CO-0767-2018 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CO-0767-2018 Date Issued: Monday, December 10, 2018
This is to certify that work requested to be done as shown by Permit Number CO-0767-2018
has been completed.
Tax Map Number: 307.-1-29
Location: 59 WEST MOUNTAIN RD
Owner: Spencer Montgomery
Applicant: Apex Capital LLC
This structure may be occupied as a: Warming Hut
Mobile Trailer for use by the Public By Order of Town Board
Condition: Temporary Mobile Trailer - to be removed by June 1, 2019 TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the ( 4449 4 /‘lit
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: CO-0767-2018
Tax Map No: 307.-1-29
Permission is hereby granted to: Apex Capital LLC
For property located at: 59 WEST MOUNTAIN 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: Spencer Montgomery Certificate of occupancy $0.00
Owner Address: 59 WEST MOUNTAIN RD Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Warming Hut
Mobile Trailer for use by the Public
mobile trailer will be finished to grade(no septic)
Temporary/Seasonal Placement
$ 100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Monday, December 9, 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 date.)
Dated at the Town of bury; rida 9 e -tuber 7,2018
SIGNED BY: i
41 for the Town of Queensbury.
' \
Director of Building&Code Enforcement
n
e'::: :e-III-19 - / 66 , 4bme,..- Office Use Only
i .: ACCESSORY STRUCTURE Vti permit : C-0 76 �7- 0 i '
„.*.i.,;
.� PERMIT APPLICATION , Ci Permit Fee: $kir?) c OE-� ( .�
Torn of(�uccnsbury • L+�11
742 Bay Road,Queensbury,NV 12804 Invoice#:
P:518-761-8256 www.queensbury.net
Project Location: 59 k e `l 6-:,i^-"ec.o , Reiv
Tax Map ID #: 36 /• _j ' ai fñ) t 14 :.., ..-T_. C.�(.1 `V"iY%el ttf ( j 1 �_
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CO
NTACT INFORMATION: LI DEC 0 4 an8
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Tov iv r o tr-f,k roir' �'�
I 3 JAI ti�� ..6R. i 3,rc�.ct -
Name(s): peX. C A-AL. LL C_ - .� w€' =_NT
Mailing Address, C/S/Z:� _IS ' 14)e. :T' k o rcr-A L NJ ( 0 , 'e u- t.v N 0e°
Cell Phone: (sle ) 3.3E- 1--S� Land Line: ( S'ig ) :36 36 el eA 0
Email: eve'_ eweST,t-1TN, J1
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• Primary Owner(s):
Name(s): .5 fsel(ee 0 9001p2-7
Mailing Address, C/S/Z: CI WAJes— yvv7 /Z) au e,tse v2 Ai/ J.4-24, )c
Cell Phone: ( Sig' ) 1S' '- & '7 Land Line: (Sig ) 63A, 3/J'39 -X T ?Q/
Email: .5?0,n(er- e ix1„i,'ti ,,,, AJe_i
• Contractor(s):
Business Name: /' O1 5 n�C pre 0
Contact Name(s): f
Mailing Address, C/S/Z:
Cell Phone: ( ) Land Line: ( )
Email:
• Arehitect(s)/Engineer s):
Business Name: hi Ps-
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: ( ) Land Line: ( )
Email:
Contact Person for Building & Code Compliance: S`{'60/1 ev, Mitk-fee
Cell Phone: (Sig ) 'J Kg -74V.6 Land Line: (SiR" ) 6j36 - s ‘ % c'v ei
Email: She✓t 6 wes.r itiTiu . Ave E
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
• PROJECT INFORMATION:
TYPE: Commercial 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: tj'h/)(rAry Th O,�l l� -'f.I\t r
SQUARE FOOTAGE OF STRUCTURE:
1st floor: b �-
2nd floor:
Total square feet: 6
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ 1 OS-
2. If Commercial project,what is the proposed use: Lt/kfl-Ji1 IVO IT v
3. Are there any structures not shown on the plot plan? YES NO 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 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: 5 Azlievi PIi C e
SIGNATURE: t 0 DATE: ia"/y /ef
Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017
1JlE
,
DEC 0 4 2018
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TOWN OF QUEENSBURY
COMMUN1TY DEVELOPMENT
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- A MOUNTAIN
PURE FUN, DAY OR NIGHT '
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www.skiwestmountain.com / 518-793-6606
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