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2001-035 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:- .P20010035. Date Issued: Thursday, June 21, 2001 This is to certify that work requested to be done as shown by Permit Number P20010035 has been completed. Tax Map Number: 523400-308-010-0001-014-000-000 Location: 27 LINETTE Ln Owner: GUIDO PASSARELLLI Applicant: GUIDO PASSARELLLI This structure may be occupied as a: By_Order of Town Board Single Family Dwelling . TOWN OF QUEENSBURY Garage - 2 Cars Attached . . (-3J Director of Building& Code Enforcement • TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010035 Application Number: A20010035 Tax Map No: 523400-125-000-0009-069-000-0000 Permission is hereby granted to: GUIDO PASSARELLLI For property located at: LINETTE 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: GUIDO PASSARELLLI Single Family Dwelling 130,000.00 465 LAKE Ave Garage-2 Cars Attached LAKE LUZERNE,NY 12846 Total Value 130,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency LAMOTT, MICHAEL NEW YORK BOARD OF FIRE UNDEI 92 NICOLE DRIVE OUEENSBURY,NEW YORK Plans &Specifications 2001-035 1676 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTCHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $226.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,February 06,2003 (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 To Queensbury; Tuesday,February 06,2001 SIGNED BY j‘l 1 for the Town of Queensbury. Director of Building ?'1`o nforcement Building Permit Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-82561 _o • BUILDING & CODE ENFORCEMENT NOTICERequirements prior to issuance r \ of this permit: PERMIT FILE N — A permit must be obtained before beginning construction. No inspections 0° will be made until applicant has received pi Zonin 8 Board Action PERMIT FEE PAID a VALID BUILDING PERMIT. All Area I Use D , applicants' spaces on this application MUST be completed and.the signature Q Planning Board Action REvJ�IEe �Y�0011 r of the applicant must appear on the c__--SPR / Subdivision /Other BulltNng Inspector pplication form. Thank xu is Recreation Fee Payment TORN OF OtJl�i ` J Applicant: 7r y ve. /``1a f��T,e.. Ike- Owner: BUILDING ARM ��`, r Address: IS.-.2 Le- j7Y, Qsk f. ,,V A�/ Address: • Phone # (c 7 r) i eL®=(s-y_a1 ' Phone # ( ) - Property Location: /O T j-6 S' /I?)e'., ei .A n . C7 a. 16.9 Tax Map Number /!_�J Subdivision Name: M vegLct CSoss�,e ,® , Section Block I nt NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Buildin : CONSTRUCTION: $ /(3e)t on 0 esidence / commercial Addition o Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Prima�ry Building - residence / commercial pe 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: /$y 1st Floor 4a60 sq. ft. If ADDITION, what will use 2nd ,Floor. . ., sq. ft, of new addition be7 : Other Flouts �/� eq. ft. �� (not unfinished cellar or basement) S ACCESSORY BUILDINGS: sDetached Garage 1, 2 car TOTAL FLOOR AREA: 16 7� S� . FT. w/ Attached Garage 1, car Private Storage BuiR's' ng SIZE OF NEW STRUCTURE: i / Commercial Storage Building FEET X V FEET Other Foundation Type: PDCIYt d i v 7'ei Will any second-hand or ungraded ' Number of Stories : . cst_ lumber be used? If so, for what? (habitable space only) Height (grade to r5.dge) : a 7 feet TYPE OF HEATING SYSTEM: e Number of fireplac and/or wood stove (circle all which a.plies) to be installed:.. 0 Electric ___Oil / _/ Wood d ced`�Hot / : :seboard / Other Person responsible for supervision of work as regards to building codes is : d ` fo noir _ Name , Addresss Phone Builder: /cv5' 1 '9 ____ Plumber: 1.i ,'T)' 1 vz,LLi,i 694 -cl74''7 • Mason: ii i" 2 fh"21 -5 !442 .