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2000-648 TOWN OF OUEENSBURY 742 Bay Road, Queensbur<;, ITY 11304-5902 {518� 761-8201 Community Development = Building & Codes (518) 761=8256 CERTIFICATE OF OCCUP-A-N. CY Permit Number: P20000648 Date Issued: Friday, December 22, 2000 This is to certify that work requested to be done as shown. by Permit Number P20000648 has been completed. Sq , ( r) Y 1r 3q F 1, y Tax Map Number, 523400-048=000=0008=016=000=0000 Location. 86 SURREY FIELD Dr Owner; THE MICHAELS GROUP LLC This structure may be occupied as a: Single Family Dwelling Garage - 2 Cars Attached By Order of Town Board Fireplace TOWN OF QUEENSBURY Director of Building & Cade Enforcement TOWN OF QUEENSBURY 742 Bay Road. Queensberry, NY 12804-5902 (51 8) 761 -8201 Community Development - Building ,& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000648 Application Number: A20000648 Tax Map No : 523400-048-000-0008-016-000-0000 Permission is hereby granted to: THE MICHAELS GROUP, L.L.C. , Owner of property located at: 86 SURREY FIELD 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 tiled and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Owner Address: THE MICHAELS GROUP, L.L.C. 10 BLACKSMITH Dr MALTA, NY 12020 Contractor or Builder's Name / Address Electrical Inspection Agency Tyne of Construction: Single Family Dwelling Value : 5 1489400.00 Plans & Specifications 2000-648 1651SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $228mOO PERMIT FEE PAID - THIS PERMIT EXPIRES : Friday, September 06, 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 Que sbu Wednes ay, September 06, 2000 SIGNED BY for the Town of Queensbury. Director of Building & C de En brcement OF Building Permit Application Town Of Queensbury - Dept, Of Cnrreruuuity Drveleolvne rt, 742 flay Road, Querns bury, NY 12804 1761-82361 BUILDIIVG do . CODE ENI4ORCEMENT + Requirements prior to issuance A permit must be obtained before of this permit: PERMIT Iw beginning construction. No inspectlons will be made until applicant has resolve d O 7,0ning Board Actiorx PE12MIT FEE Pr11D a a VALID BCJTLI7IriIC3 PEFLMTI . All Area ! tJsa RECREATION I GL $ C applicants' spaces on this application MUST be completed atd• tha signature © Plarutlrtg 13rxxrd rtctlort RL`VIE'WED LtY.• VC of the applicant must appear on the SPRplication form, Aank y,. Recreation 1 Subdivision 1 Other a:.fkiins hoperrne •�-; � 12acre�•ttion Fee Payment Applicant: _ Ale Owner: Address: Address: Phone hone # ( SZ`t'z3_) +�, ` ���__ �� � �C? Pho »c # ---- Properly Location: Subdivision Natxxo: Tax Mali Number !�—1 Scetinn Black brit NATURE OF PRC7PL35EL7 FtORIC A ESTIMATED MARKET VALUE OF T11E � — New Building : CONSTRUCTION : $ residence / commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building - residence / commercial _ single Family Dwelling Residence / Commercial Two Fami1 Dwell -. , ... no change to exterior size Famil Dw t gr �.�." ' ..__ . . Office Other Work ( describe below ) Mercantile AUG 2 +0 Manufacturing Other GROSS AREA OF PROPOSER STRUCTURE : lst Floor . . . . . . . . � 1 .