RC-0331-2018 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-0331-2018 Date Issued: Wednesday, December 12, 2018
This is to certify that work requested to be done as shown by Permit Number RC-0331-2018
has been completed.
Tax Map Number: 296.14-2-1
Location: 15 DEVIN CT
Owner: CERRONE BUILDERS, INC.
Applicant: CERRONE BUILDERS, INC.
This structure may be occupied as a: Single Family Dwelling w/gas FP 2088 s.f.
Garage 400 s.f. By Order of Town Board
Village at Sweet Road, Lot 1 TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the 4 i‘lit
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
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: RC-0331-2018
Tax Map No: 296.14-2-1
Permission is hereby granted to: CERRONE BUILDERS,INC.
For property located at: 15 DEVIN CT
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: CERRONE BUILDERS,INC. Single Family-New $330,000.00
Owner Address: 1589 State Route 9 Total Value $330,000.00
Fort Edward,NY 12828
Contractor or Builder's Name/Address Electrical Inspection Agency
CERRONE BUILDERS,INC.
1589 State Route 9
Fort Edward,NY 12828
Plans&Specifications
Single Family Dwelling w/gas FP 2088 s.f.
Garage 400 s.f.
Village at Sweet Road,Lot I
$ 1,776.40 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, June 13, 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 o ,re e 13, 2018
ueen
SIGNED BY: /� for the Town of Queensbury.
Director of Building&Code Enforcement
Onl
PRINCIPLESTRIJI �C �� 331
Zvl
a . I{
APPLIC ll JUN U 8 201 Per i F 2:
* �el $ g56. oo
742 Bay Road Queensbury, NV 12804 - -�-- Y '
P 518-761-8256 TOWN QUEENS Wice o
BUILDING&CO
Project Location:
f��
Tax Map #: �°" � ��� �`� Subdivision Name -,//, `C'� '
TOWN BD RESOLUTION 86-2013 $850 recreation fee for new dwelling un0s single family dup two-family,
multiplefamily apartments condominiums townhouses.and or manufactured modular homes but not mobile
homes This is in addition to the permit fee(s).
CONTACT INFORMATION:
• Applicant:
Name(s): 1r'1"C,
Mailing Address, C/S/Z:
Cell Ph.: _r2z9_) Land Line:
Email:
• Primary Owner(s):
Name(s):
Mailing Address, C/S/Z:
Cell Ph.: �O Land Line: _O
Email:
• Contractor(s):
Name(s):
Mailing Address, C/S/Z: 1,14
Cell Ph.: '( ) Land Line: _( )
Email:
• Architects En ineer s :
Name(s): "
Mailing Address, C/S/Z: /U
Cell Ph.: s( ) Land Line: _(
Email:
Contact Person for Buildin & Code Compliance-
Cell Ph.: �(�_/ ' C Land Line: _(�}
Email
Intl Ruildine&rndP Fnfnrcamrnt PrinriniP Strurtura RaviaPd March 201R
PROJECT INFORMATION;
TYPE: Commercial Residential
WORK CLASS:
Single-Family Two-Family _Multi-Family(#of )
Townhouse Business Office Retail Hotel/Motel
�Industrial/Warehouse Garage(#of cars } Other(describe }
STRUCTURE SQUARE FOOTAGE: GARAGE SQUARE FOOTAGE:
157 floor. //(s 15T floor:
2nd floor: 2nd floor:
31 floor: Total square feet: LOO
Basement(habitable space):
Total square feet:
-
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ 00 U
2. Proposed use of the building: �-
3. If Commercial or Industrial, indicate the name of the business:
4. Source of Heat(circle one): Gas Oil Propane Solar Other:
(Fireplaces need a separate Fuel Burning Appliances&Chimney Application,one per appliance)
5. Are there any structures not shown on the plot plan? YES .O Explain:
6. Are there any easements on the property? YES (NO
7. SITE INFORMATION: �1
a.What is the dimensions or acreag the parcel?
b. is this a corner lot? YES N
c. Will the grade be changed as a res a construction? YES NO
d.What is the water source? U PRIVATE. WELL
e. Is the parcel on SEWER or a PRIVATE SEPTIC system?
