2001-033 TOWN OF QUEENSBURY
**ram
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010033 Date Issued: Friday, August 17, 2001
This is to certify that work requested to be done as shown by Permit Number P20010033
has been completed.
Tax Map Number: 523400-296-058-0001-011-000-0000
Location: 30 GENTRY Ln
Owner: VALENTE BUILDERS, INC.
Applicant: VALENTE HOMES, INC.
This structure may be occupied as a:
By Order of Town Board
Garage - 2 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling
Director of Building&Code Enforcement
" TOWN OF QUEENSBURY 5�
- Fog 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
0- Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010033 Application Number: A20010033
Tax Map No: 523400-061-000-0002-092-000-0000
Permission is hereby granted to: VALENTE HOMES, INC.
For property located at: 30 GENTRY Ln
in the Town of.Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: ARLENE GILLMAN Single Family Dwelling 130,000.00
21 GENTRY Ln Garage-2 Cars Attached
QUEENSBURY,NY 12804 Total Value 130,000.00
Contractor or Builder's Name / Address Electrical Inspection Agency
VALENTE HOMES, INC. NEW YORK BOARD OF FIRE UNDER
50 COUNTRY CLUB Rd
QUEENSBURY,NY 12804
Plans &Specifications
2001-033 •
1650 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$239.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,April 02, 2003
(If a longer period is required, an application for an extension must be made to the code Enforcement
Officer
Dated at the Town o e bury 7nd A i102, 2001
SIGNED BY for the Town of Queensbury.
Director of Building&Co e Enforcement
•
•
' Application for Permit—Septic Disposal System .
Town of Queensbuty 74 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION: 30
Location of installation: LoT #46 Cif vet
• Office Use
Tax Map No. 6i /. 7, / c� File Permit No,�1 a 33
Owner's Name: At.l. r �rn as , G Fee Paid
v
Address: . SO CePL,oT(l-y CL, a.
2.' • INSTALLER'S NAME : U - se- 1= F:S . PHONE NO. 'A s -''. '2oo
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate #bedroom(.) and multiply II of •
bedrooms with applicable gallons per bedroom to equal total daily flow) .
Year of House: No. of Bedrooms ' x Computation = Total Daily Flow
•
1980 or older x 150 gal/bdnn = •
1980— 1991 x 130 gal/bdrm = . -
'0 —present. S . - • x 110 gal/bdrm = '330
Garbage Grinder Installed yes / no X .
Spa or Whirlpool Installed yes / no ?C
4. PARCEL INFORMATION:. (circle applicable information &indicate measurements)
U
•
I'oD9 Q Nflt11_C9 Cit_Qtrird Wat r_, 09S1roGk oriMli.P '�rQuS M@ttrn� Wat
i__Domestic or_SPq,JIy
h1ot scrod at what depth _ at what depth municipal
Rolling loam fret feet well
•
Steep slope clay • - if well; water supply
_%slope other from any septic-system
depth: absorption is ft.
other
Percolation Test:. (To be completed by licensed professional engineer or architect)
Rale: • minute per inch
•
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by st licensed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub.
•
Septic Tank: ..;-72a - gallon-(min. size 1,000 gal) . *To T� 'i o e>c►STtNS/
•
Tile Field: each trench Total1— 1-f Q ED s�'STE'
Jt System Length: ft,
Seepage Pit(s): number of size of each: . - fl.-by fl.
• Size of Stone to.be used: II / depth or thickness_M________fiei •
Bed System Size: x
Alternative System: length.and/or size
6. • HOLDING TANK SYSTEM: (if required)
Numberof tanks: . / Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved •
electrical inspection agency.
- 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protect ion, please note that pursuant to Section 136-29 of the Code of the Town
of Quoensbury, any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant, shall be void.
I have read the regulation s ith respect-t this application and agree to abide by these and all
requirements of the To n f Queensb Sanitary Sewage Disposal Ordinance.
Signet re of responsible person ate/
• Building Permit Application •
Town of Queensbury - Dept. If Cominu ity Developirent, 742 Bay Road, Queensbury, NY 12804 /761-8256/ .
