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2001-021 TOWN OF QUEENSBURY 742 Bay Road, Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010021 Date Issued: Friday, July 20, 2001 This is to certify that work requested to be done as shown by Permit Number P20010021 has been completed. Tax Map Number: 523400-301-014-0001-045-000-0000 Location: LOT 5 House #34 McEchron Lane Owner: MICHAEL J. VASILIOU, INC. Applicant: MICHAEL J. VASILIOU, INC. This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Attached Single Family Dwelling 4 Director of Building&Code Enforcement T TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010021 Application Number: A20010021 Tax Map No: 523400-121-000-0001-002-000-0000 Permission is hereby granted to: VASILIOU,MICHAEL, INC. For property located at: PEGGY ANN RD.,OFF 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: VASILIOU, MICHAEL,INC. Single Family Dwelling 162,900.00 23 SUNNY WEST LANE Garage-2 Cars Attached LAKE GEORGE,NY 12845 Fireplace Total Value 162,900.00 Contractor or Builder's Name/ Address Electrical Inspection Agency VASILIOU,MICHAEL INC. 14 STONEPINE LANE OUEENSBURY,NY Plans &Specifications 2001-0021-LOT 5 MCECHRON LANE (THE GROVE) 2118 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $278.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,February 20,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town of Queensbury; Tuesday,February 20,2001. SIGNED BY for the Town of Queensbury. Dire o ' din & forcement Building. Permit Application . Town of Queensbury - Dept. of Community Development, 742 Bay Road, Q.ueensbury, NY 12804 1761-8256J BUILDING & . CODE ENFORCEMENT JNOTICEJRequirements prior to issuance A permit must be obtained before of this permit: E NO / - d a-1 beginning construction. No inspections ,o '�C FI will be made until applicant has received n Zoning Board Action I'ERMIT FEE PAID$ `� JAN 16 2001 � a VALID BUILDING PERMIT. All Area /Use -0_, '.• applicants' spaces on this application RECREATION FEE P' D1'$" MUST be completed arid.the signature TOWN 0OUEENSBURY of the applicant must appear on the 0 Planning Board Action BUILD' G.4, ' 9yP6�BY. ' application form. Thank r SPR / Subdivision /Other "-m -' Building Inspector • J Recreation Fee Payment A licant: , ,+e.i� PP •���-� V 7WV,S->2/aow, . -Owner: �/41./11;7�' 2' 076e t Y Lr.)A-'s.3'Li4fier . ' Address: 4 E' 6-4-G'A=6' X /'? dress: Phone # (tc r) 4 e f_ P's-e Phone # ( ) - Property Location: 207 e,3 J2 'e G',��e2 Z- `� J . Subdivision Name 7> 6— gdee /� Tax Map Number_ 1,11 / i Section Block lot NATjJRE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ /ram 9c '. ao residence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Pr. ary Building - residence / commercial V"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: • 1st Floor 4 //7 sq. ft . 1' If ADDITION, what will use 2nd .Floor • /, oo/` sq. ft. NJ of new addition be? : Other Floors �, .ie sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: • Detached Garage 1, 2 car au TOTAL FLOOR AREA: !> i/? SQ. FT. 7 Attached Garage l,3car 3S Private Storage Building SIZE- OF NEW STRUCTURE: Commercial Storage Building J 3 FEET X `7 . , 6 FEET Other • - Foundation Type: ,42eYeR,E-,b Will any second-hand or ungraded ' Number of Stories : lumbers used? If so, for what? (habitable space only) Height (grade to ridge) : R feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or w�Sodstove (circle all which _ :.lies) to be installed: / El_ectric / Oil / / Wood (Forced Hot AID/ Baseboard / Other Person responsible for supervision of work as regards