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2000-813 TOWN OF QUEENSBURY !kw 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20000813 Date Issued: Friday, September 14, 2001 This is to certify that work requested to be done as shown by Permit Number P20000813 has been completed. Tax Map Number: 523400-227-017-0001-021-000-0000 Location: 22 GUNN Ln Owner: DOMERS GOLDEN PROPERTIES, LLC Applicant: DOMERS GOLDEN PROPERTIES, LLC This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Attached Single Family Dwelling cDj 4 Director of Building&Code Enforcement TOWN OF QUEENSBURY *4"W 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000813 Application Number: A20000813 Tax Map No: 523400-012-000-0003-021-000-0000 Permission is hereby granted to: DOMERS GOLDEN PROPERTIES, L.L.C. For property locatd at: 22 GUNN Ln 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: DOMERS GOLDEN PROPERTIES,I single Family Dwelling 225,000.00 22 GUNN Ln Garage-2 Cars Attached LAKE GEORGE,NY 12845 Fireplace Total Value 225,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency PICTURE PERFECT HOMES NEW YORK BOARD OF FIRE UNDEI NY Plans & Specifications 2000-813 3290 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $417.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,November 07,2002 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town u sbu es , vember 07,2000 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-82561 o BUILDING & CODE ENFORCEMENT NOTICERequirements prior to issuance r n A permit must be obtained before ') of this permit: PERMIT FILE NO. C`9lu' -- - beginning construction. No inspections PERMIT FEE PAID$ — o o will be made until applicant has received n Zoning Board Action - , a VALID BUILDING PERMIT. All Area /Use RECREATION FEE PAID applicants` spaces.on this application $ MUST be completed and the signature E] Planning Board Action REVIEWED BY: r of the applicant must appear on the SPR / Subdivision /Other Building Inspector eplication form. 7hank you. 1'° Recreation Fee Payment J Applicant: \./411ES ( G- i2-Gru I,, Owner: 00�res &'2 Ljcr, .C4,7,4- Tc`3 ' Address: / `k" -eci CC)€.vim 41 Address: ,/7J'4U/'"'ds4-'-' 2S,2iu& i;7Sie--X-11r 7. Al / /.2-c0,:.., ,Nis7ayL0,.15.4 .,may /2-4'il.! Phone # ( j11' ) .3 [ _ Ia3f Phone # ( r ) gjL - 7-4 2-0 Property Location: ?2- ge-e-vN Z.Y4 r ce---vc-. 4--AS-- _ Tax Map Number_ ', / l Subdivision Name: Section Block Tnt NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE < New Building: CONSTRUCTION: residence / commercial Addition o wilding: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial X Single Family Dwelling Residence / Commercial Two Family Dwellin /�'`� � / no change to exterior size Family Dwell s � FFI 1� ED Office Other Work (describe below) Mercantile OCT 1 8 2000 Manufacturing TOWN Other OF QUEENSBURY GROSS AREA OF PROPOSED STRUCTURE: BUILDING AND�CODE If ADDITION, what will use 1st Floor 2-3 Z v sq. ft. of new addition be? : 2nd .Floar. . .� 770 sq. ft. Other Flouts sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: 3 .-1 TOTAL (5 SQ. FT. X' Attached Garage 1, car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building Other FEET X 6"7.s— FEET Foundation Type: A'rec4 Ce 't`4'/— Will anysecond-hand or ungraded Number of Stories : g �, lumber be used? If so, for what? N� (habitable space only) Height (grade to rX.dge) : 2g feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which a lies) to be installed:_ / Electric toil / / Wood kForced Hot Air-7/7 aseboard / Other Person responsible for supervision of work as regards to building codes is : "ie/t t- c 4-, iu/0 s,o- z-2, Name Addresss Phone Builder: e 7-u.ee— .'