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2002-411 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 ATE OF OCCUPANCYCERT IFIC Permit Number: P20020411 Date Issued: Wednesday,October 23,2002 This is to certify that work requested,to be done as shown.byTermit Number P20020411 has been completed. Tax Map Number: 523400.308-010-0002.061.000-0000 'Location: 49 NICOLE Dr Owner: . GUIDO PASSARELLI P `A Applicant: GUIDO PASSARELLI - r This structure may be occupied as a: By Order of Town Board Garage-2 Cars Attached Totem OF gVEENSBVIzy Sin le Famil DweZltn g. y _ .. _.g. - _:_._. 7 Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256. BUILDING PERMIT Permit Number: P20020411 Application Number: A20020411 Tax Map No: 523400-308-010-0002-061-000-0000 Permission is hereby granted to: GUIDO PASSARET.TII,T For property located at: 4.9 NICOLE 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 PASSARELLLI 465 LAKE Ave Garage-2 Cars Attached Single Family Dwelling, 139,000.00 LAKE LUZERNE,NY 12846 Total value 139,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency t Plans&Specifications BP 2002-411 Lot 134, House No. 49 Nicole Drive Herald Square, Phase 3 Construction of a single family dwelling with 2-car attached garage $240.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,May 28,2003 (If a longer period is required,an application form extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at dee-'T-�ow of Q e nsj�ury; ay,May 28,2002 SIGNED BY —for the Town of Queensbury. Director of Building&Code Enforcement wilding Permit Application "Town of Quccnsbury—Dept of Cotntnullily Development,742 Bay Road,Quecnsbury,NY (518)76 1-825 G A permit trust be obtained before beginning construction. Permit File No inspection will be made until applicant has received a n Rec. Fe Paid $Fee Paid d valid building permit. All applicants' spaces oil this . F I f application must be completed and must appear o the application o Rec. rin. ed By' A1)plieanl: /7s1�sx Srrr Owner: Address: $"a /slJC1©d,e� DY �y 1, ! Address: t Phone�� (_} ry�i -cam s,��! Plione# ( - Property Location: Lot Number: ley / house Number s/ k) Ge,� Subdivision Name: Tax Map Number: W--'New Building: residence /coniniercial Estimated Market Value of Construction: $ 4M,040 ci Addition: residence/ comincrcial 11•an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial a No change to exterior size: residence/cuin'l ` Qr Q Other work(describe ) - MAY 2 Z 2002 j 7'O _es��_ a.�� .. (Jccit[}:titCylnl'ort><tsttiolt^ ^i't t ltiUi' --� 2r31atl,or —"C)llllr IlUOi?..1:, t?imr ':� i CtCCIC i F d' `�'�4-Ry Below sq.ft. sq. ft. sq,11, Squ:u e 1<cet�D Single family dwelling n Two family dwelling ❑ Townllouse ❑ Multifamily dwelling #of units t, Office C1 Mercantile Lj Manufacturing ❑ 1-car detached garage ^' 2 car detached garage U 3 car detached garage s, U 1 car attached garage 2 car attached garage 0 3 car attached garage U Storage building- conuncrcial u Storage building- residential ci Other Will any second-hand or ungraded lumber be used? If so, for what? IVO T ype-of I leating-System; elcclric/ oil/ gas(.wool( / tirced,tint ai / baseboard/other: Number of Fireplaces to be installed Nunlber.of 111'aoristoves to be installed List below the person(s)responsible for supervision of work as rcaards to building codes: Name Address Phone Number Builder Plumber �}-L, Mason Electrician Declaration please sign below after you Ile care Ily ic.ad dic.statement To the best of my knowledge the statenicnts contained in this application, together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done oil 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_spceified or noted,and that such work is authorized by the owner. Further, it is understood(fiat I/we shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,all its Bui/I.Yurvev by a licensed surveyor;drawn to scale,showing actual Iocation of all new construction. Sigaaturc:- f Fj�s owncr,_ownct's agent,architect,contractor � _�. 