RC-000178-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
i
Community Development-Building& Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: RC-000178-2016 Date Issued: Monday, March 27, 2017
This is to certify that work requested to be done as shown by Permit Number RC-000178-2016
has been completed.
Tax Map Number: 300.16-1-6
Location: 237 FULLER RD
Owner: Dawn Barrett,Christopher Barrett
Applicant: Christopher Barrett
This structure may be occupied as a: Install 960 sq.ft.floor over existing indoor
pool By Order of Town Board
TOWN OF QUEEEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
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.
742 flay Road,Queensbury,,NY 17804-5904 (518)761-8201
CotT MUllity Development- Building& Codes (5 C 8)761-8256
BUILDING PERMIT
Permit Number: RC-000178-?016
Tax Map No: 300.16-1-6
Permission is hereby granted to: Christopher Barrett, Dawn Barrett
For property located at: 237 FULLER RD
In the'Towyn of Queensbury,to construct or place at the above location in accordance xuith application together
with plot plans and other information hereto tiled and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
'Type of Construction
Owner Name: Dawn Barrett Single I'amily-,Alteration $3,000.00
Owner Address: 237 FULLER RD 'T'otal Value $3,000,00
Queensbury,NY 121104
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Install 960 sq.fl.floor over existing indoor pool
$144M PEftMl'l FFIE PAID-'PHIS PERMITEXPIRES: Monday,April 3„2017
(I fa longer period is required,an application for an extension must be made to the;code Enforcement Officer
ofthe'Town of Queensbury before:the expiration date.)
Bated at the`Fowtn of�ueensbua ridav pr
SIGNED 13Y: for the'Fown o�fQueensbury.
Director of l"lmlldinl &Code Enforcement
NVJ It, �
Date:
A3 _�_ 2016 L l er�mit��• �� ��Zone �" �Rec FeeSubdivision Nwne
" � �, Site Plan 4
Subdivision#
Project Location
TOWN 8th,RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family,duplexes/two-family, multiple family,
apartments,conclorniniurns, townhouses,and/or manufactured&modular homes, but not mobile hurries. This is in addition to the
permit fees).
rMirrrai Owner
Address r
l•'lrcrrteffir riail
Applicant
Address
l'hone/Errrail
Contractor
Address
phone/Ern i.l
Contact Person torr Building odes enipliance: j � Phone
TYPE OF CONSI'RUCIION
VCheck all that.apply New Addition Alteration I" floor sl 2spa floor sf" Total sl' Height
Burgle Family
Two-
Multi-Family
of units�
Townhouse
Business Office
Retail - Mercantile
Factory- Industrial
. .........
Attached Garage
Other-
Town of Queensbury Building&Codes Principal Structure Application:revised January 2016
...
---
If commercial or industrial please indicate name of business
..........
Proposed use of building or addition
Source of Heat(circle one) Gas Oil Propane Solar Other
Fireplace: Complete a separate application tsar T_'uei—Bu�
Appliances & Chirrineys
Are there structures not shown on plot plan?
...................
Are there easements on the property?
Site Infori-nation:
a. Dimensions or acreage of lot
b. Is this a cornet lot? Yes No
--——---------
c. Will the grade be changed as a result of construction Yes No
d. Public water or Private well (circle one) Public Private
e. Sewer or Private Septic System (circle one) Sewer Private:
Value of all work to be performed (labor or materials) $
CLARA TION.,
1. I act chowled ge no construction shall be commenced prior to issuance of a valid permit and will be
completed withina 12 month period.
2. If work is not coniplete by the I year expiration date the permit may be: renewed, subject to fees and
department approval,
3. 1 certify that the application, plans and supporting materials are a true and cornplete statement
description of the work proposed, that all work will be perf:bnned in accordance with the NYS
Building Codes, local building laws and ordinances, and in contbrinance 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 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
SIGNATUkE: _3 DATE,
For office use only
Operating Permit Issued- Yes No
OccupancyType
Construction Classification
Assembly Occupancy Limit
Special Conditions .............
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
A� � ��
+
�I
°°I'I ,
OUAIR ;
Based on our kPlil' ;{ ;*(r i 7`1 711 i i 1 "F)4,-t
w VjQh ���u A 0111116Ib 1� .,�, �' i ,r1 �'W�C'
��� r
�"� j Y11i;;! k+11�.�11w�; h�llil tke
hF1 1..aIJ1Idi
r (WA
e
1003 4-w
M
�;k, X r `
P �
'a37 r1144CR
� n
LAJ/ ;acl hirI V� � a'd'o q
o
� w
C,