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1992-052 FF +CERPnFIC,A rM OF CK., U'P,A►N CNJ7L TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 12860 to Certify t work requested to be done as shown by Permit No. ��^ 052 has been completed. This structunr a__y U%?1 a ttnrh d ga ge U)cadon Lot 29 MaUl Terrace , herald Square Village Subdivision Guido Passarelli Owner By Order Town Board TOWN OF QUEENSSURY f Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF +QUEENSBUR'Y No. 92- 52 WARREN COUNTY, NEW YORK } t o PERMISSION is hereby granted to Guido Passaerl l i /Herald Square Village Inc . ry OWNER of property located at Lot 29 Mabel Terrace/Herald Sq Subdi V . Street, Road or Ave. in the Town of Queensbury. To construct or place a Sing&ite family dwelling with 2- car attached garage to at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is Guido Passarelli 00 45 Herald Drive 12 Queensbury NY 12804 06 2_ CONTRACTOR or BUI LDER"S Name N Passaerili /Cerrone 3. CONTRACTOR or BUILDERS Address K JW �J same s� tGl r� 4. ARCHITECT'S Name 5. ARCHITECT'S Address CJ I'V tCl 6. TYPE of construction — (Please indicate by X) 3C OJ Cr IX ) Wood Frame [ ) Masonry I I Steel { 1 J. PLANS and Specifications , No. 26 ' x58 ' Single family dwelling with two- car attached garage and septic system as per plot plan and application . 8. Proposed Use Single family dwelling with two- car attached garage v+ 243 . 00 February 13 93 $ PERMIT FEE PAID — THIS PERMIT EXPIRES 19 � (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.} �C Dated at the Town of Queensbury this 13th Day of . February 19 92 SIGNED BY for the Town of Queensbury i7 Buhl a l Zoning 1 nspector Colo %9+ C4 til M1 TOWN OF gUIZE2 SOURY „�. REVIEWED BY ; FEE PAID : /�,�' . TOWN OF PERMIT NO . : / - Q, � �. RECEIVED BUILDING PERMIT APPLICATION FEB 12 7992 BLDG. $ A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS WI�� iBTL`-- UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT . All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application . Owner of Property : C- vJd+ � LL ; P . O . Address : r.G. � � T7r� . -- --- -- _ _ PHONE 7�sp , 5f � Property Location : LtiaT #a2y _/`i��,�L T� r, �� �� _ Tax Maps No . 9 ! / Has there been any split of this property since October 1 , 1988? Yes No � -- If yes , Planning Board Review is necessary . Subdivision Name , if applicable * f,/, LI_ _-. G Lot No . A a cl THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS : Ai NATURE OF PROPOSED WORK : * ESTIMATED MARKET VALUE OF THE / Construction of new building * CONSTRUCTION : $ Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW : ( no change to exterior dimensions ) * Size of Property : ft . x ft . Other work ( describe ) * Existing Building Size : raokaa ' v1r. iX1a.3A17& * ft . x ft . * Proposed bui ? ding - distance from GROSS AREA OF PROPOSED STRUCTURE : * property line : 1st Floor 7,36, Sq . Ft . , . * Front Yard ,3= ft . Rear yard ft . Side Yards •� ft . and ;2 Y ft . 2nd Floor177 Sq . Ft . f * If an corner, setback from side street' Other Floors Sq . Ft . - (not cellar or basements � _, OCCUPANCY INFORMATION : * TOTAL FLOOR AREA : / ?Os' Sq . Ft . * Primary Building - * One Family Dwelling Size of New Structure : .l 6, ft , x ss' ft . * Two Family Dwelling Foundation : * Multiple Dwelling/No . of Units Pier/Slab/Crawl /Partial u '( Circle One ) * Business * Industrial No . of stories ( Habitable space ) 2W _ * Other Height ( grade to ridge ) =f ft . If residential , no . of families : a * If addition , what will use be? No . of rooms ( excluding baths ) : _ No . of bedrooms : No . of bathrooms : a A * Accessory Building : Primary heating system : 'rcaea n ' _�. * Detached Garage - One/Tw Type of fuel : r 0 Attached Garage - One wa No . of fireplaces to be installed : C� * Private Storage Building Will a woodstove be installed ? : / * Other Central Air Conditioning : Yes �-No ✓ ( OVER ) BUILDING PERMIT APPLICATION CONTINUED : BUILDING SPECIFICATIONS : Type of construction : wood frame , fire safe , etc . 