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AST-0384-2018
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-0384-2018 Date Issued: Monday, September 17, 2018 This is to certify that work requested to be done as shown by Permit Number AST-0384-2018 has been completed. Tax Map Number: 289.15-1-34.27 Location: 49 SURREY FIELD DR Owner: James Minnick Applicant: James Minnick This structure may be occupied as a: Deck addition of 88 sq. ft. added to pre-exiE 79 s.f. deck; 167 total s.f. By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the ( t4.40 4 g' 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 { i ;i j' 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 r" ,10 f _,p Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: AST-03 84-2018 Tax Map No: 289.15-1-34.27 Permission is hereby granted to: James Minnick For property located at: 49 SURREY FIELD DR 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: James Minnick Deck $1,200.00 Owner Address: 49 Surrey Field DR Total Value $1,200.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Karl Lewis 12 Hicks RD Queensbury,NY 12804 Plans&Specifications Deck addition of 88 sq.ft.added to pre-existing 79 s.f.deck; 167 total s.f. $ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,June 29,2019 (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 Quee ury; 4Fri ,2018 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement 1 . 1 .._ , - ‘_. ' -- Office Use 0 Iv . ACCESSORY STRUCTURE ---) /1 9PiL 2 / Permit is: -› r t)-u - ---- ' -, PERMIT APPLICATION Permit Fee:$ Town or Qgeen;bury 742 Bay Road,Ctueensbury,NY 12804 invoice#: (7.51 6c'- , P:518461-8256 www.queensiouribrket cm- , Project Location: q ue.12,6--11, it-E-1.,ei --D Q. VI c6eq Tax Map I #: 2 gq o (---5 -- I -.34 , 2-4 Subdivision Name: c)-e_ec-=--( c--1. -1-1 ilt edit E it-.4 CONTACT INFORMATION: i r \ ___V • Applicant: , , \\.. PE 2 1 2G',''''4 Name(s): t1/4.--t t.. sk.$ t....1 t. L..(--Q Mailing Address, C/S/Z: 4 9 .-c.i a eE--i ctela -)i 2, 0 rec.jcrs;1'4(1\INC)11-747-::::::"-OR:AENT -- Cell Phone: ( S-1 (3- ) -9-e13- 2---S—ef Land Line: ( ---- ) 7 Email: 1,14,4-.it- c0A-c- • _ _ ____, . . • Primary Owner(s): Name(s): , ' l'-f (.- ki U 1.Q__At.., -1-12-0nr _ , . . Mailing Address, C/S/Z: 41 cSte_Pet 'Rio A --Dg, (1)U4::t-7f,s- bup-LA ) Lut-r (-Leat4 . , Cell Phone: ( ri. g` ) for6- c42...4--ti. Land Line: ( — ) 7— Email: i(.--1.1-3.: ---:A--, 6? Ii-if ,e-- .. Q.._ci. El-k--- ' 's'' • Contractods): . Business Name: Contact Name(s): , Mailing Address, C/S/Z: t --)- --klp.,-tc,:..)- Ca,,q,, a 1,..)--t-Lcs ,..el2c.15 ivy i i—rQi-t. . Cell Phone: ( Ct.g ) ---t-'60. - -2-1,0 4 Land Line: ( Email: • Architect(s)/Engineer(s): Business Name: — . , Contact Name(s): ' Mailing Address, C/S/Z: Cell Phone: ( ) , Land Line: ( , ) ' Email: ....... 7 ki '6-k Contact Person for Building & Code Compliance: ......;.-7-aryi-e_S , I r)r)1 Cell Phone: ( '51 q ) -7,q 3- c1-1- Land Line: ( ) Email: • . . . Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017 k 4 PROJECT INFORMATION: TYPE: Commercial Residential 7D: LASS: eck pen 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: .2nd floor: � keel: t r Yt& & s /( c 14 I s ---7 Total square keel: ADDITIONAL PROJECT INFORMATION: - 1.• Estimated Cost of Construction:$ .2.0c.) `" :2. If Commercial project,what is the proposed use: - 3. Are there any structures not shown on the plot plan? YES. 0 xplain: 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, o_r 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: ALMA i PL L i J Ll t.Q,,.ki SIGNATURE: DATE:c" --')c---. 1..„.,.. , ` 2 It Town of Queensbury Building&Code Enforcement Accessory structure Application Revised April 201,7 , 1 ( 22-141 50.SHEETS ( 1 '' ' ( \ ...145) .;'•:-2-1 4 2 100.1i ti EE'n,.'3 , ,,,,ViIPXtlt:r 22-144 ZOO-SHEETS , 49 Surrey Fields Drive . , 4. Queensbury, NY 12804.8493-8254 1 . • . . . . _ . • .0 )1- , f . 1 ... . 1 ' • • '• i • . • . . • .. .. . . .. . . JUN 2 1 2018 . • • * I . TOWN OF QUEENSBURY .. . BUILDING&CODES ....... . . C,,,,., k•-•-et,,,,r:,,, i /VA . . . (,,,F c TOWN OF QUEENSBURY . • „.. ,0.b• . no, : • • • r BUILDING & CODES PT. . • .." Reviewed By: 2-2/P . . Date: . - •— , . : . / • FILE COPY . • q • amossa.•••••••eneenal *VAMP*MB.PR•Ms "O' • t Y,14.1.5.r..1 K4.61,1 i....„1:4 Cif . ./ i(X.vve •daqa..ge i .7; TOWN OF QUEENSBURY • BUILDING DEPARTMENT Based on our limited examination,compliance • 1 • with our comments shall not be construed as indicating the plans and specifications are in • 1 full compliance with the Building Codes of New York State. • __...___../1. . . ! • . , 1 289.15-1-34.27 AST-0384-2018 Minnick, James .. • • , . 49 Surrey Field Drive .. .. . .. . . ..' ., .. .._..... .._..._ .... . ....._,,_twiso-mly . • 7 i Deck Addition 88 s.f. -- -- • - • - .. __._ ._. • ;- ,*% ( . ".. •' ( / 2241 lin 3 li Er:I'S , Of: :...',4:11(1P-44 i':-/' ':Q,,'I 44 200;:l•i E t'.:1':',' , 4: 49 Surrey Fields Drive 1 . , - . 1 Queensbury, NY 12804 .. i 518-793-8254 1 , I 1 1i , 1 i "1140,41 , Iii i S-41 1 .. . I — -- - --KI----.----- _.,....,.r. 74- .-..,,,...) 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