4J Application for Perimit—septic'Disposal system 76wit of Queensbtgy 742 Bay Road Queensbury,.NY 12804"(518) 761-8256 1. OWNER INFORMATION: - 4............................................................................_.. . Location of installation:_ p j" / E Office Use Tax Map No. / / File Pennit No-(�b Owner's Name: - ' Fee Paid 1 E' Y7'f ��1�tegesMe, Z99G v Address: ems" /�/i�,r G� y, i S 2. INSTALLER'S NAME /fit k'� ��lD rYLC4t6 ® PHONE NO' 3. RESIDENCE INFORMATION: (circle year-of dwelling,indicate#bedroonr(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total dailyflow) Year of House: No of Bedrooms x Computation - Total Daily Flow 1980 or older - x 150 gal/bdrm = I980- 1991 x 130 gal/bdrm = 1991 -present x 110 gallbdrin = 3&D Garbage Grinder Installed yes` t lro Spa or Whirlpool Installed yes_ / no 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) T r i it Na ire Gr urid Wat r NatBedrock or],,,pervious Material Dornastic Water,Syyl . salt at what depth at what d1em pth o ling oam nunicipal fet feet vc I ,Steep slope clay if well; lvatersupply _%slope other from any septic-system. depth: absorption is fl. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate:, minute per inch 5. PROPOSED SYSTEM: jior Flew Construction: All individual sewage disposal systems roust be designed by ailicensed professional engineer or arcliitect(unless installed irr a Planning Board approved subdivision). Add 250 gallons to tile size -of the septic tank and leach field for cacli Garbage Grinder, Spa or.Whirlpool Tub. Septic Tank: D®O gallon (ruin. size 1,000 gal.) " Tile Field: each trench c_ p fi. Total System Length; a2D f3 ft. Seepage Pit(s): " number of - - " -size ofeach: ft.-by' . Size of Stone to be used: 1i �- J depth,or thickness Bed System Size:- x Alternative System: length andlor size " 6. HOLDING TANK-SYSTEM:. if regi:rrcd) _ -- - `-- Number of tanks: "'" t 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 riots 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.. i" reliance upon any material misrepresentation,or failure to make a material fact or cil cunistance 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. signsture.af esponsible person" 6te TOWE7 OF ¢UEENSBURY BU I LF3ING !� CORE ENFQRCENSENT 742 BAY ROAD l� QUEENSSUnW NY 1.2804 Irn ARR.I VE x D E PA RT x I N S P F"=2+?A Z.. 3C T3'S�"1�G�*�C7►1h7' ,fit E�'O R'�' CtaMMEk2C�I1Z. .--.- �4LJ]L,T�E"�.'� DW�Z,a.xNG DATE I N S P E CT S ON REQUEST E C E I V E D s DINE Q �Z3 f !i P E RM S Ir LTV[l s' TYPE O F STRUCTURE FC3QT=NGS SACKFIL,L FRAMINC3 PLUMBILVG INS UL73TIC?N Ai/Am YES NO CHIMNEY,( " S " VEN'I�/ HEIGIiT PLUMBING VE23TtFIXTURES RQQ�'ING HEATING/HC►T WATER RELIEF VALVES - F O U N DAT I QN Z N S U LAT=O N I E+7T E R I O R STAIRS /RAILING S STC)CKRC3QM ENCLOSURE F-SREIDEMISE WALLS PENETRATSC�L� FIRE DAMPERS CEZLIKG FIRE STCJPPING FIRE IC?QRSlCL,QSEFtS IEXJEII! r3QOR HARDWARE EXIT STAIRS/RAILS PLATFC7RM/ELEVATC]R HAND=CAPPED AC C E S S fIAN D S CAPP E D BATH S HANDICAPPED PARKING FINAL ELECTRICAL S�T E PLAN VARIANCE RE xf r I NAL SURVEY PLOT PLAN I F RE OK TO I S SUE C Ca QR C C z zMaxim d/R Q _ M m y° O W V) 03 Wd Of CO Zz� moo < C) I o Or z¢ zF;a r` Ld o kn iw "`++1 z tr1� NO z h Qo¢ Lwz¢ Q o W Y > 3 s°z =_-§ L U _ � � d�amr'0M NKWZQ tq� oOz z o N Fa0Q Q a o 5 �-4 z ov)o BLS F Z w' fi 16 LL' 4 © J M w W a m K O uj 'u,rr,r O 3 a FAWN U�"- ' N O LL �,r, "1QIQ� su .sot LZI NWQ+ 1,Q o �,.