& I sq . ft . If ADDITION , what will use 2nd .Floor . . . . . . , of new. addition be ? : OL Other Floors . . . . . sq . ft . ( net unfinished cellar or basement } ,,ACCESSORY BUILDINGS : Detached Garage 1 , 2 car TOTAL FLOOR AREA $ SQ . r• T . Attached Garage 1 1 car Private Storage Bui SIZE of NEW STRUCTURE ; Commercial Storage Building "Ti- FEET X FEET Other Foundation Type : Will any second - hand or iingraded Number of Stories : _ _ lumber be used ? If so , for what ? ( habitable space only ) � p Height ( grade to ridge ) : Vt> feet TYPE OF HEATING SYSTEM : Number of fireplaces and/ or woo stove ( circle ' all which a plies to be installed Electric / Oil / as / Woo Forced Hot Air / Baseboard / Other Person re Onsi e:l for supe vision of work as regards to building codes is : e-t l ,a uxa Na" e A dre s Phone Builder Plumber * _ Mason : Electrician DECL,4Rr 770N,• Please sign belmv 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 ether 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 briar (6 a Certiricate of Occupancy'or Certificate of Compliance being issued , an AS BLTfLT PLOT" PLAN by a licensed suirveypr.,�.drawrjto scale, showing actual location of prof ct on premises. f Signature: (04vner, owne 's agent, architect, contractor) Application for Permit — Septic Disposal System TAM M Of Q110011,sbul y 742 Bay ltuorl (Jrrcrc rr.slrrrr y, NY I.2804 (518) 761-32J6 I . OWNER IN FOR M AT]ON: -rj ` et^ Clffica: Use Location of installation: / { File Permit Na. Tax Map Na. -L� Fee Paid Owner's Name: Tl '4As. y y ......................... . ... : Address: �(] - '>� n • 1�„ F 1 �� c^s _ ( C 2. INSTALLER'S NAME CDC Q1 ���L�,*�t ��� PHONE NO. 3 . RESIDENCE INFORMATION: (circleyear of dwelling, indicate # bedroom(() avid multiply 11 of bedrooms with applicable gallons per bedroom to equal total daily lltrw) Year of Hous a of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 galfbdrm = 1980 — 1991 x 130 gal{bdraai = 1991 — present x 110 gal/bdrin Garbage Grinder Installed yes / no Spa or Whirlpool Installed yes / no 4 . PARCEL INFORMATION: (circle applicable information & indicate measurements) T0120 ,Yravllv soil NatUro Ground Wal.,pr Bedrock or Ianperviou§ Material DomesticW Water Supply L'tat^ stravcf W svhal de/,rib at whal deplh rrnrrricilral� Rolling loam feet Steep Slope clay if well; a+ atrr .s up/rl of ____% .Vlope other frvrrrr trri s ,sclrlic -sysrc rrr delrth. _ absrsrpuora is nnccor Percolation Test: ("!e3 bc• conrpfetecf by licerr.scd prr,Jitsrlorrrr! engirreur rrr err chiles tJ - Rote: J, .... __ tlrlrxrrtt� pc�r inch 5 . PROPOSED SYSTEM: For Ne-tv Construction: All individual sewage disposal systems must be designed by a liccayscd professional engineer or architect (unless installed in a Planning Board :approved subdivision). Add 250 gallons to Elie sire of the septic tank and [cacti field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: 1 QC.7 gallon (inin. .size 1, 000 ,gal.) Tile Field: each french 41 ft. Total System Lecigtii : � Vor 2 p1, Seepage Pit(s) : number of. .size of'each: � ft. by fl. Size of Stonc to bo used : 11 / depth or lhickncss Bed System Size: x Alternative System: _ _- length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: w / Size of each; gallons / TOTAL Capacity: gallons Nate: Alarm System and associated electrical work must be inspected by a Tw,%rn 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 Queonsbury, any permit or approval ,granted which is based upon or is ,granted in reliance upon any vaterial 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 a I I requirenients of the Town of QUeensbury Sanita Sewage Disposal Ordinance. Signature of responsible person Date { € w ' I Firy Marshal {) frig' Tox. ,t of QAec,t,tnurc . 