RC-0163-2018 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518) 761-8256
ERTIFI .ATE CIF OCCUPANCY
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Permit Number: RC-0163-2018 Date Issued: Wednesday, June 20, 2018
This is to certify that work requested to be done as shown by Permit Number RC-0163-2018
has been completed.
Tax Map Number: 296.14-2-3
Location: 25 DEVIN CT
Owner: GERALD BECKWITH
Applicant: GERALD BECKWITH
This structure may be occupied as a: Residential Alteration--roof over existing
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-0163-2018
Tax Map No: 296.14-2-3
Permission is hereby granted to: GERALD BECKWITH
For property located at: 25 DEVIN CT
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
Tvne of Construction
Owner Name: GERALD BECKWITH Single Family-Alteration $5,000.00
Owner Address: 25 Devin CT Total Value $5,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Residential Alteration--roof over existing patio
$ 200.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,April 25,2019
(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 d te.)
Dated at the Town Queen ury; We pril 25,2018
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SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
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Office Use Only
=f A®®ITION/ALTERATION PERMIT Permit#: f'c.e fl 1 lo'?S- 2�i. £'�
APPLICATION Permit Fee:$ 7-00
To+vn a£Queensbury
742 Say Road,Queensbury,NY 12804 Invoice#: b 2--"1
P:518-761-8256 www.aueensburv.net
Project Location:
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Tax Map I® 17. - 2-b Subdivision Name:
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CONTACT INFORMATION:
• Applicant:
Name(s): � G �r
Mailing Address, C/S/Z: 7-5--
Cell Phone: ( UQ) 6 ? - Land Line: ( �) �� -- o�;J
Email: �A .�"�s � - C--
• Primary Owner(:
Name(s):
Mailing Address, C/S/Z: -2S`
Cell Phone: 6'-3 4L-" Land Line: ( 57-255' )
• Contractor(s):
Business Name: '® z-�i
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: ( ) Land Line:
Email: fink [ ; 1S n n17 r=. r
u v L
• Arch itect(s)/Engi nee r(s): aAPR 13,2018
Business Name: / -9
Contact Name(s): ' 'Ryi;N OF—UEEN ar
Mailing Address, C/S/Z: CCCES
Cell Phone: ( ) Land Line:
Email:
Contact Person for Building & Code Compliance:
Cell Phone: ( %-42 ) 155�3� --� �'� .j Land Line: (!vivP)
Email:
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
PROJECT INFORMATION:
TYPE: Commercial _ 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: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor: /5-
2nd floor: 211 floor:
31 floor: 3rd floor:
Basement (habitable space): Basement (habitable space):
Total square feet: Total square feet: Y3
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ az),:5
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 <:Sv
6. SITE INFORMATION:
a. What is the dimensions or acreage of the parcel? f
b. Is this a corner lot? YES (aj
c. Will the grade be changed as a result of the construction? YES
d. What is the water source? OIER� 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