2001-704 TOWN OF QUEENSBURY FRI!
t C
ET
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number P20010704. Date Issued: Friday, March 01, 2002
This is to certify that work requested to be done as shown by Permit Number P.20010704
has been completed.
Tax Map Number: 523400-308-011-0001-007-000-0000
Location: 5 LINETTE. Ln Lot 4 6
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
Director of Building&Code Enforcement
��� TOWN OF QUEENSBURY
A
` 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
i
BUILDING PERMIT
Permit Number: P20010704 Application Number: A20010704
Tax Map No: 523400-308-011-0001-007-000-0000
Permission is hereby granted to: GUIDO PASSARELLLI
t
For property located at: ANTIIONY—Ct Lik.a e---"t4—€._ 1—Coe"--9------
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 Single Family Dwelling 125,000.00
LAKE LUZERNE,NY 12846 Garage-2 Cars Attached
Total Value 125,000.00
,
Contractor or Builder's Name/ Address Electrical Inspection Agency
1
LAMOTT. MICHAEL NEW YORK BOARD OF FIRE UNDEI
92 NICOLE DRIVE
OUEENSBURY,NEW YORK
•
Plans &Specifications
2001-704 Lot 46,House No. 5 Linette Lane
Herald Square, Phase 2
1388 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$213.16 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday, September 25,2002
(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 Town79sixy;jru day, September 25,2001
SIGNED BY ill r 7 \ for the Town of Queensbury.
Director of Building&Code Enforcement
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: A,,T A/6 A t n e..7"Te, Ay;
File Permit N 2 Q/ 90
Tax Map No. / /
•Owner's Name: "ch v ye, /29 J ,5 T ( Fee Paid
Address: T(2 / ,cn,4.� 7). (,{ k t> '
2. INSTALLER'S NAME : /�`�i){P. f'n yy/s,So / PHONE NO. 7 -46®a
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 = n 6 1991 —present l3 x 110 gal/bdrm = l
Garbage Grinder Installed . yes— / no
Spa or Whirlpool Installed yes / no j FSEP1 7`�2 001D
TOWN OF QUEENSBURY
BUILDING AND QQ®E
4. PARCEL INFORMATION: (circle applicable information &indicate measurements)
Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
gab sand at what depth at what depth mttnicipa
Dolling 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 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: f gallon (min. size 1,000 gal)
Tile Field: each trench ( O ft Total System Length: a 0 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: 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.
M/Pihdr
Signature of ' sponsibie person date
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.& )� /�
No inspection Will be made until applicant has received a Fee Paid $
valid building permit. All applicants' spaces on this Rec. 4
Fee Paid $
application must be completed.and must appear on the Reviewed By:
application form., • •
•
•
Applicant:. reYr "va.57.Go Owner: '
Address: 6-"07 / it F,1,,,P� 0 t. ,5 hto Address: 1
- Phone#( )7f 5-(.c4'2/ Phone# (_) - . .
•
Property Location: Lot Number: -Y(� / House Number L 5'' I. A,2eT7-c ,4,1
Subdivision Name: H&ym j, d. So?L9 q t ,' Tax Map Number:
• (1 iD-S- 9- Lice
Ncw Building: esidence commercial Estimated Market Value Of-Construction: $ A.,167,00
• ❑ Addition: rest ence/ commercial . - If an Addition,what will use of new addition.be?'
❑ Alteration: • residence/ commercial
O No change to exterior size: 'residence/com'l ,
o Other work(describe _) '1 �' t � . • •
. .
.... -.,,
•
. , •
SEP 1.7 2001
ltlformation P
Cheek Occu )acy ' Moor -"Floor Other floor 1iI Tp►tal
Below sq.ft. sq.ft.: TOWN�e UEEKSBy 'ire Feet
BUILDNG.AND COD
•
Single family dwelling •
. /`-5'W V
❑ Two family dwelling • '
❑ Townhouse .
o Multifamily dwelling .•
#of units •
o Office .
o Mercantile
❑ .Manufacturing
o 1 car detached garage
2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage _
ie' 2 car attached garage ./�a
❑ 3 car attached garage
o Storage building-
comniercial - .
•
• ' ❑ Storage building-
residential .
