99-532 i.-- =--7
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date November 22 19 99
99532
This is to certify that work requested to be done as shown by Permit No.
has been completed. 2-CAR DETACHED GARAGE
. This structure may be used as a --
1347 BAY RD.
Location
FALASCO, JESSIE
Owner
TAX MAP NO. 28. -1-25. 2 By Order of Town Board
0 TOWN OF E SBURY
/ (.4/7;AV
Director of Building & Code Enforcement
BUILDING PERMIT
VALUE $ 2400 TOWN OF QUEENSBURY No 99532
TAX MAP NO. 28 . -1-25 . 2 WARREN COUNTY,NEW YORK
FALASCO, JESSIE
PERMISSION is hereby granted to
1347 BAY RD. Street,Road or Ave.
OWNER of property located at
2—CAR DETACHED GARAGE
in the Town of Oueensbury,To Construct or place a
at the above location in accordance to application together with
ng planot plans and
d Zoning dother information hereto filed and
approved and in compliance with the Town of Queensb ry
11tERIBA!re.
LAKE GEORGE, NY 12845
2. CONTRACTOR or BUILDERS Name
SMITH, LARRY
3. CONTRACTOR or BUILDERS Address
6. TYPE of Construction—(Please indicate by XI 2—CAR GARAGE
1 I Wood Frame ( I Masonry ( )Steel ( 1
7. PLANS and Specifications
784 SQ FT 2—CAR DETACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS
No.
Pr seDEd Use
z�—C R TACHED GARAGE
September 21 2001
19
$ PERMIT FEE PAID —THIS PERMIT EXPIRES actor of the
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector sP
town of Oueensbury before the expiratio21ate.) September 1999
19
Dated at the Town of Queensbury this
Day of
for the Town of Queensbury
SIGNED BY uiteing and Zoning Inspector
Building Permit Application
1
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-8256J
-° BUILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance
1 of this permit: PERMIT FILE NO.
A permit must be obtained before beginning construction. No inspections PERMIT FEE PAID$ (35, O d
will be made until applicant has received n Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE P �
applicants' spaces on this application
MUST be completed and.the signature n Planning Board Action REVIEWED BY•
of the applicant must appear art the SPR / Subdivision /Other wilding Inspector
pplication form. Thank you. J Recreation Fee Payment
Applicant: c25-;-,s`�,� FA \P& S Owner: --rD-v\ 1 �11d •
' Address: % 3LI -7 I�(-'r f g(1./L Address:
Phone # ( ) 161 - 11Z.0 Phone # ( ) -
Property Location: 6 t 1 t5 -4 L5 i ,l f•--' . `r _ 2- ) ,;i m
Tax Map Number49
Subdivision Name: Section Block l.ot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ , lfo
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
Other
GROSS AREA OF PROPOSED STRUCTURE:
ie,(7-SS3 If ADDITION, what will use
1st Floor. . . . . . .. ,-2 ,,e;=/4 sq. ft. of new addition be? :
2nd .Floor sq. ft.
Other Floors sq. ft.
(not unfinished cellar or basement)
AC ESSORY BUILDINGS: / �-----
Detached Garage ]� 2 c
TOTAL FLOOR AREA: 7 c 1 SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
-
Other
2 6 FEET X v FEET
Foundation Type: Will any second-hand or ungraded
' Number of Stories : lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes i s : ., v-.v-- 46--r,A,"r'-<--, 794).-c6` ae
Name Addresss Phone
Builder:
Plumber:
• Mason:
Electrician:
DECLARATION: Please sign below after you have carefully read the statement.