4',.a3 ,,.., e_ Will any second- hand or ungraded lumber be used ? If so , for what ? Foundation Wail Material : f, " Cis „ - Y �rc� Thickness : Depth of Foundation below grade ( to bottom of footing ) : 6 a; -• Will there be a cellar? Heated or Unheated ? Floor Sq . Footage : Will there be a basement ? cam ; Will any portion be used as living space ? 1yry If so , what portion ? Sq . Ft . Type of Use ? Type of Roof : Slope /'Flat/Shed/Other Material of Roof �ti , zT ass Size , wood studs .:2 to x 101�47 '" ; spacing _16 o . c . ; length �L ft . Joists ( floor beams ) : Ist Floor 2 "j x 5?:::_ " ; spacing ZZZ o , c , ; span ,/ ft , Joists ( floor beams ) : 2nd Floor _ ,2 _ " x �` spacing o . c . ; span 1 ,g ft . Overlays ( ceiling beams ) : " x "' ; spacing o . c . ; span ft . Roof rafters : '" x spacing o . c . ; span ft . Roof trusses ( pre-engineered ) : spacing o . c . ; span .27 ft , Exterior Wal 1 Finish : r/; x� a � Y i , ,, ,, of what material ? Interior Wall Finish : If a garage is to be attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? � If so , will a Fire- Rated door , enclosure , self- closing device be provided ? pzs Will a flue- lined chimney be installed ? ^J Height above roof ft , Depth of chimney foundation below grade : ft . Depth of fireplace hearth : ft . in , Water supply - Municipal or private well : 1�ryn .C. IF - L. SEPTIC SYSTEM : Distance from a_ private well ( including adjoining properties : ft . ( A separate application is necessary for any repair or new installation of septic system , ) NAME OF BUILDER & ADDRESS : y� 3 ,+[� fry, � � ys �C PHONF 7ys s rr NAME OF PLUMBER & ADDRESS : }��.� :TL, "{ l s a r, v� l n PHONE r ,r - �79' ? NAME OF MASON & ADDRESS : L.c �_ �,y ,yaV .s [-yyx. r ;1rLL e_ _ PHONE' + - ,.yr4: NAME OF ELECTRICIAN & ADDRESS : C�4 PHONE 7 - yy , y DECLARATION To the best of my knowledge and belief 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 not , and that such work is authorized by the owner . Signature �!�� ,._ �j. A . Owner , owner as gent , architect contractor SPECIAL CONDITIONS OF THE PERMIT : By : Code Enforcement Officer ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSSURY , WARREN COUNTY - 9000 HEATING DEGREE DAYS TOWN OF QUEENSBURY RECEIVED Cowl i a"c+e_ Methods PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings ( ONLY ) F E 8 12 1992 PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwel 7 i nuns-m Go $ CODE DEPT. Multi - Family Dweili g ( 3 Stories or Less ) PART 4 - Design By Component Performance - Commercial Buildings - Hi - Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets i I / (Jrt 1r1'1 (I /'1 yIf]`i ?L!'F`�-�i{L / /iJ7 /7C-'"f .f L? c .. iII`� / .! rc1!"J f✓r.�''`+/',L.! [ �--- A LIC S RAM I�Q ERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area IC70 � Sq , Ft . 