BOTH-000769-2016 TOWN OF QUEENSBURY
0742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
— _ Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: BOTH-000769-2016 Date Issued: Monday, December 19, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000769-2016
has been completed.
Tax Map Number: 296.50-1-3
Location: 6 GENTRY LN
Owner: Eileen Donovan
Applicant: Saratoga Chimney Sweep LLC
This structure may be occupied as a: Fireplace Insert-Gas
By Order of Town Board
TOWN OF QUEENSSBBURYJ
Issuance of this Certificate of Compliance 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
W— ��
BUILDING PERMIT
Permit Number: BOTH-000769-2016
Tax Map No: 296.50-1-3
Permission is hereby granted to: Saratoga Chimney Sweep LLC
For property located at: 6 GENTRY 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: Eileen Donovan Fuel Burning&Chimney $0.00
Owner Address: 6 Gentry LN Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address - Electrical Inspection Agency
Saratoga Chimney Sweep LLC
475 Broadway
Saratoga Springs,NY 12866
Plans&Specifications
Fireplace Insert-Gas
PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,November 4,2017
(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 Townueens ry, n 4 Fri y4,2016
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
t fl
Fuel 13urnutg App(tzlnct & C hutttlei 1pllli .tiu Nov. 2o[-(�p
U,rrr
AID t '
t�
7_oNf..
---- - ---
�R'NISIL Y
I.�Ln i�G 1�L J(l.. F
INSTn LER! �r' - �.�1. , tr JL,' _h C:
�rc� C _ G.Ck,moC+�St��t ,Lr
HU[1.DLI� ` 475 t ��r� 77`f' ,✓� r��c, G i`
COMA C1 PERSON l � ',.L'i til ) <r '.C 1�rr1 COM: I l +'t-
u
PH0M;!(?-1vd All $1�:���9 �' - .-, es.g�,.�+� �J 13111 LfhNU.AUI»ZF;�> C-1- ,-K. qxitvl 1r! C)LAt4.n3�.v
J2 Oct
ROOM oi: Itiv rALt., PLANNED INSTALL DA 11i
,
FUE1,BVRMN(I .1P1 ..I ,Nti't \t1ON 1'•'( ) ' �'ti± PI'L',.l ' G...- 2U6,11-1N$
—I---
FFIRiTI.At.
- t Iti 11.ItitiI'Y:C7 ION ARE
X -EI` ,SE tAALFACI l'It1?R'S
I -1---- �-- .t 1Atil Al-I ,1]tU'v �IaN UAt,
ifl•: A` \ILAFII.E AT
MI,()I. I%'I�VCTIOA
`li`actoi = bwIt 9rov idC n,£InU2'.L ult name,
P_r
Listed by r i I Numb-I LlU-) i
Mason, (check or ) l;! r ` ,t t, )N;, — -_
Flue �r Sri r Si 7C inlnhts
c
— -- - -
Matena;
' If non-inasonry 1)11ryide €,an,e
DECLARATION: C\m;;1L,1Ij01 .l n rd e.uat m.c wi `)lm I� N 'S I:ue I'!e ent.• n & f3 iidinc Code and/or
manuf,-tca.ror rului too crus iix ztjvpt .rant er ,rt ner_«gleas to eoml-ly %%Ih ill a ,Ylic .rilc leyus:- rd
regulations, and 311 COI >I tlUtlkWl
n� ll ;`c .- +,I liri l ordinances.Icyuirc;uc
and ;u .. � , - i:�;,Vr nane e.
to pe- orm. rcq;;Ired nl rt(:. n,
I }tAvL F'LAD.y?-D �t•li .i. iC2T'!II' ?%fCVI :
PRINTeeo, Jr)OVr4
SIGMA ! :Zi ��'�.•l>v_ � i , . i
296.50-1-3 BOTH 769-2016
Saratoga Chimney Sweet,LLC
for Eileen Donovan
6 Gentry Lane
Fireplace Insert - Gas