742 Eiat ltu;1(1 = Qt1Vr11s!) rte-N . NN Application for Fuel Burning Appliances &. Chimneys 1 applicable to solid fuel & vented gas appliances l Date € 1 j rfpplrccrIioII rs lrereh} lrrc<de to the 13irildireg ci Cock•-ti C3]'jick! f(ri Me i's-1IeeII1f'e of-ca Buoldirl ;r+id £)Xe Peiw O pit)-steeint to the A'ett )'nrk .Saute 1-'Ire PreverFtiorr cMd Huilrfii> C +rrfr. 17tr ul�l�lir rlrrr r7r ut, rtrr ugrees to comply 117it11 c111 arpplicahle Icr1vs. urclinallcu�., riz-gtilrrriorrs. rr)rd uIl colFdilrolis theil ell-& purl nj ncc..e requireinews cr17d criso will clllow al/ wspe efor,y eo eate r/77' lI Fl.tit.i 14v pe;!r br'r77 i-eq rir cel ills per NOTE to applicant : Dough -in and Finai Inspections are regUired _ I w ' Applicant Information Fuel Burning Appliance Irj #i) j-rtjation i ( ci ! vle wards) Name 1, 1 r sto\ c : Wood coal pellet et,,; Fireplace insert Address : +� -- —F- Firepkacc, factory-built : Wood «rrs I Fireplace, tt} asonrv: Wood gas FLFrIlaCe: Wood gyres oil If non-masonary applicance, please provide I Owner. � c'7^ 1"'(�-�l» Manufacturer Name: i I Address: Model NUMbel : f Chimney Information 1� i7CTne : {:trcle appropriate %, cords) Masoliry block brick stone { }� Hue tilt Ocel 3 size: _ inches Fxaet Address : ofcnrrsrreecriorr or 74 1 srallatio it Factory-Built Manufacturer na ne: ' Model Number: trotc: Listed BV: Number: Consrriection f Insrallertion naiesi conform 10 MYSFirePrevention & Building Indicate (circle) chimney material : Code. Colrsrdt enwilable Town ofQrreensbaey Hemdouts regarding required inspeclioris. Doieble wall Triple wdill r Insteluter£ ! L]irccf iwwin Clrirrilwt' 1_rni•r f f +IC'�.s�at.at+�.x-'ter .2.7►�,�,�aac-�.za�..�.za.:u -.- �'v�zrnru v_k�" +Q�sx�.�xl..rarabataric�., .2'�7'"��sr� �.''crz-.I� W I i 4 Fero :tlrrr•.shrrt L"orltA # S C'uff�rerc'rf S t2r°Jirrrr£rd h'ecc t rrrJ: r 3.389 (1 <JI}) Public .SnjePtt' i ! 233 2655P (2.30) I i White (Applicant) (33-CC11 ( Fire %Iarsital ) Yellwv { Uldk', r' g3t. 1 rink 8 Cinicicnrarct ( Ca bier's fJelit,) n+ E'SII) NTIAL FINAL INSPRCTION REPORT Office No, (518) 761-8256 Date inspection request received: Building arc Code Enforcement ILA Dept. of Community Dkwelopment Arrive am/pm I epart Town of Queensbury Insp�eetoe s Initia 742 Bay Road Queensburyy, [N`eew York 12804 NAME I OCATION DAi E 1 TYPE OF STR CTFJ E N/A YES NO COMMENTS Chimney HeightP�13" Vent/Duect Vent Location Fresh Air Itriake Plumb Vent through roof Roof Complete Exterior Finish Complete TmeriorlExterior Railings 30" to 3 „ Exterior Handrails, balconies, lan 18 in or more Interior Handrails stairs both sides mare risers Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposeW'M9= ve grade Gnus F� shut-offwiihirneofsite,Oil Furnace shut-off at entrFurnaceMot Water Relief Valves) install6 ft, 4 in. on staeat stairs, 6 ft. 4 in. W Handrail exterior stairs both sides m that► 3 risers____ Interior privacy/trun/doorslmain en ee 36 Floor Finish Bathroom/Kitchen watertight Interior l-landrails 13alconies/ ar din 8 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 1/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnacc in separate roam protected (in garage) Light ventilation per room Safety glazing 18" or less from floor Fatal Electrical Site Planfvanance required � tea/ +t ✓ � �� / /utat Survey Plot Plan �-�- As Built Septic System layout required i Okay to issue CIC (Certif, of Compliance) . IVOkay to issue temp. C/O (Certif: of Occupancy). Okay to issue permanent C/O (Certif. of RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-9256 Data inspection request received: C Building & Code Enforcement Dept. of Community Development Arrive amfpm 1)epxrt 1 Crm Town of Queensbury inspector's Initisls� _ 742 Bay Road Queensburyr New York 128" NAME PERMIT LOCATION ` DATE , t TYPE OF STRUCTURE NIA YES/ NO COMMENTS