��o oawo3oo o u� © Yr�y z �Q_� 6 jO 6�h OOP p°� a Q U a _ (".�.,,, ° v� (no LU Q Of W of <0:0 � 1tU�,.W, V W �z N O QK.Ox dQ O q O py;yS•'yliy�, pF+f _�-N M N >¢0 W no Q � O' � N L- p M c0 O w a O p Q F- 'tl' Qwth' rL O a Q� J � O aWco W m �NF- H 7S S��y. aNN N � 5 0 W vi 300 ONH`JNIOII(1g o a L,rS 1t21(18SN3a(IO y NgNOQ jONM01 FSP o aw boo _n o W. n ZDOZ / 1J() t3 ZOO. 0 5 o ,O O�.WJ `'`y'�//�� O OQW�Q O � o w Im v�,701-z +J<,J �.. y^ 3F W'00 Qmt=nJ f.0 aw ¢zm ¢Qo7ocai O �pF£ `� m0 zN ooiz ��o W WO�>U a9dy a Oz zPin o Nn OrZ<�n, W'm a�4000Z 1 �'mCW5W wupw moo �� § Q<m Ixd0 W� o U IWi = awrn� W 3Qo��o oatn.Q �i ww LLJ I ca P:3 j LLlynMo NZO� W3 J Q laao�wci W v=eww. t~no i-C oW a¢z �w H w� r � O O ` RESIDENTIAL FINAL,INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Cv oil b Building&Code Enforcement Dept.of Community Development Arx ive � a m Depa a Town of Queensbury spector's Ini 742 Bay Road Queensbury,New York,12804 LNAME P Cat ~' ' LOCATION �� d DATE !/ �s7 fv__ TYPE OF STRUCTURE N/A YES NO CONM ENTS Chimney Height/'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete f Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area FurnacetHot 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 than 3 risers Interior privacy/trim/doors/main entrance 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 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) TOWN OF QUEEKSBURY BUILDING A -CODE ENFORCEMENT 742- Say RC3m4d Queensf�ury NY M21304 4c:518) 761-82545 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location -e— Date P e y-n -f t j C/ SOIL TYPE: Sand. oam-Cl a_y- Resul is ( if:' applicable ) Ra -tt--,-Mjnwis/Inch TYPE OF SYSTEM= ABSORPIrION FXEL-D: Total Length Length of each trench -r Depth of trenches Size of" stone SEEPAGE PY-FS : Number- s -i Z e-- - -f-t - X Stom-a size PIPING: S i ze Type Bldg . to Tank AC) Tank- to Dist - Box Dis -t . Box to Fiel vi � ra" Openings Seal Ed ? Yes 0 par-ti al t-OCA-TION,/SEPARA-UXONS : Foundation to Ta-nk -F e-e-t Foundation to Absorption feet Sc--par-af--ion o-F Pits -Feet Con-Forms as per Plot: PI a es No LOCATION OF SYSTEM ON p PER ( ci r-cl e- one ) Fr-on t Rea e-ft S -if Right Side Middle F- r- - - Mf a v- COMMEN-US : SYSTEM[ USE APPROVED= rYES no Ar-r--f uly f"V14- ITS ---- llffice Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received.- Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE, �n DEP `.'1 cz a Notes: (518) 761-8256 Inspector's Initial t NAME: fi PERMIT# QC -7 ff LOCATION: 1 INSPECT ON(date): J (J TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form 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 Foundation/Dampproofmg Backfill Approval Plumbing Under Slab -- PI bing VentJVents in Place ugh Plumbing eating Rough-In .sulatibn oun ation 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/Bridgmg Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour P netration Sealed fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Biiilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Q&I-Ce Use Q-TF,T%,-TF,R—AT-, U',.TSPFC'rIOT--T R�EPQR,..X Inspector: -roiv Q P n of ueensbuvy 1 Ready at time: A-of Dept. of Community Developmew Request received: 0 Meet: Building cf-- Code —E'njbrct--Y-nent At time: 742 -Bay Road Qzieensbuzy, IVY 12804 .ARRIVE Inspector: otes: (-518) 