❑ Other . . . •
Will any second-hand or ungraded lumber be used? If so, for what? //Q
•
Type of Heating System: electric/ oil /,tom wood Q forct a' / baseboard./other: •
Number of Fireplaces to be installed ' Q ' Number of JVoodstoves.to be installed O " . .
List below the person(s)responsible for supervision of work as regards to building codes:
Name • • Address Phone Number
Builder' ' . /71 i& / /%D .. 7.,5-vJ i/al •
Plumber . /i"0/Th 1.3e.70Cie,V '4576 —CT 777
' Mason L, • Tf'o wi , 64102 -/h'Go
Electrician 14 ,5 e.../.,i, "hD 777 S .• . • redo o?c�l�
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 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,an'As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
r i .ail' /.
Signature: . l 741��yi owner,owner's agent,architect,contractor
•
D?66/-76171
'4,4111 `: •
FtiE'IGY CODE COMPLIANCE APPLICATION
• ' OWLI OF .QUEENSBURY, WARREN COUNTY
"�► : `�' • 9000 HEATING DEGREE DAYS
Compliance MethoUs : 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:
A, 7- A/4 4 •
•
PI111 ' '3 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floo_- Area - AF � square feet
2 . Type of IIe. tL' - Electric Oil 1/.Gas Other
3 . Is building mechanidally cooled? Yes o •
4 . Percentage of area of windows and doors ••Over 17% L/ Under 17%
5 . R.-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUEBMITTED:
•
a . Roof • R cF0
b . Exterior walls R /9
c . Glazed areas R
d . Exterior doers R ✓d. '
e . Floors over unheated spaces R 19
f . Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R
h . Basement/cellar walls (below grade) R �.--
i . H acing/cooling-ducts-piping in unheated space R y, A,/
6 . Service (doiuesti c) hot water heating device •
Conforms to minimum efficiency per code VYes No
•
TEM]_'E"ATURE CONTROL MAXIMUM SETTING 1400 _ WILL NOT BE EXCEEDED
App?_cant ' S ' g�Y!.tu Phone Number
✓` 7 /5/ �'�/�h=ice?/ '
INSPECTOR.' S REMARKS . •
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive:lO a pt�Depart
Town of Queensbury ector's Initial
742 Bay Road
Queensbury,New York 12804
NAME �A.',j7Q Q.LL\ PE T# -2-0r\ --704
LOCATION t—\ (S L< A3a-r-[-172 `.(AtJF DATE 3--1 •-OZ
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location /// ' '
Fresh Air Intake( , ✓/
Plumb Vent throd rbuf' j/�
Roof Complete \ �✓`
Exterior Finish Complete \ /
Interior/Exterior Railings 30"� V
to 36" V
Exterior Handrails,bconies,.anding 18 in.or more /
Interior Handrails stairs both sides 3 or more risers �V/
Grade 2%away from fo dati n t k y'�� //
8"clearance to sill plate 'Gp IC r V
Gas Valve shut-off expos 'regulator 18"above grade �/
Gas Furnace shut-off within 30 feet or within line of site i
Oil Furnace shut-off a.t,entr ce to furnace area
Furnace/Hot Water-Heater op ating 1/
Relief Valve(s)installed \ V/
Headroom,6 ft.6 in.on stairs \ V/
Basement stairs,6 ft.4 in. \ J/
Handrail exterior stairs both sides\pore than 3 risers �
Interior privacy/trim/doors/main entrance 36"
Floor Finish \ /
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 8 in.or more /
Railing across window in stairwells �/ ySmoke Detectors: I
every level
every bedroom `
outside every bedroom I
inter connected
Bathroom fans V✓/
Plumbing fixtures 'V/
Foundation insulation
3/4 Nihour fire door/door closer
Garage fireproofing ‘/7
Garage penetrations sealed `/
Furnace in separate room protected(in garage) i
Light ventilation per room ;✓�
Safety glazing 18"or less from floor
Final Electrical \./7/
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)
pir ,Olir 1 .
