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98-545 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK DOCOM 30r 23 98 �� f ,�y Date iq b T'his is to certify that work requested to be done as shown by Pertnit No. 98545 has been completed. SINGLE FAMILY DWELLING This structure may be occupied as a LOT 136 ROSE LANE t.ocation PASSARELLI , GUIDO C)*vr+er TAX MAP No . 12 5 . - 9 - 13 6 By Order Town Board W'1V OF QUEE Y Director of Bldg. do Code Enforcement BUILDING PERMIT VALUE s 150000TOWN OF QUEENSSURY No. -- TAX MAP NO . 125 . - 9 - 136 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Street. Road or Ave. OWNER of property located at In the Town of Queensbury, To Construct or place a at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Gueensbury Building and Zoning Ordinance. t. OWNER'S Address Is 465 LAKE AVE . LAKE LUZERNE , NY 12846 2. CONTRACTOR or BUILDER'S Name LAMONTr MIKE 3. 45 TIPtilkICTOR HERALDr BUILDeRS SQ�UAREAddrrss QUEENSBURY r NY 12804 4, ARCHITECT"S Norm NEW YORK BOARD OARD OF FIRE UNDERWRITERS fi. TYPE of construction — lPlaase indrnta by %1 SINGLE FAMILY DWELLING l I Wood Frame l I Masonry l l Steel ! 1 T. PLANS and Specifications 2342N#. q tt SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS 8, Proposed Use SINGLE FAMILY DWELLING 301 September 9 2000 PERMIT FEE PAID — THIS PERMIT EXPIRES 19 S actor of the llf a longer period is re4uired an application for an exterwian mum f» nr xa ifr Buakllrra and Zoning IntP town of (luawnaburV before the "Olr"'I del" 9 September 1998 Dated at the Town of f]uaeftsbury this Day of 19 for the Town of Oueensbury SIGNED By Swilding and Zoninil Inspaeaor Building Permit Application Town ©f Queensbury - Dept. of community Development, 742 Bay Road, Queerssbury, NY 12804 1761-82561 �T�N BUILDING c& CODE ENFORCEMENT Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE NO. _ beginning construction. Na inspections ` will be made until applicant has received � Zoning Board Actioli. PERMIT FEE PAWWD �Y a VALID BUILDING PERMIT. All Area t Use RECREATION Fapplicants' spaces on this applicationMUST' be completed and- the signature of the applicant must appear on the QP&WnJ :g Board Actioen REVIEWED BY' p SPR / Subdivision / other Budding lnspec�tor ptication form. n�wc �,,,. Recreation Pee Payment Applicant: �G. YC / sg_y�.sr ST. c T c_ Owner: Address: 2A dc6cioLoe, Address: Phone # ( '.Z_r ems _ Phone # Property Location: .Loom f�76 ,l, sir G�r4 LI t—,+` J 4t �Subdivision Name: Tax Map .Number. Section Block trot HATU E OF PROPOSED T+iOItKa ESTIMATED MARKET VALUE OF THE V New Buildin CONSTRUCTION : $ esid Inc e / commercial Additzon o uilding : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Prim ry Building - residence / commercial _�Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work ( describe below ) Mercantile Manufacturing SEA Q 1 I other GROSS AREA OF PROPOSED STRUCTURE : © ll 1st Floor , ADDITION what will use . . � sq . ft � � ` of new addition be ? : 2nd .Floor . . . . . . . . OL-- sq . ft Other Floors . . . . . _---- sq . £ t . ( not unfinished cellar or basement ) ACCESSORY BUILDINGS * 4` Detached Garage 1 , car TOTAL FLOOR AREAS LqA14L SQ , FT , Attached Garage 1 , 2 ca Private Storage Bui ing SIZE OF NEW STRUCTURE : Commercial Storage Building FEET X (JOA FEET other Foundation Type : a vrea L, Will any second-hand or ungraded Number of Stories : lumber be used ? If so , for what ? ( habitable space only) Height ( grade to ridge ) : feet TYPE OF HEATING SYSTEM : Number of fireplaces and/or woo stove ( circle all which a 1 ' es ) to be installed : 6 22ew Electric Oil / Gaww"dii Wood CF'orce�c " OF _E / aseboard / other Person responsible for s pervision of work as regards to building codes ! so �, i=12M=.jL f61nTr. Name Addresss Phone Builder : '7, Y4y , Plumber : N'r i 11 93 r ,r' dold174 - � 7y^ Mason : ot - Electrician : DECLARAMN. Please sign below after you have carefully read the statenwnit To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy"or Certificate of Compliance being issued, an AS BUILT PLM PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: / 9Vr (owner, er's agent, architect, contractor) TOWN OF QUEENSBURA 742 Bay Rd. , Queenebury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS „ Date b , 19 � 4 Permit No . 4 /-- APPLICATION IS HEREBY MADE to the Building Dept, for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code, The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional form if more than one appliance and/or chimney. Applicant "r �e► f � '- T ,rac. . APPLIANCE (check appropriate boxes) Address7 �/"fic � , . Tom= r ❑ ST+�VE: ❑ Wood ❑ Coal o Pellet © Gas ❑ FIREPLACE INSERT Zip ;� .,o g/ 00 l REPLACE, FACTORY-BUILT: woWood ❑ Gas Phone A, d ❑ FIREPLACE, MASONRY: © Wood ❑ Gas Owner ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil Address IF NON-MASONRY APPLIANCE: Manufacturer: 5 J g Zip Model : Phone CHIMNEY ( check appropriate boxes) * EXACT ADDRESS of proposed construction ' ❑ MASONRY: ❑ Block ❑ Brick ❑ Stone apt FLUE : ❑ Tile ❑ Steel Size: inches CONSTRUCTION 1 INSTALLATION MUST IYFACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Nfodel : BUILDING CODE. CONSULT AVAILABLE Listed By : -� Number: TOWN OF QUEENSBURY HANDOUTS eobouble Wall ❑ Triple Wall REGARDING REQUIRED INSPECTIONS. ❑ Insulated ❑ Direct Venting a Chimney Liner Cashier' s Department Town of Queensbury, New York Dept: Fire Marsha! ,,,/ Amount Collected Amount Refunded Code Number Title �y A 173 3359 (190 ) Public Safety A 233 2655 i' (230) Minor Sales � '— Fee Col eted F -or Refunded to: : * ' ' • Address : Dated ; u; Town Clerk or Deputy: White: Applicant Green: Fire Marshal Yellow: Bldg. De Fink & Goldenrod: Cashier's Dept. Application fu1- LSJ '.PTICt DJSPOSAL PERMIT C) I ,oC,) tl a lrl +,I pre�l,�rly li>r i �l^t�nll:siii+i z: 8T 1� o ins ' t U sviter's 1Vulnc r— .Yj= gal ,C c 7, 71e !' I :It h l l t' N U At 111: it C)wner's Mailing Address: %a me— P!' L t' 2) SEP 98 / l • J 1:1,] s VAID Instalicr's Nnnic: �*e �^�ry� Phone Nunilrcr of heelronnts (if resicicntial ): Y iSL1 'Natal daily flow (residentlal - es,tltpute ip 150 g;tl. 1rcr bcdrot,ttr) : 2C7a 'FoFstigrnplly: ® flat 0 Rollitlg L _J Steel. Slopc 9n orsiolic Soil Nature- "s� Sand C� I.clarn Q Clay © piper /Depth: Uround Water: at what depth? feet Bedrock or lnrrcrvic,mt {rinicri :il - at wlt:tt cicpth'l rcct Purct�l:llioss 'I'csi. . Not Itcclnircd � Required/]tale nlin_ lx•r inch I}enitestic Water Supply: Munieil,n ! = Well L C1Ehcr If domestic water sul+ply is a WI `U.: water supply from any septic nhsorption is feet vLk() v0Is r, 3.) SY'"'13M: Septic Inrik: gal , (ntinitntills