2001-307 �� ► 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: P20010307 Date Issued: Wednesday, August 29, 2001
This is to certify that work requested to be done as shown by Permit Number P20010307
has been completed.
Tax Map Number: 523400-308-010-0002-041-000-0000
Location: 62 NICOLE Dr
Owner: GUIDO PASSARELLLI
Applicant: GUIDO PASSARELLLI
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Single Family Dwelling Director ,q4�
of BBu1 & e Enforcement
TOWN OF QUEENSBURY
`ly0 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010307 Application Number. A20010307
Tax Map No: 523400-125-000-0009-114-000-0000
Permission is hereby granted to: GUIDO PASSARELLLI
For property located at: 62 NICOLE Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other infomlation hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: GUIDOPASSARELLLI Single Family Dwelling 145,000.00
465 LAKE Ave Garage-2 Cars Attached
LAKE LUZERNE, NY 12846 Fireplace
Total Value 145,000.00
Contractor or Builder Name/ Address Electrical Inspection Agency
Plans &Specifications
BP 2001-307
Single Family Dwelling, 2 car attached garage and one fireplace
as per plot plan and specifications
$217.44 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,May 22,2003
(If a longer period is required, an application for an extension must be made to the code Enforcement
Officer
Dated at the Town eery,es , 2001
SIGNED BY SL. hIQ for the Town of Queensbury.
Director of Building&Code Enforcement
• •:ui1 i Permit Application
,..
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 /761-8256/
- BUILDING & CODE ENFORCEMEN7'
NOTICERequirements prior to issuance �- - /1 /
A permit must be obtained before 1 of this permit: RE ,•[ ,A IT FILE NO. �UO/ 7
beginning construction. No inspections MAY 1 Z�iRMIT FEE PAID$
will be made until applicant has received 1-7 ZoningBoard Action
ll
a VALID BUILDING PERMIT. All Area /Use TOWN OF Qi.l zENR-Edi X770N FEE PA D$ : h,1/0\
applicants" epaaes on this application 13IJii_DI to A'�l0 CODE
MUST be completed and.the signature 0 Plarutbtg Board Act�Olt _®.v REVIEWED BY:
of the applicant must appear on the _ __ _SPR / Subdivision /Other
eplication form. nw�k,r,u. mdlding Inspector
J e Recreation.Fee Payment
Applicant: ,_1 i�' 11ev f c.L,ST ci T?'°1c.. , Owner:
e
. ' Address: S 2 e ddress: / I /Y;Lje:: —
• • 5...._ pi .
Phone # ( 2 7 - c..1e�• ! &)...) 'hone # ( ) _
Property Location: 6T l iJ tic. c• . -1 Qc 15 g / //
i/',,Y . ad. Lg Tax Map Number ec on
Subdivision Name: t9�.Y� _ ..-.- section Block l nt
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
j—New Buildin CONSTRUCTION: $ / .6 0470
residence / commercial
Addition t Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial ingle 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 �.e`�5 sq.1ft/(A, CL If ADDITION, what will use
2nd ,Floor. . .,. . . . . sq. ft. of new addition be? ' S1
Other Flouts sq. ft. fjS!
(not unfinished cellar or basement) ACCESSORY BUILDINGS:• /� v4
Detached Garage 1, 2 car
TOTAL FLOOR AREA: / 7a2 SQ. FT. Attached Garage 1, ca , S2-
Private Storage Bui- sing
SIZE OF NEW STRUCTURE: • Commercial Storage Building S' f
*' FEET X 70 FEET Other
Foundation Type: P�at9Ymel CieD>7�V��Te,- Will any second-hand or ungraded
' Number of Stories : . e e_. lumber be used? If so, for what?
( habitable space only)
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woo tove (circle all which applies)
to be installed:_ k/ Electric/ Oil / / Wood
t),_
Fporced Hot Pia.... ,/ Baseboard / Other
Person responsible for supervision of work as regards to building
codes i s : ® ,i & i frierr ' //,/ c Le- T R, 7.y`•5- ' R/e2 /
. - - Name ! e _ a,arecss Phone
Builder: •.7- YYef- /1,4 6,sTa • 74CS®i i-4',2 B
Plumber: 1ii-i'1' � � 4 yr ®,79 7
Mason: Pram T'hoi i 6 Co 42 - 4670 i
Electrician: R/As(Sa4.1.- 7'ha ,v,..4 6,4' R'®(9L9en .
