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2000-937 TOWN OF OUEENSBURY 742 Bay Road, Queensbury, NY 12845902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20000937 Date Issued: Friday, April 13, 2001 This is to certify that work requested to be done as shown by Permit Number P20000937 has been completed 1 T Ma p Number:ax 523400-074-000-0002-077- 0=0000 Location: 47 SARMEN Dr Owner. GMDO PASSARELLI Applicant: MICHAELS GROUP This structure may be occupied as x By order of Town Board Single Family Dwelling TOWN OF Q ENSBII Garage - 2 Cars Attached Fireplace Director of Building & Code Eaforament TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12904-5902 (518) 761 -8201 Community Development - Building St Codes (518) 761-8256 BUIEDING PERMIT Permit Number: P20000937 Application. Number. A20000937 Tax Nlap No: 523400-074-000-0002-077-000-0000 Permission is hereby granted to: MICHAELS GROUP For property located at: 47 SARA.-JEN Dr in the Town of Queensbury, to construct or Platt 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 PASSARELLI Single Family Dwelling 176,900.00 40 LEHLAND Dr Garage - 2 Cars Attached QUEENSBURY, NY 12804 Fireplace Total Value 1769900*00 Contractor or Builder's Name f Address Electrical Inspection Agency MICHAELS GROUPNEW YORK BOARD OF FIRE UNDEI 10 BLACKSMITH DRIVE DRIVE MALTA, NY Plans & Specifications 2000-93 7 20I2 sq ft SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $270.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Sunday, January 05, 2003 (1fa longer period is required, an application for an extension trust be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Bated at the T wn o ue busy; d , January 05, 2001 SICTNED BY 40 for the Town of Queensbury. Director of Building Sr Code F n£orcement Buzzding Permit Application Town of +Q'ueensbuly - Dept. of Cmuntunlry Developrueut, 742 Bray Road, Querrarlurrrv, NY 12804 1761-82361 M��''} BUILDING do - CODE ENFORCEMENT' 1�1L, �r Li Requirements prior to issuance �+� r7 A pcsrmit must be obtained txrFara of this permit: PEfdMI?" FfLG NO. LJ I beginning construction. No inspections bl- will be rode tuitil applicant has received ) 76tibig Board Action PERAV T k PAID 3 � _ a VALID BUILDING PBR .Mir. All Arco / Usc applicants' spaces on this application RCCRLPA77L 11�• 1' f' . MUST be camplated aado the signature [] PIWming Board Acdofn REVIEWED B of the applicant must appear an the SPR I Subdivision ! Other t7rrfl<Irrt fi rrrcrnr plicakitan form, n ,�.. Recreation Fee Payment Applican t: TkF M18 ?ets Owner: Address: 4 � LZ.��y`L t 1i� AddresS r Y� � Z bane # �--(����,� �- lfhonc # { ) Property Location : �:: -244 7€ r� -e,� .� � j � L �� Number -� 71 t-, 7-[^ss et' t.L 1"ax lvfaj) i�Cunzlacr � /� Subdivision N:tmc: ..- Scctinn 131cxk t nt NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THEr New Bui ] dirig : CONSTRUCTION : $ —L residence / commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building residence / commercial .2!�_ single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work ( describe below ) Mercantil4=1F: "; = 1VED Manufactu ing ,r^� Other GROSS AREA OF PROPOSER STRUCTURE * ro{/r DEC 2 4 2000 4,.� T� r 3iJ 1st Floor . . . . . . . . �� _ sq . ft x f ADDITzoN r Ir�111; 1VCaf.?Jt] t^ 2nd .Floor . . . . . . . . s34_i ssl ,_ ft . of new additiol_.