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2000-569 TOWN {JF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5402 (518) 761-8201 Community Development - Building & Codes (518) 7614256 CERTIFI %,.,.JfXJL OCCUPANCY Permit Number. P200005f9 Date Issued; Friday, November 2.4, 2000 This is to certify that work requested to be done as shown by Permit Number P20000569 has been completed. &C, � y _ 1 Tax Map Number. 52340M61=000-000M88-000-0000 Location. 22 GENTRY Ln O'Nmer: VALENTE BUILDERS INC This structure may be occupied as a: Garage - 2 Cars Attached Single Family Dwelling By Order of Town Board TOWN OF QUEENSBURY Director of Building & Code Enforcement TOWN OF +QUEENSB►UR.Y 742 Bay Road, Queensbury, NY 12804-5902 (518) 7G1 -8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000569 Application Nurnber: A20000569 Tax Nlap No: 523400-061 -000-0002-088-000-0000 Permission is hereby ,granted to: INC. VALENTE BUILDERS 4. Owner of property located at: 22 GENTRY Ln in the "Town of Queensbury, to construct or place a Single Family Dwelling at the abr�ve 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. Owner Address: INC. VALENTE BUILDERS 153 SWEET Rd QUEENSBURY, NY 12804 Contractor or Builder's Name / Address Electrical Inspection Agency VALENTINE CONSTRUCTION Type of Construction: Single Family Dwelling. Value : $ 130,OU0.00 Plans & Specifications 1650 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $235.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: 'Wednesday, August 07, 200 (If a longer period is requ4red, an application for an extension must be made to the code Enforcement Officer of the Town of Queensbuty before the expiration date.) Dated at the To of Q ens M st 07, 2000 aw SIGNED BY for the Town of Queensbury. Director of Building & Code Enforcement _ Building Permit Application Town of Quee.f3SL7ury - Dept. rf cant►nunify Development, 742 BaY Rrxul, Queemburv, NY 12804 17G1-82561 [NOTICE BUILDING doCODE ENFORCEMENT Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE NO twginning, construction. No inspections PE•:RMI7 FEE PAIL) $ cAkf will be made until applicant hag received © Zoning Board Action a "V'AUD BUILDING PERMIT. Alt Area I Una RECREATION FEE applicants* stances on this application MUST be completed sand- the signitture Q Pkinnintg Board Action REVIEWED By of die applicant must appear Qn tho SPR / S%mWivkion I C➢thcr rrluflnq Imperirr lication form. rrA yn Recreation Fee Payment Applicant: ,F PA. Y re., Nyr)op+rS rC/vG . -- Owner; Address: .5.Q C `a`-''"- Al -t"- toOrt 2 Address: Phone # (578 7143 _5 Phunc # ( � _____ ' _______ Property Localion: I 1, 135 Subdivision Na mc: `a ,i r lax Map Tlu nxbcr ' Section 131c>ck i Axt NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE - - 7` New B • . CONSTRUCTION : $ �v� re9 .1�:rs�/ commercial Addis t o to Building : residence / commercial OCCUPANCY INFORMATION : ,Alteration to Building : Primary Building - residence / commercial X Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Famll eIIin office yR r" r s r" Other Work ( desct+ ibe below ) Mercantile Manufacturinc4quG 42 200L Other GROSS AREA OF PROPOSED STRUCTURE . If ADDITION , What 1t- . Will , , 1st Floor . . 5-© sq . ft . &201) of new. addition be ? * - 2nd .Ffoor . a : "" . . sq . ft , Other Fluots sq . ft . ( not unfinished ' cellar or basement ) ACCESSORY BUILDINGS * Detached Garage 1 . 