AST-0345-2018
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-0345-2018Date Issued: Wednesday, January 9, 2019
This is to certify that work requested to be done as shown by Permit Number
AST-0345-2018
has been completed.
309.5-1-1.1
Tax Map Number:
31 Sugarbush RD
Location:
Anne Edwards
Owner:
Matt Saunders
Applicant:
This structure may be occupied as a: Additional new handicapped decking of 80 sq.
ft. for a total of approx. 240 sq. ft. of porch and ramp together.
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-0345-2018
Tax Map No: 309.5-1-1.1
Permission is hereby granted to: Rich's Home Exteriors,LLC
For property located at: 31 Sugarbush RD
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: Anne Edwards Deck $6,850.00
Owner Address: 31 Sugarbush RD Total Value $6,850.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Rich's Home Exteriors,LLC
150 Saratoga RD
South Glens Falls,NY 12803
Plans&Specifications
Additional new handicapped decking of 80 sq.ft.for a total of approx.240 sq.ft.of porch and ramp together.
$ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,June 14,2019
(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 th- expiration e. e.
Dated at the Town Quee my; ! 4Th 4.4 une 14, 2018
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SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
J n G�ale,--00
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�e / S. !'t'r Office Use Only
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ADDITION/ALTERATION PERMIT Permit#: 4S ( 3Tc-ao 16
APPLICATION Permit Fee: $ /o2S-21.i
Town of Queen Tu y
742 Bay Road,Queensbury,NY 12804 Invoice#: 0 5.10
P:518-761-8256 www.queensbury.net
Project Location: 3( J ee � 6k PO�J.
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Tax Map ID#: 304 c'_I _ I . t Subdivision Name: liltl2`Th ikoe, VAIWZ..__ k
31 ,. ,e,-.,LiAskl Rdif E 011 E. 0 W. E
CONTACT INFORMATION: 0
;1
• Applicant:
�U k 2 2
Name(s): A ili 1LY&DEOS i ';'a'�'-pa. - r 01 aF NMPI Vas,.
Mailing Address, C/S/Z: ISO 5�!-✓'c,4INA lee( SbUll-VCItNc F w I.s . . "_ 1.`. OO5 ELOPMENT
Cell Phone: j SIFT ) 79LQ-3S(o Land Line: (Sid ) r742 4000
Email: aria+FilewSaus c(e(S 31 igit4PWA . 6A4
• Primary Owner(s):
Name(s): 4&wi> C. L Ilk,mar)S
Mailing Address, C/S/Z: 31 SUc -t 'I uc4 V i • l EZ/1/44 i'aa41, l s "70'-/
Cell Phone: ICI$ ) 2,4,/ - 2.v417 Land Line: ( ) a
Email:
• Contractor(s):
Business Name: ei 4, RIME, Born/AMA LLC
Contact Name(s): Met141,ifla (t,rs �.,
F` , /e..i 1, SZ'a Mailing Address, C/S/Z: `� �R�'��-�rp�� l� �U�k �tit '6�-���g
Cell Phone: ( si ) 144-3Ptste Land Line: (S iV ) /R2- ?oe 43
Email: 1wi +t1 ' ce tin diei 3 Z 0 I1,1611. (OM
er
• 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: MI TI cm,,,/,:,,,,
Cell Phone: S Y ) 223 -5-05-9 Land Line: ( -/ ' ) 791--fence'
Email: 4/41 ee4 cocovt4eke/ 3Z.Y #i f (QA9
—',
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
u t
PROJECT INFORMATION: •
TYPE: Commercial Residential
WORK CLASS:
Single-Family Two-Family Multi-Family (#of units
Townhouse Business Office Retail //LL /
Industrial/Warehouse Garage (#of cars ) X Other(describe�7T/,(/�1GGf Gt' eq
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor:
2nd floor: 2nd floor:
3rd floor: 3rd floor:
Basement(habitable space): Basement (habitable space): /� /11
Total square feet: Total square feet: 1'lrJ et aclvh4(
70 s (vr°
ADDITIONAL PROJECT INFORMATION: T7 ( S12e cJ'G
a �ei�
1. Estimated Cost of Construction: $ Le . CI) p,71 6 .? ea S f
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 rcel? S75 ,A10
b. Is this a corner lot? YES NO
c. Will the grade be changed as a result oft e construction? YES
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
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 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: Htt1/7 /ff-w cif-I/A/De—JO
SIGNATURE: 11.7 t.4---- DATE: 6-6. AV/
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
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TOWN OF QUEENSBURY
BUILDING DEPARTMENT
Based on our limited examination,compliance .11) ,1 29 2t3
with our comments shall not be construed as
indicating the plans and specifications are in_ UEENSBURY .
full compliance with the Building Codes of
New York State.
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BUILDING DEPARTMENT
�}CISi-i l�o puL,44 Based on our limited examination,compliance
1 W!4{ with our comments shall riot be construed as
indicating the plans and specifications a in
full compliance with the Building Cods of
New York State.
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