9--cotavA
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: U
Building&Code Enforcement
Dept.of Community Development Arriv ' epart
Town of Queensbury pector's Initials
742 Bay Road
Queensbu New York 12804
NAME < 91-6-€-lJLc SkiJLed PERMIT ` (/I
— G V
LOCATION r�a �-/ k4-4DATE 1)
TYPE OF STRUCTURE
N/A YES NO COMMENTS F,IL,,.-
Chimney Height/"B"Vent/Direct Vent Location .)-td°/
Fresh Air Intake /\ ✓ r
Plumb Vent throughroo \ 04' Ccr—tz �e
-- Roof Complete ✓ L' ��
Exterior Finish Complet •/ C
Interior/Exterior Railing 30"to 36" .q0,-0''F''/
Exterior Handrails,balconies,landing 18 in.or more h� y e t �vti
Interior Handrails stairs bbth sides 3 or more risers I, �` � � — e
Grade 2%away from four tion ? � �c-5� �. ✓ n. 8j tijt,�,.
8"clearance to sill plate 1 I c_c*A i v,t3 / RLAL ADM el
Gas Valve shut-off exposed`/aegucator 18"above grade ,/ �``1
Gas Furnace shut-off within 30 f'et or within line of site
Oil Furnace shut-off at entrane e to furnace area
Furnace/Hot Water Heater op°e\ating ✓
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs \
Basement stairs,6 ft.4 in. 1 ,../
Handrail exterior stairs both sides more than 3 risers ✓
Interior privacy/trim/doors/main 1ntrance 36"
Floor Finish I t
Bathroom/Kitchen watertight ! ✓
Interior Handrails Balconies/Landing 18 in.or more .�
Railing across window in stainvel\s
Smoke Detectors:
every level I
every bedroom I tZ
outside every bedroom 1 t/
inter connected I
Bathroom fans / 1� V Plumbing fixtures ' '1, C.--A'N `7 L- \t L \t
Foundation insulati
3 ,`
hour fire do /door closer �t Yt�
t�f"�v Q /' , kett-3,-- 11
Garage fireproo 1/
Garage penetrations sealed ✓ L-E,3 C c --Furnace in separate room protected(in garage) ✓ /
Light ventilation per room �/� 6t_r �� �`�
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required '
- ;
Final Survey Plot Plan i
y.
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance) /
Okay to issue temp.C/O(Certi£of Occupancy)_ v`/
Okay to issue permanent C/O(Certif.of Occupancy)
•
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement 7
Dept.of Community Development Arrive.47.am/ m�Depart ;/ ' -F gr.
Town of Queensbury Inspector's Initia API
742 Bay Road
Queensbury,New York 12804
NAME ,.4 i„-ems" P. u_i) is • 1 # Zoo r 70 4
/-LOCATION —j(CZ Li i� _TEE L_tftJF_ , DATE Z!'7 L.—c7
TYPE OF STRUCTURE v-S F Q
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 6"
Exterior Handrails,balconies,l ' g 18 in.or more
Interior Handrails stairs both side or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulato 1 "above grade
Gas Furnace shut-off within 30 feet or 'thin line of site
Oil Furnace shut-off at entrance to ,e 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 ore 3 risers
Interior privacy/trim/doors�ma' entrance_6" .
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 PlanNariance 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) (\CST— Ii-NcD
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
` ,
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP: CA?
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, a t co plex)
DATE INSPECTIOA REQUEST RECEIVED:I 42 d-pp
NAME // 6eiL'f?4-/L?ei'/`� `f
LOCATION A2 J/63
DATE ()ate RMIT H _;,)0v1-700
TYPE F STRUCTURE [ /;?
FOOTINGS BACKFILL FRAMING PLUMB G
INSULATION
N/A _ YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTUR S
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS •
FOUNDATION INSULATIO
INTERIOR STAIRS/RA INGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE _
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.'
FINAL SURVEY PLOT PLAN, IF REO
OK TO ISSUE C/O OR C/C
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/ Depart,
spector's Initials fr/
NAME: Pi.S.'D.4)N72,E-C1--k PERMIT# // 6
LOCATION: k..._NJt_ DATE : — `- .
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contrac : • sponsible for
providing .rotection om freezing
for 48 ho rs followin: the placement
of the co crete.
Materials fo this purpo.e on site
Foundatio allpour
Reinforcemen•in Pla-e
Foundation/Da +p► oofing
Backfill App :s..
