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
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- 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
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Mailing Address, C/S/Z: t� "( d
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Name(s): Mfli.eA --r. &
Mailing Address, C/S/Z: tj 6�
Cell Pho e:��) Land Line:
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® Contrector(s):
Business Name:
Contact Name(s):
!Mailing Address, C/S/Z:
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Contact Name(s):
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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!
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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
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Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017