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, arc 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;eyj drawn to scale, showing actual location of project on premises.
Signature: �` ..., ' r ^:r� i,s
(owner, off' is 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: 1.0 T )/ H /'/f c-c'Le.... 0,r, 4.19,sb y,
File ' it Igo. Q.:61)/—367
Tax Map No. / / r� a If� a';"'(I '%ll�
•
Fiitt.)
Owner's Name: r y n a ,_,�T G 2j j(j)
�e /icon �b
Address: -� e� rT7✓; Q�� 4!. t3tl;lt'aii"����ci\;Scyd. RY
V�AN-3 COi?Ta
2. INSTALLER'S NAME : /'Jj K� /`J� y y t s 5 el/ PHONE NO. T ?-4'/
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 x 110 gal/bdrm = C31
Garbage Grinder Installed yes_ / no
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
at S at what depth at what depth municipa
11Mi g oam feet feetwe 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: 190® gallon (min. size 1,000 gal)
Tile Field: each trench D ft. Total System Length: ( ft.
Seepage Pit(s): number of size of each: ft. by ft.
Size of Stone to be used: # / 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.
Signature responsible person /D e
Cook 30� RECEIVED
MAY 1 2001
/ '._ ENERGY CODE COMPLIANCE APPLICATION TOM OF i,,;
� TOWN OF QUEENSBURY, WARREN COUNTY :c.;�5i':LRV
� � 9000 HEATING DEGREE DAYS BU--�t��hhNiiCMp
Compliance Meth :cis : 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
t % *Requires submission of worksheets
Three. MPvlIg inn.
APPLICANT' S''NAME: PROPERTY LOCATION:
loN //i.T ii oLe- Dr,, 4 ky,
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - . 4371, square feet
v 2 . Toe of Heat - Electric Oil f/ �as�_ Other
3 . Is building mechanically cooled? Yes // 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 a CO
b . Exterior walls R jam_
c . Glazed r..reas R dal
d. Exterior doors R Ie• y
e . Floors over unheated spaces R _a--
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 4i, 1.
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code Yes _ No
TEMPERATURE CONTCOL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
Applica,i s i nat D t Phone Number
./Airy $0, cc/WaI 74(f-1442 /
INSPECTOR' S REMARKS:
3-40l - 3O7
Fire Marshal's Orrice Town of Quecnsbu rc, 742 Bay Road,Queenshurv,NY
(518) 7AI-8205
Application for Fuel Burning Appliances & Chimn wr �/i— .
applicable to solid fuel & vented gas appliances Ay , �"
To .;,. 1 ' zaol
Date tTA, • 20A/ Permit NQ rii C •-.5
Application is hereby made to the Building & Codes Office Jor the issuance of Building rural Qpp5-
Permit pursuant to the New York Stare Eire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations. and all conditions that arc part of
these requirements and also will allow all inspectors to enter premises to perfornm required inspections.
I, NOTE to applicant: Roush-in and Final inspections are required.
Applicant Information Fuel Burning Appliance Information
t r (Circle appropriate words)
Name: Ttyr` Jy511as5Tica Stove: wood coal pellet gas
r{d' 4jr�/ r V Fireplace insert
Address: ,,,LC/ Cif, gjbt/r tweplace, tactorv-built,) wood
7 Irep�lace, masonry: wood gas
_ Furnace: wood gas oil
Phone: 7ojs!- '/a.
If non-masonary applicance, please provide
Owner: Manufacturer Name: Aehpax
Address: Model Number:
Chimney Information
Phon : (circle appropriate words)
Masonry block br- k stone
// / O Flue tile a size: e inches
Exact Address: J !t Ai(-d'(e (-C.----
of eons merlon ir o ion Factory-Built
Manufacturer name: A ea,nak
Model Number:
Note: Listed By: Number:
Construction/Installation nutst
conform to NYS Fire Prevention & Building Indicate (circle) chimney material:
Code. Consult available Town ofQueensbun.
