2010-160 AI` TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
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Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20100160 Date Issued: Thursday, October 25, 2012
This is to certify that work requested to be done as shown by Permit Number P20100160
has been completed.
Location: 33 OHIO Ave
Tax Map Number: 523400-309-013-0001-017-000-0000
Owner: MIGUEL & JENNIFER SANTIAGO JR
Applicant: MIGUEL & JENNIFER SANTIAGO JR
This structure may be occupied as a:
Certificate of Occupancy (RES) 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 V A
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100160 Application Number: A20100160
Tax Map No: 523400-309-013-0001-017-000-0000
Permission is hereby granted to: MIGUEL&JENNIFER SANTIAGO JR
For property located at: 33 OHIO 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 Value
Owner Address: MIGUEL&JENNIFER SANTIAGO.
33 OHIO Ave Certificate of Occupancy(RES) $10,950.00
QUEENSBURY, NY 12804-0000 Total Value $10,950.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
JTC REMODELING INC
378-8101
688 SHERMAN Ave
QUEENSBURY, NY 12804-0000
Plans &Specifications
2010-160
residential rehab - HUD
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,April 15, 2011
(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 Torte o Q4c Bens ,/ April 15, 2010
SIGNED BY 3% for the Town of Queensbury.
Director of Building&Code Enforcement
•
Ai
_/7 OFFICE USE ONLY i..
TAX MAP NO. / !f
PERMIT NO. Grp
FEES: PERMIT RECREATION
ENGINEERING
(If app icable)
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID,PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER:IllgetilitOdailifiZCOWNER:
Mt1 k
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�QADDRESS: / � y � Wm- , '
.4, a(7 ADDRESS: 330ly
PHONE NOS.
NE 416 /_98.77
`P`H�O� NOS. __!!DD �-`
CONTACT PERSON FOR BUILDING & DES COMPLIANCE: V C� HONE:�13- V
LOCATION OF PROPERTY: 614 4G QL (2Q) S
:o` lay t
,
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES 0 NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z Q_ 0 u)
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Lu O < O d w
H < OH
� � tJiu- W Q d = V
C� _
E- W Q. I ots
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
1
IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST: 10, 75-0 FUEL TYPE:
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an aslbuilt survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read a agree to bove.
Signed ����✓l�
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
r
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
,(Th
ed,
BUILD & iCa• :4A-PRVAL ZONING APPROVAL
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DAT DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codes(a weensbury.net
Office Use Only
VISIT OUR WEBSITE FOR MORE INFORMATION
ueensbury Building & Code Enforcement- Residential 54:II • -ction
b
A40Office No. (518)761-8256 Arrive: `- � ' 'r rt: am/pm
Date Inspection request r ived: Inspectors!nib-t ..4' ,.. '`kss
NAME: idt tk-4) PE r #:
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LOCATION: t �. al` rAILDA f: a _
TYPE OF STRUCTURE: i1111111111111111111
r ► ' -- /-10b Comments:
4' Budding Number Address visible from road �� ;red
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