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1993-024 e. CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK .3/7. J� Date 19 This is to certify that work requested to be done as shown by Permit No. l 93-024 has been completed. single family dwelling (raised-ranch) This structure may be occupied as a o �tc_� �� � G uvi wit iwL a.at C(/ ur'�cl%icu yui uyc ueu 520 sq ft finished lower level Location M nt 7A Mir'haRbla ( nurt_ 41arald Snuara Villana Phaea TT Owner . Guido Passarelli 125-9-79 By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement • BUILDING PERMIT TOWN OF QUEENSBURY No. 93-024 WARREN COUNTY, NEW YORK I. r PERMISSION is hereby granted to HERALD SQUARE VILLAGE OWNER of property located at Lot 79 Michelle Ct, Herald Sq Vl g II Street, Road or Ave. in the Town of Queensbury,To Construct or place a Single family dwelling 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 • n Guido Passarelli i 45 Herald Dr Queensbury NY 12804 2. CONTRACTOR or BUILDER'S Name 7 same 3. CONTRACTOR or BUILDER'S Address c 4. ARCHITECT'S Name 0 ci 3 5. ARCHITECT'S Address r) rD c' 6. TYPE of Construction—(Please indicate by X) ci (X) Wood Frame ( ) Masonry ( )Steel ( ) Z ea. 0) CD 7. PLANS and Specifications • I— t /— No.- 28')(42' Single family dwelling raised ranch with two car attached garage and septic system as per plot plan, specifications and application. 8. Proposed Use u7 Single family dwelling CD 0) a J• $ 229.00 PERMIT FEE PAID—THIS PERMIT EXPIRES February 5 19 91 (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.) J• Dated at the Town of Queensbur 5th of February 19 93 SIGNED BY for the Town of Queensbury Building a ' oning Inspector TOWN OF QUEENSBURY • eilli_IlkREVIEWED BY: w "N OF QUEENSB do: � 3 FEE PAID: _ RECEIVED PERMIT NO. :. G�'cj— poi FEB . 11993 ' BLDG. & CODE DEPT BUILDING PERMIT APPLICATION . ' " A PERMIT MUST BE OBTAINED'BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE 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 th reverse side of" this .application. 6 * * * * * * * * * * * * * * * * * * .* * * * * * * * * * * * * * * "* * * * * * * Owner of Property ei P.O. Address: t /1/Nr ,4 !Z_ 1 _ PHONE ... Property Location: / 7 i ,,, . " , Tax Map No / / 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: . 144E1 ,(, Lot No. 7 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:a _ fi.e.albo.` - -- ' - NATURE O PROPOSED WORK: * ESTIMATED MARKET VALUE OF.THE tZ Construction of new building *, . CONSTRUCTION $ 9' ) Addition to building Alteration to building * COMPLETE INFORMATION E UIRED BEL (no change to exterior dimensions) * Size of Property: / ft. x /,) ft. Other work (describe) *. Existing Building Size: * ft. x ft. * Proposed building- -`distance from GROSS. AREA OF PROPOSED STRUCTURE: ., . 1 * . property line: 1st Floor //ii Sq. Ft. 1 5' * Front Yard 1/4ft. Rear yard A O ft. * Side Yards ? ft. and l , ft. 2nd "Floor Sq. Ft: - * '- If on corner, setback from side street- `aEva s (' _:) Sq. Ft. .✓ -li (not cel lar or `basement) -- .71 * :OCCUPANCY INFORMATION: TOTAL FLOOR AREA: / 96_ Sq. Ft.. * - Prima . Building - * VOne Family Dwelling Size of New Structure: Tr- ft. x 7 t. * Two Family Dwelling Foundation: - * Multiple 'Dwelling/No. of_Units Pier/Slab/Crawl/Partial/Full (Circle One) . .