RC-0042-2018 „ow
} TOWN OF QUEENSBURY
4. ..
, 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
• Community Development- Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-0042-2018 Date Issued: Wednesday, October 3, 2018
This is to certify that work requested to be done as shown by Permit Number RC-0042-2018
has been completed.
Tax Map Number: 296.14-2-19
Location: 20 DEVIN CT
Owner: CERRONE BUILDERS, INC.
Applicant: CERRONE BUILDERS, INC.
This structure may be occupied as a: Single Family Dwelling w/gas FP 1973 s.f.
Garage 575 s.f. By Order of Town Board
Lot 19, Village at Sweet Road TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the (-7- avp 4 4/4---
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.
f . 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-0042-2018
Tax Map No: 296.14-2-19
Permission is hereby granted to: CERRONE BUILDERS, INC.
For property located at: 20 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 $395,000.00
Owner Address: 1589 State Route 9 Total Value $395,000.00
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 1973 s.f
Garage 575 s.f.
Lot 19,Village at Sweet Road
$ 19741.90 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 thl expiration d te.
Dated at the Town Wee4m#%tmry26,20l8
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
4 �
Office Use Only
3 permit#: Q C ' 0042- 2,zi(b
PRINCIPLE STRUCTURE PERMIT
APPLICATI ON Permit pee:$ It k .R O
742 Bay Road,Queensbury, NV 12804 *Rec. Fee:$ brbo
P: 518-761-8256 Invoice#: 1
Project Location, 4L"� , Ili , cl'�. �
Tax Map #: tc•f`') - t Subdivision Name: l� �?� � ��
"TOWN 13b.RESOLUTION 86-2013 $850 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).
CONTACT INFORMATION:
• Apolicant:
Name(s):
Mailing Address, C/S/Z: 1 ?`� > vs (-c F7'- - IV • D ZFZ
Cell Ph.: _( ) Land
Email:
• Primary Owner(s):
Name(s):
Mailing Address, C/S/Z:
Cell Ph.: _( ) Land Line:
Email:
• Contractor(s):
Name(s):
Mailing Address, C/S/Z: aln c- ,-
Cell Ph.: �(�) Land Line: _( )
Email:
Arch itect(s)/Enctineer(s):
Name(s): V00 AYrn✓1
Mailing Address, C/S/Z: 20 t�(c/1 �f• �cns �U
Cell Ph.: i( 6,a ) Land Line: _(•, � -71Z-- 9
Email:
Contact Person for Building & Code Compliance: 4 'sc' CXn5-de.
Cell Ph.: _( t�T ) 3(�I ?� I Land Line: �( )
Email:
ToQ Building&Code Enforcement Principle Structure updated December 2017
i
PROJECT INFORMATION: `
TYPE: Commercial Residential
WORK CLASS:
Single-Family Two-Family _Multi-Family(#of )
_Townhouse Business Office Retail Hotel/Motel
_IndustriaUWarehouse Garage(#of cars ) Other(describe )
STRUCTURE SQUARE FOOTAGE: GARAGE SQUARE FOOTAGE:
11 floor: 11 floor: _5
211 floor: 2nd floor:
3rd floor: Total square feet:
4th floor:
Total square feet:
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ q, w J
2. Proposed use of the building: fj r u�i►'I%�
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 (,NO Explain:
6. Are there any easements on the property? YES
7. SITE INFORMATION: q_(�
a.What is the dimensions or acreage of the parcel?
b. Is this a corner lot? YES 140`
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? Je.11'�
ToQ Building&Code Enforcement Principle Structure Updated December 2017
DECLARATION:
I I acknowledge that no construction <.hall,;cimmen:;e priorto issuance<J a valid
perm and wor'.,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 1, or my agents, will obtain a
certificate of occupancy
5. 1 understand that !lave are required to provide an as-built survey by licensed land surveyor of
a 11 newly constructed facilities priorto issuance of a certificate of occupancy.
I have read and agree to the above:
PRINT NAME: &/LAI, IS 1 /14
SIGNATURE DATE:
ToQ Building&Code Enforcement Principle Structure Updated December 2017
FUEL BURNING APPLIANCE & Office Use Only
CHIMNEY APPLICATION Permit#:-Vz
Permit Fee:
742 Bay Road, Queensbury, NY 12804 Invoice:#:
P: 518-761-8256
Project Location: . 20 tvt.......... Tax Map ID#: Zq- (o . i9.z. I
Room of Install: t I V) l yo Planned Install Date: z4o a,.
**ONE APPLICATION PER APPLIANCE"
CONTACT INFORMATION:
* Applicant:
Name(s): —CA
Mailing Address, C/S/Z: 1�31-
Cell Phone: e 14- Land Line: A-
Email:
®
Primary Owner(s):
Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line: J—)
Email:
'6 Installer/Builder:
Business Name: 'R
Contact Name(s): 6 rf4
Mailing Address, C/S/Z:
Cell Phone:_( S 1 -6 Land Line:
Email:
Contact Person for Building & Code Compliance:
Cell Phone: (cN.; 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:, �� (�I Q Model#:
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: -, ; 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.
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:
r
PRINT NAME: Z `" 4 0
SIGNATURE: DATE: Z- Z I�
Fuel Burning Appliance&Chimney Application Revised March 2017
l own e�C Zf.�'2?�S�iuj"y i ho-m�as R. Van Ness
hghway Superintendent
Highway Home (518) 745-0929
Department
742 Bay Road —Queensbury, NY 11801 David Dueli
Phone: (518) 761-821 1 Deputy Highway Superintendent
Fax: (518) 7 i"+66 Home(518) 7 3-0938
DRIVEWAY PERMIT
DATE: Z- Z' 13
APPLICANT NAME: (f•Pr(/b/IL L IcP-�3
TELEPHONE NO.: ;12• g(a l - D q`f
ADDRESS TO BE INSPECTED: �ZO Q Cv i n CA
RETURN ADDRESS: r 2-;2�� [Z.0.,�r 9
lfy
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
( ) Deep Swale
O 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 approved permit for a final approval.
STEP 2: { ) Final Approval ( ) Rejected
Date:
Thomas R. Van Ness, Highway Superintendent David Duell, Deputy Highway Superintendent
�;,0ct. 25. 2018, 1 : 01PM MD IA No. 5678 P. 2
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0• MIDDLE DEPARTMENT INSPECTION AGENCY INC.
CO) T• w that the electrical wiringto the electrical equipment listed below has been examined and is approved as {`��
yy4, being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
jj noted below and is issued subject to the following conditions.
gi Owner: Date: �
Cerrone Builders • 09/25/2018 &-.,'.
Occupant: Location.:,
�� Same n20 Devin Court (.
��� Occupancy:— Queensbury, Warren Co. NY K{)
p ySingle Family Dwg. F
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It
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Aj Applicant: •
VCerrone Builders - '=>>
t j Gianni Cerrone ... :E C EE Q 7 g
k.?= 1589Rt9
Fort Edward, NY 12828 J BL :OT. 262018
Oi
Joseph A.Holmes TOWN OF QUEENSBURY t)
C3 No. 145314102822EL .. BUILDING&CODES � l
. ----C. c, ..2_— �0 1 , 6,_
Equipment: ...._, . �
y 200 -Amp. Service Equipment; 4/0 -Service Conductor;'44'-Switches; 69-= Receptacles; 74 - Fixtures; 1 -30 Ampg•
� p ��
,,, •
,Air Conditioner; 1 - Burner, Wiring & Controls(Gas); 1 -20 Amp Dishwasher, 1 -30 Amp Receptacle; 2 Vent Fans; 6
-Smoke Detectors
•
5
It: .
..• This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the Use.occupancy and ?;`e
above end the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change In me use,occupancy or ownership 0
Inspection. 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, f j)]
. ciency or fitness of the equipment tor any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions. `�
t. be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department Ce.
r; 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
C' ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation q
t) any of the components instated as of the above noted dete,this certificate shell be process. A fee will be Charged for thiS Service.
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