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive am/pm Depart
Town of Queensbury Inspector's Initial
742 Bay Road
Queensbury,New York 12804
NAME R-/ C . ; PERMIT#
LOCATION N , �\-1 C � �C DATE \\—).... 1 C2,
TYPE OF STRUCTURE ;yr .... y''
N/A YES NO COMMENTS
Chimney Height/ B"Vent/Direct Vent Location �Rey (/j 5 L_/ p
Fresh Air Intake
Plumb Vent through roof
Roof Complete
,/Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in. or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater op4rating
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stairs',
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sites more than 3 risers
Interior privacy/Wm/doors/mail' entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Liding 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofmg
Garage penetrations waled
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 required
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
/415e
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept.of Community Development Arrive am/pm Depart • am/pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME �N_t:�� C c j PERNIIT#
LOCATION \fit_\_-1 DATE
TYPE OF STRUCTURE - - �`-s ti- ; r;,Q
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location 4 P 1 `-' f.<Fresh Air Intake
Plumb Vent through roof
Roof Complete _ 7
A '
Exterior Finish Complete X T- t�k,1704 I A.) c, /V 6
Interior/Exterior Railings 30"to 36" /
Exterior Handrails,balconies,landing 18 in.or more f a 6-C:) 4:)7-k I &,!
Interior Handrails stairs both sides 3 or more.risers
Grade 2%away from foundation �l}\A)I C`9 �c, Ccis
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or Within line of site
Oil Furnace shut-off at entrance to furnarea
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stairs i
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides mo a than 3 risers
Interior privacy/trim/doors/main en ce 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Lan ' 18 in. or more
Railing across window in stairw s
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer ✓/
Garage fireproofmg
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 required
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
2_
14)1 ),„17
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection reques • $:
Building& Code Enforcement
742 Bay Road )
Queensbury,NY 12804 Arrive ,‘.:• De$art : ''"•fir. ,-Inspector's 1 • a--
PERMIT • )
LOCATION: F) DATE : -
TYPE OF STRUCTURE: . � �r
RECHECK
N/A YES O COMMENTS
yot3<s/Piers r
onolithic Pour Form f I
L.Reinforcement in Place_ 2_ �/
The contractor is re .• ible for
providing protectio froth freezing
for 48 hours folio ing the placement
of the cwncrete.
Materials foIMhis p rpose on site
Foundation/Wa r
Reinforcement in li lac -`
Foundation/Damhiproofing
Backfill Approval
Plumbing UndcrSlab
Plumbing Vent/Vents in Place___
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundati¢n Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers_
Bracing/Bridging_
Joist Hangers______
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
• ii?) 9
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�*s•ensr DEPARTMENT OF THE TREASURY Form approved
U.S.CUSTOMS SERVICE O.M.B.No. 1515-0051
ENTRY AND MANIFEST OF MERCHANDISE FREE OF DUTY,
ors s
CARRIER'S CERTIFICATE AND RELEASE
I.NO.
19 U.S.C.1433,1484.1498;19 CFR 123.4,143.23
'he undersigned, as the importer of merchandise described below, which arrived at the port or station identified, hereby claims free entry therefor under the
revisions of the applicable law indicated.
DISTRICT AND PORT CODE 3.DATE
VESSEL OR OTHER CONVEYANCE 5.ARRIVAL DATE 6.COUNTRY OF EXPORTATION
7. 8. 9. 10
MARKS AND NUMBERS DESCRIPTION AND QUANTITY OF MERCHANDISE VALUE T S U.S.HEADING NO.OR P.L.NO.
•
•
•
.IMP ER OF ORD( me and Addr 1 12.AGENT'S SIGNATURE
4uS11CTED AND PASSED F EE OF D Y BY: 14.OWNER,PURCHASER,OR CONSIGNEE(If ddferent from Importer of Record)
SIGNATURE(Inspector) 16.DATE
•
CARRIER'S CERTIFICATE AND RELEASE ORDER
1e undersigned carrier, to whom or upon whose order the articles described above must be released, hereby certifies that the person or firm named above as the
'porter is the owner, purchaser, or consignee of such articles within the purview of section 484 (h), Tariff Act of 1930. In accordance with the provisions of
ction 484 (j),Tariff Act of 1930,authority is hereby given to release the articles to such consignee.