•/4 7.2 Electrician: Nocsr_Ap_.1,L. ..rh0Irri as 6 ...44c74+ 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 authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: ifs' ,a , .' (owner, own s agent, architect, contractor) Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: Office Use Location of installation: d,o J '6 ce Aineare, �� File Permit Nc 16035 fa Tax Map No. /69 Fee Paid F r L 0 Owner's Name: 7 )(Ye, ! '�I C, JAN....2 .G..2001 Address: '„? V 1l 4'1.1 e P y TOWN OF QUEENSQ- i BUILDING A- 2. INSTALLER'S NAME : /1/ yr1rt,„1, 0 PHONE NO. mie-46`.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 gal/bdrm = 1980- 1991 x 130 gal/bdrm = 1991 -present t3 x 110 gal/bdrm = Garbage Grinder Installed yes / no 11.."" Spa or Whirlpool Installed yes_ / no 1000°' 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature .Ground Water Bedrock or Impervious Material Domestic Water Supply �a ,,�.� and `.e- at what depth at what depth !lolling loam feel 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) 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. Septic Tank: 4,4(6'O gallon(min. size 1,000 gal) Tile Field: each trench cro ft. Total System Length: 0 A ft. Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: II / depth or thickness 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 Queensbury Sanitary Sewage Disposal Ordinance. ievyf / 1'A :A rata Signature ofr$!ponsible person ate A • 5 '11111111111 ': ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY �t°i "" `�• • 9000 HEATING DEGREE. DAYS JAN 2 6 2001 Compliance Methods : PART 5 - Acceptable Practice Meths -OF uc ;vz, ,.,, .�. 1&2 Family Dwellings (orn .DeNC-_, OO:?; , 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: • o • PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - /6,aO square feet 2 . Type of Heat - . Electric Oil Gas Other 3 . Is building mechanically cooled? Yes L'No • • 4 . Percentage of area of windows and doors Over 17% Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a . Roof 0 • R c.�p b . Exterior walls _ R /- q c . Glazed areas • R col d . Exterior. doors R e . Floors over unheated spaces� __r`__ R J q 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 Conforms to minimum efficiency per code )/Yes No • TEMPERATURE CONTROL MAXIMUM SETTING 140° _ WILL NOT BE EXCEEDED Applican ' s S gn ture D t Phone Number ,. .e, A47�i .76/c® . / 2 INSPECTOR' S REMARKS : RESIDENTIAL,FINAL.INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: Building& Code Enforcement Dept. of Community Development Arrive 2.�j am/€ Depart . '' iii, ,��J Town of Queensbury Inspector's Initi: �V. 742 Bay Road Queensbury,J New York 12804fir NAME OCATIONi" A�J �-E-LJ_.,\ ITT-t= LA F DATEf�( —L(�� _ i TYPE OF STRUCTURE j F ) w 1 . c.Aa(-4\e.. • N/A YES NO COMMENTS Chimney Heightf'B"Vent/Dir•. ent Location i Fresh Air Intake Plumb Vent through roof Roof Complete jj././ Exterior Finish CompleteInterior/Exterior Railings 0"to 36"Exterior Handrails,balco •s,landing 18 in. or more N • Interior Handrails stairs bo sides 3 or ore risers I Grade 2%away from four... 'on •J/ 8"clearance to sill plate �/ ' Gas Valve shut-off exposed/v gula .r 18"above grade j Gas Furnace shut-offvithin 31. :-t or within line of site Oil Furnace shut-off at entran :to furnace area Nir, / Furnace/Hot Water Heater opera ing . Relief Valve(s)installed ✓� Headroom,6 ft. 6 in. on stairs Basement stairs,6 ft.4 in. J Handrail exterior stairs both sides more than 3 risers \ / Interior privacy/trim/doors/main •,trance 36" yFloor Finish Bathroom/Kitchen watertight �// Interior Handrails Balconies/Lan. . g 18 in. or more - V Railing across window in stairwe