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RC-0300-2018 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-0300-2018Date Issued: Wednesday, January 23, 2019 This is to certify that work requested to be done as shown by Permit Number RC-0300-2018 has been completed. 253.3-1-24 Tax Map Number: 3 KNOLLS RD NORTH Location: Kathryn McGrath, DANIEL MCGRATH Owner: DANIEL MCGRATH Applicant: This structure may be occupied as a: Attached Garage Addition 384 s.f. 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, 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. j - TOWN OF QUEENSBURY 742 Ba Road Queensbury, .- p y NY 12804-5904 (518)761-8201 f - Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: RC-0300-2018 Tax Map No: 253.3-1-24 Permission is hereby granted to: Baldwin Carpentry LLC For property located at: 3 KNOLLS RD NORTH 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: Kathryn McGrath Attached Garage-Addition $7,000.00 Owner Address: 3 KNOLLS RD NORTH Total Value $7,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Baldwin Carpentry LLC 16 Sullivan RD Lake George,NY 12845 Plans&Specifications Attached Garage Addition 384 s.f. $ 175.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,June 21,2019 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of!Q:u�een ury before t e expiration date.) Dated at the To Que bury 4T e 21,2018 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement ' Office Use Oniv ADDITION/ALTERATION PERMI` Permit#. 9-Cp�oO - ..�f. APPLICATION Permit Fee:$ Town of Queensbury 1, .9 742 Bay Road,Queensbury,NY 12804 invoice P:518-761-8256 www.gueensbury.net P�°®ject ®cati®no I� C 9 W L T'ax tFflap l®ffo b�„d Of�o� eE CON`�ACT INFORMATION, �OWN t�i�Q�IE l`l8-i-i-�' G'i`t C�-- BUILDING COUI ® Applicant, -Td, Name(s): e 4 a Mailing Address, C/S/Z: t� "( d Cell Phone: (S ) :1 q I Land Line: k5l 9 ) —If® f 1,yR'/1j Email: ®f f Primer Owner : Name(s): Mfli.eA --r. & Mailing Address, C/S/Z: tj 6� Cell Pho e:��) Land Line: Email: 0 I ® Contrector(s): Business Name: Contact Name(s): !Mailing Address, C/S/Z: Cell Phone: ) I �' Land Line: Email: I iV► e Arch itect(s)/Engi nee r(s)o TXA Frs M Ali Business Name: rgA-C—f 4k.aheS Contact Name(s): Flailing Address, C/S/Z: Cell Phone:�_) Land Line: ) f_,- —f�� ' Email: Contact Person for Building & Code Compliance: Cell Phone: Land Line: � ) Email: Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017 IT PROJECT INFORMATION: TYPE: Commercial Residential WORD 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: 1st floor: 2nd floor: 2nd floor: 3rd floor: 3rd floor: 4tn floor: 4t"floor: Total square feet:` J� Total square feet: ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ ` _ c e) 2. If Commercial project, what is the proposed use: 3. Source of Heat (circle one): Gas Oil Propane Solar Other d1A Fireplaces need a separate Fuel Burning Appliances&Chimney Application 4. Are there any structures not shown on the plot plan? YES Explain: 5. Are there any easements on the property? YES RIO 6. SITE INFORMATION: a. What is the dimensions or acreage of the parcel? A � qA b. Is this a corner lot? YES UO c. Will the grade be changed as a result of the construction? YES NO d. What is the water source? PUBLIC RIVATE WELL e. Is the parcel on SEWER or a PRIVATE SEPTIC system. i! 3 Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017 it 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: SIGNATURE: 07 DATE: a f Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017