BOTH-000230-2017 f ,
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-000230-2017 Date Issued: Thursday, October 12, 2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000230-2017
has been completed.
Tax Map Number: 297.6-1-6.1
Location: 45 LYNDON RD
Owner: Matthew Hummel
Applicant: Matthew Hummel
This structure may be occupied as a: Screened Porch 144 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,
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
QL Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000230-2017
Tax Map No: 297.6-1-6.1
Permission is hereby granted to: Matthew Hummel
For property located at: 45 LYNDON 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
Tvceof Construction
Owner Name: Matthew Hummel Porch-3 Season,Covered,Enclosed $4,200.00
Owner Address: 45 Lyndon RD Total Value $4,200.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Screened Porch 144 s.f.
$50.00 PERMIT FEE PAID-TIES PERMIT EXPIRES: Thursday,May 24,2018
(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 Qensb ndne 017
SIGNED BY: V/A('/ for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Oniv
ACCESSORY STRUCTURE APPLICAATIION22 ved
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SURDIVIsioNNAME R6LL -(_ n AJ U(6E CO DEVEL PMENTm 1 �; Y
APPLICANT I'1�%1'`1 h'Utn'InL't_ OWNER 1"Pi't\-�ck- �4ur�CL
ADDRESS Lyr�t'a-, �`U� ADDRESS L-M L 7j"'r�j 1`VIJQ
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PHONE '` -C(i�' PHONE S}6 3�-7 3G 16
CONTRACTOR ���'/�.'�W f" I�t��L cosroFCoNsrRucnot EEa7MATEDI: $ 9900
ADDRESS; `J '5 `'�'-I'�;�' � �'� BUILD/NGAODRESS: (� J L -4,
PHONE:
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE
TYPE OF CONSTRUCTION
Check all that apply Please Indicate measurements as required below
Boathouse V floor sq.ft. 2"d floor sq.fl. 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) !S6a(-_c~ 1 YL`
'•Considered floor area&must comply with FAR(floor area ratio)requirements If located in the WR zone tAr� I pC
DECLARATION. 1 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 Uwe 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.
✓1 have read and agree to the above: Print Name: Date: S I
Signature: ' Date: �,T
1