to building codes i s : jO 1*y/ 22), 7-,AF/C' 2 (S/2) 4' '/ 4/ se,L3/ Name Addresss Phone • Builder: / iC. Arz t'S/8' • Plumber: is-tG ��i 7af - . Mason: .4i¢.P,a 'S Gx .y.Q7",o /0T/ ) 9a� n ;.i Electrician: "41.r 2,i � ,tom (c/?Y7yc 74,.E DECLARATION: Please sign below afier 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 authorized by the owner. Further, it is understood that Uwe shall submit prior to a Certificate of Occupancy'or Certificate of Compliance'being issued, an AS BUILT PLOT PLAN by . a licensed surve • drawn to scale, showing ac ual location of project on premises. Signature: 7f1� = r2 � (owner, owner's agent, architect, co ctor) Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ��++ � i Office Use Location of installation: Lo�'�i� egahf evi L 1?� i File Permit No. Tax Map No. / / • = Fee Paid Owner's Name: f?7> ,41,a14-L 177 igel\T.i'theie, ..Vx; i Address: '3 dun yg'S7-Z•17,76- Z Axe 63a-Wd'a-, ,1. x /-? (5- 2. INSTALLER'S NAME : 2)Ay'/l) o AWE PHONE NO. (5%8) 79-2-o.,2 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# 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 gallbdrm = • 1980- 1991 x 130 gal/bdrm = 1991 -present ` x 110 gal/bdrm = d Garbage Grinder Installed yes_ / no IV Spa or Whirlpool Installed yes / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) . Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply (Flab canci. at what depth at what depth Municipal j Rolling oam feet feet well Steep slope clay if well; water supply slope other from any septic-system ' depth: i absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a 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. i Septic Tank: ,1,9 a 0 gallon (min. size 1,000 gal) Tile Field: each trench 11 1 ft. Total System Length: /I, 2. ft. Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # L / depth or thickness l x feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of 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 protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, 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 regulations with respect to this application and agree to abide by these and all requirements of the Town of Quee ury Sanitary Sewage Disposal Ordinance. Ig4. ,lol) 24. ; /1i/Li �� / 6 / Signature of responsib person D e 1r ofun of Turenshurg . iAfurzg )BeFrrzrtment O0 f —4 l Bay at Haviland Roads Office Phone 518-793-7771 Queensbury, New York 12801 PAUL H. NAYLOR RICHARD A. MISSITA Superintendent Highways Deputy Superintendent Highways DRIVEWAY PERMIT DATE: / ' /®f APPLICANT NAME: ilif/0 5/ 1g- 7 S'/Z/. ..AC, 77'c TELEPHONE NO. : (LT/S9 �i p- ADDRESS TO BE INSPECTED: ZD L5' e&fr-� .�Q� L. RETURN ADDRESS: Sufrin y _/6 6-4-ir L,gy7E- /i/. X Applicant must show exact location and width of driveway(s) to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways, Town of Queensbury, has reviewed the application of the above named resident to connect a driveway to the Town road. The following action has been taken: STEP 1: ( ) Preliminary Approval NEED: ( ) Slight Swail ( ) Level With The Road ( ) Deep Swail Size Pipe to be used (if necessary). ( ) 12" ( ) 15" ( ) 18" ( ) 24" ( ) 36" Preliminary inspection by DATE Approval by Highway Supt. Depty. Supt. After receiving the Preliminary Approval , submit the permit to the Town of Queensbury, Highway Department upon completion for a Final Approval . STEP 2: ( ) Final Approval ( ) Rejected DATE: PAUL H. NAYLOR - Superintendent of Highways Town of Queensbury 0?0(0) --671) ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 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 APPLICANT S NAME: PROPERTY LOCATION: \77%,S'j 1D4; L d, Z®eT 6 /2 D �°�4✓r•PI.