-_ .____�_� Other Floors . . . . . a - ft . ( not unfinished cellar or basem�j ACCESSORY BUILDINGS Detached Garage 1 , 2 car TOTAL FLOOR AREA ; SQ . FT . C _ Attached Garage 1 , (2car Private Storage Su din SIZE OF NEW STRUCTURE : d Commercial Storage Building .w FEET X FEET Other Foundation Type : will any second - hand or + tngraded Number of Stories : ' lumber be used ? If so , for what ? ( habitable space only') Heightrade to ridge ) : Z feet TYPE OF HEATING SYSTEM : Number o( gf .fireplaces and/ err woo stove ( circle all which a plies to be installed : � Electric / Oil / as / wood Forced Hot -.Air / Baseboard / other Person responsible for supervision of work as regards to building codes i s : 41FA41 t-2►e r,4�tt-� c�tz „��2+�.,, ti..�-+ 1vn N ai'mi e Arldre s Phone Builder t Plumber : Mason : L'a Electrician : p -zZ L>ECLAP,47702V.# Please sign below crfke`r 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 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 notcd, and that such work is authorized by the owner. Further, it is understood that I/we shall stLbmit prior to a Certificate. of Occupancy-'or Certificate or Compliance being issued , an AS BLITLT FLAT PLAN by a licensed stuve c; drawn to scale wing actual loco ion or project on premises . Si;nature: (owner, owner' . gent chitect, contractor) Application for Permit — Septic Disposal System 7biP;) ofQieeettsbmy 742 Bay Road Quivenstxirrm NY lZY04 (5 8) 761-8256 1 . OWNER INFORMATION: Location of installation: c Szr J-A- 0fficc Use Tax Map No, _._.�'_ / Z / 2`7 File PenTiit No. f i Fee Paid Owner's Name: THE ........................................................................... .... Address: 2. INSTALLER'S NAME PHONE NO- 3 , RESIDENCE INFORMATION: (circle year of dwelling, indicate ff bedroom(.). 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 w- 1991 x 130 gallbdren = 1991 — present x I10gallbdrixi Garbage Grinder Installed yes ! no Spa or Whirlpool Installed yes / no d, PARCEL INFORMATION: (circle applicable information & indicate izieasurettients) T0 o era IV Soil Nature -Cround Wat r B rock or lmpervious Material Doinestic Water Supper flat :sort at what depth at what clepth tvtturicipnl, ) Rolling loam _3c" fret feet Steep slope clay ij'wwell; +voter ,supply ____% .slope other front an septic-.s}.s eln deptlr: 'A_ ob.so,rpliun is other Percolation Test: (`Ib be crinilrletc(,t byliecFnsed pro/i,Ps.sioiietl e13,ginecr orai-clriiectf !late: _..�..... ,_ tnlnttte pier inalr 5 . PROPOSER 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 25t1 gallons to the size of tlic septic tank and leach Reid for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: 1000 gallon ('min. size 1, 000 gal.) Tile Field: each trench 4I ft. Total System Length: 1Cv2, Jt. Seepage Pit(s): nittnber of size of'cach: _ f1, by Jt, Size of S ton c to be used: N t clepth or lhic.•kne.v Bed System Size: x Alternative System: ��- - length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: N *&. I / Size of each: gallons 1 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 titre Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted ill reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on belxalf of an applicant, sliall be void. I have read the regulations with respect to tit is application and agree to abide by these and all requirements of the Ta n&61 ofCQueensb Sanitary Sewage Disposal Ordinance. 