RC-0039-2018 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-0039-2018 Date Issued: Monday, September 10, 2018
This is to certify that work requested to be done as shown by Permit Number RC-0039-2018
has been completed.
Tax Map Number: 296.14-2-17
Location: 91 DEVIN CT
Owner: CERRONE BUILDERS, INC.
Applicant: CERRONE BUILDERS, INC.
This structure may be occupied as a: Single-Family Dwelling w/gas FP 1,767 sq
Garage 864 sq. ft. By Order of Town Board
Lot 17, The Village at Sweet Road TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the (. 4140 4 44"
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.
y 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-0039-2018
Tax Map No: 296.14-2-17
Permission is hereby granted to: CERRONE BUILDERS,INC.
For property located at: 91 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
Tvue of Construction
Owner Name: CERRONE BUILDERS,INC. Single Family-New $365,000.00
Owner Address: 1589 State Route 9 Total Value $365,000.00
Fort Edward,NY 12828
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Single-Family Dwelling w/gas FP 1,767 sq.ft.
Garage 864 sq.ft.
Lot 17,The Village at Sweet Road
$ 1,764.30 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday,February 26, 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 d te.
Dated at the Town Quee7 L
I' P4M e ruary 26,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
f2C � �
PRINCIPLE STRUCTURE PERMIT Permit#: -a01
APPLICATION Permit Fee: $
w
Rec. fee: $ �
742 Bay Road,Queensbury, NV 12804 0077
P: 518-761-8256 Invoice#:
Project Location: q l Or-�Ijn Gf. ZalPJ-?
Tax Map #: o� 9�' 14. Subdivision Name: rt�"coii, cal
TOWN BDRESOLUTION 86-2013 $860 recreation fee for new dwelling units single family, duplexes/two-family,
multiplefamily apartments.condominiums townhouses,and or manufactured &. modular homes but not mobile
homes This is in addition to the permit fee(s).
pro
CONTACT INFORMATION:
• AP
ulicant: FEE 0 1 2w
Name(s): tPn_t TU;LL ram,
Mailing Address, C/S/Z: S"g Zk�. I Fr. OA =9
Cell Ph.: _ 5t 61- oQy_Z. Land Line: �( )
Email:
• Primary Owner(s):
Name(s):
Mailing Address, C/S/Z:
Cell Ph.: J ( ) Land Line: ( )
Email:
• Contractor(s):
Name(s):
Mailing Address, C/S/Z: 4402
Cell Ph.: _O Land Line: _O
Email:
• Arch itect(s)/Enctineer(s):
Name(s): \Jcn �-uail
Mailing Address, C/S/Z: Z O to 6, 1 en 5t. [tA fir, 11.5
Cell Ph.: _( ) Land Line: _(5-( ) ?,q2- `1'Z(a
Email:
Contact Person for Building & Code Compliance:
Cell Ph.: _(51E) ) tea_ e'v31 Land Line: _( )
Email:
Toci Building&Code Enforcement Principle Structure Updated December 2017
PROJECT INFORMATION:
TYPE: Commercial '� Residential
WORK CLASS:
Single-Family Two-Family _Multi-Family(#of )
Townhouse Business Office Retail Hotel/Motel
_Ind ustriaUWarehouse Garage(#of cars ) Other(describe )
STRUCTURE SQUARE FOOTAGE: GARAGE SQUARE FOOTAGE:
1'floor: l fa 1 11 floor:
2"d floor: 2"d floor:
3rd floor: Total square feet:
4th floor:
Total square feet:
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ ��
2. Proposed use of the building: It
3. If Commercial or Industrial, indicate the name of the business:
4. Source of Heat (circle one): L4s 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 AND Explain:
6. Are there any easements on the property? YES (10
7. SITE INFORMATION:
a. What is the dimensions or acreage of the parcel? qU
b. Is this a corner lot? YES (f�j__
c. Will the grade be changed as a result of the construction? YES NO
d.What is the water source? PUBLIC PRIVATE WELL
e. Is the parcel on SEWER or a PRIVATE SEPTIC system? ' eCL l
ToQ Building&Code Enforcement Principle Structure Updated December 2017
DECLARATION.
I I acknowledge that no construction shall ,--.ommen,-1'e prior to issuance fa .,o
Perm . and wor'Ilk,will be completed within a 12 month period
2 If the work is not completed by the 1year expiration date the permit may be renewed
subject to fees and department approval.
1 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 1, or my agents, will obtain a
certificate of occupancy
5, 1 understand that Me are required to provide an as-built survey by 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: Is
SIGNATURE: DATE: I& • I-q-
ToQ Building&Code Enforcement Principle Structure Updated December 2017
FUEL BURNING APPLIANCE & Office Use Only
CHIMNEY APPLICATION Permii#: f-C-
Permit Fee:$
?r rli 9! «i1 t lftrc'i .lri Ff�
742 Bay Road,Queensbury, NY 12804 Invoice:*,:
P:518-761-8256 �� �, u �r�s 'v.�
Project I.osationo DU\n_ GT _ Tax Map III#:
Room of Install: 'vc a! f yo ,n,I_ Planned Install Date:
**ONE APPLICATION PER APPLIANCE**
CONTACT INFORMATION:
Applicant:
Mailing Address, C/5/Z: 1 VI Z �'-
Cell Phone: -(S-
3 G l-U2YZ Land Line: ( )
Email:
Primary Owner(s):
Name(s):
Mailing Address, C/S/Z:
Cell Phone: _( ) Land Line: _( )
Email: i
• Installer/Builder:;�
Business Name: ties
Contact Name(s): C-1 r
Mailing Address, C/S/Z:
Cell Phone: _( t t ) V - 2 Land Line: _( )
Email:
Contact Person for Building & Code Compliance:
Cell Phone: _(P3 ) 36/- CIL Land Line: _(
Email:
Fuel Burning Appliance& Chimney Application Revised March 2017
FUEL BURNING APPLIANCE INFORMATION:
TYPE Of DEVICE:
—Stove ` Fireplace insert Fireplace
Fuel Fired Equipment (Garage Only, 18" clearance per IMC 304.3)
Fireplace, factory built**
**Manufacturer's name: 4 " � G�o Model M �?3 2
SOURCE OF HEAT:
Wood ^Coal _Pellet Gas
CHIMNEY INFORMATION:
Masonry:
block brick stone
Flue:
tie _steel size, in inches
Material*:
double-wall triple-wall_insulated
(*Manufacturer's name: 4,yf- (iLG Model##: pV 373 2 }
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.
Declaration: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 of these 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: t A.
SIGNATURE: ---� DATE:
Fuel Burning Appliance&Chimney Application Revised March 2017
l own oOuee GSburQy Thomas R. van Ness
highway Superintendent
Highway Horne(518) 745-092,9
Department
742 Bay Road —Queensbury,NY 12801 David well
Phone: (518) 761-821 1 Deputy Highway Superintendent
Fax: (518) 745-4466 Home (518) 743-093$
DRIVEWAY PERMIT
DATE:
APPLICANT NAME: (en r n n..e �u i
TELEPHONE NO.: �'l a Col- O9`IZ
ADDRESS TO BE INSPECTED: I ►Jwir. G� �.> A,7
RETURN ADDRESS: `1 Z0,r1't cJ
�t &- a
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: O Preliminary Approval
NEED: O Slight swale
( ) Deep swale
( ) Level with the road
( ) Level with the top of the paved wing
Size culvert pipe to be used (if necessary)
( ) 12" ( ) IS" ( ) 18" ( ) 24" ( } 36"
Preliminary inspection completed by: Date:
Approval by Highway Supt: (or) Deputy Supt:
Upon completion, please resubmit this approved permit for a final approval.
STEP 2: ( ) Final Approval ( ) Rejected
Date:
Thomas R. Van Ness, Highway Superintendent David Duell, Deputy Highway Superintendent
Kate Deck
From:Steven Cerrone <cerronebuildersinc@gmail.com>
Sent:Friday, September 7, 2018 8:55 AM
To:Charles Dyer; Kate Deck
Subject:91 devin Court final electrical
Sent from my iPhone
1