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AST-0439-2018 .' ,4$101* TOWN OF QUEENSBURY "",t, , I 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building& Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: AST-0439-2018 Date Issued: Tuesday, August 28, 2018 This is to certify that work requested to be done as shown by Permit Number AST-0439-2018 has been completed. Tax Map Number: 304.17-1-35 Location: 86 BOULEVARD Owner: Carol Plude,John Plude Applicant: Carol Plude This structure may be occupied as a: Deck 168 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, avV 1v1 No. 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. paw* TOWN OF QUEENSBURY if f 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 \-- — i Community Development-Building& Codes (518)761-8256 BUILDING PERMIT Permit Number: AST-0439-2018 Tax Map No: 304.17-1-35 Permission is hereby granted to: John Plude For property located at: 86 BOULEVARD 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: Carol Plude Deck $2,000.00 Owner Address: 86 BOULEVARD Total Value $2,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Deck 168 s.f. $ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,July 19,2019 (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 e expiration A ate ) 4 Dated at the To of Que bury T ; , my 19,2018 ~ for the Town of Queensbury. SIGNED BY: Q ury Director of Building&Code Enforcement Office Use Only A 1g t13 r ACCESSORY STRUCTURE Permit#: � e'l��' z o f PERMIT APPLICATION Permit Fee:$ / , vD Town of Queensbury 742 Bay Road,Queensbury,NY 12804 ' nvice: ®6 ? P:518-761-8256 ww.queensbury.net f 6 aiv JUL 0 9 20T8 1)eGk Project Location: g b 501k ) e Vcc r ~ l TOWN OF CUEENSBURY Tax Map ID#: 3o q. / 7-1-- PO CONTACT INFORMATION: • Applicant: Name(s): J©h Y1 (4" re, ) 7)1.14 °. Mailing Address, C/S/Z: 80 u if e j/o_rc / 62S`> /4` c ) 4-g0 Cell Phone: (5" s ) 79/ - t-f 3 XL, Land Line: (57 R ) 7c3- /t) 7 Si Email: aX-ex..nt-Ae )(a kp`"7v, t Ivt • Primary Owner(s): Name(s): . Mailing Address, C/S/Z: Q- J, Cell Phone: ( ) -' f Land Line: ( ) • Email: • • Contractor(s): Business Name: Contact Name(s): A in Mailing Address, C/S/Z: Cell Phoney ( ) Land Line: ( ) Email: • Architect(s)/Engineer(s): Business Name: Contact Name(s): /VA Mailing Address, C/S/Z: Cell Phone: ( ) Land Line: ( ) Email: Contact Person for Building& Code Compliance:je, ott Cuero U Cell Phone: ( S) . ) 7 / /- 7-1 3 _c Land Line: (5 j 16 ) 7 -69 7 S-/ Email: Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017 PROJECT INFORMATION: TYPE: Commercial Y Residential WORK CLASS: /Deck,Open Porch _Solar Panels(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: f 6 2nd floor: t Total square feet: / ID ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction:$ pF,,tr,v 2. If Commercial project,what is the proposed use: 3. Are there any structures not shown on the plot plan? YES e Explain: 4. 'Are there any easements on the property? YES NO 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 the work 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 IAve 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: a_ro) SIGNATURE: .6 j&... DATE: 6 . 