* - .Business * Industrial No. of stories (Habitable space) ''j!" * Other ' Height (grade" to ridge) 7.e) ft. *. If residential , no. of families: * If addition, what will use be? No. of rooms (excluding baths): *` No. of bedrooms * , No. of bathrooms: 2- * Accessory Building: Primary heating system: o yam/ 4;f__.-** ' Detached Garage - One/Tw r Type of fuel : 7 Attached Garage - One wo Car No. of fireplaces" to be installed: /t//d�Ci * Private Storage Building, Will a woodstove be installed?: * Other Central Air Conditioning: Yes No :1, (OVER) BUILDING PERMIT APPLICATION CONTINUED: • BUILDING SPECIFICATIONS: - - . . Type of construction: wood frame, fire safe, etc. '_ , .� Will any secondrhand or ungraded lumber be used? If so, for what? /i/t) Foundation-Wal1 -Material : 77t, «c - Thickness: // Depth of Foundation below grade (to be om of footing):, 4"/ A7- Will there be a cellar? l'Iz'S Heated or Unheated:? - Floor Sq. Footage:51/!) Will there be a basement? Will any portion be used as living space? If so, what portion? Sq. Ft. Type of Use? Type of Roof: 1 opeFl at/Shed/Other Material of Roof „51 p4), . Size, wood studs .. " x , " ; spacing- AS " o.c. ; length S ft. Joists (floor beams) : 1st Floor Z_- " x /Ci " ; spacing ill' o.c. ; span19`/vft. - Joists (floor beams) : 2nd Floor " x "; spacing " o.c. ; span ft. Overlays (ceiling beams): x . : " ; spacing,- • " o.c. ; span ft. Roof rafters: " x " ; spacing o.c. ; span ft. Roof trusses (pre-engineered) : spacing 'Z 5/ " o.c. ; span 2( ft. Exterior WallFinish: gti t 63 o of what material ? Interior Wall Finish: deli e i 1 �,/��G�/T G1i If a garage is to a attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? ecf If so, will a Fire-Rated door, enclosure, self-closing device be provided? Vej Will a flue-lined chimney be installed? Height above roof ft. Depth of chimney foundation below grade: ft. Depth of firepla_- hearth: ft. in. Water supply -Municipal' .r private well : SEPTIC SYSTEM: Distance from any private well (including adjoining properties: ft. (A separate application is necessary for any repair or new installation of septic system. ) NAME OF BUILDER & ADDRESS: �/� PHONE --11 L NAME OF PLUMBER & ADDRESS: :%1 . _ PHONE -'3 . 7 ' - NAME OF MASON & ADDRESS: . . PHONE'Z-ff NAME OF ELECTRICIAN & ADDRESS: J�� /��. PHONE %%//I V O 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. , /0;2/L Signature wner, owner' s agent, architect contractor SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer I. ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS Compliance Methods: , -JviiP10I OF QUEEN5131k. PART 5 - Acceptable Practice Method, -, 1 & 2 Family Dwellings (ONLY) RECEIVED PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings; FEB 1 1993 Multi-Family Dwellings (3 Stories or Less) BLDG. & :.)CDE OEPT PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets � � Ze)74 � L �� A PLICANT S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - / fb Sq. Ft. 2. Type of Heat - AZ Elec. Base Board Other 3. Is Building Mechanically Cooled? YES /'NO 4. Percentage of Area of Windows and Doors Over 17% t/ Under 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED THE R-VALUES SHOWN ON PLANS SUBMITTED! Baseboard 5. Insulation Values: Actual Shown Elec. Heat Other A. Roof & Floors exposed to ambient temperatures R 30 B. Exterior Walls R___ C. Glazed Area R 3. 