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CC-000440-2016
TOWN OF QUEENSBURY at 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: CC-000440-2016 Date Issued: Monday, May 8, 2017 This is to certify that work requested to be done as shown by Permit Number CC-000440-2016 has been completed. Tax Map Number: 302.7-1-44 Location: 154 QUAKER RD Owner: Michael Kajdasz Applicant: Turner Construction Company This structure may be occupied as a:Commercial Interior Alterations 100 sq. ft. Key Bank By Order of Town Board TOWN OF QUEE/N/SBUR/JY Issuance of this Certificate of Occupancy 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: CC-000440-2016 Tax Map No: 302.7-1-44 Permission is hereby granted to: Turner Construction Company For property located at: 154 QUAKER 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: Michael Kajdasz Business Office-Alteration $15,000.00 Owner Address: PO Box 268 Total Value $15,000.00 Cleverdale,NY 12820 Contractor or Builder's Name/Address Electrical Inspection Agency Turner Construction Company 1 Computer DR, South 12205 Plans&Specifications Commercial Interior Alterations 100 sq. ft. Key Bank $ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,July 13,2017 (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 6uee 13,2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE' APPLICATION Office Use Only Date: Permit No. e6 Tax Map ID :7 Permit Fee �j /n✓vitf7F/ Zone Historic? _Yes /No Rec Fee .,/I— Subdivision Name Lot# Site Plan # Subdivision Project Location 14 �t.[AtL @+b�C,h^.4T55e3 TOWN BD.RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family,duplexes/two-fa ily,rnpl�" l��ffff����+ly, apartments,condominiums,townhouses,and/or manufactured&modular homes,but not mobile homes. Thi W� a�JVc io�4+I'd'�he permit fee(s). Primary Owner(s) OAT-tat'JAL A-_-;50Gi A I�0 Address 15(5 "J S7eQ.h1 AVC-�?�IU:_GAri-I2A.KlY,M%1 12203 Phone/Email /-. - _4 1 t PaeP_T'_ i LA+r4a Applicant Address I Cp r kPi, T_ DiZw'F-,SUU Au' A-tJ\! KIY 12205 Phone/Email o Z —on-7/ J t-1 t4o I C:CQZQM Contractor Address Phone/Email Contact Person for Building& Codes Compliance: JEFF U.+-10 Phone(51g) ZSW* TYPE OF CONSTRUCTION (Check all that apply New Addition Alteration I5t floor sf 2nd floor sf Total sf Height Single Family Two-Family 302.7-1-44 CC 440-2016 Multi-Family Key Bank (#of units ) Turner Construction Co. 154 Quaker Road Com'] Int. Alt. Townhouse Business©Bice Retail -Mercantile Factory- Industrial Attached Garage (1, 2, 1), 4t") Other A-P4 V-- ✓ �1- �' �/ ter 0 Town of Queensbury Building&Codes Principal Structure Application revised January 2016 If commercial or industrial please indicate name of business KGy 6A,4V_. Proposed use of building or addition P-.A4QIL Source of Heat(circle one) Gas Oil Propane Solar Other Fireplace: Complete a separate application for Fuel Burning Appliances &Chimneys Are there structures not shown on plot plan? Iv[7 Are there easements on the property? N A Site Information: a. Dimensions or acreage of lot b. Is this a corner lot? Yes No c. Will the grade be changed as a result of construction Yes No d. Public water or Private well (circle one) Public Private e. Sewer or Private Septic System(circle one) Sewer Private Value of all work to be performed(labor or materials) $ 16,000.00 DECLARATION. 1. 1 acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. If work is not complete by the I 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 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 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: J. JEFF 0Y LINO DATE: 6 �2& SIGNATURE: I VM DATE: 30 11 For office use only ul� Operating Permit Issued: es No Occupancy Type Construction Classification Assembly Occupancy Limit Special Conditions Torun ofQueertsbury Building&Codes Principal Structure Application Revised January 2016