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RC-0134-2018 �^ TOWN OF QUEENSBURY a y � 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 --__ Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: RC-0134-2018 Date Issued: Tuesday, June 11, 2019 This is to certify that work requested to be done as shown by Permit Number RC-0134-2018 has been completed. Tax Map Number: 239.19-1-13.2 Location: 3213 State Rte 9L Owner: Scott Johnson Applicant: Scott Johnson This structure may be occupied as a: Residential Additions: approved by Area Variance, Z-AV-10-2018 by the Zoning Board of Appeals. 276 sq. ft. heated By order of Town Board residential addition for home office (no plumbing);375 sq. ft. new screen porch;: TOWN OF QUEENSBURY sq. ft. wrap-around deck connected to new porch & addition; 75 sq. ft. replacem covered porch & entry area 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 Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. I I 1 11 r= TOWN OF QUEENSBURY y r 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: RC-0134-2018 Tax Map No: 239.19-1-13.2 Permission is hereby granted to: Scott Johnson For property located at: 3213 State Rte 9L 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 Tvoe of Construction Owner Name: Scott Johnson Single Family-Addition $75,000.00 Owner Address: 3213 State Route 9L Total Value $75,000.00 Lake George,NY 12845 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Residential Additions:approved by Area Variance,Z-AV-10-2018 by the Zoning Board of Appeals.276 sq.ft.heated residential addition for home office(no plumbing);375 sq.ft.new screen porch;372 sq.ft.wrap-around deck connected to new porch&addition;75 sq.ft.replacement covered porch&entry area $ 500.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,April 11,2019 (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 t lWatDated at the Town f Quee s u ,April 11,2018 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement c Ge�Ss Z-A y-le 00 T Office Use Only ! ADDITION/ALTERATION PERMIT Permit#: APPLICATION Permit Fee:$ Town of Quccnsbur}' 742 Say Road,Queensbury,NY 12804 3j Invo ice.#: ©P` P:518-761.8256 www.aueensburv.net Project Location: 13 Y. 29 / Tax Map 1® #: oq,319, 9®/ 1 Subdivision V 1 EF CrI I l ...iqllcilkii Maw .. . CONTACT INFORMATION: MAR 3 0 2018 _.. { • Applicant: � TOWN OF CUEENSBURY Name(s): COMMUNITY DEVELOPMENT Mailing Address,C Z: 3 `�`��L �C� �... � �—.... � G"' e jy4y Cell Phone: ) ' Land Line: 01. Email: (` )Are .fXIn -00 G yvk- �e m - Co wt • Primary Owner(s): �� /� ,(� Name(s): �_jaY✓l� �-1.' a.5 Mailing Address, C/S/Z: Cell Phone: ( ) Land Line: Email: • Contractor(s): Business Name: �1 ° � 41 — Contact Name(s): Mailing Address,.C/S/Z: Cell Phone: ( ) Land Line: ( ) Email: • Arch itectCsILEn ineer(sj� .Business Name: F�\ Contact Name(s): _ /Mailing Address, C/S/Z: ' �( X _ � �, Cell Phone: ( ) Land Line: Email: Contact Person for Building & Code Compliance. C-11� - Cell Phone: ( ) �� ' L nd Line: ( C'� ) Email: Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 PIROJECT INFORMATION: TYPE: Commercial K Residential WORK CLASS: Single-Family _Two-Family _Multi-Family(#of units ) Townhouse Business Office Retail Industrial/Warehouse _Garage (#of cars ) _Other (describe ) (ADDITION SQUARE FOOTAGE: AL TIO AR OOT GE: 1s '7fO 51��10*9�C�nvv��in-1,om� cice1 ,y,hSn� . ' r: floor' ? S� �r���r► �r rd o r� V�; 7� S-P Do'an wra -0/v Can G3 filo Baswrmrrt-(babWa61e �/_- �--sr �'� hj�� Basement(habitable sp ce): l6ce Total square feet: 9 n—tt" h Total square feet: ADDITIONAL PROJECT INFORMATION: d-7 &S 1. Estimated Cost of Construction: $ o 3;9. 