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SOLAR-0368-2018 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-0368-2018Date Issued: Tuesday, January 8, 2019 This is to certify that work requested to be done as shown by Permit Number SOLAR-0368-2018 has been completed. 297.17-1-53 Tax Map Number: 395 RIDGE RD Location: James Glendening Owner: Apex Solar Power Applicant: This structure may be occupied as a: Solar Panel Installation By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance 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. nm_ 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-0368-2018 Tax Map No: 297.17-1-53 Permission is hereby granted to: James Glendening For property located at: 395 RIDGE RD 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 Tvne of Construction Owner Name: James Glendening Solar Panel-Residential $39,856.00 Owner Address: 395 Ridge RD Total Value $39,856.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Apex Solar Power 64 MAIN ST Queensbury,NY 12804 Plans&Specifications Solar Panel Installation $ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday,June 25,2019 (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 Town Queen �1 Io ,2018 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only Permit#: . ..� Fee:$ 15 742 Bay Road,Queensbury,NY 12804 Invoice#: P:518-761-8256 www.queensburv.net SOLAR PANEL PERMIT APPLICATION • Property Owner(s): Name(s): lame� C-3-ro_„e4 p-ninq Mailing Address, C/S/Z: 3qS Rid�,� Rn(-A 9, Cell Phone: ( ) Land Line: ( gvk ) "79-4-6<77 Email: runner,.enm Project Address: 'ZcS P, &ue ns Wi a.+ 1q 1290 Ll Section Block Lot: Existing Use: 96 Single Family ❑ 2-4 Family ❑ Commercial ❑ Other: • Solar Contractor: Business Name: r-se (.)KA G l pee Contact Name:_f,1-j Ivtm�frr l' (agenk I�aenx �,t of a r) Mailing Address, C/S/Z: &4 M/iln S�fee--k 0"_ee ,`a�i� N� tZua� Cell Phone: If ) Land Line: ( S1eg ) 3oq-2-7,�6 Email: r",i;meIrrc,44 Ca a nex<n tar gvujc-,-I-r,Czm A • Electrical Contractor: Business Name: Contact Name: Mailing Address, C/S/Z: Cell Phone: ( Land Line: ( ) Email: Contact Person for Building& Code Compliance: �t� 41mt-4rTe'Y (cac nex ��ia aat�r Cell Phone: ( ) Land Line: ( ) rr&ase Tee a.&Carp Email: P te-a se_ sew M/jfRP-ra r— n - _ U � Isu _ JUN 18 2018 TOWN OF QUEENSBURY Revised December 2017 Solar Panel Application BUILDING&CODES Estimated cost of construction:-$ 'N (o Total Svstem Capacity Rating (sum of all panels): Solar PV System: i5+ kW DC Select Svstem Configuration: ElSupply side connection with micro inverters 4 fleas<- sew a4qc_ha� sue$ �l v►S ev"A— cud- sh de4v, ❑ Supply side connection with DC optimizers _ ❑ Supply side connection with string inverter,. El Load side connection with DC optimizers ❑ Load side connection with micro inverters ❑ Load side connection with string inverter 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. Homeowner's Signature Date zx>iq Solar Co. Representative Signature Date Solar Panel Application Revised December 2017