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2001-528 =;. F ALL LL F QUE OF TOWN E NSBURY Ffm742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20010528 Date Issued: Monday, December 17, 2001 This is to certify that work requested to be done as shown by Permit Number P20010528 has been completed. Tax Map Number. 523400-295-010-0001-035-000-0000 Location: 81 SARA-JEN Dr Owner. GUIDO PASSARELLLI Applicant: MICHAELS GROUP This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Detached Single Family Dwelling Director of Building&Code nfor ent TOWN OF QUEENSBURY 10/50..' 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010528 Application Number: A20010528 Tax Map No: 523400-295-010-0001-035-000-0000 Permission is hereby granted to: MICHAELS GROUP For property located at: SARA-JEN Dr 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 177,900.00 465 LAKE Ave Garage-2 Cars Detached LAKE LUZERNE,NY 12846 Fireplace Total Value 177,900.00 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans & Specifications 2001-528; Lot 44,House No. 81 Sara Jen Drive, Lehland Estates Single Family Dwelling, 2 car detached garage as per plot plan and specifications $271.56 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,July 19,2002 (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 T f Quee bu ; ur day,July 19,2001 SIGNED BY for the Town of Queensbury. Director of Buildin &Co Enforcement Fire Marshal's Office Town of Queensbury. 742 Bay Road,Qucensburv, NY • (518) 761-8205 Application for Fuel Burning Appliances & Chimneys.: applicable to solid fuel & vented gas appliances 4 200l Date , Permit •No ' • Application is hereby made to the Building& Codes Office fOr the issuance of a Building and Use Permit pursuant pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinarri•es,, regulations, and crll conditions that are part of these requirements and also will allow all hispec(oi*to'enter premises to perform required inspections. • NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate «orris) Name: VStove: wood coal pellet gas Fireplace insert Address: 1 . . Fireplace, factory-built: wood was"tuli , > ks � [ c) • Fireplace, masonry: wood • gas • Furnace: wood (wa) oil Phone: t If non-masonary applicance, please provide • ate Owner: Manufacturer Name: • Address: Model Number: Chimney Information Phone: (Circle appropriate words) Masonry block ^b ick stone • Flue tile C, teel size: inches Exact Address: St of construction or installation Factory-Built • • Manufacturer name: Model Number: Note: • Listed By: Number: • Construction/Installation must conform to NYS Fire Prevention &Building Indicate (circle) chimney material: Code.'Consult available Town of Queensbury Handouts regarding required inspections. Doable,tall ,, Triple wall / Insulated / Direct-venting Chimney Litre r• • Cs,rsthuter',61- ,e,pa.B-tmezat--.Z^causr�cz crf F�rz�e�rerJbau 1117evicr 1?-vi4i • Fire Marshal Code# l f , 5 Collected S Refunded Recciicd./ro»r (refrrrrderl to). i.P;, « ;• ;ti e; } (AAA" address: y .-1 173 3389 (190) Public Safety -- -- — ---- _—.._.— .-1 233 26)) (230)Minor Sales [V) • • - Gt iei* wte — Twa C iL o2 �w - White(Applicant) ; Green(Fire Marshal) ! . Yellow(131(12.. Dept.) Pink&Goldenrod(Cashier's Dept.) Building Permit Application Town of Queensbury-Dept of Community Development, 742 Bay Road, Queensbury, NY (518) 761-8256 A permit must be obtained before beginning construction. Permit File Not• No inspection will be made until applicant has received a Fee Paid $ valid building permit. All applicants' spaces on this Rec. Fee Paid $ application must be completed and must appear on the Reviewed By: �r�f application form. Applicant:Ti-VE 'tc �e,S