RC-000777-2017 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-000777-2017 Date Issued: Monday, January 22, 2018
This is to certify that work requested to be done as shown by Permit Number RC-000777-2017
has been completed.
Tax Map Number: 301.18-1-29
Location: 68 PEACHTREE LN
Owner: Abdullah Bayram
Applicant: Abdullah Bayram
This structure may be occupied as a: Residential Interior Alteration 198 s.f.
Converting garage bay to living space By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the (: )4;
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property owner of the responsibility for compliance with Site Plan, YY
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.
~f `J 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-000777-2017
Tax Map No: 301.18-1-29
Permission is hereby granted to: Abdullah Bayram
For property located at: 68 PEACHTREE 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: Abdullah Bayram Single Family-Alteration $5,500.00
Owner Address: 68 Peachtree LN Total Value $5,500.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Residential Interior Alteration 198 s.f.
Converting garage bay to living space
$ 60.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,January 9, 2019
(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 To ofWue /f *Rffary 9,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ADDITION/ALTERATION PERMIT Permit#: C -6500 7-77- _L0 I'7
'. APPLICATION Permit Fee:$ 60
Town of Queensbur},
742 Bay Road,Queensbury,IVY 12804 D IIBive�
P:518-761-8256 www.gueensbury.net
/� DEC 18 201T
Project Location: 6� �ecc�t(Qe Lwn-9
II 1 C� TOWN OE QUEENSSURY
Tax Map ID #: - 1'D— I DEC
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CONTACT INFORMATION:
® Applicant:
Name(s): 8 a (''-
Mailing Address, C/S/Z: $ eGch cee kc wk_
Cell Phone: ��AQ Land Line:
Email: --�.
Primary Owner(s):
Name(s): - %A\c0r\ v. Cc.vy\
Mailing Address, C/S/Z: (,-% taV�-e _
Cell Phone: _(qkS ) 'IN I3 t U Land Line:
Email:
• Contractor(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone:�_) Land Line:
Email:
• Architect(s)/Engineer(s):
Business Name:
Contact Name(s): `
Mailing Address, C/S/Z:
Cell Phone:� ) O Land Line: � )
Email:
Contact Person for Building & Code Compliance:
Cell Phone: Land Line:
Email:
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
PROJECT INFORMATION:
TYPE: Commercial Residential
WORK CLASS:
Single-Family —Two-Family _ Multi-Family (#of units )
Townhouse _ Business Office Retail
Industrial/Warehouse _Garage (#of cars ) _Other(describe )
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: I " 1st floor:
2"floor: 2nd floor:
3rd floor: 3rd floor:
4th floor: 4th floor:
Total square feet: Total square feet:
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:
2. If Commercial project, what is the proposed use:
3. Source of Heat (circle one):rU-el
% Oil Propane Solar Other
Fireplaces need a separateurning Appliances&Chimney Application
4. Are there any structures not shown on the plot plan? YES NO Explain:
5. Are there any easements on the property? YES �NO
6. SITE INFORMATION:
a. What is the dimensions or acreage of the parcel? !X C�R
b. Is this a corner lot? YES -N0_
c. Will the grade be changed as a result of the construction? YES � O
d. What is the water source? UBLIC- PRIVATE WELL _
e. Is the parcel on SEWER or a PRI SEPTIC system? at 1 `
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
DECLARATION:
1. 1 acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to
fees and department approval.
3. 1 certify that the application, plans and supporting materials are a true and complete statement and/or
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. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate
of occupancy.
5. 1 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: ��`�` �� � ` CG V
SIGNATURE: DATE:
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
DY MORSE ENGINEERING P.C.
FILED IN THE WARREN COUNTY
CLERK'S OFFICE ON JANUARY 29, 1993
IN PLAT CABINET A SLIDE 197
1 HEREBY CERTIFY THAT THIS
FROM AN ACTUAL FIELD SUR
THIS CERTIFICATION SHALL R
FOR VjOM THE SURVEY WAC
BEHALF TO THE TITLE COMP,
ARID LENDING INSTITUTION U
gI CERTIFICATIONS ARE NOT TR
tI INSTITUTIONS M SUB CIM
CERTIFIED TO: BRIAN) P. CSC
DEC 18 2017
J FLEET MORTE
WS SUCCES.
TOWN OF OOEE6 SBt1RY OLD REPUBL-
OOAIfvvl1 N T Y DE ME G ENT
CERTIFIED BYo..w•.. �� w�
MATTHEW C<
DATED. JULY 29, 9997
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LOT 26
9
AVE PERSONALLY MEASURED THE DISTANCE
M THE R0;PERTY LINJES
� .,�• �'°` ��,�� .�� �TURE(S Of, TO THE
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10,243.29 sq. ft. 1'
LOT 24 � 116� o s1
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301.18-1-29 RC-000777-2017
®� Bayram, Abdullah
�® 68 Peachtree Lane
Residential Alterations 198 s.f.