Handouts regarding required inspections. Double nail 1 Triple mall / Insulated / Derect reining
Chimney Liner
i Cashier's Department—Town of Queensbury, Mew York I
1 i
Fire Marshal Code n 5 Collected S Refunded ;ended not:
tlf/L�
-d!y /�_��
address: --a--ale.._-
A 123 3389 f1901 Public Safety' 04714 r '--
A '331635 (230)Minor Sales
ay...»ve - r.Y., 0LnA u, Y7rA.f
White(Applicant) Green(Fire Marshal) Yellow(Mile) Dept.) Pink&Goldenrod(Cashier's Dept.)
a.
.. -_....--.,.�._w
Fire .Alsrshal's Office lots it of Queen>hun, 742 Boy Road,Queenshurv, NV
(518) 761-82II5
Application for Fuel Burning Appliances & Chimneys to
applicable to solid fuel & vented gas appliances - _r�
Date ,.yea_ 20 _42 i Permit No0/ _ 07
Application is hereby name to the 13nilding& Codas Cyfice I n-die issuance of it auditing and Coe
Pe inn pursuant to the New York State Fire Prevention and Building Code. 7dre applicant or owner
agrees to comply with all applicable lams, ordinances, ttgtdati,ms. and all conditions that are pan of
:hese requirements and also will c llnw all inspectors to enter prendsc s to poi required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
E
1, Applicant Information Fuel Burning Appliance Information
e (circle appropriate words)
Name. Te y re. )V jr s7s .Ce_- Stove: wood coal pellet gas
Fireplace insert
!A, Address:Rei; ific6i.e D . qtilt (fir`"_place;factory-Siliirp wood OM
emplace.-masonry: � wood oas
Furnace: (rood gas oil
Phone: 7H6"-' _5--vg /
Ifnon-masonary applicance, please provide
Owner: ,i V& Manufacturer Name: Ackilo" -_
•
Address: 1 . / e. Model Number:
{ r , l
k t
/ l r Chimney Information
Phone: _� I (circle appropriate words)
Masonry block brick stone
n Flue tile Estee size: V inches
Exact Address: Lf //i/ de , yie -<.�
of cons union sir m allots Factory-B trill
f {- r-C„,... Manufacturer name: /( ay, yye),k_
Model Number.
Note: Listed By: Number:
Construction /Installation must
conform to NYS Fire Prevention & Building Indicate (circle) chimney material:
Code. Consult available Town ofQueensbury
Handouts regarding required inspections. Doable tomb/1 Triple mall / Insulated / Direr,'nntiug
Clrinmer Liner
i Cashier's Department—rosvu of Quee :t bury, New Yorlr/
Fits?lnrshol Coder 5 Colkcred S Reluncled Rec r -d l' ()tended t ill ?LC; /t ',.i C
-r6
. fill address
d 173 3389 (19/1l Public Safely _
A 233 2655 (230) Minor Sates
.y... . T.... Bl /'6` w,
White(Applicant) Green(Fire Marshal) ' Yellow(Bldg Dept.) Pink&Goldenrod(Cashier's Dept.)
a /911
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)76148256 Date inspection request received: /)
Building&Code Enforcement � �J� (�-/�'+�'}/^\
Dept.of Community Development Arrive_mn/pm Depart
Town of Queenebury Inspector's Initials
742 Bay Road
Queeosbury ew York 12804 n^ !J
NAME
c PERMIT i nO /
LOCATION DATE _
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location ✓�/
Fresh Air Intake
Plumb Vent through roof
Roof omsh
Exterior Finish Completen
InteExterior
Handorrails,
Railings balco 3i to 3
Hxeaim laandmissstirs both
h landing3 18 ..or more
Interior Handrails astairs
fo nda ides 3m ��. e risers
Grade 2%away from Coundati
8"clearance s sill xte
Gas Furnace
shut-off exposed/ _ or 1: in line
grade
Gas Furnace shutoffwi0tin 30T.- or 'Oda line of site
Oil Furnace shut-off at entrance to area
Fumacdffot tolled o.. :i�i.
