RC-000235-2015 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: RC-000235-2015 Date Issued: Wednesday, November 4, 2015
This is to certify that work requested to be done as shown by Permit Number RC-000235-2015
has been completed.
Tax Map Number: 308.18-1-45.12
2�\y
Location: 41 REVERE RD
Owner: Dave Monsour
Applicant: Dave Monsour
This structure may be occupied as a:
SFD 2584 s.f.,3-car attached garage By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance,or other issues and conditions as a result of approvals by the Director o Building&Code En rcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
qL Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000235-2015
Tax Map No: 308.18-1-45.12 �����D
Permission is hereby granted to: Dave Monsour
For property located at: 41 Revere RD
In the Town of Queensbury,to construct or place 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
Tvce of Construction
Owner Name: Dave Monsour Single Family-New $230,000.00
Owner Address: 41 Revere RD Total Value $230,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
SFD w/FP 2584 s.f.,3-car attached garage
Bedford Close,Lot 58,Section 2
PERMIT FEE PAID-TWS PERMIT EXPIRES: Monday,May 16,2016
(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 Town o ueens�' 5
SIGNED BY: /
r the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150179 Application Number: A20150179
Tax Map No: 523400-308-018-0001-045-012-0000
Permission is hereby granted to: MONSOUR ENTERPRISES LLC
For property located at:
in the Town of Queensbury,to construct or place
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: DAVID MONSOUR
53 PINEWOOD Rd Fireplace
QUEENSBURY,NY 12804-0000 -3 Cars Attached
Single
Sin ingle le Family $230,000.00
Total Value $230,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
BP 2015-179 Lot 58, House No. 41 Revere Road
Bedford Close, Section 2
Single-Family Dwelling 2,584 sq. ft. with 3 car attached garage 921 sq. ft.
$654.95 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, May 22, 2016
(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 xpiration� dat:.)
Dated at the To n of u e s 1 �•;,
ry V � y, May 22,2015
\
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
I
'PRINCIPAL STRUCTURE APPLICATION Office Use Only
DATE 3671/fc Received
Tax Map ID
TAX MAP ID �•,, 15 -I- 4? 1 ! PermitINo. 026/ 77
Pecfflit
ZONING 44` I MAY 1 8 21 Site Pla # izi3date-
HISTORIC SITE Yes No TOWN F QUEESubdivisio #
�a t,
BUIL!"ING_ _& Cry
SUBDIVISION NAME /%14t AJ C IcY Lot# ' rr 5 c�
TOWN BD.RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS,INCLUDING SINGLE FAMILY DVA/ELGS,DUPLEXES
OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/ORU {y`MMUFACTURED &
MODULAR HOMES,BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE.
APPLICANT Vli ai Oii )'/1-411/ .e 2,C'S L L( OWNER
ADDRESS 6:1) Pi it‘ iix`X:d.JL(f ADDRESS
PHONE/E-MAIL 1--) --/ '� /f�i�' (s'!.IG(e - f)�M PHONE/E-MAIL
CONTRACTOR ti(-7I Nl it - COST OF CONSTRUCTION(ESTIMATED): $ j1 3C) "?
ADDRESS: BUILDING ADDRESS: 1-/ v'c I ('vhy
PHONE/E-MAIL
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: 1)10 A10 i tSuv PHONE 4/6►.-17/3
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
New Addition Alters ion 1st floor sq.ft. 2nd floor sq.ft. Total sq.ft. Height
Single Family 58
Two-Family
Multi-Family
(#of units )
Townhouse
Business Office
Retail - Mercantile
Factory- Industrial
Attached Garage
3 /
(# of ) — 9 1
-r
Other
1
Town of Queensbury Building&Codes Principal Structure Application July 2014
If commercial or industrial indicate name of business
Proposed use of building or addition I-4u.Ak_
Source of heat (circle one) rea-S) Oil Propane Solar Other
Fireplace: complete a separate application for Fuel Burning Appliances &
Chimneys _
Are there structures not shown on plot plan?
Are there easements on the property? �'c�
Site Information
a. Dimensions or acreage of lot f 5-C acx:
b. Is this a corner lot? �(1
c. Will the grade be changed as a result of construction Yes X No
d. Public water or Private well ?t,,b`.r_
e. Sewer or Private Septic System `), L.
Value of all work to be performed (labor or materials) $ 3v,aX
DECLARATION: 1
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period.
2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department
approval.
3. I certify that the application, plans and supporting materials are a true and complete statement/ description of
the work proposed,that all work will be performed in accordance with the NY State Building Codes, local building
laws and ordinances, and in conformance with local zoning regulations.
4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy.
5. I also understand that I /we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above: PRINT NAME: i- !'dtiir(( 4o(1.7\c- k.V DATE 3/0)t
SIGNATURE: DATE ?--/-1`))I
FOR OFFICE USE ONLY
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
2
Town of Queensbury Building&Codes Principal Structure Application July 2014
SEPTIC DISPOSAL PERMIT
Office Use Only
DATE _i_Va"2 1 t 6 Received
Tax Map ID
TAX MAP ID �(,t_. I --t5 -1"15, 1 a Permit No.