silc: 1 .000 gist.) "Ii1e ]Meld: each trench fcct. / total system length C2,W!50010--fcet. Seepage Pit(s): nuintrcr or / size cacti: ft. z ft. Sire or stcltse to tic used: # ! depth or thickness feet. I10L1?ING TANK SYSi` "M : (if required) Nunlhcr or tanks: Size car each: gal. Ala rat systeits ratan crssoeicrlerl electrical wpork to be itrspected by a certifier! trigenry. J or your Iarorrt:tion, lalertse ltrsre lhor Iarrrsrrrratt art Seclirart 136-29 of the [welt of[tie li wal of Qrteensbury, einy /rerttril elr ctltltrrtt•etl grxrvtled which is berseel telroar or isgrtcnrerl iaa relir+t+c'- teJruta "try utateriol ntisrepre.sentation or frtiltere to mcy Ice Cr tttateria/ fact or circum.matince knotty by or on be hit If et f att alalalirrttrr, slur/l be void. I heave rend the regulations ivillt respect to affix olplalierallotr rrlrd rtgyree to abide /a}w these and call recytrireitietrrx afthe Tozsptt ofQrieearslarery .Scrar ilia ry .Ser two Xe llisposal Orditartttce. Signature ofreslrottsib 'e Irersota: �!�`.t &-o ' Deate,' zVssr _ ___ TOWN OF QUEENSHURY BUILDING & COD9 ENFORCEMENT 742 HAY ROAD QUEENSBURY NY 12804 ( 510 ) 745_ 4r4471 r 4' FINAL I t7;I` REPO INSPECTION � RT DATE - RssrlreterxAL INSPECy+Q�N REQUEST RECEIVSi7 : "AmE /�ALML 1 LOCATION DATE TYPE OF STRUCTUR PERMIT FOOTINGS FOUNDATION ROUGH PLt7MEiING HACKFILL FRATlINC`, FINAL ELF(;TRICAI, SEPTIC I}'iSU —__ WOODSTO'VL LATIDN On PIREPLACE_ CfFIMN Y HEIGH A r S - Q H VENT }� 7. PI,UMHING VENT i EXTERIOit FINISH DECK ORC}i $ E S RA L GS RELIEF VALV S FU ACE OT WATE Op � N i INTERIOR T 2 i RIV C DOO J FIN SH PI,C0 ; i ! BATH KITCHEN WAT TIG OTHER PLO S SWE PAHL Or`HEM FLOO S CARPETE,O 5 (-b&ARA cE RA LZNcs SMOKE r'+ETECT•O S $ATHR0 FANS PLLIMHING FIXTUT Q�� AT ION�ULATION G7hltF,GE FIRE FRCHJFING AG%C}}'t CLOSERS a FINAL ELECTRICAL SITE pL.ANIVIiRIriNCE REO FINAL SURVF , _. PLAN OK TO F S S V C C) R CMG i LOT 135 C.T.v. TEL r-f, tYj l.rop post .......... 4 .................. GRAVELOT 136 1 HEREBY CERTIFY TO: FREDERIC C. &LAURIE L. ELBERT ............. Df�l ­­t. 23,434 SQ.FT. '2� GLENS FALLS NATIONAL BANK & TRUST COMPANY, ........... VE lk IT'S SUCCESSORS AND/OR ASSIGNS. 3) FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. w THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND lVy2sr sue' ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR .0 SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR LOT 134 EXPRESSLY STATED HEREON. DAVID J. BOLSTER DATE: DECEMBER 14, 1998 LOT 137 MAP OF A SURVEY OF LOT 136 HERALD SQUARE MADE FOR FREDERIC C. & LA URIE L. ELBER 7 MAP REFERENCE: TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK MAP ENTITLED "MAP OF A PROPOSED SUBDIVISION MADE FOR HERALD SQUARE SUBDIVISION LAYOUT AND UTILITY PLAN", DATED 5/29/95 LAST REVISED DAVID J. BOLSTER 10/2/96, PREPARED BY VANDUSEN &STEVES, I-S. "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY FLED IN THE WARREN COUNTY CLERK"S OFFICE ON MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A LICENSED LAND SURVEYOR 342 MAIN STREET, HUDSON FALLS, NEW YORK 12839 DEC. 31, 1996 IN PLAT CABINET B, SLIDE 85, VIOLATION OF SECTION 7209, SUB—DIVISION 2, OF THE MAP #185. NEW YORK STATE EDUCATION LAW." "ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY DATE: DECEMBER 14, 1998 SCALE: V = 30' N.Y.S. LIC. NO. 49534 MARKED WITH AN ORIGINAL