2001-637 _
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: P20010637 Date Issued: Thursday, December 13, 2001
This is to certify that work requested to be done as shown by Permit Number P20010637
has been completed.
Tax Map Number: 523400-308-010-0001-007-000-0000
Location: 26 LINETTE Ln
Owner: GUIDO PASSARELLLI
Applicant: GUIDO PASSARELLLI
This structure may be occupied as a:
By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Garage - 2 Cars Attached ( 444P 0
r%/ . --
Director of Building& CoTe e Enfo cement
1
TOWN OF QUEENSBURY
gviN
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010637 Application Number: A20010637
Tax Map No: 523400-308-010-0001-007-000-0000
Permission is hereby granted to: GUIDO PASSARELLLI
For property located at: LINETTE 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: GUIDO PASSARELLLI Single Family Dwelling 130,000.00
465 LAKE Ave Garage-2 Cars Attached
LAKE LUZERNE,NY 12846 Total Value 130,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
LAMOTT, MICHAEL NEW YORK BOARD OF FIRE UNDEI
92 NICOLE DRIVE
OUEENSBURY,NEW YORK
Plans &Specifications
2001-637 Lot 62, House No. 26 Linette Lane
Herald Square, Phase 2
1660 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$247.60 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday,August 28,2002
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensb Ty; Tues i ay,August 28,2001
SIGNED BY J for the Town of Queensbury.
sr
,r,r T
Director of Building& ode forcement
--TOWN OF QUEENSBURY . _ ,•
- H I G I-I WAY � Ritlrard A.Missita
Highway Superintendent
DEPARTMFN T
old d/_(,3 7 Home(518)798-5127
742 Bay Road • Queensbury,NY 12804 Michael F. Travis
Deputy Highway Superintendent
Office Phone: (518) 761-8.2.11 (518) 98-0413
Fax: (518) 745-4466
DRIVEWAY PERMIT .
AUG 2 2 2001
DATE: SY,*/ TOWN OF OUEENSBURY
UILDING AND CODE
APPLICANT NAME: y yP "�vr&6 G =0G.
TELEPHONE NO.: 74' S A/c2/
ADDRESS TO BE INSPECTED: loP462 .1ir eTTe, L»,
RETURN ADDRESS: S'2 //ic b G D 11, 42$
Applicant must show exact location and width of driveway(s)to be connected to the highway by
placing stakes at the specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The
following action has been taken:
STEP 1: ( )Preliminary Approval
NEED: .( )Slight swale
( )Level with the road
( ) Deep swale
Size pipe to be used(if necessary)
• ' ( )12" ( )15" ( )18" ( )24" ( )36"
Preliminary inspection completed by DATE
Approval by Highway Supt. Deputy Supt
Upon completion,please resubmit this approved permit for a final approval.
STEP 2: ( )Final Approval
• ()Rejected
DATE:
Richard A. Missita,Highway Superintendent
c l-(37
•' FIIE'tGY CODE COMPLIANCE APPLICATION
• 1'`t OWrI OF QUEENSBURY, WARREN COUNTY
`. 9000 HEATING DEGREE DAYS
Compliance Methods : PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
• Pi\RT 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:
ss
YY� "PJG.401G T71Gs Ao7-44•44 Zrre.,
y .
PIII1 ' 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floo : Area - /(60 square feet
2 . Type of He iL - Electric Oil Gas Other
3 . Is building mechanically cooled? Yes /'No
4 . Percentage of area of windows and doors Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R c3D
b . Exterior walls R
c . Glazed areas R
d . Exterior doers R /D, 7
e . Floors over unheated spaces R lc(
f . Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R
h . Br Bement/cellar walls (below grade) R
i . H acing/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device •
Conforms to minimum efficiency per code VYes No
•
TEMPE"_A'TURI: CONTROL MAXIMUM SETTING 1400 _ WILL NOT BE EXCEEDED
Appi ica t ' I na 're Dalqe
Phone-y Number
*
INSPECTOR' S REMARKS .