Permit Fee
LOCATION OF INSTALLATION L/ I ilei?-td/P_ d (co t%e rl.t.A.-,9. Approvals:
APPLICANT �(4,3O Uy FA L(a pii S 5 LL _ PHONE/E-MAIL %'bl 17/3 je16040 50c.,-ctom
ADDRESS 53 kb:A i;kr1 yc( if)1/1 LfiZ_b_ ri l7' ia20V
INSTALLER/BUILDER: JCL/VI e, PHONE/E-MAIL
ADDRESS:
OWNER L7 CI me_ PHONE/E-MAIL
Address Ala/I' (J' 7
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: I J G(7►(!J ! Le PHONE 111.4-I !l3
RESIDENCE INFORMATION
Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow
1980 or older Garbage grinder installed Y N
1981-1991 Spa or Hot Tub installed ,*.Y _N
1992 Present 1 f ID ',it/0
PARCEL INFORMATION
Topography X Flat rolling Steep slope %slope
Soil Nature ' ( Sand Loam Clay Other
GroundwaterAt what depth? iti') r3 vVLA,kc( (. ,tLk -, d i�t.� i 0 ' tley/
Bedrock/Impervious Material At what depth? vl i/1 P
Domestic Water Supply yi Municipal Well(if well,water supply from any septic system absorption is ft.)
Percolation Test Rate: P 1,A per minute per inch(test to be completed by licensed engineering/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank Size /a tso gallons(minimum size 1,000 gallons,add 250 gallons to size for each garbage grinder or spa or hot tub)
System TypeAbsorption field with#2 stone Total length ,''L-tL ft.;Each trench le '` x (-77-
Seepage Pit with#3 stone How many: ;size
Alternative System Bed or other type?
Holding Tank System Total required capacity? Tank size _ #of tanks
Notes: 1)Alarm system&associated electrical work must be inspected by a Town approved electrical inspection agency;2)We will no longer
allow systems to be covered until such time as an As-Built plan is received&approved. The installed system must match the septic system
layout on file—no exceptions.
DECLARATION: Any permit or approval granted which is based upon or is granted in reliance upon any material representation or
failure to make a material fact or circumstance know by or on behalf of an applicant, shall be void. I have read the regulations and
agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Print Name: 36(g_.t7v15f-LV Date: %,� l LI-
Signature: Oa ilk 174l. Date: 1)n It'
6
Town of Queensbury Building&Codes Principal Structure Application July 2014
Town of Queensbury Thomas R. Van Ness
Highway Department Highway Superintendent
742 Bay Road, Queensbury, NY 12804 Home: (518) 745-0929
Phone: (518) 761-8211
Fax: (518)745-4466 David Duell
Deputy Highway Superintendent
Home: (518) 745-0938
DRIVEWAY PERMIT
Date: ,34-)/i5"
Applicant Name: NV-DA, c_-usc LL
Telephone No.: Nhl-IV 13
Address to Be Inspected: q I (Low_ .1d (%y ltY ldeot#
Return Address: 53 Ane u J Cvhy IIY lAP5/
Applicant must show exact location and width of driveway(s) to be connected to the highway by
placing stakes at the specified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The
following action has been taken:
STEP 1: ( ) Preliminary approval
NEED ( ) Slight Swale
( ) Deep Swale
( ) Level with the road
( ) Level with the top of the paved wing
Size culvert pipe to be used (if necessary)
( ) 12" ( ) 15" ( ) 18" ( ) 24" ( )36"
Preliminary inspection completed by: Date:
Approval by Highway Supt.: (or) Deputy Supt.:
Upon completion please resubmit this approval permit for a final approval.
STEP 2: ( ) Final Approval ( ) Rejected
Date:
Thomas R. Van Ness, Highway Superintendent David Duell, Deputy Highway Superintendent
7
Town of Queensbury Building&Codes Principal Structure Application July 2014
•
• Fuel Burning Appliance & Chimney Application Office Use Only
Received
DATE: 3/a-711 S Tax Map ID
Permit No.
TAX MAP ID: .IS-t- K,5-1a
Permit Fee
ZONE:
OWNER fibiL E I h( `L l-CN , PHONE/E-MAIL
Y:1.i Y '161-1773 l ,'ui CLC ti
1-Cco
ADDRESS 53 pi t Xd 6x&ey.XV AL( I a 30'4 _
INSTALLER/ PHONE/E-MAIL 4461-01
/1101120ta Ertirapli 5 eS,LLL
BUILDER
auk ,c�oC: corn
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: f a IMolft?l GY
PHONE/E-MAIL 'I kJ-171 5/Clo e_ roc,-E.co vvl BUILDING ADDRESS Li/ th'o&e AI &Licht bu 'V
ROOM OF INSTALL: 6yp64- PLANNED INSTALL DATE: �(a.rl �(�I
FUEL BURNING APPLIANCE INFORMATION WOOD COAL PELLET GAS OIL NOTE: ROUGH-IN&
J STOVE
J FINAL INSPECTION ARE
if FIREPLACE INSERT REQUIRED.