2 car TOTAL FLOOR AREA : -ONO SQ , FT , �_ Attached Garage 1 ca�r- � 5J Private _ Storage Sax g SIZE OF NEW STRUCTURE : Commercial Storage Building Other FEET X FEET Foundation Type ; p "> Ctc-r�rz. Will any second- hand or ungraded Number of Stories : lumber be used ? 2f so , for what ? ( habitable space orally ) Height ( grade to rx.dge ) : feet TYPE or HEATING SYSTEM : Number of fireplace and/ or woo stove ( circle all which a plies ) to be .installed :_ > le t 1 / s Wood orced Fiat; Ai / eboard / Other Person responsible for supervision of work as regards to building codes I s : Name Addresss Phone Builder : �► i�rxcG ? �j . Plumber : _ ✓�3` - `2'946 - (4:3 9 Mason : Electrician • 1 � ► r��.-' y4+ 355 DECLAl+I'.dT7ox, Please sign below after you have carefully read the stalerrter:l: 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 clone 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 tlxat snclx work is audtorixed by the owner, Further, it is understood that 1/we shall submit prior to a Certificate of Oc i ncy ,or er ificatc of Cotrxpliance being issued, an AS BUll.:i' PLOT PLAN by a licensed stove r; draw t sale, slxo ing actual location of project on premises. Signature: (owner, owner's agent, architect, contractor) Application for Permit -- Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1 . OWNER INFORMATION: _..........F..'............... .__. ...........................__. > Location of installation: f 6Y 0,V Office UseJ� Map 6 r 1 I3 File Permit No. Tax No. Owner's Name: Fee Paid Address: 50 .�i 11Ar C1.+.� 2. INSTALLER'S NAME : VAS', POMOs PHONE NO_ 9 (s —5Z�CO 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 0 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 FFlow 1990 or older x 150 gallbdrm 19 0 — 1991 x 130 gallbdrm = 1991 — present `3 x 110gaUbdrm = 30 +Gjvc- Garbage Grinder Installed yes _ I no C Spa or Whirlpool Installed yes � ! no 4. PARCEL INFORMATION: (circle applicable information &. indicate measurements) it NlItMMrun 8tpr Bedrock or Impervious Material Domestic Water Supply sand at what depth at what depth nrtuviciprx! Roiling loam fee! feet well Steep slope if well; water .supply �90 slope er 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 Constructign: 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 sire of the septic tank And [each field for each Garbage Grinder, Spa or Whirlpool Tub. Tt 7 vl�bE Septic Tank; 15t70 ,gallon (min. size 1, 000 gal.) -�'^'} � x. '�� �� ` SYsT� Tile Field: each trench fT. Total System Length: fr• Seepage Pit(s): number of size ofeachr fi. by fl. Size of Stone to be used: tt / depth or thickness feet Bed System Size: x Altemative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons / TOTAL Capacity: gallons PNote: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. T. 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 ofAe Town ofjOueensbury Sanitary Sewage Disposal Ordinance. 