Plumbing Under ab
Plumbing Vent/Ve.+ts in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls ; terior R-
Foundation Walls Eterior 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 ‘13 Ls Vfl\ \t -71{
FLo��—
d5k.c<k..„.„,,,, i2,_.,:C.,SI::m M RQQ)\'Aic-
\ -:'
"�""° 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 Depart :
Inspector's Initial
X.
NAME: C PERMIT#
7011
LOCATION: n j np DATE : s- p�0::)a
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I I
Monolithic Pour Fo
Reinforcement in P ace
The contractor is 1 espon ible for
providing protecti s n fro freezing
for 48 hours folio 'ng tl�- placement
of the concrete.
Materials for this pu ••se,on site
Foundation/Wallpour
Reinforcement in Placa.
Foundation/Dampp p ng
Backfill Approval
Plumbing Under Slab
Plumbing VentNents in 'lace
Rough Plumbing
veleating Rough-In /
Inlation V
k Foundation Walls Inte or R-
Foundation Walls Exte or R-
Floors R-
I/
Walls R- t
Y
Ceiling R- Iv
Duct work or piping in
unheated spaces R 7;
-
o er Vent is Vent
ng 1 i FLDCg- ot3G-))
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
•ck Posts is ain Beam / S'- T'I�Q uG M Gk
Air tration Barrier � � ��
Fire Separation 1,2, 3,hour / .
P netration Sealed
P.
Wall 2, 3,4 hour
Firestopping
5 \ sVr-='(' \ \-U11 _79
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 1 .. ,y •1 • Depart_2\ of
Inspector's Initials(/'
NAME: C 6 PERMIT# - , /7
LOCATION: i__ DATE
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers ~I 1 I — \?D \-7 \-) (Thl?--K)1-.?--.`(Z°b j
Monolithic Pour irm
Reinforcement in • ace E. Zp\t-\ -OD A
The contractor is esponsi a for
providing protecti. from fr zing 7>
for 48 hours followi tg the pl cement /
of the concrete.
Materials for this purpose on sit
.YS"
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfil Approval
Plum ng Under Slab i
_ ��P bing VentJ n s in Place
ough Plumbing
eating Rough-In � NW-` �, /
Insulation ,�� `1�
Foundation Walls Interior R- (I
Foundation Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R- r
Pro r Vent, Attic Vent 1 i
F aming
Jack Studs/Headers
Bracing/Bridging J Vivi
Joist Hangers
M
Air InfiltrationJackPosts/ BarrierainBeam
F"re Separation 1,2, 3,hour
jenetration Sealed
17
ire Wall 2, 3,4 hour
Firestopping •
i \vil: b—ccc-'Q c a cbt`\(�l V
\k *c \ V. vJ I\kkA r, C D RE- -)H
4-A-1
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:_ c' ( O
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive `,h ai Depart i %r�F ••
Inspector's Itia
/
NAME: Cam_ PERMIT# • — 7CI
LOCATION: DATE : d- l
TYPE OF STRU
RECHECK �h
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from 'eez' g
for 48 hours following the platen ent
of the concrete.
Materials for this purpose •n site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofin /
Backfill Approval J
Plumbing Under Slab
Plumbing Vent/Vents in P :ce
Rough Plumbin
Heating Rough-In
Insulation
Foundation Walls Interii r R-
Foundation Walls Exteri r R-
Floors -
Walls '-
Ceiling
Duct work or piping in
unheated spaces R
Proper Vent, Attic Vent .\/
Framing (->t c). e_ke--`lc�J'9h i(Nv(-5 N l�
Jack Studs/Headers �J
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
rK/1/1-6 C7it
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12864
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name -jam/��p „CAS SQ,kko DL
Locationl`7(Q ,1\1`o,
Date tl' ) Permit # C/' 70
SOIL TYPE: Sand-Loam-Clay-
Results of Percolati . est
(if applicable) Rat: ute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: T. . Length
Length of each trenc
Depth of trenches
Size of stone Pr
SEEPAGE PITS: Numb-:-
Size - - . x 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 'Absorpti , . _ .feet .
