BOTH-000834-2016 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-000834-2016 Date Issued: Wednesday, August 30, 2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000834-2016
has been completed.
Tax Map Number: 239.12-2-25
Location: 75 ASSEMBLY POINT RD
Owner: ELRHO, LLC
Applicant: Edward Carr,Jr.
This structure may be occupied as a: Sundeck Only
784 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
s Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000834-2016
Tax Map No: 239.12-2-25
Permission is hereby granted to: Edward Carr,Jr.
For property located at: 75 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
Tome of Construction
Owner Name: ELRHO,LLC Boathouse with Sundeck $35,000.00
Owner Address: 600 Garrison Cove LN,Unit 5 Total Value $35,000.00
Tampa,FL 33602
Contractor or Builder's Name I Address Electrical Inspection Agency
Edward Carr,Jr.
28 CARR LN
Lake George,NY 12845
Plans&Specifications
Sundeck Only
784 s.f.
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,June 13,2018
(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 Qryl�ris'8Rq• n Titesda , n l3,2017
SIGNED BY: (`` LnWXI{//�•VJ/ ' for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ACCESSORY STRUCTURE APPLICATION
) Received
DATE /'Z/oz / 2C/l G Tax Map ID
Tax MAP ID 2 3 . 12: - Z Permit No. 201;0
ZONING Permit Fee a15
Ree-Fge lnw�c� , 12
HlsroRlc SITE _Yes No Approvals
SUBDIVISION NAME / 7�y'� y Lot#
APPLICANT � L ).4 L1 I/�� OWNER
ADDRESS ) lll(�r 6 i(„ -ADDRESS
lam a� 1'L �3GG z
PHONEJK----� PHONE
7
CONTRACTOR C40_d t-LiJ'✓ COST OF CONSTRUCTION(ESTIMATED): $
ADDRESS: IG, ea!e-/- kCIN__ BUILDING ADDRESS: 7 �Ci C J e/>
PHONE: - 0q9- )I
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE G,J l.k�� PHONE
TYPE OF CONSTRUCTION
Check all that apply Please indicate measur s required below
Boathouse 1"floor sq.ft. 2ntlfloor sq.ft. t q _17ht
Boathouse with Sundeck
Deck DEC
Detached Garage(#of cars
Dock BUI VIV UF ENS3tjRy
()
Pole Sam S
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 �I have read and agree to the above: Print Name: � � -� �l Date:
g �� /
Signature: ate: /16
1
Town of Queensbury Building&Codes Accessory Structure Application July 2014 -
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