Tni)Ruiidina R CndP Fnfnrrmmpnt Prinrinia<trornmp RwicM March 7n1R
DECLARATION:
I. 1 acknowledge that no construction shall commeni;e priorto issuance of a valid building
;germ and work 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 t rue 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 ofoccupancy.
5. 1 understand that Ikve are required to provide an as-built survey by a licensed land surveyor of
all newly constructed facilities priorto issuance of a certificate of occupancy.
I have read and agree to the above:
PRINT NAME: Z-- J --
SIGNATURE: DATE:
Tao Buildine&Code Enforcement Prinrinia Ctnirhira Rrwicod Marrh 701R
Office Use Only
FUEL BURNING APPLIANCE & Permit#:
CHIMNEY APPLICATION
Permit Fee:$
Invoice#:
74Z B S Road, Queensbu N 12804 P.
51--761-8256
Project Location 1 L Tax Map ID:
Room of Install: ew& Planned Install Date: 01,
**ONE APPLICATION PER APPLIANCE**
CONTACT INFORMATION:
• Applicant:
Name(s): 6;lelel'71
Mailing Address, C/S/Z: rt/
Cell Ph.: Land Line: �c �� ) r77�rJ
Email:
• Primary Owner(s):
Name(s):
Mailing Address, C/S/Z:
Cell Ph.: _( ) Land Line:
Email:
• Installer/Builder:
Name(s): n L -�-
Mailing Address, C/S/Z: /7662 �1 . • /�iZ-U
Cell Ph.: _(, ) �' Land Line: �(�)
Email:
Contact Person for Building & Code Compliance:
Cell Ph.: _ l- ; / Land Line: _( }
Email:
Town of pueensbury Buwldm;R.Code Enforcement
FUEL BURNING APPLIANCE INFORMATION:
TYPE OF DEVICE:
Stove — Fireplace Insert ZFireplace
Fuel Fired Equipment(Garage Only,13"clearance per IMC304.3)
_Fireplace, factory built** /
*" Manufacturer's Name: At �y " ae�tl Model#:
SOURCE OF HEAT:
Wood Coal Pellet oGas
CHIMNEY INFORMATION:
_Masonry:
block brick stone
Flue: � �
tie steel L size,in inches
Material*:
double-wall triple-wa II_insulated
(*Manufacturer's " a m Cie = Model##:
ADDITIONAL INFORMATION:
1 Two inspections are required. A rough-in inspection,prior to installation and a final inspection,after
installation.
2 Manufacturer's installation manual must be available at the time of inspection.
3 Masonry fireplaces & chimneys require plans to be submitted.
4 Twenty-four (24) hour notification is required for inspections.
Deciaration:Construction/installation must conform to NYS Fire Prevention&Building Code and/or manufacturer
requirements.The applicant or owner agrees to comply with all applicable laws,ordinances,regulations and all
conditions that are part ofthese requirements and also will allow the inspector to enter the premises to perform the
required inspections.
I have read and agree to the above:
PRINT NAME: FX,� (-1 —
1'
SIGNATURE : Zu
Fuel Burning Appliance&Chimney Application
Town of Queensbury Thomas R.Van Ness
Highway Department Highway Superintendent
742 Bay Road,Queensbury, NY 12804 Home:518-745-0929
Phone: 518-761-8211
Fax: 518-745-4466 David Duell
Deputy Highway Superintendent
Home:518-745-0938
DRIVEWAY PERMIT
Date: 6e 7 lc
Applicant Name: �Ilf le"191 e AV/, Ile"
Telephone No.:
r 7
Address to be Inspected:
Return Address:
Applicant must show exact location and width of driveway(s)to be connected to the highway by placing stakes
at the specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following
action has been taken:
STEP 1: ( } Preliminary approval
NEED ( } Slight Swale
( y Deep Swale
( } Level with the road
( } Level with the top of the paved wing
Size culvert pipe to be used (if necessary)
( ) 12" ( ) 15" ( ) 18" ( } 24" ( ) 36"
Preliminary inspection completed by: Date:
Approval by Highway Supt.: or Deputy Supt.:
Upon completion please resubmit this approval permit for a final approval.
