BOTH-000398-2017 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-000398-2017 Date Issued: Wednesday, October 24, 2018
This is to certify that work requested to be done as shown by Permit Number BOTH-000398-2017
has been completed.
Tax Map Number: 227.10-1-28
Location: 19 TROUT PAVILION RD
Owner: JENNIFER HANDLER
Applicant: JENNIFER HANDLER
This structure may be occupied as a: Boathouse w/Sundeck
and 9 ft. 6 in. by 7 ft. 6 in. dock storage shed with part of an existing sundeck By Order of Town Board
structure under stairs. Cross Ref. Area Variance approved by ZBA TOWN OF QUEENSBURY
Z-AV-61-2017 on Sept. 27, 2017
Issuance of this Certificate of Occupancy DOES NOT relieve the
owner of the responsibility for compliance with Site Plan
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property p Y p
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
L;d.
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000398-2017
Tax Map No: 227.10-1-28
Permission is hereby granted to: JENNIFER HANDLER
For property located at: 19 TROUT PAVILION 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: JENNIFER HANDLER Boathouse with Sundeck $100,000.00
Owner Address: 34 Head of Pond RD Total Value $100,000.00
Water Mill,NY 11976
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Boathouse w/Sundeck
and 9 ft.6 in.by 7 ft.6 in.dock storage shed with part of an existing Sundeck structure under stairs. Cross Ref. Area
Variance approved by ZBA Z-AV-61-2017 on Sept.27,2017
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,October 3,2018
(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 dateot
)
Dated at the Town of ueensb �ue2017
SIGNED BY: or the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Poor 1h,
ACCESSORY STRUCTURE Permit#: l " �`� .2-C 1�'
PERMIT APPLICATION Permit Fee: $ �
Town of Queens ry
742 Bay Road,Queensbury,NY 12804 Invoice#: �
P:518-761-8256 www.gueensburv.net
Project Location: 1!J '0121)( r0AP,/tL.IQlJ W.
Tax Map ID #: �21.(D — l —24j Subdivision Name:
CONTACT INFORMATION:
• Applicant:
Name(s):
Mailing Address, C/S/Z:
Cell Phone: �_) Land Line: � )
Email:
• Primary Owner(s):
Name(s): Jf—LJ I r9W— IaA00L4(Z
Mailing Address, C/S/Z: 34 WEA0 or- 1'1i 1 COLIC CLQ'). . QST `LZ I-�1(Ll,, LJ1K 116111
Cell Phone: ( Land Line: ( Lo3l ) '72Lp 73Cb
Email:
• Contractor(s):
Business Name: I E C � ti '
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line: _L )' V
Email:
Architects)/Engineer(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z: _ Q(�( LJ�11 GEDPG�� I 7
Cell Phone: ( Sly) 4D66651 Land Line: S'S� J
Email: Y11402.60*4
Contact Person for Building & Code Compliance: 1�
Cell Phone: Land Line:
Email:
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
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