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2002-552 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804.5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20020552 Date Issued: Tuesday,November 12,2002 This is to certify that work requested to be done as shown by Permit Number P20020552 has been completed, Talc Map Number: 523400-296.008.0001-014-001.0000 Location: 47 WAVERLY P1 Owner: MICHAELS GROUP LLC THE Applicant: MICHAELS GROUP LLC TBE This structure may be occupied as ar By Order of Town Boatd Garage-2 Cars Attached TOWN OF QUEENSBURY Townhouse Directot of Building&Cade Enforcement TOWN OF QUEENSBURY r 5 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 F L E CLE P Y Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020552 Application Number: A20020552 Tax Map No: 523400-296-008-0001-014-001-0000 Permission is hereby granted to: MICHAELS GROT JP LLC T14F For property located at: 47 WAVERLY PI 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: MICHAELS GROUP LLC THE 10 BLACKSMITH Dr Garage-2 Cars Attached MALTA NY 12020-0000 Townhouse 169 0 Total Value 169,900. 0 00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2002-552 Lot 24 House No. 47 Waverly Place Construction of a 1,584 sq. ft. townhouse w/2 car att. garage as per plot plan& specifications. $263.76 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,July 08,2003 (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 of Quee sbury; jnd!#y= SIGNED BY /�jj(re Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Qucensbury—Iaept of Community Development, 742 Bay Road,Queensbury, NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No. jQ No inspection will be made until ap}flicant has received a I c P_aid $ valid building permit. All ap.plicanis' spaces on this Zcc. cc ate application must be completed and must appear on the Ir to e y: application form. 0� lr Applicant: I BF__ -e a4cco Owner:, ' Address: �,Q `�,���s�� -+�'� "1���,.,., Address: Phone# Phone# Property Location: Lot Number: 2"- / House Number , Subdivision Name: (�.� L, � _ Tax Map Number: — �g cOJ a9���-1-/y-1 New Building: residence /commercial Estimated Market Value of Construction: $ \Cpg,3c�C� ci Addition: residence/ commercial If,an Addition, what will use of new addition be? ❑ Alteration: residence/ commercial o No change to exterior size: residence/coni'l o Other work(describe ) Check Occupaneylnformation I"Floor 2"< Floor Other noor TOW I;elo-w sq.ft. set,ft. sq. ft. Square Feet p� ❑ Single family dwelling u ❑ Two family dwelling %4. Townhouse ❑ MultifamiIy dwelling #of units ❑ Office Cl Mercantile ❑ Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage o 1 car attached garage . 2 car attached garage ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other Will any second-hand or ungraded lumber be used? If so, for what? Type of Ileating System: electric/ oil /(g_Z�j wood /forced hot air/ baseboard/other: Number ofTirgplaces to be installed Number of H'oodstoves to be installed - — -—List below-the pers6ri(s)respi>tfsible for?upc rvi"sioti of work as rcW tds t<a buiidijig code :s Y -- -- - Name Address Phone Number Lnitlilder TEE i�'liGlnz�45 ` �l��t l� i �•_, _" -� _ -f it .___ Plumber , ._ � Y1�]1L`1 Mason �{ s r��t Q.• 3 ' 421— t' Electrician DcclgraliQm: please sign below ancr 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 statemcnt of all proposed work to be done on the described premises and that all provisions of'tile 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 1/we shall subunit,prior to a Ccrtificate of Occupancy or Certificate or Compliance being issued,as requested by the Zoning Adminislralor or Director of Building and Codes,an ils Bridi'Srrrvey by a licensed surveyor;drawn to scale,showing actual location ofall new construction. Signature:_ �2, � �_ owner,owner's agent, architect,contractor Application for Permit—Septic Disposal System Town of Queensbury7 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ............................................ ................................... ..................... Office Use Location of installation: P< File Permit No. Tax Map No. Fee Paid Owner's Name: ................................................................. ........................................ Address: 2. INSTALLER'S NAME : PHONE NO. 8qq-641-3Q 3. RESIDENCE INFORMATION:- (circle year of dwelling, indicate 9 bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Com putation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980- 1991 x 130 gal/bdrm = 1991 —present x 110gaVbdrm = Garbage Grinder Installed yes_ no Spa or Whirlpool Installed yes no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat sand at what depth at what depth municipal Rolling loam feet —feet well Steep slope clay if well; water supply %slope other from any septic-system depth: absorption is_ft. other Percolation Test: (To be completed by licensed professional engineer or architeco 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: ...gallon(min. size -1,000 gal.) j 6c--VJ6�c Tile Field: each trench ft. Total System Length: ft. ------------------- Seepage Pit(s): number of size ofeach- _ft. by t. _f Size of Stone to be used: 9 t depth or thickness feet Bed System Size: X Alternative System: length andlor size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: I 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. Signature of responsible person Date 'I'otvtI col' (Tact llsbury Htnvcrs .11111 si'.1Valte Disposal ('11uptel- AI)yltmtlix i Sli"PAItA't'IUN iti:C21-!11tI�I11I�;N'I'�; iREAM 1 - -- PorIn WE.Lt- uc titirF'R- F1 ts',a•�! cello sr G fV�E [. ) � 5�t•1 Ic. ��Ji7t�t�1SLl i ,. i'1 tiLrJ 7. SIGNATURE 8c INFORMATION FOR FLESPUN510i,>; 1 LILTA Morel 169 Haviland Road, Queensbury, NY 12804 Phone'-518-745-4400 Fax -518-792-851 1 e -August 30, 2003 Jolt-#46143 Mr. Glenn Bruso New York State Dept. of Health 77 Mohican Street Glens Falls, NY 12801 RE: Lot#12.(#64.McEcliron Lane) Emerald Grove Subdivision - Queensbury (T) Dear Glen: This letter is to inform you that I inspected the completed septic system for the house on Lot #12 in the Emerald Grove Subdivision on August 22, 2003. The house being constructed on this'lot is' a 3 bedroom house. The septic system as installed consists of a 1,000 gallon septic tank and 168 linear feet of absorption trench. The installation conforms with the requirements of the approved .subdivision, design drawings. .please call me if you have any questions or concerns. Sincerer , - . Thomas R.,Center Jr.; El cc: Dave Hatin Town~of-ueensbury--, Michael Vasiliou 4 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&�Code Enforcement received: Dept of Community Development Arrive7,.W a Town of Queensbury �r st n' 742 Bay Road Queensbury,New York,12904 q2l NE & NA PERMIT# LOCATION DATE TYPE OF STRUCTURE NIA YES NO COMMENTS Chimney Height/T"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 18 in.or more 41 Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 1/1 8"clearance to sill plate 11, Gas Valve shut-off exposed/regulator 18"above grade�— -1/1 Gas Furnace shut-off within 30 feet or within line of site. Oil Furnace shut-off at entrance to furnace 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 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 IS"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required ' Okay to issue CIC(Certif.of Compliance)__ Okay to issue temp.C/O(Certif.of Occupancy)._ Okay to issue permanent C/O(Certi:E of Occupancy) .rc)wm C)U- QUE:1-3"oaulzLy nUTJE.nTwr-1 & r-IC)nm 742 13Z%:Y QUEENSSURY mw X 213 0 4 P*Xta X N7M D E PA R T X N S F, nv:v0wl:Vm ""x-wxl:wXn "WMXAc.X"4:A (hc:>tt--I. rxic>tc--I, apt. nAnVrE: X"E;VE:C:'rXC>" E:Qulrlsry amc:mmN7mn : Ix y ID,E: 3Fc3c)lPmv(--s Vj&-O NQ VMKMSU HEATXZ3G (HOT wporoa FLOOR S F-ZREfDENYISE WALLS PEN RATSON F'3[nE: IE)PLX4l:>E;nS vxno E-:X JC a! DOOR I I ZIL n E)WAI)L n I.