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2000-485
TOWN OF OUEENSBURY 742 Bap Road, Queensbury, NY 12845902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20000485 Date Issued: Monday, October 30, 2000 This is to certify that work requested to be done as shown by Permit Number P20000485 has been completed. &q5 Lam} w Tax Map Number; 523400-074-000-0002-08l-000-0000 Location: 55 SARMEN Dr Owner: GUIDG PASSARELLI This structure may be occupied as a: Single Family Dwelling By Order of Town Board TOWN OF QUEENSBURY 97 Director of Building & Code Enforcement "r'(] N OF QUEENSBURY 742 Bav Road, Queensbury, NY 12804-5902 (518) 761 -8201 Community Development - Building & Codes (518) 761-8256 Y BUILDING P'ER.MIT Permit Number: P20000485 Application Number: A20000483 Tax Map No: 523400-074-000-0002-0 8 1 -000-0000 Permission is hereby granted to: GUIDO PASSARELLI Owner of property located at: SARA-JEN Dr in the Town of Queensbury, to construct or place a Single Family Dwelling 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. Owner Address: GUIDO PASSARELLI 2569 LAKE Ave LAKE LUZERNE, NY 12846 Contractor or Builder's Name / Address Electrical Inspection Agency MICHAELS GROUP NEW YORK BOARD 10 BLACKSMITH DRIVE OUEENSBURY. NY Type of Construction: Single Family Dwelling Plans & Specifications Y $265,00 PERMIT FEE PAID - 'PHIS PERMIT EXPIRES: 'Wednesday, July 17, 2002 (Ifa longer period is required, an application for an extension must be tnade to the code Enforcement Office of the Town of Queensbury before the expiration date.) Dated at the Town of Queensbury; Monday, July 17, 2000 SIGNEll BY f _ for the Town. of Queensbury. it ff' 0 ' 1 1 tng Code Enforcement Building Permit Application Town of Queeli,4i17ury - Dew. of Cor►+rntwiry Develolxuenr, 742 Bray Road. Queriubur+r, NY 12SO4 1761-82361 BUILDING & . CODE ENFORCEMENT NOTICERequirements prior to issuance of this permit: pE1tMIT FILE 1V0, �?L ' t '3 . A permit must be obtained before fOD beginning construction. No inspections PERMIT FCE tl.47 7 5 4 will be made until applicant has received Zoning Board Action ' a VALID BUILDING PERmrr, All applicants" spades on this application A'`a ! Usc ItEC1tL'AT![7NPetl�► MUST be completed at]d• the signature 0 Pla ming BoardAction REVIEWED BY, of the applicant- must appear on the SPR / Subdivision / Other Rurkfing hopeonr 6plication form. rrk ,� ,n Recreation Fee Payment Applicant: F i1 loacr 4S + r,+�4[�t5[ _ Owner: Address; C1[ '� tr. z�� ', '. '"14 Address: Pltonc #f �� _) ' �E' •-'�� I'lt©no # � L x G�Qr -- Property Location: �_ _ 1 ` Taxi� ap Number — Subdivision Nunte:� Section T11mk 1 nt NATURE OF PROPOSED WORK & ESTIMATED MARKET V L E OF THE New Building : CONSTRUCTION : $ ! ?� , � 0 � residence / commercial Addition to Building : residence / commercial. OCCUPANCY INFORMATION : Alteration to Building : Primary Building - residence / commercial Single Family Dwelling Residence ,/ Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work ( describe below ) Mercantile Manufacturing f0 ether GROSS AREA. OF PROPOSED STRtJC'TURE : / De If ADDITION , what will use lst Floor . . . . . . . . ,5�' 9 sq of new addition be7 : 2nd .Floor . . . . 0 . 04 sq Other Floors , . . * -- sq . ft ( not unfinished cellar or basement ) ACCESSORY BUTT.CIINGSt _. . . " Detached Garage 1 , � d ' TOTAL FLOOR AREA : p�D ► 3 SQ . FT . �C_ Attached Garage 1 , c-hr,) Private Storage Buil sng SIZE OF NEW STRUCTURE : Commercial Storage Building Other FEET X fir` ! FEET Foundation Type : ��y .�taE'r'� Will any second-hand or ,ingraded Number of stories : 2 lumber be used ? If so , for what ? ( habitable space only ) Height ( grade to ridge ) : feet TYPE OF HEATING SYSTEM : Number of fireplaces and/ or`+�woo `Ir.7stove ( circle all which a lies ) p to be installed : "._ Electric / Oil / as / Wood Forced Hot Air / Baseboard / Other Person responsible for supervision of work as regards to building codes i s : +rt ..sa Na;" e A 41dre s phone k Builder : Plumber : Mason : t 1 ca ,"1 l t _ Y� 1, l ,� w iL 4 G4 l. L Jl. �. I G4 Ti : DEEC'LARA770R* Please sign belMV aj?er you have carefidly 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 tttrtt such work is authorized by the owner. Further, it is understood that I/we shall submit prior to n Certificate of Occu ancy'Mar Cer ' "",Date of Compliance being issued, an AS BLJII-T PLOT I'LA�I by a licensed survey drawn t te, showing actual location of project on premises. Signature: ' ( tuner, owner's agent, architect, contractor) Application for Permit — Septic Disposal System Touw of Queensbury 74213nyliriritl Qauee/nrhury, Nl' I ' 8004 (518) 761-4y356 t . OWNER INFORMATION: .................................................... ...... ................... ...... erne U.Se Location of installation: -�)�o*4 t>- i f E File Perniit No. i Tax Map No. 1 I Fee Paid Owner's Name; "1AVat\— s _ Address: 2. INSTALLER'S NAME _ c:: QACtio PHONE NO . 3 . RESIDENCE INFORMATION: (circle year of dwelling, indicate 4 bedroottt(v) and multiply II o/ bedrooms with applicable gallons per bedroont to equal 14r)ta1 daily flaw) Year of House-, No. of Bedrvv is x. computation = Total Daily Flow 1980 or older x 150 gal/bdrin = 1980 -- 1991 x 130 gal/bdrm = 1991 — present x 1 10 gal/bdrin Garbage Grinder Installed yes . 1 no Spa or Whirlpool Installed yes 1 no ^ 4 . PARCEL INFORMATION. (c'arcle applicable information ,& indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supj p 1•Yar su'an � a1 what depth at what depilt 1rlfuricip l Rolling loom _�(�fi:et Jeer r" sio p slope Clay il'Svell; water vlopp!v .._..._ yo .slope other ,Ji-ona (III v svplic•-system depth: abJV01-I)IM 7 i.5' other Percolation Test: r1`0 be compleled by licensed l)rl?/{ A1',S 100 act,l engineer or arChitecl) - y Rate: J,_ minute per inch 5 . PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must, be designed by ,a licensed processional engineer or architect (unless installed in a Planning Board approved subdivision). Add 250 gallons to the sire of the septic tank and leach field for each Garbage Crindcr, Spa or Whirlpool Tub. Septic Tank: 10C)0 gallon (thin. size 1. 000 gal.) Tile Field: each trench 41 ft. Total System Length: Seepage Pit(s) : number of size of'each: ft. by—ft. Size of Stoic to be used: 11 / depth or thickness Bed System Size: x Alternative System: _ length an l or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: ' N •/, / Size of cacti : gallons / TOTAL Capacity: gallons Note: Alarni 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 Towaa 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 oil 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 theTown of e9l e ury Sanitary Sewage Disposal Ordinance. + I oC Signature of responsible person Date TOWN OF QUEENSHURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUERNSBURY NY 12804 ( ! (518) 761-8256 ARRIVE. : DEPART : INSP ; r IHAL INS4PUCTXON REPORT - ROSTDaNTIAL DATE INSPECTION REQUZST KCewpvLrv , NAME LOCATION DATEJt` > PERMIT TYPE OF STRUCTURES FOOTINGS FOUNDATION SACKFILL FRAMINGROUGlI PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR P'IREpLACE N A Y CH lNEY HEIGHT/S VENTfijgjCj T ROOFING EXTERXOR FINXED QECKfPORQH jgXXg§/�grLIN S BZLI13 F V LV S FU CEf[iOT WATF,t!O EEtFi..T INTERIOR TRIMfiP�tIVACY O S FINISHFr�JOR3 TH I" HEN W T G OT R LOOKS E A8 OTHER FLO RS C PE E STAIR CL6,ARANCEfRATLI SMOKE DBTF,�"�O,�S FAMS ING XT ES EQ_UNDATION_ INSULATION GARA E FIRE PROO IN DOOR CLOSERS EINAL "ECT C gATg PLnN1'VAR.TANCE REO . l AL SURVEY PLOT LAN �— O TO ISSUE C OR C C MAP REFERENCE: LEHLAND ESTATES SUBDIVISION FINAL LAYOUT PLAN — PHASE 3 DATED: APRIL 27, 1999 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC SARAH JEN DRIVE �U REC,��V TpWN Q00 op Q Y THAT L FIELD SURVEY. ftQD1x*ED ON SHALL RUN ONLY TO PERSONS _------_-_ ---- 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. ..... : Robert H. do Margery P. Bryant First American Title Insurance Company of New York . OF Ww ` CERTIFIED BY. MATTHEW C. STEVES. LLS NYS 50135 400000. DATED: October 30, 2000 tall u s e -n & Steves Land Surveyors, LLC 169 Haviland Road Queensbury, New York 12801 (518) 792-6474 New York Uc. No. 50135 •UNAUI A L LA OR ADDITION To A aRVEr MAP YAPMEANING A LICENSED WiD SURVEYORS BEN. IS A NOLAMON 01` 9EXTIOY 72M &M-DRO, $ OF Dff NCW "M SPATE EDUCATION LAW ONLY O 711E A ONROM THE OF THEE AN THIS SURVEY 4ARIND WTN E O SIDIDI ff 7FIE LAND AUD TRYE COFI THS SURVEY WAS PREPARED N ACCOIIDANCE WTH "INC1 "'RACTICE �°'"� BY IN aPTATEAMLAONORN.,ED BY 1HE NEM YOfBC STATE ASSOCNTION OF PROFEE3RONAL LAND 11INKYERS. SAID CERMI"' IONS SHALL RUN ONLY TO THE PERSON FOR MOM TFff SURVEY IS PREPARED, AND ON HIS BEHALF 10 THE TILE COWANY, GOVERN 04TAL " M ASSI NIMS OAM LMMO �"""n°"' INST1 H°�°"' A"° m THE ASBIWEES aE ,FIE IElOY1D WSATUTIOi' 1 Map of a Survey made for ROBERT H. 8c MARGERY P. Town of Queensbury, Warren County, New BRYANT York ' a e: , 1000 Scale 1 "=30' — SHW 1 OF 1 BRYANT DWG. NO. 89423-81 NO. DATE DESCRIPTION RESIDENTIAL FTNAL INSPECTION REPORT Office No. (518) 761-n56 Fate uxspection request received: Building A Code Enforcement Dept. of Community Development Arrive am/pm DepxrtZ ! c7 7 Town of Queeusbury fnspector's initials A{ C 742 Bay Road Queensbury, New York 1284N NANW PEltMT1' U - L l LOCA'TIO14 DATE � � �,c,;�10� TYPE OF STRUCT N/A Y NO COMMENTS Chimney HeiglitrS" ventlD remit vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Extenor Railings 3& to 36" Exterior handrails, balconies, 1 18 in. orNmore. Interior Handrails stairs both sides or more n Grade 2% away Scorn foundation 8" clearance to sill plate Gas Valve shut ff oxtose+i/ ator 18" abo grade Gas Furrxace shut ff within 34 f or within ne of site Oil Furnace shut-o at entrance o furnace Furnace! Iat Water ter tin Relief Valve(s) install Headroom, 6 ft 6 irL on stai Basement stairs, 6 ft. 4 in. Handrail exterior :stairs both 'des more than 3 risers Interior privacy/in d entrance 36" Floor Finish Bathroom/Kitchen w'atertl Interior Handrails B"alcom. 