23 '7 �'Yt 6 Signature of responsible person Date TOWN OF QUEENSBURY Fee Paid _ BUILDING & CODES DEPARTMENT Permit I! � _� APPLICATION FOR : PARCHES - DECKS - DOCKS & BOATHOUSES Est , Cast A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . PLEASE ANSWER ALL OF THE FOLLO �JJNG : 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 special conditions as may be indicated on the permit . TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED WITIJ THIS APPLICATION , Owner of Property : :22tE AA 16 I �2 �'C,rt1V P P . O . Address 16 : I &Cj< p� VE Phone # Property Location __dil aznv. j-4hc. :1D0x0'-L' ln�t ~1�I " Tax Mali fl 114'- Z - 77 Subdivision Name ( If applicable ) ,���7 ==%AC off • _ PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES : - � Name : ,, , . Address Phone # BUILDING SPECIFICATIONS : Type of work to be done : Porch Deck Dock Boathouse ( Circle one ) Size of Structure to be built ( square footage ) : f'> Foundation Material : Width Thickness Depth of Footing , below grade : Size of Posts or Studs : x x Lone 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 ciLtached hereto , showing clearly and distinctly a l buildings , whether existing or proposed and indicate all set back dimensions from property lines . Show location of water supply anci location and configuration of septic disposal area . Size of Property : ft . x fte Existing buildinn ( c ) : cite ft . Size ft . x ft . Use of Existing building ( s ) : Proposed structure , distance from property line : Front yard ft . Rear Side yar cl ft . yards ft . and ft . If on corner , setback from side street : ft . DECLARATION To the best of my knowledge and belief the statcmenLs contained in this application , together with the plans and specifications Submittecl , 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 W1�Lt posed work shall be complied with , whether specified or not , and tha ' such work rived by the owner . DATE : SIGNATURE r 6 caner , Owner s Agency , Architect , Contractor REVIEWED BY CODE ENFORCEMENT OFFICER , DATE SIGNATURE 'rtrs� 3t rrl LICCfI'S11LIr\- It i QO 1 1) . 742 11as' ():tt , IILCItLV \ `1- 3'irr.• �3 :arslt:rl" s (7ffice �' , 0; 181 4) 1 -S2115 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances V,.;Otv=-q 37 Date7 Pe1 ]1) it No : ppliculion fti hereby rtrrarle to the Buildilig d C 4-1 c.s 01ii( 4, le)r the 01,41 Bleiltlirt,lr morel L�Sc "ei-o/ii pw-sm-.iw io the Now York Srure 1=ire Prevetrairlrr aml 13uP(1irry Code. 77ra applicurrr or Owner r ]; :Igree.s to comply trilh all tallplicahle lcows, ordinaric:es, ix,glrlcrrioil.�. olut rill ["lJrrClltlrl!!3' that an? 1.0a ; of tlacxc rr gaireinews and also will allow rill mspwctors to erl ev pr c'11ri.sC.� rr, perfi.l-M required rnsr�c< rioll.s . i I ,COTE to applicant: Rough-its and Final inspections are required . Applicant Information F uel Burning Appliance I ><tfori►xatior► ( circle appropriate swords) 71 7t0,V. C : avood cool pellet Kas Fireplace insert ,C--� 1 !�. c. w_ Fireplacc, factory-built : iVood D Address : Fireplace_ masonry: Wood grrs FLtrIi4icc : xvooci grrs nil Phone: _ �" , j� l _- If non-masonary applicanca, please provide Owner:._. . `�' 1/11`-'f�- � NlanufactLtcer Name: f Address Model Nulziber: cliiinney 'Information. Phone: lci1-cae appropriate rtords) Masonry 1)lock brick stone i Flue the feel size: incites Exact Address: % 'C t f ofconsrrterrion or insrallatinlr F CIprY-�L11II `I M'aiwfactLuer inure: 4 Model Number: `irate: 1_.isted t3 �r:�� Number: Construction / Instcallallon must l co77 orm to :'vrYS Fire Pre1>ewiort & Biiildbig Il-.dicate ( circle) chimney ni aterial : Code. Consult ai; ailoble Town of Qareertsbiii v [-&mdoirts regarding required inspections. Double woll Triple wall Insulated f Dir•ecr veimirg � i �C�.�Ir.�t�,.r*,� .�►�pry ��,�antt -- �''cssrrra .Gsr.31P' $r.��+e~.s�r.,e��rsza�-,fir* _Z�T".e;scrrr� Yvr� � , 1 r' t'tr , ,1lrrrslrrrl Ccatle a ti f�Il e'rcr7 ti tie Jerrrrlctl Rcc'ei rl.lrr rlr Ire;rterrrf aJ l — A 1 73 '389 f190) Public .Saf3tt ___--- a 233 2$55 f230) Aliiyor Sales White (Applicaw) Green ( lire i:arsl:al ) S"elluss• l nkik- Deer y Pink 8, Gokicitrod (C:n;hier' s Delm.) RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8236 Date inspection request received: Building &. Code Enforcementco?n!�� Dept of Community Development Arrive am/pm Deps►rtTown of Queeusbury ln.�lor's Initia 742 Bay Road Queensbury, New York 12804 NAME \ 7 11. PERMIT i # - —L LA LOCATION DAIS TYPE OF S'i NIA YES 140 CC]Mv EbUS Chimney Heightl"B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete InteriorlExtenor Railings 30" to 36 ' Exterior Handrails, balconies. landing in, or more Interior Handrails stairs bath sides 3 or a risers Grade 2°/a away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regulator 1 " above de Gas Funuy,%e s -off within 30 feet or of site Oil Fua►ace shu ff at entrance to Furnacelflot W eater operating Relief Valve(s) instal Headroom., 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. flandrxil exterior stairs both sides more 3 risers Interior privacy/trim/doors/main entrance 6" Floor Finish BaU rooralkitchen watertight Interior flandraits Balconi+esll..anding 18 it . or more Railing across window in stairwells Smoke Detectors: every leev= k every be outside edroc>rn inter connected Bathroom. fans Plumbing fixtures Foundation insulation s/4 hour fire door/door closer Garage fireprocifui9 Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room. Safety glazing 18" or ssfrom floor Final Electrical Site plan/Variance required /� ` (f&Y Final Survey Plot flan i+ As Built Septic System layout regnirecl okay to issue C/C (Certif. of Compliance) Okay to issue temp_ CIO (Certif. ofoccupancy)_ Okay to issue permanent CIO (Certif, of C7ccupax►cy) V ' �J u rl2V' f71P d f//9'L r{EPQR, c ' ,i WL 1 BOAS 1N '�ISW�cFt�skk F1R� SPR SS1€)N 'SYS "ooD Q,ISZ '`�ION t 1$QRPRIN FRS Cf "Val �' k1N1ZS ►JIRE� r�1NAG Ct11MN'� moat) s'i0'+ISONR t+� Flp,pCE - FRC�iSU1L1 - ,1NISpp�iE OY�, I,fi,p,R1C8. INSp`EC�OR GENERAL 1NSI'E TI RT ( 518 ) 761 - 8256 Town of Queensbury Date inspection request recelve& Dept. of Community Development Building & Code Enforcement 742 Bay Road art f Queensbury, NY 12804 Arrive am/pm inspector ai J*s Irtiitis NAME: f DATE : f LOCATION: TYPE OF S TRUC RECHECK Food NIA NO CO1v11v1EN'TS I N&40nolithi ur Form Reinforcement in Place The contractor is responsible for providing protection from freMing, for 48 hours followin the placement of the concrete- Materials for this n site FoundmionlWallpou Reinforcement in P FoundationfDam Baclfill Approval Plumbing Under S Plumbing, Vent/Ve in Place Rough Plurnbi Heating Ro Insulation Foundation Walls nor R- _ Foundation Walls or R- _ Floors R- Walls R_ Ceiling, R- Duct work or piping n unheated spaces R- proper vent, Attic Vent Framing Jack SttudslHeaders ]Bracing/Bridging_ Joist Hangers Jack Posts/Main Beam. Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Scaled Fire Wall 2, 3, 4 hour Firestoppin GENER,4L 2NSPE TIf7N30 REPCIRT , ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road y O� Queensbury, NY 17�8Q4 Arrive am/pm Depart pm Inspector's initials ,,t— `J NAME: _ PERMIT 4 to.7 [ LOCATION; DATE TYPE. OF STR[.TCTURE: RECHECK N/A 'YES NO COMMENTS FootingslPiers � ~ Monolithic Pour Farm Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours followin ent of the concrete. Materials for this se an site Foundation/Wallpour Reinforcement in PI FaundatiRUnder BackiilI Plumbin b Ptumbing Vent/Vents i Place Rough Plumbin Hest' Rough4n 4n Foundation Walls Into r R- Foundation Walls Exte r R- Floors ..._.._. .._ Walls R Ceiling, R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frami Jack. Studs(Readers Bracing/Bridgin Joist Hangers Jack. Pasts/Main. Beam Air Infiltration Barrier Fire separation 1, 2, 3, hour Penetration Sealed t� Wall 2, 3, 4 hour FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REoUEST RECEIVED PERMIT # +�143 NAME LOCATION t'"t ' r' � `Pr�-._ SCHEDULE INSPECTION ON AM M Ai Y"-nME APPROVED I NIA YES NO EXITS AISLE WIDTHS — EXIT SIGNS �.. EMERGENCY LIGHTING i FIRE EXTINGUISHERS �.. FIRE ALARM SYSkEM FIRE SPRINKLER FIRE SUPPRESSION SYST M ... HOOD INSTALLATION �— INTERJOR FINISHES STORAGE: 1 CLEARANCE TO S NKLERS I CLEARANCE TO H TING UNITS 7cHUIRED SIGNAGEMNEY I� I WOOD STOVE 1 E EPLACE - MASONRY ✓FIREPLACE - FACTORY BUILT - .. ; _ 1 REMARKS: ❑ OK TO THIS DATE l ;32.-r `-��l ' s it 1 i , ,Ppm INSPECTOR i GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development 'Date inspection request received: Building & Code Enforcement 742 Bay Road Arrive Queennbury, NY n De art � . 4 2 Inspector's Initials NAME: PERMIT I..C]CAT ICIN: DATE : TYPE OF STRU RECHECK NIA YES NO CQN4MENTS FootingslPiers Monolithic Pour F Reinforcement i lace The cpntracto is respo 'ble for providing prp 'on fro freezing for 48 Itpurs f lowing pl.�ment Of the concrete Materials or this on site Foundation/Wall ur Reinforcement in Foundation/Da Backfill Plumbing Under S Plumbing VentlVents Place Rough Plumbin Heating Rough-In Insulation Foundation Walls I or It- Foundation Walls E or It- Floors R- Walls R- Ceiling R- Duct work or piping; in unheated spaces - pmrovbr Ven Attic Vent Jack SrirdslElebtders Brach gMridging Joist Hangers Jack Posts/Main Beam Air hifiltration Barrier Fire Separation 1, 21 3, 'hour Penetration Sealed Wall 2, 3 hpur. tpppi GENERAL IN *PECTICIN REPORT ( 51s ) 76 �. - says Town of Queensbury Dept. of Community Development Date inspection request received:/ Building & Code Enforcement 742 Bay Road �- (Queensbury, NY 12804 Arrive am/pm �p Inspector*s Initial. NAME: PERMIT # ! LOCA7110 TYPE OF STRUC RECHECK N/A YES NO COMMENTS FootingslPiers r' ' 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 si Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Sackful Approval Plumbing Under Slab pL g Vent/Vents in Pl Plumbing \ Rough4 Insulation Foundation Walls Interio R- Foundation Walls Exteri R- Fl.00rs Walls Ceiling Duct work or piping in unheated spaces Vent, Attic Vent ming Prclack St xWHeader9 4 �. Bracing/Bridging_ 1 / L1�19 Joist Haalgers s/Ma►n Past^ Inffltr8tion Barrier Fire Separation 1, 2, 3, hotur Penetration Sealed tre Wall 2, 3, 4 hour. t ✓ frostopping try tom A j 14� ` L4 ) Vf S _ TOWN OF QUEE7IS Y BUILDING b CODE EN�OdRCEMENT 742 say Queensbury_ NY__ 12804 (519) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location 4 ���"G•' �� �Permi t Date - SOIL TY E: �o`am-Cl ay- Resul is of Per col a ' on i n ste nch� �-- ( if applicable ) Ra e TYPE OF SYSTEM: ' ABSORPTION FIELD : t 1 Length To 1f " lam' Length of each tr nc Depth of tr nches e h Size of sto SEEPAGE PITS: ' ft .ber � ----- —' Size - ------ Stone size Size ype� PIPING: r� Bldg . to Tank Tank. to Dist . Box =L�"-r- Dist . Sox to Fie' IPit � artial Openings Sealed? Yes LOCATION/SEPARAT ONS : feet Foundation to T k -- feet Foundation to A sorption et Separation of Pits es o Conforms as per Plat Plan LOCATION OF SYSTEM ON PROPERTY : ' circle one ) ft Side Right Side Front - Rear a ear Middle Front COMMENTS : 3 i 1 4 SYSTEM USE APPROVED : YE i Arri % Dep ui ding a to /f N39'36'15"W 22•20' NO CLEAR ZONE r 2000 �i CLEAR ZONE �`� r ti F EBNSBURY t}7 J\ �r � iDiNG CODES, , � iL f ' r irf'ti I zevJ LO ��•t.w""a. d w QLn f 4Zt0 r4 z r� i _ 3:in I i �(uy+, T �j�1 HA © } ' MX IS L I T 4i P ` O L w 3 N o ., 0 N - I "i have seen or observed, or believe I saw arid+ �7i t r 'E all objects such as houses, wells, tree$,, feRM shown on this dacuntent, I also reprMnt that 1 personal) ease , th is aces set forth oo r� 160.00, SJ9'36'14"E — — — --�-- --� [tENERAL rr�p1cCT1 REPORT Town of Queensbury pate inspection request receiw=ed: Depc of Community Development Buitding & Code Enforcement Depa r In 742 Bay Road Arrive arrifpin Queensbnry, NY 12MM I r' nspectos Initials PERMIT # cA©oo9 4.31 NAME: rn } CQ-}d { p __ DATE : to ©-- LOCATICIN: TYPE OF STRUCTURE: RECHECK NIA YES O COMMENTS Footi "Piers Monolithic Pour Form Reinforcement in Place The contraetor is respo b or providing, protection rn flg for 48 hours fatlowi the t Of the concrete- on site Materials for this FoundattonlWalipau Reinforcement in PI n FoundationlDam ,l�B=Ufill Approval Plumbing U S b plumbing e is in Place Rough plunihin Heating Rough4n Insulation R- Foundation Walls nteriar -- Foundation 'Walls xterlorr Floors R- Walls Ceiling Duct work, or Pilo g in R ___----- unheated spaces proper Vent, Attic Vent---- Frami Jack StudsJfleaders BracingMyi Joist Hamra Jack poststMain Beam Air Infiltration 'Barner Fire Separation t. 2, 3, hour penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin INSPECTANC ISSUE CERTIFICATES FOR THE T© BE ELECTRICAL BY EQUIP E THE cJ SrGNEDIle /�. . . SIR POLE NUMBER CjTV OR VE.LArA€ . LOT BLNI:X B'[PEET OR SECTION �,E{rr W"^T TWO ACROSS STREETS IS LOCATED• k D OcuPAI wK!!1E NI)MSER FK}ME TE= OCcuPmrs NAME 4Q wpRK TEL€PNOI'IE NUAIfiER s AND OP=FK:E ,-,'^ � THOR I C,AJRRENr ADOrnaNAL� t' n€P€cets �.:4%'e1 -" 'III tf yyapM IS Bu11lMMG NEYl1�M qLD O QHEATN A Y� lP Wfii H Y g � + ERS CIRCUITS , 'prof!Y _ NO. of MOTORS