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RC-000168-2015 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: RC-000168-2015 Date Issued: Thursday, June 9, 2016 This is to certify that work requested to be done as shown by Permit Number RC-000168-2015 has been completed. Tax Map Number: 308.19-1-7 Location: 45 CANDLEBERRY DR Owner: KYLE HARTMAN Applicant: KYLE HARTMAN This structure may be occupied as a: Residential Alteration 960 s.f. Basement By Order of Town Board TOWN OF QUEEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the � _ f/ 4 property owner of the responsibility for compliance with Site Plan, GGG��� 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 i Community Development-Building& Codes (518)761-8256 BUILDING PERMIT Permit Number: RC-000168-2015 Tax Map No: 308.19-1-7 Permission is hereby granted to: KYLE HARTMAN For property located at: 45 CANDLEBERRY 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 Tyne of Construction Owner Address: 45 Candleberry LN Single Family-Alteration $15,000.00 Queensbury,NY 12804 Total Value $15,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency KYLE HARTMAN 45 Candleberry LN Queensbury,NY 12804 Plans&Specifications Residential Alteration 960 s.f. Basement $144.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,October 27,2016 (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 Qxem ury; n /�AMon !a , em 2,2015 SIGNED BY: C L L„2Ny!'(// �V for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Office Use Only _ Received Date: �C E ��v a ID 0. (LC- 0001bb-W6 Tax Map ID '`3b®. 19 - 1�� P ee ( (1 Zone OCT 21 201 R Historic Site Yes No S e 1 # TOVb'N i QUCc J5' lJbdiv ion# Subdivision Name Iva PLJG�-O_D S Project Location ,rcT �^� 2a/ TOWN BD. RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family,duplexes/two-family, multiple family,apartments,condominiums,townhouses,and/or manufactured&modular homes, but not mobile homes. This is in addition to the permit fee(s). Applicant f i rimOwner 1� Address j/ { , Address �nS�m �aSv Phone/E-mail ` _ 5 Phone/E-mail iCV si ilt &30e�rerv"t6 +/ Contact Person for Building&Codes Compliance: kPhone Fp4-a36-G7 57q TYPE OF CONSTRUCTION ✓Check all that apply New Addition Alteration 11 floor sf 2'floor sf Total sf Height E Single Family Two-Family Multi-Family (#of units Townhouse Business Office Retail-Mercantile Factory-Industrial Attached Garage (1, 2, 3, 4+) Other If commercial or industrial please indicate of business Town of Queensbury Building&Codes Principal Structure Application Revised September 2015 Proposed use of building or addition Source of Heat(circle one) G Oil Propane Solar Other Fireplace: Complete a separate application for Fuel Burning Appliances& Chimneys Are there structures not shown on plot plan? Are there easements on the property? Site Information a. Dimensions or acreage of lot b. Is this a corner lot? c. Will the grade be changed as a result of construction _ Yes _ No d. Public water or Private well Q e. Sewer or Private Septic System ,F Value of all work to be performed(labor or materials) 1OU(7 DECLARATION. 1. I 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 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/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. 1 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: 14 DATE: ID al 1)5- SIGNATURE: 5- SIGNATURE: DATE: (JR For office use only Operating Permit Issued: _Yes —No Occupancy Type Construction Classification Assembly Occupancy Limit Special Conditions Town of Queensbury Building&Codes Principal Structure Application Revised September 2015 Certificate of Electrical Compliance New York Atlantic-Inland, Inc. 997 McLean Road Ext. Cortland, NY 13045 Certificate No.: 606372 Building Permit No.: Issue Date: 6/7/2016 Building Permit Date: Inspected By: Devin Pratt Occupancy: R-3 OWNER SITE ELECTRICIAN Kyle &Tanya Hartman 45 Candleberry Dr OWNER 45 Candleberry Dr Queensbury, NY 12804 45 Candleberry Dr Queensbury, NY 12804 Town of Queensbury Queensbury, NY 12804 SCOPE: Residential Basement Finish �c ll0�•2QA6 INSPECTION INFORMATION: Fans: 1 Exhaust Fan D q, X/ Luminaires: 9 Luminaires � Outlets:8 Switches, 10 Receptacles U ?� Alarms/Mist.: 2 Smoke/CO Alarms �? 95 This certifies that the process noted above was complete as specified at the time of inspection and any conditions not within the scope of the inspection are excluded.Because there exists a multitude of proprietary specifications,the adherence to the relevant Building Code of New York State is applicable to the electrical requirements on the above noted date and valid for one year forward. In connection with areas at the time of inspection and does not constitute areas that are enclosed,concealed or inaccessible. Should the electrical system be altered in any way, including,but not limited to,the introduction of new electrical equipment,this certificate shall be null and void. This certificate only applies to the occupancy use as stated.Changes in use,or occupancy as indicated above,negates this certificate in its entirety.