Gj(04) Owner: r(lV,„.. Address: I4 le:A;a t,•t , 1233..7— Address: 1t1: • i?t-s Phone# (s1B)Qf-1tt - (031 i Phone# ( • ) - Property Location: Lot Number: 44 / House Number (a` / ,N et)(2 Subdivision Name: 1.6-\\jjy Tax Map Number: 114 - Z-Le{ X New Building: residence /commercial Estimated Market Value of Construction: $ VT1 • ❑ Addition: residence/ commercial If an Addition, what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence/com'l 0 Other work(describe Check Occupancylnformation 1" Floor 2"`I Floor Other floor Total Below sq. ft. sq. ft. sq.ft. Square Feet ❑ Single family dwelling Vg5.1.G, 2C5`"; ❑ Two family dwelling o Townhouse o Multifamily dwelling #of units o Office o Mercantile o Manufacturing o 1 car detached garage o 2 car detached garage L(14 If L( ❑ 3 car detached garage ❑ 1 car attached garage o 2 car attached garage o 3 car attached garage o Storage building- commercial o Storage building- residential o Other • Will any second-hand or ungraded lumber be used? If so, for what? 14,11% . Type of Heating System: electric/ oil /t" wood /forced hot air/ baseboard/other: Number of Fireplaces to be installed E Number of Woodstoves to be installed N, List below the person(s) responsible for supervision of work as regards to building codes: Name Address Phone Number Builder 1-11E 1•416 \s Cs�1/4)0 \a ekzcksrnk-tkr,1).(4.. IN--(0?A\ , Plumber CAC 1P- It bk'N\c I � �� N wry 5 "24C Mason (1, 5 rn ?4•Fx-)rc5 3 ('�►ncsJ1Q6 42t- (39k Electrician y=CLe��+cx Et- LL M4t jz-ti S . . 1-GJg22 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 he 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,as requested by the Zoning Administrator or Director of Building and Cod ,al As Built Surrey by a licensed surveyor;drawn to scale,showing actual location of all new lslructic Signature: r owner,owner's agent, architect,contractor { .�tv, TOWN OF QUEENSBURY '� , r f1 BUILDING & CODES DEPARTMENT Fee Paid �� • Permit II .!k APPLICATION FOR: PORCHES-DECKS- 0 s�� �'���;}� +� ��' }�' DOCKS & D/' BOATHOUSES Est. Cost A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING: The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description , plans and specifications submitted , and such specia : conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMIT-IF WITH THIS APPLICATION. Owner of Property: Di-E. ,i\ ,c/4 /S (iiZcw P P.O. Address /6 13i AcK Sin/11 - 1 (tV E Mc1, rIA\J Phone 11 Property Location P, ,) �►a�U�2 Tax Map' (I 711, 2.- Leg Subdivision Name (If applicable) ArAjy\y") PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES : Name: Y2..1?�(-) . Address --_- Phonel/ BUILDING SPECIFICATIONS : Type of work to be done : Porch Deck- Dock Boathouse (Circle one ) Size of Structure to be built (square footage ) : A i6-3,C Foundation Material : Width Thickness __ Depth of Footing, below grade: • Size of Posts or Studs : x x Long Size of Floor Joists: x x Span Decking or Flooring Material : How will Porch or Deck be fastened to building? If Roof Will Be Installed, Answer Following Questions : Size of Posts or Studs : x x Long Roof Rafters : x Spacing Span Roof Trusses (pre-engineered spacing).: Span Type of Roof: Sloped Flat Shed Other (Circle one) Material of Roof: ZONING INFORMATION: TWO .PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached hereto , showing clearly and distinctly all buildings , whether existing or proposed and indicate all set back dimensions from property lines . Show location of water supply and location and configuration .of septic disposal area. Size of Property: ft. x ft. Existing building(s) : Size ft. x ft. - - - - - --- --S i-z-e —--- --f t,--x f t --- --- --- - Use of Existing building(s) : Proposed structure , distance from property line: Front yard ft. Rear yard ft. Side yards ft. and ft. If on corner, setback from side street : ft. . DECLARATION To the best of my knowledge and belief. the statements contained in this application , together with the plans and specifications submitted , are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code , the Zoning Ordinance , and all other laws pertaining to the proposed work shall be complied with, whether specified or not , and that such work is a_rti rized by the owner. DATE: -1 fi {61 SIGNATURE P.2.