Building Permit Application
Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY
(518) 761-8256
A permit must be obtained before beginning construction. Permit File No. U — 37
No inspection will be made until applicant has received a Fee Paid $ /,
(00
valid building permit. All applicants' spaces on this Rec. lee Paid $
BONapplication must be completed and must appear on the Reviewed B �
application form.
t t
Applicant: ��,•no. P., -Z'?�r�� Owner: •
Address: ? /`/lco.t; GP,s / . Address: f
Phone#(SW) 74/6—- y09/ Phone# (
Property Location: Lot Number: _p'6? / House Number �, / /17eTre.„. Azsri
Subdivision Name: Nc y,,4-4 srm y Tax Map Number:
le New Building: residence /commercial Estimated Market Value of Construction: $ /(74 a 0
❑ Addition: residence/ commercial If an Addition, what will use of new addition be? •
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/com'l
❑ Other work(describeAUG 2'2
)
t +
2001
r®wI
Check Occupancylnformation 1" Floor 2"`'Floor Other 11ooBU1GDl pN �G l��
Below sq. ft. sq.ft. sq. ft. (�7
D-
VSingle family dwelling V V' 1(p 60
❑ Two family dwelling
o Townhouse •
o Multifamily dwelling
#of units
❑ Office
o Mercantile
o Manufacturing
o 1 car detached garage
❑ 2 car detached garage
o 3 car detached garage
o 1 car attached garage
V 2 car attached garage //��! Lj 'L(
❑ 3 car attached garage
o Storage building-
commercial
o Storage building-
residential
❑ Other
Will any second-hand or ungraded lumber be used? If so, for what?
• Type of Heating System: electric/ oil / ga wood /forced hot air/ baseboard/other:
Number of Fireplaces to be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder Mitre /`iorr.
Plumber Pre-i h 136,n v 1694 -3797'
Mason � C —rhe av), i 6 '' ®/x/ l
Electrician rU 5{-i, -TAA rllczi+. 66;,r-‘.2k30
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 1/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,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
jkid
Signature: k/, 71 �� owner,owner's agent,architect,contractor
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION:
Office Use
Location of installation: AaT g A/rJ e-TT- . n ,
Tax Map No. / / File Permit No, /-Co 3 7
• I Fee Paid
Owner's Name: -re Y ye- /'l a I e.cTi c :r e.
Address: 'Q l'/i c e,L e„ V y, (26 bile
2. INSTALLER'S NAME : /t11�/e, f la Y y/(566 e.,ti PHONE NO. 7#fr-l t'y7
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 =
1991 -present x 110 gal/bdrm = a3(�
Garbage Grinder Installed yes— / no L/
Spa or Whirlpool Installed yes i// no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
a_ an, at what depth at what depth �nunic1paL)
Rolling loam /Z 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 architect)
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: / 00 0 gallon (min. size 1,000 gal)
Tile Field: each trench s.1'0 ft Total System Length: 0700 fl.
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: length and/or size
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.
P.21e9i4Aft
Signature f responsible person Date
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
0 (518) 761-8256
.
ARRIVE: DEPART: INSP: �✓
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INS TION REQUEST RECEIVED:
NAME
LOCATION .1 L6-4-(0a
DATE /.� - 3^c' / PERMIT H V 1-�,J1
TYPE OF STRUCTURE t
FOOTINGS FOUNDATION BACKFILL _ FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL + WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE... ,•'
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION •
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL •
SIT PLAN/VARIANCE REQ. •
NAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
•
I oo¢A
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive l it)j e.art r
Town of Queensbury sec or's Ini
742 Bay Road
Queensbury,New York 12804
NAME t., �J
re �v_1 -` PERMIT 4 7. )()I 7
LOCATION b--•Ur (D a 1n l e DATE k 7 - ! 3— 0 t
TYPE OF STRUCTURE
N/A YESff NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location e/
Fresh Air Intake V�
Plumb Vent through roof �✓/
Roof Complete o//
Exterior Finish Complete
Interior/Exterior Railings 30"to 6" •✓
l
Exterior Handrails,balconies,la, ding 18 in or more .f j
Interior Handrails stairs both sid s 3 or mor risers , f/
Grade 2%away from foundation /
8"clearance to sill plate ii
✓/
Gas Valve shut-off exposed/regt lator 18"above grade Gas Furnace shut-off within 30 feet or within line of site 1 ✓
Oil Furnace shut-off at entrance to furnace area Ni I
Furnace/Hot Water Heater opera g .'
Relief Valve(s)installed / - ,//
Headroom,6 ft.6 in.on stairs //
Basement stairs,6 ft.4 in. ,//
Handrail exterior stairs both side more than 3 risers
*Inte*Interior privacy/trim/doors/ ain a trance 36" /
rior
Finish V/
Bathroom/Kitchen watertight 1 •f
Interior Handrails Balconies/Lan 18 in.or more .Y .
