BOTH-000291-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: BOTH-000291-2016 Date Issued: Friday, August 26, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000291-2016
has been completed.
Tax Map Number: 290.-1-51.2
Location: 2 BROOKFIELD RUN
Owner: ALEX JOHNSTON
Applicant: ALEX JOHNSTON
This structure may be occupied as a: Enclosing existing 12'x 20'deck
By Order of Town Board
TOWN OF QUEENSBURY
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.
Office Use Only
"ACCESSORY STRUCTURE APPLICATION Received
DArE Tax Map ID
TAx MAP ID � rpt — Permit No.
Permit Fee )V�\jQLQ, .
ZONING Rec f=ee
His rC3=SJra Yes ' No Approvals
&SDIVISIQN NAUE Lot##
ApppucANI
ADDRESS � � � � '�^ ADDRESS
S
PHONE PHaralm
Cr #1f'rD ACTl7P? w _ acisr op Sac Ns rRucIrIoN(EsrlwED 0�
ADDRESS: _ ra l " f c 3tIII.i�INC AiaMMS'
_ --
rYPE of CO-N-SERXTION
Check all that apply Please Indicate measurements as required below
Boathouse 1 'floor sq.ft. 2"d floor sq.ft. Total sq.ft. Height
Boathouse with Sundeck
Deck
Detached garage(#of cars _
Dock
Pale Barn @' MAY 2&lie
Porch-open
"Porch—S season,Covered,Enclosed t
r
Shed
Other Accessory Structure(s)
**Considered floor area&must comply with PAR(floor area ratio)requirements if located in the VVIR zone
QgcLARATtom 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. l acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of
occupancy. I also understand that Vwe 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.
VI have read and agree to the above. Print dame: ► ` Bate: l l
Signature: Gate: �� Ce
Town of Queensbury Building&Codes Accessory Structure Application July 2014
TOWN OF QUEENSBURY
J
742 Bay Road,Queensbury,NY 12804-5904 (5 18)761-8201
Community Development - Building +& Codes (518) 761-8256
BUILDING PERMIT
Pen-nit Number: I3C3TH-000291-2016
Tax Map No: 290.-1-51.2
Penniss,ion is hereby granted to: John Clarke
For property located at: 2 BROOKFIELD RUN
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 Coning Ordinance
Type of Construction
Owner Name: ALEX JOHNSTON Porch -3 Season,Covered, Enclosed. 59,000,00
Owner Address: 2 Brookfield Run Total Value $9,000.00
Queensbury,NY 12804
Contractor or Builder's Name f Address Electrical Inspection Agency
John Clarke
88 Mohawk Mountain RD
Lake George,NY 12845
Plans&'Specifications
Enclosing existing 12"x 20"deck
S 50.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, May 12, 2017
(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 or
Y uee ury; it*ky
,21)1 fro
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFIICATE - ELECTRICAL APPROVAL
Permit No ........... ......
y► ......Cert. N2 29183 Cut-in Card No.....................................
Owner..................C.J.. ......�J..11P ......................................................................................
Location....7r.L?` J.¢ .eG�I L..........d�.n�..,.............................................
Installation Consisting of.�SgMTr—H 1G �C�F,�t
... .............................. b � ........ f...�....�.........,Y.X...../.�...
........
....................................................................................................................................................................................
....................................................................................................................................................................................
InstalledBy........... ...................................................Lic.No...................................................
The conditions.following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This
ancelled:-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 inspections at any time, and if its
rules are violated,the Company shall have the right to v e this rti cafe.
Date.....-7-.0-1116.................. INSPECTOR.... J'1��'�
..... ...... ........................................................... .......
Member N.F.P.A.,I.A.E.I.