761-8256 Inspector's -Tniti S NAME: li a-5,5z,-Cl I Y-OCA'1710W: ON (date): 'ry-PE OF Sr1-,-UCrUP-E: N, whk YES NO Footings/Piers Monolithic Pour Form Reinforcement in Place rhe contractor is responsible for (2—L providing protection from freezing for 48 hours following the placement of the concrete- Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/lDampproof-ing__ ]BaQkf-ill Approval Plumbing Underslab Plumbing VentrVents in Place 1�pugh Plumbing_ eating P-ough-In. sulation Foundation Walls Interior P-- Foundaticon Walls Exterior R-- C= j Floors IZ-- Z Walls P-- \,Ck Z Ceiling PC- ]Duct work or piping in unheated spaces Proper Vent, Attic Vent Framing Jack Studs/1-leaders Bracing/Bridging_ Joist Ilangers Jack Posts/Main 13ca Air Infiltration Barrier Fire Separation 1, 2, 3, h N/enctration Scaled Fire Wall 2, 3, 4 hour Firestoppmig— r-:\SueHerningway\Btxilding.Codes.inspection.FC)r-'-MS\C.ENEP-Al-INSPECTION R-EPC>P-'T.doc Dice Use GENERAL INSPECTION R.EPOkT Inspector: Town of Queensbury Ready at time&R.�..�, .Dept. of Community.Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT. 12804 ARRIVE a p � DEP T2, Qam m otes: (518) 761-8256 Inspector's Initial , t NAME: PERMIT# LOCATION: f1J!C r° ` INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers b Monolithic Pour Form � p�, r--�— c � 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 Foundation/Dampproofing ackfill Approval G lumbing Under Slab �t �1..v r—V—,, Plumbing Vent/Vents in Place V7 <tou3 P numbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- f} Duct work or piping in �✓ unheated spaces R- t,Attic Vent Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Mainbeam Air Infiltration Barrier Fire Separation 1,2,3,hour 're Sealed Fire Wall 2,3,4.hour, Firestopping L;\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: old 6 Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE aml m: DEPAI am,,, Notes: (518) 761-8256 Inspector's Initials NAME: PQSSA/ � ,�J PERMIT#_-aoo-�- LOCATION: l 0 a v f��IGC��t ? 41q INSPECT ON(date): d O 0.9 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form 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 Foundation/Dampproofmg -*Backf Il Approval Plumbing Under Slab Plumbing Vent/Vents in Place 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 L:\SueHemingway\Buiiding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time-�aM Dept. of Community Development Request received.- Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE3�3Q am R t4f am n otes: (518) 761-8256 Inspector's Initial NAME: PERMIT# LOCATION: INSPECT ON(date): 3 L4 I TYPE OF STRUCTURE: RECHECK N/A i YE i NO COMMENTS Vootings/Piers Monolithic Pour Form Reinforcement in Place The contractor is resp nsi e for providing protection in ezing for 48 hours following e pl cement of the concrete. s 0 n p e for ezing;mg cement Materials for this purpose n sit,:7ose Foundation/Wallpc Reinforcement in Place Foundation/4,anipproofing Backfill Appr6 al Plumbing Unde la Plumbing Vent/Vents in Place�__ Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- ]1eR r t r R� er'o R Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing_ Jack Studs/Headers Bracing/Bridgmig- Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc "I have seen or observed, or believe I saw evidence of, all objects such as houses, wells, trees, fences, etc., shown on this document. I also represent that I have p lay 2 1 2002 personally measured the distances set forth on the diagram. TOWN OF QU-Ct-"BURY SIG ATURE -DATE 3 I E ' CIA I I it, I" pp ArtaY3 __. or .'a f'n IIIIC04E -RIVE