�I PART 5 I€THOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - scuare feet 2 • Type of Heat - Electric Oil VGas Other 3 . Is building mechanidally cooled? k"YeS No Percentage of area of windows and doors Over 17% 'Under 17% 5 . R-V__LUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a . Roof R b . Exterior walls R ,,c . Glazed areas R d . Exterior doors R e . Floors over unheated spaces R . 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 heat•i nc- device Conforms to minimum efficiency per code 1/ Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED a L • s Sin t _e D7. Phone Number INSP=C=OR' S REMARKS: . . . ., • •• • . . • Fire Marshal's Office Town of Queensburv, 742 Bay Road, Queen:sburv, NY • (518) 761-8205 .. 1 Application for Fuel Burning Appliances & Chimneys. applicable to solid fuel & vented gas appliances Per Date /I/ / ' 20 e 4/ , . , nut No. , Application is hereby made to the Building& Codes Office far the issuance of a Building and Use . . ' Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inSpector06enter pi-emises to perform required inspections. 47' NOTE to applicant: Rough-in and Final Inspections are required. . . . Applicant Information Fuel Burning Appliance Information • . '((::.ircle appropriate words) 2-; Name: gileA46-4 .7:14,17:418.41,,..t:ofe, stovc: . wood coal pellet gas . Fireplace insert Address: W3Seeor-117 Y tell‘S-2.r''' *O. .00V 4.‘" Fireplace, factory-built: wood Lowe- oetveez-, Je iffiv.les- ' Fireplace, masonry': wood gas ‘ . ' as oil Furnace:' ' " wood 'Cr o k ) Phone: Ar 6‘e.... sTs-e If non-masonary applicance, please provide . . . ' ., . ,' • Owner: \.,..3-1:47.1Vie: Manufacturer Name: doWoritir-orz-gt,-,,,a • , .Address: .. , - Model Number: ity e , • -- : ',.-:- ,-,, 1 '' 1,,' • 47;:.- ,k. ' . •'f,:, ' •^4;,.:,- .-'' ' "".*0'.1. • - ''' Chimney Information I' . „,.,,‘7>r„,..-,,. !.' .,-, ,, v-fN ,c: ,Phone: ,,, (circle appropriate words) . Masonry block '.brick stone Flue tile. steel , size: . inches .-.Exact Address:147-,5-nt eltdi/W4A, .. • of constmetimor installation Factory-Built .,. . . 4 4141e,„ etiaceols&iiey " . . . . Manufacturer name: ,. Model Number: . Note: Listed By: Number: Construction /Installation must . , conform to NYS Fire PreventiOn &Building ' Indicate (circle) chimney material:, - 5 Code. Consult,available Tot 11 of Queensbuty Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting . . , Chimney Liner ' .. i 4QA i ex-',la 13. p.reanbrixii,extt—.2"‘coxist-rx of 49z.z4e4exushalue3r, New Yortlric I „ Fire Marshal Code# S'Collected S Refunded Received front trefitnded to).- . address: .4 173 3389 (190) Public Safetv .4 233 2655 (230)Minor Sales 111.67.(0 I - . . - .1..•p/14,741..-G - OW '_ Cee,ilt•0.2j Derta.31, . ' . White(Applicant) i Green(Fire Marshal) I . Yellow(Bldg. Dept.) i Pink&Goldenrod(Cashier's Dept.) FIRE MARSHAL 1 ►$: TOWN OF QUEENSBURY QUEENSBURY, NY 12804 _' . r- (518) 761-8205. FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME INS,���� LOCATION 'v tit :,ez,L PERMIT# ZOc\ -ozl SCHEDULE INSPECTION ON 2170 A�_) APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLER CLEARANCE TO HEATING U ITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE ❑MASONRY FACTORY BLT. ❑LAUGH-IN ©'FINAL c=t,s3 REMARKS: ❑ OK TO THIS DATE INSPSLIP.PUB INSPECTO RESIDENTIAL FINAL INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: _ Building& Code Enforcement Dept. of Community Development Arrive apart !