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2000-287 TOWN OF QUEENSBURY - 742 Bay Road;Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY /.0 Number: 0000287 C/O Date: Monday, August 14,2000' Application.Number:, 2.000287 'Pernut Number: 2000287 This is to certify that work requested to be done as shown by Permit Number .2000281 has been completed T4map This structure may be occupied as a Single Family Dwelling Tax Map Number: 523400-048-000-0008-029-000=0000 Location: SURREY FIELD Dr , Owner: MICHAELS GROUP.L.L.C.,THE ' , By Ordet of Town Boatd TOWN OF UEENSB Y Director of Building&Code Enforcement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VAL UE $ 139900 Building Permit No. 2000287 TAX MAP NO. 48 . -8-29 Permission is hereby granted to MICHAELS GROUP, THE Owner of property located at LOT 20 #5.7 SURREY FIELD DR. in the Town of Queensbury,to construct or place a SINGLE FAMILY DWELLING at the above location in accordance to 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. Owner's Address: 10 BLACKSMITH DRIVE .MALTA, NY 12020 Contractor or Builder's Name: MICHAELS GROUP, INC. Contractor or Builder's Address: JIM CHANDLER, PROJECT MGR 10 BALCKSMITH DR MALTA, NY 1.2020 Electrical Inspection Agency: NEW YORK BOARD NEW YORK BOARD OF FIRE UNDERWRITERS Type of Construction: SINGLE FAMILY DWELLING Plans and Specifications: 1518 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SINGLE FAMILY DWELLING 215 May 15 2002 $ PERMT FEE PAID—TIRS PERN11T EXPIRES (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 of Queensburythis 15 _Pay of May 2000 SIGNED BY - for the Town of Queensbury 5—&Enforcement Officer Building Permit Application Town Of Queensbuly - Dept. IfCollutunity Development, 742 Bay Road, Queen.sburh, NY 12804 1761-8256] --- T BUILDING & . CODE ENFORCEMENT 1'IO�iCE Requirements prior to issuance A Permit must be obtained before of this permit: PERMIT FILE NO. t beginning construction. No inspections PERMIT FEE PAID$a) will be made until applicant has received [� .Zonitxg Board Action a VA,I,ID BUILDING PERMIT. All Arca I Usc ''777����35 RECREATION FEE Iji$ applicants' spaces on this application MUST be completed and•the signature 0 Planning Board Action REVIEWED BY.• of the applicant-must appear on the SPR f Subdivision J Other Building G�srectnr z plication form. n �. Recreation Fee Payment 11 j� Applicant: �s ('�i�p tt.Ylci��5le�y[a Owner: Address: �'2G2b Address: Phone #. (5t�j_) gC�C� _ "_ Phone # Property Location: _7 1lgE1 43C_ f7rs1 � G� Subdivisian Name: Tax Map Nuiubcr _ Section Block Ent NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE _ New Building: CONSTRUCTION: $ 13 ,1�)co residence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial _ Single Family Dwelling Residence / Commercial Two Family Dwel no change to exterior size Family Dw " " Office Other Work (describe below)` Mercantile MAY 0 9 2000 Manufacturing GROSS AREA OF PROPOSED STRUCTURE: Other TOWN OF Q1..fEENSl3URY� BUILDING AND CODE lst Floor. . . . . . . is-is sq, ft If ADDITION, what will use 2nd .Floor. . . . . . , sq. ft of new, addition be? : Other Floors . . ft. - (not unfinished•cellar or ba• en ACCESSORY BUILDINGS: Detached Garage 1, �2 car TOTAL FLOOR AREA: IS 1 5' SQ}�. ��_ Attached Garage 1, `--c Private Storage Builda-ng SIZE OF NEW STRUCTURE; Commercial Storage Building N FEET X -6-Z FEET Other Foundation Type: Will any second-hand or ungraded Number of Stories : �T lumber be used? If so, for what? (habitable space only) NAp Height (grade to ridge) : /S feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woo stove (circle all which a plies) to be installed: f Electric / Oil / as / Wood. Forced Hot Air / Baseboard / Other Person esponsibl pervision of work as regards to building codes s : ILA Builder: recq i 1 l 2Q�'hone ll Plumber: Z2© ate Mason: p Electrician: '� Q� -ZZ, DECLARATION.