NOTE:
j FIREPLACE,FACTORY BUILT*
MANUFACTURER'S
FIREPLACE,MASONRY
INSTALLATION MANUAL
FURNACE(GARAGE ONLY) MUST BE AVAILABLE AT
TIME OF INSPECTION
*If factory built provide manufacturer name: 4�, 10 ; Model#:
Listed by: .*Lvocio, yv +4,-h3e. Number: 5e50- gd�ti
- ie i/15-fi-Jtocl b , cares c, F,y,alliri Ahiri G4AtimpIiii4ki/1Lr
CHIMNEY INFORMATION
Masonry** (check one) BLOCK BRICK STONE
Flue TIE STEEL Size in inches
Material DOUBLE WALL TRIPLE WALL INSULATED
** If non-masonry provide manufacturer name: _ ;Model#:
DECLARATION: Construction/installation must conform to NYS Fire Prevention & Building Code and/or
manufacturer requirements. 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 inspector's to enter premises
to perform required inspections.
I HAVE READ AND AGREE TO THE ABOVE:
PRINT NAME: d ✓'l.n 4.so LAX DATE: 3/2 7J/.5-
SIGNATURE:
SIGNATURE: (1 ;_b DATE: 3/a7/in"
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
Rough Plumbing 1 Insulation Inspection Report
� -fes
Inspection request received I1 ,-2,egcj
Name (V n ,Q U V Inspected on ( 2 S
Location iN Arrive am I pm
Permit No. 12-p cj_ n-k-. Inspector's Initials
Type of Structure
COMMENTS
Y N NA
Plumbing under slab
Rough Plumbing /Nail Plates
Plumbing Vent /Vents in Place
1 Y, inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
Drain /Vent
Air/ Head
5 P.S.I.or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
Insulation /Residential Check / Commercial Check —v�
Window Sealing �\ T
Tyvek or Similar Exterior Sealant l
Proper Vent,Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
Blower Door Test
Air Sealing
Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 41/
tido I�
Town of Queensbury Building &Code Enforcement Ct
Office No. (518)761-8256 NJ
Septic Inspection Report
Inspection request received: 6111112"c'
Name: M Inspected on:
a
Location: 14li Uez Arrive: a.m./p.m.
Permit No.: Inspector's Initials:
Comments and/or diagram
Soil Type San Clay
Type of WMfrAZgaLbiI4WWeII Water
Waterline separation distance ft.
Well separation distance
Other wells:
Well Casing Length 50'+/- _Y_N_NIA
[150'to well required if NO]
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches ft.
Size of Stone 2
Seepage Pits: Number
Size:
Stone Size:
Piping Size Type
Building to tank
Tank to Distribution Box ` got
Distribution Box to Field I Pit `
Opening Sealed: Y N
End Cap N
Inlet/Outlet Pipes&Baffles _N
Manholes 12"or less below grade _Y_N
[provide extension collar if Yes] _Y_N
Location I Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits L Or ft.
Conforms as per Plot Plan _
Engineer Report and As-Built _Y
ETU Maintenance Contract provided _Y_N
Location-ef-S tem on Pro e :
root Rear Left Side Right Side Middle Front Middle Rear
System Use S%/
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Septic Inspection Report
MAPN0TE5 1 V
L Boundary information shown hereon was compiled from an actual field survey
/ conducted on March 13,2019
2. North orientation and bear7rtg base permap reference 1. !%
Lands Now or Formerly of
Imn Rod \ 3. Warren County taxparcel308.18-1-X5.12.
Found Joseph A2°fini to \
4. The location of underground improvements or encroachments,if any exist,oras
Book J165 Foga 143 shown hereon,are not certified. There maybe other underground utilities, the
existence of which are unknown. Size and location ofall underground utilities must
Imn Rod be verified by the appropriate authorities The Underground Facilities Protective
Found
\ Cganiza don must be notified prior to conducting test borings,excavation and
construct
n.
\ 4'wood Fence 5,3o E ,5�tba,Ci` 5. This survey was prepared without the benef t of an up to date abstract of title.
II
t 6. Field data capture took place with an accumulated snow cover of 8"to 12" Every
Hydrant effort has been made to prepare a complete plotting of the conditions
iron 7. Repmducb'on or copying of this documentmay be a violation ofcopyrightlaw
d°
Froposed
F i1I unless permission of the author and/or copynghtholder w obtained.
Drivewa �\ 0,
\ 5B'5.x2' 2'f 8 % 8. A copy of this document without a proper application of the surveyors embossed I
\ :3.5' f �•bf Z '°'�`' -g, , I seal should be assumed to bean unauthorized copy. )'
\ Ibrmrletlon 13.3P
\ �; f �� � .T9.&EDIFEFERFIVCE
Nand Hole' L Conveyance to Monsour Enterprises,LLCby deed dated March 20,2015,filed in the
d Warren County Clerks Offr`ce on Apr l X 2015in Baok5139 ofDeeds atpage270
Found
\ 7.0' A66' �}.6 I �� Cable/ elT ephone MAPREPERENCFS.
Pedestals
I Map entitled"Bedford Close Section Two;prepared by Coulter&McCormack,dated
july7,1976,filed in the Warren County Clerks Cffrce on Olctober25,lfiMas map
number 1750.