_�!. i��•� Town of Queensbury Inspector's Initia 1�"�' 742 Bay Road Queensbury,New York 128 t• NAME \rPtj l L) CAL' • PERMIT ti Z c \—DZ 4 LOCATION L-05T- t HC-EcI-kPOK DATE -7-ao 0 B TYPE OF STRUCTURE ; '�(� UJ` 7 CAR CA R N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,lan . g 18 • . or more Interior Handrails stairs both sides or mo risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regul+tor 18"above grade Gas Furnace shut-off within 30 f:.t or withi line of site Oil Furnace shut-off at trance t. furnace Aea Furnat Water Heat operat: g , Relief Valve(s)installed Headroom,6 ft. 6 in. on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides s ore than 3 risers Interior privacy/trim/doors/main en ance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 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 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 l' - Je i 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) ,c) 1")) RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: qtQl‘,Qrj,L Building&Code Enforcement ` Dept.of Community Development Arrive I u./i epart !., y621:7 Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 i ` NAME ��a(��'"\C Q� \I (hi i I._.t 0(-> PERMIT 1)c / I O�) LOCATION0L�f ' C () �(j -- ( ,�2 -� DATE 7 (7 'I TYPE OF STRUC SF N/A YES/ NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location ' ✓f T Fresh Air Intake / Plumb Vent through roof / Roof Complete // Exterior Finish Complete Interior/Exterior Railings 30"to 36" / Exterior Handrails,balcon,es,landing 18 in.or more ,// Interior Handrails stairs both sides 3 or more risers `/ Grade 2%away from ounda on .// 8"clearance to sill place I J Gas Valve shut-off a osed//regulator 18"above grade / Gas Furnace shut-off thin r 0 feet or within line of site I ✓ Oil Furnace shut-off at n ce to furnace area Furnac of ter Hey�i operating V\-7" �,( - � t� O�j eCC e. Relief V sin f f Headroom,6 ft.6 in.on tairs �//� Ci$� � (�1�— rg_ t_ Basement stairs,6 ft.4 i : ✓/{ C �—\ E� Handrail exterior stairs both sides more than 3 risers. // Interior privacy/trim/doorslmain entrance 36" �// • Floor Finish k I Bathroom/Kitchen watertight ii Interior Handrails Balconies/Landing 18 in.or more / Railing across window in stairwells ,/ Smoke Detectors: / every level ,,/ every bedroom / outside every bedroom V J inter connected V/ Bathroom fans Plumbing fixtures Ni/✓Foundation insulation V/ 3/4hour fire door/door closer • / Garage fireproofmg J/ Garage penetrations sealed V Furnace in separate room protected(in garage) j / 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) /� TOWN OF QUEENSBURY ., trip BUILDING Er CODE ENFORCEMENT 51, 742 BAY ROAD QUEENSBURY NY 12804 • -. ( (518) 761-8256 , . ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT - RESIDEN IAL DATE INSPECTTION REQUEST RECEIVED: -7 NAME � J1' LOCATION • I DATE `7 PERMIT # �(3�I v)- TYPE OF S UC' URE nW( r FOOTINGS FOUNDATION _ BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION • FINAL ELECTRICAL - WOODSTOVE OR FIREPLACE N/A YES ' NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATIN!' INTERIOR TRIM/PRIVACY DOO' FINISH FLOORS: BATH/KITCHEN WATERTIGHT 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 PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN CIO OK TO ISSUE C/O OR C/C RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: '�� Building&Code Enforcement Dept.of Community Development Arrive=3Om/pm Depart n/p Town of Queensbury Inspector's Initial 742 Bay Road Queensbury,New York 12804 NAME V A S'i , VU �PE # i G —d21 LOCATION L 0-1- �5- try ,t-c4.r&N.