= - -Aq r- -4,-0,., Plumber: sic ,60 t.g 7e7. Z --/77 . Mason: -- Electrician: 50- DECLARATION: Please sign below after you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that Uwe shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: u G t- (owner, owner's age``t�tect, contractor) Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: � Location of installation: 2. Z Office Use File Permit No.( .Z+0 Tax Map No. /2 / / z Owner's Name: f�,crcrzs �o4.P� /°.�, 77 1-‘" Fee Paid Address: //j Gl/i'v.sdveyr z.)2u� /ems/end, /l.'yi /d 2. INSTALLER'S NAME : died-c.09 t. PHONE NO. 7�3 v So3 j 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s)and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980- 1991 x 130 gal/bdrm = �l 91 -present x 110 gal/bdrm = 334' Garbage Grinder Installed yes X I no Spa or Whirlpool Installed yes X / no 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) . • _r:,• •it ri Qio.ttnd Water Bedrogk Qr lmpgryiops Materiel Domestic Waterupply sand at what depth at what depth municipal Rolling loam feet feet well Steep slope ay if well; water supply _%slope o er from any septic-system depth: absorption is ft. of Percolation Test: (To be completed by licensed professional engineer or architect) L 4 - Rate: minute per inch 5. 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). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: /.'v gallon (min. size 1,000 gal) Tile Field: each trench ft. Total System Length: ft. Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # / depth or thickness __feet Bed System Size: x Alternative System: .CL,j-&-'� ytte length and/or size /3'X..?7 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) 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 Queensbury Sanitary Sewage Disposal Ordinance. V4103, /°//,47/00 ignature of res onsible person Date Fire 1\Ln-shal's Office Town of Queensburv. 742 Bay Road,Quecnsburv, NY (518) 761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date /40/(e ' ,20 00 Permit No. /VI - i "t 3.` Application is hereby made to the Building& Codes Office sfor the issuance of a Building and live Permit pursuant to the New York State Fire Prevention and Building Code. 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 all inspectors to enter premises to perform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. p q ed. Applicant Information Fuel Burning Appliance Information (circle appropriate words) ..,. Na me: rs / 5r4t f Stove: wood coal pellet gas Fireplace insert Address: 35.1 elee ''' t"g.:4ru;, r $ oir, e°'1?t, JTace;racforyy-bluff' oo 'i gas ,r y•r,, .- 4' -a i Ao V t r�. Fireplace, masonry: wood gets Furnace: wood gas oil Phone: „Ng-91, ' If non-masonary applicance, please provide Owner: „ ,, -fig; ' °' "4s 1,w ;i.:1, tee, Manufacturer Name: Address: /,r'3' 'i.P e., ' " fir,,.— Model Number:f 5.0-0-7 , Aft V / licoh., Chimney Information Phone: 9(2 2/ - (circle appropriate words) Masonry block brick stone Flue tile steel size: inches Exact Address: 1,titoiAl t,'Prr+Re-' 4a-er oV r:- ofconstruction or installation Factory-Built Manufacturer name: Model Number: :Note: Listed By: Number: Construction /Installation must conform to NYS Fire Prevention &Building Indicate (circle) chimney material: Code. Consult available Tolvrt of Queensbuty Handouts regarding required inspections. Double gall Triple wall / Insulated / Direct venting Chimney Liner i Ca.oithiex-'rta Z,cpax-tmexxt— Tourer ol'Q►ue�xartoarbury, Iriewsr Y"oz J 1 I 1 I m ) r-.. „A + Fire,ttarshal Code# S Collected S Re/iwded Received from 0-c: ilmicO tr (�,, . 