18 in, or mare Railing across window in lls Smoke Detectors: every level every bedroom outside every inter connected Bathroom fans Plumbing fixtures Foundation .insulation s/4 hour fire door/door closer Garage fireproofing Garage penetrations seatod Furnace in separate room protected (in garage), Light ventilation per room Safety glazing 18" or floor Final Electrical l Site Plan/Variance 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 (C:eftlf. of Occupancy) L_.---- THE NEW YORK BOARD OF" FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Late ill "1VNIOi ..3.1 , :',000 Application No. nfele ''S: 4hf)tS 4sf ! i1 I s/14, -11i THIS CERTIFIES THAT PIER't"J.'1" �C>rJUsli :_s only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of ,t ` f t-' MI C".HACs,66 (4140010 , s'ib ;ihk -1 ., k'tN (A . , [1W,PAlIw0t3URY . NY In the following location; El Basement E i. Ist Ft. 2nd Fl. if?1]l Section Block Lot was examined on and found to be in compliance with the National Electrical Code. FIXTURE R*cEpT g SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INC„'AN FL)CJ■ESC"4rr OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT, K.W. AMT. H.A. 3 i 46 32 3 L 1 1 13 k' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISKCIALRECAPT.1 TIME CLOCKS BELL UNIT HEATERS MUgLTTII�L SLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO_ A. W. G. AMT. AMP. AMT. I AMPS. TRANS. AMT. N.P. NQ_ OF FEET AMT. WATTS L F L 2 14 2t s- SERVICE DISCONNECT N©• ©P S E R V I C E METER Na. OF CC CONS. A. W. o. A- W. G. A. W. G. AMT. AMP. TYPE EQUIP, I '' T M SW S SW S bW PER i OF pG- coma, NO. Oi NI-LFG OF Ht-LEG NO. OF NEUTRALS OF NEUTRAL OTHER APPARATUS: i7 * V . C: . x -4 W-f_l ,Y..AJkH 1) . M(lw>"Irij) t GENERAL MANAGER 1..444:s a1A+'kPRf10 t s'C . Per This ceTHBcate must not be o"red in any manner; return to the office of the Board if incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. GENERAL IN.SPECTIO.N REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Say Road Queensbury, NY 12804 Arrive f Depart / speetor's initia NAME: 45 6gq CP PERMIT 0 LOCATION: DATE : -- -- TYPE OF STRUCIURE: RECHECK IL NIA YES NO COMMENTS Footings/Piers � I Monolithic Pour F Reinforcement in lace Y The contracto is responsible for providing p on from freezing for 48 hours ollowing placement of the co Materials for 's on site Foundatio allpour Reinforcem t in Pl Foundatio fin Baclfill rov Plumbing n lab Plumbing ntlVents in Place AV Rough PI bing Heating gh-ln , Sinsulat n Foun -on ally erior R- _ Founda ion Walls 'Exterior R- Roars R- Walls,� R- Ceili.ng R- Duct work or piping in op unheated spaces R- Proper Vent, Attic Vent Franc Jack Studsal ceders BracinglBridgi Joist Hangers lack PostslMain Bean Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 37 4 'dour Firestoppin GENERAL LNG T'IQNV REPORT ( 518 ) 761 -8256 Town of Queensbury Dept, of Community Development Date inspection request received: 0 Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive, y antlpm Depart Inspector's Initial NAME: PERNO'T # LOCATION: S DATE TYPE OF STRUCTURE: � RECHECK t. s } NIA YES NO t,OMMENTS FootingslPiers i Monolithic Pour Form ' Reinforcenxent in Plane The contractor is responsible for i providing protection from ft =mg for 48 hours following the Placement of the concrete, w Materials for this purpose on site t Foundation/Wallpour, Reinforcement in Place Foundation/Dam Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in IPlaae Rough Plumbirr I 1 ,Wp " _' .. Heating Rough-In l.nsulation t Foundation Walls Interior R- Foundation Walls Exterior R- r Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent *Framine Jack Studsllleaders Sracing/Bridgin foist Hangers Jack Pasts/Main Beam 1� t C_ + - L7� lN1\CVD WE:" Air Infiltration Barrier. ``�1 ►''' 3 __ i7�.5 �y Q� �y Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 314 honr FirestoPpin ` l i pppppppppppppp TEEhSBURY BUILDING -A CODE ENFORCEMENT742 Bay Road Que�egsNaury NY 12804 (srs) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date Permit #—� SOIL TYP San oa -Clay- Results of Perco at on Test_ ( if applicable ) ate Minute/Inch TYPE OF SYSTEM: + ABSORPTION[ FIEL Tot 7 Length r Length of each rench Depth of trench s I Mr Size of stone SEEPAGE PITS : umber_ Size -Stone s t . x f t . size" PIPINNG: Size ype Bldg . to Tank �k Tank to Dist . Bo Dist . Sox to Fie? /PitOpeni ► T � �� ' LOngs Sealed ? Yes o artia CAT IONN/SEPARATI O (S : Foundation to Tank 11 - � ) feet Foundation to Abs feet . Separation of P o do its eet Conforms as per P7 of ? n es N LOCATION OF SYSTEM ONOPER ( circle one ) ' Front - Rear - Lef ht Side Middle Front - e ar COMMENTS : SYSTEM USE APPROVED : c��YES �^y NO Arrived: ` Depart r � ding I sp c .or 7 Na515'5©"E AR ZONE 100.0 "I have sc man or observed, or berieve l sanr er►rdence of, k a 1110 bjects such as hou,% weds„ bjM fWww 1, etc,, i sh wn on his document 1 also re nttl d 1 have _ pe sona mea the distanoes set10ft can the diagra 3 5Y SIGNATURE DATE i i k 82 '� 8 {� Qi w..-.........,w - _� CD et C7 i p k --- 1 � d cc 00 'SJ sA-Rjt sg-� q6 +cRes t 53 0.007 '`� so 1 5 50 w S .ARA.H JE N DRIVE EE ERAL IN.SP.ECTION REPORT ( 518 ) 761 - 8256 Town of Queenshury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive Depart Insp�ector's Initials +Q NAME: 14 �PERNIIT r} L.00ATTON= DATE 1'YPE OF STRUCTURE! RECHECK. N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection fn tsite ng for 48 hours followingrnent of the concrete. Materials for this purpose Foundationf Wallpour Reinforcement in Place F tion/Dasnpproofi ackfill App al Plumbing Linder _ Plumbing Venif Vents in lace Rough Plumbing Heating Rough-In Insulation Foundation Walls In Anior R- Foundation Walls Ej teTior, R- Floors R- Walls R- Ceiling R- Duuct work or piping in unheated spaces , R- Proper Vent, Attic Vent. Frami Jack Studs/tleaders Bracing/Bridging Joist Hangers Jack Posts/Main Ream Air Infiltaration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 37 4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept, of Community Development Date inspection request received: g f Building & Code Enforcement / 742 Bay Road - Queensbury, NY 12804. Arrive am/pm Depart ` ,.^ Inspector's Initials �y DAME: CY1 ic. FlCt2��._ram C 12(1 c + PERMIT # 2-"-16 LcOCATIOI i R Sw5 bad G- T Q ✓1 IRATE : , 114 'TYPE OF STRUC11JRE: S# RECHECK A YES - COO MEWS *Footings/Piers ALZ Monolithic Pour Form Reinforcement in Place =_.__.._i The contractor is responsible providing protection from freezin far 48 hours following the placement of the concrete, Materials for this purpose on site 1 Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin BackfiJt Approve€ Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing, Heating Rough4n Insulation Foundation Walls Interior R- Foundation 'Walls Exterior R- Floors R- Walls R- coiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frami Jack Studs/Headers Bracing/Bridging. Joist Hangers Jack PosmfMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3„ 4 hour. Firestopping_.