Separation of Pits feet
Conforms as per Plot P an Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle• one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
SYSTEM.USE APPROVED: AD
NO
Arrived:
Departed:
./42L
. Building Inspector
As-
I' TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name c2 &
Location 1 D`�1/1 1
, 74GSe J)v�f ;
Date h.) 36 , Permit # 260/-70/
SOIL TYPE: and Loam-Clay-
Results of Percolation Te -
(if applicable) Rate Minute Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: To alLen,,th/ `
Length of each trenc 1.
Depth of trenche
Size of stone t A
SEEPAGE PITS: ; -r-
Size - ft. x ft.
Stone size .,
PIPING: Size Type,
Bldg.
to Tank LyL40
Tank to Dist. Box ►4 ,^
Dist. Box to Field/P' A v
Openings Sealed? N' No Partial
LOCATION/SEPARATIONS:
Foundation to Tank ) 1 _feet
Foundation to Absorpti o . .feet . .
Separation of Pits feet
onforms as per Plot P1 .in ill) No
LOCATION OF SYSTEM ON P',OPERT
(circle •:_.
Front Rear - Lef ,side - Right S4#e-
Middle - Middle Rear
COMM :
alf1;t C- (> 6,4„,„
e Out-
/15
SYSTEM.USE APPROVED: YES NO
Arrived:
Departed: �. 5
Building Inspector
"I have seen or observed, or believe I saw evidence of,
f#• - CP R • all objects such as houses, wells,trees,fences, etc:; /�)n4,0 ? shown on this document. I also.represent that I have
�: O personally measured the distances set forth on the diagram."
0". i • _G� � *DATE O 0 ----
GNATURE _
•
. RECEIVED
O . Sf P 17 2001
Q .
TOWN OF QUEENSBURY
BUILDING AND CODE
-. • -... . - 5 80'09'S5me
. E
00 66- 77c__ �c. ..,
.....„ ., ; 1 04
- o° .
5
oiti fro
O
0
0 0 A o
tV d- CO 0
Y) �� . - p .
. - S� N as't
a
101 . 461 101 .06' d- gm.
S 80.06, 0,E
67'48'11" A i i 7T Am -
,.
- R=60 $.00' 200. 18'
o
55.49' La�S '.23' L=2�.6�.,8 ; :.__,... . 199•87' «
pi/i}
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 Depart Di am! mom'
Inspector's Initials-
NAME: PERMIT It _ 0 L/
LOCATION Q-1 DATE :
TYPE OF S UC
RECHECK
N/A YJNO CONWIENTS
otings/Piers I I
Monolithic Pour Form
Reinforcement in Place 2. r--'�
The contractor is responsibly for
providing protection from freezing
for 48 hours following the p lacement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing /
Backfill Approval
Plumbing Under Slab /
Plumbing Vent/Vents in Place
Rough Plumbic
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 I
Joist Hangers I
Jack Posts/Main Beam '
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
I71�r�rrdPED [MEP�rJ�r�c(rJ�r�r�[.f�r�[.nr�r�[J�rJ�rJ�rJ�r�E.PLIVP LIEPEEP EMPE[P CO
5 BY THIS CERTIFICATE OF COMPLIANCE THE
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 5
BUREAU OF ELECTRICITY 5
40 FULTON STREET - NEW YORK, NY 10038 5
5 CERTIFIES THAT 5
5 5
5 Upon the application of NI- upon premises owned by 5
aDb
TERRE MAJESTIC *TERRE MAJESTIC INC 5
5 LYNETTE LANE LOT 46 5 LYNETTE LANE OT 46
QUEENSBURG, NY 12804 QUEENSBURY, NY 1 804 5
5C
— 5 Located at- - -----5'LYNETTE-LANE LOT-46-Qi7EETv5BURY,NY 1280-4- r _ - � — S
M 5
5 Application Number: 1030057 Certificate Number: 10300570
5 5 5 Section: Block: Lot: Building Permit: BDC: A239 5
5g5 Described as a Residential occupancy, wherein the premises electrical system consisting of