A-W.Q• NUMBER Of OUTLETS H,p, No. No Loon- Slide ARBI swl Pards+�i BuecicBi No. TWE' Each .. Tian CQAaV Wail INS OUT- SIDE SUB, BASE BASE- 111ENT 151 FL, 2rd 39d FL RE1A ' ST O LITHER ELEG:TRIGAL DEVICES NOT SET FORTH ABOVE AND ADJUST THE FEE TO COVER IMM, LISTED, YOU ARE AUTHORIZED TO MAkE 7}{E INSPECTION TICIN 1S IN7ENDEP TO COVER��HE ABOVE-LISTED EQUIPMENT 74 BE 4N5PECT%MS BUT 1. AT 75ME 41= 1N'SPECTION, THERE THISFOLI #PPLICA FOUND AD41 NAL E EQUIPMENT NOT A8 application for electricaal THE ADD STYONAL EQUIPMENT.AS PROVIDED BY THE APPLICANT. FEEDERS Applicant affirms that there is not an app SIZE OF MAINS t with a qualified electrical frispection E-APOSEV inspection pending rein- CHARACTER OF WORK L7 CONCeAhl authority, for the installation listed of exceeding one year DAME COMPLETED This application is Val fyrthe f3Dard. DATE IAfO>iK TO BE STARTED tt from the date received SERVICE EM'ERs BUILDING p UNV ERGROUNG C3 OVERHEAD MUST ; �,, 1 ' ISI �AAY . ON REOUESTEn GN'r [OR AS NEAR AS POSSIBLEI g'r�IIus-r BE ' ILS :t1f ea GATE IHSPECTt ►i�ft3 pGGLIFtAtE'y�tFOPtwtARON' ALL SPACE AAVO De►.l BY (3%VHGG FUU- Tub of kk ak Ns DATE OF APPLIGA75S7N wA ppSNT tiAfE ANo ADDRESS IlkTEL G f1t7. NAME <7F APPLICANT FLICA ` y.. iSCEN NC1.� H£ 4 AP `^-�al�p1 25P OOL:IEE STREET A6DRE55 >l '4 © � gAeriai Road CITY OR POST OFFSG'E H03 West Avenue SYRACUSE, NY 13206 on Vs. ❑ 3291 Lake Shore ROE' y fl SUITE 106 i 463-8552 yyashingt BUFFALO. NY 14259 ll ROCHESTER, NY 146i i 315} 44 VV on Street yyyy SUITE 704 WMTERS NEW YORk, Nt 1003By SUITE ALBA 7 , NY 12210 I (7i6) 827.1155 (756) 436-4460 1 ff�� (212) 227.3700 111 (516) 463-2122 THE NEW YORK BOARD OF FIRE 1.lNDE rr33Vj cTr rrJr�rJ�r�r��nrSr�r�rJ� cJ�r�rJ rJ�rJ� c nr�rJ� r.J�c rJrJ� cry rJ� *' BY THIS CERTIFICATE OF +COMPLIANCE THE EW YURK BOARD OF FIRE UNDERWRITERS S S BUREAU OF ELECTRICITY S 40 FULTON STREET ~ NEW YORK , NY 10038 SCERTIFIES THAT (j S Upon the application of upon premises owned by S S �S S FOREVER ELECIBOEL ELECT. MICHAELS GROUP MICHAELS GROUP WILLIAM D. MCPARTLON 47 SAR JEN NY 12804 2446 JAFFREY ST. , S SCENECTADY, N.Y. 12301 , Located at 47 SARA JEN QUEENSBURY, NY 12804 Application Number. 1011675 Certificate Number. 1011675 Section: Block: Lot: Building Permit: BDC: A239 S SDescribed as a Residential occupancy, wherein the premises electrical system consisting of S electrical devices and wiring, described below, located in/on the premises at: S Basement, First Floor, Second Floor, Outside, Swas inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was S found to be in compliance therewith on the end Day of 5 Name QTY Rate Ratine Circuit Tyne Alarm and Emergency Equipment Sensor 6 0 Smoke Appliances and Accessories 5 Exhaust Fan 3 0 SHydro Massage Tub, Residential 1 0 �+ Bell Transformer 1 O S CJ11 Furnace 1 0f'as ���'' 'Wiring and Devices f rrrC+++J Fixture 35 0 Incandescent Receptacle 48 0 General Purpose Receptacle 1 O 30 Special Receptacle 5 0 GFCI Switch 42 0 General Purpose SService 1 Phase 3W Service Rating 150 Amperes C� Service Disconnect: 1 150 eb S seal Meters: 1 S 1 Of 1 rThis certificate may not be altered in anyway and is validated only by the presence of a raised seal at the location indicated. S Cn[.nC n r�rJ ME�c 1� GfGJ��r:J§ Cjmr TrJ� C.I� [J arJ�rJ� cncl�rJ�CJ� Crr�Ir� c!� r_I'CJ� ct7