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BOTH-000850-2016
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 OL Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: BOTH-000850-2016 Tax Map No: 302.18-2-56 Permission is hereby granted to: Ronald Atherden For property located at: 106 COOLIDGE AVE 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: Ronald Atherden Fuel Burning&Chimney $0.00 Owner Address: 106 Coolidge AVE Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Best Fire Hearth&Patio 1760 Central AVE Albany,NY 12205 Plans&Specifications Gas Fireplace Insert $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,December 19,2017 (If a longer period is required,an application for an extension most be made to the code Enforcement Officer of the Town of Queensbury before the ex/piiration date.) Dated at the Town of eens / 1 avlonWDmber 19,2016 SIGNED BY: 4k4 �d/ for the Town of Queensbury. Director of Building&Code Enforcement Fuel Burning Appliance & Chimney Application Office Use Only p Received DATE: Z I J 20! ; Tax Map ID TAX MAP ID: 2)17 o_L (g EEC 20 2011 Permit No. 0 ZONE: Permit Fee te /3��, OWNERO KLO"( Fe,N� 1fWeD HONE/E-MAIL S-I ADDRESS 10 G Coo Lt D k-g k/e- e INSTALLER/ v.�.,- r-t Q� ' I PHONE/E-MAIL BUILDER JY�� GiZ�(S I-�►�bt�Tt1 VSC- S69�o0 CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: PHONE/E-MAIL // BUILDING ADDRESS ROOM OF INSTALL: et"O ALK PLANNED INSTALL DATE: L 2I O 120 l FUEL BURNING APPLIANCE INFORMATION WOOD COAL PELLET GAS OIL NOTE: ROUGH-IN& STOVE FINAL INSPECTION ARE FIREPLACE INSERT REQUIRED. FIREPLACE,FACTORY BUILT* NOTE: MANUFACTURER'S FIREPLACE,MASONRY INSTALLATION MANUAL FURNACE(GARAGE ONLY) MUST BE AVAILABLE AT TIME OF INSPECTION *If factory built provide manufacturer name: o L-o ;Model#: -3C RsPJE- 1 Listed by: Number: CHIMNEY INFORMATION Masonry** (check one) _BLOCK —BRICK _STONE Flue _TIE _STEEL Size in inches Material _DOUBLE WALL _TRIPLE WALL _INSULATED ** If non-masonry provide manufacturer name: ; Model#: DECLARATION: Construction/installation must conform to NYS Fire Prevention & Building Code and/or manufacturer requirements. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations,and all conditions that are part of these requirements and also will allow inspector's to enter premises to perform required inspections. I HAVE READ AND AGREE TO THE ABOVE: PRINTNAME: 'I IZttJ M-V�t DATE: ( -2- 1 -2-9 SIGNATURE: C. .0 DATE: Town of Queensbury Building&Codes Principal Structure Application Revised September 2014 Contact I Best Fire Hearth & Patio Page 2 of 4 Y � Contact Best Fire Hearth & Patio I Send UsAMessage OWa. _ 10 _ O N C O _ L a 0 L OBEST FIRE HEARTH+ PA _ = t TROY S11"WRO011 H a Ul m (https://www.google.com/m (https://www.google.com/m > c 26+Patio/@42.726808,-73. 26+Patio/@42.744508,-73. s Q N 4m2!3m1! 4m2!3m1 ! o o rn 1s0x0:Ox54765939dcf3e8f( 1s0x0:0xe364432a1bd974, In U — Q hl=en-US) hl=en-US) oNo v o Y- p U a ® 1760 Central Ave. ® 720 Hoosick Rd. Troy, c-i c ,o Albany, NY 12205 NY 12180 roi w U �. (518) 869-9600 (518) 273-9600 Q HOURS: Q HOURS: Monday — 9 AM to 6 PM Monday — 10 AM to 6 PM Tuesday — 9 AM to 6 PM Tuesday — 10 AM to 6 PM Wednesday — 9 AM to 8 Wednesday — 10 AM to 8 PM PM Thursday — 9 AM to 8 PM Thursday — 10 AM to 6 PM Friday— 9 AM to 6 PM Friday — 10 AM to 6 PM Saturday — 9 AM to 4 PM Saturday — 9 AM to 4 PM Sunday — CLOSED Sunday — CLOSED t LOCATION SERVICES: E LOCATION SERVICES: Retail Showroom Retail Showroom Builder Sales Selections Center Outdoor Furniture .' Gallery ` BEST F1 HE PATIO (https://wv,fw.google.com/m 4m2!3m1! http://www.bestfire.com/contact/ 12/19/2016 Contact I Best Fire Hearth & Patio Page 1 of 4 0411111111111111� est <r� (http://www.bestfire.com/) Albany Showroom: A (http://www.bestf i re.co m/( T(qx) (http://www.best ire.com/( SM/ic/e(t6t �3o SERV WG NEW YORKS CAVI lAL REGION SINCE 1477 (http://www.best if re.co m/( (http://www.bestfire.com/contact/) (518) 687-2388 * HOME (HTTP:/NVWW.BESTFIRE.COM/) 1-0 PRODUCTS , L ABOUT * OUR SERVICES „ Home(http://www.bestfire.com)/ Contact X SALES & PROMOTIONS (HTTP://WWW.BESTFIRE.COM/SPECIALS/) p CONTACT(HTTP:/NVWW.BESTFIRE.COM/CONTACT/) http://www.bestfire.com/contact/ 12/19/2016 Contact Best Fire I learth & Patio Page 3 of 4 1 s0x89de0fca2d8d1 34b:Ox hl=en-US) © 70 Cohoes Ave. Green Island, NY 12183 �. (518) 687-2388 Q HOURS: Monday — 7:30 AM to 4PM Tuesday — 7:30 AM to 4PM Wednesday — 7:30 AM to 4PM Thursday— 7:30 AM to 4PM Friday — 7:30 AM to 4PM Saturday — CLOSED Sunday — CLOSED i LOCATION SERVICES: Warehouse Customer Pick-Up Parts Send Us a Message: First NameLast Name ' Email Phone Number Subject " Message http://www.bestfire.com/contact/ 12/19/2016 Contact I Best Fire Hearth& Patio Page 4 of 4 Captcha I'm not a robot reCAPTCHA Privacy Terms Contact Us ©2016 Best Fire Hearth & Patio. All We take pride in our work so our rights reserved. customers can be proud of their purchase. http://www.bestfire.com/contact/ 12/19/2016