- DATE '7 I Yt/O TYPE OF STRUCTURE / N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location 4' Fresh Air Intake f/ Plumb Vent through roof N./� Roof Complete �// Exterior Finish Complete �// • Interior/Exterior Railings 30"to/36' i/ Exterior Handrails,balconies,landin 18 in.or more V/ Interior Handrails stairs both ides 3 o more risers / GCLLCa� �-,,Q.5 1 t► 5"V�l.l_ Grade 2%away from founds on �/ I-\R l�\) t 1-- DV_ cSIk RDC-1IN o►7 8"clearance to sill plate 1 4 - �p� o - bit 2� Gas Valve shut-off exposed/r gulato 18"above grade f Gas Furnace shut-off within 3 o feet r within line of site f' • - 1 O eRLL Q 1 uC)D0t0 u3CLV___ Oil Furnace shut-off at entrance o furnace area f U ,EMEO 1 t>3 11 30 Relief Furnace/Hot Water aped _epe sting / GR6 pJ er[' v�,ED Ol� Relief Valve(s)installed r� Headroom,6 ft.6 in.on stairs •%B - 1 0.5 I RI__ LL q6 t5F 1�t�10 l� =1�J Basementsement stairs,6 ft.4 in. t/! Handrail exterior stairs both sid s more than 3 risers / CE. t-�p Z�� � Interior privacy/trim/doors/main •ntrance 36" - F-- Floor Finish ✓/ I ID Bathroom/Kitchen watertight ,/ Interior Handrails Balconies/Lane• : 18 in.or more / P\VE C �,IDOD�T �� ` Railing across window in stairw:lls / D V iA!ti Q �� LF Smoke Detectors: every level ./_c_u_A� �t u\tom �`r_tve- bfLoD1 every bedroom r �/ 1 /j 6- u-�� 1►J Dy�13 RZ outside every bedroom f inter connected V 6.A, A:0.et •`i. 11ill.. FOp - Bathroom fans Plumbing fixtures e// / ( �t-V_- -P c-�- Foundation insulation 'J -CAW _ VO NA \t:3j1`1 C; U Ut3 01 3/4 hour fire door/door closer N,r If Z &iVRNt--koptP-o G lT 6E_ Garage fireproofing ✓/./ L F 1 ei %S) a Garage penetrations sealed / Furnace in separate room protected(in garage) ,/ / Light ventilation per room I/l i — C.D pL.=\E Q1,�L1, � tv Safety glazing 18"or less from floor V CEO P Final Electrical Site Plan/Variance required /' 1#3S`,PILL PVLL_ C� h F \) �� Final Survey Plot Plan �/�j� As Built Septic System layout required l u Fp t�u. �.�� .!S R ECEMjE� Okay to issue C/C(Certif.of Compliance) s3qOkay to issue temp.C/O(Certif.of Occupancy) _ 1_1�-1,1 E1WVOr-Ej� Okay to issue_permanent C/O(Certif:of Occupancy) h- —CO OOQ la --4)to 441 �—L.'- VkEPTI---I''''C--, G ATovt— CA -4 =_ 'At -7 `T-n,r� 1,t=n i'71- . COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 -"GC(. MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No. I Cert. No 7 3 2 9 0 Cut-in.Card No �..r.! .f.... Owner A.,c ll kg(I, 1� %VC. — 6 (8/7(r7 A..) 11 Location....pS.ef) '5 g/2-O7/6- Installaion Consist' g of.3 7 Ire S g�d`- ` j 39 L 1 'T3'j 2D / Installed By A D(Reou-�/I 6Z6, Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued i; cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon th( introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of maki g ' s ctions at any time, and if it: rules are violated,the Company shall have the right t• re1� e this erti icate re Date ` —`/7'�6 1' INSPECTOR ' TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name 64- ,t6.--/\_) e c ' 60 Ll" Date 7 /(1 01 P-rmit # W' 8'-07--;\ SOIL TYPE: Sand-Lo.m-Clay- Results of Percola io est- (if applicable) 'a e-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: .tal Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Number Size - ft. x ft. Stone size .