2009-137 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090137 Application Number. A20090137
Tax Map No: 523400-296-005-0001-020-000-0000
Permission is herebygranted to: GUIDO PASSARELLI
For property located at: HIGHPOINTE 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. Type of Construction Value
Owner Address: GUIDO PASSARELLI
2955 VETERANS Rd W Suite 213 Garage Attached
STATEN ISLAND,NY 10309-0000 Single Family Dwelling $225,000.00
Total Value $225,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-137 Lot 13, House No. 28 Highpointe Dr.
Round Pond Subdivision
1514 sq ft single family dwelling&608 sq ft garage
$242.48 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,April 21,2010
(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 To Queensb 7
Tuesday,April 219 2009
SIGNED BY for the Town of Queensbury.
Director of Building Oodeorcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4z Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20090137 Date Issued: Monday, July 27, 2009
This is to certify that work requested to be done as shown by Permit Number P20090137
has been completed.
Location: 28 HIGHPOINTE Dr
Tax Map Number. 523400-296-005-0001-020-000-0000
Owner: GUIDO PASSARELLI
Applicant: GUIDO PASSARELLI
This structure may be occupied as a:
Garage Attached By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
I
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.
I -_.,,.._./.....,.... OFFICE USE ONLY ,. ..........
TAX MAP NO. '
PERMIT NO.�2—/37 ,
FEES: PERMITS
RECREATION ENGINEERING ;
(If applicable)
PRINCIPAL .STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: %� ro%P �s, ��,
OWNER:
ADDRESS: at ADDRESS:
�.
PHONE NOS._ 7xy'.; PHONE NOS. -"
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: 1,�/`�! Er PHONE: 7g.�r_ 99Q5�
LOCATION OF PROPERTY: zr k,tJv' q?
T`s
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? P'YES ❑ NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z 0 d d o
PROJECT 0 OD 0 cn
o w emu_ U- w w Q CL
w 0 J u_ U
?� � O � 01= °WwZ
Z a Q � a l- u- o. = �
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1 L9)
OTHER
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:
ESTIMATED CONSTRUCTION COST:_ ,���p FUEL TYPE:
HEAT TYPE: .,& 4 'HOW MANY FIREPLACE(S): -- AND/OR WOODSTOVES(S):
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? /fo
IS THIS A HISTORIC SITE? ,A//,)
PROPOSED USE OF BUILDING OR ADDITION:
*Please complete a separate Application for"Fuel Burning Appliances& Chimneys"available in our office
Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /y(}
ARE THERE EASEMENTS ON PROPERTY? /y�6
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete state me nt/d escri ptio n of the work proposed,that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. 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.
Signed
Director of Building & Codes.• 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator• 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building ; herein is found to be in accordance with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application: ,
BUILDING & CODES APPROVAL '
ZONING APPROVAL10
,
0
DATE '
DATE
QUESTIONS 7 CALL 761-8256 OR EMAIL
codes(agueensbury net
Office Use Onlv
VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No mmw.aueensbury net
Occupancy Type: Construction Classification:
Assembly Occupancy Limit:
Special Conditions:
in, Town', of Queensbury Community Development Office - 742 Bay Road, Queensbury, NY 12804
OFFICE USE ONLY ; ; ;
rf 0 ;
TAX MAP NO &I i I i2 -PERMIT NO. 1' PERMIT FEE '
0 ,
/ , 1 ,
01 APPROVALS: ZONING TOWN CLERK
00
..................................................
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT.
OWNER: le-y y,® 221 �7, Z .�'� INSTALLER: o 7 i 2f
ADDRESS: -V 7 F, ,i J 5 L , f ,i'l L/( ADDRESS:—EZ A 4 vi-
PHONE NOS. 7sL�l�= </�1 PHONE NOS. , / p
LOCATION OF INSTALLATION:
NO.OF RESIDENCE INFORMATION:
YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW
1980 or older X 150 gallon per bedroom = GARBAGE GRINDER
INSTALLED?—�
1981 -1991 X 130 gallon per bedroom
1992-present X 110 gallon per bedroom = �, SPA OR HOT TUBINSTALLED?�fZ
PARCEL INFORMATION:
✓ TOPOGRAPHY: Flat rolling) Steep slope %Slope
✓ SOIL NATURE: Sand li Loam Clay Other
✓ GROUNDWATER: At what depth?
✓ BEDROCK/IMPERVIOUS MATERIAL: At what depth?
✓ DOMESTIC WATER SUPLY: Municipal, Well (If well: Water supply from any septic
system absorption is ft.)
✓ PERCOLATION TEST: Rate is minutes per inch [MPI]
(Test to be completed by a licensed professional engineer or architect.)
PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by
a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision).
TANK SIZE: _ r GALLON (MIN. SIZE IS 1,000 GAL..)Add 250 gallons to the size of the septic tank for
each garbage grinder, spa or whirlpool tub.
SYSTEM TYPE:
❑ ABSORPTION FIELD (WITH NO. 2 STONE) Total length_.jRk,_ft. Each trench 0 X
❑ SEEPAGE PIT(S)(WITH NO. 3 STONE) How many? Size?
❑ ALTERNATIVE SYSTEM Bed or other type?
❑ HOLDING TANK SYSTEM Total required capacity?
Tank size? Number of tanks?
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any
permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or
failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and
agree to abide by these and all requirements of the Town of (4i494
1-8256 OR EMAIL
Queensbury Sanitary Sewage Disposal Ordinance. burv.net
ORE INFORMATION
bur net
1
Signature of on Responsible ate
>ry Town of Queensbury - Community Development Office - 742 Bay Road, Qieeensbury, NY 12804
B 5-LGL 6/06
Final Survey Inspection
Dept. of Community Development
Town of Queensbury
R 742 Bay Road
Queensbury,NY 12804
Date received:
NAME: CC
LOCATION: { '
PERMIT M
Final Survey Plot Plan
Amproved Denied
The attached final
survey has been
received by the
Dept.of l/
Community
Development.
Upon review the
serve been:
Craig Brown,Zoning Administrator
Notes:
L.\SueHemingmyNBuilding.Codes.Inspection.FORMS\Fina1 Survey
Zoning Adminisimtor doc
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No. (518)761-8256 Arrive: am/pm Depart- —C am/pm
Date Inspection request received: A Inspector's Initials:
NAME: PERMIT#: _ `
LOCATION: Q LZ DATE:
TYPE OF STRUCTURE:
Comments:
Ye No N/A
4' BuildingNumber Address visible from road _ 09
ChimneyHeight/"B'Vent/Dired Vent Location
Fresh Air Intake _T
3 inch PlumbingVent through roof minimum 6 inches
Roof Com lets/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs decks tios more than 30 inches above grade ,a
Guard at stairwell at 34 inches or more
Guard at deck, porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches 01
Deck Bracing/Handicapped Ram Com liant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to silt plate
Gas Valve shut-off exposed!regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches oe
Bathroom/Kitchen waterti ht
Safety glazing/Window in stairwells safety gi in
Interior Smoke ors/Cartoon Monoxi Detectors
Every level Eve B :
Outside every bedroom ea:
Inter Connected: Batts backu :
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbingfixtures _
Foundation insulation/Insulation Certification
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency egress below grade
Gas Furnaoe shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum IN Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fireproofing/%hour fire door/door closer
Dud work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Arc Fault Breaker in Bedrooms
Flex Gas Pipe Bonding
As Built Septic System/Sewer De . Inspection Sticker
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C 10 1 Temporary/Permanent
L:1Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revise0_100405.doc;Revised
January 7,2008;Revised 6/26/08
de Enforcement - Resid' tial Final Inspection
Arrive: am/pm Depart: ��am/pm
Inspector's Initials:
C PERMIT#:
DATE: —
Comments: I
Yes
Chimney Height/'B'Vent/Dire ent oca on
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors _
Handrail 4 or more risers
Guards at stairs deckspatios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet _
6 inch clearance to sill plate
Gas Valve shut-off exposed Iregulator 18 inches above grade -----_
interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen waterti ht
Safety glazing/Window in stairwells pfety glazingk
interior Smoke Detectors/Carbon oxid etectors
Every level: Every Bed
Outside every bed nxa area:
Inter Connected: Batte badku .
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access 1 .ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation/Insulation Certification
Floor truss,draft stoppiEg finished basement 1,000 s .ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within tine of site
Oil Furnace shut-off at entrance to furnace area -------
Fumace/Hot Water Heater operating.