2 . Type of Heat - Elec . Base Board Other �, � �, �h+© ,� �✓ 3 . Is Building Mechanically Cooled ? A0000000000000000YES NO 4 . Percentage of Area of Windows and Doors Over 17% ✓' Under 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO R E Q U I R E D THE R-VALUES SHi:',1iN1 ON PLANS SUBMIWMI Baseboard 5 . Insulation Values : Actual Shown Elec . Heat Other A . Roof & Floors exposed to ambient temperatures R ; gcg Be Exterior Walls R 1y C . Glazed Area R t3 a g, D . Exterior Doors R 0 E . Floors over unheated spaces R F . Edge of Slab on Grade ( Heated Building ) R G . Basement/Cellar Walls (Above Grade ) R j� H. Basement/Cellar Walls ( Below Grade ) R j� I . Heating/Cooling an Ducts - Piping in Unheated Space R 80' 6 . Service Domestic Not Water Heating Device A . Conforms to minimum efficiency per code ✓' YES HO TEMPERATURE CONTROL MIAXIMUM SETTING 140'0 - WILL NOT BE EXCEEDED DATEAPPLICANT * S` SIGNATURE - -TELEPHONE NUMBER INSPEC MR ' S REMARKS TOWN OF QUEEMSBURY Permit # vim APPLICATION FOR SEPTIC DISPOSAL PERMIT Fee Paid (TOWN OF QUEENSBURY Reviewe Date : �?�/ �f,2 y P,,FE i D LOCATION OF PROPERTY FOR INSTALLATION : rf 2 19,�9, 2 r Owner ' s Name : c'— Viaeg f, BLDG. & CODE DEPT. Owner ' s Mailing Address : -yam[ ! rrvc�. Installer ' s Name : C/ ? � d �c Phone Number of bedrooms ( if residential ) : Total daily flow ( residential - compute @ 150 gal , per bedroom ) : /mod Topography-Circle One ; Flat ' Rolling Steep Slope % of Slope _ Soil Mature-Circle One : and, .- Loam Clay Other /Depth : Ground Water-At What Depth ? Feet Bedrock or Impervious Material -At What Depth? Feet Percolation Test- Circle One : Not Required Required /Rate Min . Per Inch Domestic Water Supply- Circle One : Municipal Well Other If domestic water supply is a w anyell septic absorption feet Separation : Water supply Jc;�_ l . ( Minimum size . 19000 gal . ) PROPOSED SYSTEM' Septic Tank ga ` Tile Field : Each Trench feet/ /Total System Length feet Seepage Pit ( s ) : Number of ,^ / Size each : R, ft . x 'Ain. ft . Size of Stone to be used : # Depth or Thickness y feet HOLDING TANK SYSTEM IF REQUIRED f Each Gal • No . of Tanks Alarm system and associated electrical work to be inspected by a certified agency. * * ** * « * ree to abide have Bad the all requirements nts of the Town of Queen bury Sanitary Slation on the reverse side of this sheet and e by these and wage Disposal Ordinance . SIGNATURE OF RESPONSIBLE PERSON : DATE : Septic System Inspections : A . All applications for septic system installation , alteration or repair , as required by the Town of Queensbury Sanitary Sewage Ordinance , shall be submitted to the Building Department at least 24 hours before start Of construction and shall include a plot plan showing : 1 ) the proposed location of the system 2 ) location and distance to lot lines 3 ) location and distance to structures 4 ) location and distance to any water supply 5 ) size and dimensions of all tanks , distribution boxes , the fields and/or drywells B . No system shall be covered before inspection and approval by the Building Inspector . Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $2500000 C . An approved copy of the plot plan shall be available on the construction site . Failure to produce said plot plan at time of inspection may result in an immediate work stoppage . D , Should unforeseen problems during construction prevent proper installation , alteration or repair of an approved system , a new proposal must be submitted to the Queensbury Building Department before further construction . Town of Queensbury Building Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks : GLAD TOWN OF q(dEENSBURY 531 SAY ROAD 04 QUEENSBURY , NEW YORK I 'll TELEPHONE 1( 518) 745� 4447 suJLOINGDANSpECTOR' S REPORT FINAL "-11 PECTIOM RETEST FOR INSPECTION RECEIVED , �^je7 NAME LOCATION ` DATE PERMIT# TYPE Df STRUCTURE_�_—,-- RECHECK