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RC-000400-2016 r` 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-000400-2016 Tax Map No: 239.12-2-65 Permission is hereby granted to: Robert Mulholland For property located at: 23 BRAYTON 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: Robert Mulholland Townhouse -Alteration $10,000.00 Owner Address: 7 Horicon AVE Total Value $10,000.00 Glens Falls,NY 12801 Contractor or Builder's Name/Address Electrical Inspection Agency Plans& Specifications Residential Alterations 486 s.f. Structural alterations to master bedroom only $ 60.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,June 24, 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 Town sbury; zt�7 29, 2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Office Use Only Received Date: bh [� Tax Map ID // Permit No. (Ls:, - 00%00 - 2- Tax Map ID 9, f z k� Permit Fee 'q k n. v. Zone Rec Fee Historic Site Yes No Site Plan# Subdivision Name Lot# Subdivision# Project Location 23 fi +,rin 1,,,,-e_ TOWN 131). RESOLUTION 85-203.3: $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). 0>N'IG : Z; ae a ytr- ,,5 Se&s'J Applicant �0 6er� !ti!u j�v[� � Owner ---- a Address 23 e _� C� ® Address 'Ice Ss -'f t)I I Lg0I Phone/E-mail b'3 y i _ ( (t i� L Phone/E-mail Contact Person for Building&Codes Compliance: a�u 4 lhu& dIt i if Phone 703 - S-( 7- l! c TYPE OF CONSTRUCTION ✓Check all that apply New Addition Alteration V floor sf 2nd floor sf Total sf Height Single Family M,;S.kv bre IG)c 2_'I v v Two-Family Multi-Family {# of units Townhouse Business Office Retail -Mercantile Factory-Industrial Attached Garage <JN 27 2015 (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 t, v q tt Source of Heat(circle one) Gas 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? Ye- c. Will the grade be changed as a result of construction Yes No d. Public water or Private well Wo e. Sewer or Private Septic System v`c. Value of all work to be performed (labor or materials) $ 10o00 DECLARATI©N: 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: b�Gds �, yf ° u� DATE: ZA SIGNATURE: DATE: 0Z.XZ9 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 ` Ld C� �6L J- , C W-ei V TOWN OF QUEENSBURY BUILDING & CO S PT. TOINN of QUEENSBURY Reviewed Buil_DlNG DEPARTMENT �. Based an our iirnited exarninafion,compliance Date. with our comments sh.3 oo', be construed as indicating the ,dans ana specifications are in full compliance with the building Codes of New York State. 90-TICE NOTICE: FOAM INSULATION MUST BE Smoke detectors are required in bedrooms, COVERED BY A 15 MINUTE adjacent to bedrooms and on each floor level including cellar or basement. THERMAL BARRIER All smoke detectors & carbon monoxide detectors shall be Intarconnnected with battery backup and located on all levels. Carbon monoxide detectors are required outside sleeping areas and on all levels. NOTICE KRAFT PAPER INSULATION MUST BE COVERED BY N'N•COMBUSTIBL E BARRIEF' 23 OA A y civ c. - c Lt V 27 V . TO`VUL-j'- .9fs11JR £U4LD;NG & CODES ti N Certificate of Electrical Compliance New York Atlantic-Inland, Inc. 997 McLean Road Ext. Cortland, NY 13045 Certificate No.:611614 Building Permit No: Issue Date: 6/16/2017 Building Permit Date: Inspected By: Devin Pratt Occupancy: R-3 OWNER SITE ELECTRICIAN Robert Mulholland 23 Brayton Lane owner 23 Brayton Lane Cleverdale, NY 12820 23 Brayton Lane Cleverdale, NY 12820 Town of Queensbury Cleverdale, NY 12820 SCOPE Greater Than 50% Remodel Single Family Home INSPECTION INFORMATION Fans: 1 Misc Fan (Fract. HP) Luminaires: 12 Luminaires Outlets: 1 -250V 30A Receptacles-Other, 11 Switches, 12 Receptacles Alarms/Misc.: 1 Smoke Alarms, 1 Smoke/CO Alarms, 240V 1 HP Water Pump, 1V 4.5kW Water Heater D CEC EUW JUL 102017 I jo TOWN OF QUEENSBURY BUILDINC&CODES ZQ 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.