� PIPING: ' Size Type Bldg. to Tank _ Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank _ feet Foundation to Absorption _ feet . . Separation of Pits _ feet Conforms as per Plot Plan _ Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: . C_/,F_(Z.L--C-1)0(1-) , &t'4 • -- SYSTEM USE APPROVE • YES NO Arrived: • Departed: 1 ----Ve--- -'''''''''''--- Building Inspector • F' r i • :1 L.0 r--T6- ni ok--eme64 eAine-- ', . . . . _ii i ----- - f .44 ' i.,.. .4 - -il : 4Y .A--- l 7-7e'ci . I rl Y LAND 0' 166 165 JAU 2 6 2001 • TOWN OF QUEENSBURY164 BUILDING AND CODE NO618'00"E 156.8 • 137.50' 29 I X430 N0 CIJT 2:C 1 . \ . - I 5 . • \ h 4 ���� - 60,663 sq.ft. .. IF ^ . �.. I 1.39 acres I z I 43,686 sq. cA • • ` I _= 1.00 acre -S�' � z Sri r C 2:; i ' — • ,c,r.r,: 1 I `. IY i �- yr i r • `� I 137.50' II \ z -- ,, iz't•:A2•A6 �. a o ' I''G . / : � l 78.4-5° _ _ )c-7 - s1�0'�5 NEWS NE �'CAP AND / • va. . ` / .0 TrlR1 1CT at (-Ira( . --1 „, ft:\ TOWN OF EE QU NSBURY DULDING & CODE ENFORCEMENT ,/, 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Q P-i7‘ Q„ C 51 i 0(_, Location `C Date QP,rmi t - SOIL TYPE: Sand- oam-Clay- Resul is of Perc al ati o Test- (if applicable) Rate-M'nute/Inch TYPE OF SYSTEM: ABSORPTION FIE .1: Tota Length i ,-l �cGx_li Length of each rench Gy Depth of trenchs Size of stone i0 jiii v SEEPAGE PITS: N .er- Size - . x ft. Stone size PIPING: 'Size Type Bldg. to Tank 101 50g, Tank to Dist. Box A Dist. Box to Field Pi y r� Openings Sealed? ip No Partial LOCATION/SEPARATION. Foundation to Tank 1 Zfeet Foundation to Absor.tion . _Z feet . . Separation of Pits feet 6 onforms as per P1 o+ Plan No LOCATION OF SYSTEM ON PROPERT (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: . . . uK /AJ4 & bd�s i1/ 61/ @ v'r c.�r- • , _ A, Do coJ6-/ SYSTEM.USE APPROVED: YES NO Arrived: Departed: 71r:Zd). Building Inspector GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive7;, at Depa Inspector's Initi NAME: \ Lt r1 PERMIT# - Z LOCATION: ( t�F�_c>�>� VANI_ DATE : — TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS 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/Walipour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In / Insulation Y 1 Tx_ 4.1C ity Foundation Walls Interior R- bF G3 t55 V- �- e �� �µ� Foundation Walls Exterior R- F� °•, -\)`0\Y-7 t_� O 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 1 Mf GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement - 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart` 3 n>jipm Inspector's Initials SiLl V( NAME: CIA— , PERMIT ),a L/I LOCATION: s jçk X DATE : s-- 3 E,22)3 ? TYPE OF STRUC RECHECK N/A YES 'NO COMMENTS 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/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing pHe • g Rough-Ip /,—R /4) U� , 0,40 6%12 fI,e&i'1 ` i sulation . J 1 Foundation 0 Walls Interior R- Rcci.) 0 6�- � 60 hCL.Foundation Walls Exterior R- Floors R- / !? kJ Walls R- le f j 41,41/e- 70,11A) Ceiling R- "26 t/ Duct work or piping in unheated spaces Ri ' - Proper Vent, Attic Vent Framing 1. Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier _ Fire Separation 1,2, 3,hour Penetration Sealed , F. Wall 2,3, hour ]� + 'irestopping >p,t� . J G ii- 660 t ie& (tk6.5 e k , /k14t4- 6�i5 d�` i�K- e, ( o .4)e)i Cog' (-IrlikC- R.ea 2y.n . L-,q- f tee 6.4(6- -K GENERAL INSPECTION REPORT41,11 ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road t, Queensbury,NY 12804 Arrive - ; . b•m Depa Inspector's In NAME: (� Lt a� c PERMIT LOCATI N: DATE : TYPE OF S CTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour F•rm Reinforcement in ' ace. The contractor is responsible for providing protec •n from freezing for 48 hours folio 'ng the placement of the concrete. Materials for this p ••se or site Foundation/Wallpour Reinforcement in Place 1 Foundation/Dampproofi Backfill Appro&. Plumbing Under .