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98-488 JL TOWN OF QUEENSBURY WARREN COUNTYI, NEW YORK November 2 98 Date �� 98488 This is to certify that work requested to be done as 01town by Permit No. has been completed. SINGLE FAMILY DWELLING This, structure ms�LINETTE LANE l rxan�on PASSARELLI , GUIDO 0 wrner TAX MAP NO . 12 5 . - 9 - 6 4 By Order Town Bawd TOWN OF QUEENSOUF.y Director of Bldg• & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. -- VALUE $ 115000 TAX MAP NO . 125 . - 9 - 64 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to all Street. Road or Ave. OWNER of property Iocated at L in the Town of DueensburY. To Construct or place a her with pot p application together l Inns and other information hereto filed a nd at the above location in accordance to Zoning Ordinance. approved and in compliance with the Town of Ck ensbufy Building and 1. OWf4ER S Address is 465 LAKE AVEa LAKE LUZERNI NY 12846 2. CONTRACTOR or BVILIFtS Name LAMONT , 1411E 3. 4 HERACLD SQUARE or SUILCHEROS Address QUEENSBURY , NY 12804 4. ARCMITECTS friame NEW YORK BOARD NLtABoARD OF FIRE UNDERWRITERS fi. Type of C.Oneruafon — {Please indicate by X# SINGLE FAMILY DWELLING t # VVood Frame f # masonry ( # Steel t I 7. I+{..ANS and cif;ration: DWELLING WITH 2 -CAR ATTACHED GARAGE 1456 ��Z FT SINGLE FAMILY AS PER PLOT PLAN SPECIFICATIONS 8. proposed Vsd SINGLE FAMILY DWELLING August 19 2000 189 i9 S PERMIT FEE PAID — THIS PERMIT EXPIRES is rerlyired an application color of theG ion for an extene5an enact to made to the SuHdine and Zoning b"P (if a longer period enet town of Oueanrbury before the expiration date.l Day of AUgta�t 1998 19 lfd Dated at the Town of C]uee trry this nsb �� for the Town of pueensbury SIGNET] BY BulldinY end Zonlrq 1mpeCUr Bulaing ''e ll�acit` Applicat ion "^ -- Town Of Queensblll'y - Dept. ofCoapttnuniry Developmew, 742 Bay Road Queensbury, NY 12804 {761-8256] BUILDING & CODE ENFORCEMENT Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE NO, �I beginning construction. No inspections PERMIT FEE PAID $ I will be made until applicant has received Z"dng Board ACtIt. n a VALID BUILDING PERMIT'. All Area I Use RECREATT(?N FEE PAID $ applicants' spaces on this application MUST be completed and• the signature P�n� -'" r of the applicant must appear on the 0 S M REVIEWED BY. SPR 1 Subdivision I Other Building lrrs/xcror flTlication form. rb�a Y . Recreation Fee Payment Applicant: 7�_rs*.; /1 ad ew &Ts a 'r2q r Owner: Address: ._2 r �. 7].Yt y�P� 3d',,r�yy S�— Address: a 2?�� Phone # ( ) - s.' ' Phone # { _____� ss ►7 Property Location: X OT A*Ck Y 41 s,a`l"rc, La. .& - Tax Subdivision Name: _ H&xML. arGr Map Number Section Block T,nt NATURE: OF PROPOSER WORK * ESTIMATED MARKET VALUE OF THE New Huildin CONSTRUCTION : $ Z&' 4000 esldence / commercial Additio o uilding : residence / commercial OCCUPANCY iNFORMATION : Alteration to Building : Primary Building - residence / commercial �single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work ( describe below ) Mercantile AUG /0 Manufacturing Other GROSS AREA. OF PROPOSED STRUCTURE : 4 �( %4 / If ADDI`I"IONr what will use 1st Flovr . . . . . . . :� sq . ft . C? of new, addition be ? : 2nd .Flovr . . . . . . . sq . Other Floors . , sq , ft . ( not unfinished cellar or basemen ACCESSORY BUILDINGS : Detached Garage It 2 car TOTAL FLOOR AREA : Z6k�6 __ SQ . � �� /- Attached Garage II (fT car Private Storage Bui ing SIZE OF NEW STRUCTURE : Commercial Storage Bui.ldfng �( FEET X j!J o FEET other Foundation Type ** _ctLt-ram Try- Will any second-hand or ungraded Number of Stories 2L lumber be used? If Bor for what ? ( habitable space Only ) Height ( ggrade to ridge ) : feet TYPE OF HEATING SYSTEM : Number of fireplaces and,/or waodstove { circle all which ' a pl ' es ) to be installed : (� El. ectrc I Oil / Ga /Wood jced Hot �a�`ir� / aseboard / other Person responsible for supervision of, work as regards to building codes i s : T2 s; em nor, Naive Addreass hone Builder : / Plumber : tT Mason : T Electrician : DECT