' BUILDING & CODE ENFORCEMENT
'NO i TJCE Requirements prior to.issuance r /�
A permit must be obtained before of this permit: PERMIT FILE NecT -C1 " 0
•
beginning construction. No inspections .
will be made until applicant has received [l Zoning Bocird-Action - PERMIT FEE PAID$
a VALID BUILDING PERMIT. All ' Area /Use
applicants' spaces on this application RECREATION FEE. i
MUST be completed and.the signature E .Planning Board Action
of the applicant must appear Ix" the REVIEWED BY: A, /
SPR / Subdivision /Other /Building Inspector
application form. .-1Recreation Fee Payment J
VrLpN Applicant: TT I�o/''► S 'n'C. Owner:
. ' Address: 5'0 CoQIJ &r✓(j az. Addre s:
Phone # (5) ) ri`LS, - Lo0 tiol)bp6, ) -
Property Location: i•o I . 'G-Roliv; � i~, . j �,
Tax Map Number 6/ / G / 1 6
Subdivision Name:
�d-Y bt1-45 to&- 'Tc../,�)-lov sip err l M -
�t Section Block lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Build i mg1„, CONSTRUCTION: $ )10 000
residence / commercial
Addi ion ilding:
residence ./ commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial 1C,' Single Family Dwe c ' fE ii
Residence / Commercial Two Family Dwelling is
no change to exterior size . Family DwellJ N 2 3 20O
Office j
Other Work (describe below) Mercantile t®l�jy
Manufacturing BtliL®Nt—
G?Ui;ENoBURy
Other ��®O®flz
GROSS AREA OF PROPOSED STRUCTURE:319
If ADDITION, what- will use
1st Floor
/G67:, sq. ft of new addition be? :
2nd .Floor. . .,17? sq. f0,
Other Flouts eq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: lG5--(7 SQ. FT. )c Attached Garage 1, 2 ca
Private- Storage Bui ing
SIZE OF NEW STRUCTURE: Commercial Storage Building
�� FEET X 5-7 FEET Other
Foundation Type: �o0CLtnD ;0:,,c+-i—E. Will any second-hand or ungraded
' Number of Stories : • ( lumber be used? If so, for what?
(habitable space oryly)
Height (grade to ridge) : 4 feet TYPE OF HEATING SYSTEM:
Number of fireplace;s and/or woo stove (circle all which applies )
to be installed:_ ,iJf Electric O' 1 Gas Wood
o e Hot Ails/ aseboard / Other
Person responsible for supervision of work as regards. to building
codes i s : `� VA-Lc/vie,
Name Addresss Phone
Builder: Viit,r,vsc?„ \�o.^i►:; . arc. •7c :,5-7-0
Plumber: 'e/4-v1• /Ar %t 141 7' 442) 141331
•
Mason:
Electrician: f2C) 40oie 6,--iii--"Z358—
DECLARATION: Please sign below 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
other laws pertaining to the proposed work shall be complied with, whether specified or noted, and
that such work is autho ' d by the own r. • Further, it is understood that Uwe shall submit prior to a
Certificate of Occupa cy' r Certific e Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; ra n to sc le, sl oration of project on premises.
Signature: i /,
(ow er, owner's agen , architect, contractor)
_ ENERGY-CODE COMPLIANCE APPLICATIO 6/
D D
�?=: TOWN OF QUEENSBURY, . WARREN COUNT
- 9000 HEATING DEGREE DAYS
Compliance Methods: PART 5 Acceptable Practice Method -
1&2 Family Dwellings (only)
• PART 6* - Thermal Rating -. Component Trade Offs
1&2 Family Dwellings; Multi-Family
Dwellings (3 stories or less)
PART 4* = Design by Component Performance
Commercial Buildings-Hi Rise, Residential
*Requires submission of worksheets
Agee 51-/-fi
APPLIC?NT' S NAME: ' PROPERTY LOCATION,:
/ 40136 6/°
PART 5 Z€THOD. OF COMPLIANCE BY ACCEPTAB P. CTICE:
1 . Goss Floor A_ea - ' 76�0.. , scuare feet
2 . Tvpe. of Heat Electric Oil
v' Gas Other
3 . Is building mechani dally cooled? Yes Ki No
4 . Percentage of area of windows and doors Over 17% X tinder 17%
5 . R-V--.UES FOR INSULATION GIVEN BELOW MUST CORRESPOND. TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R �'a
b . Exterior walls , 'R 19
c . Glazed areas R 0Z
d . Exterior doors R '-I
e . Floors over unheated spaces; R
Edge of. slab on grade (heated building) R rv/r
g. Basement/cellar walls (above grade) R 1/
h . Basement/cellar walls '(below grade) R 1!`
• i . Heating/cooling-ducts-piping in unheated space 'R. ,✓
6 . Service (domestic) hot water heating devic
Conforms to mi n_mum efficiency per code f Yes No
M? TURF CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
n - ,
a.f-lit-
, D Phone Number
67/7 oo
_NS?EC.._OR' S REMARKS: .
�� TOWN OF QUEENSBURY
..f�t�1111 BUILDING & CODE ENFORCEMENT
` � 742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256 n
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE I�PECTION REQUEST� RECEIVED:
NAME CAR.-e_CN:�'�'ECJ:)\\l 6Q 5
LOCATION 30 �j/—e-,-1�;j Le C� j by
DATE f L7 �/TL// PERMIT N / -'U3'
TYPE OF STRUCTURE `��'
FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION _
FINAL ELECTRICAL _ WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT AglatigT
PLUMBING VENT
ROOFING
' EXTERIOR FINISH
DECK/PORCH/STEPS/RAILI GS
RELIEF VALVES
FURNACE/HOT WATER OPE •T ;,G
INTERIOR TRIM/PRIV,CY +OORS
FINISH FLOORS:
BATH/KITCHEN WATERTIG T
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED _
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE LAN/VARIANCE REQ.
\01/14'L SURVEY PLOT PLAN CI
OK TO ISSUE C/O OR C/C
•
RESIDENTIAL FINAL INSPECTION REPORT 3
Office No.(518)761-8256 Date inspection request received: /
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart`'/lm// m
Town of Queensbury Inspector's Initials G)12
742 Bay Road
Queensbu ,N w York 12804
NAME a, c ea)i )(:),-e,-{15 PERMIT# ..'-' i- O 3 3
LOCATION ? t1v,l j(-) 1— - : DATE /
TYPE OF STRUCTU( ' \
N/A YES NO COMMENTS
Chimney Height/'B"Vent/Direct Vent Location
Fresh Air Intake /
Plumb Vent through roof l/
Roof Complete 1//
Exterior Finish Complete 1//
Interior/Exterior Railings 30"t• 36" (f/
Exterior Handrails,balconies, '. ding 1: in.or more �//
Interior Handrails stairs both si•es 3 or , ore risers J/
Grade 2%away from foundatio �//
8"clearance to sill plate ✓�
Gas Valve shut-off exposed/reg . or 18"above grade
Gas Furnace shut-off within 30 '-et or within line of site / ✓
Oil Furnace shut-off a •,:u•ce t., furnace area J /
Furnace/Hot Water Heater operat g ✓
Relief Valve(s)installed /
Headroom,6 ft.6 in.on stairs �/ .f / -L
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides •r ore than 3 risers. .!//
Interior privacy/trim/doors/main en'ance 36"
Floor Finish �'
Bathroom/Kitchen watertight �;
Interior Handrails Balconies/Lan•'.g 18 in.or more '✓/
Railing across window in stairwell. y
Smoke Detectors: ✓
every level
every bedroom
outside every bedroom /
inter connected J
Bathroom fans
Plumbing fixtures /
Foundation insulation
3 hour fire door/door closer
Garage fireproofing ✓
Garage penetrations sealed /
Furnace in separate room protected(in garage) ./ .__ ,_
Light ventilation per room
Safety glazing 1§;;,fr fr1om floor 1
Final Electrical ls !l� /' i
Site Plan/Variance requ ed
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) w f ��l/�'1` f`
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
•
Name i
)-Location
Date —7 43 O) Permit # lJ
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIEL : Tota , Length
Length of each ench
Depth of trenche
Size of stone
SEEPAGE PITS: Nu ' r-
Size - ft x ft.
Stone size
PIPING: ��Size Ty.e
Bldg. to Tank �/ -4
Tank to Dist. Box
Dist. Box to Field/P t
Openings Sealed? es No Partia
LOCATION/SEPARATIONS:
Foundation to Tank _ feet
Foundation to Absorpti n _ feet
Separation of Pits feet
Conforms as per Plot Pla Yes No
LOCATION OFSYSTEM ON PR ERTY:
(circle one)
Front - Rear - Left Side - ight Side
Middle Front - Middle Rear
COMMENTS:
/WO / . /4/Z /x4SW
•
1,lt i 9
awm..O �SYSTEM USE APPROVED: 4 NO
Arrived: e3tL(u
Departed:
Building Inspector
y
4r) ..,
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road (o' 5 5
Queensbury,NY 12804 Arrive am/pm Depart am/
Inspector's Initials\ �l 2
NAME: PERMIT#V) — 0 33
LOCATION: DATE: pq-off- I
TYPE OF STRUCTURE: L
RECHECK
N/A YES NO COMMENTS
Footings/Piers r I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsi e for
providing protection from eezing
for 48 hours following the p;cement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slabs 1
Plumbing VentNents in Place
Rou Plumbing I
H ting Roug In
sul tion I
Foundation Walls Interior -
Foundation Walls Exterior '-
Floors R-
Walls R-
Ceiling R- "�� sr
Duct work or piping in /
unheated spaces R-
Proper Vent,Attic Vent ',,,///
Framing
Jack Studs/Headers
Bracing/Bridging
Joi t Hangers
ck Pc•. Main_ ea
tration�Harn
Separation 1,2,3,hour
Penetration Sealed 7
Fir al .44hour
#, sirestor g ,, c:y
---Ziv-i _ 47
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road q t
tf-
Queensbury,NY 12804 Arrive am/pm Depart G n/pm
Inspector's Initials
NAME: '1. I _ PERMIT#
•
DATE: ___
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible f r
providing protection from free ring
for 48 hours following the placeme
of the concrete.
Materials for this purpose o ns.
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval `
-a"'.Plumbing Under Slabr
P1 . bin entiin Place ...///�
Waugh lumbng
%Heating Rough-In
Insulation
Foundation Walls Interior
Foundation Walls Exterior - _
Floors R- °
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Pr dent,Attic AetTh ,/aninZ. + „/ .,/
tack Studs/Headers /
Bracing/Bridging
/7„: '
Joist Hangers
Fosti Beatrit ,f'�
'r It�filt 'ratoi Barrier �/
F ation 1,2,3,hour
Pen tion Sealed
F. Wn113'4elour r p �,�
oppin - fit/ % f� 07� 17`""14-/ r°6
PR4i'
I6 aj-1.----.1
GENERAL INSPECTION REPORT
( 518 ) 761-8256 '
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement -
742 Bay Road t'
Queensbury; Y 12804 Arrive d r m ;� Depart ': ri pi
Inspector's Initi.MPIWIl
NAME: , , S PERMIT# / r 3
LOCATION: � 41-46- i____*—ra. PATE : /
TYPE OF STRUCTURE: i
RECHECK �i _„67 ^ -�/�
' N/A YES NO COMMENTS
Footings/Piers 1 . i I
Monolithic Pour Form \
Reinforcement in Place '\.
The contractor is responsible fkr ,'
providing protection from freezing .
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour / \ ,
Reinforcement in Place / \
Foiun a_'onmnproofing / \ ,
(ackfill Approval /
Plumbing Under Slab /
Plumbing Vent/Vents in Place/
Rough Plumbing I \
Heating Rough-In / ;,
Insulation ,i
Foundation Walls Interior R-
Foundation Walls E erior R- ,,
Floors R- \
Walls R-
Ceiling R- \,
Duct work or pi ng in
unheated sp es R-
Proper Vent, Atti Vent
Framing
Jack Studs eaders ,
BracingfB 'dging '',,,,,
Joist Hang rs \.:�
Jack Post ' Beam ,,.
Air Infiltration Barrier ``'t*
Fire Separation 1,2, 3,hour \
4
Penetration Sealed "\
Fire Wall 2,3,4 hour
Firestopping
O(/)
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury (3 O U)
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road r
Queensbury,NY 12804 Arrive am/pm Depart 19 i/pJn
Inspector's Initials (7�
NAME: � L ^l( j(�-r ea-S PERMIT# f " -3 3
LOCATION: /.4( .�. DATE : o / ("
TYPE OF STRUCTURE:
RECHECK
N/A YES COMMENTS
ootings/Pi�er l—�
ono is Pour Form
Reinforcement in Place y (/
The contractor is responsible for
providing protection from freezin
for 48 hours following the place nt
of the concrete.
Materials for this purpose on site
Foundation/Wallpour !
Reinforcement in Place 1
Foundation/Dampproofing I
Backfill Approval
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-
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 1,2, 3, hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
THE NEW YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO.
DO NOT WRITE HERE-FOR OFFICE USE ONLY
BUILDING PERMIT NO.
TEMP.# DATE jffOi3 3
CITY OR VILLAGE ZIP CODE
_
STREET AND NO.OR ROAD _
POLE NUMBER
6T_-A..i1��� ,--f-,A./I"-
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLO jK LOT
er'4 s (51Q1cb1- .i 6)(L-, ( L fi ei
OCCUPANTS NAME BUILDING OCCUPANCY
OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER
,/ I , f �7` G-S70(,
V l�'l.l:'_r.,,')1'L -J':7lvJir.,� �(,.PJ�.... '�
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
A 1(H 0
BUILDING IS
NEW❑ OLD ❑ I WORK IS NEW❑ ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
Lion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE
SUB-
BASE
BASE-
MENT •
1st
FL.
2nd
FL.
3rd
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS
1 S& A t p Applicant affirms that there is not an application for electrical
CHARACTER OF WORK 0 EXPOSED inspection pendingwith aqualified electrical inspection
CONCEALED p P
DATE WORK TO BE STARTED DATE COMPLETED authority, for the installation listed herein.
�'tii1}-e . AJp• This application is valid for a period not exceeding one year
SERVICE ENTERS BUILDING from the date received by the Board.
❑ OVERHEAD UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANT'S
IDENTIFICATION NUMBER)-
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF APPLICANT DATE OF APPLICATION Sy,AT4E O_F PLICANT
Tm L 6,0 X
�G�}
STREET ADDRESS ,�..� '.�TELEPt'ION -NO _/
-T R 0,'.�- 1.44)ti i'Z. L NO, -" C -iss_
CITY OR POST OFFICE _ ZIP CODE LICENSE NO.WHEN APPLICABLE
❑40 Fulton Street ❑ 111 Washington Ave. ❑ 3291 Lake Shore Road ❑ 803 West Avenue ❑202 Arterial Road
NEW YORK, NY 10038 SUITE 704 BUFFALO, NY 14219 SUITE 106 SYRACUSE, NY 13206
(212)227-3700 ALBANY, NY 12210 (716) 827-1155 ROCHESTER, NY 14611 (315)463-8552
(518)463-2122 (716)436-4460
THE NEW YORK BOARD OF FIRE UNDERWRITERS
..`--i rb_Prrrrr_Pc_rordr3rJ��P�Pr��Pr�r�rJ�rJ�rJ�rJ�rJ�rJ�rJ�LOPLPLLPLPcP�.PrJ�rJ�rJ�rJ�r�rJrJLPLPcPr��Pr PrJ�rPr�r�tl�r�rJ�rJ�rJ�rJ�r�r�tJ�rJ�r�r�r�r�rJ�L10
5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
NEW YORK BOARD OF FIRE UNDERWRITERS 5
5
55 BUREAU OF ELECTRICITY 5
5 40 FULTON STREET — NEW YORK, NY 10038 ` 5
CERTIFIES THAT . - ��� 5
46 5
Upon the application of upon premises owned by 5
S5 e5
LAGOY, EDWARD *VALENTE HOMES INC 5
24 POTTER HILL RD. 30 GENTRY LANE-LOT 8 5
BOLTON LANDING, NY 12814-3107, QUEENSBURY, NY 12804 C�
5 Located at 30_GENTRY LANE-LOT 8 QUEENSBURY, NY 12804 _ 5
5 5
Application Number: 1018297 Certificate Number: 1018297 5
5
Section: 61 Block: 2 Lot: 92 Building Permit: BDC: A239 5
5 5
Described as a Residential occupancy,wherein the premises electrical system consisting of q
rSJ electrical devices and wiring, described below, located in/on the premises at: e5
5 Basement,First Floor,Attached Garage,Outside, 5
5 C5
5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was i5.
found to be in compliance therewith on the 15th Day of August,2001.