2— D. Exterior Doors R E. Floors over unheated spaces R 30 F. Edge of Slab on Grade (Heated Building) R G. Basement/Cellar Walls (Above Grade) R /1 H. Basement/Cellar Walls (Below Grade) R I. Heating/Cooling - Ducts - Piping in Unheated Space R. 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code YES NO TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED , A i',_.3 7 f—f''z APPLICANT'S SIGNATURE DATE TELEPHONE Ml BE R. INSPECTOR'S REMARKS : '(6 q t— b �M ee''i' OF QUEEAfS®L.,. � � TOWN OF QUEENSBURY RECEIVED APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid FEB 11993 Date: _ / Reviewed BlyDG. & CODEOEPT. LOCATION OF PROPERTY F R INSTALLATION: Z,/ dz_77 A /L,CU ---� Owner' s Name: e', �S'cii//1' Owner' s Mailing Address: xr- / ,,h _ k ` Orel, 4ux-fi Installer' s Name: ,/ /� Phone #: 2'/�D72,7_ Number of bedrooms (if residential ): Total daily flow (residential-compute @ 150 gal . per bedroom): y�((J Topography-Circle One: Flat Rolling Steep Slope % of Slope Soil Nature-Circle One: Sand Loam Clay Other /Depth: Ground Water-At What Depth? Feet Bedrock or Impervious Material-At What Depth? Feet Percolation Test-Circle One: Not Re u'red Required/Rate Min. Per Inch Domestic Water, Supply-Circle One: Municipal Well Other If domestic water supply is a we - Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank An gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench () feet//Total System Length 7 feet Seepage Pit(s) : Number of / Size each: ft. x ft. Size of Stone to be used: # / Depth or Thickness feet ************** HOLDING TANK SYSTEM IF REQUIRED No. of Tanks Size\of Each Gal . Alarm system and associated electrical work to be inspected by a certified agency. **************** I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the T n of Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: de,..---_ DATE: /4'5 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, tile 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 $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury Building & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks: ~ "�k. MIDDLE DEPARTMENT INSPECTION AGENCY, INC. \ �) National Headquarters \• —•'/ 1337 West Chester-Pike, West Chester, PA 19382-6422 APPLICANT COMPLETES THIS SECTION f Date: ���/1•�� Jj ! � City, Town or Township -f/'. %�.,,,, ::1A#� County 4/'''!F'A-r," State fiV Location/Address s I , J f':;`� r�gt• �;roT .. _ �_ ti.. r- r- --(If Located in Rural Area -Please Attach Directions) Pole # r. Owner _''>''//fly .rF'r-' 41. 1f',•.r 1pi. Permit # . 7• f..+'r 1 Occupied As 4,> ',. : //ill,f'/ Building: New❑ Old Occupant - Work Area in Building (Floor #,etc.): App. for: Wiring❑ Service n or: Ready for Inspection: Fee Remitted-$ Cash❑ Check Ti M.O. ❑ Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring Outlets Elect. Heat Switches Lighting Amp. Service Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer Pump Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: , • MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1,/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 -Mark Number of Each Size Applicant's - •1 `f % Signature •, ' -if�_1l,. License # Permit # T/A �_ - Utility: Applicant's.Address: 4/V %`+,. ice.