J i j
� ti •� lr°nRod �4'woodFtee ';, Monsour Enterprises LLC BP 2015-179
N �" 4 Found Lot 58 Ho I I
use No. 41 Revere Road 1 FfV 1 8 2015
Bedford Close, Section 2 u� 3
Single-Family Dwelling, 3-car att. garage I
TOWN p=Q4J;~ vSur' r
Lands Now or Formerly of ��� 'Fr��� � i;! Bi)I ;IMG & CODES
f S F DATE R6VSONS REOORD/OESMFMON ORAFiER K� Map ofa Proposed PlotPlan
\ -A ADD"M DO DOM04W 91
Robert Francomano ' �. rrorImKVrLi'M LdldArbwor = d7af
0 1015 MonsourEntee ses,LLC
Book 614 page 689 ' =_ V !' x,3;1 APPROVFI}R74lD 2rVWNOFQUWMURY wAMWCULNswMW
_5r mr,�J
nxa - -
alaP 1.1Wn
DW Darrah.Land 5urveying,PUC
15009-2
:'' `° PRo%Mz tst 9764N0jMMomRb4dJ*dley,Now York37W
'M&Y 80LO W S4MPS M TE SURYEYOR•S 093OSSM �� •'�'�P-, �'., r'.,' Phone: ,9 1-w 4m SM9FP 10F1
SEN.NM MW2E TRUE Nro CORE=COM OF THE SUMT S SGftB:t'-!o ( l
oracac i KnRxv+o
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AA7H:3/9/75 PROM2 13W
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l;3
Rough Plumbing I Insulation Inspection Report
Inspection request received E! 1�12wS
Name 1\ACdr&zzikAY Inspected on S I Lzt\1-CA5
Location Zk\ ey s • Arrive /a am/pm
Permit No Inspector's Initials ri _mit)
Type of Structure S�
COMMENTS
Y N NA
Plumbing under slab
Rough Plumbing /Nail Plates �`
�
Plumbing Vent /Vents in Place
1 V2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
Insulation / Residential Check/ Commercial Check
`( Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent /
Door / Window Sealed (No Insulation) ‘//
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
,g Duct work sealed properly /No duct tape
Bloierer Door Test /
(Air Sealing ,/J
Town of Queensbury Building & Code Enforcement Office No. (518) 761.8256
411111111111111 Town of Queensbury Fire Marshal
� 742 Bay Road
� Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fireplace/ Stove Inspection Report
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions
or specifications is allowed.
Permit# V ` Schedule Inspection ‘,20 i Time am pm anytime Inspector
Name 1'�k.,1,R y,
-- Address ', QQ I ''J I Rough In VFinal_
Appliance Manu cturer Model# ( t O .� 1
3 _ `� —5-
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides) ‘7.
Firestop(s) Vertical Chase V N
Wall Penetration
Vent Clearances to Combustibles `1/
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve 7
Combustion Air %
Hearth Extension (if any) V
Mantel t/
Height above f/p opening
Witness Operation
Tank Placement(if LP) V
CO Detection
-1.,q1,5k...3(=-1.74- (/
CSST Bonding
White—Building Dept. Venom—Customer Pink—Fire Marshal
I
Town of Queensbury Building & Code Enforcement 8 - t o
Office No. (518) 761-8256
Framing / Firestopping Inspection Report
Inspection request received: 1 2)04_5
Name: 'I`A4Ynti_�5,Q_✓0'.),-t.v Inspected on: e(253,t(2_,akS
Location: Al Rv✓? bad Arrive: a.m./p.m.
Permit No.: ��—� Inspector's Initials:
TYPE OF STRUCTURE:
Y N NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs I Headers
Truss Specification Provided
Bracing/Bridging
Joist hangers
Jack Posts I Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in.or more
Exterior Deck Bracing
Headroom 6 ft.8 in. R. \--) c'` Z P'
Notches I Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 '/2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
Anchor Bolts 6 ft.or less on center
Ice and water shield 24 inches from wall
Fire separation 1,2,3 hour
Fire wall 2,3,4 hour
(Di
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Design Professional Sign-off, if required
Framing /Firestopping Inspection Report
MO4i
i -3
Rough Plumbing / Insulation Inspection Report
Inspection request received 6\
Name 1\4C3,M4AA.0 Inspected on j 1-4--1 215
Location /, n Arrive 2.% 1c am tfin
Permit No. 1 'D- 9 Inspector's Initials ejil\--)
Type of Structure
COMMENTS
Y N NA
Plumbing under slab
'�. Rough Plumbing /Nail Plates
Plumbing Vent / Vents in Place
11/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
Pressure Test
Drain /Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I for 15 minutes
Insulation / Residential Check/ Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent,Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
Blower Door Test
Air Sealing
Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256
Town of Queensbury Building &Code Enforcement ,.te
Office No. (518) 761-8256 �— �C an—....
Framing I Firestopping Inspection Report
Inspection request received: ql5f
' S
Name: (Y.04 SU(,C( Inspected on: /L�I�' 82 6 „ /,/
Location: 11 1 �
y , Rc� Arrive: 41101c���_ a.m.l p.m.
Permit No.: gD 15—]/-7 9 / Inspector's Initials: _
TYPE OF STRUCTURE: 5 c( 1'
S-cd-,c c2
1>n - Y N NIA
COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs I Headers „.)5.4
j
Truss Specification Provided � C.)
� ,iJ L
Bracing/Bridging
Joist hangers /4 /
Jack Posts/Main Beams
Exterior sheeting nailed properly
12”O.C.
Headroom 6 ft.8 in.