Railing across window in stairwe s /
Smoke Detectors: .i//
every level •,�/
every bedroom ..//outside every bedroom
inter connected /
Bathroom fans J' if
*Plumbing fixtures
Foundation insulation
3/a hour fire door/door closer /
Garage fireproofing j
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room ✓ y,,)
Safety glazing 18"or less from floor I
o ly 17,
`%�
Final Electrical es
Site Plan/Variance required / `� ��%'����
inal Survey Plot Plan 4/
• s Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
tray to issue temp.C/O(Certif.of Occupancy).
Okay to issue permanent C/O(Certif.of Occupancy) Ae i
W. 1113-
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement ,`, jam'
Dept.of Community Development Arrive .. ' Depart � 1: a 1 'v
Town of Queensbury Inspector's Initial. / 1. „`
742 Bay Road •
Queensb ew York 12804 ô/ 37
NAME PE'' I #
LOCATION ` DATE /
TYPE OF STRUC
N/A YES NO COMMENTS
•
Chimney Height/"B"Vent/Direct Vent Location �' -
Fresh Air Intake . — f 0c-). `61-ki :di,..-6 a i j> ��
Plumb Vent through roof : _ _ ��' \:
Roof Complete /` ���� � J `,r. l.,L�
Exterior Finish Complete .4
Interior/Exterior Railings 3 "to 36" ,:///� _ _
Exterior Handrails,balconie ,landing 1 in.or more M1,// �� 1 - l i"` r,i _ 1_
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from founda on ../ �D�-�t v`�i�, ` 1-�� _
8"clearance to sill plate ,/
Gas Valve shut-off exposed/re lato 8"above grade ; �' �
Gas Furnace shut o within 30 e or within line of site
I tL. ���i
Oil Furnace shut-off a ce o furnace area I h t,r � -Q
Furnace/Hot Water Heater opera ng :7 � . / V ` �� s, _
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in. :...
• • ../ 2`I �� ealk�-
Handrail exterior stairs both sides ore than 3 risers
Interior privacy/tnm/doors/main en ante 36" / i ,_ a-7 ^` vr�
Floor Finish 1 .f
(111.4
Bathroom/Kitchen watertight ;�
Interior Handrails Balconies/Lan ' g 18 in.or more V "�' 1
Railingacross window in stairwel �� � ,�
/
Smoke Detectors: ✓/ -- k`{V VVt74 Li
every level ✓/ •
�eevery bedroom �/
outside every bedroom •Jf •
inter connected s1
Bathroom fans _ ;�
Plumbing fixtures �‘ i�iG'A-�---- 11
Foundation insulation 1 `
3/4 hour fire door/door closer •,, L Jv` �✓�'�- �^
Garage fireproofing -. �� `d�r��„1
Garage penetrations sealed , 1 �t�
Furnace in separate room protected(in garage) .�. / t✓V---"V®‘ k
Light ventilation per room ,
Safety glazing 18"or less from floor ;/f
Final Electrical \// Ji
( Ptb f,-C� FSite Plan/Variance required I 'Final Survey Plot Plan
As Built Septic System layout required `��Rb� 6 �vc�\
Okay to issue C/C(Certif.of Compliance) FEU
Okay to issue temp.C/O(Certif.of Occupancy) ��- e �1-WrC-:l f 3�
Okay to issue permanent CIO(Certif.of Occupancy) '(
TOWN OF QUEENSBURY
BUILDING LCODE ENFORCEMENT
742 Bay Road
Queensbuvy NY I2804 •
(518)761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name P�b6 Sv, i_s_,
Location _JQZ \___11 v-T—TE_ \
Date 17, ,hr ()( Permit # 47.- (—( 7
SOIL TYPE: Sand-Loa -Cla -
Results of Percolation T:st-
(if applicable) Rat--Min to/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total ength
Length of each tren h
Depth of trenches
Size of stone
SEEPAGE PITS: Numbe
Size - _ t • ft.
Stone size
PIPING: Size Type
Bldg. to Tank'
Tank to Dist. Box
Dist. Box to Field/Pit
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as per Plot Plan (—Yes o
LOCATION OF SYSTEM ON PROPIRTY:
(circle one)
Front - Rear - Left Side Right Side
Middle Front - Middle Rea
COMMENTS:
•
•
SYSTEM USE APPROVED: (jtii=2) NO
Arrived: a lr.