OF-THE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES." DWG. NO. 98158 B RESIDENTIAL FINAL INSPECTION ]REPORT Office No. (518) 761-8256 Bate inspection request received- Building &c Code Enforcement l Dept. of Community Development Arrive am/pm Depstj cm. Town of Queensbury Inspector's Initial 742 Bay Road QueernsbM, New York 12804 NAME \�'�'", 131ERN91' # LOCATION i BATE TYPE OF STRUCTT.I ] N/A YES NO COMMENTS Chimney Heightl"B" VenvDirect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete interior/Exterior Railings 30" to 362 J terior handrails, 'Balconies, landing 18 in, or more vin tenor Handrails stairs both si ore risers f�A►i1 b �+t t� � ccC44 Aje �- Grade 2% away from foun on 8" clearance to sill plat Gas Valve shut-off posed/regulator 18 above grade Gas Furnace sltu ff within 30 feet or within line of site Oil Furnace sh -off at entrance to furnace area fq--- FurnaceMot, ester Heater opera Relief Vaj%#e(s) installed Headrooth, 6 fl. 6 in- on stairs Basement stairs, 6 ti. 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/i..andaig 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 fnreproofm Garage penetrations sealed Furnace m separate room protected (in garage) Light ventilation per room. Safety glazing 18" or less liom floor Final Electrical ` Site Plan/Variance required final Survey Plot Plan ]� As Built Septic System layout required t�f , t rjK Okav to issue CIC (Certif. of Compliance) � Okay to issue temp. C/O (Certif of Occupancy) Okav to issue permanent CIC} (Certif. of Occupancy) RESIDENTIAL FINAL INSPECTION REPORT / Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement Dept. of Community development Arrive3 . IC1 an4iP.Deflart = � Town of Queensbury Inspector's 742 Bay Road Queensbury, New York M04 NAME �� PERMIT i! LOCATION ION � DATE TYPE OF STRU TURF NIA YES NO COMMENTS Chimney Height/W' Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Extenor Railings 30" to 36" Exterior Handrails, balconies, Ian g 18 in. more Interior Handrails stairs both si 3 or more sers Grade 2% away from foundatio W. clearance sill plate Gas Valve shut ex for 111 above grade } Gas F►**�+ara shut off within 4 feet crr within line of site .� C�� Q S � �� i�or Oil Furnace shut-0ff at en ce to furnace area Furnacefflot Water Htbot7hsides opera Relief Valve(s). instal �� � Headroom, 6 ft. 6 in_ —" Basement stairs, 6 ft. Handrail exterior stair more than 3 risers Interior privacy/tiun/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 or Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofin Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing ] 8" or Jess from floor Final Electrical Site P1anfVariance required 100 Final Survey Plot Plan As Built Septic System layout required Okav to issue CIC (Cerlif. of Compliance) Okav to issue temp. C/O (Certif of occupancy) Okav to issue permanent CIO (Certif of Occupancy) FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 s I ' FIRE MARSHAL INSPECTION REPORT too REQUEST RE EIVED PERMIT # 7CF NAME LOCATION 'i j SCHEDULE INSPECTION ON AM PM ANYTIME APPROVED ' NIA I YES NO EXITS ! AISLE WIDTHS _ _ -- EXIT SIGNS EMERGENCY LIGHTIN FIRE EXTINGUISHERS FIRE ALARM SYSTEM _. FIRE SPRINKLER SYSTE -- --_ - FIRE SUPPRESSIONS TEM HOOD INSTALLATIO INTERIOR FINISHES STORAGE: -- _ -- - CLEARANCE TO SPRINKLERS _ — CLEARANCE