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RC-0043-2018 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 i4 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: RC-0043-2018 Tax Map No: 296.14-2-14 Permission is hereby granted to: CERRONE BUILDERS,INC. For property located at: 79 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 hTe 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 CERRONE BUILDERS,INC. 1589 State Route 9 Fort Edward,NY 12828 Plans&Specifications Single Family Dwelling w/FP 1714 s.f Garage 450 s.f. Lot 14 Village at Sweet Road $ 1,664.20 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 Quee ury; MoUvIve Mary 26,2018 SIGNED BY: m,, for the Town of Queensbury. Director of Building&Code Enforcement Ott] . � 004�- ��t�PRINCIPLE STRUCTURE PERMff �4�2�APPLICATION 742 Bay Road.Queensbury. NV SZ804 O�� P: 518-761-8256 tion: Project Loca Subdivision Name: 1exesrhnro-family, Tax Map #: IL le family,dup — units. sing TOWN gb.RESOLUTION 86-2013 $850 recreation fee for new dwelling . iums townhouses,and.or manufactured & modular homes but not mobile multiplefamily apartments condominiums homes This is in addition to the permit fee(s). r� ;tiTACT INFC)FtM • Apples Name(s): - r i� 1�1 F v; rA 2 � Mailing Address, C/S/Z: � l 2 . i ! Land Line: �( ) G � Cell Ph.: - Email Primary owner(s): Name(s): Mailing Address, C/S/Z: Land Line: O Cell Ph.: ( _--) Email: Contractor(s): Name(s): Mailing Address, C/S/Z: Land Line: Cell Ph.: Email: Architect(s)/Engineer(s): Name(s): Mailing Address, C/S/Z: s' Cell Ph.: _( ) LandLine: _(_____ Email: / Contact Person for Building & Code Compliance: Cell Ph.: _ `► a34:� L__ � ,�1 Land Line: _( ) Email: ToQ Buntline&Code Enforcement c.�..��..�e c.,..�....e,,..a,...a n..,.....�..._�.,,� PROJECT INFORMATION: / TYPE: Commercial V Residential WORK LASS: 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: I'floor: �1 (`-� 15T floor: 2nd floor: 2nd floor: 3`d floor: Total square feet: 4t"floor: Total square feet: ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ 2. Proposed use of the building: 3. If Commercial or Industrial, indicate the name of the business: 4. Source of Heat (circle one): as) 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 Explain: 6. Are there any easements on the property? YES CO 7. SITE INFORMATION: a.What is the dimensions or acreage of the parcel? o b. Is this a corner lot? YES qfd c. Will the grade be changed as a result of the construction? YES d.What is the water source? PRIVATE WELL e. Is the parcel on SEWER or a PRIVATE SEPTIC system? Toq Building&Code Enforcement Principle Structure Updated December 2017 DECLARATION; I I acknowledge that no construction -hall--ornmence prior to issuance of a Id, perm and work 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 a licensed land surveyor of all newly constructed facilities priorto issuance of a certificate of occupancy. I have read and agree to the above: PRINT NAME: r__1j&KW1 SIGNATURE: DATE: ToQ Building&Code Enforcement Principle Structure Updated December 2017 WEL BURNING APPLIANCE & office use onl,, CHIMNEY APPLICATION Perrnii:#: I Perrnii Fee:$ 742 Bay Road, Queensbury, NY 12804 Invoice:#: P:518-761-8256 'Wvqw.aueensbury.ne Piroject Location: Not 11 A (11- (41 Tax Map ID#: 'Z i Li- z Room of Install: i t A;\ �LQ 41 i­\ Planned Install Date. **ONE APPLICATION PER APPLIANCE" CONTACT INFORMATION: ® Applicant: Name(s): C L Mailing Address, C/S/Z: - P6_jcj t-k-� 7f AW L Z ?4-.