s •✓ f Smoke Detectors: every level every bedroom •✓/V/ outside every bedroom J inter connected Bathroom fans i Plumbing fixtures l Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Vi • Garage penetrations sealed J Furnace in separate room protected(in garage) ✓ Light ventilation per room J Safety glazing 18"or less from floor Final Electrical V Site Plan/Variance required I Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif. of Compliance) Okay to issue temp. C/C)(Certif. of Occupancy) Okay to issue permanent C/O(Certif. of Occupancy) RESIDENTIAL.FINAL INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: Building& Code Enforcement Dept. of Community Development Arrive i C I pm Depart Cal/4 Town of Queensbury Inspector's hutia__ 742 Bay Road Queensbury,New York 12804 NAME Y Att-y R Q UL i PERMIT# Ze 1 -C c LOCATION (c °L Lt f\_[ET rE L-Ak)F_ DATE (p—7/-0I TYPE OF STRUCTURE h 1)11 7 C _(-A2 N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location `Fresh Air Intake v, — Kb P GA6 p VE- Plumb Vent through roof v/ Roof Complete 1, Exterior Finish Complete V/ Interior/Exterior Railings I" 36" J Exterior Handrails,balco es,1 ding 18 in. or more Interior Handrails stairs .-. sides,3 or more risers Grade 2%away from fowl,'.tion \ 8"clearance to sill plate Gas Valve shut-off exposed regulato%18"above grade Gas Furnace shut-off wi . . 30 feet or within line of site Oil Furnace shut-off at entr. ce to furn:ce area •f >�" Furnace/Hot Water Heater o:i- ating `r$ Y '''' Relief Valve(s)installed / V Headroom,6 ft. 6 in. on stair �/� Basement stairs,6 ft.4 in. V Handrail exterior stairs both s 'es : ore than 3 risers / Interior privacy/trim/doors/ii entrance 36" J� Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Lani' g 18 in. or more Railing across window in stairwe Is / Smoke Detectors: J/ every level 1/ every bedroom �/ outside every bedroom ✓ inter connected Bathroom fans / Plumbing fixtures / _✓ Foundation insulation /J 3/4 hour fire door/door closer Garage fireproofmg Garage penetrations sealedIi Furnace in separate room protected(in garage) 1/1 Light ventilation per room Safety glazing 18"or less from floor itFinal Electrical ✓ Site Plan/Variance required Final Survey Plot Plan ' 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) /� TOWN OF QUEENSBURY ''1 BUILDING & CODE ENFORCEMENT ` V 742 BAY ROAD QUEENSBURY NY 12804 (1 (518) 761-8256 ... .__.-. ARRIVE: DEPART: � INSP: FINAL INSPECTION REPORT - RESIDENTIAL DATE INS ION REQUEST RECEIVED: NAME ev,S, (31/4.1- {� LOCATION�0L1,_ Cp ? cT { nP. 24-JP___r,,, DATE ( (J A/Sr-��y �J PERMIT / -035 TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL _ FRAMING _ ROUGH PLUMBING _ SEPTIC INSULATION • FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/FIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILI GS RELIEF VALVES FURNACE/HOT WATER OPE' TING INTERIOR TRIM/PRIVACY DIORS FINISH FLOORS: BATH/KITCHEN WATERTIGH ' 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 OK TO ISSUE C/O OR C/C TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name PA- S.Artg_ .-c--(_- Location Z7 �/„.)C !/ C (')• Date C //3/b/ Permit #0 I '0655— SOIL TYPE: Sand-Lo -=Qay- Results of Percola ion Test- (if applicable) Ra e-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: otal Length - Length of each tre ch .1 Depth of trenches I Size of stone / SEEPAGE PITS: Number- Size - ft. c ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pi 'penings Sealed? Ye. No .Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation toAbsorptio — .feet . . Separation of Pits �_ feet Conforms as per Plot Pl .n Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front. - Middle Rear COMMENTS: ( R C(.00,5 " K ) SYSTEM.USE APPROVED: • YES NO Arrived: . Departed: Q OR-c- Buil ding Inspector •~ /T/9t1 -TCNN OF QUEENSBURY BUILDING &CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC SPOSAL SYSTEM INSPECTION Name Locatio Date -- r Permit # (-Q,55. SOIL TYPE: San -Loam-Clay- Results of Percolation Test- (if applicable) Rate- ' to/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Tot., - ITV . . Length of each trenchi Depth of trenches Size of sto'e - _ SEEPAGE PITS: Number Size - ft. Stone size PIPING: Si e Type Bldg. to Tank S` D Tank to Dist. Box K K Dist. Box to Field/Pi ' Openings Sealed? Y: s No Partial LOCATION/SEPARATIONS: Foundation to Tank 1 2-- feet Foundation to Absorp 'on 2dfeet Separation of Pits feet r^Conforms as per Plot Plan No LOCATION OF SYSTEM aN PROPER75) (circle Front - Rea - Left Side - Right Side Middle Front - Middle Rear COMMENTS: - e4-A-6) a/L'J4'L PI,PCL FG0N{OPrT16A) v Iti Sit4c G '54 u cifirM 1—T U./ j pa rl K‘-79A- i2 aft Ac-►oe-eACC- 1 -�'j .� CD UG-,2 SYSTEM USE APPROVED: YES NO Arrived: Departed: 4/` Building Inspector_ rn i CoUeA L4_„, fr ' Re-6frc4.1c 14°7 414 412 -.� 410 408 o L...., a . � � ctr) ____,------ -, .szL....,r). ,..1.„ .......___.c, 14./ LOT 39 1 4 0 - 11 L . T t. v. (30,-..- . _.,. .5.-:, ._,... . ..-- , .-,,p, -__.. _ ,,,,,,,„,..,. , (., ----.... , . -v. ,-- '-- - - .. ,..) 7-7. , 1 i ... i F) ... . ,L , _ . , • LI 00 a 1,, _. 131 r". , . . / 9-7-,, . * )_ _ /� 1 189.0 0 c.1 r �4 I 1, is I 8 •I G00°r J � 1 i a� ` 0 �p��9 y lel p si�f, * _i _02vi.9•1cei n `a , ,— __- __ N. �3 LOT 73 r ' d ,,� 533 an 0 0 984v22 Sq f ��.,.. CbJ '� 223•6� In 11,812'28 ' E 203.31 __. ��" t ` ��' " ° {' • ,,.. _. ..__' .•_,__. ___.._ .. ,ter: .�_.,.-.. �-.__�.:__.. , U 1 � • l� .09 :,�¢3� gi 1 24.42 �- ,. A%,„ •' c...,/5 . co,:. . t°f '%f‘' -. '�� CO. r 03 (0 0 in A �f it0' rcl *— a? 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 Arrived l a , pm Depart , a m nspector's Ini als NAME: VP, PERMIT# LOCATION: (Dq, (., 1 6_7)C=T 1 <<�t P�� 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/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab' Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation 7_iJ 0 - Foundation Walls Interior R- Foundation Walls Exterior R- loors b'JE�F�AR- 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 (1:1/9 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: S / / Building&Code Enforcement 1, 742 Bay Road ., tA 0 1j� Queensbury,NY 12804 Arrive ° an m Depart ►,0 ,f�. r/` nspector's Initials p� PERMIT • J/ 35 !< I. -f"/a 1 LOCATION: r CD . DATE: 5 % i / TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Pla e The contractor is r...ponsib for providing protectio from fr•;zing for 48 hours followii _the pl. -ment of the concrete. Materials for this purpos on :ite Foundation/Wallpour Reinforcement in Place Foundation/Damlp ..fing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Pla - Rough Plumbing Heating Rough-In - F � Insulation Foundation Walls Interior '- 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 - c3 t4 Vt3*E r..7—\ CII3 , ) IF ? jj)1 ir i 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 3' I ai Depart �r,L yr.m �/ nspector's)<niti. .,� NAME: G 4) PERMIT# 1/P ac LOCATION:dd��ff-4 6p: /.� /e 4.X.:(--CPC). e DATE : _ ova TYPE OF STRUCT : _S'`C) RECHECK N/A YES_NO COMMENTS Footings/Piers \ y -`--ALA p�� r,��\t (' \`� Monolithic Pour Form f L c M` \ \t 0 13 Reinforcement in Place The contractor is responsible for R -C \c-S �p Pp�e- �� p providing protection from free ' g " for 48 hours following the p1a f ement G_\\_\ tCn of the concrete. Materials for this purpose on sit= — Foundation/Wallpour \ L V-\g�CP, V- 1�E Reinforcement in Place Foundation/Dampproofing — - TOW" -- Backfill Approval iA\p T plumbing Under Slab Plumbing Vent/Vents in Place V f `6C-e-1 ) 1� 0� `I -F-15-Vo N r/JRough Plumbing N./ .