Loading...
RC-000768-2017TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: RC-000768-2017 Date Issued: Monday, February 25, 2019 This is to certify that work requested to be done as shown by Permit Number has been completed. RC-000768-2017 Tax Map Number: Location: Owner: 289.12-1-5.2 19 MAID MARION WAY William Gill William GillApplicant: This structure may be occupied as a: Residential Alteration 587 s.f. Enclosing open patio By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy 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 Planning Board or Zoning Board of Appeals. Director of Building & Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: RC-000768-2017 Tax Map No: 289.12-1-5.2 Permission is hereby granted to: Tony Poulos For property located at: 19 MAID MARION WAY 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: William Gill Single Family-Alteration $15,000.00 Owner Address: 19 Maid Marion Total Value $15,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Tony Poulos 16 Windy Ridge DR Glens Falls,NY 12801 Plans&Specifications Residential Alteration 587 s.f. Enclosing open patio $ 88.05 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,February 9,2019 (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 o ueen rid a 9,2018 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Office use Oiiiy ADDITION/ALTERATION PERMIT PerrriY t: � � '�y ��� 2-D(Z ,W—L APPLICATION Pernnit Pee:$ Towyn of Queensbury 742 Bay Road,Queensbury,NY 12804 voice#: 2— P:518-761-8256 www.gueensbury.netn n/] E Project Location: a b 8 2Q17 kDEC Tax Map 1® : 29� . t2- t - �. N me: -a- � TOWN OF UU BUILDING&CODES CONTACT INFORMATION: l Applicant: Name(s): WIWI4*'A GrtU-- Mailing Address, C/S/Z: Jot hAP410 MA1UOV,1 USA-t C UWC=NS0J*K hS� MeO'� Cell Phone: �_) Land Line: Email: 0 Primary Owner(s): Name(s): W�LUAYY) 1A LL Mailing Address, C/S/Z:. 01 MALD VA41UCX4 WA&-(. 62UOa�, P< Cell Phone: Land Line: Email: ® Contractor(s): Business Name: Contact Name(s): !J 1RA ?0LLU%7t> Mailing Address, C/S/Z: 1l, W Ir4Q'f F—I06tr-- tiOWe f &t.�s"T6 ftt fz� (y'( 12� Cell Phone: ( 02W&_) Z? — l2 Land Line: Email: ® Architect(s)/Engineer(s): Business Name: ►?-uUnls�-,4 !Jw .pie�lT oe- Contact Name(s): Q. Mailing Address, C/S/Z: 15A Vk k i� `( 12801 Cell Phone: ( Land Line: (51$ ) 141 02(vg Email: ie,oMAlk 1IUG4 rr' CO✓YI Contact Person for Building & Code Compliance: "A� AAU Cell Phone: ( Land Line: 5( 1$ )'41 "07-49 Email: ,off q 1,� n !Ac4 P . er. Coyn Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017 PROJECT INFORMATION: TYPE: Cont-omercial Residentiai WORK CLASS- V/ Single-Family _Two-Family _ Multi-Family (# of units ) Townhouse Business Office Retail _ Industrial/Warehouse Garage (#of cars ) _Other (describe ) ADDITION SQUARE FOOTAGE- ALTERATION SQUARE FOOTAGE- 1st floor: 1st floor: C55-1Ap 2nd floor: 2nd floor: 3rd floor: 3rd floor: 4th floor: 4th floor: Total square feet- Total square feet. ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ I Ji 000 2. If Commercial project, what is the proposed use: 3. Source of Heat (circle one): Gas Oil Propane Solar Other N �� Fireplaces need a separate Fuel Burning Appliances & Chimney Application 4. Are there any structures not shown on the plot plan? YES (.O)Explain: 5. Are there any easements on the property? YES 6. SITE INFORMATION- a. What is the dimensions or acreage of the parcel? I • ?A b. Is this a corner lot? YES NO c. Will the grade be changed as a result of the construction? YES d. What is the water source? P_UB'Ll CPRIVATE WELL e. Is the parcel on SEWER or a PRIVATE SEPTIC system? FVLVp_V1r-, Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017 DECLAR TION: 1. 1 acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 3. 1 certify that the application, plans and supporting materials are a true and complete statement and/or description of the work proposed, that all work will be performed in accordance with the NYS Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. 4. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of occupancy. 5. 1 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: Ail �AvL - UwtltorA SIGNATURE: DATE: S1• Zt�l7 Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017 INSPECTION WORKSHEET (001137-2019) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:RC-000768-2017 Case Module:Permit Inspection Date:Mon Feb 25, 2019 Inspection Status:Passed Inspector:Mark Smith Inspection Type:Residential Final Inspection Job Address:Parcel Number:19 MAID MARION WAY Queensbury, NY 12804 289.12-1-5.2 Contact Type Company Name Name Primary Owner Gill, William Applicant Gill, William Agent Rucinski-Hall Architecture Granted Permission Poulos, Tony Contractor Poulos, Tony Checklist Item Passed Comments General Comments NO Feb 25, 2019 Page (1) Smith, Mark (Inspector)