^'- ,7 ; ' ,r (NAME) (OFFICE LOCATION) (City) :, . --.,-•, ,_.. _,, (State) r/ v' (Zip) /.2. ., 'I Service Request # Phone # -''',F , '( / -Y , , : ,�-... Electrician: �4.s- 77,:-.,`}r4/ MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above n or: Red Notice Label n Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer • Amp. Service Equipment - Burner,Wiring &Controls for Amp. Receptacle Amp. Service Conductors Pump_ Vent Fans MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/41 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size Elect, Heat 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID ❑ RW Progress: Inc.❑ LKD❑ Contractor ❑ CFT Violation: Work Comp.❑ Inc. n n L/A Owner CASH ❑ 1-7 L/A Fee CHK # n IPA Due MO# Municipal INV # Applicant ❑ Date: Other Side❑ Utility Owner ❑ Cut in Card n Temp # Date n Final # • Date- • INSPECTORS SIGNATURE APPLICATION FORM NO.250 EL 11/89 TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME P4j4,t d A V X y LOCATION • %9 Latejj:e.ae, el. / ' DATE i/0 �`�" PERI1ITI 9 '%S<41 TYPE OF STRUC E ,j'/ W of d a v , RECHECK FIRE MARSHAL A ROVAL (COMMERCI '( STRUCTURE) &FOOTING ,,A.�F�-OUN TION ' BACKFI vPRAMING ROUGH PLUMING , . FINAL ELECT�/fCAL ,-SEPTIC K �YNSULATION _W IDSTOVE/FIREP4IACE REMARKS * yJ ;' y //my- APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATI, , ✓� B VENT/LOCATION \ PLUMBING VENT \f/ ROOFING SIDING 1/ \ DECK/PORCH/STEPS/RAILINGS\ RELIEF VALVES !/ \ FURNACE/HOT WATER OPE/�ATIN �- BASEMENT INSULATION/ (JCTWOR INTERIOR TRIM/PRIVAC DOORS \ FINISH FLOORS: BATH/KITCHEN WAT .TIGHT \ OTHER FLOORS SWE PABLE OTHER FLOORS CA ETED \ STAIR CLEARANCE/RAILINGS HANDICAPPED ACCES. SMOKE DETECTORS / BATHROOM FANS/W 1 .t e►S \ ALL PLUMBING FI TURES OPERATING . GARAGE FIRE PRt0FING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE BALLS DUMPSTER SITE PLAN/V,RIANCE REQUIREMENTS FINAL ELEC,'•ICAL -- OK TO ISS C/O OR C/C 1 .� COMMENTS.;— ° ARRIVE DEPART INSP T ELECTRICAL INSPECTIONS - DUPLICATE.MUNICIPAL RECORD Permit No. oi 3-02-V Owner 6 fi ' •izez- Occupant Location 1-o T 7 i Ac---R/16 -&'61. clic/ Street Q.-E-r-V /p)C Town or City State Installation as itemized on reverse side.has been visually inspected pursuant to applicable codes. Installed by jQ. iPO Ak0 • oateol\lo. 9& Date ct: 3 - .. Inspector MIDDLE DEPARTMENT INSPECTION AGENCY INC. / ROUGH WIRING OUTLETS H.P.AIR COIvD:TIONER I j 5 OVtE �S C��'TG L WIRING &CONTROLS FOR T 'Y' BURNER S RECEPTACLES H.P.PUMP FIXTURES K.W.OVEN AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT AMP.SERVICE CONDUCTORS f K.W. DISHWASHER K.W.SURFACE UNIT K.W. DRYER K.W. RANGE AMP. RECEPTACLE K.W. WATER HEATER FRAC. H.P.VENT FANS n1-,Q(6 l ROTORS H.P. I/20 I/12 I/IO %6 I/6 '/A I/3 I/: 3% 1 11/2 2 3 5 71 10 15 20 25 30 40 50 75 100 A ARK NUMBER IF EACH SIZE APPARATUS _town of Queeniburcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801. SEPTIC DISPOSAL SYSTEM INSPECTION • NAME :f'cf/ !4/-e- LOCATION 4"/ 7 06,%-",e a DATE / 92 PERMIT NO. 13- Q, . SOIL TYPE - and, Loam - Clay - Percolation Test Required? YES - NO Percolation rate -- Min/Inch TYPE of SYSTEM: Absorption field, total length av Length of each trench' - Depth of trenches a / Size of gravel' , 2, ./ SEEPAGE PITS-Number 056 Size- ft. X_ \_ fit. Gravel size a",g PIPING: Size T pe Bldg. to tank0C. ' Tank to' dist. bo y i, Dist. box to fi d/pit' y Openings sealed' 01P 1 NO Partial LOCATION/SEPAffTIONS: Foundation b tank ,'p ft. Foundation/Co absorption A ft. • Absorptionito lot line , rv+\ft. Separation of pits fit. LOCATION OF SYSTEM ON PROPERTY(circle one) Front Rea= Left side - Right side COMMTS: Y Ui j 4! j SYSTEM USE_APPROVEDYES - NO C0rr"1 f!\ ( , L i ,) Building Inspector ll r(. Ij2:Zc / �tA) .Q cv✓�:, 01/86 and vl n:191/1 TOWN OF QUEENSB BUILDING AND CODES DEPARTMENT 531 BAY ROAD . QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED ( 3 NAME 6)(/t�d 4)a..4,6-arsei.6 LOCATION / 9 DATE 043 PERMIT # 9:5-ibv7 Lil TYPE OF STRUCTURE kF RECHECK /APPROVED N/A YES NO FOOTINGS/PIERS - r' MONOLITHIC POUR FORM .' REINFORCEMENT IN PLACE 1 THE CONTRACTOR IS RESPONSIBLE / FOR PROVIDING PROTECTION/FROM FREEZING FOR 48 HOURS FOLLOWING/ THE PLACEMENT OF THE CONCRETE. F MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR rI .� REINFORCEMENT IN PLACE /f FOUNDATION/DAMPROOFING ';} I BACKFILL APPROVAL I?, I ROUGH PLUMBING ;a, PLUMBING VENT/VENTS IN P;L{/ACE PLUMBING UNDER SLAB i FRAMING: !i ,1 JACK STUDS/HEADERS / }, BRACING/BRIDGING / !. JOIST HANGERS P JACK POSTS/MAIN BEAM 1 BATING ROUGH-IN I ?. SULATION: / it FOUNDATION WADS INTERIOR 'R- FOUNDATION WALLS EXTERIOR R'- / FLOORS / R4. 17 WALLS / R-q6 d"r✓ CEILING 1 R- (1 . - DUCT WORK OR PIPING IN UNHEATED SPACES I N REMARKS: i11 • 1, •\A 1\ ;S, 1.ARRIVE /.=ram I it / DEPART :UCH � ?L/b. . i 'INSP .- TOWN OF QUEENSBURY , ' 0/ BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 3JZ q)e NAME X/p,t a] V 4 LOCATION //- qq �/t cd DATE 450)V3 PERMIT Q TYPE OF STRUCTURE jJ-rl ,T C Q - ViudzAd RECHECK APPR ED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT 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/WALL POUR REINFORCEMENT IN PLACE i FOUNDATION/DAMPROOFING !Y BACKFILL APPROVAL ROUGH PLUMBING (l X PLUMBING VENT/VENTS IN PLACE U PLUMBING UNDER SLAB FRAMING: 1LQ jyy)aAiyqd JACK STUDS/HEADERS I \ BRACING/BRIDGING \ JOIST HANGERS I \ JACK POSTS/MAIN BEAM I HEATING ROUGH-IN INSULATION: J FOUNDATION WALLS INTERIO?R R- �. FOUNDATION WALLS EXTERI R R • - FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE /0; 02'o DEPART .'30 SPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT /ph_ 531 BAY ROAD • .QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME 2(.4,6,„_tze,_„...li LOCATION 4 79 Wtterl ie DATE /z7 ft3 PERMIT # /q.a17-(— TYPE OF STRUCTURE . A) RECHECK APPROVED N/A YES NO FOOTINGS/PIERS • MONOLITHIC POUR FORM REINFORCEMENT 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/WALL POUR 1 REINFORCEMENT IN PLACE I FOUNDATION/DAMPROOFING BACKFILL APPROVAL } / (ROUGH PLUMBING • . I PLUMBING VENT/VENTS IiN 'PLACE hl PLUMBING UNDER SLAB $RAMING: JACK STUDS/HEADERS BRACING/BRIDGING' JOIST HANGERS / A JACK