--1..,-,d, Owner, Owner' s Agency, Architect, Contractor REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE Appllcntion for Permit — Septic Disposal System lotw! of Que'e'lisbiiy 742 Bay Road Quc'emsbury, NY 12804 (518) 76/-,y.c6 1, OWNER INFORMATION: r Location of installation: elk �`jrm("-a_ ���}�(Z Q, Office Use Qi Tax Map No. ( L( / a / i File Permit No. ab6/' S�U • r i Fee Paid Owner's Name: . •' --- Address: `Q ?Th1r4•C \'`(\4rl1 \\1E. , 1c"\\ 2. INSTALLER'S NAME YY� PHONE NO. (v2 j— C 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate ll bedroom(s) and multiply 11 o/ bedrooms with applicable gallons per bedroom to equal total daily flora') Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrrn = 1980 — 1991 • x 130 gal/bdrnt = 1991 —present x 110 gal/bdrnt = 3'3� Garbage Grinder Installed yes / no >G • Spa or Whirlpool Installed yes / no X �I• PARCEL INFORMATION: (circle applicable information & indicate measurements) QIography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply l'7at Csancdc) at what depth at what depth / !lolling loam 3C f, __feet nmuricipamunicipal:) S'tec'p slope clay -- %slope other if well; water supply depth: from any septic-system absorption is Percolation Test: (To be compleledby licen.sed•/1ro/es.sional engineer or architect) other -- Rate: — minute per Inch 5. PROPOSED SYSTEM: For New Constnrction: MI 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: .=Z' gallon (min. size 1,000 gal.) Tile Field: each trench L fj, Total System Length: _ (1(•62— 1l, Seepage Pit(s): number of size of each: ___..__.ft. by__ t. Size of Stone to be used; II / depth or thickness ______ • _ Bed System Size: • Alternative System: I length ancUorsize 6. HOLDING TANK SYSTEM: (if required) __ _ __ _ _ _ Number of tanks: NA, / 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 Qucensbury, 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 Queensbu Sa 't y Sewage Disposal Ordinance. Taub 7 (`7 f�l l Signature of responsible person ate FIRE MARSHAL TOWN OF QUEENSBURY tirAV QUEENSBURY, NY 12804 fir,.• . (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED 1(0.`'Var PERMIT# ZOO(—�c)'� NAME /V\5C -e-C S G-r- .,Q LOCATION 5C ( 5 IV A ——Po 1,f SCHEDULE INSPECTION ON 1 - U `/ O PM ANYTIME APPROVED N/A YES I NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTE HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRI KLERS CLEARANCE TO HEATI G UNITS REQUIRED SIGNAGE / CHIMNEY WOOD STOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT t7,U '4- V REMARKS: ✓/OK TO THIS DATE INSPSLIP.PUB INSPECTOR ? c30 AAA, RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 ' Date inspection request received: ,fr---- .170/ Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart ' , pm Town of Queensbury Inspector's Initials ( 742 Bay Road r Queensbury,New York 12804 `-2 ` Ae NAME ' C.A- �-, c�� r, PERMIT# — —S LOCATION,a/ ( S � 5 z-v� 1'�i� . DATE /2ji 7f j% TYPE OF STRUC -g i Tvli N/A YES NO COMMENTS Chimney HeightP'B"Ven ect Vent Location / Fresh Air Intake �// Plumb Vent through roof \ ✓/ Roof Complete 1 Exterior Finish Complete 1 ✓f Interior/Exterior Railings 30c t'Q 36" Exterior Handrails,balconies lading 18 in.or more Interior Handrails stairs both i4es 3 or more risers ✓ Grade 2%away from founda oi} / 8"clearance to sill plate I ✓✓✓V//' Gas Valve shut-off'exposed/regulator 18"above grade Gas Furnace shut-off 'thin 3 feet or within line of site Oil Furnace shut-off at en c to furnace area / / Furnace/Hot Water Heater open ting / Relief Valve(s)installed ./ Headroom,6 ft.6 in.on stairs 1 %..