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BOTH-000769-2016 TOWN OF QUEENSBURY 0742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 — _ Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: BOTH-000769-2016 Date Issued: Monday, December 19, 2016 This is to certify that work requested to be done as shown by Permit Number BOTH-000769-2016 has been completed. Tax Map Number: 296.50-1-3 Location: 6 GENTRY LN Owner: Eileen Donovan Applicant: Saratoga Chimney Sweep LLC This structure may be occupied as a: Fireplace Insert-Gas By Order of Town Board TOWN OF QUEENSSBBURYJ Issuance of this Certificate of Compliance 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 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 W— �� BUILDING PERMIT Permit Number: BOTH-000769-2016 Tax Map No: 296.50-1-3 Permission is hereby granted to: Saratoga Chimney Sweep LLC For property located at: 6 GENTRY 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: Eileen Donovan Fuel Burning&Chimney $0.00 Owner Address: 6 Gentry LN Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address - Electrical Inspection Agency Saratoga Chimney Sweep LLC 475 Broadway Saratoga Springs,NY 12866 Plans&Specifications Fireplace Insert-Gas PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,November 4,2017 (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 Townueens ry, n 4 Fri y4,2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement t fl Fuel 13urnutg App(tzlnct & C hutttlei 1pllli .tiu Nov. 2o[-(�p U,rrr AID t ' t� 7_oNf.. ---- - --- �R'NISIL Y I.�Ln i�G 1�L J(l.. F INSTn LER! �r' - �.�1. , tr JL,' _h C: �rc� C _ G.Ck,moC+�St��t ,Lr HU[1.DLI� ` 475 t ��r� 77`f' ,✓� r��c, G i` COMA C1 PERSON l � ',.L'i til ) <r '.C 1�rr1 COM: I l +'t- u PH0M;!(?-1vd All $1�:���9 �' - .-, es.g�,.�+� �J 13111 LfhNU.AUI»ZF;�> C-1- ,-K. qxitvl 1r! C)LAt4.n3�.v J2 Oct ROOM oi: Itiv rALt., PLANNED INSTALL DA 11i , FUE1,BVRMN(I .1P1 ..I ,Nti't \t1ON 1'•'( ) ' �'ti± PI'L',.l ' G...- 2U6,11-1N$ —I--- FFIRiTI.At. - t Iti 11.ItitiI'Y:C7 ION ARE X -EI` ,SE tAALFACI l'It1?R'S I -1---- �-- .t 1Atil Al-I ,1]tU'v �IaN UAt, ifl•: A` \ILAFII.E AT MI,()I. I%'I�VCTIOA `li`actoi = bwIt 9rov idC n,£InU2'.L ult name, P_r Listed by r i I Numb-I LlU-) i Mason, (check or ) l;! r ` ,t t, )N;, — -_ Flue �r Sri r Si 7C inlnhts c — -- - - Matena; ' If non-inasonry 1)11ryide €,an,e DECLARATION: C\m;;1L,1Ij01 .l n rd e.uat m.c wi `)lm I� N 'S I:ue I'!e ent.• n & f3 iidinc Code and/or manuf,-tca.ror rului too crus iix ztjvpt .rant er ,rt ner_«gleas to eoml-ly %%Ih ill a ,Ylic .rilc leyus:- rd regulations, and 311 COI >I tlUtlkWl n� ll ;`c .- +,I liri l ordinances.Icyuirc;uc and ;u .. � , - i:�;,Vr nane e. to pe- orm. rcq;;Ired nl rt(:. n, I }tAvL F'LAD.y?-D �t•li .i. iC2T'!II' ?%fCVI : PRINTeeo, Jr)OVr4 SIGMA ! :Zi ��'�.•l>v_ � i , . i 296.50-1-3 BOTH 769-2016 Saratoga Chimney Sweet,LLC for Eileen Donovan 6 Gentry Lane Fireplace Insert - Gas