POSTS/MAIF BEAM HEATING ROUGH—ITT $ INSULATION: FOUNDATION WALLS INTERIOR R— FOUNDATION FALLS EXTERIOR, R • — FLOORS / \;R- WALLS i R;- CEILING I R . DUCT WORKIOR PIPING IN UNHEATED SPACES ‘, REMARKS: /\-f PL`f PLu to loG weger- P6teporte,-p, L-Cc1 _ G per- ARRIVE /62tD DEPART 10; z INSP CTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME Jb2PrLM CZ- A1LW/- LOCATION /4.n-7V1 4010 'ice /, A1ZTrE5 DATE 75Al C n PERMIT # 6I-5_p 2 r TYPE OF STRUCTURE RECHECK APPROVED f N/A YES NO XFOOTINGS/PIERS 7 J R MONOLITHIC POUR FORM REINFORCEMENT IN PLACE ; i . THE CONTRACTOR IS RESPONSIBLE' FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FO,LLOWI;NG THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR \ REINFORCEMENT IN PLACE Y1 FOUNDATION/DAMPROOFING BACKFILL APPROVAL d' ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE\ PLUMBING UNDER SLAB / \ FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING . ,'' JOIST HANGERS I \ JACK POSTS/MAIN BEAM HEATING ROUGH-IN ! , INSULATION: FOUNDATION WALL$ INTERIOR R- X FOUNDATION WALLS EXTERIOR R- • FLOORS R- WALLS 4' R- CEILING ll R- DUCT WORK OR PIPING IN UNHEATED SPACES A REMARKS:12> ARRIVE DEPART NS E TOR TOWN OF QUEEN SB URY ROAD, (518) 745-4400 May 3, 1993 Shauna M. DeSantis, Esq. Northway Plaza Queensbury, New York 12804 Dear Shauna: In reference to lot 79, Michelle Court in the Herold Square Subdivision, the attached plot plan for the septic system regarding this lot has been inspected and approved by this department. Should you have any further questions or comments, please do not hesitate to contact me. Thank you. Sincerely, DEPT. OF COMMUNITY DEVELOPMENT David Hatin Director Building & Code Enforcement DH/sed "HOME OF NATURAL BEAUTY. . . A GOOD PLACE TO LIVE" SETTLED 1763 4=J% REFERENCE: HERALD SQUARE PHASE TWO BY VANDUSEN & STEVES DATED MAY 1992 LAST REVISED MAY 21, 1992 0 0`+ IiSTF` i es • Jsci1 �r 0 lF 'i0 • Of bE'M ••0*00 I HEREBY CERTIFY TO STEPHEN K. TESSINO STATEWIDE FUNDING CORPORATION, IT'S SUCCESSORS AND\OR ASSIGNS CHICAGO TITLE INSURANCE COMPANY THAT THIS MAP WAS MADE FROM AN ACTUAL SURVEY ON THE GROUND ACCORDING TO RECORD DESCRIPTIONS AND SHOWS LOCATIONS OF BOUNDARIES AND IMPROVEMENTS ON THE PREMISES AND THERE ARE NO ENCROACHMENTS OTHER THAN SHOWN, LEON M. STEVES DATED: APRIL 22, 1993 'UNAUIHMZf_A ALTERATION OR AWTION TO A SURVEY MAP BEARING A UCEMSED LAND SURVEYORS SEAL 1S A MATION OF SECTION 72M SUB —DIVISION ? OF THE NEV PORK STATE EDUCATION LAK' 'ONLY COPIES FROM THE ORIGOIAL OF THIS SURVEY MARKED WN AN ORIGINAL OF THE LAND SURVEYORS SEAL SHALL BE CONSIDEM TO BE VAUD TRUE COMM' 'CERTIMTCAMONS INDICATED HEREON SIGNIFY THAT RNIS SURVEY WAS PREPARED IN ACCORMANCE MTN THE 04SMC CODE OF PRAC7" FOR LAND SURVEYORS ADW70 BY THE NEW YORK STALE ASSOCIATION OF LAND SURVEYOR& SAID 01RIMCATNTNS WALL RUN ONLY TO THE MRSON( FOR AM THE SURVEY IS FWARED, AND ON MIS 9DWtF TO THE TITLE COMPANY, 90MO AE NTAL ^ AGENCY AND LEND" iNSTfi 7M USTED HEREON, AND ✓' TO THE AS54L'NIEES OF THE LDMI#G MSTITUTMN.' MAP OF A SURREY MADE FOR STEPHEN K TESSINO_ TOWN OF 4UEENSBURY j COUNTY OF WARREN N.Y. SCALE 1"=30' DATE APRIL 22, 1993 k steveS LAND SURVEYORS,GLENS FALLS,NEW YORK '.Y, STATE LTC. NO. 35617 125- 9-