Stairwells 36 in.or more
Exterior Deck Bracing
Headroom 6 ft.8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 1/2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
A�� and water
ft.or less on center /�
ce and water field 24 inches from wall /
Fire separation 1,2,3 hour
Fire wall 2,3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in.(H)
20 in.(W)
5.7 sf above I below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing/ Firestopping Inspection Report
Rough Plumbing / Insulation Inspection Report
?- /OC(A
Office No. (518) 761-8256 Date In ction r uest received: g) , /
Queensbury Building & Code Enforcement Arrive. `c am/pm
742 Bay Road, Queensbury, NY 12804 Inspector' In' i s: ____
04,
NAME: AZ61,XcehAir PERMIT #: 1SI] 79
LOCATION: I 'K INSPECT ON: 4e111:0/,S
TYPE OF STRUCTURE: ?O — 7 J
Y N N/A
Plumbing under slab
Rough Plumbing / Nail Plates
Plumbing Vent/Vents in Place
11/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
Pressure Test
Drain /Vent
Air / Head
5 P.S.I. for 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50 P.S.I. for for 15 minutes
In a tial Check/ Commercial Check
indow Sealing l.4
yv r imilar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
Blower Door Test
Air Sealing
COMMENTS:
Rough Plumbing_Insulation Inspection_02 05 13
"F)Town of Queensbury Building & Code Enforcement \ �
Office No. (518) 761-8256
Framing I Firestopping Inspection Report
Inspection request received: 8\b12-CAS
Name: ManC-QA- ✓ Inspected on: E31,
Location: 4( e veArrive: a.m.l p.m.
Permit No.: Inspector's Initials:
TYPE OF STRUCTURE: 3f
ry NIA COMMENTS:
Framing
Attic Access 22"x 30"minimum
Jack Studs/Headers Z k , 1115
Truss Specification Provided 1
Bracing/Bridging
Joist hangers V/
Jack Posts/Main Beams V
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft.8 in.
Stairwells 36 in.or more
Exterior Deck Bracing
Headroom 6 ft.8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 1/2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft.floor trusses
Anchor Bolts 6 ft.or less on center
Ice and water shield 24 inches from wall
Fire separation 1,2,3 hour �J
Fire wall 2,3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space I Bedrooms
24 in.(H) •
20 in.(W)
5.7 sf above/below grade
5.0 sf grade
Design Professional Sign-off,if required
Framing / Firestopping Inspection Report 6. ?
Town of Queensbury Building &Code Enforcement At:),
Office No. (518)761-8256
Rough Plumbing / Insulation Inspection Report
Inspection request received: 6`be.\ I
Name: Tp,�n.5�.✓ Inspected on: �\� L"7-J;21
Location: y1 ?--wkyQ Arrive: d� • �►a.�s
Permit No.: 5 - lam. Inspector's Initials: ��O.
Type of Structure: SFdA
COMMENTS
NA
I Plumbing under slab ztk2k 11-1.3
Rough Plumbing / Nail Plates / X1,1 `I a'-- c''c
Plumbing Vent/Vents in Place / ti�st ov✓s v
1 1/2 inch minimum Drain Size ou,Y -Eo rno,vrcw\1 (11% 15�
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction _ AI
P essure Test
Dr.'.r Vent
i' Head
5 '.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation / Residential Check/ Commercial Check
Window Sealing
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
Blower Door Test
Air Sealing
Rough Plumbing/Insulation Inspection Report
57
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart. m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials/1�
NAME: r - PERMIT#:
LOCATION: e INSPECT ON:
TYPE OF STRUCTURE.-,/
Comments
Y N N/A ( �u
Footings
Piers
Monolithic Slab
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 Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
et areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
I , '
Foundation Inspection Report •
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: _ • m
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials• p
•
NAME: lqW5D1A.r ' PERMIT#: ,
LOCATION: ° ' 1 R INSPECT ON: (14
TYPE OF STRUCTURE:'-512i frG Z�/ (34-6
Comments
Y N N/A Bi` ��
Footings
Piers
Monolithic Slab
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 Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
. •• • et areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
Foundation Inspection Report
Wj I -�
c-lecex
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p Depart: ; \ a pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials-
3
NAME: MO YA.SOL,tv PERMIT#:
LOCATION: i, Yu¢NQX INSPECT ON: 6 I fl
TYPE OF STRUCTURE: Sc II
Comments
Y N N/A jczff �j , - 2 I-1S Footings
Piers
Monolithic Slab
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 Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014
REScheck Software Version 4.6.1
Compliance Cer '
1Z Monsour Enterprises LLC BP 2015-179
Lot 58, House No. 41 Revere Road
Bedford Close, Section 2
Project New Single Family Residence Single-Family Dwelling, 3-car att. garage
Energy Code: 2010 New York Energy Conservation CJ
Location: Warren County, New York MAY 18 2015 FUJI
Construction Type: Single-family
Project Type: New Construction
Orientation: Bldg. faces 45 deg. from North TOWN OF QUEENSBURY
Conditioned Floor Area: 2,596 ft2 BUILDING & CODES
Glazing Area 13%
Climate Zone: 6 (7635 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
41 Revere Road David&Lauren Monsour Ethan Peter Hall
Queensbury,NY 12804 53 Pinewood Road Rucinski Hall Architecture
Queensbury,NY 12804 627 Maple Ave
518-461-1713 Saratoga Springs,NY 12866
dave@gocif.com 518-580-1905
ephall@nycap.rr.com
Compliance: Passes using UA trade-off
Compliance: 0.4%Better Than Code Maximum UA: 470 Your UA: 468
The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Envelope Assemblies
Assembly Gross Area Cavity Cont.