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock underside minimum IN Gypsum
Basement stairs dosed rise>4 inches
Garage Floor Pitched
Garage fire roofi /%hour fire door/door closer
Duct work Sealed p"p@rly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
Are Fault Breaker in Bedrooms
Flex Gas Pipe Boni i i
As Built Septic System/Sewer De . Ins ion Sticker '
Site Plan I Variance requirsO
Flood Plain Certification,if required
Oka to issue C/C or C 10 1 Temporary/Permanent
LABuilding&Codes Forms\Building&Codes\Inspection Fon-WResidential Final inspection Forrn_revised_100405.doc;Revised
January 7,2008;Revised 6/26/08
Framing / Firestopping Inspection ReO
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's initials:
NAME: , , �. ; 'c— PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N WA COMMENTS:
Attic Access 22"x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 % w 16 gauge 8 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
! ur
Firestopping
Pere Baled
16 inch insulation in cavity min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling1wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (1Af7
5.7 sf above/below grade
5.0 sf grade
LABuilding&codes Fonns-=\8uiWin9&CodesYnspedion ForrnsTran ing Firestopping Inspection Rsport.doc Revised January 7,2006
Rough Plumbing / insu etion Inspeoti n Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: PERMIT ##: /37 .-
LOCATION: Lf
INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 %inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cieanout eve 100 feet/change of direction
Pressure Test
Drain/Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
d
50"P.S.I RX 15 minutes
Insulation/ esidential Check/Commercial Check
imilar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS: f'-t-L
Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7,2008
a _`U �-r'�
Rough Plumbing / Insulation Ins action Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depa �11
am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: i C' PERMIT #: — 113
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing /Nail Plates
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
ead
P.S. o 5r 15 minutes
Insulation Residential Check/Commercial Check
Tyvek or milar Exterior Sealant
r Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
rZ -- LC>
v2z� izja
Rough Plumbing insulation Report.revised Nov 17 2003,revised February 15,2005, revised January 7,2008
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: ��- #: Z�
�`� PERMIT �- 3
LOCATION: Z- INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent / Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet / change of direction
Pressure Test
Drain / Vent
Air / Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air / Head
50 P.S.I for 15 minutes
Insulation / Residential Check/ Commercial Check
Proper Vent Attic Vent
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Rough Plumbing 1 Insulation i pection Report
Office No. (518) 761-8256 Date In ec ' uest received:'"
Queensbury Building &Code Enforcement Arrive: �- �/p art: am/pm
742 Bay Road, Queensbury, NY 12804 Ins is Initials
NAME: PERMIT#: �—
LOCATION: Z INSPECT ON:
TYPE OF STRUCTURE:
Y N NIA
R h Plumbin /Nail Plates
Plumbing Vent/Vents in Place
1 % inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain/Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation/Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed No Insulation
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
4:5i'2&�r0
Rough Plumbing Insulation Report revised Nov 17 2003, revised February 15,2005, revised January 7,2008
Framing / Firesto � /v�-
Aping Inspection Report
Office No. (518)761-8256 Date Inspection request received: J Z 9
Queensbury Building&Code Enforcement Arrive: am1pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 4A.
NAME: /1 S 5 e I PERMIT#: d /
LOCATION: INSPECT ON: Q5
TYPE OF STRUCTURE:
Framing Y N WA COMMENTS:
Attic Access 2T x W minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 % w 16 gauge 8 16D nails each side
Draft stopping 1,000 sq. ft floor trusses
Anchor Bolts 6 ft. or less on center
Am and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in 92v!ty min.
Garage Fire Separation
House side%inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilingfwall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (M
5.7 sf above/below grade
5.0 sf grade
LABuilding&Coded Fonnsd)LDaild ft&Codw Mrapection FormeTraming Fwestopping Inspection Reportdoc Revised January 7,2006
I : fiww' cam- ;
Septic Inspection Report
Office No. (518) 761-8256 Date Ins cation req s ei d:
Queensbury Building &Code Enforcement Arrive: a lepart: _am m
742 Bay Rd., Queensbury, NY 12804 Inspector's Initial
NAME: C P IT NO.:
LOCATION: I PECT ON: / 07
RECHECK:
Comments and/or diagram
Soil Ty am / Clay
T of Water: ici al Well Water
Waterlin se ration distance tJ ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' + - Y N __N/A
Absorption Field: Total length 2.UU ft.
Length of each trench ft.
Depth of trenches ft.
Size of StoneZ
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank '
Tank to Distribution Box LA 11
Distribution Box to Field / Pit "119-,)C—
Opening Sealed: N
End Cap VV N
Inlet/Outlet Pipes&Baffles N
Location Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft. Z01
Conforms as per Plot P _Y_ N
Engineer Report and -B ' N
Location of System on Property:
Front Rear Left Side Right Side Middle Fro Middle Rear
System Use Stat
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc
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Foundation Inspection Report
Office No.(518)761-8256 Date InsRectiox request received:
Queensbury Building&c Code Enforcement Arrive: �j(�J am/p Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspect Ws Initials:
NAME: PERMIT#:
LOCATION: `(j. e 11V t INSPECT ON: I
TYPE OF STRUCTURE:
Co menb
Y N NA
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
F ting Dowels or Keyway in place
oundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
inches above footing
6 mil poly for wet areas under slab
Backfiill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report '
Office No.(518)761-8256 Date Inspectio �quest received:
Queensbury Building&Code Enforcement Arrive:` -Am1pn Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: i INSPECT ON: —
TYPE OF STR C .