TO HEATING UNITS c REQUIRED SfGNAGE CHIMNEY WOOD STOVE FIREPLACE — MASONRY _ FIREPLACE — FACTORY BUILT _ REMARKS. OK TO THIS DATE / llowaIF.Fua INSPECTOR FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUES EIVED .,�L-'zl - &ERMI NAME LOCATION -! ? �- SCHEDULE INSPECTION ON _0•' M M ANYTIME APPROVED N/A YES NO E EXITS AISLE WIDTHS EXIT SIGNS --_. EMERG Y LIGHTING _---- --_ -- --- I FIRE EXTINGUISHERS FIRE ALARM SYST --- FI RE SPRINKLE YSTEM _-- FIRE SUPPR SION SYSTEM _ WOOD INST LATION -. INTERIOR FINISHES STORAGE: - -- --- - - -- - - CLEARANCE TO SPRINKLERS _ CLEARANCE TO HEATING UNITS - REQUIRED SIGNAGE CHIMNEY - ---- - - - WOOD STOVE ------- FIREPLACE - MASONRY _._ _ ._._--_ FIREPLACE - FACTORY BUILT . .. ! �• _ REMARKS: " 4 wo� 1-1OK TO THIS DATE o4psup-pua /*INSPE O FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT # :6 NAME 00 ~ogec=� f _ LOCATION �G'r - / ' _ GSC— C-v + ` SCHEDULE INSPECTION ON -- - - �_ AM PM ANYTIME APPROVED NIA YES NO EXITS AISLE WIDTH EXIT SIGNS — - - --- - EMERGENCY LI TING FIRE EXTINGUISH S FIRE ALARM S EM FIRE SPRI ER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: --- CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS —_-- REQUIRED SIGNAGE VCHIMNEY L- <,40q 4A i4cf --5 - WOOD STOVE - -- r FIREPLACE - MASONRY -- ------- _ — FIREPLACE - FACTORY BUILT — - - _.•� _-_ REMARKS: _ 4I 1 "K TO THIS DATE � 4 IN9PsUP.PUB INSPECTOR GENERAL Zvff ►&CTIO,ry R� .Z. 4 5 - Town of Queensbury Dept of Community Development Date inspection request ir+ocdived0 Building & Code Enforcement 10010 742 Bay Road e Queensbury, NY 12804 Arrive am/pm Depart y a QInspector's Initials NAME: ! PERMIT # 'f&"= r LOCATION: DATE TYPE OF STRUCTURE: Of or RECHECK NIA YES NO COMMENTS Footings/i'iam I _ / Monolithic Pour Form - o ' /'V Reinforcement in Place The contractor is res )o `ble for e CJ /C? i✓ fi Lac. �4 '�G�`� 7" . providing protection framing ['cnti. ./3 u S,-7rg C'C—SP 44A5 ' 'r I , for 48 hours following placement of the concrete. C Materials for this rn.rrr►se o to Foundation/Wallpour Reinforcement in Place Foundationli3amppTtsin Backfill Appiroval Plumbing Under Slb Plumbing Vent/Ve P Rough Plumbin 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- r Vent, Attic Vent \otra Jack Studs./Headers racing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Harrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour. Firestoppin 1 FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 781-8205 FIRE MARSHAL INSPECTION REPNcYr 95 RE QU ECEIVED =f�S PERMIT # 5� NAME : LOCATION •,�� ^ y_ SCHEDULE INSPECTION ON PM ANYTIME APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS - EMERGENGY LIGHTING FIRE EXTINGI SHERS FIRE ALARMS TEM FIRE SPRINKLER S FIRE SUPPRESSIONS TEM - - - - - — - - - HOOD INSTALLATION INTERIOR FINISHE - -- L - --. STORAGE: CLEARANCE TO SPRINKLERS ` CLEARANCE TO HEATING UNITS -- - — - - REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE - MASONRY - --_ — - -- --{- --- FIREPLACE - FACTORY BUILT MARKS• � ❑ OK TO THIS DATE MPSLIRPUB INSPECTOR GEN T ] Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road _ Queensbury, NY 12804 Arrive aitli ' Depart ],-- Inspector's Initial NAME: PERMIT # LI LOCATION: DATE : 2 TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS FootingslPi,ers I Monolithic Pour Form Reinforcement in P The contractor is responsible fo providing protection from for 48 hours following placement of the concrete. Materials for this on site Foundation/Walipour, Reinforcement in Place FoundationlDampprao Backtill Approval Plumbing Under Slab Plumbing VentlVents in Place Rough Plumbing x - c i..