Depar jrAik
Wr iii I
4 uifding Inspec
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TOWN OF QUEENSBURY . \
BUILDING &_CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location
Date 1 -av-(? i Permit # ) - (037
SOIL TY Sand- 'am-C ay-
Results of Percolation T•st-
(if applicable) Rate-Mi ute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length . j
Length of each trench s-� �cJ (67--)
Depth of trenches 7 1 _ -2,
Size of stone
SEEPAGE PITS: Number-
Size - ft. x/ ft.
Stone size---
_..__�
PIPING: Size Type
Bldg. to Tank /-J. sc--- 14
Tank to Dist. Box
Dist. Box to Field/P. 'c
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank VC) feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as per Plot Flan . Ye No
LOCATION OF SYSTEM r, PROPERTY:
(circle one)
Front - Rear --Right Side
Middle Front
COMMENTS:
't).13126A)Fts
17 \ V3,NCX7\L \ , i
SYSTEM USE APPROVED: YES NO
Arrived:
Depart
uildin Inspector
TOWN OF QUEENSBURY
BUILDING 81CODE ENFORCEMENT
742 Bay Road
Queen_sbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name \--ivE ci A
Location 62_ I-, (11,ETrE ! fiI�F-
Date 1 1—ZM--Cj Permit # 7E)1 -/,037.
SOIL TYPE and-Lo.m-Clay-
Results of Percolation Test-
(if applicable) R.te-Minute/Inch
TYPE OF S STEM:
ABSORPTION FIELD: T.tal Length . zod
Length of -.ch trenc 4R)1
Depth of tr- ches r _
Size of ston • -
SEEPAGE PITS: 'umber-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank No' t.\ 40
Tank to Dist. Bo n
Dist. Box to Field/Pit t_ V4 W,c__- - =V -
Openings Sealed? Yes No Partial
LOCATION/SEPARATI O S:
Foundation to Tani ‘c) feet
Foundation to Absorption zo feet
Separation of Pits _ feet
Conforms as per Plot Plan Yes �N
LOCATION OF SYSTEM ON PROPERTY:
(circle one /
Front - ,'ear Left Side Right Side
Middle r. -
COMMENTS:
SYSTEM USE APPROV : YES L "9....)
Arrived: lZ°
Departs
it ng ns' t
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road � Z
Queensbury,NY 12804 Arrive am/pm Depart k
/1a pm
(� Inspector's Initials
NAME: I j PERMIT# 37
LOCATION: L — C'e-- Ls L' ATE : /( J 1.3/6
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I r
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following theplacement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place 1
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab 1 I
Plumbing VentiVents in Place\
Rough Plumbing 1
Heating Rough-In \ /
Insulation / 1
Foundation Walls Interior R
Foundation Walls Exterior R-`
Floors R- 1
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
Pene ation Sealed
e Wall 2,3,4h r
Firestopping
FL.., aSi,.'1S7.'.':«7g_t`iY ......,.
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received: 7-
Building& Code Enforcement .,�'
742 Bay Road V '2 '
Queensbury,NY 12804 Arrive am/pm Depart` ap
Inspector's Initials U
NAME: PM-76A42G-Z.G- j PERMIT# 0/—"37
LOCATION: L. , CQ Z- i--,n)e-'11-C— �.._,11 DATE : //7/3/0 /
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I—T I
Monolithic Pour Fo
Reinforcement in Plac
The contractor is re nsibl for
providing protection om fretezing
for 48 hours following the placement
of the concrete.
Materials for this purpose n site
Foundation/Wallpour \ I
Reinforcement in Place
Foundation/Dampproofing 1
Backfill Approval " \ '
Plu Bing Under Slab \
rT�
P mbing VentlTents in Place\
dough Plumbing 1 I
Heating Rough-In 1
Insulation 1
Foundation Walls Interior R-
Foundation Walls Exterior - _
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
F. - Wali 2 hour - /�
,/Fires upping ��2' 1 V r a9�(� r' `� fr/id/, n (� O ,.,Q.
