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RC-000815-2016 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-000815-2016 Tax Map No: 266.3-1-25 Permission is hereby granted to: Norton Contracting For property located at: 1631 RIDGE 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: Brandy Tennyson Single Family-Alteration $60,000.00 Owner Address: 1631 Ridge RD Total Value $60,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Norton Contracting 7 Loren DR Queensbury,NY 12804 Plans&Specifications Residential Alterations total 357 sq.ft. Kitchen 210 sq.ft. new bathroom 30 sq.ft convert one bedroom into bathroom 117 sq.ft. Building Permit Fee Paid: $60.00 on Invoice 1296 (This permit file linked to file no.RC 807-2016) PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,November 29,2017 (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 of rs 9' n tsd o, o %2016 SIGNED BY: (\ (_yVj' for the Town of Queensbury. Director of Building&Code Enforcement PKINC1PAL STRUCTURE APPLICATION Office Use Only g l5 Date: aOI�P - — �-�- Permit No. RC- ar7-JO I Co Tax Map ID A a 3q 66 O 3� 1 '�S Permit Fee Zone R5 C JOSS : I Fc�a Historic? —yes )(_No Rec Fee Subdivision Name Rep Lot# Site Plan# Subdivision# Project Location 1Co31 R,d44 Rd Quee.,si'� . '41Y 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 Ogme . is is In-addition to the; permit fee(s). i NeV 92 2016 f Primary Owner(s) _ &-a-Ael TC11 n !moo I Address 1 (0 nl� &r U a. C Phone/Email 4u 1 S - C4 . CO Applicant LA frIll Address R -' J2 Iv a Gy Phone/Email FS,;L Ll_ N Contractor AddressC/�'N r. r Phone/EmaiI S/1 6V3 -©a4 7 f70r40Y'C0"4MC'hk'4 Go'"N Contact Person for Building&Codes Compliance: Phone TYPE OF CONSTRUCTION ,,'Check all that apply New Addition Alteration I"floor sf 21 floor sf Total sf Height Single Family t �h 10 Two-Family Multi-Family (#of units_) Townhouse Business Office Retail-Mercantile Factory-Industrial Attached Garage (1, 2, 3, 4+) Other d m' Ohr J- FVvil ) Town of Queensbury Building&Codes Principal Structure A ary 16 �G. If commercial or industrial please indicate name of business Proposed use of building or addition (2S;aen t Source of Heat (circle one) Gas Oil Propane Solart idr 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 comer lot? Yes _No c. Will the grade be changed as a result of construction _Yes —No d. Public water or Private well (circle one) Public Private e. Sewer or Private Septic System(circle one) Sewer Private Value of all work to be performed (labor or materials) $ 40 000 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 I 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: (?, A DATE: I I a s O (P SIGNATURE: DATE: For office use only Operating Permit Issued: _Yes _No 266.3-1 -25 RC 807-2016 Occupancy Type Construction Classification Brandy Tennyson Assembly Occupancy Limit 1631 Ridge Road Special Conditions Residential Interior Alterations Town of Queensbury Building&Codes Principal Structure Application Revised January 2016