Chimney flcightrw VentlDirect Vent Location Fresh Air Intake Plumb Vent through roof,, Roof Complete Exterior Finish Complete Inierior/Exterior Railings 30" to 36" Exterior Hanclmils, balconies, landing 18 in, or more Interior Handrails stairs b6 h sides 3 or more risers Grade Z°r6 away from foun . on 8" clearance to sill plate Gas Valve shut-off expo tar 18" above grade_ Gas Furnace shut-off within 30 feet within line of site Oil Furnace shut-off at entrance to area_ _ Furnace/Hot Water Heater operatin Relief Valve(s) installed. Headroom, 6 ft. 6 in- on stairs / Basement stairs, 6 fl, 4 in. Handrail exterior stairs both sides more than 3 Interior ,privacy/trimldoors/main entrance 36" Floor Finish 1: 5 Bathroom/Kitchen watertight. Interior handrails Balc onies/t anding l SAi. or more Railing across window in stair-wells Smoke Detectors: every level every bedroom outside every bedroom inter connected Baduroccn fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door cl Garage fireproofin Garage penetrations ed Furnace in s-peArveq protected (in garage) Light ventilatio Safety glazing 1 floor Final ElectricalSite P1anfVariaFinal Survey Pl r As Built Septic System layout Okay to issue etc (Certif, of Camp 'ance) Okay to issue teanp. C/O (Certif. of Occupancy), Okay to issue permanent C/O (Certif. of Occupancy} 1�d ,01 oc�" ✓T D�? - ��_ / y! �c RESIDENTMLL FINAL. INSPECTION REPORT Office No. (518) 761-.8256 bate inspection request received: Building & Code Enforcement --��11 Dept. of Community Development A rrtive am/pm ]Depa or , Town. of Queensbury lttspectoe" Initials .l 742 Bay Road Queensbury, Nefw� York 12804 NAME _! L/ LOCATION s DATE �- . TYPE OF STRUC - NIA YES No COAINM 'I-S Chimney HeightP'B" Ven t Vent Location Fresh Air Intake Plumb Vent through roof a Roof Complete Exterior Finish Complete -- Interior/Exterior Railings 30" 6" Exterior Handrails, balconies, Ion 18 in., or more Interior Handrails stairs both. sides more risers Orade 2% awav horn foundation 8" clearance to sill plate Gas Valve shut-off exposed/regulator 18" a e grade _ Gas Furnace shut-off within 30 feet or within 1 of site Lail Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operatmn Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs gesement stairs, 6 ft. 4 in. V11andrail. exterior stairs both sides more than 3 risers ��� �Jf (/rB,I�/c�� Interior privaey/uim/doors/mam entrance 36" Floor Finish Bathroom/Kitchen watertight sp Interior Handrails 1$ in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom linter connected Bathroom falls r Plumbing fixtures Foundation insulation f J/4 hour fire door/door closer ? m Garage fireproofing, Garage penetrations sealed i Furnace m separate room pro (in garage) Light ventilation per room / Safety glazing 1 g" Or less floor Final Electrical Site Plan/Variance required Final Survey Plot flan As Built Septic System layout required Okay to issue C/Ctemp. . c/o of Compliance).- Okay to issue temp. CIO (Certi£ of+C]ccu �y�� /L/�J' Okay to issue ne n t +CIO (Certif. of occupancy) Vr FIRE MARSHAL TOWN OF QUEENS'BURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL 1N$PEQTI0N REPORT REQUEST RECEIVED _ ^_ NAME LOCATION _ _ PE T : _ SCHEDULE INSQECTION ON� AM PM APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS _- EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM ----- • - -_- - FIRE SPRINKLER SYSTE FIRE SUPPRESSION SY EM HOOD INSTALLATION INTERIOR FINISHE - STORAGE: --- -- -- -- -- CLEA NCE TO SPRIN ERS CL NCE TO HEATI UNITS REQUIRED NAGS CHIM -- - -- -- --- -- W D OVE -_ ..