or U-Factor UA
Ceiling 1: Raised or Energy Truss 2,596 38.0 0.0 0.025 65
Wall 1: Wood Frame, 16"D.C. 735 21.0 0.0 0.057 34
Orientation: Front
Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 93 0.300 28
Orientation: Unspecified
Door 1:Solid 38 0.300 11
Orientation: Unspecified
Wall 2:Wood Frame, 16" D.C. 665 21.0 0.0 0.057 35
Orientation: Right side
Window 2:Vinyl/Fiberglass Frame:Double Pane with Low-E 16 0.300 5
Orientation: Unspecified
Door 2:Solid 18 0.300 5
Orientation: Unspecified
Door 3:Solid 20 0.300 6
Orientation: Unspecified
Wall 3:Wood Frame, 16" D.C. 735 21.0 0.0 0.057 31
Orientation: Back
Window 3:Vinyl/Fiberglass Frame:Double Pane with Low-E 148 0.300 44
Orientation: Unspecified
Door 4: Glass 40 0.300 12
Orientation: Unspecified
Project Title: New Single Family Residence Report date: 05/18/15
Data filename: Y:\Monsour Residence\Monsour.rck Pagel of 7
Gross Area Cavity Cont.
Assembly Pen or R-Value R-Value U-Factor UA
meter
Wali 4:Wood Frame, 16"o.c. 665 21.0 0.0 0.057 36
Orientation: Left side
Window 4:Vinyl/Fiberglass Frame:Double Pane with Low-E 35 0.300 11
Orientation: Unspecified
Basement Wall 1:Solid Concrete or Masonry 654 15.0 0.0 0.055 36
Orientation: Front
Wall height: 8.9'
Depth below grade: 7.6'
Insulation depth: 8.5'
Window 5:Vinyl/Fiberglass Frame:Double Pane with Low-E 6 0.300 2
Orientation: Unspecified
Basement Wall 2:Solid Concrete or Masonry 592 15.0 0.0 0.055 32
Orientation: Right side
Wall height: 8.9'
Depth below grade: 7.6'
Insulation depth:8.5'
Window 7:Vinyl/Fiberglass Frame:Double Pane with Low-E 16 0.300 5
Orientation: Unspecified
Basement Wall 3:Solid Concrete or Masonry 654 15.0 0.0 0.055 36
Orientation: Back
Wall height:8.9'
Depth below grade: 7.6'
Insulation depth:8.5'
Basement Wall 4:Solid Concrete or Masonry 592 15.0 0.0 0.055 32
Orientation: Left side
Wall height: 8.9'
Depth below grade:7.6'
Insulation depth:8.5'
Window 6:Vinyl/Fiberglass Frame:Double Pane with Law-E 6 0.300 2
Orientation: Unspecified
Compliance Statement: The proposed building design described here Is consistent with the building plans,specifications, and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2010 New York Energy
Conservation Construction Code requirements in REScheck Version 4.6. d to co ly w' the andatory requirements listed in
the REScheck Inspection Checklist.
� �
Ethan Peter Hall-Architect r
Name-Title S ID ate
w
Project Title: New Single Family Residence Report date: 05/18/15
Data filename: Y:\Monsour Residence\Monsour.rck Page 2 of 7
REScheck Software Version 4.6.1
Inspection Checklist
Energy Code: 2010 New York Energy Conservation Construction Code
Requirements: 100.0% were addressed directly in the REScheck software
Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each
requirement,the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
Section Plans Verified Field Verified
# Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions
&Req.lD
103.2 Construction drawings and ❑Complies Requirement will be met.
[PR111 documentation sufficiently ❑Does Not
,0 demonstrates energy code ❑Not Observable Location on plans/spec: A-
compliance for the building ❑Not Applicable 2
envelope. pP
103.2, Construction drawings and ❑Complies Requirement will be met.
403.7 documentation sufficiently ❑Does Not
[PR3]1 demonstrates energy code ❑Not Observable Location on plans/spec:A-
14 compliance for lighting and 2
mechanical systems.Systems ❑Not Applicable
serving multiple dwelling units
must demonstrate compliance
with the commercial code.
403.6 Heating and cooling equipment is Heating: Heating: ❑Complies Requirement will be met.
[PR2]2 sized per ACOA Manual S based Btu/hr Btu/hr ❑Does Not
V; on loads per ACCA Manual J or Cooling: Cooling: ❑Not Observable Location on plans/spec:A-
other approved methods. Btu/hr_ Btu/hr ❑Not Applicable 2
Additional Comments/Assumptions:
11 High Impact(Tier 1) 12 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: New Single Family Residence Report date: 05/18/15
Data filename: Y:\Monsour Residence\Monsour.rck Page 3 of 7
2010 New
York Foundation Inspection Complies? Comments/Assumptions
Energy
303.2.1 Exposed foundation insulation ❑Complies Exception: Requirement is not applicable.
[FOil]2 protection. ❑Does Not
J []Not Observable
❑Not Applicable
403.8 Snow melt controls. ❑Complies Exception: Requirement is not applicable.
[F012]2 :❑Does Not
MV []Not Observable
❑Not Applicable
Additional Comments/Assumptions:
111 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: New Single Family Residence Report date: 05/18/15
Data filename: Y:\Monsour Residence\Monsour.rck Page 4 of 7
Section Plans Verified Field Verifled
# Framing/Rough-In Inspection
Re .ID Value Value Complies? Comments/Assumptions
&
402.4.4 Fenestration that is not site built ❑Complies Requirement will be met.
[FR20]1 is listed and labeled as meeting ❑Does Not
Q AAMA/WDMA/CSA 101p.S.21A440 ❑Not Observable
or has infiltration rates per NFRC
400 that do not exceed code ❑Not Applicable
limits.