Reliefar om,Valve(s)f Stalled
o d t//
0
Headroom,6 ft.6 in.w
Basement stairs.6 ft.4 in.
Handrail exterior stairs both sides m. - than 3 risers
Interior privacy/trio✓damshnain en. :;;.- 36" /
Floor Finish ✓///
Bathroom/Kitchen watertight t/
Interior Handrails Balconies/Landing I: in or more
Railing across window in stairwells
Smoke Detectors:
every level `j
every ee ✓
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
insulation
Foundation insulation /
s/a hour fire door/door closer ✓
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation perms
Safety glazing I% B '/
fi
Final Electrical Is' eq /
Site PlarJVari: req
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance) ✓//
Okay to issue temp.C/O(Calif.of Occupancy).
Okay to issue permanent C/O(Certif.of Occupancy)
FIRE MARSHAL
oak TOWN OF QUEENSBURY
1341 QUEENSBURY, NY 12804
�'- (518)761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECE D PERMIT a/'307
NAME _ .e a2-4.-
LOCATION y -
SCHEDULE INSPECTION ON Z 9d
AM M ANYTIME
APPROVED
NIA I YES NO
EXITS --
AISLE WIDTHSEXIT SIGNS EMERGENCY LIGHTING
FIRE EXTINGUISHERSFIRE ALARM SYSTEM -
FIRE SPRINKLER SYSTEM .
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE: -
CLEARANCE TO SPRINKLE'S
CLEARANCE TO HEATING U ITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT N ,
REMARKS: ❑ OK TO THIS DATE
/C '
ixmaivwe INSPECTOR
/� TOWN OF QUEENSBURY
" �t� BUILDING 6 CODE ENFORCEMENT
4 ..10 742 BAY ROAD
QUEENSBURY NY 12804
(' (518)761-8256 Ir�YI�
ARRIVE: DEPART: INSP: lJll
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECT N REQU EST RECEIVED:
NAME. I IT'!.7'TF�I"I IC1yL__f
LOCATION 1 La r I ` \ / "I GOC& Op
DATE 8 2-8 1 Q ( PERMIT 1 ( // 1JO7
TYPE OF STRUCTURE C:k�.f�"
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL _ W000STOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
'E '4'CH STEPS RAILI S
RELIEF VALVES
FURNACE/HOT WATER OPERA
INTERIOR TRIM/PRIVACY D.1RS
FINISH FLOORS:
_Pa ' CHEN WA RTIGH
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
BROKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE. FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
NAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
1
TO1M OF QUEENSBURY 1 I )-
BUILDING 6 CODE ENFORCEMENT
742 Bay Road
QueensburyNYI2&la �JJ
(518)761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name Pike La. Mo7 AsseA,-ceLi
Location, rrCssp�/ ' < ce_
uy, Nam.
Date =0/ Permit ! : en/ "307
SOIL : Sand-. am-Clay-
Results of Percolat' : Test-
(if applicable) Ra --Mi ,ute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: otal ength
Length of each tre ch - ie
Depth of trenches -
Size of stone 4
SEEPAGE PITS: Nunernern
Size - t. t.
Stone size
PIPING: Size ype
Bldg. to TankL ' i-
Tank to Dist.. Box a }7
Dist. Box to Field/P
Openings Sealed? 4 es o Partial
LOCATION/SEPARATION Foundation to Tank \n feet
Foundation to Absorp ion }1. 1 feet
Separation of Pits et
Conforms as per Plo Plan No
LOCATION OF SYSTEM I PROPER .
(circle one)
Front - Rear - eft ' - Right Side
Middle Front - ear v,
COMMENTS:
SYSTEM USE APPROVED: YES ;-)NO
Arriv •
L
Dee
ing ns for
FIR RSHAL
TOWN QUEENSBURY
;lit; QUEEN URY, NY 12804
(518)761-8205
FIRE MARSH• INSPECTION REPORT
REQUEST LRECEIVED 1 , Ol PERMIT# 1-307
NAME C5• et, : i y �
LOCATION .-S . • C- ii .-,. 4W
SCHEDULE INSPECTION ON -7�re
�ZL arm YTIME
''. sera lfPI et-- • ••• APPROVED
WA i YES ' NO
EXIT' dir
!
