RC-000144-2017 TOWN OF QUEENSBURY
742 Bay Road, Queensbury,NY 12804-5904 (518)761-8201
- - Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-000144-2017 Date Issued: Wednesday, April 11, 2018
This is to certify that work requested to be done as shown by Permit Number RC-000144-2017
has been completed.
Tax Map Number: 289.11-1-59.2
Location: 51 HALL RD
Owner: Caroline Barber, Charles Barber
Applicant: Caroline Barber
This structure may be occupied as a: Residential Alterations
Extending 1 st fl bath into den for walk-in shower 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, 4
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
BUILDING PERMIT
Permit Number: RC-000144-2017
Tax Map No: 289.11-1-59.2
Permission is hereby granted to: Charles Barber
For property located at: 51 HALL 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
Tvce of Construction
Owner Name: Caroline Barber Single Family-Alteration $0.00
Owner Address: 51 HALL RD Total Value $0.00
Queensbury,NY 12804
Contractor or Builders Name/Address F.Icctric:d Inspection Agency
Plans&Specifications
Residential Alterations
Extending 1st 11 bath into den for walk-in shower
$60.00 PERMIT FEE PAID-TIES PERMIT EXPIRES: Thursday,April 12,2018
(Ifa 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 o ueensb �V✓AeffT2,2017
SIGNED BY: �•YJ or the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use Only
Date: - 123, _� Permit No.
Tax Map ID b��y I I - t - -S`) Permit Fee In
Zone Historic? _Yes X No Rec W iv,\n tLj2_) 1 6�b
Subdivision Name Lot# Site Plan#
Subdivision#
Project Location 51 0M Oc
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 homes. This Is In addition to the
permit feels).
Primary Owner(s) II u 1 1
�1Ctllr"
Address
Phone/Email
Applicant
ria - V
Address
Phone/Email
Contractor
Address
Phone/Email
Contact Person for Building& Codes Compliance: Phone
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration 1 e1 floor sf 2"d floor sf Total sf Height
Single Family 1
Two-Family
Multi-Family
(#of units
Townhouse
Business Office D
Retail-Mercantile APR 0 6 017
Factory-Industrial TC WN OF QUEE NSBURY
Attached Garage
(1. 2, 3, 4+)
Other
Town of Queensbury Building&Codes Principal Structure Application revised January 2016
f commercial or industrial please indicate name of business
Proposed use of building or addition
Source of Heat(circle one) Gas677� 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 4 .-12, cJ yrs
b. Is this a corner lot? _Yes C No
c. Will the grade be changed as a result of construction _Yes X 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) $
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 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:
L
PRINT NAME: _ l ](vl� Cr t'r DATE: OI��
SIGNATURE: D DATE: —4/k�ao1
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 January 2016
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
R_C-0oV1LAVk-Zx)0
N44452Permit No . Cert. Cut-in Card No..................................
....
Owner..... ............................................................................... . .........
Location.........:5--/....... .................................................................
Installation Consisting of... W- 1,Y.��I.. ..............
.......... ...... u i ....
....................................................................................................................I...................
.
................................................................................................................................................................................
InstalledBy.......... ........................................................Lic.No...............................................
The conditions following governed the issuance of this certificate,and any certificate previously issued
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon t
introduction of additional equipment or alterations,application shall be promptly made for inspection.
e of aking ctions at any time, and if
Inspectors of this Company shall have the privilege .9
tj
rules are violated,the Company shall have the right to e thi ce ate.
':�..... 7r
Date.... .......... INSPECTOR.............. .......................................................
D ... Member N.F.P.A.,I.A.E.I.