RC-000413-2017 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-000413-2017 Date Issued: Thursday, March 1, 2018
This is to certify that work requested to be done as shown by Permit Number RC-000413-2017
has been completed.
Tax Map Number: 309.14-1-73
Location: 11 RYAN AVE
Owner: James Benedetti
Applicant: James Benedetti
This structure may be occupied as a: Residential Interior Alterations - entire
house and garage walls for fire safety. 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, /d
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-000413-2017
Tax Map No: 309.14-1-73
Permission is hereby granted to: James Benedetti
For property located at: 11 RYAN 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
Tvne of Construction
Owner Name: James Benedetti Single Family-Alteration $20,000.00
Owner Address: P.O.Box 3465 Total Value $20.000.00
Glens Falls,NY 12801
Contractor or Builder's Name/Address Electrical Inspection Agency
Bardin Construction
Plans&Specifications
Residential Interior Alterations- entire house and garage walls for fire safety.
$276.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,July 11,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before ' tion date.)
Dated at the Town of ue�sb ,:74
ues y J 17
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Of e se Only
Permit#: f-,C -Z
PRINCIPLE STRUCTURE PERMIT
APPLI - ION
Permit Fee:$ 7(e : CX0
—
r,n r;rfC urerubur. JUL 1 1 2017 *Rec Fee:$
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.gueensbury.netTCy�f Eel C� ^ ct�Jg'Y Invoice#: Z 0 3
B1 li DIN 1
Project Location: I I `\.��n 11-1-
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Tax Map ID#: .�-309', W-/_73 Subdivision Name:
'TOWN BD.RESOLUTION 86-2013: $850 recreation fee for new dwelling units: single family,duplexes/two-family,
multiple family, apartments, condominiums,townhouses, and/or manufactured & modular h is-M,.
homes. This Is In addition to the permit fee(s). iD E (1 0 W E
CONTACT INFORMATION:
• Applicant: E'
Name(s): c i TOWN OF QUEENSBURY
Mailing Address, C/S/Z: Gl• ENT
=, �'���S !
Cell Phone: �i;- u - 76 or Land Line: � )
Email: :s
• Primary Owner(s):
Name(s): _ 5na r_ s -P�
Mailing Address, C/S/Z: ']P. G, ;�G,� 3'f 6-
Cell Phone: '/ i; )_ �•o -7GQ / Land Line:
Email: �� ��,. 5 /x �[e,G e-e-)✓`z.
• Contractor(s):
Business Name: Lt,� f _d k-4
Contact Name(s): ,��• (!
Mailing Address, C/S/Z:
Cell Phone: ( 5f?' 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: �„r� 5 :R-"2 -e-4 {
Cell Phone: (-;Fl v )^� `O ?6 o/ Land Line:
Email: �;.•L� �' c „-,
Town of Queensbury Building&Code Enforcement Principle Structure Application Revised February 2017
4 '
PROJECT INFORMATION:
TYPE: Commercial _ id 1
WORK CLASS:
Single-Family _Two-Family <'ulti-Family(#of )
Townhouse Business Office Retail Hotel/Motel
_IndustrialMarehouse _Garage(#ofcars _i Other(describe )
STRUCTURE SQUARE FOOTAGE: GARAGE SQUARE FOOTAGE:
1ST floor: 11T floor: 3roD
2nd floor: 2"d floor:
3`d floor: Total square feet:
41h floor:
"Dotal square feet:
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ 0 d v v
2. Proposed use of the building: 2.
3. If Commercial or Industrial, indicate the name of the business:
4. Source of Heat (circle one): GasOi Propane Solar Other:
(Fireplaces need a separate Fuel Burning Appliances&Chimney Application, one per appliance)
S. Are there any structures not shown on the plot plan? YESNO xplain:
ii
6. Are there any easements on the property? YES jVO
7. SITE INFORMATION:
a. What is the dimensions or acreageo the parcel?
b. Is this a corner lot? YES NO
c. Will the grade be changed as a result of the construction? YES 10
d. What is the water source? PUBLI PRIVATE II WELL
e. Is the parcel on SEWER or a PRIVATE SEPTIC system?
DECLARATION:
I. I acknowledge that no construction shall commence prior to issuance of a valid building permit 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 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:
n ,
SIGNATURE: i DATE: "7 15
I \JV VV
Town of Queensbury Building&Code Enforcement Principle Structure Application Revised February 2017
Certificate of Electrical Compliance
New York Atlantic-Inland Inc.
997 McLean Road Ext.
Cortland, NY 13045
Certificate No.:618529 Building Permit No:
Issue Date: 1/15/2018 Building Permit Date:
Inspected By: Devin Pratt&Stan Matyka Occupancy: R-3
OWNER SITE ELECTRICIAN
Glens Falls Development Group 11 Ryan Ave Sean Gauthier/Sean Breault
LLC Queensbury , NY 12804 Gauthier Skilled Craftsman LLC
PO BOX 3465 Town of Queensbury 30 Delaware Ave
Glens Falls , NY 12801 Hudson Falls, NY 12839
SCOPE
Single Family Home Complete Rehab
INSPECTION INFORMATION
Fans: 1 Paddle Fan w/Light, 1 Exhaust Fan
-�
Luminaires: 37 Luminaires
Outlets: 29 Switches, 52 Receptacles
Alarms/Misc.: 3 Smoke/CO Alarms, 4 Smoke Alarms MAR 0 2 2018
TOWN., . SUIIDIN�UEENSBURY
�--- - .& CODES
SLC �q1� •
This certifies 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.