AISLE ' OTHS
EXIT SIGNS -...
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM •
FIRE SPRINKLE SYSTEM A
FIRE SUPPRESSION ' M
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TOSPRINK 'S I
CLEARANCE TO HEATING NITS
REQUIRED SIGNAGE 1 T__
CHIMNEY if • . _ ,►
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT Q,--L
1
REMARKS: ❑ OK TO THIS DATE
6 - 1° G
INSP&IG PUB NSPECTO
yrs-
GENERAL INSPECTION REPORT
(518) 761-8256 VVV
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement /
742 Bay Road h
Queenshury,NY 12804 Arrive am/pm Depart(. p
O
Inspector's Initials U
PERMIT#o)ri7/ -:Bo 7
LOCATION: \\Lk (v' r DATE : 7 7,-eQf o)
TYPE OF STRUCTURE: csr rfl
RECHECK
N/A YES NO COMMENTS
Footings/Piers ( 1 I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 ho .Rowing the placement
of the con ef
Materials for ,-- on site
Foundation/W.
Reinforcement i '
Foundation/Dam.u „7. .
Backfill Approval
Plumbing Under S
PI • gVenW Place. j
gh-In
en
Foundation Walls In 1-. 'or R-
Foundation Walls E 1 'orR-
Floors R-
Wal
ts R- (•Q J
c Ceiling R- .a t/
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 Bather
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
abeitalleAtalifisimerie
GENERAL INSPECTION REPORT 36702
( 518 ) 761-8256
Town of Queensbury
Dept of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road21
Queensbury,NY 12804 Arrive am/pm Depart
Inspector's Initials`J Y
NAME: Cn \ PERMIT# 7
LOCATION: J�g� / LI NC r— DATE: �I,‘�()
TYPE OF STKI.1CTURE: CVO
RECHECK
N/A YES NO COMMENTS
Footings/Piers ) I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hou : . 1. '.g the placement
of the con
Materials for ' ' purpbse on site
Foundatio' , \\y
Reinforcemen.in Place
Foundatlo n: . „ .,fii
ig
Plumbing Slab ✓/
PI I.;al: Ven ents in Place
Plumbing . I ✓/
N./heating Rough-In 1 V(51J'( t/
Insulation
Foundational Interior R-
Foundation Walls xterior R-
Floors
Walls
Ceiling
Duct work or piping in
ed spaces '.
Ven is Veof
Jack Studs/Headers V
Bracing/Bridging ✓
Joist Hangers 1 /Air e
/Jack Pos tration'on B.
Beam
Infil Barrier
Fire Separation 1,2,3,how
Penetration Sealed_
Tire Wall?,3,4 hour
Ain:stopping V 1
GENERAL INSPECTION REPORT
( 518 )761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: 6" /J jig)/
Building&Code Enforcement
742 Bay Road j
Queensbury,NY 12804 Arrive/L1� 'gyp
r a 7
NAME:
PERMIT it /
LOCATION: DATE :
TYPE OF STR TURF:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is respo t ,
providing protection
for 48 hours following - 1 t
of the concrete.
Materials for this purpose I
Foundadon/WaRpou J/
Reinforcement in Place
Foundation/Dampprooflng
(14611d111 Approva)
Plumbing Under .
Plumbing Vent/Vents m ' •
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior '-
Foundation Walls Exterior -
Floors R •
-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Pmper Vent,Attic Vent
Framing
lack 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
GENERAL INSPECTION REPORT
( n o )761 11661
Towwn of Qoeeosbuabary
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queenibury,NY 12804 Arrive am/pm Depari r
Inspector's laid
��
NAME: a PERMIT 8-�
LOCATIO l C DATE : 1
TYPE OF S CTURE:
REttACHEC
N/A YES COMMENTS
g o I 1
onolithic Pour Form
Reinforcement in Place? - — -4t
The contractor is responsible for
providing protection from freezing
for 48 hours fo tt, •:the placement
of the concrete.