STEP 2: ( ) Final Approval ( } Rejected
Date:
Thomas R. Van Ness, Highway Superintendent David Duell, Deputy Highway Superintendent
Town of Queensbury Building&Code Enforcement Principal structure Application Revised February 2017
INSPECTION WORKSHEET (FMGAS-008620-2018)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
RC-0331-2018Permit
Case Number:Case Module:
Mon Dec 10, 2018Passed
Inspection Date:Inspection Status:
Gary StillmanGas Fireplace/Stove
Inspector:Inspection Type:
15 DEVIN CT296.14-2-1
Job Address:Parcel Number:
Queensbury, NY 12804
Contact TypeCompany NameName
ApplicantCERRONE BUILDERS, INC.
Granted PermissionCERRONE BUILDERS, INC.
ContractorCERRONE BUILDERS, INC.
Primary OwnerCERRONE BUILDERS, INC.
Checklist ItemPassedComments
Fire Marshal NotesYESHEARTH&HOME TECHNOLOGIES
MODEL: DV3732-B
SERIAL # LC4883357
Building Inspector NotesYESINSTALLED IN LIVING/GREAT ROOM
Floor ProtectionYES
Clearances to Combustibles (all sides)YES
Firestop(s) - Wall PenetrationYESDIRECT VENT
Vent Clearance to CombustiblesYES
Vent Chimney TerminationYES
Dec 10, 2018Page (1)
INSPECTION WORKSHEET (FMGAS-008620-2018)
Checklist ItemPassedComments
Gas Shut-off ValveYES
Combustion AirYES
Mantel-height above fp openingYESReturn to verify- see page 53 of installation manual for
mantle clearances
12/10/18 9 inch mantle (actual 8-1/2 inches) requires 10
inch clearance above top of hood or fireplace opening- actual
25 inches. Exceeds installation manual specs.
Witness OperationYESReturn to verify
12/10/18 - OK
CO DetectionYESReturn to verify
12/10/18- OK
CSST BondingYESReturn to verify
12/10/18 N/A- counterstrike
Stillman, Gary (Inspector)
Dec 10, 2018Page (2)
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`/,�1 MIDDLE DEPARTMENT
pf.-y� �j INSPECTION
,T ,� i ,..-Ti,' .�'• AGENCY� JS.%�1�,J...s•,��`yy�-,J•�7I"h�✓�._.�.y:..-r'�.-.dtyJ,+/�v`;
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,� ce.,4,,,ea that the electrical wiring to the electrical equipment listed below has been examined and is approved as I)
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions. �h.
k.NJ Owner: •
�;�J Cerrone Builders pate. 12/06/2018 (5
•( Occupant: Location �Z)
t,, Services 15 Devin Court �1
L� Occupancy: Queens• bury, Warren Co. NY >J�
" Single Family Dwg.. )
Applicant: .k--
Cerrone Builders 7
Gianni Cerrone �'j
1589 Rt 9 • SF
tWI) `Fort Edward, NY 12828 J J
k? Joseph A.Holmes �
It; No' 1453141Q4067EL ''
0i I=gt�opf�lent _ �5
rr<k2
200 -Amp. Service Equipment; 4/0 -Service Conductor; 45-Switches; 58 - Receptacles; 46 - Fixtures; 1 - 50 Amp t
4-Range; 1 -30 Amp Air Conditioner; 1 - Burner, Wiring & Control For Gas; 1 -20 Amp Dishwasher, 1 -30 Amp
,,Receptacle: 3-Vent Fans; 8 -Smoke Detectors; 11 -Arc Fault Breakers /.
C4 rr�
44
Cep
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This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy ano
j above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership
(12
rrinspection. 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. 6
Gency or fitness of the equipment for soy particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions,
ji�� be valid for a period of one year from the above rioted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department >,�
i 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 .1,!)
e.), ad to.the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation rr.;
;• any of the components Installed as of the above noted date,this certificate shall be process. A fee will bs charged for this se'Vitt.
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TOWN OF QUEENSBURY
BUILDING&CODES