-- \I-A.1 c:DRD.y \ <v,� 4.1 Heating Rough-In Insulation (�1-2._ift-- \)J -E- %--\\D1 5 Foundation Walls Interior R- Foundation Walls Exterior R- 1 N3 --c-V- 1 P % c_iz , \4 fEj Floors R- Walls R- Ceiling R- Duct work or piping in u heated spaces R- Pro Vent, Attic Vent F ming / Jack Studs/Headers Bracing/Bridging Hangers D �o I- Jack Posts/Main Beam J V Air Infiltration Barrier :14Q t p -- 1/451ANC Jire Separation 1,2, 3,hour / %/Penetration Sealed ✓ 0 _ E— ll 2, 3,4 hour / JFireirestoppinWag I( GENERAL INSPECTION REPORT r :4c U2 S. ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road 20 Queensbury,NY 12804 Arrive am/pm Depart a pm Inspector's Initia NAME: PERMIT#• -J U ^O35 LOCATI DATE : ( (-UDC) 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/Wallpour Reinforcement in Place Fo tion/Dampproofing ✓` ackfll Approval ✓ Plumbing Under Si.b Plumbing Vent/Vent• in Pla - Rough Plumbing Heating Rough-In Insulation Foundation Walls Interi.i R- Foundation Walls Exteri o r R- Floors ►'- Walls R- Ceiling R- Duct work or piping i• unheated spaces R- Proper Vent, Attic Ven Framing Jack Studs/Heade s 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 3ii - GENERAL• INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury / d/ Dept.of Community Development Date inspection request received: / Building&Code Enforcement 742 Bay Road 1. ` O Queensbury,NY 12804 Arrive am/pm Depart ____,' a pm Inspector's Initials 1 NAME: 67.1?(-6%"6--6 ' PERMIT - O 3 5 • LOCATION: t f-e DATE: Z/ TYPE OF STRUCTURE: RECHECK NI YES O COMMENTS �F H Monolithic Pour Form / Reinforcement in Place 7 �/f / The contractor is responsible for / providing protection from freezi g for 48 hours following the place ent/ 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 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 t Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping N „.,,.,,,„,, „„.:,,,,,.-,,.,!„, ..,.. . • • ! 1 p. • � a ,) 116. cl pi;„•,.- ,,•6„:, ., 0 li IA , rir'"' 6 "Iti • r:. ;, � r. � . 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'�.11 aauap}na nnes I aA01.1 io ar+aa ,i c. :�1''' . a • • a.A S1154'04"W — 14.28' EARTHEN DRIVI -1::o UTILITY BOXES� MAP REFERENCE: MAP ENTITLED "HERALD SQUARE —PHASE TWO' DATED MAY 1992, LAST REVISED 4-7-95 PREPARED BY VANDUSEN & STEVES SURVEYORS FILED IN THE WARREN COUNTY CLERK"S OFFICE ON APRIL 27, 1995 IN PLAT CABINET B, SLIDE 42 MAP #58 S7"" :_ pa le h N S8" 2 5 33"W LOT 39 L,3 a ' LOT 69 AREA 21,061 +/- SQ. FT. 3.8, OWR LINE ADJOINER'S SHED 03 LOT TO RECEIVED JUN 19 2001 TOWN OF QUEENSBU`` BUILDING AND COD` 223.66' i\\\11llllllirrr�/ LAND S(,� 804`S� GF�O 495 4- "UNAUTHORIZED ALTERATION OR ADDITiJN TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUB —DIVISION 2, OF THE NEW YORK STATE EDUCATION LAW." "ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES." LOT 40 LOT 73 I HEREBY CERTIFY TO: 1) STEVEN E. & DEBORAH F. O'NEILL 2) M&T MORTGAGE CORPORATION, ITS SUCCESSORS AND/OR ASSIGNS 3) FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK, THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR EXPRESSLY STATED'HEREON. DAVID J. BOLSTER DATE : JUNE 13,` 2001 MAP OF A SURVEY OF LOT 69 HERALD SQUARE MADE FOR STEVEN E. & DEFBORAH F. OWEILL TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK DAVID J. B OL S TER LICENSED LAND SURVEYOR 342 MAIN STREET, HUDSON FALLS, NEW YORK 12839 DATE: JUNE 8, 2001 SCALE: 1" = 30' N.Y.S. LIC. NO. 49534 REVISED JUNE 13, 2001 1 1 DWG. NO. 01079 8