5 Name QTY Rate Rating Circuit Type
Alarm and Emergency Equipment
Sensor 5 0 Smoke
Appliances and Accessories 5
Bell Transformer 1 0 5
Dish Washer 1 0 55
Exhaust Fan _ _ 2 0 5
5 Furnace 1 0 Gas 5
5 Water Heater 1 0 4.5 KW 5
Wiring and Devices 5
Fixture 27 0 Incandescent 5
5 Fixture 5 0 Fluorescent 5
Paddle Fan 4 0 5
5 Receptacle 1 0 50 Special 5
Receptacle 1 0 30 Special 5
Receptacle 8 0 GFCI C5
5 Receptacle 35 0 General Purpose 5
5 Switch 38 0 General Purpose seal 5
5 Service �5
Continued on Next Page 1 of 2 IJ
5 5
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5
5 5
0 IMPL LPLIE PL�P LIPS3rJP LIP_PLP PLI Pr PLPL . PLIM PrJP LPLPrJP L1'Il
I I PrJg LPEPLI�rE Pr�rJ�rJ�rJ�iJ�LIMP LIEPEEEPrrJ�rJErJP LIMPEPE LIEPrJEP a El
5Y 5
5 BY THIS CERTIFICATE OF COMPLIANCE THE
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY e5
40 FULTON STREET — NEW YORK, NY 10038 5
5
5 CERTIFIES THAT 5
5 Upon the application of upon premises owned by 5
e5
LAGOY, EDWARD *VALENTE HOMES INC
24 POTTER HILL RD. 30 GENTRY LANE-LOT 8 5
BOLTON LANDING, NY 12814-3107, QUEENSBURY, NY 12804 �5
5 Located at 30 GENTRY LANE-LOT 8 QUEENSBURY, NY 12804 _ _ _ _ ____ _ _- _ _5
5 - _
Application Number: 1018297 Certificate Number: 1018297 5
5
Section: 61 Block: 2 Lot: 92 Building Permit: BDC: A239
5 5
Described as a Residential occupancy,wherein the premises electrical system consisting of
5 electrical devices and wiring,described below, located in/on the premises at: 5
5 Basement,First Floor,Attached Garage,Outside, 5
5
gwas inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was found to be in compliance therewith on the 15th Day of August,2001. 5
Name QTY Rate Rating Circuit Type 5
1 Phase 3W Service Rating 150 Amperes
Service Disconnect: 1 150 cb
Meters: 1 ,ej5
5 5
5
5
5
5
5
5
5 5
55
5 seal 5
5 2 of 2 5
5
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5
5 5
OP EJPLEJMMIE�rJ�E_PLIMIM�r�JP Pa El
llLi }JZ). 3O
"I have seen or observed,or believe I saw evidence of,
all objects such as houses, wells,trees,fences, etc., o29�,57-/4/
shown on this document. I also represent that I have
personally measured he distances set forth on the dial am." �--�\
-QQkANACi_ L \a1%, \—a 0t ' ,
SIGNA RE 'ATE "\,�
. •
0 � a
VV °il
S
40.°
h.
�. �ti dfd1033
-7,e tor JA 2 3 2001
L TOWN OF QUEENSBURY
e. BUILDING AND CODE
r,,
/
-1
'� J L J o 0 0 L\
1/4, n
E-7
�' CO
-5 -iii t N I-I-
01 t
omone I-- Li?
Z N.,
) a
3. .