TRUCTURE ) FIRE MARSHAL APPROVALPACKFILL ritN1ERCIAL 31 u FOUNDA ONECTRI SEPTIC OOTING FINLECTRICAL ROUGH TI BINCW ODSTOVE/ FIREPLACE INSI4LA TIflN REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION 5 VENT/LOCATION � PLUMBING VEST X ROOFING SIDING H/ P5/RAILING yc DECK/ P - RELIEF VALVES FURNACE/HOT WA E OPERA ING O K IN BAERIM S4ENT P / PRIVACYU OORS ~ FINISH FLOORS : X BATH/KITCHEN WATERT GHT n OTHER FLOORS SWEEPA LE OTHER FLOURS CARPET D STAIR CLEARANCE/RAILI GS_.._�--•----- HANDICAPPED ACCESS 51AOKE DETECTORS BATHRDON4 FANS/WHOL H U E N .�-- --- t, ALL PLUMBING FIXTURES OPERATINGJ� GARAGE FIRE PROOFING— -- DOOR CLOSERS OTHER FIRE SEP RA ION��1 - - FIRE/DEMISE WALLS DUMPSTER NC EQUI EMEN S SITE PLAN FINAL ELECTRICAL / OK TO ISSUE C /o O Co S ARRIVE d1 DEPART Z&-o IN otvn of +ueer� s� zer� gL)ILDING and ZONING DEPARTMENT 9S Bay and Hauiland R Ypr[). I B i oueensbury, 1 SEPTIC DISPOSAL SYSTEM INSPECTION dr L�d LCjCAT ICZZ S3AT3; 3 3 ! pFpMIT NO -_�� --� SOIL TYPE - Sand - oam - Clay - —� Percolation Test Required? YES Percolation rate - Min/inch TYPE of SYSTEM, total Absorption f i h trench eld . Length of eac _ Depth of trenches �— size of caravel_ -- SEEPA(;E FITS4rlumber of) _ Size- Gravel sire size : Type FIFING : UL Bldg - to tank Tank to di St. box vc to Dist. box field/ NO ' Fartial Openings sealed? Y LOGATI0N/SER2kP-AT-j0NS :i /!1 ft- Foundation to tankft . absorp it�in F'ounSlation to � ft. Absorption to lot l e ft. Separation of pits pPERTY (circle one) x pt-p,TIC1I3 t7v SYST Right. side - Front ReAr Le t s1 COMMENTS )dt SYSTEM USE APPRGVEI3 YES NO Build ing Ins for pl/86 and vl TOM OF QUEENSSURY BUILDING 5 D BCODES AY ROAD DEPARTMENT 12804 OUZZNSBURYTELEPHONEy ( 518}NEW 0792- 5g32 SIIILDINGEICTIOEI RE1taS REPORT REQUEST FOR NAME 6 LOCATION -:"z cf 19-to DATE t7 r� PERMIT V TYPE OF STRUCTURE 11 APPROVED RECHECK N/A YES Na OOTINGS/PIE S MONOLITHIC POUR FORM REINFORCEMET IN PLACE IS RESPO L RAC THE CONT FOR PROVIDING PROTECTION FOLLOWING FREEZING FOR T14E PLACEMENT OF TflE CONCRETE- MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLAC FOUNDATION/DAMPROOFI BACKFILL APPROVAL ROUGH PLUMBING LACE PLUMBING VENT/VEIN S I PLUMBING UNDER SLAB FRAMING : JACK SUDS /HEADERS BRACING/ BRIDGING JOIST HANGERS JACK POSTS /SIN BEAM FIRESTOPPING WALLS f CEILING FIREWALLS HEATING ROUGH- IN `><I NSULAT ION: E I R R- • '• . FOUNDATION WALLS; I FOUNDATION WALLS EXTERIOR RR- FLOORS WALLS R- C'EILING PIPING IN UN HEA ED DUCT WORK a SPACES REMARK go ARRIVE DEPART /_ -- PECT R TOy1N OF QUEENSBURY BUILDING 53 D BCODES AY ROAD PART14ENT RK TELEPHONE ( 518)O745- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIHED�� NAME ✓ ,�� �^' � LOCATION .- DATE_,���-- PERlfIT # TYPE OF STR CTURE APPROVED RECHECK N/A YES ND FOOTINGS/PIERS - - MONOLITHIC POUR FORM ---- REINFORCEMENT IN PLACPONSIB� L THE CpNTRACTOR IS RES FOR PROVIDING PROTECTIFflLFROM G FREEZING FOR ���E CONCR�1 E- THE PLACEMENT MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL _ -ROUGH PLUMBING PLUMBING V ENTS PLUMBING UNDER SLABIN LAGS wl(f .SACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS M JACK POSTS/MAIN B HEATING ROUGH- IN INSULATION : FOUNDATION WALLS N E R R- FOUNDATION WALLS EXTERIOR RRr FLOORS R- WALLS R- CEILING DUCT WORK OR P ING IN UNHEATED SPACES RE MAR ARRIVE��- DEPARTJ INSPECTOR TOWN OF QUEENSSURY BUILDING 5 31 BA N D ROAD DEPARTMENT 128D4 QUEENSBURY , NEW YORK TELEPHONE ( 518) 792- 5832 T SUILDIN6 INSPECOTOR' S EDP REQUEST FOR 114SPECTIOII IMMSEJ lite LOCATION �� xT � DATE TYPE OF STRUCTURE ill APPROVED RECHECK NIA YES NO ,,�" OO IN SfPIERS