RAMN Please .sign belmv after you have care,/sUy 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 Cade, the Zoning Ordinance and all ether laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that Llwe shall submit prior to a Certificate of Occupancy"or Certificate of Compliance being issued, an AS BULL.T PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: Jd, ut (owner, f5vfierls agent, architect, contractor) Application For ISEPTfC LUS., OS'AL PERMIT' SUAMP RECEIVED F r y sLi / R I .cwa lion s>f I,rt2per ly I rr in%t:l l In til,il; /S£Lt_�CG 'I ,Fe,L2�_ 1�_ �7(� Qwncr"s N:tinr, �ly�+^t, T Gr�X2.G. . tV,1'.Ii�lt AEl'!' N,(!UM1131:�fL��_,.�7 r``•-'` 4 l V L]wtacr"s Mailing Address: p r2 iAt rdjLo tawsktet . VAI D Installer's Nnntc: MhY'G' U Phrinc All- W Nunthcr of bedrooms (if resida3tlin1 ): t,'� t•rr 'FoLal daily now (residetttial - ctnnl+ttic Cr 150 gal. per locdrucitll) : I'rrlxograp]ty: 11at Q H olling 91ollc n� csr $Injrc Sail Nature: 1.00091? [� Clay Other Mcytlt: Orouncl Water; at what di,*ptll? feet Bedrock or Impervitzus Nlatcriai : at Mint ciclx(It"? feet Percolaticnt 'rest: Nllt Relluired IzvquiIVO/ Late III ill. lieu inch D onlestic Water Supply: �' j k4l uttieilral © Wcll © { idler if domestic water sulilliy is a ti5lF;1__1 J. water supply from any septic alis(]rliti(itt is feet PROPOSED SY'i'17ih1 : Sc1ol're intlk: 0 glil . (rnilrinttnn sixc: I .tlt]t7 gnl.) "lilt Field: each trcncll _feet_ / te)i tl system leztglll AV QDL) fcct. Sccllagc Pit(s)! ttunzticr of / size each: ft. x ft" Size Or stone to I*c used: # / depth or thickltcss Ce ct. iIOI..IJ ING 'Ii1NK SYSI f3M: (if roquircr3) Num tic r or tanks: Size rof cacti gal. ILL, 4w� [ HiTyweltvrx erlrcl axvocierted eleclrictrl work to he inspected by it cerlifred ogetrcy. l ctr your proret:tirrn, pleeexe rxrrte thert ptrr.+rtesrtt to .Fectiwrr 136-29 of flit Code of the T'ull•sr of Qrrcenshrrry, arty perrrrit or a pprrsverl grrtlrled siphi :1r is based trirotr or is grrritled itr relierrrce trlrorr arty tit arerial onisrepreseitralioit nr frtilrere to erxerke rr material ftrct or circumsternee kltralrrr by or on hvhalfofart app tic ccrtr, shall he void. 1 hove read the regittations tkitlr respect to this er pplictrtion er/rd er,Gree to abide by these and rill requirements ofilre '1'rns•rt of{,Trreerrslsrtry .Srrrriterry Setr•rrge Dispostrt Ordinance. � d Signature ofrespotl.siVe person: / ��___ Dime: �.. ..._ _ RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: �- Building & Code Enforcement +ye y Dept. of Community Development Arrive (� _Depart Town of Queensbury Inspector's Initials 742 Bay Road Queensbury, New York 12804 NAME P # LOCATION L.., DATE - TYPE OF STRUCTURE i - N/A YE NO CON VIE_WS Chimney Height/"B" vcnt/Direct Vent Location 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 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 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 VL 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 Baiconiesll. ending 18 in. or more Nailing 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 Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or less from floor Final Electrical Site Pian/Variance required Final Survey Plot Plan Its Built Septic System layout required Okav to issue C/C (Certif. of Compliance) _ May to issue temp. C/O (Cettif. of (-)ccupancy) 0kav to issue permanent C/O (Certif, of Occupariey) RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement .-- rt Dept. of Community Deveiopment th Arrive �� A Town of Queensbury 742 Bay Road Queensbury, New York 12804 CIS CC PERMIT # NAME DATE LOCATION TYPE OF STRUCTURE4 N/A YES )d0 CG1N1NIEN17S Chimney Height/"B" VentfDirect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Intenor/E.xterior Railings 3tl" to 3CS 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 plates Gas Valve shu exposed/regul ve grade_ _ Gas F shut-o"thur eet or with' line of site i Furnace shut-off at en _ cc to fumac area I IlMaOeAp lot Water H opera Relief Valves) ' ed Headroom, s E nt s , 6 ft_ 4 in_Ia or stairs both sides more than 3risers vacy/trim/doors/main entrance 36" Floor �sh Ba m/Kitchien watertight Int 'or H=drails 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 V \ 3/4 hour fire doorldoor closer Garage ftreproofi=g Garage penetrations sealed \ � Furnace in separate room protected (in garage) 17 e Q C-,% 1 J 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 requireci -..