���g Rough-In + Foundation Walls I terior R- Foundation Walls Exterior R- Floors R. ON Walls R- Ceilin,g R- Duct work or piping in unheated spaces R.- Proper Vent, Attic Vent Framing, ck Studs/Headers `� u:s '' �� �l Tii zi 0 Bracing/Bridging Joist Dangers Jack Posts/Main Beam Air infiltration Barrier Fire Separation 1, 2, 3, hour. Penetration Sealed. Fire Wall 2. 31 4 hour Firestoppin GENERAL INSPEf7"IU.N REf QRT I IIYI 1 Town of Queensbury Dept, of Community Development Date inspection request recelnved: Building & Code Enforcement 742 say Read Queensbury, NY 12804 Arrive am/pm Depxrt7 Inspector's Initials NAME: PERMTI` # LOCATION: DATE : ` +C 9 TYPE OF STR C �,Y-�) RECHECK NIA YES NO COMMENTS FootingsCPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from fuzing for 48 hours following the placement of the concrete. Materials for this se o to FoundationlWallpour _...._......... — Reinforcement in Pl _ Backfill Approval Foundation/Dam fing Plumbing ndcr ab Fl STen eats in Place cT gh Pl /��5 1'L +TZ- S ! Heating Rough4n insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Prover Vent, Attic V Jack Studs/Headers f+rR u_ i3uc ir�G *t r 3racin j Joist Hanceri rs�n 1 . rs%rFcc ' �Brs� `f�T,f +jeS Jack Posts/Main Beam ]Air Infiltration Barrier Fire Separation 1, 27 3, hour Penetration Sealed Fire Wall 2. 37 4 hour. Firestopp mg THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE r 8074614 BUREAU OF ELECTR„_M11 111 WASHINGTON AVE, SUIT TT41 ALBAN , Y 12210 Dare NOV$7 MR 10r 1999 piicarian N. on �el a 44455 .98/98 H 457083 THIS. CERTIFIES THAT FERifT 98--545 only the electrical equipment as described below and introduced by on the above application number is in the premises of TERRE MAJESTIC SN+C. , ROSE LANE LOT 1.3,6, (?UF:E'N5BURY0 NY an the following location; ® Basement ® -1st Pi. ® 2ad Pl. GAR Section Block Lot 136 was examined on NtJ 08, I and found to be in compliance with the National Electrical Code- , FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING breCKS OVENS DISH WASHERS EXHAUST FANS CUTLETS FUMMESCENT I OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 39 47 46 39 3 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS DELL UNIT HEATERS MULTI-OUS ET DIMMERS SYSTEM AMT. K..W_ OIL H.P, eAS H.P. AMT. NO. A. W. e. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO. OF FEET AMT. WATTS 1 F 1 2 11 F 3 SERVICE DISCONNECT NO. OF S E R V I C E METER NO. OF CC COND. A_ W. G. A. W. G. A. W. G. AMT.. AMP. TYPE EQUIP. 1 0 '2W 1 r 3W 3 • 3W 3 !i .IW PER ■ OF CC. CONS- NO. OF HI-LrG C HI-LEG No. OF NEUTRALS OF NEUTRAL 1 200 CB 1 X 1 410 1 2.; T OTHER APPARATUS= POST L-TTE- 1 G". F. C. X: —5 SHOIX DETECTOR: -- 7 R&T CONT. Lam_ L 2., PRATT ST. LAKE GEORGEO NY* 128415 GENERAL MANAGER 239 Per This certificate must not be altered in any manner; return to the office of the Board it incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. GENERAL 7NSPE+CTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building ,& Code Enforcement 742 Bay Road Queeasbury, IVY 12504 Arrive<V.2A 