1 j address: -,. A 173 3389 (190) Public Safety — —T-- ---- .4 233 2655 (230)Minor Sales Y 1 r` � / y I 1�rt. {1yb /ry- /p sL 66.4A,0.2 er.1 —7 White(Applicant) Green(Fire Marshal) Yellow(Bldg. Dept.) Pink&Goldenrod(Cashier's Dept.) / NtiKkiY LODE APPLICATIONS 413 F_ 6 ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance thods : PART 5 - Acceptable Practice Method - 1&2 Family Dwellings (only) « ' PART 6* - Thermal Rating - Component Trade Offs 1&2 Family Dwellings; Multi-Family Dwellings (3 stories or less) PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NAME : PROPERTY LOCATION: £2M ee s Gam /4e6rev 1/4-s Lac 2.Z c4's.v , Czev dtee- PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - a -70 o square feet 2 . Type of Heat - Electric Oil X Gas Other 3 . Is building mechanically cooled? K Yes No 4 . Percentage of area of windows and doors A/ Over 17% Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a . Roof R 30 b. Exterior walls R 17 c . Glazed areas R 3 d. Exterior doors R /a e . Floors over unheated spaces R /g f . Edge of slab on grade (heated building) R /q g. Basement/cellar walls (above grade) R /7 h. Basement/cellar walls (below grade) R -"Co i . Heating/cooling-ducts-piping in unheated space R C0 6 . Service (domestic) hot water heating device„ Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED icant ' s Signature Datp Phone Number INSPECTOR' S REMARKS : RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart am/pm Town of Queensbury Inspector's Initials /y��t/, 742 Bay Road Queensbury,New York 12804 NAME 1) EP.3 o of ?RQPF EL6 PERMIT# Z_O —Of 3 LOCATION 7 �--C-��1��� �F DATE CI —' t 1 TYPE OF STRUCTURE ` N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 1: in.or ore Interior Handrails stairs both sides 3 or ore •rs Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 8' above grade Gas Furnace shut-off within 30 feet or •,'thin line of site Oil Furnace shut-off at entrance to area Furnace/Hot Water Heater opera Relief Valve(s)installed Headroom,6 ft.6 in.on sta' Basement stairs,6 ft.4 i Handrail exterior stairs ••th sides m• e than 3 risers Interior privacy/trim/doors/main en' . ce 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical �y.^ .Site Plan/Variance required Ft EI)i tty,Q _TA --Final Survey Plot Plan REV'i EVE �J As Built Septic System layout required Okay to issue C/C(Certif of Compliance) Okay to issue temp.C/O(Certif.of Occupancy) �DOA_ Okay to issue permanent C/O(Certif.of Occupancy) (� FIRE MARSHAL 111111.01,k TOWN OF QUEENSBURY ajzza QUEENSBURY, NY 12804 (518) 761-8205 T FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME Do, w c C�cLDE tak- LOCATION ZZ PERMIT# 7-rec' SCHEDULE INSPECTION ON q--3--0 ?b A PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTIN4' FIRE EXTINGUISHE'S FIRE ALARM SY , M FIRE S•' R SYSTE FIRE SUPPRESSION SYS EM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE To SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE ❑MASONRY ❑FACTORY BLT. ❑SOUGH-IN FINAL REMARKS: F 2ECIACE , , El OK TO THIS DATE tAcvv_L I`-I -�KQ�D�a (c9, INSPSLIP.PUB INSPEC OR RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive?e 3C);; "i •part m Town of Queensbury •- tor's Intl 742 Bay Road Queensbury,New York 12804 c CC NAME D o�\ERA � � Pgc'PE PERMIT# ZO `"fti�3 LOCATION 'Z 2_. 6,1100 O DATE Ct—V C3 1 TYPE OF STRUCTURE P® N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location N// Fresh Air Intake V/` Plumb Vent through roof V, Roof Complete Exterior Finish Complete v/ Interior/Exterior Railings 30"to 36" % Exterior Handrails,balconies,landin: 18 in.or ;ore i Interior Handrails stairs both sides 3 ft-more ri rsGrade 2%away from foundation 8"clearance to sill plateGas Valve shut-off exposed/regulato: 18" .•the grade Gas Furnace sh. -off within 30 feet o, -i in line of site Oil Furnace shut •: : entrance . ..r ace area Furnace/Hot Water Heater operating / Relief Valve(s)installed ,,// Headroom,6 ft.6 in.on stairs ! V/ Basement stairs,6 ft.4 in. •✓ / Handrail exterior stairs both sides more . 3 risers Interior privacy/trim/doors/main entrance 6" ` Floor Finish I✓/ Bathroom/Kitchen watertight �/� Interior Handrails Balconies/Landing 18 in or more f Railing across window in stairwells . ,/ Smoke Detectors: Z/ every level �j every bedroom ✓ outside every bedroom ✓/ inter connected Bathroom fans Plumbing fixtures _ / Foundation insulation ,/ 3/a hour fire door/door closer V Garage fireproofing ` Garage penetrations sealed / �/ Furnace in separate room protected(in garage) �/ / Light ventilation per room ✓/ Safety glazing 18"or less from floor ;/f Final Electrical Site Plan/Variance required I Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME DOME ja LDErJ ft LOCATION ZZ 61/4.)1.) PERMIT# Z.000 1, SCHEDULE INSPECTION ON et -- o PM APPROVED N/A YES NO EXITS 'x AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY 0 QE T \ t f WOOD STOVE FIREPLAC ❑MASONRY [FACTORY BLT. (A5 C 'ROUGH-IN El FINAL REMARKS: ❑ OK TO THIS DATE INSPSLIP.PUB INSP CTOR :30AK RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive Depart Town of Queensbury spector's Initials 742 Bay Road Queensbury,New York 12804 NAME no � ' 1 ,3 PERMIT ?� LOCATION Z.Z. + DATE —k3—0 TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct V t Loca n Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.o'more Interior Handrails stairs both sides 3 o more sers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off expo—• regulator 8":bove grade Gas Furnace shut-off within ! feet or thin line of site Oil Furnace shut-off at entrance to i ce area Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more th.• 3 risers Interior privacy/trim/doors/main entrance 3+" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in. . more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation %hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. U�� Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL l Panel Board No Cert. N! 7 0 1 6 7 Cut-in Card No � Owner ink 6"" 614-g- a a" t-0 Location.....- C.a...v V L-A-. es2` 4" ` Installation C nsistin of !Zr 4 /P'eZ P & Vf iA/24'/hse 7- P0vwl./ yt it P/tv 8 e'` i 614 4,Prro 7-it�3, Installed By , 441rya Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be .romptly made for inspection. Inspectors of this Company shall have the privilege of makin .G�iections at any time, and if its rules are violated,the Company shall have the right t oke this ificate. Date 9VZ'U/ INSPECTOR Member N.F.P.A.,I.A E.I. Mir- R-r Q---\-i r\"\\\ra 0 9 ( RESIDENTIAL FINAL IN CTION PO T 1_3. / Office No.(518)761-8256 Date inspection request received: ` 0 Building&Code Enforcement Dept.of Community Development Arrive Depart Town of Queensbury Inspector's Initi 742 Bay Road Queensbury,New York 12804 NAME �O; j G-4(\19.-N-%4 .1 eS PERMIT# C -�'--t<- n--,31(LOCATION r c- -..e_____ DATE 9 - 1(1,.2.0() TYPE OF STRUCTURE S-3 .NO \*. N/A YES NO COMMENTS 'Chimney Height/"B"Ven. 0• tW€nt Location I .--- Fresh Air Intake J/' � �--' (1)t V S c iq‘ pt through roof ' JJ/�// �\ - Roof Complete 1 Roof 1�Exterior Finish Complete , / Interior/Exterior Railings 30" o 36" V r CRC w k, c r�1` Exterior Handrails,balconies, . ding 1; in.or more Y/ ' til` Interior Handrails stairs both si 3 or :ore risers �./ \� H l ` INt-V- D Grade 2%away from foundatio 8"clearance to sill plate e// � -� Gas Valve shut-off exposed/re: ator 8"above grade r/ ,� \`�°�CTQL Gas Furnace shut-off within 30 f=•t o•within line of site Oil Furnace shut-off at entrance t: 1, :ce area ,+./ Fumace/Hot Water Heater opera i g // )Vt ‘)- , Relief Valve(s)insta ✓ � Headroom,6 ft.6 in.on stairs I \'1-\ 1___f ‘�� Basement stairs,6 ft.4 in. ✓ Handrail exterior stairs both sides ,ore than 3 risers i / Interior privacy/trim/doors/main en'�.ice 36" / ✓ -� _ Floor Finish y • sa \t„...)6)p Bathroom/Kitchen watertight ,/_.�- Interior Handrails Balconies/Landing 8 in.or more / .1 ���'_- ��1 Railing across window in stairwells / j Smoke Detectors: . ,/ 5 CJ Vt (\k...- f „`/ every level every bedroom outside every bedroom 1\.C � inter connected - \ t v c) "Bathroom fans -� ' F\-� Plumbing fixtures *, V)EE Q 0 V-- V 10 v_ vtL., Foundation insulation / B 3/a hour fire door/door closer l� 1..}%w`[=.F�17 `r Garage fireproofing A ��� %1... c) `i, - -c- - Garage penetrations sealed a Furnace in separate room protected(in garage) / �' _�k .�-�Kam\ Light ventilation per room © ?, V Safety glazing 18"or less from floor I / V� �" ff''_ L \V Final Electrical ,/ Site PlanNariance required _ Final Survey Plot Plan i CaXA\ -‘77) �F't�y Z �; As Built Septic System layout required / �� �� �`✓ Okay to issue C/C(Certif.of Compliance) / Okay to issue temp.C/O(Certif of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) GENERAL INSPECTION REPORT )11Y\ ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Li Queensbury,NY 12804 Arrive am/pm Depart am/pm Inspector's Initials s NAME: _ 1 C� PERMIT# _ J D�— LOCATION: a }�`C 13 DATE: — _ 400 i TYPE OF STRUCTURE: ? / RECHE' N/A YES NO COMMENTS ••• gs/Piers Monolithic Pour Form Reinforcement in Place The contractor is re • ,-'ble for providing protectio from eezing for 48 hours followi i g the p •-ment of the concrete. Materials for this purpo on sit-. Foundation/Wallpour Reinforcement in Place Fours tion/Dampproofin \� 11 Approval ' Plumbing Under Slab Plumbing Vent/Vents in Pla• Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 175454:VO0 O" 813 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL ?ermit No. Cert. No 733,66�, Cut-in Card No Jwner...D0 7.72. L C �‘ LO6'-.J 72eY' 77eS ocation a 64 14) 1-f4• nstallation Consisting of. 7.0e72 fC4 i As 4- x/? t/Ls nstalled By eAt- Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is :ancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the ntroduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of maki spections at any time, and if its ides are violated,the Company shall have the right o ok • ific )ate za INSPECTOR Member N.F.P.A.,I.A.E.I. TOWN OF QUEENSBURY 1 / 0 _' ILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location a 67,4, Date /Permit #L _J SOIL TYPE: Sand-Loam-Clay- Results of Percolation T st- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches f Size of stone SEEPAGE PITS: Number Size - ft. x Stone size PIPING: - Size Type Bldg. to Tank Tank to Dist. Box -------- Dist. Box to Field/Pit ---- Openings Sealed? r Yes No Partia LOCATION/SEPARATIONS: Foundation to Tank Foundation to Absorption feet feet Separation of Pits feet e5 No Conforms as per Plot Plan —" o LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: f› O\ t-q6 ‘/1 \IYI L_Ftrk. 0 SYSTEM USE APPROVED: YE_N Arriv- . . Depa ed: ighw B�ildin: / Inspe,t, Allem \ P n) TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name &_- „, „,-4 �S2 e\rorLe___,L LocationG \ Date'?-s 1 Permit #(3a! 30 SOIL TYP )-.,',-C1 ay- Results of Perco ation Test- (if applicable) 'ate-Mi ute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Tot. Lengthy A Length of each tr- c 3 eoy5 Depth of trenches 1' —2 Size of stone A ftw. SEEPAGE PITS: Nu , �r- ` i$) Size - . x ft. Stone size PIPING: Size Type Bldg. to Tankp,Ncvs "-4ct -b' tL\V541'b Tank to L `'i Lich fi.