• Please sign belo-W 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 sliall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that 1/we shall submit prior to a Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed sieve or; drawn to scale, showin actual locatio of project on premises. Signature: :ADA (o4vner, owners agent, architect, contractO Application.for Permit—Septic Disposal System RAM qf QWWISIM"y 742 Bay Road Queensbwy, W 12804 (518) 761-8256 1. OWNER INFORMATION: - 0***f ric,c­­U' N-C-* Location of installation:5-7 File Permit No.Q- -e00---;)— Tax Map No. Fee Paid T Owner's Name: lrkE ........................ ......................... Address: k� 2. INSTALLER'S NAME x PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate ff bedroom(s) and multiply il 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/bdrin 1980- 1991 x 130 gal/bdrni 1991 —present x 110 gal/bdrin = >- Garbage Grinder Installed yes no >< Spa or Whirlpool Installed yes_ no ;K 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) iT o�ra li Soil N ire Ground ter Bedrock or Impervious Material Domestic Wafer Supply Mat 7 a at what clept/2 ?ICIPG/ Rolling Z C loans Steep slope ay ij'ivell; water supply slope other fi-oni any septic-system depth: absolption is other Percolation Test: Rate: Minlihl.'J.Wr inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or archilect(unless installed in it 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: I 0� gallon (inin. size 1,000 gal.)tt - -,2-1 -7 Al - Psi.. ar)[0, 4p&,C5 Tile Field: each trench Total System Length: Seepage Pit(s): ' number of size oj'eacl7: _fl- by_fl. Size of Stone to be used: depth or thickness Bed System Size: x Alternative System: A. length anidlor size 6. HOLDING TANK SYSTEM.: (if required) Number of tanks: t-t Size of-each: gallons /TOTAL Capacity: - gallons Note: Alarni 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. Sign tore of reYponsible person -Date TOWN OF 0U92ENSDn8Y Fee Paid BUILDING & CODES DEPARTMENT APPLICATION FOR: PORCHES-DECKS- Permit # -- -�vw��' DOCKS & BOATHOUSES Est. Cost � A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION; PLEASE 4MSNEV ALL OF THE FOLLOWING: The undersigned hereby applies for -a Building Permit to 4o the fo7lowing work which will be in accordance with the description , plans and sPecifications submitted, and such specia lconditions ,os may be indicated on the permit. TWO SETS OF STRUCTURAL Sly\L Owner of Property: P.O. Address Property Location S. 4ekU _ Subdivision Name (If applicable) ---- PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDI /G' C0DE3: Name: ' , ddreys Phone#________ UUlLDlMU SPECIFICATIONS: ~ Type of work to be done; Porch Deck Dock Boathouse (Circle one) Size of Structure to be built (sqpore footage) : 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 Materfa7 : How will Porch or Deck be fastened to buildingY -If Roof Will Be Ivstu / /uo^ 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 �-- -------- . � a e (Circle one) Material of Roof/ ZONING INFORMATION: �----- TWO -PLOT PLANS MUST BE PREPARED AND here drawn reasonably Co scale and attached indicate. -��-�.�.�= clearly ".." " .s`/'/ct/y all ou� /dings whether existing all set back dimensions from property lines ` Show location fo' proposed and location and configuration of septic disposal a�ea, ^ »ca on » water supply and Size of Property: ft. x ft. ` Existing bufldfng(s) : Size ____ ft. x ft.�--'-' Size ft ft. x ----- _ Use of _Existing buildiug(s) :----- =--- ^ ,Front yard ft. Rear yard ft. Side yards -- ft. and . f t__ If on '-setback from ~ '~e ~^' ==^' rc-DECLARATION To the best of my n knowledge and belief the statements contained in this apn/ ic� cion"c v` n �ne P)�� � plans and submitted, are a true and complete statement of al proposed ` together . ' "pot se" °vr cv be one on toe described premises and that allprovisions Ouilding Code, the Zoning Ordinance, and all nther laws pertaining to � uor the shall be complied with, whether specified or not and that such work i «e proposed work owner. ` ` s authorized by the DATE: SIGNATURE REVIEWED BY CODE 2NFORCEMENTDFFlCER DATE - '-Contractor- �� 3I�N�T0RE 4 fire'Marslml's Of iec To%vtt of QUCcnsburt•. 742 Bav Ro.id,Queensbtu-}, 1. (518) 701-820; Application for Fuel Burning Appliances & Chimneys. applicable to solid fuel & vented gas appliances Date -3hil ?p � — t _ Peril t_No (S Application is hereby made to the Building d, Codeti f)ffi�a frtr tlrc issucrrtc.c tlf a l3rrilc/rtg ctirrl Use � Permit pursuant to the Nett York State l ire Prevention and Builrlink C�r�rlc�. 7Trc ct1�17licairt �r ot�^�rrc�r rrgrees to comply itith all applicable lawv, trrtlinances,, re gulations, ruin all eon(litiorrs that ar-e part of these requirements and also ltlll allolt,all irlspC'C101'.S,lo'L'r71c'1"premises to perform required lnspeeeons. NOTE to applicant: Rough-in and Final are Inspections required. l� Applicant Information Fuel Burning A.l)pliance 111f6rmatioil (circle appropriate words) Name: �� ��� � Stove: ivoad coal 'pellet gas Fireplace insert Address: Fireplace, factory-l}a.tilt: wood Fireplace, masonry: wood gas Furnace: wood qo Oii Phone: a lfnon-nnasonary applicance, }Tease provide Owner: " t Manufacturer Name: Address: - - — — �--Moddel Number:- - — -- -- -- -- Chimney Information Phone: r~, (circle appropriate words) Masonry block brick stone <1ue the gZe size: inches Exact Address: 5be�:lt(Ds of construction or installation Factory-Built Manufacturer name: Model Number: Note: Listed By: Number: Construction 1 histallation must con aria to ATYS Fire Prevention &Building ing Indicate (circld) chimney material: Code. Consult available Town of Queensbia-v Handouts regarding required inspections. Double trall .1 Triple wall ! lns-ulaterl / Direct vejuing Chinmev Liner Cz3.> �.x�',�]��� �z�at�z�t.t--�''da► cx eaf Qacx��.xx,�bza.z'Y� ..�V'"esxrirr Ycrr�r it Fire;Y-tarshal Code# S Callecrc>d 5 ltefimded Reedited fi•vni (rctirnded to): `' rrddress; .a 173 3389 (190) Public Safer,- _i— -- - --.42332655 (330)Hinor Saks {�', ,; ` � Mksf Y tvtG'- TWSL C/[drx?G O"L L/G}JNily, White(Applicant) Greed(Fire llarsiial) Yello%v(Bldg. Dept.) Pink&Goldenrod(Cashier's Dept.) J t THE NEW YORK BOARD OF FIRE ' UNDERWRITERS ; 4028789 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038', Date AUGUST 14 f C2)0,00- Application N mile A 152996 i THIS CERTIFIES THAT 1', i 1 'P V a 000-1,0 r only the electrical equipment as described below and introduced by t applicant named n the above application number is in the premises of t.tH111 H1 NA01.8 G11OUY, 5'] OBEY+" FIELDS 1.1: T "+ r l I!IF��� 1?�Iri�� ml� in the following location, El Basement 0 ism F& 0 2nd Fl. GAR Section Block Lot ;,9 was examined on AUGUST 10r 1000 and found to be in compliance with the National Electrical Code.. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETSINCANDESCE fWORESCENT OTHER AMT. K.W. AMT. K.W. AMT, K.W. AMT, K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT, H.P. NO.OF FEET AMT. WATTS --SERVICE-DISCONNECT— NO,GF S --- _ E.- . R .V, -I-��. METER NO. CC COND, A.W.G. A W.G. A W G. AMT. AMP, TYPE EQUIP, 10 2W 1 0 3W 3 D 3W 3 0 dW PER 0 OF CC.COND. %OF HIAEG OF HKIG N0,OF NEUTRALS OF NEUTRAL 150 C8 1 X I OTHER APPARATUS: iION DETECTOR r-5 L eloit WILLIAM lie di1rCPAR` LON 2446 JAtTRBY T, GENERAL MANAGER U71 12309 239 Per This celtl8cate must not be altered In any manner;return to the office of the Board If Incorrect:Inspectors may be identified by their credentials. OPY B ILD1NG T,•TH -CERTIF MUST NOT BE ALTERED IN ANY MANNER, (Re,J\--tO4- RESIDENTIAL FINAL INSPECTION REPORT C;L Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement -`j Dept.of Community Development Arrive am/pm Depart turn Town of Queensbury Inspectors InitLfsC7 742 Bay Road Queensbury,New York 12804 NAME i PERMIT# LOCATION DATE TYPE OF STRUCTURE YES NO COUNTS Chimne Hei t/"B"Vent/Direct Vent Loca Y � Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or mo e Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gras Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 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 elz Garage fireproofing 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 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) I� RESIDENTIAL FINAL INSPECTION REPORT / Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart pm Town of Queensbury Inspector's Initials �- 742 Bay Road Queensbury,New York 12804 NAME G-�- PERMIT# Qom" 97 LOCATION DATE ,c) TYPE OF STRUCTUPE NIA YES NO COAMN ENTS Chimney Height/"B"Vent/D rect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" 36" _ Exterior Handrails,balconies,I ding 18 in.or more ~+ N Interior Handrails stairs both sid 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gras Valve shut-off exposed/regulator $"above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace ea Furnace/Hot Water Heater operating_ Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish BathroomMitchen watertight Interior Handrails Balconies/Landing 18 in.or more VAP Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected e 2oom fans ing fixtures o R 6dc lam. Foundation insulation 3/a hour fire door/door closer Garage fireproofing ��E �� (� 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 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) RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept,of Community Development Arrive am/pm Depar� " am/ in Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York'12804 NAME i ! �2a U PERMIT# G t LOCATION S? dume_v )Frw 901L DATE TYPE OF STRUCTURE 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 X'to 36" Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 34 feet or within line of site Oil Furnace shut-off at entrance to fiunace area Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 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 fireproofing V / Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18" le-' floor, Final Electrical Q Site Plan/Variance r u''ed Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif:of Occupancy). Okay to issue permanent C/O(Certif.of Occupancy) -r(DWN OF (::tUE!aNSE3UF:P,"'V' C:lUE=-l-=P4SE3LJF:;?.'