- -- - --- IREP CE EIMASONRY �AC RY BLT. ___ GH-IN - FINAL _ ---. fv_ RE ARKS: QK TO THIS DATE 4 t INSPECTOR RESIDLNTMLL F'INAI. INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: 6 Building & Code Enforcement kept. of Community Development Arrive' '�y art Town of Queensbury tor's Initi 742 Bay Road Queensbury, New York/ 12804 NAMEie I5 PERMIT LOCATION DATE TYPE OF 91R1IC'IURE /r _ 7 f Sr NIA YES NO COMMENTS Chimney Heightl"B" VentMirect Vent Location Fresh Air Intake V1 D / �. yt e p Plumb Vent through roof L•^ (/ Roof Complete Exterior Finish Complete Interior/Exterior Railings 34" to 36" Exterior Handrails, bal7ni ending l8 in. or more Interior Handrails stairdes 3 or more risers Grade 2% away from f 8" clearance to sill plate Gas Valve shut-off ,cxpor 18" above grade Gas Furnace shut-off wifeet or wi line of site Oi3 Furnace sthfut o at eto area FurnaCL!f lot Water Relief Valve(s) install Headroom, 6 ft. 6 in. on stjisi Basement stairs, 6 ft- 4 in. Ilandrail exterior stairs bo more than 3 risersInterior privacy/trim/doorsentrance 36" Floor Fiaush Bathroom/Kitchen watertight Interior Handrails Balcorue 18 in_ or more Railing across window ins its { ! Smoke Detectors: 4+ i---' every level every bedroom outside every bedroom 11z �� -S �`�c'� �� h� inter connected Bathroom fans Plumbing fractures Foundation insulation % how` fire door/door closer Garage fireproofing_____ Garage penetrations sealed Furnace in separate room protected. (in garage) Light ventilation per room Safety glazing 18" or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout requiracl Okay to issue CIC (Certif. of Compliance) Okay to issue temp. C/O (CertiE of Occupancy). Okay to issue permanent CIO (Certif. of Occupancy) FIRE MARSHAL Tf7WN [3F QUEENSBURY QUEENSBURY, NY 121so4 (518) 781-8205 FIRE MARSHAL I SP TION REPORT REQUEST RECEIVED �� /'d�AO PERMIT #4��I NAME f LOCATION SCHEDULE.INSPECTION ON AA � I* I rr� APPROVED S NIA YES NO AISLE WIDTHS f EXIT SIGNS EMERGENCY LIGHTING~ FIRE EXTINGUISHERS _ I FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM! HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO PRINKLERS CLEARANCE T HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE ^- FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT REMARKS: OK TO THIS DATE msa�w.Pus AOR TOWN OF QusRNSSURY BUILDING 6 CODE ENYORCEMENT 742 BAY RbAD QUKENSBURY NY 12004 (519) 761-8256 ARRIVE : DEPA To FINAL. IN PECTION REP T — Ia RSIDIS AL DATE'' INS EC 10 .REQUMSM RECEI Ell : NAME LOCATION DATE ERMIT fp�'��ka,�,C TYPE OF S UC RE FOOTINGS pobNDATION SAC FILL F IN ROUGIi PLUMBING SEPTIC MSULATION FINAL ELECTRIC L� WOOUSTOV OR FIREPLACE ! N R YE N gli I t4N4EY HFIGHTZ V NT I IG PL B G V T ROOFING . EXTZRIQR FIN SH — DECICfPO L'Ii/ST S I S RELIEF VALVES FURNAC�.,[HOT WAT RA G INTERIOR... IM PR V Y DOORS EINISH F U RS : BATHfKITCH E Gli ... . a OTHER FLOOR S EEPAS THE FLOG S CARPETEVA STAIR CLEA C RA LINQS�_ SMOKE DST ,C ORS FIR U I u Es F N U I N GA GE FIR pROO NG R LO ERS I, V. ECT C L SIT PL,AN /VARIANCE REO FIN"L�,,,_SURt1_EY £"LOT gLAP1.��. OK TO ISSUE_._Cy(Q 0—R CfC 1 %' MAP REFERENCE: SURREY FIELD SUBDIVISION MODIFICATION TO AN APPROVED SUBDIVISION DATED: OCTOBER 27, 1998 BY. VAN DUSEN & STEVES LAND SURVEYORS, LLC 15 H.U.A. VILLAGE I HEREBY CERTIFY THAT THIS MAP WAS PREPARED GREEN FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED. AND ON THEN BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION USTED HEREON. CERTMATIONS ARE NOT TRANSFERABLE TO ADDITIONAL NSTRUTION5 OR SUBSEQUENT OWNERS. CERTIFIED TON May Antohette Caputo Trustco Bank. Natlond Associatkom its successors and/or =61gns Chicago Title kwiranae Co spany CERTIFIED BY,N____�______________________ MATTHEW C. 5TEVES. LL5 NY5 50135 DATED Decenber 12. 