AST-0190-2018 it/ow
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-0190-2018 Date Issued: Tuesday, July 31, 2018
This is to certify that work requested to be done as shown by Permit Number AST-0190-2018
has been completed.
Tax Map Number: 253.3-1-6
Location: 22 HUNTER LN
Owner: Margie Barrett
Applicant: Margie Barrett
This structure may be occupied as a: Re-building existing deck 448 sq. ft.
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the - 4 4
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-0190-2018
Tax Map No: 253.3-1-6
Permission is hereby granted to: Margie Barrett
For property located at: 22 HUNTER 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: Margie Barrett Deck $8,552.00
Owner Address: 22 Hunter LN Total Value • $8,552.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Alpine Contracting Co.
PO Box 201
Adirondack,NY 12808
Plans&Specifications
Re-building existing deck 448 sq.ft.
$ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,May 2,2019
(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 da e.)
r'
Dated at the Town Queen ury; 4We , ay 2,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
(OA* ACCESSORY STRUCTURE Permit#: sT /96—.716/
•
PERMIT APPLICATION Permit Fee:$ f3��
Twn of CQi ecnsiury
742 Bay Road,Queensbury,NY 12804 Invoice#: 03/ 3
P:518-761-8256 www.queensbury.net
Project Location:,9a r pack. /L , Q , +�' i a c3
Tax MapTID#: �� F -1 Subdivision Name: '=' _ 1 )
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CONTACT INFORMATION: APR 2 3 2 S
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TOWN C s��,�� 'c... '@r°a.C UR
• Applicant:. «o1; § ����z, &;� ., 3
�,
,,,� r1���1q j"(
Name(s):i bc? ,
EQ.113‘
Mailing Address," /S/Z: c9c 4-Lud—e.A. j`��. �, ) klik iZS(LJ
Cell Phone: ( ) Lns- sgcm Land Line: (5( ) 67q5? A
Email: CJ kO'Thri`t c rV'-\,
• Primary Owner(s):
Name(s): fa)
Mailing Address, z S/Z: ( ZQ_. ,(-)Pc QY),s 1 f 7
Cell Phone: (Si ) Land Line: (t(g ) ` X
Email: K c . #-1mC t I e byy
• Contractor :
Business Name: L 0 i r�e, �(�1"1 \ \C�Qo'-7 n6 ,
Contact Name(s): r,eQ
Mailing Address, C/S/Z: E6k i th ro 11dackz _.
Cell Phone: (5(8 ) Leg 3 9 2 , Land Line: ( )
Email:
• Architect(s)/Engineer(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: ( ) Land Line: -( )
Email:
Contact Person for Building& Code Compliance:C-Te _2 .'(a.
Cell Phone: ( ( ? ) 2/9 L „59 5 Land Line: �)
Email:
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
PROJECT INFORMATION:
TYPE: Commercial V Residential
WORK CLASS:
VVDeck,Open-Pereh- Solar Panels(w/o rafter upgrades) _Carport Cell Tower
refaVeelherir
Shed k Pavilion, Pole Barn,Canopy _Dock Gazebo
Detached Garage Boathouse(with or w/o sundeck) 3-Season Porch
_Other(description: ,,�1� ll
SQUARE FOOTAGE OF STRUCTURE: '4 (zo j�eez'rv>,..e,.r ifi ` J
1st floor: 411
2nd floor:
Total square feet:
ADDITIONAL PROJECT INFORMATIION:
1. Estimated Cost of Construction:$
2. If Commercial project,what is the proposed use:
3. Are there any structures not shown on the plot plan? YES NO Explain:
4. Are there any easements on the property? - YES C;10)
DECLARATION:
1. 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. If thework is not completed by the 1 year expiration date the permit may be renewed, subject to fees
and department approval.
3. I 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. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of
occupancy.
5. I 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: nueG1E., ')-elc��
SIGNATURE: DATE:
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
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Based on BU1 11\4 113.71irt;;;o":;11-a(n)ce TA A 4
'with our comm shalt not be •onstrued as
• 1 Vie---I.<05 Barrett, Margie
Indicating the plans and specific.+tions are in
lull compliance with the Buildin) Codes of
. i 22 Hunter Lane
Deck 448 s.f.
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+New York State.
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253.3-1-6 AST-0190-2018
6-/-4 iiC?A 64 Barrett, Margie
.,4
22 Hunter Lane
Deck 448 s.f.
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I HAVE PERSONALLN" --, '',.-_,J' '-';',-1,THE DISTANC,E
$ ' •nr,,5) \,)
VA' V t\\ , ?? 2 a ?./'U'''L))
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FROM THE P7.1.+ TY LEES TO THE:
PROPOSE?, ,.11-7UCTURE(S) OR SIGN(S)
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. .----- :•.fiGNifyJRE DATE