BOTH-000350-2017 111114K TOWN OF QUEENSBURY
742 Bay Road,Queensbtuy,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: BOTH-000350-2017 Date Issued: Tuesday, July 24, 2018
This is to certify that work requested to be done as shown by Permit Number BOTH-000350-2017
has been completed.
Tax Map Number: 296.14-2-7
Location: 45 DEVIN CT
Owner: Clova Fenty,Robert Fenty
Applicant: CERRONE BUILDERS,INC.
This structure may be occupied as a: Screened Porch 256 s.f.
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, a„,P 4 ir
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: BOTH-000350-2017
Tax Map No: 296.14-2-7
Permission is hereby granted to: CERRONE BUILDERS,INC.
For property located at: 45 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: Clova Fenty Porch-3 Season,Covered,Enclosed $25,000.00
Owner Address: 45 DEVIN CT Total Value $25,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
CERRONE BUILDERS,INC.
1589 State Route 9
Fort Edward,NY 12828
Plans&Specifications
Screened Porch 256 s.f.
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,June 26,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before thyexpi ion date.)Dated at the Town of eensbu40nd , ,2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
WL ADDITION/ALTERATIONPERMIT Permit#: �OT -�'fj0'2o\ �
APPLICATION Permit Fee:$ 'EZ
Town of Queensbun ��qq
742 Bay Road,Queensbury, NY 12804 Invoice#:T
P:518-761-8256 www.gueensbury.net
Project Location: %� �/,-w / L
Tax Map ID #: Subdivision Name: ! ,a ✓ P
CONTACT INFORMATION:
• Applicant:
Name(s):
Mailing Address C/S/Z: � JI"
Cell Phone: ( , � )- 3h OQyy Land Line: �)
Email:
• Primary Owner(s):p
Name(s): _�T`/Gf/T� '
Mailing Address, C/S/Z: ? 1i'diw �L • �z�ay
Cell Phone:_�) Land Line: �)
Email:
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Contractor(s): L�
Business Name: e— d/ J
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
• Architects En in er s :
Business Name:
Contact Name(s): �0
Mailing Address, C/S/Z: eel f &A
Cell Phone: Land Line:)
Email:
Contact Person for Building & Code Compliance:
Cell Phone: / ' ) �— 633 Land Line: �)
Email:
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
PROJECT INFORMATION:
TYPE: Commercial Residential
WORK CLASS:
Single-Family _Two-Family _Multi-Family (#of units )
Townhouse Business Office Retail
_ Industrial/Warehouse _Garage (#of cars ) _Other (descrlbe'-�-KGew4z /66C/^ )
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor:
2"d floor: 2nd floor:
3rd floor: 3rd floor:
41h floor: 4"floor:
Total square feet: Total square feet:
ADDITIONAL PROJECT INFORMATION:
�/
1. Estimated Cost of Construction: $�/OCiU
2. If Commercial project, what is the proposed use:
3. Source of Heat (circle one): Gas Oil Propane Solar Other
Fireplaces need a separate Fuel Burning Appliances &Chimney Application
4. Are there any structures not shown on the plot plan? YES NO Explain:
5. Are there any easements on the property? YES NO
6. SITE INFORMATION:
a. What is the dimensions or acreage of the parcel? ) /
b. Is this a corner lot? YES NO
c. Will the grade be changed as a result of the construction? YES ONO
d. What is the water source? PUBLIC PRIVATI�WELL
e. Is the parcel on SEWER or a PRIVATE SEPTIC system? CUf/✓
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
� _r
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. 1 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. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate
of occupancy.
5. 1 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:
SIGNATURE: DATE: l
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017