AST-0578-2018 �^ TOWN OF QUEENSBURY
� 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
--__ Community Development - Building & Codes (518) 761-8256
CERTIFICATE OFCOMP 1ANCE
Permit Number: AST-0578-2018 Date Issued: Tuesday, June 11, 2019
This is to certify that work requested to be done as shown by Permit Number AST-0578-2018
has been completed.
Tax Map Number: 301.17-3-63
Location: 10 CAITLIN DR
Owner: ERIC LENDRUM
Applicant: ERIC LENDRUM
This structure may be occupied as a: Deck 183 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,
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-0578-2018
Tax Map No: 301.17-3-63
Permission is hereby granted to: ERIC LENDRUM
For property located at: 10 CAITLIN 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: ERIC LENDRUM Deck $1,800.00
Owner Address: 10 Caitlin DR Total Value $1,800.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Deck 183 s.f.
$ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, September 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 Quee before ex ' atio- .t:/
Dated at the Town f Que • W v:.-_� September 19,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
0110.4.
ACCESSORY STRUCTURE Permit#:
•
PERMIT APPLI $ 12 S�
G
Town of Queens.ury rFAECEOV E77))742 Bay Road,Queensbury,NY 12804 vvoi e#: OC�L/,
P:518-761-8256 www.queensbury.net
E SEP 11 2018 I
Project Location: 10 CreA, TOWN OF OUEENSBURY
BUILDING a'..+OL7:S
Tax Map ID #: 3G L i - 3 --(02; ubcTivision`N i`i' 'e:i 10 si
CONTACT INFORMATION:
• Applicant:
Name(s): rut-vim
Mailing Address, C/S/Z: 10 C Dc:VP
Cell Phone: ( ) - I a Land Line: ( )
Email: �c.k.,, \ 3erg. ('OM
• Primary Owner(s):
Name(s):
Mailing Address, C/S/Z: 10 C - i f\ aft JR-
Cell Phone: ( ;t`k ) Land Line: ( )
Email: es-;;L...`f.�
• Contractor(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: ( )___ 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-
Cell Phone: ( 5 ) 0 - 245 17- Land Line: ( )
Email: a ;Gkx\?s e ms;i . P�
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
PROJECT INFORMATION:
TYPE: Commercial V 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: 13
2nd floor:
Total square feet: IS3
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$ \ OQ
2. If Commercial project,what is the proposed use: iJ)vq
3. Are there any structures not shown on the plot plan? lam' NO Explain: 3'q. c, -
4. Are there any easements on the property? YES 0-6
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:
s f
PRINT NAME: ,( -= '1!'\8,.0-04cN
SIGNATURE: c� � v DATE: :2)C1/ 1?
C.--
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
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BUILDING DEPARTMENT ,�.. _„w....�.,....._......
Based on our limited examination,camplian �; :, _:___f .._«
with our comments shall not be construed i (:7) v .,�
indicating the plans and s, pfications are in ..,ril�ln® Codes ofY� i
full lance with the ,,_--ty, r.� e,--i i
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301.17-3_63 AST-
,, 'Z,� \ D. Landrum, Eric 4578-2018
10 Caitlin Dr
Deck
183 s.f.
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