'am/pan depart i- Inspecter's Ini NAME.: PERMIT # � '-7- L.UCATION: DATE : - 2a9 TYPE OF STRUCTURE: RECHECK N/A. YES NO CC&IMENTS FootingsJ!'iers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site FoundationlWallpour Reinforcement in Place FoundationMampprooftn Backfill Approval Plumbing Under~ Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterio R- - Floors - Walls R- Cei]ing R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Brac7ing/Bridging Joist Hangers Jac&&NostsfMain Beam ufiltration Barrier Fire Separation 1, 27 3, hour 1 Penetration Sealed Fire Waft 2, 3. 4 hour Firestopping 'PnA TOIN! OF QUEENSBURY BUILDING A CODE ENFORCEMD=MIT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTI90 Name Location Date /0 - Permit # SOIL TYPE : an Loam-Clay- Results of Percolatio Test- ( if applicable ) Rat - Mi to/ inch TYPE OF SYSTEM: / ABSORP FIELD : otal L 6th 25V Length o each t ench . Depth of t nch s 3 j Size of srt,snn -I -Z'' SEEPAGE P' T5 • um er- Size - ft . x ft . Stone siz PIPING: _- e. -U Bldg . to Tank Tank to Dist . Box a Dist . Box to Field/P ' Openings Sealed ? es No Partiall LOCATION/SEPARATI Foundation to Tank3--feet Foundation to Absorption feet Separation of Pits et Conforms as per Plot Plan Yes No I LOCATION OF STEM ON PROPER ( circle ) Front Rear Left Side - Right Side Middle - Middle Rear COMMENTS : SYSTEM USE APPROVED : E NO { Arrived : Departed : Bui f ding Inspector i ff_ J »i a or Obsftvjmjw belie 3 t • , it as housm N►e15, t Ce of, ocumeaL t repr%, r , u c.' Y d ured the ACAS a Sf C foil'."} .7i1 klo RE 4501 r f f r - S - its r+7' JIr 9 S7WO ) 1908 21 - �rr ' DOSE A N F GENERAL INSPECMON REPORT Town of Queensbury Dept+ of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive-}'-ti' '" `-"Depsrtt.A'.: ,--- �© Inspector's Initials NAME: C" l i "� >` � '� PERMIT # LOCATION: _,DATE : TYPE OF STRUMURE: RECHECK NIA YES NO COMMENTS Footings/Piers 1 Monolithic Pour Reinforcement in The contractor is ble r providing protectio g for 48 hours follo ng the placement of the concrete_ Materials for this on site Foundation/Wailpour Reinforcement in Plane Foundati Approval Plumbing under Slab ... _� Plumbing Vent/Vents in Place Rough Plumbing Heating Rough4n hisulation Foundation Walls Interior R- Fbundation Walls Exterior R- Floors R- Walls R- Ceilin,g R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack. Studs/Headers BracingBridgin Joist Hangers Jack Posts(Main Beach Air Infiltration Barrier Fire Separation 1, 21 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour FirestoppIng. GENERAL INSPECTION REP©RT Town of Queensbury Dept. of Community Development Dane inspection request received: Building & Code Enforcement a Bay ury Qu eenalyttry.,, NY 128904 Arrive Depart'Hi t apectoes Uri NAME: CL PERMIT # �I LOCATION: 7 DATE TYPE OF STRUCTURE_ Z,S IF ` 7� RECHECK N/A YES NO COhOAEWTS .�P'ootingsimers Monolithic Pour Form Reinforcement in Place The contractor is responsible f providing protection fromfm for 48 hours following the p the t of the concrete. Materials for this on 'te Foundation/Wallpour Reinforcement in Plane FaundatioM7amppraofin RarirFtl ApprovaI Plumbing Under Slab Plumbing VentfVrents in Rough Plumbing Heating Rough4n 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 T Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin