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RC-000445-2015 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-000445-2015 Date Issued: Tuesday, January 31, 2017 This is to certify that work requested to be done as shown by Permit Number RC-000445-2015 has been completed. Tax Map Number: 315.6-2-27 Location: 27 MOCKINGBIRD LN Owner: Amanda Demeter,Daniel Demeter Applicant: Amanda Demeter This structure may be occupied as a:garage addition 336 sq. ft.onto existing attached garage By Order of Town Board TOWN OF QUEENSSBUR%Y Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, GGGWWWi�" V Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcmnent 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-000445-2015 Tax Map No: 315.6-2-27 Permission is hereby granted to: Daniel Demeter For property located at: 27 MOCKINGBIRD LN 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: Amanda Demeter Attached Garage-Addition $10,000.00 Owner Address: 27 MOCKINGBIRD LN Total Value $10,000.00 Queensbury,NY 12804 Contractor or Builders Name/Address Electrical Inspection Agency Plans&Specifications garage addition 336 sq.ft.onto existing attached garage $50.40 PERMIT FEE PAID-TIES PERMIT EXPIRES: Sunday,January 8,2017 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury befojtheexiration date. Dated at the Town ueens ryTh ovary 14,2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Office Use Onty Received Date: la/36la:15 TaxMapID 31S.�-a a7 Permit C - Tax Map ID — J—a-2-7 Permit Fee ¢ D00 ✓� /g� Zone .lam P6L;t 41 d1 Historic Site _Yes _ No Site Plan# Subdivision Name Lot# Subdivision# iq--Iggo Project Location �7/�� nab,�L J int✓ 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). DEC 3 0 2015 Applicant (EL 0 EVALr94e- Owner Address .L mo�o be)(eA WJ1 Address V�� ivc4- Phone/E-mail 2 _4119 1 Phone/E-mail Irvc-�VDln Co IM Contact Person for Building&Codes Compliance: 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 Factory-Industrial Attached Garage 33�i one- 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) D Gas Oil Propane Solar Other �o Fireplace: Complete a separate application for Fuel Burning Appliances& Chimneys N� Are there structures not shown on plot plan? Are there easements on the property? 00 Site Information a. Dimensions or acreage of lot 0 2 b. Is this a corner lot? t) c. Will the grade be changed as a result of construction o _ Yes No d. ublic ater or Private well e. Sewer rivate eptic System Value of all work to be performed(labor or materials) $ t01 OOD 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.th,a above:: PRINTNAME: 1 F� 1 �IGIM DATE: SIGNATURE: r DATE: L2 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 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. `•g. Main Office 176 Doc Run Road•Manhotm,PA 17545 . ?' MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No....., ...Cen.NQ 42314 Cuain Card No................:................ ... i'. .1 Owner........................ ........................................................................................ .. w: vI Location..............n�.'z:_...t...E OG(LIn.4:_-b.dRLI..... ......:....Q s/,eCn.J.S G..P.:.. .._............- -;' Installation Consisting ......... .Q0.L.7�!®."SSC.--------- ............:. .. InstalledBy.....ti ................_........................................._Lie.No.................................... ' The conditions following governed the issuance of this certificate,and anv certificate previously issued is cancelled:• . This cenifiratc only covers the electrical equipment and installation conditions as of date, Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. ; -'� Inspectors of this Company shall have the privilege of making inspeetions at any time, and if its i i rules are violated,the Company shall have the right to revoke this certificate. ... Date........g.71.'P.Q-J................ INSPECTOR �....)....... _./ .Lav� 4Y1�'L�-ts��'........,... Member N.F.F.A.,I.A.E.I. E0 39Cd m8Wf1W NON 089186L TZ:OT 910Z/9Z/01