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92-052 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 424 ./ •2 7 19 This is to certify that work requested to be done as shown by Permit No. 92-052 has been completed. This structure may be occupied as a ci ng74 family dwell l i nrg with twn-rar attarhad gar lge Location Lot 29 Mail Terrace, Herald Square Village Subdivision Guido Passarelli Owner By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 92-52 )4 g WARREN COUNTY, NEW YORK _a { 0 PERMISSION is hereby granted to Guido Passaerlli/Herald Square Village Inc. IV OWNER of property located at Lot 29 Mabel Terrace/Herald Sq Subdiv. Street, Road or Ave. in the Town of Queensbury,To Construct or place a Sing t. family dwelling with 2-car attached garage CS 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 45 Herald Drive Queensbury NY 12804 2. CONTRACTOR or BUILDER'S Name Passaerlli/Cerrone .0 tD 3. CONTRACTOR or BUILDER'S Address C same 0 4. ARCHITECT'S Name "y n 5. ARCHITECT'S Address I- 0 IV W 6. TYPE of Construction—(Please indicate by X) cr X 1 Wood Frame ( 1 Masonry ( )Steel ( ) ti 7. PLANS and Specifications No.26')(58' Single family dwelling with two-car attached garage and septic system as per plot plan and application. rD 8. Proposed Use Single family dwelling with two-car attached garage t/f J. 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.) ...� Dated at the Town of Queensbury this 13th Day of February 19 92 co SIGNED BY for the Town of Queensbury Buil , Q Zoning Inspector a cc TOWN OF QUEENSBURY �� REVIEWED BY: 1111% 17��� FEE PAID: ,� TOWN OF PERMIT NO. : ?' - 't,1 RECEIVVED SB0R FEB 12 1992 BUILDING PERMIT APPLICATION BLDG. & C A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILr9 8 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=.,uid �;3_>vc'L L P.O. Address: i.d DrIv('. PHONE 1v6-5- ' i Property Location: LoT',2y Tax Map No../? /02? 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: Hev-ai.d ,SU ��3 Gfll Lot No. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: .4 C2;ry / (V\ I t 4l o l t- NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE V/ Construction of new building * CONSTRUCTION: $ {30, coo 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: /ooxaoi4/04x/76 * ft. x ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: * property line: , * 1st Floor y36 Sq. Ft. * Front Yard �31/ ft. Rear yard Aoc ft. * Side Yards ft. and ,Y ft. 2nd Floor TU Sq. Ft. t°6 j 6* If on corner, setback from side street- 1;0, * ft. Other Floors Sq. Ft. (not cellar or basement) ,, * OCCUPANCY INFORMATION: * TOTAL FLOOR AREA: /y,0 Sq. Ft. * Primary Building - * ;/ One Family Dwelling Size of New Structure: ,g 6 ft. x ft. * Two Family Dwelling Foundation: * Multiple Dwelling/No. of Units _ Pier/Slab/Crawl/PartialFu (Circle One) * Business * Industrial No. of stories (Habitable space) Q * Other Height (grade to ridge) ft. * If residential , no. of families: * If addition, what will use be? No. of rooms (excluding baths): _ No. of bedrooms: y No. of bathrooms: ja * Accessory Building: Primary heating system: 'r,1„. n ,, / * Detached Garage - One/Tw Type of fuel : PicN ca Y, a Attached Garage - One/Two No. of fireplaces to be installed: 65 * Private Storage Building Will a woodstove be installed?: /V * Other Central Air Conditioning: Yes No ,/ * (OVER) BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. G26242,Ly ,,,, Will any second-hand or ungraded lumber be used? If so, for what? iv Foundation Wall Material : p, ,�� ; c,r,,,t<<„,�-? Thickness: Depth of Foundation below grade (to bottom of footing) : 6_ Will there be a cellar? Heated or Unheated? Floor Sq. Footage: Will there be a basement? ice ly / ) Will any portion be used as living space? p If so, what portion? l Sq. Ft. Type of Use? Type of Roof: S1 ope l at/Shed/Other Material of Roof ,h/n y/,es Size, wood studs A " x , " ; spacing /G " o.c. ; length r' ft. Joists (floor beams) : 1st Floor " x c "; spacing /6 " o.c. ; span , ft. Joists (floor beams) : 2nd Floor ;) " x f' "; spacing " o.c. ; span to ft. Overlays (ceiling beams) : x " ; spacing " o.c. ; span ft. Roof rafters: " x " ; spacing o.c. ; span ft. Roof trusses (pre-engineered) : spacing ovi " o.c. ; span O,27 ft. ; Exterior Wall Finish: g n j s,cL,, � of what material ? Interior Wall Finish: j) --,��,c r If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Type Y Is there to be an opening between garage and dwelling? If so, will a Fire-Rated door, enclosure, self-closing device be provided? vets Will a flue-lined chimney be installed? iv Height above roof ft. Depth of chimney foundation below grade: ft. Depth of fireplace hearth: ft. in. Water supply - Municipal or private well : Af04 c4U L- 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: y� ,� ;/L'P,rr6rlc f15/c�✓sG tJ'7r, PHONE756--A-y,Q NAME OF PLUMBER & ADDRESS: /ie,Til A tre PHONE66 -,2,797 NAME OF MASON & ADDRESS: L.c- 7lc�ms C�� l L E_ PHONE6y -hi�G NAME OF ELECTRICIAN & ADDRESS: Rob Af ana CL nJ f,= PHONE 7q7- 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 ) ;(4, 40,-,74,/, • Owner, owner's agent, architect contractor SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer • ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS TOWN OF OUEENSBURY RECEIVED Compliance Methods: PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) F E B 1 2 1992 PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellir LspG. & CODE DEPT. Multi-Family Dwellings (3 Stories or Less) PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets . . N!./ a ( /.i /1I APPLICATS NAME PROPERTY LOCATION ! PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - /1 0 Y- Sq. Ft. 2. Type of Heat - Elec. Base Board Other Prnr<nc3 //07 /i,✓ 3. Is Building Mechanically Cooled? YES 1,./ NO 4. Percentage of Area of Windows and Doors Over 17% 1/ 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 B. Exterior Walls R C. Glazed Area R D. Exterior Doors R /1 E. Floors over unheated spaces R F. Edge of Slab on Grade (Heated Building) R G. Basement/Cellar Walls (Above Grade) R 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 140• - WILL NOT BE EXCEEDED APPLICA S SIGNAT E ��/DATE d. 7I1ELEPHONE NUMBEit INSPECTOR'S REMARKS: REV I D 1 oitzt4 TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid N OQEDSBUR vDate: 4/// //9� Reviewe W LOCATION OF PROPERTY FOR INSTALLATION: j ,rAt627 FEB 12 1992 Owner' s Name: BLDG. & CODE DEPT. Owner' s Mailing Address: y„ Div e Installer's Name: CV /IArd Goo\.3- Phone #: 19,2-I3 -?, / Number of bedrooms (if residential ): Total daily flow (residential-compute @ 150 gal . per bedroom): (00 Topography-Circle One:(lat ) Rolling Steep Slope % of Slope Soil Nature-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 well - Separation: Water supply from any septic absorption feet J o PROPOSED SYSTEM: Septic Tank gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench feet//Total System Length feet Pit(s): Number of !U Seepage � / Size each: �' ft. x � ft. Size of Stone to be used: # / Depth or Thickness ay 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 Town of Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DiVez DATE: TOWN OF QUEENSBURYt ice. 531 BAY ROAD Jj u# QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDINGiNSPECTOR'S REPORT FINAL`INSPECTION REQUEST FOR INSPECTION RECEIVED L j7 9 0 . NAME (C) SCDUctf P Ut la LOCATION `.,_1 a f 1 ) kI1 "� DATE L/��',/q 2 PERMIT# 6:0 '{� g TYPE OF STRUCTURE 7-'-C RECHECK _FIRE MARSHAL APPROVAL C MMERCIAL TRUCTURE) DOTINGFOUNDAON ACKFILL RAMING ROUGH PLUMBING FIN ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION` XB VENT/LOCATION PLUMBING VENT \ f PC , ROOFING SIDING o >C DECK/PORCH/STEPS/RAILING \ RELIEF VALVES FURNACE/HOT WATER OPERATING x BASEMENT INSULATION/DU WORK >c. INTERIOR TRIM/PRIVACY OORS x FINISH FLOORS: BATH/KITCHEN WATERTIGHT X OTHER FLOORS SWEEPA LE 4 OTHER FLOORS CARPETED ' 7N STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS X BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING A GARAGE FIRE PROOFING A. DOOR CLOSERS N OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL x OK TO ISSUE C/O OR C/C & COMMENTS: ARRIVE 44'd DEPART /00 AC INSP ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Permit No. 9vS Owner Cj Q I • ASS A- Ra Occupant Location T �9 — 4-4 S �yryo.No. `' Street uE S 3 K y State • Town or City Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by 14'0 /0 0 Date 9 2.- nspector MIDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108 l 7 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER 3l 6M E TS 514a /TC WIRING &CONTROLS FOR / BURNER 7 3 RECEPTACLES H.P. PUMP 3 Y FIXTURES K.W.OVEN �43 MP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT [ /AMP.SERVICE CONDUCTORS ( K.W. DISHWASHER K.W.SURFACE UNIT / K.W. DRYER K.W.RANGE AMP. RECEPTACLE K.W.WATER HEATER / FRAC. H.P.VENT FANS • NOTORS M.P. 1/20 1/12 1/1O Ih % Y. % V I/i 1 11/2 2 3 5 71/2 10 15 20 25 430 40 50 75 1 NARK NUMBER IF EACH SIZE 4PPARATUS Down of Queen Jur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME — i'-e, c.,474--- LOCATION / he 6l/ /Lv,-r-4„,-- DATE 3 3// ` PERMIT NO. i J Z— SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES Tl Percolation rate - Min/Inch t;, f�... TYPE of SYSTEM: Absorption field, total lengQh A;,� - Length of each trench A / Depth of trenches /7/ Size of gravel !_ /'� SEEPAGE PITS4Number of) -2- Size- it ft. X _/> ft. Gravel size 2 PIPING: Size Type Bldg. to tank "Vq ` tie— Tank to dist. box 4/te Dist. box to field/ it,� 5z�. „ vC. Openings sealed? YES;O Partial LOCATION/SEPARATIONS: ,` Foundation to tank / /U ft. Foundation to absorption ft. Absorption to lot ljne /0 ft. Separation of pits . 76 ft. LOCATION OF SYSTEM ON- PR10PERTY(circle one) Front - Rear Left id - Right side - COMMENTS: 1 _..