AST-000136-2017 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: AST-000136-2017 Date Issued: Wednesday, April 25, 2018
This is to certify that work requested to be done as shown by Permit Number AST-000136-2017
has been completed.
Tax Map Number: 239.7-1-25
Location: 139 ASSEMBLY POINT RD
Owner: E.C. Yegen
Applicant: Collette Construction Inc.
This structure may be occupied as a: Deck 574 s.f.
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, rt..01)j 4 4t
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: AST-000136-2017
Tax Map No: 239.7-1.25
Permission is hereby granted to: Collette Construction Inc.
For property located at: 139 ASSEMBLY POINT 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
Type of Construction
Owner Name: E.C.Yegen Deck $15,000.00
Owner Address: 11001 Huntover DR Total Value $15,000.00
Rockville,MD 20852
Contractor or Builder's Name/Address Electrical Inspection Agency
Collette Construction Inc.
38 Collette LN
Hudson Falls,NY 12839
Plans&Specifications
Deck 574 s.f.
$57.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,April 14,2018
(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 of
BY: ueembu -aV / / rida , 17
SIGNED
the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Onlv
ACCESSORY STRUCTURE APPLICATION Received
DATE 3 hL3 1 (-1 Tax Map ID _
TAxMAP ID Permit No.
Permit Fee 9O
ZONING Rec-Fee I1-,V^1 q
HISTORIC SITE _Yes ✓ No Approvals
SUBDIVISION NAME Lot#
APPLICANT �'Iry fir;�;T. �rJ OWNER
ADDRESS L,-�') ' ADDRESS �' '� i (.(�,c:!c.•�'G a K-.
PHONE 3 Su PHONE
CONTRACTOR Sb1,+, COST OF CONSTRUCT/ON(ESTIMATED): $ l f
ADDRESS; BU/LD/NGADDRESS: 131
PHONE:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE K , �- (4 U y' PHONES s %
TYPE OF CONSTRUCTION
Check all that apply Please Indicate measurements as required below
Boathouse t°1 floor sq,ft. 241 floor sq.fl, Total sq.ft. Height
Boathouse with Sundeck
Deck
Detached Garage(#of cars_)
DockI IN El
Pole Barn
Porch•open LWI
•" Porch—3 season,Covered,Enclosed SBURY
Shed BUILDING Co
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: �Jc IIF Date: 31 a Y//
Signature: �`-n C Date: S a Y l7
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014
:.. .... . ..:
r TOWN OF QUEENSBURY
COMMUNITY DEVELOPMENT
7
TOWN OF QUEENSB R I
BUILDING & COD S DEPT.
Reviewed
i y TOWN OF QUEENSBURY
BUILDING DEPARTMENT <
Date: �:..r
--"--'
Based on our limited examination,compliance
FILE CIO PY with our comments shall not be construed as \ I
x' Indicating the plans and spe�fications are in
full compliance with the Building Codes of
New York State.
iIS PLAN TO BEkNPROJECT
SITE ,
R THE j 7
DU�/i TIflN OF CONSTRUC I
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I f-o^ jZ,d 239.7-1-25 AST-000136-2017 _
Yegen, E.C. "Wayo" yo
139 Assembly Point Rd. I
Deck 574 s.f.
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