2. If Commercial project, what is the proposed use: 3. Source of Heat (circle one): Gas Oil Propane Solar Other Fireplaces need a separate Fuel Burning Appliances&Chimney Application 4. Are there any structures not shown on the plot plan? YES NO Explain: 5. Are there any easements on the property? YES NO 6. SITE INFORMATION: a. What is the dimensions or acreage of the parcel? b. Is this a corner lot? YES NO c. Will the grade be changed as a result of the construction? YES NO d. What is the water source? PUBLIC PRIVATE WELL e. Is the parcel on SEWER or a PRIVATE SEPTIC system? Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 r E)EC:LARATION 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 I 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 1, 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. have read and agree to the above: PRINT NAME �a irly SIGNATURE: DATE: J Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 ,�10TES UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE NEW NORTH (per map reference 2 YORK STATE EDUCATION LAW. ) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYOR'S EMBOSSED SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF AN ABSTRACT OF TITLE OR TITLE REPORT AND IS, THEREFORE, SUBJECT TO ANY EASEMENTS, COVENANTS, OR RESTRICTIONS OF RECORD OR ANY STATEMENT OF FACTS SUCH DOCUMENTS WOULD DISCLOSE, DEED R F t=NCF RODERICK W. SMITH TO SCOTT C. JOHNSON AND LYNN M. JOHNSON DATED APRIL 14. 2005 AND RECORDED IN THE WARREN COUNTY CLERK'S OFFICE ON APRIL 25, 2005 IN LIBER 1442 OF DEEDS AT PAGE 119. • MAP REFERENCES 1. STATE OF NEW YORK DEPARTMENT OF PUBLIC WORKS DIVISION OF HIGHWAYS, HIGHWAY NO. 1869 MAP NO. 50.5 JAMES G. LOCKHART REPUTED OWNER DATED MAY 2, 1932. 2. MAP OF A SURVEY FOR JOHN P. MATTHEWS DATED MARCH 2O06 LAST REVISED 31 JULY 2006 FILED IN THE WARREN COUNTY CLERK'S OFFICE ON 22 JUNE 2007 PREPARED BY D.L. DICKINSON ASSOCIATES. 3. TOPOGRAPHIC MAP OF LANDS OF LESTER H. CHASE III AND THALIA M. CHASE DATED AUGUST 13, 2009 LAST REVISED APRIL 7, 2016 PREPARED BY DAVID F. BARRASS, LAND SURVEYOR. T�REFER Nr`F TOWN OF QUEENSBURY: 239.19-1-13.2 LEQEbID / land f s now or formerly of uTlLlrr POLE Lester H. Chase, III lands now or formerly of f and concrete monument found---, � CAPPED IRON PIN SET CIPS ® Diane H. Matthews, trustee of the r� �� Thalia M. Chase CIPS John P. Matthews trust r r r 0 ilk paved apron y�10 �5.25 � ' \\ 6' Aram W 5'�-A deed 4 !' } o se�baG e�bock / // guy CIPS {fait nt 9 0"e -- . - -- -- -- grovel road _ -- plop — _ _ \ CIPS e, -- — / w CIPS ' \ \\ o �, garage 1- gravel drive culvert _ 42'-30 W 250.00 \ o N W-15'-40" W 440.00' - CIPS N 05 `� Q 01 ramp 1— Proposed rear ropased deckrporch ' / deed » E a� guy setback 675.5' walls & /- „i,A-55 existing rear reputed alks setback 687,5' septic steps planter steps loc `�- // S 1g retaining wall , DSIVEMY AREA CA ATION mney existing paved house PAVEMENT 672 S.F. proposed addition N GRAVEL 7,843 S.F. ,� 5.6' well casing 5.Q 14f- acres 3.5 over line gpropane tanks M generator slab co lands now or formerly of Joshua's Rock Corp. h lands now or formerly of D Diane H. Matthews, trustee of the John P. Matthews trust MAR 3 0 2018 painted stone found TOVti.`,Iq OF QUEENS3URY COMMUNITY DEVELOPMENT . PERMIT PLOT PLAN I HAVE PERSONALLY NIEASURED THE DISTANCE FROM T PR RTY LINES TO THE r� ACC PROP D UCTURE(S) OR SIGN(S) ` 3�" SIGNATURE v DATE O N = M O 4 D �Q 1.AN SU�L KL) L) Iran pin found Cs<vop in stone pile * j a N v 0 Q A9363 �0�� SURVEYED BY MAP OF LANDS OF 1" 50' C � SCOTT C. AND LYNN M. JOHNSON FIELD SURVEY a, ° o .�,�_..__- DAVlD F. BARRASS SHOWING PROPOSED IMPROVEMENTS COMPLETION: c co 0 50 ao ��a LAND SURVEYOR TS o� r � R 5 MAPLE STREET MAP COMPLETION:' N ° co �' q.�.._..._ 14/1 AVID F. BARRASS N:' �' � M � "11,/28117 L.S. 49363 CORINTH, NEW YORK OF QUEEN ORIWARREN couNTY PH6Jk(;I NO. 17--775