�FOP 9' �Openings Box Sealed?l d/Pies W `t• PPart al w LOCATION/SEPARAT ON/ ARAT i ,j DIN_ Foundation to Tank q feet Foundation to Absorption 1, '4- feet Separation of Pits feet Conforms as per Plot Plan Yes o LOCATION OF SYSTEM ON PRO' ' Y: ' (circle one) � %E \ i,1 V s - '-ar - Left Side - Right Side 'ddle Fret ft1L- Middle Rear COMMENTS: SYSTEM USE APPROVED: YES ,N�,, Arrived 1%. ; <' DepaV? itririk B(tv ding I .p- tor Rr 1vE1, Ab—CON ,65A2V C REFERENCES : I.MAP OF LOTS, ON THE WEST SIDE OF THE GUNN FARM, SURVEYED BY CLAYTON W. JENKINS, IN 1913 8 FILED IN THE WARREN COUNTY CLERKS OFFICE. SEE SURVEY a MP BY LAKE G E O RG E �.. 2 T. McCORMACK P.L SA DATED EI2-30-99REW HARRI S BAY WOOD DOCK —' — — — IRON — APPROX. PIPE WATER FOUND T/F LINE N300 49 30, 19 9I, r IRON PIPE FOUND N I In M V - aD ti 4-4- 4'-S' lO PROP, LINE DECK 4'°" PROP. LINE 141-o" 4'-ll" 4.- 9-9 4'-3" 13± 32-3 r 2-STORY FRAME 13 HOUSErn i 3 -- "^ 20' '^ O N COVERED FRAME N Z; PORCH UTILITY O to�l SHED 0 &. 0 GARAGE � LLJ r� 41 cm `t. 28 o BIT. ASPHALT If c\I f; `I'a� DRIVE �, �. �� >;'o � � t Qq�"�l '�4v 5c Ul IRON OLD PIPE POLEFOUND 225' TO GUNN LANE S05 ° 34'W 75.00, ��.. PAVEMENT STREET BOUNDARY 9 RIGHT OF WAY PROPERTY LINE OF CO AL S.ANO SURVEYOR TITLE: ACTUAL HOUSE FOUNDATION << LOCATION MADE FOR ZAREH ALTOUNIAN MICHAEL GARGIULO 10 BURTON LAN E 1 ADDRESS LOT II GUNN LANE 497613 LOUDONVILLE, N.Y 12211 TAX MAP NO. 12-3-21 SURVEY' PARTY CHIEF CITY/TOWN/VILLAGE COUNTY QUEENSBURY WARREN N.Y, ANTONIO TRIMARCHI SCALE i"= 20'-0" GATE 5-I-01 TEL./FAX 869-4687 3 %Aro eioui`4' GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: tf 1.210/ Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive:101.intart 1 , nitials4111"` NAME: O&J YLIA.1 P�4LC?/J PERMIT# DATE : LOCATION: �,��� tutu__ IRO" TYPE OF STRUCTURE: 6.-dL RECHECK � N/A YE O COMMENTS t. Kotings/Piers C � Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the ent of the concrete. Materials for this purpose site Foundation/Wallpour Reinforcement in Place t Foundation/Dampproofing r Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P Rough Plumbing Heating Rough-In Insulation Foundation Walls Interi r R- Foundation Walls Exte r R- Floors Walls Ceiling Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping t-ocvbeti I trL.fic GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: (44-eJ/ Building& Code Enforcement 742 Bay Road Q Queensbury,NY 12804 Arrive- W nsp Depa �� ector's Initi NAME: —L/d r►,es3' t c�� PERMIT# - /3 LOCATION: d %i cam, 1�a.��-- DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 11 I Monolithic Pour Form Reinforcement in Place The contractor is - .+nsible 'sr providing protection -sm =ring for 48 hours following +e p - ent of the concre Materials for this •n site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Ba*kfill Approval Plumbing Under Slab Plumbing VentlVents in Place Rough Plumbing V t vkxcz._‘— 'c .- ? H ough-In on \ir4 a- fiL ( S/ r oun tion Walls Inte1or R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- � Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2, 3,4 hour � p Firestopping F1Q -Dy (.�'�k5� C.