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I rr I •• .e. a} U of T, to oil O 4 I ti� 41 tv O If I ra 11 1 at 1A (A i-I . a} +0 W rI U U O U) I 0 1) ;{ ad Ln r`� J� t0 n; 11 Al 14 0 to 4- u . � � U nt fra �1 N to o , 0 0 4-1 rt c: to 0 0 t, t f 11 z v •rt bl taw ►iv �� NOmntr- t1J} ii + L w r t 'i f to In Z '1.1 (1) N tU 0 4) 0 0) J.f m EA �} Lt rs1 rbl rt Js 1110 0 J} to Jy 0 01 tR to n1 at to ,, r� 0 0 or i r ;7 0 r1 ;� r-i '0 ti to tU U ! r +� p; r ' �' r1 t i � t=) 0 Gt [it r11 m tt1 ;4 l a Go 61r ! IN rl, , r rl I �r1 ��,\ }4(}� +� A r t 1 i ill tl {I lr4f lt {T) u! 1Y+r 0 l U1 (j 1!l t rh Ot Qi 01 1/) 0 r r U +a1+ rf N M dt If! t1t Ti RESIDENTIAL FINAL INSPECTION REPORT Oftice No. (518) 761-9256 I:)piC""tstspcx ti received: Building & Code Enforcement Deft Of Community Development Arrive am/pmn Depart pm Town of Queensbury Inspec is l uuws — t� 742 Bay Road > Queensbury, New York 12804 ,• NAME PERMIT �7 LOCATION avt DATE E`i Ch1 cc L1 Zf TYPE OF STRUC']'E RE N/A S NO CON OVCFi �,1TS Chimney HeightP B" VentlDirect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Intenor/Exterior Railings 30" to 36" Exterior :handrails, balconies, lauding lain_ or more Interior Handrails stairs both sides 3 or more risers Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-air ator 18" above,grade Gas Furnace shut-ofrwithin 30 feet or within line of s, Oil Furnace shut-off at entrance to furnace area Furnacenlot water Heater opera ' Relief Valve(s) installed Headroom, 6 ft. dine, on stairs Basement stairs„ 6 ft. 4 in. Handrail exterior stairs both sides more them 3 ri Interior privacy/ttinVdoorshuaio entrance 36" Floor Finish Bathroorsi/Xitchan watertight Interior Handrails Balconies/Landing 18 in, or ore Railing across window in stairwells Smoke Detectors; every level every bedroom outside every bedroom inter connected Bathrncttn fans Plumbing fixtures Foundation insulation 3/s hour fire door/door closer- Garage frreproo g, Garage penetrations sealed �* Furnace in separate room protected (in garage) Light ventilation per room ell - Safety glazing 18" or Iess 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 i(Certif, of J) Okay to issue pc rrna r-. t C/o [Certif. of(Xcupancy) THE NEW YORK BOARD OF FIRE UNDERWRITE BUREAU OF ELECTRICITY 40 FULTON STREET" NEW YORK. IVY I0038 �I � Date tac ,3�ir�1eF;}: .r�� . IacI Application 1Vo. o ' ..i�.Ei 1i3i! { 1 >o THIS CERTIFIES THAT ,} f'i�+EiM_f'f' IYif :?(I(}U __ l:�c only the electrical e9tupment as described below and introduced h the . 3' aPP nt named on the above application number ss in the premises of VFsY3F H"1"F; FiUIIF: GFUTRY LhNEs , r��i.Jk;F:N:ii {fttt . i[Y in the following location; lst PL ❑ .2nd Ff. (a1i}i was examined on HZ{ )VFiI~iF FIR ?() , ?31i1i, Section Block Lot FIXTURE and found to be in compliance with the National Electrical Code. OUTLETS RECEPTACLES SWITCHES FIXTURES NCAN RANGES COOKING DECKS OVENS " WASHERS EXHAUST FANS r'UtPRFSf::EH7 OTHER AMT. K.W. AM T. K.W. AM7. K.W. AMT. K.W. AMT. H.P. � Y. 33i 5:� Ffx3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS r MT ' ` A . K.W. OIL H.P. GAS H p T' BELL UNIT HEATERS MULTI-OUTLET Ha. A. W. S, AMT. AMP. AMI. AMPS. TRANS. AMT. H.P. SYSTEMS DIMMERS k, NO. OF FEET AMT. WATTS # 1 SERVICE' DISCONNECT METIER S I �Cli AMr, AMP. E R V I C TYPE EQUIP_ I • 2W T A SW 3 • ]W E • •W . OF ccER Como_ w. W, a E OF CC. m o- NO. OF NI-LEG A. W_ G. !. I_ 'SI } f:'{f. J K. OF H!•LLIFG NO, OF HOUMA" PF NEIi1GE%LL A I e OTHER APPARATUS: �0 ( '#, t .I , l N(:s rmLt i4 , I Ii ;A11,41$4JK , W . F1l1hS I , oi ' mi Iiy. Eif)JAI 1tf AFY , 1 ,? 