- Okav to issue C/+C ('Certif. of Compliance) _ Okay to issue temp. C/() (Certif. of Occupancy) Okav to issue permanent CIO (Ccnif of occupancy) THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 80 73 706 BUREAU OF ELECTRICITY 111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 Irate NOVEMER 0301998 Application No. on file 44.2307981508 H 451277 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of R&F° CONTRACTING , 64 LINETTEO fQyUERN:SBURFtr. lly in the following location; ® Basement r• l !st Vl. r� 1 2nd Fl, �'� Section Block Lot ("1 was examined on OC' '�'' '�'' '�'-"�v 11 and found to be in compliance with ee National Electrical Code, FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCEN FLUORESCENT OTHER AMT. N.W. AMT_ K,W. AMT. K.W. AMT. K.W. AMT. H.P, dd 26 37 30 196 i 1 . 5 2 F DRYERS FURNACE MOTORSFUTURE APPLIANCE FEEDERS SPECIAL RECTT. TIME CLOCK$ BELL UNIT HEATERS ARULTI-OUTLET flIf4FMERS AMT. K.W. OIL H.P. GAS H.P. AMT. No. A_ W. G. AMT. AMP. AMT, AMPS. TRANS. AMT. H.P. SY$TEM5 NO. OF FEET AMT, wAns 1 F 1 30 1 3 LfiC+0 SERVICE DISCONNECT Na. of S E R V I C E METER AkrT. AMP. TYPE EQUIP. 1 0 2W 1 A 3W 3 R 3W 3 0 dW HO. OF ER 000ND. OF CC. COND_ Np. OF HI-LEC� OA.F HI-E6 NCf. OF NEUTRALS A. E G. R OF NEUTRAL 1 1 'Sd CB 1 X 1 2f(c°r 1 1 /0 OTHER APPARATUS: POST LIGH9'-1 MOTO S., 1 —2 H. P. G. .F. C. I r -6 ,SHOKE DETECTOR: —6 RUSSER2J30L ^x62 P ._ _ _ ' L L f�R2 f3C>sY i�2fis7 PLA4`T' RL7 LAKE GEORG.r: NY* 1 .2845 GENERAL MANAGER 239 per This certificate must not he altered in any manner, return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. GENERAL IN5 CTIOff REPORT Town of Queensbury nept. of Community Development Date inspection request received: Building & Code Enforcement 742 Hay Road Queensbury, NY 12804 Arrive 3=30 an Dept Inspector's Irtiti NAME: fi �,* flf�' ,�► PERMrr 4 LOCATION: (QIA L,%% L�fkBATE TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS FootingVPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the ploo ent of the concrete. Materials for this n site Foundation/Wall Reinforcement in P Foundation/D oofing_ Back App 1 Plum' u Slab Plumbing Ventr ants 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 Firestoppin s _ TOWN OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (sza) 761-3256 SEPTIC DISPOSAL SYSTEM INSPECTION .7 Name C �— Location ©ate Permit W SOIL TYPE _ aid•? -Clay- Results of Percolation Test- ( if applicable ) Rate- Minute/ Inch TYPE OF SYSTEM: ABSORPTION FIELD : Total Length ` Length of each trench i-{�� Depth of trenches + Size of stone - - SEEPAGE PITS : Number- Size - ft . x ft . Stone size PIPING: - Size ype Bldg . to Tank 11 Tank to Dist . Box Dist . Box to Field/Pit - Openings Seal d ? s o Partia LOCATION/SEPA TI Foundation to n 1(- t- feet Foundation to Ab P ti on __ �-r feet Separation of P is feet Conforms as pe Plot Plan No LOCATION OF S TEN ON PROPERT4 ( circle one ) Front - Rear - Left S16e_ Right Side Middle Front- M .d a R__ear COMMENTS : SYSTEM USE APPROVED : YES NO Arrived : r, Depa u ' dlhg ini3475thr 411YETT E LA IE lot , 1 Qs TOWN OF QUEENSBURY BUILDING A CODE ENFORCEMENT 531 Bay Road Queensbury NY 128G4 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location _ � cl c Date 91 Pk Permit #� SOIL TYPE : Sand- Loam- Clay- Results of Percolation Test- ( if applicable ) Rate-Minute/ Inch TYPE OF SYSTEM: ABSORPTION FIELD : Tot gth Lengt >PITS ren Depth os Size of k SEEPAGEumbeSize - t . x ft@ Stone s PIPING: Size Type Bldg . try T nk Tank to D st . Box Dist . Box to Field/Pit Openings Sealed ? Yes No al' rtial LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY : ( circle Front R - Left Side - Right Side Middle ront - Middle Rear COMMENTS : SYSTEM USE APPROVED : IYES NO Arrived : s) L4 Departed : ' - Building Unpector (518) 761-8256 TOWN OF VUEENSBURY BUILDING 6 COOE ENFORCEMENT 742 SAY RE) „ QUEENSSURY NY Z2804 y r INSPECTOR ' S REPORT: ARft 7' }.