• Plumbing Vent/Vents in 'lace Rough Plumbing Heating Rough-In Insulation Foundation Walls Inte or R- Foundation Walls Exte or R- Floors - Walls - Ceiling R- Duct work or piping in unheated spaces R- Pr r Veq,At4 Vent aming P t")YN.P,e-1( 430 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 r ‘Jt� ,�t�t}j� p3L- �( ��ot k—kEt 6\AA'1—t€5c \b( Ph) . . . - GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive-inc. Depart te. . Inspector's Initia �.� .� c PERMIT • b-I NAME: `�,e, Gl� I 1 LOCATION: ES ii6�.—, �YIJ BVY�sZ_ DATE : �r TYPE OF STRU�� : RECHECK N/A YES NO COMMENTS Footings/Piers [ I Monolithic Pour Form Reinforcement in Place The contractor is res ' le for providing protection om fr zing for 48 hours followin the plat ment of the concrete. Materials for this purpose n site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval N Plumbing Under Slab ring Vent/Vents in Plac Plumbing IZt�p V �PL—� b U�3�CD V O CELLA 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- ro r gVent, Attic Venom, FLL�'(1 _ R pD 8'A O(- c���1 ;O CD F amm `�� Jack Studs�s 05,6 1 1 �C�F� 3' o..C. Bracing/Bridging ‘.77—R a P, D 6\Q G Joist Hangers `/l'`p F MO uCc) a '(�� o o j co r t30oi _ 0 Jack Posts/Main Beam V �/V Air Infiltration Barrier TR-L'1-' 5\-- 0 f� Fire Separation 1,2, 3,hour / ��o C�O\b\ 5T F Lo 02 Penetration Sealed Y co-r'R 1 R, Fire Wall 2,3,4 hour b-A—PtU1/4— c) Firestopping C O Cac\-\ c_A t,t� FOS, Ft P-- -y-D I �� > M �6�11( . �otJ c�-L.L_ Pts3G 6ec)L EV GERM QEP2-2- Jt � Po► r��n P-Dom M vQ ?O 3 i k.,.I eoc vooOL — . ____, GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road / Queensbury,NY 12804 Arrive am/pm Departl C Inspector's Initials NAME: V. O(t--1 PERMIT# OZ LOCATION: DATE: Z 7 , TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from • eezin: for 48 hours following th• placemen of the concrete. Materials for this purpose in site 0 Foundation/Wallpour Reinforcement in Place Fpndation/Dampproofin / /' i.; C/1/4 eackfill Appyaw_ l Plumbing Under Slab Plumbing Vent/Vents in 1lace QC b C Rough Plumbing / ( v Heating Rough-In X Insulation Foundation Walls Inte0or R- Q _ Foundation Walls Ext *or R- tiJ k-4'u t— c Cl—�0 A %E v� 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 Beim Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping ,.(2 in 1 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road `` .- Queensbury,NY 12804 Arrive ., r; m/pm,,, Depar a m ector's Initial — PERMIT ;' '4002) LOCATION: DATE: a TYPE OF STRUCU E: � RECHECK N/A YE NO COMMENTS otings/Pier -a_c/___, —1 1I Monolithic Pour Form J Reinforcement in Place V/ The contractor is res risible for providing protection omlfreezing for 48 hours following a placement of the concrete. \ 1. Materials for this purpose o site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing / Backfill Approval Plumbing Under SlabjPlumbing Vent/Vents.' Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior '- 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 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road 'r Queensbury,NY 12804 Arrive am/pm Depart am/ m Inspector's Initials NAME: as�l J�.lf 37 PERMIT# c (�i— �� LOCATION. c � )()')CG�IY > DA � a- 7_ 0I TYPE OF STRUCTURE: Scp RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from free ng for 48 hours following the pla ement of the concrete. Materials for this purpose on si Foundation/Walipour Reinforcement in Place A Fou ation/Dampproofing ���U C C !