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RC-000237-2015 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-000237-2015 Date Issued: Tuesday, January 31, 2017 This is to certify that work requested to be done as shown by Permit Number RC-000237-2015 has been completed. Tax Map Number: 301.17-2-8 Location: 19 CHEROKEE LN Owner: Thomas LaPier Applicant: Thomas LaPier This structure may be occupied as a:576 sq. ft.attached garage&60 sq.ft. breezeway By Order of Town Board AV No. 56-2015 approved by ZBA on 10/28/15. TOWN OF QUEEN/S�BURAY 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: RC-000237-2015 Tax Map No: 301.17-2-8 Permission is hereby granted to: Thomas LaPier For property located at: 19 CHEROKEE LN in the Town of Queensbury,to constructor place at the above location in accordance with application t�[!e eE V I S E D with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Tvce of Construction Owner Address: 19 Cherokee LN Attached Garage-New $15,000.00 Queensbury,NY 12804 Total Value $15,000.00 Contractor or Builders Name/Address Electrical Inspection Agency Thomas LaPier 19 Cherokee LN Queensbury,NY 12804 Plans&Specifications 576 sq.ft.attached garage&60 sq.ft.breezeway PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,October 30,2016 (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 expiraJ tion date.) Dated at the Town of Qup is T rsda , of ,2015 SIGNED BY: f\ /a/ for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APP TJ ,fir ;j ice Use OnON l eived Date: G 9 2015 Map ID 30/./7- 2- le it No. Rr-000a3 d_o i5 Tax Map ID - Pe it Fee /Z '2Aje, Zone TOWN OF QUEENSBUR R Fee ;�/oo v BUILDING&CODES Historic Site Yes No 1 e Plan# SubdivisimrNb2&e 010/ Subdivision Name �es W 6e d— i�ka g 3 Lot# � �D a Project Location I ', 61x r kee, 4&Ae1 TOWN BD. RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family,duplexes/two-family, multiple family,apartments,condominiums,townhouses,and/or manufactured &modular homes, but not mobile homes. This is in addition to the permit fee(s). Applicant 7/lvAlaS G �2 Owner TliactRS G�b2 Address X7ero / _ _-e Address -tifv,S cie Phone/E-mail S8� 32 Phone/E-mail Contact Person for Building&Codes Compliance: LA T1 E/L Phone TYPE OF CONSTRUCTION ✓Check all that apply New Addition Alteration 1"floor sf 21 floor sf Total sf Height Single Family Two-Family Multi-Family (#of units Townhouse Business Office Retail -Mercantile RC-000237-2015 Thomas LaPier Factory-Industrial 19 Cherokee Lane 576 sq. ff. att. garage and breezeway 60 sq. ff. Attached Garage / (1, 2' 3, 4+) �6 Other If commercial o industrial please indicate of business Town of Queensbury Building&Codes Principal Structure Application Revised September 2015 Cmfd4-'�'P__ �j I'feZe un47" Proposed use of building or addition r&re- v e kt Je_i0,0�C� Source of Heat(circle one) Gas Oil Propane Solar Other Fireplace: Complete a separate application for Fuel Burning Appliances & Chimneys 1 /4 Are there structures not shown on plot plan? �p Are there easements on the property? ^t Site Information a. Dimensions or acreage of lot b. Is this a comer lot? lies c. Will the grade be changed as a result of construction _ Yes No d. Public water or Private well h/� y e. Sewer or Private Septic System N Value of all work to be performed(labor or materials) is ,$O o 0 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. 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: 7�/y1�S rZ 4-t'/E2- DATE: SIGNATURE: DATE: 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