�"' REQUEST �e--1..� DEPART��_ FOR INSPECTION RECEIVED : NAME - �'�a'�t".,I.� LOCATION �+'� f DATE PERMIT 1 TYPE opSTRUCTURE : �� RECnECK A PROVED NGS ,RS _. ES N llob!03+�TT41C�FO r.� . EY�I- j3 FMENT ;N n C THM CONTRACTOR �--�. PROVIDING TOR IS HEBpONSIBLE FOR FOR ie HOURS FOL2'ION FROM LO FREBgING MENT OF THE Co CRET.BNG TN$ PLACE_ E S HIS URP - N S E D NDA ON WA L OUR �- REI LA FOUN ION DAM ROOFING BACKS+PP OVA _ Pr T MB7 JENTJV N S LACF_' ROUGH PLUMBING P UM NG UNDE SLAB FBAING : ----. p n�_S TIJ D._ S i me A DE RS -zy`��ST -_R[YGER'S IN J C O S UP LT ---~I=ATIri1u t[eti LZEATIQ�R NSUL TIp OUN ATION WA F--ati+a?iAT*ON pt .I'� INTE R R- O ES[TERIpR_ L ING R- 'DUCT WORK OR PIPING IN UNNEAT D SPA ES `�� GENERAL, INA CTLro�+ REPQRT Town of Queensbnry Dept. of Community Development Date inspection request received: Building ,& Code Enforcement 742 .Bay Road Queensbury, NY 12804 Arrive or' - NAIVIE: PE LOCATION- DATE -- TYPE OF STRUCTURE: RECHECK N/A NO [`gyp g Footings/Piers � Monolithic Pour Form Reinforcement in Place The contracwr is responsible for Providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site FoundationlWallpoor Reinforcement in Place Foundabon/Damppr,00fing Backfill Approval Plumbing Under Slab Plumbing Vent(Vents in Place Rough Roug n Heating ti Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces Proper Vent, Attic Vent Framing Jack Studs/Headers BraJoist anger gin Joist Bangers HQ►L1� L" �'� t W Jack Post.S/Main Beam C-�TT�'1 C1 hJ `� 1 'ts Air infiltration Barrier V 5Vl VAIC\w) Fire Separation 1, 2, 3, hour � �' F.` Penetration Scaled �'C" Pl[4 Fire Wall 2. 3, 4 hour Firestoppin GENERAL W,SPE+CTI EV REPORT Town of Queensbury Dept. of Community Development Date inspection request received* Building ,& Code Enforcement 742 Bay Read Queensbury, NY 12804 --- Arrive . pin Depart Inspector's Lnitlals NAME: V RMIT # LOCATION: TYPE OF STRUCTURE: ATE RECHECK Footings/Piers N/A YES NO COMMENTS � 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 PIace Foundation/Dampproofxn Backrdl Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing heating Rough-In \'Insulation Foundation Walls Interior R. � 1�' cAl } Foundation Walls Exterior R- Floors R_ Walls R_ Ceiling R_ t~� ► i fl�'S� Duct work or piping in N t'� ► r3 unheated spaces R- U rT ,Oroper Vent, Attic Vent ✓Fra.ming Jack Studs/H 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 .LN PECTfUN REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road ~� , Queeusbury, PITY 12804 Arrive am/pm DepartG' ..." Inspector's Initials NAME: CC. PERMIT # '� LOCATION: DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS FootingsJPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection m frees for 48 hours follo g the place ent of the.concrete. Material or purpose to Foundatio Reinforcem i Place oundatio np kfil.l 1 Plumbin rider Slab Plumbing Vent/Vents in Place Rough Pl Beating 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/Bridgin Joist Hangers Jack Posts./Main 73. 1ho"ur Air infiltration Barr Fire Separation 1, 2 Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INS�PECTfC1N REPORT � � Town of Queensbnry 12 �/� Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road G Queensbury, NY 12804 Arrive am/pm Depart Inspector's WWL**b Q i� NAME; PERMIT # LOCATION: DATE TYPE OF STRUCZJRE: RECHECK NIA YL NO COMMENTS tings/Piers Woo 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/Walli ur Reinforcement in PI F'oundationlDam Hackfili Approval Plumbing Under Slab Plumbing Vent/Vents in Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior - Foundation Walls Exteri R- Floors Walls R- Ceiling, R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frarnin Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin