AST-0301-2018 TOWN OF QUEENSBURY
x s.t 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: AST-0301-2018 Date Issued: Monday, June 18, 2018
This is to certify that work requested to be done as shown by Permit Number AST-0301-2018
has been completed.
Tax Map Number: 296.14-2-2
Location: 21 DEVIN CT
Owner: Helen Difede, MARIO DIFEDE
Applicant: Tim Brown
This structure may be occupied as a: Deck 160 s.f.
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the ( avA° 4
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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
ar
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: AST-0301-2018
Tax Map No: 296.14-2-2
Permission is hereby granted to: Morgan's Property Management
For property located at: 21 DEVIN CT
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: Helen Difede Deck $10,500.00
Owner Address: 21 DEVIN CT Total Value $10,500.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Morgan's Property Management
117 Stone Ridge RD
Pottersville,NY 12860
Plans&Specifications
Deck 160 s.f.
$ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, June 5, 2019
(If a longer period is required,an application for . extension must be made to the code Enforcement Officer
of the Town of Queensbury before e e irati' •a;.
Dated at the To of Que n b `une 5,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ADDITION/ALTERATION PERMIT Permit#: AST • Ovo\ - ZQ k$
APPLICATION Permit Fee: $ i2.rD.00
Town of Queensbury
742 Bay Road,Queensbury,NY 12804 Invoice#: Qls‘Ari-
P:518-761-8256 www.queensbury.net
QM.9/1
Project Location: I De‘, GrA-irr
Tax Map ID #: 24)to . Lk. - 2. - Subdivision Name:
MAY 2 9 2iit }
CONTACT INFORMATION: TOWN OF QUEENSBURy
BUILDING#, COOPS
• Applicant:
.. -....P
Name(s): 7-i 0 -1, // '-)A
Mailing Address, C/S/Z:
Cell Phone: ( S/c ) 7c} ( - Z.e/t)3 Land Line: ( ) 79 i 2..t4t-/
• Primary Owner(s):
Name(s): If;")412/D l-P�I) D; /EDL
Mailing Address, C/S/Z: , / OLT'1 ml reeeT
Cell Phone: ( ) Land Line: ( ) (5 ) l} yL= 47
Email: rY)/7,Ztt,Di F 2)6 om :c'e4M
• Contractor(s):
Business Name: 7 72.�'( . J,S PPOFF- 'I /VIA JAG- —.itT—
Contact Name(s):
Mailing Address, C/S/Z: c
Cell Phone: (Six ) %- at/Li t Land Line: ( S( ) - 1 ( -2L—/L� 3
Email:./*t*�.1r`-)S P1' Y-t /.mot.r 'esa- -e.-r r iC O✓t--Z—K - e c�✓\
• 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: /lt✓t j DL.,.,A
Cell Phone: ( S( ) 7(1' f Land Line: ( ) "�Y ( Z uL/3
Email: J "'‘ ►0,..4`�-(3 0 GA‘r(col< , cc)--
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
PROJECT INFORMATION:
TYPE: Commercial Residential
WORK CLASS:
Single-Family Two-Family Multi-Family (#of units
Townhouse Business Office Retail
Industrial/Warehouse Garage (#of cars ) Other (describe, _)
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: _ 1st floor: //—.9
2nd floor: 2nd floor:
3rd floor: 3rd floor:
Basement (habitable space): Basement (habitable space):
Total square feet: Total square feet:
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ /0`So-
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 lyO"- Explain:
5. Are there any easements on the property? YES 1\110
5. SITE INFORMATION:
a. What is the dimensions or acreage of the parcel? / . gb f A(, 13c-1
b. Is this a corner lot? YES N�
c. Will the grade be changed as a result of the construction? YES `Ng)
d. What is the water source? RU- 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
I. I acknowledge that no construction shall be commenced prior tc 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: /Item , ,�� f'720r h
SIGNATURE: DATE: g-
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
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TOWN OF QUNSBURY
BUILQING DE RTMENT
Based on our lirhited exa ination,compliance
with o r commInts shall lot be construed as
/ indica ng the p ars and pecifica'ons are in
full c pliance with th Buildingt Codes if
*(ti New rk State' c
TOWN OF QUENSBURY
BU[L i O & COD PT I 1
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