-7V Basement stairs,6 ft.4 in. i f Handrail exterior stairs both sid4s more than 3 risers • Interior privacy/trim/doors/main entrance 36" f Floor Finish I / Bathroom/Kitchen watertight i Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells f Smoke Detectors: • ✓/ every level every bedroom outside every bedroom '/ inter connected ✓i Bathroom fans �'/ Plumbing fixtures `�/ Foundation insulation r/ 3/4 hour fire door/door closer ✓/ Garage fireproofing Garage penetrations sealed / Furnace in separate room protected(in garage) Light ventilation per oo Safety glazing 18"ore from floor ✓ f Final Electrical 17J °l Ai 1 '� V Site Plan/Variance requ - 5U, UC�Y Final Survey Plot Plan L' ---- As Built Septic System layout required ✓" U/3 G t i. AS -8 v c �— �jC�T� . 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) i ,,L,-/ A-(2 cE --) �1� TOWN OF QUEENSBURY t1 BUILDING & CODE ENF'c+ CEMENT � � • 742 BA? ROAD QUEENSBURY NY 12804 ° (518) 761-8256 .. . _. --.. ARRIVE: RIVV E: DEPART: INSP: v"/ FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION R'QUES" ECEIVED: / // 1/4O/ NAME ii/G`.,-eL7 � LOCATION `JL�] ,( J, c���q= DATE 7 PERMIT $ 0v�1 CA TYPE OF ST UCTURE?hd(,1 FOOTINGS FOUNDATION _ BACKFI . FRAMING ROUGH PLUMBING SEPTIC I .. ATION • _ FINAL ELECTRICAL WOODSTOVE OR FIREPLACE 1 N/A YES NO CHIMNEY HEIGHT/B VENT/HEIG T I PLUMBING VENT / ROOFING ' EXTERIOR FINISH DECK/PORCH/STEPS/R$ILIN,S // RELIEF VALVES FURNACE/HOT WATER OPE TING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATE• IGHT OTHER FLOORS SWE 'ABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTOR/ BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION • GARAGE FIRE PROOFING • DOOR CLOSERS FINAL ELECTRICAL • • SITE PLAN/VARIANCE REQ. J FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C J GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: I Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arriv Depart A47;3)• Inspector's Initial:. NAME: cc_ //l4J ' ipPERMIT# LOCA ION: 1 g4 DATE : / L r • 1 TYPE OF STRUCTURE: RECHECKFW N/A YE O COMMENTS ootings/Piers —� I no i is Pour Form l Reinforcement in Place 1 The contractor is responsible for providing protection frm freezing for 48 hours following the placeme`t of the concrete. Materials for thisTurpose on site Foundation/Wallpouu 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 Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping f4iLl 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 `� am/ m Inspector's Initials NAME: �LC 4-S - PERMIT# LOCATION: 3e1--% L'r�2 r/L= DATE : (I / Lc& TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers —I I I Monolithic Pour Form Reinforcement in Place The contractor is respons ble for providing protection froi freezing for 48 hours following th placement of the concrete. 7 Materials for this purpose on ite I Foundation/Wallpour Reinforcement in place Foundation/Dam roofing Backfill Approval —'— Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Hea • ough-In 44-6 Insul • MVO d O)�J -`' it,U b 5 8( 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_ 9 4 M I)) ill 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 '— . pm Inspector's Initials NAME: I C A PERMIT# / — "C)--. LOCATIO : (�) .