-V% N-)r 12804 Wag& (SIB) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME VvN LOCATION -5-2 4E;>s->bQ—Q" Cle-1-1 PERM # SCHEDULE INSPECTION ON t AM PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LJOH INIG INIG FIRE EXTINGUISHER FIRE ALARM SYSTEM FIRE SPRINKLER SYST M FIRE SUPPRESSION. SYS EIM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINK RS CLEARANCE TO HEATINIVON S REQUIRED SI(3NAC3E CHIMNEY WOOD STOVE 1-040, ;K-FIRF=PLACE MASONRY [?fFACTORY'I3LT. 17-1 ; UGH-IN FINAL REMARKS: OK TO THIS DATE P- INSPSUP.PUB INSPECTOR H H 0 0 r H Z C X 0 V x MOO 0 > > z 0 c C q 0 0 0 W Z q V n q 0 a H ZCo ro q n z H � l Z x H d q p H M H x t7 ' % j >0q tq N to M H 44 H P H 0 Z H n 14 t H Z H M z 0 H H W r r q 2 0 u 0 o N 0 010 z k ro0 1 0 z 0 1 z W H 0 q r N H MCI 0 H I N 0 z I I n- p ti q 0 q 0 1 4 m n x q M Z m H o 0 0 n 0 H < N H M H P.w* n 0 1 m 0 H X Z q 0 0 0 H m m z z 04 �H C OKI A H t z q 0 z � PIN m � � m H H H x HZI n H ro H n n Z > to w q No H I 0 H 0 r 0 > c c z z 0 z v 0 rj z 0 q n N p N > H ju H q 11.4 1 H C C1 H 2 H H It N N 0 q n 0 0 L6, m 10 H z 0 H y 10 1� m z H. q p q m 0 H c C H 0 0 Z W H H E roz cn o 6.1 t� z z 0 C v 0 t7 z x 0 H z t , M, 0 z 0 C11 z 0 H 0 0 H p z,� 0 H H 0 cn 440 o ftft�. ftmwft 2 x o > 0 H 0 0 10 IL H o OZU) H> H H ---------------- z ir 0 MAP REIfERENGE: SURREY FIELD SUBDIVISION MODIFICATION TO AN APPROVED SUBDIVISION DATED: OCTOBER 27, 1998 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC H.O.A. COMMON GREEN SPACE D � all u s � e St,ev es Land Survey 169 HavRand Road Queey o r S , LLC rr 7,332.53 sq. ft. =- 0 "MAUTFMED ALTERATION OR ADOfM TO A 9JA EY MAP KA00 A UCERIED LAND SANEYM IM Lt A WMATNN OF SECTION 770q R -WdM I, OF THE NEV TM STATE EDOCATO LAW.' ONLY COPIES FROM TNi ORIINAL OF TTIS RRYEY WAND WTN AN O VOK OF THE LAND UVEYM SEAL SHALL. K CONNERED TO K VALID 71W COFW •CtTETIFlCATIONS INDICATED Nl M SNNR`Y THAT INS WR EY WAS PREPARED N ACCORDANCE WTN THE OWN CODE OF PRACTRZ FOR LAID SiNVDM ADOPTED BY THE NLM YORK STATE ARMIN OF RVERI NAL LAND 11RVEYOILS. SAID OTFTCATNNNS NOLL RUN ONLY To THE NEW FM W N nle SJ V 6 NMIEPAN M AND ON 0 KNAV TO H ITU WANY, 00VtiOiN01TAL 30 1 '8pH44 T o tr Map of a Survey made for ANGELO & HELENA J. viola Torn of Queensbury, Marren County, New York 1 HEREBY CERTIFY THAT THIS NAP 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 TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: Angelo & Helena J. Viola Chicago Title Insurance Company Banknorth Mortgage Company, Inc., its euccewwo and/or assigns CERTIFIED BY: MATTHEW C. STEVES. LLS NYS 50135 DATED: AUGUST 4, 2000 el AUGUST 4, to 1"=20' S-1 %1MT 1 OF 1 518) 792-8474 tsbury, New York aw Yak Ue. No. 801 1AW Am if M I D KM ""° 135 NO. I DA TE IMICHAELS GROUP (SURREY FIELD DESCRIPTION DWG. NO. 97061-29 F=IFZF-= M^R.'S"^L- -lFC>Wt4 C)F= C)UElaM,3E3UF:R,`)r C;lUIEElN,-3E3Ul:;,'-Y`. r4-w- 12BO4 (518) 761 -8205 . FIRE MARSHAL INSPECTION REPORT REQU EEIVED NAMETVC\)��c U� LOCATIONS -2 SCHEDULE INSPECTION ON APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTE!44-- FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SP