RC-000003-2016 4 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
1
Community Development- Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-000003-2016 Date Issued: Thursday, June 14, 2018
This is to certify that work requested to be done as shown by Permit Number RC-000003-2016
has been completed.
Tax Map Number: 289.7-1-14
Location: 62 REARDON RD
Owner: WAS SEY FAMILY, INC.
Applicant: Wassey Family, Inc.
This structure may be occupied as a: Detached garage 395 s.f.; Res. Add. 526
s.f. Cross Ref.: ZBAAV approval 10/21/15 w/conditions on detached garage: By Order of Town Board
1. That there NOT be living quarters in structure, inc. sleeping quarters; 2. TOWN OF QUEENSBURY
Structure is NOT to have plumbing; 3. Applicant has also agreed to increase
permeability a min. of 65%; 4. If applicant makes any change to, the Variance
for the setback is no longer valid.
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, v
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 1280-1-59'04 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: RC-0,00003-2016
Tax Map No: 289.7-1-14
Permission is hereby granted to: Wassey Family,Inc.
For property located at: 62 Rl.,"ARDON RD
In the Town ofQueensbury,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
Tvnc of Construction
Owner Name: WASSEY FAMILY,INC. Attached Garage-New $35,000.00
Owner Address: 94 Kent DR Total Vatuc $35,000.00
Cortland Manor,NY 10567
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Detached garage 395 s.1.
Residential Addition 520 s.r.
Cross Reference: ZBA Area Variance approval October 21,2015 with conditions on the detached garage structure:
I.That this not be living quarters in this structure,including sleeping quarters,2.This structure is not to have plumbing,1
The applicant has also agreed to increase the permeability a minitnurn ol'65 percent,4.If the applicant does anything to the
foundation,any change in the foundation,that the Variance Im the setback is no longer valid.
$164.45 PERMIT FEE PAID-TI HS PERMI,jr,l,Xl'IRI','S: Thursday,January 12,2017,
(Ifa longer period is required,an application liar an extension must be made to,the code Enforcement Officer
of theTown of'Queensbury betbre the expiration date.)
Dated at the To ofQue N gry 12,2016
�f Q U ell
SIGNED BY; , ;�bury;
p W / for the Town of Queensbury.
Director of Building&Code Eid'orcernent
`PRINCIPAL S"C"R CTURE APPLICATION
Office Use Only
"
Date:
Ia '" `l'a Map 11
Tax
. �. .. . Permit No.' 7 6 0 -2W%*
Permit Fee
Zone
le Fee
N, lic
_. "
Historic site Yes ,l'*"No Site Ilan 4'
Subdivision ',araeLit abdl i ion
TgWN BD, RESOLUTION6-2013: $850 RECREATION FEE FOR NEW DWE a.LIN' UNIT - SINGLE
FAMILY, DUPLEXESITWO-FAMILY, MULTIPLE FAMILY, APARTMENTS, CONDOMINIMUMS,
TOWNHOUSES, ND/OR MANUFACTURED&MODULAR HOMES, BUT No-1"MOBILE JIOM r . THIS
IS IN ADDITION TO THE PERM[T PIKE.
Applicant
__ _ I� Owner _
IL-( � �
Address ® address
bQe
Phoneme ail Phone/ _ nail
Contact Person for Building&Codes Compliance: J�IU +4ALL-��— _ -
Pl�lone OZ
TYPE OF CONSTRUCTION
"'Cheek all that apply New addition Alteration 1"r floor sf 2"°fluor sf Total sf Height
Siegle Family
Two-Family
Multi-Family
(9 of units
Townhouse
Business Office
Retail -Mercantile
T`aetrrrym., Industrial
.M.
Attached Garage
(1, 2, 3, 4+)
Other
Viz!
.� ....
TOM,ofQueensbury Builclin &Codes Principal Structure Application Revised September 2014
If commercial or industrial please indicate of business
Proposed use of building or addition� 4-. Mml�� �
Source of Heat(circle one) � Gas Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances&Chimneys t4,N.
Are there structures not shown on plot plan? D
Are there easements on the property? 0
Site Information
a. Dimensions or acreage of lot
b. Is this a corner lot? ,0
c. Will the grade be changed as a result of construction Yes No
d. Public water or Private well
e. Sewer or Private Septic System MVAC
Value of all work to be performed(labor or materials) $ 4
DECLARATION:
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period.
2. If work is not complete 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/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. 1 acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of
occupancy.
5. 1 also understand that 1/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: pJJ �• pw — 1'�'lAfttepte -Norw
Aavem-r
SIGNATURE: DATE: Z16
For office use only
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014