.CARRIER 18.AGENT'S SIGNATURE
FRENCH MOUNTAIN FOREST P ODUCTS •
C63 GT!'•.:. t RT 149 •
LAIIL' C.::ORCE:, NY 11:34u
erwork Reduction Act Notice: The Paperwork Reduction Act of 1980 says we must tell you why we are collecting this information.how we will use it,and whether you have to give it to us.We ask for the
carnation to carry out the customs laws of the United States.This form is used by carriers and importers as a manifest for the entry of merchandise free of duty under certain conditions and by Customs to authorize
entry of such merchandise.It is also used by the carrier to show that the articles being imported are to be released to the importer or consignee.It is mandatory.
d,oser,t nec4red by 5 CFR 1320.21:When this form is used for a formal entry,the estimated average burden associated with this collection of information is 5 minutes per respondent or recordk eeper depending on
iividual ctrcumstahres.Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to U.S.Customs Service.Paperwork Management Branch,
Ishington,DC 20229.and to the Office of Management and Budget.Paperwork Reduction Project(1515-0051).Washington.DC 20503.
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yes""her DEPARTMENT OF THE TREASURY rounappiused
U.S.CUSTOMS SERVICE O.M.B.No. 1515-0O,51
`�' ENTRY AND MANIFEST OF MERCHANDISE FREE OF DUTY,
ore e
CARRIER'S CERTIFICATE AND RELEASE
1.NO.
19 U.S.C.1433,1484,1498;19 CFR 123.4,143.23
-he undersigned, as the importer of merchandise described below, which arrived at the port or station identified, hereby claims free entry therefor under the
Provisions of the applicable law indicated.
.DISTRICT AND PORT CODE 3.DATE
•
VESSEL OR OTHER CONVEYANCE 5.ARRIVAL DATE 6.COUNTRY OF EXPORTATION
1, 8. 9. to
MARKS AND NUMBERS DESCRIPTION AND QUANTITY OF MERCHANDISE VALUE T.S U.S HEADING NO.OR P.L.NOCrea- (.4--klAt- 4...S
•
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.IMP ER OF ORD( me and Addr 1 12.AGENT'S SIGNATURE
1
,4NS1' CTED AND PASSED F EE OF D Y BY: 14.OWNER,PURCHASER,OR CONSIGNEE(If different from Importer of Record)
.SIGNATURE(Inspector) 16.DATE
CARRIER'S CERTIFICATE AND RELEASE ORDER
le undersigned carrier, to whom or upon whose order the articles described above must be released, hereby certifies that the person or firm named above as the
1porter is the owner, purchaser, or consignee of such articles within the purview of section 484 (h), Tariff Act of 1930. In accordance with the provisions of
ction 484 (j),Tariff Act of 1930,authority is hereby given to release the articles to such consignee.
.CARRIER 18.AGENT'S SIGNATURE
FRENCH MOUNTAIN FOREST P IODUCT►9
(63 STATE RT 149
LAIy. CL'OECE, NY 1.2i3411;
network Reduction Act Notice: The Paperwork Reduction Act of 1980 says we must tell you why we are collecting this information,how we will use it,and whether you have to give it to us.We ask for the
ormation to carry out the customs laws of the United States.This form is used by carriers and importers as a manifest for the entry of merchandise free of duty under certain conditions and by Customs to authorize
entry of such merchandise.It is also used by the carrier to show that the articles being imported are to be released to the importer or consignee.It is mandatory.
stement Required by 5 CFR 1320.21:When this form is used for a format entry,the estimated average burden associated with this collection of information is 5 minutes per respondent or recordkeeper depending on
Itvidual circumstaaces.Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to U.S.Customs Service.Paperwork Management Branch,
tshington,DC 20229.and to the Office of Management and Budget.Paperwork Reduction Project(1515-0051),Washington,DC 20503.
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