402.4.5 IC-rated recessed lighting fixtures ❑Complies Requirement will be met.
[FR16]2 sealed at housing/interior finish ❑Does Not
and labeled to indicate&It;= 2.0 ❑Not Observable Location on plans/spec: A-
dm leakage at 75 Pa.
❑ 2
No[Applicable
403.2.2 All joints and seams of air ducts, ❑Complies Requirement will be met.
[FR13]1 air handlers,filter boxes, and ❑Does Not
111 building cavities used as return ❑Not Observable Location on plans/spec:A-
ducts are sealed. ❑Not Applicable 2
403.2.3 Building cavities are not used as ❑Complies Requirement will be met.
[FR15]3 ducts or plenums. ❑Does Not
0 ❑Not Observable Location on plans/spec:A-
❑Not Applicable .2
403.3 HVAC piping conveying fluids R-_ R-_ ❑Complies !Exception: Requirement is
(FR17]' above 105 QF or chilled fluids ❑Does Not not applicable.
below 55 QF are insulated to R-3. - ❑Not Observable
❑Not Applicable
403.4 Circulating service hot water R-_ R-_ ❑Complies Requirement will be met.
[FR18]2 pipes are insulated to R-2. - ❑Does Not
+. ❑Not Observable Location on plans/spec:A-
❑Not Applicable 2
403.5 Automatic or gravity dampers are ❑Complies Requirement will be met.
[FR191' installed on all outdoor air ❑Does Not
intakes and exhausts. ❑Not Observable Location on plans/spec: A-
❑NotApplicable 2
Additional Comments/Assumptions:
1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Ter 3)
Project Title: New Single Family Residence Report date: 05/18/15
Data filename:Y:\Monsour Residence\Monsour.rck Page 5 of 7
2010 New
YorkInsulation Inspection Complles? Comments/Assumptions
Energy I
303.1 All installed insulation labeled or ❑Complies Requirement will be met.
[IN13]2 installed R-values provided. []Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 I High Impact(Ter 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact Crier 3)
Project Title: New Single Family Residence Report date: 05/18/15
Data filename:Y:\Monsour Residence\Monsour.rck Page 6 of 7
Section Plans Verified Field Verified
# Final Inspection Provisions
& Re .ID I I Value Value Complies? Comments/Assumptions
402.4.2, Building envelope tightness ACH 50=_ ACH 50 =_ ❑Complies Requirement will be met.
402.4.2.1 verified by blower door test result ❑Does Not
[FI17]1 of<7 ACH at 50 Pa.This ❑Not Observable Location on plans/spec:A-
Q, requirement may instead be met 2
via visual inspection,in which []Not Applicable
case verification may need to
occur during Insulation
Inspection. -
403.2.2 Duct tightness via post- _cfm _cfm []Complies Exception:All ducts and air
[F1411 construction with maximum ❑Does Not handlers are located within
11 leakage of 8 cfm to outdoors, or [-]Not Observable conditioned space.
12 cfm across systems.For
rough-In tests,verification may ❑Not Applicable Location on plans/spec:A-
need to occur during Framing 2
Inspection,with maximum
leakage of 6 cfm across systems
and 4 cfin without air handler.
403.1.1 Programmable thermostats ❑Complies Requirement will be met.
[FI9]2 installed on forced air furnaces. ❑Does Not
J ❑Not Observable Location on plans/spec:A-
❑Not Applicable 2
403.1.2 Heat pump thermostat installed ❑Complies Exception: Requirement is
[FI10]2 on heat pumps. ❑Does Not not applicable.
u ❑Not Observable
❑Not Applicable
403.4 Circulating service hot water ❑Complies Exception: Requirement is
[F[11]1 'systems have automatic or []Does Not not applicable.
accessible manual controls. [-]Not Observable
❑Not Applicable
401.3 Compliance certificate posted. ❑Complies Requirement will be met.
[F17]2 ❑Does Not
❑Not Observable
_ ❑Not Applicable
303.3 Manufacturer manuals for ❑Complies Requirement will be met.
[FI18]3 mechanical and water heating ❑Does Not
equipment have been provided.
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
-------------
1 JHigh Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Ter 3)
Project Title: New Single Family Residence Report date: 05/18/15
Data filename:Y:\Monsour Residence\Monsour.rck Page 7 of 7
2010 New York
Energy Conservation
Construction Code
Energy Efficiency
Certificate
Insulation Rating R-Value
Above-Grade Wall 21.00
Below-Grade Wall 15.00
Floor 0.00
Ceiling / Roof 38.00
Ductwork (unconditioned spaces):
Glass& Door Rating U-Factor SHGC
Window 0.30
Door 0.30
Heating&Cooling Equipment Efficiency
Heating System:
Coaling System:
Water Heater:
Name: Date:
Comments
1. Boundary information shown hereon was compiled from an actual field survey
conducted on March 13, 2015.
