2012-367 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: P20120367-39103 Date Issued: Friday, January 5, 2018
This is to certify that work requested to be done as shown by Permit Number P20120367-39103
has been completed.
Tax Map Number: 303.16-1-75
Location: 16 LYNN AVE
Owner: Tanya DuFour, Ronald DuFour
Applicant: Tanya DuFour
This structure may be occupied as a: Residential Alteration 288 s.f.
Porch roof over existing deck By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the 4t
property owner of the responsibility for compliance with Site Plan, VVV
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 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120367 Application Number: A20120367
Tax Map No: 523400-303-016-0001-075-000-0000
Permission is hereby granted to: RONALD&TANYA DUFOUR
For property located at: 16 LYNN Ave
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: RONALD &TANYA DUFOUR Porch $3,500.00
16 LYNN Ave Total Value
QUEENSBURY,NY 12804-0000 $3soo.00
Contractor or Builder's Name /Address Electrical Inspection Agency
TONY CATONE
110 SHERMAN ISLAND Rd
QUEENSBURY,NY 12804-0000
Plans&Specifications
2012-367
Porch roof added to existing deck-288 sq ft
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,August 07,2013
(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 o Quee sjry / ue y t 07,2012
SIGNED BY f for the Town of Queensbury.
Director of Building&Code Enforcement
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Jul 2012 oo
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ACCESSORY STRUCTURE BUILDING PERMIT APPLICATION
Use this application for any structure other than the Principal Structure (house) to include, but not limited to:
garage, shed, greenhouse, dock, deck, etc. Refer to Informational Brochure No. 3 entitled Accessory Structures-
Sheds/Fences.
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT.NO INSPECTIONS WILL
LLOBE MADE UNTIL THE APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. 1
OWNER: dllj INSTALLER/BUILDER: Anra��(�:/ Qr�
ADDRESS:��� ya a ADDRESS: /� Q
PHONE NOS. 93 S= ��`J PHONE NOS. .?4 - 0
LOCATION OF PROPERTY: l�l1 J¢dl - SUBDIVISION NAME:
LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION:
ESTIMATED COST OF CONSTRUCTION: $3..S�W.VMO ANY OTHER ACCESSORY STRUCTURES ON PROPERTY?
IF YES,PLEASE LIST:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE:
PROPOSED CONSTRUCTION 1'FLOOR 2ND FLOOR TOTAL PROPOSED HEIGHT
SQ.FT. SQ.FT SQ.FT. FT.&IN.
�o +ORF_Pf-PBRCH d .�
DECK
3 SEASON,COVERED OR ENCLOSED PORCH*
BOATHOUSE
BOATHOUSE WITH SUNDECK
DOCK
SHED
POLE BARN
DETACHED GARAGE(NO.OF CARS: )
OTHER ACCESSORY STRUCTURE:
*CONSIDERED FLOOR AREA&MUST COMPLY WITH FAR[FLOOR AREA RATIO]REQUIREMENTS IF THE STRUCTURE IS LOCATED IN
THE WATERFRONT RESIDENTIAL ZONE.
To the best of my knowledge, the statements contained in the application, together with the plans and
specifications submitted, are a true and complete statement of all proposed work to be done on the described
premises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to
the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the
owner. Further, it is understood that Itwe shall submit prior to a Certificate of Occupancy or Certificate of
Compliance being issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-
Built Survey by a licensed surveyor,drawn to scale showing actual location of all new construction.
I have read agree to the a o e.
( QUESTIONS? CALL 761-8256 OR EMAIL
Signed Dated: 3(. 1 2- codes(cbgueensburv.net
�� � L , n VISIT OUR WEBS FOR MORE INFORMATION
Name/Title(Printed) IJ www.guqueensbury.net