2000 � an D us eh Steves Land Surveyors, LLC 169 Haviland Road (518) 792-6474 Queenebury, New York 12801 New York IAc. No. 50135 16 �Q DWI i 11> 'UTAUIiWR® ALTERATION OR ADDITION TO A SURVEY MAP BEARM A UCENSED LAND SURVEYORS SEAL 6 A VIOLATION OF SECTION 7704. SUB-gMSM 2. OF ONE NEW YON STATE EDUCATION LAW ,ONLY OOM ►ROM lie OSGPML OP "S OIRKY PM= W TH AN ONGMK Of IM LAD O MEYORS SEAL STALL K CONBDflED TO K NAUD TINE COPIER' CE1tTINCA7IONS INDICATED IEIMN S WAFY THAT TwS SURVEY IMS PREPARED N AOOORDMICE MTH THE 10057 0 CODE OF PRACUCE FOR LAID SIANWO S ADOPTED SY THE NEW YOW STATE ASSOCIATION OF PROFESSIONAL LAND SUR%VVQR6 SAID CEATFTCAWNS SHALL RUN ONLY TO THE PERSON FOR MGM THE SURVEY 6 PREPARED. AND ON HIS BEHALF m THE TITLE COMPANY. DOVENN6ENTAL AGENCY AND LENDNO NS7fM7ION L67FD HEREON. AND TO THE A66KOM OF THE LODIK. N6111UDOL' 16 7893.38 sq ft �O Gs<cl 17 Map of a Survey made for J� 0 �J MARY ANTOINETTE CAPUTO Town of Queenebury, Warren County, New York NO. I DATE DESCRIPTION r5l 42 0'2— 6112 REOFFIVE DEC 13 2000 -10 7-OF OUEcsM BUILDING AND C -: F r 43 ;et DECEMBER 6,1 Lle 1'=20' S-1 81Effr1OFI CAPUTO DWG. NO. 5URREY—IG OR THE NEW YORK BOARD OF FIRE UNDERWRITES f BUREAU OF ELECTRICITY �/ 40 FULTON STREET, NEW YORK, NY 10038 Tote s )N:('hk#Fk1d [ r'.' , 111i)ls . , ; fJ�F/ AFFlication No* on file 's j : � x l :) .t Fls / {J? r /: I ' , !t �i'-�fi THIS CERTIFIES THAT 1'k;Rigrr �t e'IIUir -s-, ±',r; fQ�2�n t x f j�j4 i only the eleebdcal equlpmens as described below and introduced by the applicant named on the above applicarlon number is in the premises of k'i#h 14_1(lifAP4,I „S i ;'HoIrY 86 :i;(JRRY1--Lfl� i'pat,kV I ,? r'i' .l.n ; (1E1r,h;Ntiksitt; y rrY in the following location; Ei Basement I--Ei Ist FL E{ 2nd FL r i;fik Section Black Lot I , was examined on 01Lat PA'" f1p oe4 , 2S. oo and found to be in compliance with the Natdotral Electrical Code, . FIB RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS nUORESCENT OTHER AMT, K.W. AMT. K.W. AMT. K.W. AMT, F' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PI. TIME CLOCKS ISELL UNIT HEATERS MULTI-011TIET DIMMERS AMIT. K.W, OIL H-P. GA$ H-P. AMT. NO. A. W, G. AMT. AMP. AMi.. AMPS. TRANS. AMT. H,P. SYSTEM$ NO. OF FEET AMT, WArra r It' 1 SERVICE DISCONNECT NO. OF S E C E AMT. AMP. METER R V I . TYPE EQUIP. 18 2W 1 / SW S Tr SW S rr Al No_ O PER . A COND. W. G. ND. OF HI- A. W. 6. OF CC. COND. �� OF M-LEG LLS OF NEUTRAL 41 OTHER APPARATUS: 1 ! j; ;'14 ;!•-1i 'h1; ! Ii:`i'h;r. "f'+ 3I2 . ,.� h'c1�?k•aVp,`N .k�,r.h;r:'/k3sJh;r, FSi,k;c � . 11 `�.__-. � ,,.� W i I.LLAbf ky . t�kC'r? 7"f,C�1i� GENERAL MANAGER ffy Per This certificate must not be altered in any manner, return to the office of the board If Incorrect. Inspectors may he idenfifled by their credential$. MIMRM CC nY FOn $U O'.."v F i�."h•1�lVT 'hf;S Cr^ ! C3' F CCRT14�YCf.Tc f 7UaT iJOT 8E ALTEftEC? !N ANY tv1ANN£Ft- - - -- r. GENERAL (N,SPECTI N REPQRT ( 518 ) 761 - 8256 Town of Queenshury Ef Depi. of Community Development ate inspection request received: Building & Code Enforcement 742 Bay Road C� Arrive am/pm Dep Queensbury, NY 12804 inspector's luuitials PERMIT # NAME: DATE LOCATION: TYPE OF STR TURE- 'T RECHECK. NIA YES NO COMMENTS Footi► iexs Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezin for 48 hours Following the p xxt of the concrete. ]Materials for this purpose on site