RC-0169-2018 I
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-0169-2018 Date Issued: Monday, August 20, 2018
This is to certify that work requested to be done as shown by Permit Number RC-0169-2018
has been completed.
Tax Map Number: 288.16-1-58
Location: 108 MCCORMACK DR
Owner: CONRAD FLEISCHMANN
Applicant: CONRAD FLEISCHMANN
This structure may be occupied as a: Residential Alteration
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.
TOWN OF QUEENSBURY
A}�
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: RC-0169-2018
Tax Map No: 288.16-1-58
Permission is hereby granted to: CONRAD FLEISCHMANN
For property located at: 108 MCCORMACK DR
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: CONRAD FLEISCHMANN Single Family-Alteration $0.00
Owner Address: 108 McCormack DR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Residential Alteration
$ 200.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,April 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 QWen , ed d 25,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
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�_. MIDDLEDEPARTMENT.INSPECTION AGENCY, INC. •
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WA.d.that the electrical wiring to the electrical equipment listed below has been examined and is approved as 0
0being in accord with the National Electrical Code, applicable governmental, utility and A enc rules in effect on the date (
t` noted below and is issued subject to the following conditions. 9 y (a�
��`%) Owner: C�
k j Conrad Fleischmann Date: ��ti5
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08/01/2018 • r
Occupant: Location Laundry Room (:)
108 McCormac Drive
/ Occupancy Queensbu
c1 Single Family Dwg, ry, rren Co. NY 1
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0 Applicant: •Conrad Fleischmann 1
�ri 108 McCormack Drive
Lake George NY 12845. .~ ..-=• _, 0.
:%'. Joseph A.Holmes . . • . �'
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318014104425EL . •• <<
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s)4-Switches;6-Receptacles; :'30 ArrirReceptacle °-""- -" " •-••--° �
`.� 4-Fixtures; 1"-
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H) Tnis certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and .,k.
Z;• above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Uponla change in the use,occupancy or ownership R
t inspection. No warranty is expressed or implied as to the mechanical Safety.Oil- of the properpr indicated above,this certificate shall be Immediately null and void. >>
'l x ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate beco es invalid based upon the above conditions, ff•'j)
be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department :�r.
0t system to which this certificate applies be altered in any way,including but not limit- Inspection Agency.Inc. An application for inspection must be submitted to Middle (;i;
�� ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency,Ines.to initiate the inspection and revalidation �i..
>>) any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for thig service. `•
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