� . _�( DATE : — TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I—T— I Monolithic Pour Fo Reinforcement in Plac The contractor is re nsi le for providing protection from eezing for 48 hours followi g the lacement of the concrete. Materials for this purpo e o site 1 Foundation/Wall ur Of/ I a i CT _ 2(/ . Reinforcement in ace \ Foundation/Dampproofiilg Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in lace , Ro Plumbing / Hefting Rough-In / sulation Foundation Walls Inte 'or R- �'¢4-- P .• 00)N) DS Foundation Walls Exte 'or R- Floors R- ,-- Walls R- lci t// Ceiling R- { V Duct work or piping in unheated spaces 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 FIRE MARSHAL TOWN OF QUEENSBURY Nrp-mr QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT#a , ;5a NAME M Irriu76rc - LOCAT1ON g SCHEDULE INSPECTION ON /Z5 a:720O f )0,'60a PM ANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYST, .. HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRI KLERS CLEARANCE TO HEA ING UNITS REQUIRED SIGNAGE "CHIMNEY N� WOOD STOVE /FIREPLACE-MASONRY \./FIREPLACE-FACTORY,BUILT REMARKS-0/2 t 75- OK TO THIS DATE INSPSLIP.PUB INSPECTOR c61...,! ) r 4 I MO (X) ____/ 1VC GENERAL INSPECTION REPORT A ir ( 518 ) 761-8256 rur= _'`. _r Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement / 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart/ � u m Inspector's Initials /G -_ NAME: .i PERMIT 0 / -) a e LOCATION: DATE : /(.)=0J- ( 3O 1 TYPE OF STRUC 5 .s.0 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 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 P1 9 bi 1 g ent/Vents in Plac // ,. ough Plumbing V Ilea ing Rough-In Insulation Foundation Walls Interior '- Foundation Walls Exterior ' Floors R- Walls R- Ceiling R- Duct work or piping in nheated spaces R- Pro r Vent, Attic Vent •'" -P L_ i C P P A I C- t� ck dstleaders __ V / A-t�'jGC /Z CJ 7 Bracing/Bridging z V gist Hangers / Cc )�C-C%j�� v�5 ��' l�� Jack Posts/Mam Beam ✓ g Air In ltratio crier' Fire Separation 1,2, 3, hour Pene fation Sealed - / Fir all 2, 3,4 hour , _ Ain 7 4 upping (i.��. C-( - 2 ,- 4/ 0% . TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name M-CIZO CY-OA-Ap Location g I Z(j)rc e1r , Dat — ) ..,_I_byermi t # O l -5,2 V SOIL TYPE: an. -C ay- Results of Percolati.n est- (if applicable) Rate Min to/Inch TYPE OF SYSTEM: ABSORPTION FIELD: To 'al ength `(a Length of each trench w 1 Depth of trenches % — 2, (�>�_ Size of stone / k �ti _ 0 SEEPAGE PITS: umber Size - f . x ft. Stone size PIPING: Size Type Bldg. to Tank , Ha Tank to Dist. Box J- 'I Dist. Box to Field/Pit / 1 " vC_, Openings Sealed? #111 10 _ Partial ` � LOCATION/SEPARATIO . Foundation to Tank kI feet Foundation to Absorpt on . J47- .feet Separation of Pits fee Conforms as per Plot "lan Yes l , LOCATION OF SYSTEM ON PROPERTY: (circle one) F .at - Rear - Left S 'de - Right Side fiddle - .,..- - - Rear SYSTEM.USE APPROVED: YES NO Arrived: 3: • Depart ,,:, Alf B,7 . .ing n . - .r 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 am/pm Depart JJInspector's Initials �) NAME: [Gd PERMIT# r I ��'-d' LOCATION: 'j S A `(� -N2(U1s DATE : ? ae-0/ TYPE OF STRUCTURE: RECHECK •72Z l/Y N/A YES NO COMMENTS Footings/Piers 1 I Monolithic Po orm Reinforcement'n P ;ee The contracto is r- •.nsible for providing pro - tion •om freezing for 48 hours foll•win_the placement of the concrete. Materials for this pu •'•se on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproo ,g Bac'kfill Approval- Plumbing Under Slab Plumbing Vegt/V- in •lace Rough Plumbing Heating Rough-In Insulation Foundation Walls Inte 'or R- Foundation Walls Exte 'or R- Floors R- Walls R- Ceiling R- Duct work or piping i 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 r i 111 ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive = pn _l ___Depart C_ a spector's Initials , -� NAME: \C �517J A Sa (p PERMIT# U LOCATION: Y G.:SQ./TN�'N( DATE: - -o-LCC' f TYPE OF STRUCTURE: ZJ fl RECHECK • N/A YES NO, COMMENTS tings/Pi�e,Ys ,,�I Monolithic Pour Form D'- -- N) C Reinforcement in Place The contractor is esponsible for providing prote .'o from freezing 11 : F FR for 48 hours fo •' ' g the placement of the concrete. Materials for this •urpo•e on site Foundation/Wall.