2010-017 411" TOWN OFQ UEENSBURY
t 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100017 Date Issued: Friday, September 30, 2011
This is to certify that work requested to be done as shown by Permit Number P20100017
has been completed.
Location: 27 STEVENS Rd
Tax Map Number: 523400-308-020-0001-023-000-0000
Owner: ANGUS & ROGER WILSON
Applicant: ANGUS & ROGER WILSON
This structure may be occupied as a:
Residential Alteration By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, V°/
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.
1
411.11A
742
QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100017 Application Number. A20100017
Tax Map No: 523400-308-020-0001-023-000-0000
Permission is hereby granted to: ANGUS &ROGER WILSON
For property located at: 27 STEVENS 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 Value
Owner Address: ANGUS & ROGER WILSON
27 STEVENS Rd Residential Alteration $13,000.00
QUEENSBURY,NY 12804-0000 Total Value $13,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2010-017
ROOF REPAIR -NEW TRUSSES & ROOF
$40.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, February 17,2011
(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 f Que b , •di day, February 17, 2010
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
•
30 .20 / --Z OFFICE USE ONLY
TAX MAP N0. PERMIT NO. 0 a MO/
FEES: PERMI hn, RECREATION
1
ENGINEERING
(If applicable)
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: t� q S W I S 0,I / . 1 S c
W
t � a OWNER: A15 14 "1
V
ADDRESS: / 4 - ADDRESS: `I [tv,t lei- V. G F Rf
PHONE NOS. /V�- - i
PHONE NOS. 578 .- "18 0 _ 3/4
Ar CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: / 1- - PHONE: A/
LOCATION OF PROPERTY: a 7 S le v e.1S IL iQ Al Y
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES X NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: !v A
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
o
d
APPLY TO YOUR z x 0 do 1-
PROJECT O < 00 p w
0 � � i � w ¢ a = =
U
z < < r- a Na 0u OF- Oao
F- u_ a I ots
SINGLE FAMILY 1( iv( 10"-
TWO-FAMILY \�j
)
Y _
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE / j1 r
II
BUSINESS OFFICE / r� / ,\f•tcr
1
\\/RETAIL- 6 �,
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST:40001 3/ 0 00 FUEL TYPE: 0 t`
.&J c- n n
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /1/10
ARE THERE EASEMENTS ON PROPERTY? 40
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 surveyby 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.
Signed
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
BUILDING & CODES APPROVAL ZONING APPROVAL
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
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