BOTH-000034-2017 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: BOTH-000034-2017 Date Issued: Tuesday, February 14, 2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000034-2017
has been completed.
Tax Map Number: 295.10-2-25
Location: 2 SHALLOW CREEK RD
Owner: JOHN CONWAY
Applicant: Shawn Eggleston
This structure may be occupied as a: 3-Season Porch 252 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, �d
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 12804-5904 (518)761-8201
Community Development- Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000034-2017
Tax Map No: 295.10-2-25
Permission is hereby granted to: Shawn Eggleston
For property located at: 2 SHALLOW CREEK RD
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
Tyne of Construction
Owner Name: JOHN CONWAY Porch-3 Season,Covered,Enclosed $10,000.00
Owner Address: 2 Shallow Creek RD Total Value $10,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Shawn Eggleston
31 Castlewood DR
Saratoga Springs,NY 12866
Plans&Specifications
3-Season Porch 252 s.f.
$50.00 PERMIT FEE PAID-TIES PERMIT EXPIRES: Thursday,February 8,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of QueensbasUaifbre the exp.Rhon date.)
wn
Dated at the Toof ueensb /yVedn 8,2017
SIGNED BY: (((��isss'7_Ii�ll�l�/// �VJ for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION
Received
DATE Z 4 A Tax Map ID
TAx MAP ID ,2 95•/Q -a -a S Permit No. WRA -0�4 - 2c i+
ZONING Permit Fee tJO, lT1 V0\LU I!Yi I
Rec Fee
HISTORIC SITE —Yes JL�* No Approvals
SUBDIVISION NAME Lot# T I
APPLICANT L�r7G✓ P /� / I ,, OWNER J a C/_C(' 6/N Cv
ADDRESS '7 � I /�G,,/y00(/ //�Vr_ ADDRESS
L'hP '<1 'O.
/Z e4 � A,./ 12_6/
PHONE -S-z 2 - / 602_ PHONE
CONTRACTOR 6ol / ( S_PS COST OF CONSTRUCTION(ESTIMAE $ h9low,
!✓oY ADDRESS: { — D (('et ,
tZ /r
pT 1�
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PHONE: O° ;?, /
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE 3 koLI✓h /A n L��A�-t PHONE 5-2 z -50 J�
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
Boathouse 151 floor sq.ft. 2n'floor sq.ft. Total sq.ft. Height
Boathouse with Sundeck
Deck
Detached Garage(#of cars FEB 0 7 2017
Dock
Pale Barn QUL.ENSEURY
131111 UNG a f-C LIES
Porch-open
"Porch-3 season, Covered, Enclosed 2 8
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 occupancy. /
✓I have read and agree to the above: Print Name: J-"a 1 h ( C/9/"j" 0'� Date:
Signature: Date: ?
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014