2. North orientation and bearrngbasepermap reference l.
li,onRod^^ \ ----- - 3. Warren 8.
Countytaxparo&3018-1-45.12.
Found
\ Robert Franeomano
Book 614 Page 689Aff
\ e�
4. The location of undergroundimpmvementsorencroachments ifany exist,oras
shown hereon, arenot cerhfied. There maybe other underground utilities, the
existence of which are unknown. Size and location ofaE underground utilities must
be verified by the appropriate authorities. The Underground Facilities Protecctive
Organization must be notified prior to conducting test borings, excavation and
construction.
5. This survey was prepared without the benefit of an up to date abstract of title
6. Field data capture took place with an accumulated snow cover of 8" to 12". Every
efforthas been made to prepare a complete plotting of the conditions
7. Reproduction or copying of this documentmay he a violation ofcopyrightlaw
unless pe=Lwon of the author and/ or coppriotholderis obtained.
8. A copy of this document withouta properappEcation of the surveyor's embossed
seal should be assumed to bean unauthorized copy.
DEEDREFERENCE:
L Conveyance to MonsourEnterprises, LLC by deed dated March 20, 2015 filed in the
Warren County Clerks Office on Aprd is 2015m Book 5139 of Deeds atpage270.
N
1. Map entitled "Bedford Close Section Two'; prepared by Coulter & McCormack dated
July 7 1976, filed in the Warren County Clerks Office on October 25, 1976 as map
number 1750.
Monsour Enterprises LLC BP 2015-179
Lot 58, House No. 41 Revere Road
Bedford Close, Section 2
Single -Family Dwelling, 3 -car att. garage
FMAY 182015
']
TOVu .
6
� N
\ MAPNOTES
\ 1. Boundary information shown hereon was compiled from an actual field survey
conducted on March 13,2015.Improvements shown hereon perfield data captured
October 1,2015
Lands Now o� Former/ of 2. North orientation and beanngbasepermap reference 1
Iron Rod \ NG
Found Joseph Ini to \ sU 1`C 3. Warren County tax parcel308.18--1-45.12.Book 3165 43 L of 4. The location of undergroundimprovements or encroachments,Many exist,oras
shown hereon,are not certified. There may be other underground utilities,the
kon Rod existence of which are unknown. Size and location ofaR underground utilities must
N71 03530'B Found
be verified by the appropriate authorities The Underground Facilities Protective
200.00'
\ Organization must be notified prior to conducting test borings,excavation and
ctconstruction.
\ 5. . This survey was prepared without the benefit of an up to date abstract of title.
' \ Hydrant 6. Reproduction or copying of this documentmay be a violation ofcopyrightlaw
' Blacktop \ unless permission of the author and/or copyright holder is obtained.
Driveway\
Iron Rod \ A copy of this document without a proper application of the surveyor's embossed
Found �Vmyl Stockade Fence 7.3
\ alony1ropertyLine �\ \ y5. �, seal should be assumed to be an unauthorized copy.
\ 5.5'
X8.5'
\ Steel 3.25' Garage \ 2.0'
x Fence 12.5' •683 1
g31 Wood O
\ Frame 23.
\ aResidence� \ \
Wooden\ Paver v DEED REFERENCE
Shed \ Patio \
b� m Inground Covered w \ Conc.\ Water and Hole 1. Conveyance to MonsourEnterprises,LLCby deed dated March 20,2015,f led rn the
Pool Area ,Cone. Walk o
o \ 283 Porcl4 \ \ - shut off Warren County Clerks Office on Apri110,2015m Book 5139 of Deedsatpage 270.
Q o_ o \ 4.0 - \a Iron Rod
Gas Meter Found
N \\
/�C�a �1
0, 975Cable/Te
l pone MAPREFERENCES
Mee. � Pedesas
Usti ��
vinyl
1 Map entitled"Bedford Close Section Two prepared by Coulter&McCormack,dated
v O O Stockade 0 5�3�� July 7,1976,filed in the Warren County Clerks Office on October 25 1 a
Fence75%See,1M-- 513 00, Y tl' P
o \/ 200. \ number 1750. 7.
tD y kon Rod
�4'Wood ce L SUR " EY
t O Found
N w . QF N 1
r ARS F� /
r M p i
Lands Now r Former/ of
MSTI"M.�3 R"N DATE REVISIONS o/�scR� DR*rM MEW=r e Map of a FLr7al Survey
womnf ffSEMM 72CO
`�• Robert Francomano aUBMEM s��� imc LandsNoworFom�erlyof
O 2016 MonsourEntezprises,LLC
Dwn*UW .P"
/ ✓�'
Book 614 Page 689 APPROVED.-FaID TOWNOFQUEF.NSBURY WARRENCOUNTY,NEWYORK
p3
!. . $ :o v Darrah Land Surveyin&PLLC 15009-3
`rl�N0 PRoJ.NO.- 150�A7 3764NorthSf+Phoneore .-(518)793-4692 d Hadley,New York11835
'atr BOUMW SURVEY YAPS VM ME SlR2VE10RS Sr�r. IOFI
SEAL AFE GDKWE TRUE NW COFO1E�f COPE OF THE SURVEMS - SCALE 1-40 PROJNO.15009
OfaGNAI.NORK Nm WNW DATE:10/29/15