5 electrical devices and wiring, described below, located in/on the premises at: 5
5 Basement,First Floor,Attached Garage, 5
5 5
5 5
5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5
5 found to be in compliance therewith on the 5th Day of March,2002. 5
5 Name QTY Rate Rating Circuit Type 5
5 Alarm and Emergency Equipment 5
Sensor 5 0 Smoke 5
Appliances and Accessories U
Exhaust Fan 1 0 F.H.P. ��
BCj Bell Transformer 1 0 KW _ j
5 Disposal 1 0 F.H.P. 5J
5 Furnace 1 0 Gas
5 Air Conditioner 1 0
5 Wiring and Devices 5
5 Receptacle 35 0 General Purpose �5,
Fixture 27 0 Incandescent 5
rj Switch 26 0 General Purpose 5
5 Receptacle 5 0 GFCI S
5 Outlet 4 0 Dryer 5
5 Outlet 4 0 Telephone 5
Service 5
1 Phase 3W - seal ,
Service Disconnect: 1 cb 5
Continued on Next Page 1 of 2
5 = 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
I7 PE L LEPEEPEJEEnE PLIE1�E.fEJELLEPEEPEEPLEPEED LOPED LUMP EJPLrJEEPL PEJa 0
a
itt "1 have seen or observed, or believe I saw evidence of,
• Cp R • all objects such as houses, wells,trees, fences, etc., ��
.? shown on this document. I also.represent that I have )
n.• personally measured the distances set forth on the diagram." . /
041;4- 1/4241' . '
— , - DATE
r- GNATURE
�
' '
�~ 1_
O SEP 17 2001
O OWN OF QUEENSBURI(
OFit
-�- _BUILDING AND CODE
S 80.09
,55 N
00.00'
. '.' 100.00. .
r
F �d
O iiI, 'U_i
O ' ' Ill.( e . .
1J siW O I
„ ` , . . .
*- N O M .c4 , t O O
'' ® 0 N
o
O •• N d' • q
1 01 . it 6' 101 .06' '--
• ,.- tit• • w.,...,.._ .._ , .,. . . .n , S 80.06i
87•48'1 i " a . ..-) Li2 , f i. r• _ 200. 18'
R==6.0 •.00' ' '
55.49' L5a5 ' .23' L=24.61.' ��_.. 199•87�
85.�0
•
e . N 801 1 ,
0 3010 IN
e . ..
"UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209, SUB —DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW."
"ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES."
LANDS N/F OF
JERRY M. MECHANICK
BOOK 1054 PAGE 280
SBOb9 55"E
1010—�
LANDS N/F OF
JAMES E. & RA YDEEN A. GARDIN
BOOK 1226 PAGE 305
MAP REFERENCE:
MAP ENTITLED "HERALD SQUARE —PHASE TWO"
DATED MAY 1992, REVISED 5-21-92
PREPARED BY VANDUSEN & STEVES SURVEYORS
FILED IN THE WARREN COUNTY CLERK"S OFFICE ON
OCTOBER 22, 1992 IN PLAT CABINET B, SLIDE '42
MAP #58
mid
FER g 20p2 ry
LOT 46
T OVVA( OF
SB(/RY 20, 660 SQ.FT. I HEREBY CERTIFY TO:
BQ/LD/,lV _ � pN
L C 1) ROBERT & ALBERTA E. SWEET
2) FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK
THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD
SURVEY.
LANDS N/F OF THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE
SHEILA GREEN VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND
BOOK 920 PAGE 331 ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR
SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR
EXPRESSLY STATED HEREON.
aW
»s' O DAVID J. BOLSTER
N DATE: FEBRUARY 22, 2002
SHED
HOUSE % l
GARAGE � b e v Co — 76
2�
PORCH
MAP OF A SURVEY OF LOT 46 HERALD SQUARE
CONCRETE
WALK W i;
Q MADE FOR
"3 ROBERT & ALBERTAI E. SWEET
�p
elec.
c. r. 101.06'
1 NNDSU�'� reie.
N81148'11 "W TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK
DAVID J. B OL S TER
r T7►T LICENSED LAND SURVEYOR
' ETTE 342 MAIN STREET, HUDSON FALLS, NEW YORK 12839
ij �.G DATE: FEBRUARY 18, 2002 SCALE: 1" = 30' N.Y.S. LIC. NO. 49534
DWG. NO. 02-017 B