1 4 3.F.43 { GENERAL MANAGER Trill cerNTlcate must not be altered in an Y rnannet; return to the alBOe of the BOar l I/ incorrect. Inspectors may be Itlentlfled by their credentials.0 COPY FOR BU1LCrI�JG DEPARTMENT THIS ^C1PY C7F CERTIFICATE MUST NC1T BE ALTERED IN ANY MANNER. BUILDINN OF QUEENSOURY & CODE ENFORCEMEMT742 r Queensbu ay Road _rJ!,NY ....I2804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM Ii,SpECTIOW Warne �- Location Date e It SOIL TYPE oam-clay_ Results of rcolation Te ( if applica e ) Rate-Mina e/Inch TYPE OF SY ABSORPTION ELD. — � Length of ea h trencha7 ength - -r _ Depth of tre ches Size' of stop SEEPAGE PITS: �}----- `� -- — Size - umber- Stone size PIPING; _ B7 dg, to Tank � � f%% Ire ype Tank to ; t � Dist . Box to Pi 7 pit Openings -Sealed LOCATI0N/SEpAR14 S art 7 a Foundation to T k Foundation to 'feet Separation of itorPtion ----� feet Conforms asp r p p of feet LOCATION as Tan ( circle one STE pan I T -N Front - Re - Lef Middle Fr t d e Rear fight Side GENTS: I SYSTER USE APPROVED_ NO Arrived: Depa _-_ ing pector GENERAL INSPECTION REF[7RT ( 518 ) 761 - 8256 Town of Queeusbury Dept, of Community Development hate inspection request received: Building & Code Enforcement 742 Bay Road � t Queensbucry, NY 12804 Arrive atrtl pm Depart atnfnnz Inspector's Initials •� NAME: PERMIT 4 LOCATION: .�! �ry DATE TYPE OF STRUCTURE: RECHECK YES NO COMWNTS Footings/Piers Monolithic Four Form Reinfbrcement in Place The contractor is responsible for f Providing protection from freezing for 48 hours following the placente of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation roofin rg Backflll Approval _ Plumbing Linder Slab Plumbing Vent/Vents in Place 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/Bridgi n Joist Hangers — Jack Posts/Main }3eam. Iafiltration Barrier gre Separation I, 2, 3, hour ttetratiOn Sealed ire 1 2. 3. 4 hour Firestopping r GENERAL INSPECT 1 REPORT ( 518 ) 761 -8256 Town of Queensbury Dept of Community Development Date inspection request received: b Irtb�dtx++� Building & Code Enforcement 742 Bay Road Queenshury, NY 12844 Arrive am/pm. ` ,I Inspector's Depart initials I'+F.A +IE:nN- It 'a-�. L . Q jf /� /'� �c°, PERMIT # TYPE OF STRuez�JRE: -!•- RECI-ECK Footings/Piers NIA YES No COMMENTS Monolithic Pour Form _ Reinforcement in Place The contractor is responsWe for pig protection from freezing for 48 hours following the placement of the concrete. Materials for this p FoundadonlW _ Reinforcement in Pl FoundationMampproofi Baclfill Approval Plumbing Under Slab P"lund3ing, Vent/Vents in Place Rough Plumbin Heating Rough-In ulation oundation 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/Bri Joist Hangyers ! I l Jack PostsQn Beam .Air Infiltration Barrier Fire Separation 1, 2, 3, hour on Sealed ire Wall 2, 3, 4 hour Firestopping Cr-) �[..-�� 7 J �C � ,/a����.�✓ �� `�__ Jt l � GENERAL WSPECTIiDN 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 atn/prn DepartA�2 �Inspector°a Initials - NAME: -- VA I r r PERMIT # LDCATIC)N.