AST-0056-2018
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-0056-2018Date Issued: Monday, January 7, 2019
This is to certify that work requested to be done as shown by Permit Number
AST-0056-2018
has been completed.
239.15-1-7
Tax Map Number:
21 WILD TURKEY LN
Location:
Patricia Putnam, Thomas Putnam
Owner:
Karl Dutcher
Applicant:
This structure may be occupied as a: Sundeck Only 476 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
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: AST-0056-2018
Tax Map No: 239.15-1-7
Permission is hereby granted to: Docks Done Right LLC
For property located at: 21 WILD TURKEY LN
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: Patricia Putnam Boathouse with Sundeck $60,000.00
Owner Address: Box 310 384 N Grand ST Total Value $60,000.00
Cobleskill,NY 12043
Contractor or Builder's Name/Address Electrical Inspection Agency
Docks Done Right LLC
PO Box 294
Cleverdale,NY 12820
Plans&Specifications
Sundeck Only 476 s.£
$ 150.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,February 22,2019
(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 of ueens Ytur 22,2018
SIGNED BY: //� for the Town of Queensbury.
Director of Building&Code Enforcement
o1 ice Use Cq kl /
ACCE W
Town of Queensbury
742 Bay Road,Queensbury,NV 12804 FEB 12 2018 r 40
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Project Location: 01
Tax Map I® #o Z3 " I � J"t"7 Subdivision Name'
CONTACT INFORMATION'
6 Applicant:
Failing Address, C/S/Z: R G Z c �� { c `r t� f 2 c�'2C�
Cell Phone: (577 ) -? Z 1—q?3 6 Land Line: _) 3 ,z
Email: i�r ( � 4) to-k-f V' ( 5 l cw C.M ZU
® Primary Owners)
Name(s):
Mailing Address, C/S/Z: &:X Sao 1� -} kkR71p G►Rftk�� S!
Cell Phone: ( S6, ) Land Line:
Email: -d?C_P,`AM V-—1J N-�1,S
a Contractor(s)o
Business Name: D o C f D C) Q -e L c
Contact Name(s): /c,r t P vkh--e-r'
Mailing Address, C/S/Z: P63 Q O x' O I z( -A)-Y
Cell Phone: ( ,J;i3 ) Z t - c/73,f- Land line: s t ) 3 ? i 4 73�C
Email: K r( P 'Jew r` 653! i��
® Arrchitect(s)/En ineelr(s):
Business Name:
Contact Name(s): D--ev-c�
Mailing Address, C/S/Z: PO 13 o-'y: ? 0--�14' t
Cell Phone: (---) Land Line: Lft-r y� 7
Email: fd ;J�(n4c,,l 72' c' r—si- CO►*)
Contact Person for Building & Code Compliance: 6,,lai- D jk'kt-
Cell Phone: 5i , ) :3 Z Z?3 ,( Land Line:
Email: Kcte t 't� oke " 6 p7gi"(' e- 0W'i
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
vi
r, 0 9. nines cia„ �esidenii al
Deck, ®pen Porch _Soiar Paneis(w/o rafter upgrades) —Carport — Cell Tower
Shed Pavilion, Pole Barn, Canopy _Dock Gazebo
Detached Garage Boathouse (with or w/o sundeck) _3-Season Porch
other(description: )
SQUARE FOOTAGE OF STRUCTURE:
1st floor: / Oct r,c
2"d floor: -/ 74 S I'It e le
Total square feet. 7
ADDITIONAL.PROJECT INFORMATION:
1. Estimated Cost of Construction:$ C;
2. If Commercial project,what is the proposed use:
3. Are there any structures not shown on the plot plan? YES ( IIa Explain:
4. Are there any easements on the property? YES 0
DECLARATION:
I. I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. Ifthework 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: t�,
PRINT NAME: �i 41t,M�-� J �� �IR�=.4�� �U���'►� ly (`j�
SIGNATURE:, , _P Yx--- DATE: 111 (7-
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
INSPECTION WORKSHEET (000088-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
AST-0056-2018Permit
Case Number:Case Module:
Mon Jan 7, 2019Passed
Inspection Date:Inspection Status:
John O'BrienAccessory Structure Final
Inspector:Inspection Type:
21 WILD TURKEY LN239.15-1-7
Job Address:Parcel Number:
Lake George, NY 12845
Contact TypeCompany NameName
ApplicantDutcher, Karl
ContractorDocks Done Right LLC
Granted PermissionDocks Done Right LLC
Primary OwnerPutnam, Thomas
ArchitectDL Dickinson Associates
Primary OwnerPutnam, Patricia
Checklist ItemPassedComments
Okay To Issue CCYES1/7/19 Final Inspection Approved - Ok to Issue CC!
O'Brien, John (Inspector)
Jan 07, 2019Page (1)
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,.., MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
<< `CGeoV that the electrical wiring to the electrical equipment listed below has been examined and is approved as %-`
v1 being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date ,
('> noted below and is issued subject to the following conditions. ��
�a' Owner: Date: �r
(-)) Tom Putnam 10/22/2018 r�'.>>
.. Occupant: Locati 0ccu o
(�z p Duck �23 Wild Turkey Lane *
Occupancy. Queensbury, Warren Co. NY <'>>
Single Family Dwg. �
r—
Applicant: ;��
Thomas S. Hohman Electric '"
`aJ Thomas Hohman E PA R 7.4 kyj
�i
;� 1668 Ridge Rd. 4.+A .„,
$, L Queensbury, NY j 4
C?� Joseph A.Holmes {�
(\ No. '14688Y 1 - A - '
<<' Equipment: %�
. 1 -50 Amp Sub Panel; 4 - Switches; - -& •tac -, • - • res •
(0, i #iit... ___. _ �,j
0.
, This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and '.
, above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership V.
g) inspection. No warranty is expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and void. 4,
( ) ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes Invalid based upon the above conditions,
be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department
L. system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle c,;?i
L.
ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc.to initiate the inspection and revalidation 4
(C�) any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service.
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