% /L/ , ( 6,6-u4 �/2-/iC S
c!).-- „,,-,ii:-.;, Aikw,p
s ....... .„,,, „ ,,,_,
„g„,,,i",...,.,,.....",
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road7,' 2-6.________------
Queensbury 12804 Arrive am/pm Depart ' �a}}I/,m
Inspector's Initials I'-"NAME: �� PERMIT# . — IDtJ2
7
LOCATION: DATE : - - I
TYPE OF STRUCTURE: <-
RECHECK
N/A YES NO COMMENTS
Footings/Piers_ I f I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing v nnt 0 of the concrete.
Materials for this purpose on site ----r' —�-
FoundationlWallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval ,/ /
Plumbing Under Slab \ I /
_Plu. .ing Vent/Ve s in Place (}. -0
ou' Plutelt n b=ngkP C"� �`
Heating ough-In C vh1rRer-6" 1D/24'I'-S -f61P�c�L u
Insulation
Foundation Walls Interior R- A-660(- g I7-
Foundation Walls Exterior R-
Floors R-
Walls R- j
Ceiling R-
Duct work or piping in /
unheated spaces R-
Priaer VeN,Attic Vent
i../
`� acl Studs%I[eaders
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
. F t Wal 23,4-hour
iresto ii • = c—j n L2/-(g'7
:i:', ,,,t
eTa R 1, ',•a:: . L
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road AV
Queensbury,NY 12804 Arrive am/pm Depart " v "
Inspector's Initials c
NAME: °c5� AQ ( L,-( PERMIT# (7/"�J 7
LOCATION: ' i \ns C\A V> ,2_ DATE : (( :. (61
TYPE OF STRUCTURE: 1
RECHECK
N/A YES NO COMMENTS
Footings/Piers —I I l
Monolithic Pour Form l
Reinforcement in Place
The contractor is respon i le for
providing protection froi freezing
for 48 hours following t lacement
of the concrete.
Materials for this purpos on s'te
Foundation/Wallpour
Reinforcement i ce
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab v7 6:61,,,Ke..7r4- t// A)
Plumbing Vent_Vents in Place
•gg
✓RleIumbin /Cmv,__R:4.-fa- 60f ) T
a6(ie V LT.
t r e g ouginil V ,6. /1.1,�
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- \
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Jroper Vent,Attic Vent \ I4U �i� — �`t � AL >�)(2Frnge / I ApiUlj�v � f
Jack tuds%Headers ✓ 61 o& et_ ,`J 6)e e 6 4- , r)Cf�D
Bracing/Bridging v
Joist Hangers / v
Jack Posts/Main Beam i/
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
F e Wall 2, 3,4 our j, 1 �C� Jlu�-5 @ & tv ,roi
-. irestopping°``_>: - ✓ Cl�'� f/V( /'l
0 D g, v926-t Go dze.-60)f kitv-)
0 fiO ii?cL 3e2 DEA('U'i
0 ZAj"-° rat- 1-10 Of d p F-
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road ,,��ff /
Queensbury,NY 12804 Arrive am/pm Depart _ a am! m
Inspector's Initials
NAME: P/44khei-U ( PERMIT# tCO l( 7
LOCATION: �'. 1,i,,,e�`rre l.r 1k1 .- DATE : /O �6 ()(
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers —1 I f
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible
providing protection from free ink
for 48 hours following the pla ten
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
1
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab 1
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- 1
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers /
Bracing/Bridging /
//
ist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
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 /r?�i` ��
Queensbury,NY 12804 Arrive am/pm Depart
Inspector's Initials
NAME: Pik', !\ &1,Ll PERMIT# 6).' -6 3 7
LOCATION: ,t� ry 1,1� DATE: ��Q
TYPE OF STRUCTURE:
RECHECK
• N/A YES-NO COMMENTS
Footings/Piers C I
Monolithic Pour Form
Reinforcement in Place II
The contractor is respd ible for
providing protection fr m freezing
for 48 hours following t1 a placement
of the concrete. 1 o
Materials for this purpose do site;
Foundation/Wallpour \ /
Reinforcement in Place /
F undation/Dampprog
/7/
ackfill Approval
Plumbing Under Slab ,
Plumbing Vent/Vents in Plac'4 _
Rough Plumbing
Heating Rough-In I
Insulation t
Foundation Walls Interior; R-
Foundation Walls Exterior R-
Floors R ,.