-- V-Xm,P slr^T-]P-S/FLAT i's PLATFORM/ELEVATOR FLI<3114(--V'A AL FLE:C3 - SURVEY F>LOT ]P LAN l X F, RE .OK TO Z SSUE Cz C) OR C MAP REFERENCE: WAVERLY PLACE SUBDIVISION DATED AUGUST 24, 2000 LAST REVISED JANUARY 19, 2001 BY VAN DUSEN & STEVES LAND SURVEYORS, LLC #V13032 47•�r 58.33' 23 a 24 N 7,502.09 sq. ft. 0.17 acres 3 2 STORY WOOD FRAME TOWNHOUSE d UNDER CONSTRUCTION ,y 20.33` 3 N�► N 9 L =64.2 f I p R=1876.00 WA V.ER �1 an D 8c Steves Land Surveyors, LLC 189 Haviland Road '518) 792-8474 Queensbury, New York 128 New York lAc. No. 50135 1AWRINS 2m AUMA7 N CM AOM M TO A WRWY MAP WARM A L1 Z"= LAND ILW*'V RS SEAL 0 A MOLATION OF SODIM 720R !HS-0MDOM 2. OF THE NEW YOOL STATE EOUL'AIM LAW 'MY CAC1ROMO!ORMWOFIRDSATWY ►MA== AM ODOANL Or M LMD KftftM WEAL SMALL ME COLSOM TO ME VALD TRM COP[3' 'COMPICA'"M LMDI ARD MtROM MIFY WAY THIS SURWY NAS PRPARM NM ACOOMAM YMTM THE EMSINR: 00K OF PRACTICE FOR LAND lIIWYORS ADMOM BY TM! NEW YOMK STATE ASOMATDN W PROPi7SONAL LAID OWNS ORS. SMI COVICATIONS SMALL RUN ONLY TO THE PFR M FOR W M ILE WNWY Is POWAIMa, AND ON INS WRALF TO TIE RRS 0WANY. SOYLAINORAL AGENCY LDOW OMMU OM USWD MDIWK AND TO TMC A554MMS A TIR ILMDNM NClIIR OL' rLACE P E a Map of a Survey made for Frank L. & Nancy L. Countryman Town of Queensbury, Warren County, New York NO. I DA TE a ;L :5s2 47 ol 4: coc�' EC��vED R OCT 0 2002 TY61 WN OF AND CON LD I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO. FRANK L do NANCY L COUNTRYMAN ABN AMRO MORTGAGE GROUP. INC., IT'S SUCCESSORS AND/OR ASSIGNS STEWART TITLE INSURANCE COMPANY CERTIFIED BY: MATTHEW C. STEVES, LLS NYS 50135 DATED: OCTOBER 11, 2002 DESCRIPTION tale 1'=20' S-1 BEEFY 10F 1 COUNTRYMAN DWG. NO. WAVERLY-24 Lb-�- Al� P. Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: _/0 Meet: Building& Code Enforcement At time: 742 Bay Road Queensbuty, AT 12804 ARRIVE-am/pm: DEPART am/pm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# D 56 LOCATION: 47 1tkLL".h INSPECT ON(date): 0 1 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 for4&hours following the placement of the concrete. Materials for this purpose on site Foundation/lYNTallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing-_ Heating Rough-In V11(risulation o 6 Q Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- -2 Duct work or piping in unheated spaces R- 51-UD cDA? Proper Vent,Attic Vent Framing_ Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Bearn Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:\SueHemingwayABuilding,Codes.Inspection.FORrYIS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: of Community Development Request received: d 7i l Z— Meet: Building& Code Enforcement At time: 742 Bay Road Note am,pin: DEPART ARRIVE T Oaml Queensbury, NY 12804 pm (518) 761-8256 Inspector's Initials ELI- NAME: h t ' cizp PERMIT# 2-VZr2- LOCATION:7 W(L INSPECT ON(date): -71 -2- 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/D amppro ofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place V/ -jjoo_ua PT U Muig -V eating"ing Rou T 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- Z Proper Vent,Attic Vent ramin Ta-W F-Rds/Headers Bracing/Bridgin Joist Hangers-Jack Posts/Main Beam Aik Infiltration Barrier �,'emp , ,"ITIMIn 1 2 3 hour M — penetration Scaled Fire Wall 2,3,4 hour d esto sto - Pill L:\SueHemingway\Building.Codes.Inspection.FORMSkGENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: 7 Meet: Building& Code Enforcement At time: 742 Bay Road Queensbuq, AT 12804 ARRIVET,0 )a T9,' l amlpm Notes: t (518) 761-8256 Inspector's Initi 3, PERMIT#NAME: E 00. LOCATION: litl INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO CO TS 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 74- Reinforcement in Place Foundation/Dainpproofing_ 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/Bridgmig- Joist Hangers Jack Posts/Main Beain Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:\SueHemingway\]3iiilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury 7 v Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart` p Inspector's lnitials NAME: 44e S 6-uP PERNBT# —55 LOCATION: DATE : TYPE OF STRUCTURE: rhol RECHECK N/A YE NO COMMENTS FootingstP"iers 1 c Pour Form_ Reinforcement in Place Z- The contractor is responsible for providing protection from f ng for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab _ Plumbing VenttVents 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 Q 0 0 (� z vJ v 1 � ,2� O u Pj W W T l M � J � � I zszz� `� o i dev to i w I V.7 tf O "�my d c C7 G1 ns �e g N CIDn o i