-" 1 ., ,' j )0; a ;V SYSTEM USE APPROVED (ES NO Building Ins for 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME t- j Qu A��s LOCATION L^Zci �� 6 L---Z DATE, /3 OZ-- PERMIT TYPE OF STRUCTURE 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 REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- ,I ,,..,� FOUNDATION WALLS EXTERIOR R- 'ice FLOORS R- WALLS R- q k CEILING R-" �C DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: iv ARRIVE )' .- '� DEPART , INSPECT R 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 vrj, NAME RGY-c. C tl c v,,rPff LOCATION - '1 �Ci#7e 1 PJY12LG DATE PERMIT # O 54 TYPE OF STR CTURE 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 REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL -*ROUGH PLUMBING PLUMBING VENT/VENTS IN ' LACE PLUMBING UNDER SLAB ✓/ FRAMING: JACK STUDS/HEADERS \ BRACING/BRIDGING \ JOIST HANGERS JACK POSTS/MAIN BEAM 'a. HEATING ROUGH-IN INSULATION: FOUNDATION WALLSINTERIOR R FOUNDATION WALLS;EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE DEPART jl 111L /Sie- /INSPECTOR I D TOWN OF QUEENSBURY BUILDING AND 1 CODES B D ROAD DEPARTMENT 5QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION d� S DATE RMIT f cr2 TYPE OF STRUCTURE APPROVED RECHECK N/A YES NO d FOOTINGS/PIERS L:•LcL ����-== MONOLITHIC POUR ORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE►TION FROM FREEZING FOR 48 HOU' FOLLOWING THE PLACEMENT OF THE ONCRETE. MATERIALS FOR THIS PU'POSE ON SITE __ FOUNDATION/WALL POUR REINFORCEMENT IN PLAC'. FOUNDATION/DAMPROOFIN( ROUGHIPLUMBINGLL VAL !-__ PLUMBING VENT/VENTS I ' PL 11111 11111 PLUMBING UNDER SLAB FRAMING: == JACK STUDS/HEADERS / '111111.1111111 BRACING/BRIDGING JOIST HANGERS -== JACK POSTS/MAIN :EAM 1 ■■ FIRESTOPPING 11111111111 WALLS CEILING --_ FIREWALLS / - 111111 HEATING ROUG IN -.01_ INSULATION: / --_ FOUNDATION WALLS IXT ERI+R R- �� TERI1R R- MEN FOUNDATIO,�V WALLS E R- __ FLOORS R- WALLS R- __ DUCT ■■ DUCTT WORK OR PIPING IN UNHEATED SPACES __ REMARKS:faunn W S" ?Ahc----r PritidivIf674-stA loc-rpti6 -S Vt 6 wit Koo a . ARRIVE AM___ DEPART ' -(() 44-- INSP CT TOWN OF QUEENSBURY /41L-' BUILDING AND CODES DEPARTMENT ,a/l_ef,P.:Jo 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED ,2PA,? ge,Glt„. NAME/i ,Ji 4iic , X (y '441(.4 LOCATION /..7` . /i'Ca1,i /r A411--C--_, DATE )(V/Wy, PERMIT # ��-©52 TYPE OF STRUCTURE CS-c b c/20 RECHECK APPRO ED N/A YES NO 'FOOTINGS/PIERS X 4MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF TH CONCRETE. MATERIALS FOR THIS URPOSE ON SITE ,C FOUNDATION/WALL POU REINFORCEMENT IN PLACE FOUNDATION/DAMPROOF G _ BACKFILL APPROVAL_ ROUGH PLUMBING PLUMBING VENT/VENTS I PLACE PLUMBING UNDER SLAB / , FRAMING: / JACK STUDS/HEADERS/ BRACING/BRIDGING JOIST HANGERS ', JACK POSTS/MAIN ��EAM HEATING ROUGH-IN INSULATION: I FOUNDATION WALLS INTERIOR R- FOUNDATION WAL S EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR IPING IN UNHEATED SPACES REMARKS: ;/ t/ /f/(?( n 5 (j Wfrrutit cr 0 4_15 ET i- ARRIVE , c / DEPART L. (--/ C) (14.., INSPEC FOR i -.. Cj _,_(-) - • • i -, �-_, _ . / 1 , - .---,- 7 - ' \ .:s ` ;OWN OF QUEENSBUltl RECEIVED ,!,,�' APR 31992 N-. ' gLDG. &)CODE,DEPT. '�� ; CJ (. „.... __.,- 7 , , N C CY\ •/ ' / , / ' ' • A. 'r / . /, / r ice, / / r / / / /i / / • • `` '-1 Y1 Y' , 7 f o .��L — N .gay�-'14 a \ 3 -1 i ��c' h a Ai . r. \ x <> ,,r J` S ) t I�� r *, 1 �' crit. Cr.: �l / (p . )Z F, 0 /_) V _ G � - 7• 1/ I, `N Qi ,Or 01 1 r- r TOWN QUEENSBU Y N . /2 ! __, _ TOWN OF c UEENSDURY Zoning Admini trator 7),..,7;.tr.,. t‘ .-.7.72..., .... � REVIEWED BY DATE i