MONOLITHIC POUR PLACE ORM REINFORCEMENT IIS RES S EL THE CONTRACTOR E TION FROM FOR PROYIDIN6 pROTLOIiIMG FREEZIRG FOR OF 7HE NCRETE. THE PLIIGEMENT MATERIALS FOR THIS PU POSE ON SITE FOUNDATIONIWALL POUR REINFORCEMENT IN PLAC FDUNDATIONIDAMPROOFIN ,,Ik BACKF I LL APPROVAL ROUGH PLUMBING PLUMBING UyyDERVSLAB I PL FRAMING : .SACK S NDS HEADERS BRACING IST HANGERSRIDGING - JACK POSTS /MAIN EAM FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUG IN INSULATION: W 11 IN ERI R R FOUNDATIO WALLS EXTERI R R- r FOUNDATID, R_ --- FLOORS R- WALLS R- CEILING DUCT WORK OR PI ING IN UN EA E SPACES n� EMARKS : Ar +a ;tz ! C rtAAQ stv ARRIVEJ ,= �� DEPART A CL- NSP TOWN OF QUEEN$BURY �A BUILDING 53 fl BAYDES ROAD DEPARTMENT ..,�r.. TELEPHONE' (5is}4i45a�ai BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED_ NAME LOCATION — DATE r PERMIT" �5 -- w11 .�c'� TYPE OF STRUCTURE r �i APPRO ED RECHECK N/A YES NO F44TINGSIPIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE COCTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF TH CONC ETEo MATERIALS FOR THIS URPOS ON SITE FOUNDATION/WALL POU REINFORCEMENT IN PL CE FOUNDATION/DAMPROOF G BACKFILL APPROVAL ROUGH PLUMBING PLUMBING ENT SLAB PLUMBING I PLACE FRAMING = JACK S DS/HEADER BRACING/BRIDGING -- JOIST HANGERS JACK POSTS/MAIN A HEATING ROUGH— IN INSULATION : , FOUNDATION MALL NTERIOR R— FOUNDATION WAL EXTERIOR RRµ FLOORS R— WALLS R— CEILING DUCT WORK OR IPING IN UNHEATED SPACES REMARKS : r / ARRIV.L. DEPART a - INSPEC R National He$dquarters 1337 West Chester`Pik�;Vfl+e'st zZtere PV79380 Date: 414 City, .Town or Township County r+mil state Location/Address , if Located in Ru-r&q Area - Please Attach Directions) pole r Owner��ca . . d E--- ' - Re�rhtt Occupied As B6111di►1g:. swim L71d0 Occupant Work ,Area in Buildin Floor #, etc. ) : App. for.• Wirin [3 Service ED or, Ready for Inspection: Fee Remitted --$ Cash 0 Check 4 M.O. 0 lidiaice Pa able To: M.D. I.A. soo" 75e xaoa xz5 soa x750 2000 x25o 25oo 2isu aooa Number of Rough Wiring Outlets, Elect. Heat Switches Amp. Sei-Wiae: E ufface Unit Dishwasher _ — flange Lighting Water Heater Air Conditioner Dryer . Pump Receptacles Oven .� ., Garbage Disposal Wiring and Controls for Burner Number of 'FixtOrei • "Atrl�A.;"Racaptacles Fractional H.P. Vent Fans Other Equipment: MOTORS HP- f 3/1 1flQ 1/e 1/fi 1f4 1/3 1/2 3/4 1 11Jz 2 3 5 73/r 10 15 20 25 3fl 40 5Q Ir 75 lOQ Mark Number of Each Size Applicant's 9. - License Signature . : _ . . T/A Uti!6 V : NAM of Applicant's Address: (City) (State)_.,__._ +, (Zip) har %W V 'Service Request # "; Phone # Electrician : DA4~1E RECEIVED: DATE INSPECTED: Correct Location : Same as Above © or: Red Notice Label Rough Wiring Outlets Surface Unit Oven Switches Flange GarbeAb Disposal Receptacles Water Heater is>liwasher Fixtures -A9i~Cbn tibner=' DV*er Y Amp. Service Equipment Burner, WiringA &ntroli for - Amp. Re&Otacle Amp. Service Conductors Pump - 1 Vent Fans MOTORS H.P. I/20 1f12 1/10 1/8 1/5 1f4 lf3 11f2 3f4 Y Y+Js ' 3 5 - 7Vz 10 15 20 25 30 50 75 1 Mark Number ' of Each Size "7 Elect. Heat aoo 7so xooa xxsa xsoa I?" 20001225012500 I gooa _ , :. » f Q RW Progress: Inc, LKCIO Contractor / ! CFT Violation : Work Comp, Inc M LfA Owner o : A s 43 Crd 77 P,y Municipal 41* Ir Dthe# Sided Lffiliiy Date: h "�} Gut in Gard E:1 Date- Temp # _ M �: r Q 1N$PL Final # Date = , k � cl TOWN QF C3UEE1h13EiUM , . / . .. �1—cCEiVEC] , . 1g92 APR SL013 & )CQDEE X)EPT. ♦ Qd dN le F de / L t YV h1 ! / SV r - mrow F aUEENseuR ` .TOWN OF QUEENSDURY BUILDING in olfto T- Zoning ,Admini trator REviewED BY DATE r S Gec ~