Foundation/Wallpaur Reinforoernent in Place Foundation/ffampprcwln Bacldlll Approval Plumbing Linder Slab Plumbing VentlVen Rough Plumbing Hea ugh-In tn5amnon Foundation Walls lnteri Foundation Walls Exte ' r Floors R- Walls R Ceiling R- Duct work or piping unheated spaces R- Proper is V V t F Jack S rs BracingfDridgt Joist l3attgers Jack Posts/Mam Beam Air infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestappin GENERAL INSPECTIQN RUPA2RT ( 518 ) 761 -8256 Town of Queensbury D Dept. of Community Development ate inspection request received: Building & Code Enforcement alit/ 742 Bay Road QQueenabury, NY 12804 Arrive am/pm Dep - Inspectiaes � �' PERMIT # NAME: LOCATION: DATE : TYPE OF STRUCTURE: Rt Ci ilrCK NIA YES NO COMMENTS Footings/Piers Monolithic Pour Form. Reinforcement in Place The contractor is 0onsible for &�om freezing for48 hours fall i the placement of the concrete. Materials for this po on site Foundation/Wallpou Reinforcement in PI Foundatio fi ks Backfiil Approval Plumbing Under Slab Plumbing Vent/Vents i _ Pluxmbirig �ieating Rough In Insulation Foundation W s Into 'nr R- Foundation Walls Exte 'or R- Floors "R- Walls R- Ceiling ?R- Duct work or piping in € unheated spaces R- P93per Vent, Attic Vent ' {{ ✓ � f franti (4 k�r`] J -t a _ (� . Jack Studsliieacters / BracingBriclg0 _ /f _ /(�/J}y G /r ` ' 6u q �` Joist Hangers 'c > > r // Jack Posts/Main Beam Air infiltration Barrier Fire Separation 1„ 21 3„ hour Penetration Beaded F- Wall 2, 3„ 4 hour w restoppin 44 FIR7MARSHAL TOWN OF QUEENseURY, NY 1280 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME LOCATION ��— - P MIT # � ' f SCHEDULE INSPECTION ON I L ''� ( � AM PM f APPROVED EXITS N/A YES NO AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS it Fl FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION i INTERIOR FINISHES I' STORAGE: CLEARANCE TO SPRINK RS CLEARANCE TO HEATfN UNITS REQUIRED SIGNAGE 1 CHIMNEY _ WpOD STOVE _ �KIREPLAQE [] MASONRY FACTORY BLT. ROUGH-IN ❑ FfNAL ,.- tl VC f/X 36 r✓ REMARKS. I ' Z /'fir' ❑ OK TO THIS DATE x- WHIP," INSPECTOR "I seen or observed, or believe i saw evidemm ot " =-____ o s such as houses, wells, trees, te++tae� etc .. shown on this docurn I Iso represent that E have ' •bs g�•C6E> per ally measured h stanc settwth the mr" CO SIG)!!tLE FCAN CO lip 2000 Jr CV CION r+�: ",} C.. �F y�• • .ram : J4--- ! 1r+ 4ry n � � !f Leber e Grain 518/458-7172 �� �F`4m'� '+ ► j Z Iwe C C> @bs rLJ TOWN OF QllEENSBURY BUILDING. &_ CODE ENFORCEMENT 742 Say Road Queensbury MY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name _�►I�C t.NAE 42 Location X_LQt� 1 '� '� Cate Permit SOIL TYP an - 'am- Clay- Results of Percolation Test- ( if applicable ) Rate�Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD : Total ' Length Length of each treniqh Depth of trenches Size of stone SEEPAGE PITS : Number- Size - ft . x - ft . Stone size PIPING: Si a Type Bldg . to Tank ' '� _ c. Tank to 'Dist . Sox f.r Dist . Box to FieldON /Pi � - Openings Sealed? s a tial LOCATION/SEPARATI Foundation to Tank � _ feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: { circle one Front - ear eft d - Right Side Middle Front _ Mid~e ear COMMENTS : YSTEM USE APPROVED : r � YE��ESS � NO Arrived : = Depart iffig11d InsdAttor "A-\"" I� GENERAL INSPECTIQN 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 JNL7 a� Depart � r Inspector's initial ILPERN11T 4 LOCATION : DATE ' C] � TYPE OF STRUCT1CM _ RECHECK N/A YES NO COMMENTS Footing&/Piers I Monolithic Pour Form Reinforcement in Place _ The contractor is responsible