�M�o 3 r oT ` �5 GENERAL INSPECTION REPORT ( 518 )761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: 67196 ljeft Building& Code Enforcement 742 Bay Road �.2� Queensbury,NY 12804 Arrive la) Depart • ,,,��•�/ "Vector's Initi NAME: ►K ) ., PERMIT# -P/3 LOCATI N: '!56 61ft. c DATE: 7 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 1 CoM PI.E i E CE%LA 6G 11 I1 PttA Monolithic Pour Form li Reinforcement in Place V F1 L _ \1".C;< tt OA <t36v1 F The contractor is responsibl.for O� �� providing protection from ::,ing 4Z AA 01 Cj.3 ,%EX) for 48 hours following the p •cement of the concrete. SC ) , 5tLi___ ck__ BHA t 10 Materials for this purpose on , - -roe)/-6 ou - 0 OTC- 1 &Q_ Foundation/Wallpour I Reinforcement in Place 1J3 NA-- c _ (gyp E_ Foundation/Dampproofing Backfill Approval F—{v< RN DbobVk Plumbing Under Slab Plumbing VentNents•i ' • - Rough Plumbing /,;:-Jhsulit-i-Ot Hearing Rough-In /�/ Foundation Walls Interior R- Foundation Walls Exterior R- / Floors GAS- CEtu►•X3t- 30 Walls R- VA vv/ Ceiling R- . D ,/ Duct work or piping in unheated spaces R itioper Vent. Attic Vent il Framing Jack Studsacaderb StAkc l-\ Bracing/Bridging Joist Hangers p CC-c Fci AM t a, 7 F<t._L a LA__ tJ A t %AD«in VeeDLI Jack Posts/Main Beam < ‘-t 1 A.A . Air Infiltration Bather Fire Separation 1,2,3,hour ytration Sealed _ ire Wall 2,3,4 hour / Firestopping (3ATN£ooM ,St T Y c,-'���� • GENERAL INSPECTION REPORT c J©fit ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arriv61113 Depart � . Inspector's Initi,MIR NAME: DC)tA F� -,Q L,D�IJ '-? L�JERMTT# /St LOCATION: (�U 13 1-A. E. DATE: / - -• TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsib providing protection from eezi for 48 hours following the lacem t of the concrete. Materials for this purpose on ite Foundation/Wailpour Reinforcement in Place Foundation/Dampproofing ' Backfill Approval Plumbing Under Si b / • !Plumbing Vent/Ven 'n Place J Rough Plumbing �, K � Q — t, O I Heating Rough-In / �� - Insulation Foundation Walls Interior R- 'Ve,t.2, Foundation Walls Exterior R- Floors R- IJO C tp, Walls R- Ceiling R- Duct work or piping in unheated spaces R- oper Vent, Attic Vent Jack Studs/Headers BracingBridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier ire Separation 1,2, 3,hour Penetration Sealed ✓ ire Wall 2,3,4 hour v'Firestopping RELN AIL FA1/41"\c-1/41Z-0a ,,, i , , a,-- ----, „=, .„7„4.,,,R-It GENERAL INSPECTION REPORT ( 518 ) 761-8256 � Town of Queensbury © Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive k=aO Depart OPP41011P----••)�Inspector's Initi.. ./ NAME: `( i GA 4f PERMIT# .ef 416 / 3 LOCATION: `NY\ DATE: —..._Ottbk TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is respo le or providing protection front freez\ng for 48 hours following the placeent of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill App Plumbing U lab ! / bing VentNents m' lace v/ �r�\��� � �\� ugh Plumbing AA E3 Heating Rough-In ' s N► R\--L kZk\QL-Vb p L--F' ) DQ_N IS Insulation Foundation Walls In or R- Foundation Walls Exte 'or R- Floors R • - Walls R- Ceiling R- Duct work or piping in unheated spaces R- • .,.-r Vent,Attic Vent ming coluI Bng/Bridgrng �EP,A Joist Hangers t / Pw M CA rJ( CF -NZ_ cz-''s\--g� 1_ Jack Posts/Main Beam :1 p Air Infiltration Barrier Fire Separation 1,2,3,hour 'on Sealed ire Wall 2,3,4 hour Firestopping _ \ oQ R P a \D tykca3 "1-6,C) v,c5-1-1---0 tA yuicc.E.6 cs%z. It-No?E"Z'i-\\v 20 r Fi Epp C --NtA ©V-- Vt_o to Ct_Pt-Q fil )9'rr) vi \V.--)\-\\---'D GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Rbad _ Queensbury,NY 12804 Arrive\$, a:la•m Depart m-` 1 Inspector's In' NAME: TY-Y\01G-0100)0PERMIT --X-- L3 LOCATION . (--5-Lo1�_, DATE: - 1 TYPE OF SE: %!b RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection ► ing for 48 hours following the pl.«-ment of the concrete. Materials for this pu ..se on si - Foundation/Wallpou, , Reinforcement in Pl. Foundation/Dam.. oofing Backfill Approval Plumbing Undetr '1.. Plumbing Ven ents in Place Rough Plumbin. Heating Rough- Insulation Foundation I ails Interior R- Foundation ails Exterior R- Floors R- Walls R- Ceiling R- Duct wor or piping in unheat,,. spaces R- Pr r Vent,Attic Vent naming N. E.L tI\1 AV_% Jack Studs/Headers --V\L�„ �,����� / \� Bracing/Bridging / \547\�{vv, t. A\L� \1J `K- Li.