•ur Reinforcement in 'lace Foundation/Dam..roo I g Backfill Approval Plumbing Under Si a Plumbing Vent/V- is in Place Rough P , is g Heating Rough-In Insulation Foundation Wall Interior R- Foundation Wall Exterior R- • Floors R- ° Walls R- Ceiling R- Duct work or pipin: 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 • Queensbury,NY 12804 Arrive LitI can/ m. Depa t �j1 I Inspector's Initials _,A. NAME: r' i C4-4 PtE t.:J (goo PERMIT# • LOCATION: 9 RRA TEI3 DRi( DATE : 94-c TYPE OF STRUCTURE: A F n RECHECK / N/A YE;. NO COMMENTS YFootings/Piers . monolithic Pour Form , V Reinforcement in Place The contractor is re .t ible for providing protection i o ' -ezing for 48 hours followin;.the . acement of the concrete. Materialsfor this purpos• on si Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin. Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in ' .,e 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- 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 ) 111-, `�'vvv) �l4(� i�CITY OR VILLAGE amr1 7IP CODE l2 E)& I TOWNSHIP COUNTY l W—o STREET AND NO.O O D �� \• �Q/�/�\ �[�''��/ 4 POLE NUMBER BETWEEN WHAT TVWROSS STREETS IS PREMISES LOCATED, SECTION BLOCK LOT.41 OCCUPANT'S NAME \ ,�L� 1s y BUILDING OCCUPANCY OWNERS NAME AND ADDRESS i�5\' \ ` HOME TELEPHONE NUMBER O CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER A t BUILDING IS NEW X OLD ❑ I WORK IS NEWrx„ ADDITIONAL❑ DEFECTS REMOVED❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures 8 MOTORS HEATERS BRANCH OFFICE USE Loca- Lamp Receptacles CIRCUITS ONLY Lion Side Attach't H.P. Watts A.W.G. Calling 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. �S I C. . 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 Applicant affirms that there is not an application for electrical CHARACTER OF WORK EXPOSED ❑CONCEALED inspection pending with a qualified electrical inspection DATE WORK TO BE STARTED DATE COMPLETED authority, for the installation listed herein. 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 APPLICANTS I I O I �J I �J I (� IDENTIFICATION NUMBER> (� E7 �I 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- SIGNATURE OF APPLICANT STREET ADDRESS ram - TELEPHONE^Nq 2 2_ CITY OR POST OF 1 J 1, ` . t-no. LICENSE NO .- APPLICABLE ❑40 Fulton Street [�111 Washi ton Ave. ❑ 3291 Lake Shore Road ❑ 803 West Avenue ❑202(' Arterialrt Road NEW YORK, NY 10038 l 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 - CONSERVATION CONSTRUCTION CODE PART 5 COMPLIANCE FORM or7R ©6 ( -. 502 Building Design by Acceptable Practice 1 DDRESS: 1 k - DATE: Qt. . 4iZoC�� .Q1 IS f • COUNTY: -tail / 77-05-E)(-0 .RCHTIECT,ENGINEER,OR ONT ACrOR TH6 /11(61iA &2ouP PHONE: 5 18- •ERMIT APPLICANT: 56r1 PHONE: . HEATING DEGREE DAYS (Table 2-1) n 5000-6000 X 7000-9000 lL BUILDING DESCRIPTION (Pre-qualifying Conditions) • If the building does not meet all of the following pre-qualifying conditions, Part 5 of the Energy Code may not be used. Btuiding is residential with-one or two dwelling units. El Building is-less than 5,000 gross square feet 13 Building is three stories or less in height • Ratio of glazing area to gross wall area is equal to or less than 17%. III. PROJECT TYPE - n New construction n Substantial renovation of