INKLERS CL.E.ARANCE, TO H TING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE MASiONRY EA ACTOFZY BLT- OUQH�-IN E--] FINAL REMARKS: Ea OK TO THIS DATE INSPSLIP.PUB INSPECTOR s GENERAL REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road %G� Queensbury,NY 12804, Arrive am/pm Depart/ Pin Inspector's Initials NAME: CJ f° wwv PERMIT# � LOCATION: `L DATE . TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS FootingslPiers I Monolithic Pour Form Reinforcement in Place The contractor is respansib a for providing protection fromzing for 48 hours following th[p.1- acemeof the concrete. Materials for this purpose ote Foundation/Wallpour Reinforcement in Place Foundation/Danpproo Backfill Approv Plumbing Under Slab Plumbing Vent/Vents in P ace Rough Plumbing Hea In ul�ton � oundation Walls Inte r R •foundation Walls Extei ior R _ Floors R Walls R l Ceiling R Duct work or piping in unheated spaces - r dent en 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 Firestoppin 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 12504. Arrive am/pm DepaW, m Inspector's Initials !` NAME: PERMIT#-8 LOCATIO : 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 place m nt of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backffll Approval Plumbing Under xSlab Pjlumbingrt,VentNents in �rgh P uriibing I�tea ing Rough-In Insulation Foundation Walls Interior Foundation Walls Exterior - Floors R- Walls R Ceiling R Duct work or piping in unheated spaces R- ::::_ Pro �end c Vent t-� ,Q�UII✓�C�; U�t�� j/� �j J,ek Studs/Eleaders V BracingBridging Joist Hangers Ja&'Pasis/Main Beam ✓AOR01"tration Barrier Fire Separation 1,2,, 3,hour Penetration Sealed..,. IA7re WaIll-Z'3_i4"hour - irestopping . � r 4J4J +4 a �- 4- 4- 4w cn y U) <z a U +� 4w 0 ►� 1~ <n � 0000 Q M O '0 N � � �— � 0 � � 4j to s 1 a �u N 1 0 1 � .0 S. ?r 4J z V) a) N E ' 'r 4) 0 U 4) X lL � w Z a 0 4J -0 A M roro a CO r 'o t C� p avzwcU 1L0m t` V1 0� � 0 U 004� � a low 4C C0 � 'G IrAl C4.0 , 4' , 4J 4J 1M �.. ,�, V7 V� C C c ro 4) w 0 V 4-� 0 � N © x "Naa0 x �� w � u C I r M 04. it- d 0 Uf °° w 0 ul O.U. l 04.W ur M+ +) aM O � -P +� ul U 1� tn4-Q. NCaNWN00, *0CV14}U � 5aj:Ur. 0 .0 � ro 0 ro 0 a ��» m 0 aorW r �Wr- roar aO 0 0 4) 00 U, Coro N � A Laberge 5181458-7112 Group r V(01 , n 4 o U, r � i 57 S�,rrt4 Ti�,�i 1ki a �sC,`� �S irtp� cE y _ r 11 r Crr�ge- C �Yvic� i S76 1 �S s AR 1 f 0 E ICJ !P ` I- C r_:... z RECEI JUN 0 5 2000 TC)WN, TO WIN OF QUEENSBURY BUILL BUILDING AND CODE H.O.A. COMMON GREEN SPACE have seen or observed,or believe I saw ev ?,),ects such as houses, wells,bees,.ence on this documents I also represent tha .,Ully measured the distances rgb C i SIGNATURE "" GENERAL.INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay-Road Q►ueensbury4 NY 12804. Arrive � C7ALppector�s epart Initi NAME: — ' P PERMIT# LOCATION: ( DATE : �Q—�— TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is r ponsible\for providing protectio from freeing for 48 hours folio ng the plac ment of the concrete. Materials for this p se on site Foundation/WallpOur _ Reinforcement in Pl Fours tion/Damppro _ BackHll Plumbing Under Slab Plumbing Vent/Vents n Place Rough Plumbing Heating Rough-In Insulation Foundation Walls I iterior R Foundation Walls I xterior R Floors R- Walls R- Ceiling R- Duct work or pipi g in unheated space R- Proper Vent,Attic V nt Framing Jack Studs/H 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 GENERALINSPECTIC111r REPORT (518} 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building cat.Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive pm part ector's�Initia NAME: PERMIT# C C 'J LOCATION: u DATE P - ` �q Of CD TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers \ Monolithic Pour Form Reinforcement in Place e The contractor is responsible for providing protection fro freezing for 48 hours following th placem t of the concrete. Materials for this purpose o s' Foundatio", ur Reinforcement in Place ll Founds"on/Dampproofing XjaaeMll ApprovaL, t Plumbing Under Slab , �C Plumbing Vent/Vents in Plac 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 INSPECTIQN REPORT (518)761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: 01M Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive am/pm Depart/ Inspector's Initials jqNAME: r PERMIT# LOCATION: DATE TYPE OF STRUCTURE: RECHECK j/ YL N/A YES —NTS, C,AotingsMers, (Monolithic P F ,'our 'a, V Reinforcement in The contractor is r p6nshk1e for providing protectio from" 'ing for 48 hours folio * the pplement of the concrete. Materials for this p s on site Foundati - ur- Reinforceme Place a r n" f roll 0�win tb �u rpos 0 0 allpo r pou e n u Place n 11 f Foundation/D roofing Backfill Approval U S Plumbing Under Slab Plumbing VentiVents in Place _Rqjigh-Plumbing:L_ Heating Rough-In Insulation Foundation Walls Interior 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 NJUNUIEU 1Z----rrUrEjjVjj-Qj hil BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 5 BUREAU OF ELECTRICITY 5 40 FULTON STREET - NEW YORK, NY 10038 'jo 5 �� 5 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 S CS 5 5 FOREVER ELEC/BOEL ELECT. * MICHAELS GROUP 5 WILLIAM D. MCPARTLON 57 SARA JEN DR 5 2446 JAFFREY ST. QUEENSBURY, NY 12804 5 5 SCENECTADY, N.Y. 12301, 5 Located at 57 SARA JEN DR QUEENSBURY, NY 12804 5 5 Application Number: 1011438 Certificate Number: 1011438 5 Section: Block: Lot: Building Permit: BDC: A239 5 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: C5 5 Basement,First Floor,Second Floor,Attached Garage, 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below, was found to be in compliance therewith on the 29th Day of 5 5 Name OTY Rate Rating Circuit Type 5 Alarm and Emergency Equipment Sensor 7 0 Smoke 5 Appliances,and Accessories Exhaust Fan 4 0 5 Hydro Massage Tub,Residential 1 0 Bell Transformer 1 0 Furnace 1 0 Gas 5 Wiring and Devices Fixture 35 0 Incandescent 5 5Receptacle 59 0 General Purpose 5 Receptacle 5 0 GFC1 5 5 Switch 34 0 General Purpose Service 5 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb L r1i Meters: 1 L,51 ;-- - seal 5 Rj Li 1 of I 5This certificate may not be altered in any way and is validated only by the presence of a raised seal at thb.location indicated,,- - =LnLj@3ffi@:L3:j E i!��E i: r-jiMigUIUMEUMJMIEUgUlUUL3PLrL3PLrr3J F=IF:ZF-= MARSHAL -rC>VV" OF ClUF-=F-=NIc-->E3UF::;,w-)r (:.'jUlE=aNI,lSE3UF,w'Nr, MY 12804 C518-) 7SI-8.205 FIRE MARSHAL I NSPECTION REPORT REQUEST RECEIVED PERMIT # 4 NAME iL LOCATION SCHEDULE INSPECTION ON AM PM ANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER YSTEM FIRE SUPPRESSION HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNX.S REQUIRED SIC3NAC3E -T� V-- CHIMNEY T- WOOD STOVE FIREPLACE - MASONRY FI REPLACE - FACTORY BUILT Zm -f-l? vie REMARKS,;.- OK TO THIS DATE -INSPSUP-PUB INSPECTOR