- [ — �'G�n:'k -�. ..I, -A N l DATE : r L C v ,� {Ca''•^� �. TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form _ Reinforcement in Place The contractor is responsible for providing protection Trott► freezi for 48 hours following the p nt of the concrete. Materials for this purpose on site Foundation/Wallpour _ Reinforcement in Place u Foundatian/Dampproofilig Backfi.11 Approval Plumbing Under S ' Plumbing Vent/Vents in Place ugh Plumbin Heating Rough-In Insulation 1► i } j Foundation Walls Interior Foundation Walls Exterior 1 v Floors R- - Walls R- ceiling R- Duct work or piping in unheated spaces R _ Proper Vent, Attic Vent *Frami Jack Studs/Headers BracingJBridgisig_ Joist Hangers Jack Posts/Main Beam V ez KMT Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Fi 7�'g� !N(� 6- �LL-� Lftl� restoppin C9Y,,.. GENERAL lMILECT'IONREPORT ( 518 ) 761 -8256 Town of Queensbury Dept. of Community Development Date inspection request received; Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arriveq�e2 ' Depart`tr� p +� Inspector's Initia NAME: M Y �7 PERN41T # — LOCATION: I� DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers j 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 F ndation/Wallpour nforcetnentin Place r ou ndation/Dampproofing..._ Backfill Approval Plumbing Under Slab Plumbing Vent/vents in Place Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior R.- Foundation Wails Exterior R- Floors R- — Walls R- Ceiling R- Duct work or piping in unheated spaces R.- Proper Vent, Attic Vent Franzen Jack Studs/Headers Bracing/Bridging. Joist Hangers Jack Posts/NWn Beam Air Infiltration Barrier �y Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL IN.S"PECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queenshury, NY 12804 .Arrive am/pm Depart Inspector's Initials v[___r. NAME: _ PERMIT 4 [� LOCATION: wl DATE C. TYPE OF STRUCTURE: RECHECK N/A NO COMMENTS Footin�;5/Piers Monolithic Pour Farm — Reinforcement in Phice / The contractor is &sppom le for providing protection from freezing for 48 hours following the placement of the concrete, 4C Materials for this purpose n site Foundation/Wallpour Reinforcement in Place Foundarian/Dampproofin Backfdl Approval Plunging Under Slab Plumbing Vent(Vents in Place - - Rough Plumbing_ _ -- Heating Rough-In Insulation Foundation 'Walls Interior R- Foundation Walls Exterior R- Floors R- Wails R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers. Bracing/Bridging Joist lianngers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire wall 2, 3, 4 hour Firestopping I have seen or observed, or believe I saw ev'rde OF ail ;'rN Y is such as houses, wells. trees, fen , etc. r r^ ; s Gocument. I aiso repres at ve a , . •, ws� re� ~ a aistances se forth oh the gram." SIGNATURE F , r Q0-4 a s- s TO ,BAY BRID (M.4C.4,o,4Ai xaelAcE) C ('7 rW 7b�tiv T�/NC /3v/i�B7 7oi�83 d 87! 43 -,Z5 •' .�'TEEET -0 L/8�1/T Q T.fZeA*ALr 1 ¢'C~ ,EtEcrerc .aox Z/Rr •DR/vE ,6U1e-.O1A1I 01 00 60 U/L ,O/A/G /Vo. 62 A014 A A �I ra ' /rdATE.e e `NLYE1 AV4AE,e -- 54.32------i MAC4 AA,y D.P/ vE 44. � e- j-,20. 00 w CATty , JO6. `S9 -- 50.00--� 0 z. 42.3- YAGEItITFToU/[.OE2S/Mc• N BVIL-01AIq A -68 /t�i4iyE • - - - - s � _ i _ 00, iA�ti96'E [o�ArEo - /a/G/Zoee N fll/uEk/Aj� ell • ,y W A A E1" 1&1ZZ t/CE • �, ,0 - ox/our _zz, ,dy CovLTER f /WCC0,eMACk, DA7ED: d4mlE ,� /,V s,V, ZV .9CouNry OFFICE o V III 2¢, 1988_ HEREBY CERTIFY TO: Arlene S. Gillman, Countrywide Home Loans,Inc. t{s:--successors and/or'assigns and to Old Republic National Title nsurance Company,that this Map was made from an actual survey, In the ground and that it shows the correct location of Building :68 and the dimensions of said building. ocr. G, 20 /P' Date Andrew T. 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