existing building Q Addition to existing building n Exempt(7810.6c) "of Nat- log, - co �,a_R�,A 'per * S;s, .Wf IV. HEATING SYSTEM TYPE w ••X Gas-fired I; Oil-fired n Heat pump l ,Electric `' h ? ; __f • Joint Sealing: 7814.10(i) Joint location I Sealant Type Specified I Plan/Spec_ Reference Windows Polycell I Doors frames I Weatherstripping Walls at roof/ceiling I Poi vc-eU Walls at fioors/found_ Polycell • Wall panels N/A Utility entrance Weatherstripping • • Penetrations Polycell Other Other Air Infiltration Barrier: 7814.10(j) Location Required? Specified I Plan/Spec_ Reference Walls yes/no No-Cedar Siding Other yes/no • Fireplace: 7814.10(k), (m) Required I Specified Plan/Spec_Reference Outside combustion Yes' air duct with damper Flue damper with max.20 cfm, or damper ( 20 c_f_tt_ damper and non-combustible doors Gas fireplace ignition • VI. HVAC PERFORMANCE: 7814.11 (Table 5-3) "• Equipment Minimum Performance Specified Performance Plan/Spec.Reference Furnace 70% AFUE 90a Boiler Heat pump • Central air conditioner 1 vLL_ LiVAG GUN ! taut__ 7814_12 Temperature Control Required 1 Specified Plan/Spec_Reference Thermostat each Yes dwelling unit Shut off at each Yes terminal unit Thermostat Required I Specified Plan/Spec. Reference Minimum rave 1 Yes 45T-85°F 1 Deadband Yes range ? 5° Automatic - Yes capability V 111. DUCT SYSTEMS: 7.814.7 8 Category Required Provided Plan/Spec.Reference Duct z ]."thick N/A in conditioned space insulation - R-33 in uncondtioned space Transverse Sealed Yes' • joints - IX. VENTILATION SYSTEMS: 7814.14 System Type Required I Specified Plan/Spec.Reference Supply Damper at envelope Yes Exhaust. Damper at envelope Ye s • Supply on/off switch I YPS Exhaust - on/off switch I Yes • X- PIPING INSULATION: 7814_15 Piping Type Insulation Provided Plan/Spec_ Required Reference Heating distribution` >_ 11/2" N/A fService hot water` ? <" f N/A `Does not apply to runouts_ "Does not apply to piping with a diameter less than or equal to 341"inch. - XI. SERVICE WATER HEATING: 7814.21 (Table 5-4) Performance Requirements Water Heaters Minimum Specified I Plan/Spec_ - Performance Performance Reference Storage E' > _93 -.00132V I > _93 - Instantaneous N/A Pool , N/A . • Controls , Category - Required Control Control Provided Plan/Spec_ • Reference System automatic control Yes System iemp.*setting range 140 degrees max_ . Pool heater llll N/A Pool heater on/off switch N/A Electric water heater • separate switch N/A Gas/Oil water heater separate valve Yes XII. ELECTRICAL POWER: 7814.31 - Category ( Required I Specified - 1 Plan/Spec_ Reference Electric meters I E3_ dwelling unit 1 -"e= 1 t • • EATIL1 JOi2 L rr OF/•CUE PEAKED *ALL: rORKS - EE- R-Value i R-Value insulated Construction Fraead " r Ar44 = Comoonant t Araa i 1 NI iii:/4- 0.68 let. .(ir Film 0.68 .45 1/2" Gypsum Bd. i .45JthTL (i '`1: - ... -- ,__..{. 19.00 6. 7 Studz • 1111! l .54 `-'Sheathing (0/ -) 1i1L -6S Vin 11 1�= . . .ySiding _65 0.17 Est Air F;1m t 0.17 21_49 1 R-Iota] 9.36 • U insulated Fraction', Fraeed Fraction R-Total lnsulit4C R-Total Framec U 85 -15 it .� 21.49 9.36 .056 • • • a Tall St:d0 : lntulatadfractc.b] .17 I . • 16" O.C. .85 . .15 .7Z BASEHEHT/CELLAR KALLS: hORKSHEE- @ stairwells R-Value 3 R-Vslcc % with Ext. ; Construction with Int. N Insulation Coaoon.nts ! Insulation L i 0.1 7 0.17 �� • . I-4.11 '.�. �� Exterior rinish 1 ��4: :. I ; 8" Poured .. . - ', 0*4 81oct (Concretel ] . ..L 72. .. _ ,� ��:- ! 4 *4 4 ; Core In � ° aui ation . •1 �4: J . �4. ••4 '.1 1-ljZ R—max II . . '��i .tt -**4- Insulation O.SD .�c. .-�;: `••I ♦♦ (axt. or int. ) , 'a'f - - - ' (D41111111111[111k [[ VA - 'Interior Finish --:1t OW It •••4. �. :.: 14.4: - -- __e— 0.68 l (nt Air c;1e I 0.68 _n .:I • R-Total 1 13737 u — 1 • - .