2009-051 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090051 Application Number. A20090051
Tax Map No: 523400-303-020-0002-034-000-0000
Permission is hereby granted to: DAIGLE
HAU NWEDING SUPPLY
For property located at: 15-17-19 BOULEVARD
in the Town of Queensbury,to construct or place informationer
at the above location in accordan���e pNYSaiJn ft�Bieurld g�d P�tanhe Queensbury Zoning Value
filed
and approved and in compliance Value
Ordinance. Type of Construction
Owner Address: NICHOLAS DAIGLE Commercial Addition $15,000.00
11 SUGAR PINE Rd Total value $15,000.00
QUEENSBURY,NY 12804-0000
Contractor or Builders Name/ Address Electrical Inspection Agency
Plans &Specifications
F59
09-051
4 sq ft commercial addition
$100.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,March 02,2010
(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 a expiration ate
Dated at the own o �e y nday,March 02, 2009
for the Town of Queensbury.
SIGNED BY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20090051 Date Issued: Thursday, October 15, 2009
This is to certify that work requested to be done as shown by Permit Number P20090051
has been completed.
Location: 15-17-19 BOULEVARD
Tax Map Number. 523400-303-020-0002-034-000-0000
Owner. NICHOLAS DAIGLE
Applicant: NICHOLAS DAIGLE
This structure maybe oc4J&VFLDING SUPPLY
Commercial Addition By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the q'` �, l,, ' ,.
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&Co�1e Enfoe t
Planning Board or Zoning Board of Appeals.
7 t 1 4 1
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OFFICE USE ONLY
4 ; TAX MAP" 0�l/ PERMIT NO. J
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FEES: PERMIT O' � RECREATION ENGINEERING '
(If applicable) ;
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PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF AVALID PERMIT FOR CONSTRUCTION.
,APPLICANT/BUILDER: "N I,&I 1 E . OWNER: V< �AAi a11.z_
if
ADDRESS: 2n ADDRESS: II I ft z pr/-s
PHONE NOS. 573 �`-f 7 PHONE NOS.
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: PHONE7315-Rq'-�J;
LOCATION OF PROPERTY: UA/L7 "C5lr2y /V�
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z O � Ci d w
PROJECT O Q~Q O O Om
0 W �LL U- 2 �� H 0�U
w 0 � (7 Z Cl FF OF ww
z Q ¢ Mtn NU) OLL FLL axctS
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY(NO. ) ,
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
laTown of Queensbury • Community Development Office - 742 Bay Road, Queensbury, NY 12804
P r. pp
` IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS: "11 4A LI)L ,&C� �
ESTIMATED CONSTRUCTION COST:? /S On FUEL TYPE: AJ j8C
HEAT TYPE?_N_L*HOW MANY FIREPLACES)_LLAND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? A)
IS THIS A HISTORIC SITE? P 0
PROPOSED USE OF BUILDING OR ADDITION: f1/�Q,L „_;` 0�u
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? IUIR
ARE THERE EASEMENTS ON PROPERTY? 1111/r
*Please complete a separate Application for"Fuel Burning Appliances&Chimneys" available in our office
I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I
certify that the application, plans, and supporting materials are a true and complete
statement/description of the work proposed, that all work will be performed in accordance with the
NY State Building Codes, local building laws and ordinances, and in conformance with local zoning
regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain
a certificate of occupancy. 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 hd ctree t thehabove.
Signed044.., J •cN -( • � k�
Director of Building & Codes: 761-8256 (for questionsCQUESTIONS
? CALL 761-8256 OR EMAIL
regarding Building Permits, construction codes or septicftueensbury.net
systems)
FOR MORE INFORMATIONZoning Administrator: 761-8218 (for questions regarding .gueensbury.net
required permits, the permit process, application requirements or to
schedule an appointment)
oo This application/proposed action described 0 Permission is hereby granted to the above 11
", herein is found to be in accordance with the ; % Applicant to erect or alter the building described ;
zoning Laws of the Town of Queensbury. o herein in accordance with said Application: 01
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P�
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o ZONING APPROVAL DATE BUI 1 ODES A OVAL DA E
0___________________________________________J f---------------
�/________-_____________�
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804