� O �,il Approval / U C AT-6c: Plumbing Under Slab /AA) [ i, '"i _ r 11< Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R Foundation Walls Exterior R �— Floors R- Walls R- P6-1(_(AV Ceiling R- ;/I Duct work or piping in unheated spaces R- ,n Proper Vent, Attic Vent (n- 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 7 ER I GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road 1() Queensbury,NY 12804 Arrive am/pm Depart I/ anypm Inspector's Initials `J 2 NAME:r �Y \Ok_.3 l l m PERMIT DATE # �C� L� ) - O 1 LOCATION: � cc C� rcm� ` TYPE OF STRUCTURE: RECHECK N/A YE O COMMENTS otings/Piers Monolithic Pour Form Reinforcement in Place Z The contractor is responsi le for providing protection fro freezin / ��Ll�.l ` for 48 hours following t e placeme t 5' Zfrf<.0 of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement' Place Foundation/Damp ofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Intfrior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing L 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 OO ) Ol_ Oc, 1 o',c'3•.e / ,--,? 166 165 LANE 164 WOO"E '13' 256.87' N06'38 0� /97us 7- $u /4 , 137.50 Diet P-G /.4E'6 Ei�J1�EG®pE- NO CUT • t, 6 \ \ ' 5 i 82,581 sq.ft. �, \ 60,663 sq.ft. n N I a �� \ �N _� 4 1.90' acres �° �, 1.39 acres " z \ 43,686 sq.f 1 `\ • ti� o. {%' 1.00 acres 1 • \ r' ; P i \ ) o � I�pgy. `� ,./ R 27g•00...._' i 137.50.. v:Q / I . r Cr 2 Z ,l 4 •i Gj. P Ia L00 \ ' \--. > • 0 1iL /... .... so„, . Z.0 r 5. ni & e„,,eon, 61,76., -sii to.701 /Ali ,: , ,, , .,...„ . .___ , , ,..._ • wiF%,L.:7t v 4-64 166 165 LAND 0' JAN 2 6 2001 • TOWN OF QUEENSBURY1 64 BUILDING AND CODE NO618'00-E 56.8 _ ..... 137.50' 429 . x430 NO CUT ZO .-: ..,- •-----_,.::._ i ---Th. \ \ i I— • -- • . . i \ • . \ • . 1 1 1 1 \ . - 5 . • - \ I I • 1_-1 \ QA`.7 \., 60,663 sq.ft. r .1 i`l N • 4 • • 0 1„.., \ 1 . .tp.::;•. \ 1.39 acres 1 z 1 . i 43,686 sci.1 \ . - -.-' • .:., 1.00 acre: __,....— \ . \ . \ .545' ' -> -;F:N 6 ass.- q 5"7-6 A / 1 . .------ ..---- - _ .-- a ale/ ' I i \ i 6'ow iMi I I i I :•. 1 •1 • I • \ 1 I i 1 • . • 1 . .-----. \ . •-,. — \ b \,L1:1 ......4 ›,-..>L14 1 1 6.gia:_j I . , \„ \ tiii 1 -- 1 N • I ` 1 . • --' I IA 1 I • ..--- ----- 137.50' I" I ., ik.1 ' c)".- — IIIINIIINIIIIIII . . \ • "... . _ I Z. 2/46\ '--.. ., 't- --A (R o o. --,, ___, T_ ...., ..>P il ' • . • ,--- ' ce ori-* - _.... jb...01101111111-04f2 • .%‘\ \o• / / \ t5 4 i li 78.45' . . .. I , ,.... 0-• ,.b5 • / ' NEW LINE i CAP AND 1 VALVE . LAND 0' PINES SUBDIVISION MAP REFERENCE: THE GROVE SUBDIVISION 166 165 DATED NOVEMBER 6, 2000 LAST REVISED MARCH 3, 2001 BY VAN DUSEN & STEVES LAND SURVEYORS, LLC N06'38'00"E 256.87' NO CUT ZONE 5 60,663 sq.ft. 1.39 acres 6 0 ts� 'ems HOUSE \ r- >- � s 0 0Q0: �ZW wim F!o W 1 U') N M M 00 V) 164 4 McECHRON LANE I HEREBY CERTIFY THAT THIS 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 TRANSFERABLE Tn ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED 70- KEVIN T. & SUSAN M. O'BRIEN M & T MORTGAGE CORPORATION, IT'S SUCCESSORS AND/OR ASSIGNS UNITED GEMER WSURANCE COMPANY A0' s CERTIFIED 8 MA LL# Nvns WI DATED: JUKE 25. SM35 ® IA l � ^ Sieves Land Surveyors, LLC 169 Haviland Road Queensbury, New York 12804 (518) 792-8474 New York Lic. No. 50135 %mwnHoww= AmAnoM an eoanow TO A SAWY %1M INWRAWOr A LlC01iD IAIq l�IVE1a4 !/L q A „a,,,,,, � ,,,L — ; —,K 09 "M VAX ®11WIm LW IMLY 0=mm mCONK W"SUm NOW=�'v.: "�""`W'�` 0W, IMT. THt �1tY K1t �A�Y M AOCgO�MIC[ CAI TXE Oi1M 0� Of /RACAfE /�R LAIC YfEYW AOQI® LpO �IN.YdIi. Mp EiRIlICAApIIi !MILL IIW OiY 10 iE rlL1L41 /Ot �pY AE 11111EY LS M�TAIItA MD "�`�"`°"`R�`�°°"'°""'"°'"` m.� ro � m mL U ALR9ICY MC lilpli MIIIYIgI LIiflB eaimL, A1L9 10 IM A. 4F W � w+*�• Map of a Survey made for KEVIN T. & SUSAN M. O'BRIEN Town of Queenab ury. !Warren County, New York Scate 1'=40' S -- i o'BRIEN DWG. No. 85418-5 NO. L DATE DESCRIPTION