f providing protection from. freezin for 48 hours following the plaeetne of the concrete, Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foun 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- Ceiliing R- Duct work or piping in unheated spaces R- Proper Vent, Attic 'Vent Framing .lack Studs/Readers Bracing/Bridging, Joist Bangers Jack Posts/Main Beata Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestalxpin P1141 GENERAL PVSFEGTIC)N REPORT ( 518 ) 761 - 8256 Town of +Queensbury Dept, of Community Development Date inspection request received.* Building &. Code Enforcement 742 Bay Road Queertsbury, NY 12804 Arrive am/pm Depart�40 pm Iaspeetor's Initials NAME: e S rt PERMIT # LOCATION! S DATE TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible fo providing protection from fteeziha for 48 hours following the place t of the concrete. Materials for this purpose an site Fou ndation/W'atfpour Reinforcement in Place Fvundativn/DampprooPr n `�ack#"ill Ap�prv�ral Pftaxnlring Under Slab Plumbing VentlVents 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 untreated spaces R- Proper Vent, Attic Vent Framing Jack StlxisnUaders Bracingll3n Joist Hangers Jack PostssfMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestappin GENERAL REPORT ( 518 ) 761 -8256 Town of Queenshury Dept, of Community Development D4Ee inspection reques received; Building & Code Enforcement 742 Bay Road Queenshury, NY 12804 Arrive argi�E1�3 pars` �a is snit' NAME: PE # - LOCA.TION. �' �_� DA TYPE OF STRU RECHECK r �_• W/A YES O COMMENTS 4l�ting�lPiers nflithic Pour Form orcement 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 Plane Foundation/Dampproof n Back6ll Approval Plumbing Under Slab Plumbing Vent/Vents in Plane 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 - Proper Vent, Attic Vent Framing Jack Siuds^�ea rs Bracin: ridgin Joist Hers Jack Po26=B n Air Infltz'a 'cr Fire Separation 29 3, hour Penetration S ed Fire Wall 2, , 4 hour Firestolppin TOWN OF QUEENSBIIRY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY I2804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location \+ kbGj, ► R�2,[ U ,•— Date G" Permit ; SOIL TYPE: Sand- Loam- Cla ^ 4- Y2 Results of Percolation Test- ( if applicable ) Rate- Minute/inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench - Depth of trenches Size of stone SEEPAGE PITS : Number- Size - f+ . x ft . Stone size PIPING: Size Type Bldg . to Tank Tank to Dist * Box Dist . Box to Field/Pit Openings Sealed ? Yes Na alai LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Mid a Rear COMMENTS. !?'4C5�UIO U 5 � 4 I,r 40 0do� SYSTEM USE APPROVED: YES NO Arrived . Departed: - Building Inspector b �' TOWN OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 Bay Roar! Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date - c Ae4tr °t,' SOIL TYPE: Sand oa Clay- Results of Percolation Test- ( if applicable ) Rate-Minute/Inch` TYPE OF SYSTEM: ABSORPTION FIELD : Total Len by ? 7 Length of each trenchi t` — Depth of trenches Size of stone �� ��,- SEEPAGE PITS: Number- - — Size - ft , x ft . Stone s ze -` PIPING : ixe Bldgm to lank .moo. icT 1:0I"5�_� Tank to Ili st . Bax -- � "35'~- Dist . Box to Field/Pit Openings Sealed? Yes o art a LOCATION/SEPARATIONS : Foundation to Tank Foundation to Absorption et et Separation of Pits fe Conforms as per Plot Plan �'I`+�es LOCATION SYSTEM ON PROPERTY; o ( circle Front - ear 'Left Side - Right Side Middle F - Middle Rear COMMENTS : V `� � C R SYSTEM USE APPROVED: YES NO Arrived: Departed : Sui • •• i ..y + nspec or