6 /73 l Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017 TOWN OF QUEENSBURY • . • . BUILDING DEPARTMENT Based on our limited examination,compliance TOWN OF QUEENSBURY with our comments shall not be construed as indicating the plans and specifications are in BUILDING & CODES VPT. ' ' . full compliance with the 6uilding Codes of 0 New York State. , , Reviewed By: . , , e--- ,) Date: . , • / )0 FILE COPY .,„ ,,Aq ,-,e_Q.J,e...Y- / ___ . , _ . . . _.,__ ......_ 'II . „._ . .4...... ....._. , _„. ... • .,.....„........._....................____.........___ ..., ....._„.....,.,„,„..... ,,,,..44 orh...ne-n•,,,..x.,... . 6 ii9 -r .....,...... ...,..,___,..............„E„....,...,....__ ----7'-e-7 * •-• - ...0 0 1. 0 • ''''''''''''S 6 I .-:-_-,': 4! . 4--........_ CTi 0 ,,______)„,yze-,....-4 -f-ect...„ - 0 .,, ffil a0 al • —.c.. 4,.... , go . 2,0 / • Ze . , • -±--n r- ------------------- Cm --- - —. ----- E=I 7 > - 0 M , = 0 , . • ' 0 Z C=I .0 CD CO M rn coc Till. 70 47. . —.1, (0 Cr) 43 . CO 0 . , cn - .....,.. Co . .. 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"#� f F S• Sb• 09" $-a"C I I AVE PERSONALLY MEASURED THE DISTANCE AMERICAN TITLE INSURANCE COMPANY v� FROM THE PROPERTY LINES TO THE..'� J D TUC URE(S)OR SI N( ) THAT THIS MAP WAS MADE FROM AN ACTUAL SURVEY ON a � G (� (� / 8 THE GROUND ACCORDING TO RECORD DESCRIPTIONS AND SIGNATURE Ar SHOWS LOCATIONS OF BOUNDARIES AND IMPROVEMENTS ON THE PREMISES AND THERE ARE NO ENCROACHIACNT tie O S '� OTHER THAN SHOWN. �2 LEON M. SIEVES a DATE. r 6oz �,ZT 3' "uvAurrrn0 ALTERATION oR•A00I1`101+ To A Sutvrr ft z NAP OEARING A LICENSED LAND SURVEYOR'S SEA_ IS A vAvL Mtt 9rCfA IN* d� VIOLATION OF SECTION 7209, SUD-DIVISIQV 2, OF icE G A MQQ 1 7 , NEW YORK STATE EDUCATION LAW." IA_ 6SZ�q{y �1 "ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY i G?bi' Y_",%S£ 14MEO WITH AN ORIGINAL OF TIE LAND SURVEYOR'S M SEAL SHALL DC CONSIDERED TO OE VALID TRUE COPIES." r "CERTIF*IICATIONS INDICATEOEIEREON SIGNIFY THAT r V) THIS SURVEY 14AS PREPARED-IN ACCORDANCE WITH TW J Q JSE - EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED �o BY TIE NEW YORE( STATE ASSOCIATION OF PROFESSIONAL Y U LAND SURVEYORS. SAID CERTIFICATIONS SHALL =4 ONLY � i TO THE PERSON FOR M04 THE SURVEY IS PREPARED, AND 1; J ? Y ON HIS BEHALF TO THE TITLE COWANY, GOVERWENTA. � AGENCY AND (ENDING INSTITUTION LISTED HEREON, ANC < t59•�o� /a �r � t:'� � < TO THE ASSIGNEES OF THE LENDING INSTITUTION." ►95.I8' -T-. �Ste) � < '-'----0 P.�E ,`�• ' N.,+�5, o5�n.<1N t.e . 94• an = - - MAP OF A SURVEY MADE FOR -13 BO u L'E.V kzv TJATG MAW-1-4 8 , IWI GAA2t_�S 1-1- pk%__Ea ry B4fiT0_tc L A, 1Jtc►tnti5 � VanDusen & Ste ves .fit►u S cp�t,� ,�►_ (�t_v0E P(5-r. ,flFf-o 47440 LAND SURVEYORS ,GLENS FALLS',NEW YORK `'i, 15-13 --rtE D1s.Ts 4tj2.7� N.Y. STATE LIC. N0, 35617 _.._ _.._..._..._._ pJoa�VDA•R..�• -_.(..�t� �GYZE��uAG-1J?• f5 S`+GGCS•t+CI� �oR Cr►�54 QooNOS . __-.--•--- .... . . ...._.... __. _ . • . _._..._._....-. -. )� 9EE.9 D AST .... ..-----•- --- (.•t-TR fad\- � AhItL9R�p C4 AVe. 81-457,9 I