Materials for this , site
Foundation/Wall.r
Reinforcement in •
Foundation/Dampp •
Bader&Approval
Plumbing Under Slab
Plumbing Vent/Vents ` :•
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interio R-
Foundation Walls Exteri• it-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces It-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
vo o3J . Iz-
I
!. 'I have seen or observed, or belvve I saw evi 3C
all ohl.f3s3 I as houses (wells trees, fences. stc1.33..:u q j =4 / 4 13.'r�33 I 133.33'
showr uR ent. I also r resent that I nag 1' Ally _ '�
cm persol 'ea r d the dl tanc!s sefYnrth on the diagram." `-.v� I 7/ -_-_- e,ea'e., 2 / ( I
7.2
1 / 'I61GNATURE `u E •
o it ob o ! i IIOpo qa4 . // o 00 lit / I I Lo
o L� 112 m � ' LOT113 "�� o - I� • / o o '- ( / 1 ; Io
0 0 I . ,n 'COT 11
n 20,000A sq f`,. 0 1 n 2o,coo. sc. ft. iO k�'' 000. s. I — q7
I� i - H 20,000. sC. ft �m
c C.45 ores I ti j J 45 acres z , d.45 acres
1 z G.45 ores , I Iz
si
i 39t- 395
JO' MON( SE [Btu.< I __ qr _ - f I / + i
t.
n gtis ) _� cr
H
L ( (4 1 133.33' / �� I 133.33' S t b3.33' 1 'U" i
133.3�
c
/ , ':u / ' __
- /
d —DRIVE ,' AItV`�ROAD _ 7 - - _ 1
� . . (1:."„ S Ec 5t, 30 E / �2�D.re�I® f &/
175.00" L -J 59� \75.00' A Y- .? V I c ��57 /Ir ITSIb0
C� If r l I f
�MAINTE \ �� / II J o I L I a .
MAINTENANCE S,4 3 �' y? i I / I I 4 s=-
- -' EASEMENT / / - I I I A
;
__ - o \\ LO 142 1 ., '-v / I LOT 131 '
65 3 ) 4 / lo �
LOT 4 ,� 2086 s ft o
847 ft.
0 4 acres / /
Toro o iliac .o =JnFftt
=.x =- ' w'
�00 4 ��.�, �It)g' "' - -'• € �• a� �: os�� wig _ � > /� -��` ;
1 \
I O
LOT �44 en CD v LOT 141 I I o / / I _
I171 it, /I',
AQ,9
i
"UNAUTHORIZED ALTERATION OR ADDITION 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."
REFERENCE:
MAP ENTITLED "MAP OF A PROPOSED SUBDIVISION
MADE FOR HERALD SQUARE SUBDIVISION LAYOUT
AND UTILITY PLAN", DATED 5/20/96 LAST REVISED
10/2/96, PREPARED BY VANDUSEN & STEVES, LS.
FILED IN THE WARREN COUNTY CLERK"S OFFICE ON
DEC.' 31, 1996 IN PLAT CABINET B, SLIDE 85,
MAP #185.
I HEREBY CERTIFY TO:
1) ALBERT D. & ELIZABETH J. ORTON
2) CHARTER ONE BANK, F.S.B., ITS SUCCESSORS AND/OR ASSIGNS
3 CHICAGO TITLE INSURANCE COMPANY
THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD
SURVEY ON AUGUST 20, 2001.
THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE
VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED ANDARE NOT TRNSFERABLE TO SUBSEQUENTAOWN OWNERS, OTHERATHANOASLMAY BE�ORNS OREC�� "�%
�®
EXPRESSLY STATED HEREON.
AUG 282001
DAVID J. BOLSTER
DATE : AUGUST 21, 2001
TOWN OF QUEENSBURY
gUILDI� AODE
_
AP OF A SURVEY OF LOT 114 HERALD SQUARE
MADE FOR
'ERT D. & ELIZABETH J. ORTON
TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK
DA YID J. B OL S TER
LICENSED LAND SURVEYOR
342 MAIN STREET, HUDSON FALLS, NEW YORK 12839
DATE: AUGUST 21, 2001 SCALE: 1" - 30' N.Y.S. UC. NO. 49534
DWG. NO. 010115 B