RC-000038-2017 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-000038-2017 Date Issued: Thursday, February 16, 2017
This is to certify that work requested to be done as shown by Permit Number RC-000038-2017
has been completed.
Tax Map Number: 289.12-1-19
Location: 12 BERRY PATCH DR
Owner: Ruth Castonguay,Pierre Castonguay
Applicant: Ruth Castonguay
This structure may be occupied as a:
Interior Residential Alterations 540 s.f. By Order of Town Board
(finish basement into family/rec room) 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
742 Bay Road,Queensbury,NY 12804-5904 (518)761-820141L
1
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000038-2017
Tax Map No: 289.12-1-19
Permission is hereby granted to: Pierre Castonguay
For property located at: 12 BERRY PATCH 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
Tvne of Construction
Owner Name: Ruth Castonguay Single Family-Alteration $0.00
Owner Address: 12 BERRY PATCH DR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Interior Residential Alterations 540 s.f.
(finish basement into family/rec room)
$81.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,February 8,2018
(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 the expiration date.)
Dated at the Town of ueensb ted a ary 8,2017
SIGNED BY: �"YJ for the Town of Queensbury.
Director of Building&Code Enforcement
RJNCIP'AL STRUCTURE APPLICATION Office Use Only
Date: Q. G #"7
Tax Map YD — y! q Permit No.
a- ' - Permit Fee -k 8� .o-o
Zone
�� , 0 Historic? �'es �1�No
Subdivision Name 'Q?- 1 /1 6� i r -v�J -- Lot# Site Plan#
'7 Subdivision#
Project Location
,
TOWN BQ.RESOLUTION 86-2023: $850 recreation fee for new dwelling units—single family,duplexes/two-family,multiple family,
apartments,condominiums,townhouses,and/or manufactured&modular homes,but not mobile homes. This is in addition to the
permit fee(s).
Primary Owner(s)
a'
Address e
Phone/Email ,
Applicant
Address
Phone/Email
ContractorLP
cn
Address
i
Phone/Email
Contact Person^for Building&Codes Compliance-. pkv
TYPE Or CONSTRUCTION
✓Check all that apply New Addition Alteration V floor sf 2rd floor sf Total sf Height
Single Family
Two-Family '
Multi-Family
(#of units�) FEB
u
Townhouse fONt�I OF
L
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garage
(1, 2, 3, 4+)
Other F
Town of Queensbury Building&Codes Principal Structure Application revised January 2016
If commercial or industrial please indicate name of business
Proposed use of building or addition
Source of Heat(circle one) Gas Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances &Chimneys
Are there structures not shown on plot plan?
Are there easements on the property?
Site Information:
a. Dimensions or acreage of lot
b. Is this a corner lot? Yes No
c. Will the grade be changed as a result of construction Yes No
d. Public water or Private well(circle one) Public Private
e. Sewer or Private Septic System(circle one) Sewer Private
Value of all work to be performed(labor or materials) $
DECLARATION.
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. If work is not complete 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 /
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: t�T ST"CN R u A DATE:
SIGNATURE: - DATE:
For office use only 0
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
Certificate of Electrical Compliance
New York Atlantic-Inland, Inc.
997 McLean Road Ext.
Cortland, NY 13045
Certificate No.:614255 Building Permit No:
Issue Date: 2/10/2017 Building Permit Date:
Inspected By: Devin Pratt Occupancy: R-3
OWNER SITE ELECTRICIAN
Pierre Castonguay 12 Berry Patch Dr owner
12 Berry Patch Dr Queensbury, NY 12804 12 Berry Patch Dr
Queensbury, NY 12804 Town of Queensbury Queensbury, NY 12804
SCOPE
Basement Finish On Single Family Home w/Access To Concealed Wiring No Rough Inspection Required
INSPECTION INFORMATION
Fans: 1 Paddle Fan
HVAC: 1 -240V 1.5kW Baseboard, 1 -240V 1 kW Baseboard
Luminaires: 14 Luminaires
Outlets: 11 Switches, 18 Receptacles
Alarms/Misc.: 2 Smoke/CO Alarms
This certifies that the process noted above was complete as specified at the time of inspection and any conditions not within the
scope of the inspection are excluded. Because there exists a multitude of proprietary specifications,the adherence to the relevant
Building Code of New York State is applicable to the electrical requirements on the above noted date and valid for one year
forward. In connection with areas at the time of inspection and does not constitute areas that are enclosed,concealed or
inaccessible. Should the electrical system be altered in any way,including,but not limited to,the introduction of new electrical
equipment,this certificate shall be null and void. This certificate only applies to the occupancy use as stated. Changes in use,or
occupancy as indicated above,negates this certificate in its entirety.