• R-Total l e=- (.I -O7T ec 13- 7• _ 8 Exposure Above Grade w II• Depttl Below Graoe w 4_8 • 4. EASEMENT/CELLAR KALLS: eORKSHEE- . R-Vslue = R-Yatcc with Ext. JZ Ccnstructioa i with Int- ` loculati.on 1 C0000n.nts - Insulation I AL 0.17 ���� j Ext. Air File -. 0.17 .- :. - ,.4- �% ' ` None4-1 -. ► 4 :�: - - rli Extericr Finish o •��f�j . ' ., 8" Poured . . '.td '. :�:4. - , Block (Concrete) : - .'_L 72 ___ - - �4 11 4° : - . - Core Instil -Irian ♦ . ♦♦ ��. =1 �•� . ! O.( any) 1 ' --��4= ' ii " - ?��lz4 1in,u1. . fI• ----%•444 41( •� - insulation --I o.. .••. A� (4zt. of int. ) ~1`���°•, None - ([ • . %- • �74 .- . Interior Fiai sh � • 4� - _ `)c— 0.6 8 - i 0.6 ry ` 4 . 1 (nt, Air Fiin _ .1 13.57 R-Tota1 • 1 U .c R-Total ' 1 Uw - 13 .57 .C74 • • Exposure -Above Grade • 8 - Depth Below Gracie w 48 '1 • • OPACUE !RAi{£• F"r,0R. RORKSP--r_- I -"ii =t'l,-"/,rI -'j : : t, il r r .. , s , .. ....... N -,.. \.: , ,_ {,- R-Value R-Value ' 4 . I 1 Insulateo j Construction Framec I : Area Ccc—cnents • Area • i ' II ' t 0.92* 0.92* { Fxt_ Air Film l 6" Batt 19.00 ---- . . . insulation . __-- 11 7/8" TJI's el 24" o.ci • 1 .... Joists fi 14.84. I . i i 3/4" waferwood t _93 . .. . Sub-Floor carpet Y1 . ..:�3 ' i 1• ( a . 1Pg ... in. Floor . ne91:_ 0.92 0.92 Int. Air Film 21.02' R-Total i :16.86 • • insulated Fraction=* Fraaed Fractionxit - . a + • R-Total Insulated R-Iotal Framed • •v .95 4 - .05 41 21.02 16.86 .048 * For vented crawl space, use R e. 0.17 for ext. air film. tK Floor Joist Spacing Insulated Fraction Framed Fraction 12" 0.C. .87 _ 13 16" 0.C. _90 . 10 I - ROOF/CEILING ZVENTEDi : 'ORKSI?£E"- - - • i I Ifi 1\I 1 X 17 1,- ‘‘', /-*/if : ' (C...------" : • R-Value R-Value i 1 - : Insulated •• Conatruction Framed e _ i Area 1 Components ..cee - i. . ' 30_00 9" Batt ---- 12.00 Overlap - . Insulation + - 2x4 bottom chord ____ @ 24" oc f 4.35 Joists _45 1/2" Gypsum Bd_ _45 : 1 .... Wallboard l 0_61 0.61 Int. Air Film i 31_23 17_58 R-Total U Insulated Fraction* Framed Fraction* r R-Iotal Insulated ~ R-Total Framed • U _93 .07 • r 0 - .034 • 31.23 V 17.58 it Roof Joist Spacing Insulated Fraction Framed Fraction 12" O.C. .87 .13 16" 0.C. .90 .10 _ • 24" O.C. .93 .07 I 1 i FROM : FAX NO. : Apr. 22 2001 12:11PM P1 cr r•-• . • . ›.— • . fi • ,... ,...-, ....,..........„.4._.; L.L., .A... ,, ..i.. ..._...., 1 i . , c 1...._.....i i 1,131 I . ., •4 • "1 ; i.. ' • • -11,• . . • .. • -.- • , i • . . • .1.. .• • t • . :.••. ..C.• • ' . . • ' . . . i a •( :Y.. MAP REFERENCE: LEHLA►ND PARK BY D.L. DICKINSON ASSOCIATES FILED NOVEMBER 3, 1987 CABINET A SLIDE 128 A SAL?' D" 53.43' 19\ 2 OlZ1f WOOD STUSE 4 LOT 45 LOT 10 ;0 Nco #� �Q 0 5p.8T �t h LOT 44 �g�+o4�► 23,880 sq ft 0.55 acres gh� LOT 43 Du .A" i r��•i Steves Land Surveyors, LL C 169 Raviland Road Queensbury, New York 12804 9~MOF= ALMU710011 CA A001110N M A MVEY MAP EEARM A UC[IIIM LAIC IMJ W"S WAL n A M"Tw aP arm r^ An -mum Z of w IEM VM STATE WUCATM111 LAIR' ,ONLr VT" A NEOM me OW" MAL Or T+1D SLNW VEVORS rAARIrD xsm AM oRlowl. or tHE UIID wicve`ae Tut SVLL K CCIMIIDVM TO K VALID TALI OCPEL' 'CERIMICATOG NCICAYW la!IOAM "WY THAT Tip %ftcy wo P WPM 01 ACWW94 E Ta1H THE EM IIt 1700! 01' 19tAC110E PCR LAID $UM1l.'N AIXIa�D eY iME MEIT xwc arATE AMOCJATaM Oi PINOIE>I9aMIL LAW fNtVE L M CU" CAWK aMNI UP OILY To THE PW" MR MMCM THE SWEY IS PI@AIiA AM CH Ip WAIII TO THE TIRE OIAVAMY• QUWMialATAL TO TK!A IG `°Dr tfWWoM" USim HE�CII, AND ro me ADDI6MS9 OF THE U!NNMG IeTrtuIloH.• '518) 792-8474 New York Lie. No. 50135 UnLmE5 Map of a Survey made for David P. & Mary K. Dinardi Town of Queensbury, Warren County, New York COMMON AREA NO. I DATE S_ 1 4F -Z 00 52- I L L ( P y ea