\AR ,.' Joist Hangers �l/ �' `7�'`1 `i C' Jack Posts/Main Beam ✓—C_1-kC--\L (NI-` �E Air Infiltration Barrier ��� A R,1�C o\w� Fire Separation 1,2, 3,hour VC)e,1%j Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm DepaTs Inspector's Initials - NAME: c �`Qs'1'\ VV "CIV 11� ERMTT#(�()-2/3 LOCATIO:11)-5-cf\Q„A(5 : a ��� 'Y Q DATE: / a e 0 TYPE OF STRUCTURE: Jl- RECHECK N/A YES NO COMMENTS ngs/Piers !'�?��-d 1 v I Monolithic Pour Form Reinforcement in Place 2---#1(47 The contractor is responsible for providing protection from freezing for 48 hours followin e p :cement of the concrete. Materials for this purpo on -to Foundation/Wallpour r Reinforcement in Place !' Foundation/Dampproofi Backfill Approval Plumbing Under S Plumbing Ven ents in 'lace Rough Plumbing Heating Rough-In Insulation Foundation Walls Irate 'or R- Foundation Walls Ext rior R- Floors R- Walls R- Ceiling R- Duct work or piping n unheated spaces R- Proper Vent, Attic Ve t Framing r Jack Studs/Head?rs Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping mv � - Zmz 2:0 v z m0 v m N 820 05' 20 W o_ao z 184.35' o m I Ln z o Ci v 33'-7" P-- cm, o' owO 724� x o O vo oo 0 0 � m o r �' D G) rn TT x v o _ z m 46'{ 57'—7'' I II x 52,+ r g n 1 ' 1 v m n I� �-m+ "'m O o S820 36` E '�' �� r 150.17 n�i z oo s > m Z s I _ i V� v m G I+ O O•0 �� �Z-t oc S N a wc -n p CmZ x 0 s < � y C flD N m ram- a C v �o cn x v- z m- r Z -i < a rm m , r M AD A NZ, D __ 0 0 ch n * - z > G) co= m z c z z r _ D N n D2 z n J. m-� D a m N r Z�� � ZO x a 3: m G5o H � r Wi D - 00 c� Co y wwm � „ r c cs rn o -c m -�n < �, < ' o _ r or a m „ m- z O ro z= x { mmmz z 1 v n o v v.� m w Z G �y r = CA ro z onm N z ^_! . . c m n f > �^ D O �O D = rW a� z oc -4 mn1 �mz m xz m m< n m a ov z J w zm C z w < m fo o > z „ z 10 z o-Mm m -c � c z m z xv z c -c y z z A ltl...CE '.1 '.at? 'rf i 1 1VE!) FfL���-C tl�r' �-�KF_ iaPl�r2 ax 1 • �} 1�jv� OCT 1 8 ,?Q pry�t��r,� ,s F rl c. S yS IWA 4 : °r tau l N ; o o e rrL ov-1 t-v�f iL L A K rz. , �`+��t ; �,�' "B�Na AWE► BUF'�y �' , Z. yj� s Joo gV f.sr� C' - ' — -.- _ �--l N F -t--o Cz.,-E- IQ T3�4 tJ fj t�nl� D - � d� � � I ��rC.�t� t=ti1'F'; Isr�N� n} X31 I foC2 31 IX/4 t; Ta tr t Vt>kJ tJ J AJ t.)ley 41V .JC1i n r. Z ° 3Z2 .1 1 l2 s,T r- _ 3 3Z.t<LOog Lo tyj �l or�r I 1 Fx,s-ri'�t� T 7�F ' v 1 STAB+ C {-� C'4 0 32 0 r X 3Z i " - ---- "- G� � � T�rz v IT N 6,2 • emu_ � ., __ 0 r✓ t?vPr rZT/� I YL) 324 2s� n G U•� � �� V �L� E �I T�'PC ZS Ala�tr - W/4 Cc.,a,,�, � �' -� Pam- sP� •, ,; . ,.•, ,r• ✓,' '3z3�,-+ ' ,,.:,•, ,:, (t��, S ►-ram- (s EG.- u of 24 of- 5 A N 0 Lc*lo\1GRt�J�L 12 NOT e `J '• ' 1 . Pry2e. W g /9 /per W Ati '30 t410 , 04.1 1JOGAJ-r-n �A g G > (_S.-u 3Z0. S%/STom,M 6fti.St<iASA3 IR 4S Mu\)• PFt� srr seen or observed or believe 1 ► �. ,�; A aiap �1,'S nk z �1 - >z N S , t-*<+s S o p ti have , 3 Zo all objects such as houses, wells t . —_--_ N e 3 g e F 1`vw 2 nr� 3 9 0 �P +2 e w rL rJ t t t pf W yo -[ro V��� ��5>4 a , nl F_1J rL�G -rF� r WI�-�- 13 D O asi JOt• tVO. ..., . shown on this document. i also represent 1111180 U�P��M'AST� ,a�tz 1=(JR I�tA ST !�6 D A 5 • •NET s ' personally measured the distances set fed an the diagram." �`�•1-4 � �.t i t N ix- Y p y 2 /�/.d'/tea l i1� - ��C•-�'I d �- DAtE X �� y,.S t+r�.e�ink v �-a-r s N ry 4s r� T-r���w��r I+h a A 3 o�l•c SIGNA URE Z. $C�A�--�-. , 1 = ��r \ �,�� �n�o .�v� ou►� ►�-c�vsi�.t�a-r,� SyS•��!S �'I F_t.7� �o ao. `� ptN� �N S r�>Lt✓�-t"b wi ,M�u u MV ����: t�� ��a R!c St�4TE....� Y AA0 SS P� � . R A� fig 0 ie si f, b E-rw eAG-"3 G k 2 k&9- .4 S I y C_ TW 6J K �►'S Wo p 1 Ori[ DR 1`br �K.ss•rn,! -rr� frr�p a €�' N t D