,y L
cY L J �
i
-..-'
'k
V
I HEREBY CERTIFY THAT TH15 MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR
BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRAN5FERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TOE PERCIVAL O. JOYCE M. SMITH
TICOR TITLE GUARANTEE COMPAt Y
r
1
CERTIFIED B — —-- L'' ' -----
MATTHEW C.-- 5TEVE'S 'LS' 135
DATED, JULY 31. 2001
v an D us eh
Stever
Land Surveyors, LLC
169 Haviland Road Queensbury, New York 12801
\ A
Q
mac, ►-b33
RECEIVED
AUG 16 2001
TOWN OF 4UEENSBURY
BUILDING AND CODE
dv
!V
124.3'
1JUtel JULY U1, d
'UNAUTHORIffO ALTERATION OR ADDITION TO A SURVEY
YAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
Map Showing As —Built Location and Dimensions of
Q I e r_
Scale
MOLAYON OF SECTION 7209. SUB -DIVISION 2. OF THE
NEW YORK STATE EDUCATION LAW.'
'COLT CArlS IRON THE ORKAIAL OY TM %AVEY
MARKSEAL S WRN AN ORIGINAL NSIDER D B uro f>TR E O PI
SEAL MALL BE CONSIDERED TO BE VALID TRUE COPIES.'
-C SURVEY "3 INDICATED IN S"IFf 'OAT
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
Building No. 92 in Phase-3 BayBridge
EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YORA STATE ASSOCLATON OF PROFESSIONAL
LAND SURVEYORS. SAID CERTIFICATIONS SHALL. RUN ONLY
TO THE PERSON FOR WHOM FIE SURVEY IS PREPARED, AND
ON HIS KHALF TO THE TITLE COMPANY, GOVERNMENTAL
1
TO NCYAND IENIMIO INSTITUTION 1-0ON 5USTED N61 HEWUN. AND
TO 7EIE A661FJfL6 OF tM I.ETpIC lYaTITU116N.•
Town of Queensbury, Warren County, New York
518) 792-8474 New York laic. No. 50135
I)] -2-y,5
NO. I DATE
DESCRIPTION
VALENTE htONE5
DWG. NO. 0031q-92
Y
MAP I EFERENCE: BAYBRIDGE DRIVEoz
B, �YRIDGE a
PH \SE - 3
DATED: , UNE 29, 1987
W
FILED:
BY: COULTER & McCORMACK ` r
HAY AY 24, 1988 - — � C�
uTL.Ir�s
uw #3 Asf'IfALt
mod
uRf �
ASlFMLT 0
# Z
ASMULT LIRE #
lMT *5
# AfirflAL.T
LIRE �.
ASRIALT
uw ob
AS14W.T
UMt R7 �J �
# H � x
tmrcl[S C cn Py
M
umirSp Ri
# uf410
ASrrMALT q A
� W m0-4tw M3
�
AS"OLT
ASI'f W.T � � W
Lw so LNT *72 �
E--4Q�
�� k- ASRtAIT [.�
tw Raa C 4 AsIMALT a
# z LINT ow
�. W
- ruw 5urm
M UTILIT[M M
ce 04
uw on # j 9 1
Alil►1ALT R � b � g � �
tw m
ASMIALT Q
CUM
iV I� d
PROPOSED SINGLE auvm „ ll p
UNIT TOWNHOUSES $ „ , yy
N
ff
tl
.. N
2q.00' N ss 3+''3
22.63
LEGEND:
0IRF = IRON ROD FOUND z°�
:Qc = LAMP POST 2�e'• S
= HYDRANT
�y = WATER SHUTOFF .3900.
9QO UTS
� o
CQ
cap - CATCH BASIN �'`� o
= SANITARY MANHOLE 4°
0 = APPROXIMATE SAN. MANHOLE igo6
= APPROXIMATE SAN. MAIN
---fiq---= APPROXIMATE SAN. FORCE MAIN
x
UTUrIEs � A
C RF V 1
t�
50.00• a I
20.00• 20.00• A501 14 col
m�
� h
0dw FeMU 1f A 2M
PROPOSED SINGLE scab rear
UNIT TOWNHOUSES
PHASE 3 STATISTICS S -r 1
44 TOWNHOUSE UNITS APPROVED APRIL 29, 1988.
19 EXISTING AS OF JANUARY 15, 2001. 8*fT 10F 1
20 PROPOSED SINGLE UNIT TOWNHOUSES.
D315
—L—