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RC-0362-2018 TOWN OF QUEENSBURY , r 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 4 Community Development-Building&Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: RC-0362-2018 Date Issued: Thursday, July 19, 2018 This is to certify that work requested to be done as shown by Permit Number RC-03 62-2018 has been completed. Tax Map Number: 265.-1-62 Location: 1616 BAY RD Owner: Jennie Demers,Raymond Demers Applicant: Raymond Demers This structure may be occupied as a:Residential Interior Alterations 340 sq. ft. (this building permit supersedes RC-000617-2017) By Order of Town Board TOWN OF QUEENSBURY 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 F 1 j f 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 w s. Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: RC-0362-2018 Tax Map No: 265.-1-62 Permission is hereby granted to: Raymond Demers For property located at: 1616 BAY 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: Jennie Demers Single Family-Alteration $0.00 Owner Address: 1616 BAY RD Total Value $0.00 Lake George,NY 12845 Contractor or Builder's Name/Address Electrical Inspection Agency We Care Construction LLC 2414 Route 29 Middle Grove,NY 12850 Plans&Specifications Residential Interior Alterations 340 sq.$. (this building permit supersedes RC-000617-2017) $ 200.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,June 21,2019 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of�QueeSnbefbreNexpiratio to Dated at the Tob T une 21, 2018 SIGNED BY: Q for the Town of Queensbury. Director of Building&Code Enforcement t office Use onl�r 4:. ADDITION /ALTERATION,IPERMl7 Permit n: c ®v APPLICATION Permit Fee:$ 1w� Town of Qeensbury 742 Bay toad,Queensbury,NY 12804 Invoice#: P:518-761-8256 www.gueensbury.net ( �° • �C 4e,l7- 5v r -7 Project Location: l Co1 7RQ A0 Tax Map to ph 6 2 Subdivision Name: Ems ' W� CONTACT INFORMATION' 8 Applicant: diN �4' , 1, Name(s): TOV111\10EQ Mailing Address, C/S/Z: I p i 3 � s i c �' y1wr Cell Phone: (Si. ) �- �- &4L4 c% Land Line: -5 i ; ) 5-0'z- 1 � Email: coffin Primary Owner(s): Name(s): .2-,roam -� Mailing Address, C/S/Z: I0i C� ai � �- = �caizz ►°'`f c�� Cell Phone: Land Line: Email: ® Contractor(s): Business Name: V� Contact Name(s): Mailing Address, C/S/Z: CAA— L%" Cell Phone: Jib ) ` ,2.2 - Z. ( Land Line: Email: a Architects)/Engineer(s): Business Name: Contact Name(s): Mailing Address, C/S/Z: Cell Phone:�_) Land Line: Email: Contact Person for Building &Code Compliance: Cell Phone: ( 51 ) 2-2 9 T Co` -1 0 Land Line: ( 5(� --5-o2 -- 141 CR Email: -A C 0 z C> Tnwn of nnP mhnry i?nilding&Code Enforcement Addition/Alteration Application Revised March 2018 } PROJECT INFORMATION: TYPE. Commercial �Residential . WORK CLASS. Z' Single-Family _Two-Family _Multi-Family(#of units ) Townhouse Business Office Retail Industrial/Warehouse Garage (#of cars ) Other(describe ) ADDITION SQUARE FOOTAGE: ALTERATION,SQUARE FOOTAGE: 1st floor: 1st floor: 2nd floor: 2nd floor: 3rd floor: 3rd floor: Basement(habitable space): Basement(habitable space): Total square feet: Total square feet- I ADDITIONAL PROJECT INFORMATION: I., Estimated Cost of Construction: $ L-0 55 'A A PJ 2. If Commercial project,what is the proposed use: 3. Source of Heat (circle one): Gas Oil Propane Solar Other Fireplaces need a separate Fuel Burning Appliances&Chimney Application 4. Are there any structures not shown on the plot plan? YES DO Explain: 5. Are there any easements on the property? , YES 6. SITE INFORMATION: a. What is the dimensions or acreage of the arcel? l --'C b. Is this a corner lot? YES NO= c. Will.the grade be changed as a result of the construct' YES ONO d. What is the water source? PUBLIC IV -lam e. Is the parcel on SEWER or a PW' . T SEPTIC stem? Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 1. I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 3. 1 certify that the application, plans and supporting materials are a true and complete statement and/or 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. 1 also understand that I/we are required to provide an as-builtsurvey by a licensed land surveyor of all newly constructed facilities priorto issuance of a certificate of occupancy. I have read and agree to the above: PRINT NAME: SIGNATURE:,,-- DATE: _ 1SI Town of Queensbury BuildinL-&Code Enforcement Addition/Alteration Application Revised March 2018 FILE COPY � uj -- -------- -- - - o - ^ tOf L I �?, ° � �- IL -< w I- mo ( n_ 1 w Z 4� L o w ~ p - LL a -- �cp, CO .........y.. i t y 77y 1' p OCT 0 t f- CO STY DEV EL ENT 265.4-62 " Demers, Raymondf� 1616 Bay Road Residential Alteration Jul. 2j. 2U1S 1 :21PM MUTA N p Q { u}Zc G} ? - 's;r? •:5,r.}$ :A vm,,r.-�':?�� 3�a:! wvz ,?`3,i ¢i=..4,i J IV 4 6 O;,&t f, ,/I O x at'sv 0 MIDDLE DEPARTMENT INSPEC• TION AGENCY, INC. << (<) W�that the electrical wiring'to the electrical equipment listed below has been examined and is approved as >t ' 4being in accord with the National Electrical Code, governmental, utilityandapplicable t e Agency rules in effect on the dateim noted below and is issued subject to the following conditions. i, :. Owner: Date: �9� l� Raymond Demerse 07/17/2018 r ' Occupant: 1 St Fl Rear Addition Location. � ;). 1616 Bay Road fir.;j �� Occupancy • Queensbury, Warren Co. NY - j>> (�� Single Family Dwg_ f¢) Applicant: , ' Raymond Demerse —----... , ,_ C) 1616 Bay Road -- l_ • r�/ �`� Lake George NY 12845" -•.-_..__�_ - .i.: <<:J, h • << §-) L J' �1 0 ) le, Joseph A.Holmes ' .. '' "_ ""' �'>> JNo. - - - , 318014103200EL • • ._ • - - - - - Equipment: fig >> 13-Switches; 16- Receptacles; 12�•:Fixtui s; 1 =Venf-Fan,•4-Srrioke.Detectors; 3•=Arc Fault.Breakers; 1 - 6J =••Whirlpool Tub; -500 KW Electric Heater;2-2000 KW Electric Heaters .)) • 0 ..) N •• 1C) • _... -- .._ ...A. C,) IN ?r This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and i;F� ;C'y) above and the installation inspected as of the above noted date based on a visual ownership as Indicated herein. Upon a change in the use,occupancy or ownership 1 ) tij� Inspection_ No warranty is expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and void. 'C•:`}� or particular purpose. This ficate l In the t that this es alid based upon a ove con tons, be valid for operiod of oss of the nefyearlfrot om thr e above noted date. Should the electrical this certificate may bemrevalidat revalidated nspection by Meddle Department Y). G•) system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application fof inspection must be submitted to Middle �J� (?4 ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc,to initiate the inspection and revalidation 0 `- any of the components installed as of the above noted date,this certificate shall be process,.A fee will be charged for this service. () fir': ,:zry fiv-:.7,,. •i:'l-• ?�:%9i�/:ten*:%:4 rr�'.:-_r•�ii:Vim+: .. :9:;,AV :'ri=�ji=;?'s0:a**-1?gAPW.n''7.1ri d'ri of*:W;::-;;i•.;4;"0!M r :Alt CtifEr ri•' >rl'•; c;±"e,,ct c� :i ki`:sr. . v1 Ns;< ,.} : ,-,,-=.--`s r-. ,ICY•::J/... ..••�,•.�,� �..�. ,.,,v_A J .,,.„ ,- /- ,��.�V`:.�.� � � ��' %h_.�.h_-J%C•j<��/•v�JG� .�' � v:��!=��=C��'-nJ�•��_,t• � .��:':�.-:- :`\�.•.`•��\..<\..:�.�•`-.�'.�'..�'.�%/•� pECE [ WEO JUL 24 2018 TOWN OF QUEENSBURY BUILDING&CODES ' • • 2.c-0bA.z.2_ -20 t-t