BOTH-000420-2015 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-000420-2015 Date Issued: Monday, December 28, 2015
This is to certify that work requested to be done as shown by Permit Number BOTH-000420-2015
has been completed.
Tax Map Number: 301.13-1-25
Location: 16 LESTER DR
Owner: Homer Swan
Applicant: Precision Construction
This structure may be occupied as a: Deck 168 s.f.
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the j
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.
TOWN OF QUEENSBURY
Q— W 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000420-2015
Tax Map No: 301.13-1-25
Permission is hereby granted to: Homer Swan
For property located at: 16 LESTER DR
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: Homer Swan Deck $7,200.00
Owner Address: 16 Lester DR Total Value $7,200.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Precision Construction
8 Conner DR
South Glens Falls,NY 12803
Plans&Specifications
Deck 168 s.f.
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,December 11,2016
(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 th�xpimtion date.
Dated at the To of Que �, / 1 T u s ember 17,2015
SIGNED BY: ��� for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION Received
DATE 1 /y / Tax Map ID
TAX MAP ID 301. iJ—1 -ZJ Permit No. 77; Lbf
Permit Fee S o . oo
ZONING Rec Fee
HISTORIC SITE —Yes _,K_No Approvals
SDBmyistoN NAM^^yE// 11 Lfq#�- L 20I5 ,p
APPLICANT /I Zect5 Uhl &14!51 RV�fd>1 OWNER >Y` f'
ADDRESS -�'1nt+�--��VP S�o �� ADDRESS 14 (IIc-STe✓Z l/12f IAC
PHONE _(S'��� 7YL/- 7Ga� PHONE
CONTRACTOR 7 (ckaslo'k3 CC/-�1
,5;TIZfiTTl0X) COSTOFCONSTRUCTION(EST1MLA�TED): $ 73y0• yy
ADDRESS: O l✓t CR '(�1 L/L-SG I� BUILDWQ ADDRESS: �5Ao
PHONE: C�1�J -7 2'V- /LO
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE S-���� �t71J I-IvT� PHONE
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TYPE OF CONSTRUCTION
Check all that apply Please Indicate measurements as required below
Boathouse 111 floor sq,ft. 2nd floor sq.ft. Total sq.ft. Height
Boathouse with Sundeck
Deck
Detached Garage(#of cars
Dock
Pole Barn
Porch-open
" Porch-3 season,Covered,Enclosed
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: >7_E- OJ r?5c),J A10-f6- Date: �Y /
Signature: Date:
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
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