r,� O. OF QUEENS:U rmit ee , �� .8\ ZONING „ (DING& COD: ''ec Fe- 1 HISTORIC SITE Yes No c,I •pproi-Is SUBDIVISION NAME /1 6 VA/ f V', 'Z ) Lot# / 2 APPLICANT `'vI A) I-' Rcr+1 - OWNER s�/ -! -' ADDRESS f 7 Z-15 I-tN S7ti c --- r ADDRESS /I' �rJ& t)s 3& -V, Ar /2'o' PHONE / / v 6 / O lI( PHONE CONTRACTOR 191---0G.H CONS 11w OTC`C N COST OF CONSTRUCTION(ESTIMATED): $ /3;000 ADDRESS: 2 / �� � ^ BUILDING ADDRESS: / 7 Li /o S/ },[5y. 1 Qvsvus 6U2 y, NK,Z-Q2 PHONE: 7 93 6 7 ?// CONTACT PERSON FOR BUILDING&CODES COMPLIANCE 7G) 6-7eT G40 PHONE 7?3-6 7?q TYPE OF CONSTRUCTION Check all that apply Please indicate measurements as required below Boathouse 1s'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 V /1-/If ,5f 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 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 occu.-ncy. C C ✓I have read and agree to the above: Print Name: EA-A) f /�/l Date: ` PISignature: Date: 65. 1 Town of Queensbury Building&Codes Accessory Structure Application July 2014 Feb, 16. 2016 11 :56AM MDIA No. 0358 P. 2/4 MIDDLE DEPARTMENT INSPECTION AGENCY, INC. afrtfj lPed that the electrical wiring to the electrical equipment listed below has been examined and is approved as being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date noted below and is issued subject to the following conditions. Owner: Gene Ross Date: 02/0112016 Occupant:Addition Locatio 97 John St OccupancySingle Family Dwg. 'Queensbury,Warren Co. NY Applicant T Marlow Electric Robert D. Marlow PO Box 448 LLake Luzerne, NY 12846 J No. Joseph A.Holmes 001818196942EL Equipment: Switches; 5- Receptacles;2-Fixtures Theis certificate applies to the electrical wiring to me electrical equipment listed immediately null and void. This cardficate applies only to the use,occupancy and above and the Installafon inspected as,of the above noted date based on a Nsval ownership as indicated herein. Upon a change In the use,occupancy Or ownership inspection, No warranty is expressed or implied as to me mechanical safety,effi- of the property Indicated above,this cartifcata shall be immediately null and void, ciency or fimeas Of me equipmam for any pardcular purpose. This Certificate small In the event Met this cafrata becomes invalid based upon the above conditions. oe valid for a period of one year from the above noted date. Should the electrical this certificate may be revelldated upon reinspection by Middle Department system to which this Certificate applies be altered In any way including but not limit- Inspection Agency.Inc. An application for inspection muss be submitted to Middle ed to.me IntrotluClion of eddalonal eleClrldel equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the Inspection antl revalidation airy of the mmponents installed as of me above oared date,this ceriiACate shall be praceas. A fee will be charged fof tnia service. 1 bo--Ito QIPF jIPF $53 '35'00"E CHAIN LINK FENCE IPI it X130.00' A / "v7_ Nil' e..,,,, —,.. ,o. , .ci 0 il T �f Z 79.5,• `s,'r` 472K-44e5FILE COPY 42 '0,616.6: sq.ft. 0.47)acres N 5-3– r — . ft � �v - "` G� Zoo flack � /if o ve-P T-0 b-_ I 1''6d °QJ-A-iale 4-vcQi alio ; ---, O n G�'L rn o D z-...1----- 37.77 PERMIT' Cl LC 7` I p C �� 6 I HAVE PERSONALLY MEASURED THE DIST. �, 2 STORY WOOD THE HOUSE FROM f HE PR PER1 Y LINE TO i ,�, tai PROPOSED STRUCTURE(S) 0 �.., _ _t8F e PORCH SiGNATURc DAT: w C f 1.t- J.. !-1) AI.,,, . illw Nis. t4.1Z O tK. N _56' o a U F y 1 130.00' ucs,rN83-46'00"W i JOHN STREET