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump '� �
Footing Drain Stone:
12 inch width
6 inches above footing
MI wet areas under slab
Backfill Approva
er Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Fonns\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection uest received:
Queensbury Building&Code Enforcement Arrive: 2 am/pmDepart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspect s Im 'als: J
NAME: A ( PERMIT#: Q I
LOCATION: P,to /Z , INSPECT ON: 5-11 OF STRUCTURE:
Commenb
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
r 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforce Place
Foo ' wel r Keyway in place
FoudoLtj ampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
/Foundation Inspection Report SK
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Office No. 1 1- '(5 8)76 8256 Date Inspectig�n request received:
Queensbury Building&Code Enforcement Arrive: 1�——am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#: (37
LOCATION: a� ! INSPECT ON: �f
TYPE OF STRUCTURE. _
Gn� Act,
V
Con mr eab
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place i
The contractor is responsible or
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundatlon Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
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5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
BUREAU F ELECTRICITY 5
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5 40 FULTON STREET - NEW YORK, NY 10038 c�
5 CERTIFIES THAT 5
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5 Upon the application of upon premises owned by
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5 TERRE MAJESTIC INC. TERRE MAJESTIC INC. S
5 7 BIRDSALL ROAD 7 BIRDSALL RD
5 GLENS FALL, NY 12804, QUEENSBURY, NY 12804 5
5 Located at 28 HIGH POINTE DR QUEENSBU_R_Y, NY 1.28_04 5�
5 Application Number: 4027191 Certificate Number: 4027191 5
5 S
5 Section: Block: Lot: Building Permit:* BDC: A239 cS
5 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5
electrical devices and wiring, described below, located in/on the premises at: 5
5 Basement,First Floor,Outside, S
5 5 A visual inspection f the remises electricals stem limited to electrical devices and wiring to the extent detailed
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5 herein, was conducted in accordance with the requirements of the applicable code and/or standard
5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
5 authority having jurisdiction, and found to be in compliance therewith on the24tn Day of July, 2009.
5 Name OTY Rate Ratine Circuits Tvoe 5
5 Alarm and emergency equipment 5
Sensor 2 0 0 CarMon/Smoke
5 5 Sensor 4 0 0 Smoke
Appliances and Accessories
5 Air Conditioner 1 0 0-15000 5
5 Bell Transformer 1 0 S
Exhaust Fan 2 120 FAR
5 Furnace 1 0 Gas 5
5 Service
5 Service Disconnect: 1 200 mcb
S ServicelPnase3W service 5
Rating200Amperes
5 Wiring And Devices
5 AFCI 3 120 15 5
Fixture 12 0 Fluorescent
5 Fixture 42 0 Incandescent CS
5 Paddle Fan 2 0 S
Receptacle 1 240 30 Dryer
5 Receptacle 6 0 GFCI seal
5 Continued on Next Page 1 of 2
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location Indicated. 5
5 5
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5 BY THIS CERTIFICATE OF COMPLIANCE THE S
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5 BUREAU OF ELECTRICITY 5
5 40 FULTON STREET — NEW YORK, NY 10038 c�
5 CERTIFIES THAT S
5 S
5 Upon the application of upon premises owned by
5 5
5 5
STERRE MAJESTIC INC. TERRE MAJESTIC INC.
5 7 BIRDSALL ROAD 7 BIRDSALL RD
S GLENS FALL, NY 12804, QUEENSBURY, NY 12804
5
5 Located_at -28 HIGHP91[-1TE DR QUEENSBURY, NY 12804 5
r5j Application Number: 4027191 Certificate Number: 4027191
5 5
5 Section: Block: Lot: Building Permit:* BDC: A239 S
5 5 Described as a Residential 5
occupancy, wherein the premises electrical system consisting of
5 electrical devices and wiring, described below, located in/on the premises at: 5
Basement,First Floor,Outside, S
5 5
5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5
5 herein, was conducted in accordance with the requirements of the applicable code and/or standard
5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
5 authority having jurisdiction, and found to be in compliance therewith on the24tn Day of July, 2009.
5 Name OTY Rate Rating Circuits Tvce 5
5 Receptacle 44 0 Gen,Purpose 5
5 Switch 39 0 Gen,Purpose S
5 5
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5 sea/
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5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location,indicated. 5
5 5
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