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SOLAR-000582-2017 A�' TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: SOLAR-000582-2017 Date Issued: Tuesday,November 7, 2017 This is to certify that work requested to be done as shown by Permit Number SOLAR-000582-2017 has been completed. Tax Map Number: 301.20-1-26 Location: 43 HOWARD ST Owner: Deborah Goodmanson Applicant: Deborah Goodmanson This structure may be occupied as a: Residential Solar Panel System No rafter upgrades By Order of Town Board TOWN OF QUEENS13URY// Issuance of this Certificate of Compliance DOES NOT relieve the r4t �J 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 BUILDING PERMIT Permit Number: SOLAR-000582-2017 Tax Map No: 301.20-1-26 Permission is hereby granted to: Solar City d/b/a Tesla Energy For property located at: 43 HOWARD ST 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 Tvpe of Construction Owner Name: Deborah Goodmanson Solar Panel-Residential $0.00 Owner Address: 43 HOWARD ST Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Solar City d/b/a Tesla Energy PO Box 670 Amsterdam,NY 12010 Plans&Specifications Residential Solar Panel System No rafter upgrades $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Monday,September 17,2018 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town of a ridaypte ber 15,2017 SIGNED BY: for the Town of Queensbury. Director of Building&Code En orcemen 0 Office Use Only SOLAR PANEL Permit#: Z>QL-P4Z— .t)52. • 201"+ ❑� �� PERMIT APPLICATION Permit Fee:$ _30 lin n of cZuccrishury Invoice#: Z J 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.gueensburV.net Deborah Goodmanson Homeowner Property Owner's First Name Last Name Title 43 Howard Street Property Address Queensbury NY 12804 City State Zip 301 .20 1 26 Section Block Lot Number ❑✓ Singh Family ❑2-4 Famiy ❑Commercial ❑ Other E Cu v D SEP 13 2017 Solar PvSystem: 1398 kw DC TOW in r.K CODES OF Y n Make sure your selection matches the Construction Documents included with this application. ❑ Supply side connection with microinverters ❑Load side connection with DC optimizers ❑ Supply side connection with DC optimizers ❑Load side connection with microinverters ✓❑ Supply side connection with string inverter ❑Load side connection with string inverter SolarCity Corporation DBA Tesla Energy Contractor Business Name P.O. Box 670 Amsterdam New York 12010 Contractor Business Address City State Zip Loreen Harvey 518 - 332 - 0671 Contractor Contact Name Phone Number loharvey@tesia.com Contractor License Number(s) Contractor Email Town of Queensbury Building&Code Enforcement Solar Panel Permit Application Revised July 2017 0 0 SolarCity Corporation Electrician Business Name P.O. Box 670 Amsterdam New York 12010 Electrician Business Address City State Zip Ken Tiffany 518 - 764 - 8869 Electrician Contact Name Phone Number ktiffany@solarcity.com Electrician License Number(s) Electrician Email Please sign below to affirm that all answers are correct and that you have met all the conditions and requirements to submit a unified solar permit. 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D D , -0 M 0 0 On) D— m — '5 . r- - W —oEaa 'L D— u E E 2 o (J-) 0 7@ Lnm M o 0 (. > CL (D C C: D >U 0 C (D= — oc o.oj � mcc > 0 D V) U Y -C 0 (1) 0 No V. 1 .2011 11 03F DIA — — No. 0746 P. 2 MIDDLE DEPA n TME INSPE TION AGI.NCYr INC. '&oA4 that the:electrical wiring to the electrical eouipi-hent listed helow.has been examined and.is approved as being in accord with.the National Electrical Code, voca#ie governmental, utility and Agency roles in effect on.the date noted below and is issued subject to the following Candid€ons.. Owner: JOyamor Gomez Date: 101261201.7 occupant; Solar Ply System Location; 43 Havt+erd Street Occupancy' Oueensbury,Warren Co. NY Single Family Dv�ig: Applicant� � PD Box 674 Amsterdam, IVY 120 �,-� - M � ' �`•r r .: ''der... h" . ,`�� �.'., l�$rr7lit. 000582-2017 Joseph A,Holmes Equipment.- 38. quipment;38. Solar Modules; 1 -3800.Watt lriveRer;-`�-6640- Tatflnvelfet urfTwing Parer, I -AC'Risccnnect; 1 • Line Side Tap;2-IAC Disconnects." �M1 ,. ': ,�,.r ry• �=n.. :• •'•� ter.' �.; . 1.1•i, t�� �•'I.J''`--�� :�2y..-�r�]'-yyx:".AYf•''f:"'�`��� .�. .-,r":'I f".f This uer lcate applies to ft ejeotrical wiring to ft alectriedl equipment listed immediately null.and Vold, 7hia reel cate.applies.nnly to:the use occupancy acrd above acid tha.iwarrant inspected as 0l.ihe above noted date based OR a visual oV no6hip sa Indicated herein. upon a.changein:fhe use,o+pancyarawnershlp ci ric; l vn, Na warrant Wressed ar imPlisd as to she mechanical safety;efff- flr the propMy indh:ated.above.this eeiGficale shall be IrAdlediately null and Vold, CiBRcyor fitness of tha.equiprnert[for any particular purpose, Fhig Certificate shall in the.event:ihat this certiticaie becomes inwid basad upon the above t:anrjJons, pe Gak fore period C>'lona year from the.abave noted data. Should the electrical this certificate may n.revalidated upon h0nspectiaa by.Middle DoPart ment system to which this.certificate applies.be.ahered i0 any WAY,including but not limit- Inspeolon Agenay:fnc. An applicalion for Inoodiion must be submitted.fo:M ddle ed t0;.the intrOdU00n of additional electrical egpipmenI ariidlor the replatement of Department IrlspraCtion Agency,Ind.to ipitigte. ig irEapr oti4n.aitd ravalidatiort any of Ilia.oamp4ne1113.installed sg:gf the above Hated Gate,lrii5 rrtifrcale shall be process• A fee will be Charred for this service_