Walls 1.-
Ceiling #t-
Duct work or piping in 1
unheated spaces R-
Proper Vent,Attic Vent I
Framing l
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
GENERAL INSPECTION REPORT ,8
( 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 Depart r- 11 a pfn
Inspector's Initials `—
) a)Cj ��Z�S PERMIT# l_ l '( 37
LOCON: DATE : —
TYPE OF STRUCTURE:
RECHECK
N/A YES COMMENTS
tings/Piers
Monolithic Pour Form
Reinforcement in Place : L1 es
The contractor is responsible for ((
providing protection from freezing
for 48 hours following acement
of the concrete.
Materials for this purpos on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofir.g
Backfill Approval
Plumbing Uncle' Slab
Plumbing Ven ents in ' .
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Inte 'or R-
Foundation Walls Ext 'or 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 Be
Air Tnfiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
O ffITOMn[IMPLrP�[P (frJEM c_PLLPLPEE_Pc_ nLIMPL[n[ nLPLI PL 1 El
S `- 5
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS 5
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038 e C5
CERTIFIES THAT /-~(CJ 5
`��
Upon the application of upon premises owned by
5C
MIKE LAMOTT *TERRE MAJESTIC
82 QUEENOSBURYLE IVNY 12804 QUEENS BURY,E 82 NICOLE NY 12804 5
C5 C5
5- Located-at - 26 LINETTE-LOT 62 QUEENSBURY, NY 12804 -�_ -- - -__- , �__ ____ 5
5 5
Application Number: 1021746 Certificate Number: 1021746 5
5
CSU" Section: Block: Lot: Building Permit: BDC: A239 5
5
5 Described as a Commercial occupancy,wherein the premises electrical system consisting of g
5electrical devices and wiring, described below, located in/on the premises at: c5
Basement,Outside,
5
r55 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5
-U found to be in compliance therewith on the 14th Day of December,2001. 5
Name QTY Rate Rating Circuit Type 5
Alarm and Emergency Equipment
Sensor 6 0 Smoke
5Appliances
and Accessories
Bell Transformer 1 0 KW 5
Exhaust Fan 2 0 F.H.P. fj
Dish Washer 1 0 1.5 KW CU
Disposal 1 0 F.H.P. 55
5 Hydro Massage Tub,Residential 1 0 H.P. 5
5 Furnace 1 0 Gas 5
Wiring and Devices 5
Fixture 25 0 Incandescent
Receptacle 41 0 General Purpose 5
Switch 25 0 General Purpose 5
Outlet 1 0 Fixture 5
Fixture 2 0 Fluorescent
Receptacle 6 0 GFCI
Outlet 5 0 CATV seal- CU
5 Outlet 5 0 Telephone - ; 5
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
OP c.PE JP LErJM L.P�IMPLIM�r EPLIE�EPLIrJ�rJP Pc_rdi h LID
01elPE PL PAP[PEDE PPD LIPPLPr EJ�[J�[JEPLIEPEPLIPPErJ�r�[1EPE Jac.PLIM ALE JEIPS[JMP LEPLLIErCI
5 ;' 15 '� BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 5 BUREAU OF ELECTRICITY c5
40 FULTON STREET — NEW YORK, NY 10038 5
5 5
5 CERTIFIES THAT
5
5 Upon the application of upon premises owned by 5
E
5 5
5 MIKE LAMOTT *TERRE MAJESTIC 5
5 QUEE 82 OLE�RRIVNY 12804 QUEENSBURY, NY 12804 82 NICOLE DR 5
5 5
Located at - 26 LINETTE-LOT-62 QUEENSBURY, NY-12804 - . - - — M
5 5
Application Number: 1021746 Certificate Number: 1021746 5
5 5
Section: Block: Lot: Building Permit: BDC: A239 5
5 5
Described as a Commercial occupancy,wherein the premises electrical system consisting of 5
electrical devices and wiring, described below, located in/on the premises at: 5
Basement, Outside, 5
5C
r55 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was g
j found to be in compliance therewith on the 14th Day of December,2001.
5 Name QTY Rate Rating Circuit Type 5
Service e5
1 Phase 3W Service Rating 150 Amperes 5
5 Service Disconnect: 1 150 MB 5
Meters: 1
5
5 5
5
5
5 5
5 5
5 5
5
5
� - � � - 5
5 seal 5
5 5
5 2 of 2 5
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
ID Trr2I PrJ�r�__ r PLI PrJ�r�__I'rJEP�r�E_PE_ _PLP�rJ�r [13r_JP LIPPED E_�rJ�J PLIE J El