-Z- Cell Phone:._(_ 6 ) _36 Land Line: Email: '6 Primary Owner(s): Name(s): Mailing Address, C/S/Z: Cell Phone: - Land Line: A-) Email: 'I Installer/Builder: Business Name: ae -_4 4i;f-c Contact Name(s):Mailing Address, C/S/Z: Cell Phone: -( <i'_1 't) Land Line: Email: Contact Person for Building & Code Compliance: Te_u C-n Crf0,-r, Cell Phone: j� �L_, I- Ocl L47_ 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) V, Fireplace, factory built** j n **Manufacturer's name:_ H e,4 io Model#: SOURCE OF HEAT: Wood Coal Pellet V Gas CHIMNEY INFORMATION: _ Masonry: block brick stone Flue: _tie steel size, in inches _Material*: �Adouble-walltriple-wall insulated (*Manufacturer's name: (" ' L r;t Model#: oU 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: 0 tZ'2 _ IYi SIGNATURE: DATE: Fuel Burning Applian �imney Application Revised March 2017 Town ©f Queensbury Thomas R. 'Van Ness ;highway Superintendent Highway Home(518) 745-0929 Department 742 Bay Road—Queensbury,NY 12801 David Due)1 Phone: (518} 761-8211 Deputy Highway Superintendent Fax: (518) 745-4466 Home(518) 74S-09S8 DRIVEWAY PERMIT DATE: APPLICANT NAME: re)- ) ^Q c�Rr5 Lm r TELEPHONE NO.: _6 �n• 019(-I ADDRESS TO BE INSPECTED: _ 7� Ne,A I Lt RETURN ADDRESS: ( i � ftD 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 ( ) 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 tSepr1 17, 2018 1 4 PSMDIA;.. ; TY, ,—--\.;�-- . .:\v ••,.'Z N r4ty✓ —r ,•• . ✓,;.. ,w. ;<,_vim:.\ ) ti -4,- -[...w•,,- i,.:.l$ s,\,c,N o. 5 0 61 ,�.P. 17/18 ,c?,,, wp MIDDLE DEPARTMENT INSPECTION AGENCY, INC. >;i. r!' that the electrical to the electrical :,,=� r;5) wiring equipment listed below has been examined and is approved as being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date << <;: ,;;• noted below and is issued subject to the following conditions. `;±� Cj Owner: • Date: 1 le`) Cerrone Bldrs 09/13/2018 ,) `` .'' Occupant: `<» '�: p Same Location:. ,, \� �/9 Davin Court * �; Occupancy . Queensbury,Warren Co.NY C • • Single Family Dwg. `,., Applicants 0 Cerrone Builders . .- . . 6:) •%:, _ C) Gianni Cerrone ''� • • �>) 0. 1589 Rt 9 • • •:� O Fort Edward, NY 12 • 828 l;'' L J `. <<:� • <) Joseph A.Holmes ., <<% No. _145314101896EL J _ _ •� - - - - • - - - - - - .. _ :-, %% Equipment: • _ .. .. .. `cjj\ .,�%200 -Amp. Service Equipment; 4/0 -Service Conductor;45-Switches; 44-Receptacles; 52-Fixtures; 1 -30 Amp -�• Air Conditioner; 1 - Burner,Wring & Control For Gas; 1 -20 Amp Garbage Disposai;;1 -20 Arnp Dishwasher; 1 -30 <<• C( Amp Receptacle;2-Vert':Fans,:6-Smoke•Detectors; 10-Arc Fault Breakers >> • . a �,) • fir' �? 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 tl; (•, above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership g-;, (l� inspection. No warranty is expressed or implied as to the mechanical safety.GM- of the property indicated above.this certificate shall be immediately null and void. l`,. ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions, f<•:%\. 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 ;, n 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 ; (() ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc.to initiate the inspection and revalidation ;\) any of the components installed as of the above noted dale,this certificate shall be process. A fee will be cherged.for this service. •?tC \•%• %r•^\% \i%^\%,—.• NJ\i%i. �.�Y.- %,—,ce-\%%i\%%i\%% %%."%%i�%Ji%% %%i\ i%%i`%'%i\%%i\%%\l%%%i`i%i\i%i�%%i>i%i'\i%i`:1��%i\%%�5�`%r`i%��i%�1i%:\i.\!.�\i%`\i%:\%�`.•.�\•'.\•:' �V.) ��%:"��:\ .% _�I\.:% :/. .!:J✓ \.�: _i%,\ /\✓i\✓� `�::C%JJ,` '✓i:!%/�i%/� ��:`���.�i%,\•;�,\ �l.'` /\�.�/\ %'\�.%/\�1\./\�.%/��.%/-%/��i%.�:%/��%...J/\✓/.., :J' \\ ..�`��L. �.�.ice.•\�.\�• .\�` \�.L.. L .l:��.� .t.. ..-. . :.�.. .L..�:�. .�. .t�\-..\_..\..\ .�..`.\.:.��.\.•\.\_ \.•\ ..\�.i\ .•\S/�. o ___ D©L . 25 10 i SEP 1 8 2018 1 t