2014-063 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
_ Permit Number: P20140063 Date Issued: Thursday, December 19, 2013
This is to certify that work requested to be done as shown by Permit Number P20140063
has been completed.
Location: Pickle Hill Rd
Tax Map Number: 523400-266-001-0001-009-001-0000
Owner: PAMELA HARRIS
Applicant: HARRIS LOGGING
This structure may be occupied as a:
Certificate of Occupancy (COM)
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property / _ t/ 41
owner of the responsibility for compliance with Site Plan, Variance, or /GGGw��W"
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
j! TOWN OF QUEENSBURY
`r . 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140063 Application Number: A20140063
Tax Map No: 523400-266-001-0001-009-001-0000
Permission is hereby granted to: HARRIS LOGGING
For property located at: Pickle Hill 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 Value
Owner Address: PAMELA HARRIS Certificate of Occupancy(COM)
1671 BAY Rd Total Value
LAKE GEORGE NY 12845-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2014-063 Harris Logging
CO Only
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,December 19,2014
(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 of Queensbury; Thursday,December 19,2013
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Fire Marshal
Received:
ESTABLISHMENT OF A NEW BUSINESS Tax Map ID: &We.
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: _1±06,3
Permit Fee:
*Note: This application is for occupancy only,with no work requiring a building permit.
Name of Business 4-\a r rcS \--0:0\ Sj /�
Address 11 Pi
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Wood Burnin¢Fireplace/Stove Inspection Report
Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed.
h / /i
Permit# /3 O43 Schedule Inspection 25 Time pm anytime InspectorckS
Name 1264434k. iZZ Address ' I /// -, 1 LC.' Rough In Final
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Appliance Manufacturer v J 1/45--if Model# GA
Masonry Chimney Factory Built Chimn� frte e Size_ Double Wall_Triple Wall_Insulated
Yes No N/A Comments
Floor Protection V $iJ S )l e4 DA) Ana f4t/-zan4rPlapit
Clearances to Combustibles(all sides) , /
Safety Strip Installation(fireplaces only) ���///
Firestop(s) Vertical Chase /
Wall Penetration
Chimney Clearances to Combustibles V
Chimney Termination
3 feet above roof penetration;2 feet above
any combustible construction within 10 feet
Combustion Air
Hearth Extension
Mantel(height above Up opening) / X
Fireplace Doors/Screen(required)
Carbon Monoxide Detection
White—Building Dept Yellen—Cusbmer Pink—Fire Marshal
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