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AST-0410-2018TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: AST-0410-2018Date Issued: Tuesday, July 23, 2019 AST-0410-2018 This is to certify that work requested to be done as shown by Permit Number has been completed. 302.14-3-45 Tax Map Number: 15 PARK VIEW AVE Location: Jason Carusone Owner: Jason Carusone Applicant: This structure may be occupied as a: Patio Roof only (over existing patio) 156 sq. ft. (new roof will connect to existing house roof) 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. TOWN OF QUEENSBURY 7`"' 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 �.r Rye 1 f, i -e 1 / �F Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: AST-0410-2018 Tax Map No: 302.14-3-45 Permission is hereby granted to: Jason Carusone For property located at: 15 PARK VIEW AVE 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: Jason Carusone Porch-Open $1,000.00 Owner Address: 15 Park View Total Value $1,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Willis Contracting 4 Pine ST Hudson Falls,NY 12839 Plans&Specifications Patio Roof only(over existing patio) 156 sq.ft. (new roof will connect to existing house roof) $ 125.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,July 3,2019 (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 u sbury; /� Tu;s a ay/ ,2018 'Y SIGNED BY: t'' \ for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only ACCESSORY STRUCTURE Permit#: 7-S r t-)-io l g PERMIT APPLICATION Permit Fee:$ I a i Town of Ojocnsbury 742 Bay Road,Queensbury,NY 12804 Invoice#: P:518-761-8256 wwww.queensbury.net Project Location: 15 Pcykv Ie u Ove EcEllvE Tax Map ID#: 30 2 - 3-115 Subdivision Name: JUN272N13 CONTACT INFORMATION: TOWN OF QUEENSBURY ' • Applicant: COMMUNITY DEVELOPMENT Name(s): Jasovi Cot,rusov e. 1Vt MOOVA.A,QCour5Cor - MailingAddress, C/S/Z: {5 Potirkvie.1,t) (. ve__? (t ue e.15b ury, /U V Cell Phone: ( 51S ) S32 9735 Land Line: ( ) Email: JYYIGarusovi a@.1irio 1 eOV}'► • Primary Owner(s): l Name(s): JGi.SOVI aXIC1 6vaitu atuit50r1e Mailing Address, C/S/Z: ( 5 Par kit ev) Ow-) -e--ex15bury , A Cell Phone: ( 51?) ) g 32 -07 35 Land Line: ( ) Email: jrn car Gts one (a) rna coal • Contractor(s): • Business Name: 1 ro C,fi 1 C Contact Name(s): 'Josh. (Ali t[tS Mailing Address, C/S/Z: _ Cell Phone: ( 51S ) YJ57-� 55(g Land Line: ( ) Email: • Architect(s)/Engineer(s): Business Name: Contact Name(s): Mailing Address, C/S/Z: Cell Phone: ( ) Land Line: ( ) Email: Contact Person for Building & Code Compliance: A(014 a Coin 3o0.-e Cell Phone: ( 5,1 S ) 7R I I a 1Q Land Line: ( ) Email: netfr. c,Otexv-LutsD(rLe (a) C Kali, con Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017 PROJECT INFORMATION: TYPE: Commercial V Residential WORK CLASS: _Deck,Open Porch _Solar Panels(w/o rafter upgrades) _Carport Cell Tower Shed i Pavilion, Pole Barn, Canopy Dock Gazebo _Detached Garage jJ !Boathouse(with or w/o sundeck) 1 ��Q 3-Season Porch Other(description: t �-1U R.Od f D�(�� Q,. 1� —qr,` 4 is"V f E SQUARE FOOTAGE OF STRUCTURE: • - 1st floor: S b l A X 13 2nd floor: Total square feet: ' 5.6 ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction:$. 000 2. If Commercial project,what is the proposed use: 3. Are there any structures not shown on the plot plan? YES NO Explain: 4. Are there any easements on the property? YES NO DECLARATION: • 1. I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 3. I certify that the application, plans and supporting materials are a true and complete statement and/or description of the work proposed, that all work will be performed in accordance with the NYS Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. • 4. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of occupancy. 5. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above: PRINT NAME: Wiw ( (r( co Y 1 SIGNATURE: c\J1/ C/Ns__ DATE: 6 / 7/ I Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017 :,� taAug. 23. YU1&, 1 13PM,.,_.,;_,;,MUTA:•,,,,r-;��; ,,.,. ,_,r No, P. 2/17 I J 'Y - - - \ J✓ . . `. v•'f•• \'c; \wS moo. �' r ;�Sir J- -r\•� v': 1v yr<ti lS>'\•, �.�..r: `; 1,,'; a a• , �,.• , v^ �,J= !\�-i✓•,J.Ji:$fAV V a �• L yr\:h�! 'S "�:i�l:%�J• r �.. a \N `'\' ✓✓ �S /fir✓•:iaUJ�/.✓:F✓;S' v'v 2.�'\�;�j✓✓.'�i:✓ �,v `, MIDDLE DEPARTMENT INSPECTION AGENCY, INC. <-,) gijrlj e. TOYW that the electrical wiring to the electrical equipment listed below has been examined and is approved as t,- in accord with the National Electrical Code applicable-governmental, utility and Agency rules in effect on the date .„4 being J 60 noted below and is issued subject to the following conditions. �, Z`>> Owner: �� tc j Jason Carrasone Date: �' _ 08/08/2018 �. C<� tee Occupant: Location. i,�a� • (l Same 15 Paikview Drive r ,•� OccupancyServices • Queensbury, Warren Co. NY C;• kAl Applicant: • al i aj Ed Gaiotti :l_ .. .. __ t(2 4) 14 44 Meadowbrook Road - . .•. :, ` Queensbury NY 12804. - C-' ks; L .. kc Joseph A_Holmes • - ' i t;* �) No. •3.18014104575FL, l6 A. Equipment: 80 `�150-Amp.Service Equipment;2/0-Service"Conductor. • • :.:._ r•• �`i) • • .. N • .. _. . - applies l wiring to Me pment ed null and void. ies to the use, cupancy and �C:) above and the installation oinspectedrasaof the above noted ratelbaseld on a vistual ownership as indicated herei This U on a changelin the fuse.occupancypoor ownership �>> Tinspection. No warranty Is expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and void. v� 1` clency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions, J� \!� be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinapectlon by Middle Department. "� systemappliesany way,including InspectionAgency, applicationinspectionfry `,) to which this certificate be altered in but not limit- A en Inc.Int. An for must be submitted to Middle '. `jj ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc,to Initiate the inspection and revalidation .s j� 'A- any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. 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