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2003-914 f' TOWN OF QUEENSBURY, . 742 Bay Road,Queensbury,NY 12804-5.902 (518)761-8201 Community Development-Building&Codes (518)761-8256 FI ATE OF OCCUI,C EIRTI C Permit Number: P20030914 Date Issued: Friday,April 23, 2004 This is to certify that work requested to be done as shown by Permit Number P20030914 has been completed, Tax Map Number: 523400-296-005-0001-024-000-0000 Location: 12 HIGHPOM Dr Owner: GUIDO,PASSARELLI Applicant; GUIDO PASSAItELLI This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage-2 Cars Attached Single Family Dwelling 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: P20030 914 Application Number: A20030914 Tax Map No: 523400-296-005-0001-024-000-0000 Permission is hereby granted to: CT1JTD0PASSARETJJ For property located at: HIGHPOINTE Dr 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: GUIDO PASSARELLI Fireplace 465 LAKE Ave Garage-2 Cars Attached LAKE LUZERNE,NY 12846-0000 Single Family Dwelling $200,000.00 Total Value $200,000.00 Contractor or Builder's Name f Address Electrical Inspection Agency Plans&Specifications 2003-914 LOT 17 HSE#12 I-HGBPOINTE DRIVE 2024-SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $300.48 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, November 05, 2004 (If a longer period is required,an application for an extension must he made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To 5 euspb �, Zn day., November 05,2003 SIGNED BY 7� for the Town of Queensbury. Director of Building 8Xode EKnftorcem' ent Town ol'Cluecnsbury—I_)cpt o(*Connnurlity Developnlerlt, 7412 Bay Road, QUeellsbury, NY ` (518)76 1-8256 _ } A permit boll be obluinc(1 bcti,rc i)ct iuttsnt,coustruclioil. I'crulit bile No. NO inspection will t)c nla(Ic unlit apl)Ilcitltt has received it FCC Paid �valid building iaerntil. All applicants' spaces t)ll tiais . application must m ust be eol)icicdn(I a ttlusl appear olt tile Rec. 1�cc Paid e applications 1161.111. Rcvicwcd 13 � l:',•Atp �s 1CJ�oy Applicant: O\vncr: Address: g �T q_Qd Address: 1'hollc//{ — Propcity Location: Lol NU1ltbCr: /7' / Mouse:Nuntbcr Subdivision Nantc: Tax Map.Nunx er: old U New Building: �/con)lncrci.al 1350111 red I\-Ialt•I(CI Value of C(nlslructiort: ,6 ai l u Addition: residetice/ commercial If an Addition, what will use OI llc\v addition bc'l U Alteration: residence/ conuncrcia! U No change to exterior size: residence/corat'I U Other work(desel ibe ) C: lecl( UCclt})auc3'Itifot'utattoll 1' hlaor 2"'n i+'lour Other _r floor Total I3('1111Y sq. Ct. sq. ft. sq.It. ,Square beet Single family dwelling _ a '.0 U 'Two litliily dwellirtm U I'ownhousc �` U �Multitirlrlily dwelling it orunits U Office U Mercantile u Mtintlficluril _ U I car detached garage -_ U 2 car cdetcrehed garage 4 3 cat-ctetached garage — U I car:tttuchetl garage -- tc2 car ait:tched garage _ ' c�. U 3 car ttttache(I garage — - t o Storage building- Commercial U Storage building- residential U Other Will any second-hand or ungraded lumber be used?.If so, for what? ------------- Type of l Icaling Sysicill: electric/ oil 1 gas wood / reed Itot air baseboard/other: Nuntbcr of Firept(rees to be installed y)c; 'Number of 1110odstavcc to be installed List below tits pci-soii(s)t-espol)Sit)le for Sul)ervislUnregards-to()'work as bitilditig Codes: a� Name Address' I'honc Nuntbcr Builder �/1t'IS'F. Plumber Mtlson Electrician Declaratiom pleast:sign below after you!rave ctu'etiltly rend the slatcrucili: -To the best of my knowledge tilt stalcntctits contained it) this application, together with the plans anad specillealiotts submitted,are a uue and coulple(c stalenicitt of all proposed-work to 1)c done Ou the described premises mud that all inovisioits of the t3uiltling code, the Zoning Ordinance and ,it other Saws licrtaini/tg to the proposed work 511a111 be complied With, whether specified or noted,and that such work is authorized by the owner. huritler, it is understood that I/we shall submit,prior to 11 ccrtilieate of Occupancy or cetlificale of Compliance lacing issiicd;as retiuestetl by Ill Zoning lldntinisGalor e 1)ircclor of 13uildialg and Coles,an As ttrtitt Sirr•rel'by a licensed surveyor;dranvn lu'scale,sliowing actual lucaliole of all new cuuslructiotl. Signature: �� �! t%/lsy '� owner,owner's agent,ttrchilnct,ccnlractor i Application fot• Pem"Hit—Septic Disposal System 1'vtvtt gfQue.ensbwy 742BiiyRoud Qrreerrsbrrry, NY 12804 (5-18) 761-8256 L OWNER INFORMATION: �. .........._._..........................................�.. .. 7 Location of ittst<zllatiou:�p7"-'s'/�' �j�©tom � Office Usc" Y_ Cc-- 'Tax Map No. / / Fite Permit N_ Z()� Owner's Name: T Y'Y�? r Fee Paid V Address: 2. INSTALLER'S NAME j PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, irrcliccrte li bedroorri(v) and ritultiply 11 cif bedrooms with applicable gallons per beclroom to equal total daily flow) Year of House: No. of Bedroor is x om utatioii = 'Total Daii . Flow 1980 or older x 150 gal/bdun = 1980— 1991 x 130 gal/bdrrn = 1991 —present x 110 gal/burnt = Garbage Grinder Installed yes / no // Spa or Whirlpool Installed yes— / no 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) To 413�t_I��iy it Na uro Grotutd Water Bedrock or Impervious Material _Uotii�stic Water Strp�ly plat sand crt tvlrat depth at what c!e/ith rrrnicipc� o ling oam cet Steep.slope clay if well; tvutersrcpply —%slope other fi•otrr tiny septic-system depth: absorlrtiorr is fl. Percolation Test: (I'o be completed by licensed professional engineer or architect) outer Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(tmless installed hill Planning t3oard approved subdivision). Add 250 gallons to the sire of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: I d2,2 ep gallon (rnirr. size 1,000 gal.) Tile Field: each trench L-T-© fl. Total System Length: p it. Seepage Pit(s): number of size ofecrch: fl. by fl. Size of Stone to be used: 11 �- / depth ar thickness__ feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons N91e: Alann System and associated electrical work must be inspected by a Town approved electrical inspection agency. . 7. SIGNATURE 8c INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on belialf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature -esponsible person /1?� J::IIr''tGY CODE COJIPLIA.NCL' APPLI CAT loll tJPJeI OF QUEENSBURY, WARREN COUNTY 1- 9000 HEATING DEGREE DAYS 03 NI�� Cutu�liancc Iletllo0s : PAIt.`1.' 5 - Acceptable 'Practice Method _ !t,,z� � 1&2 PaIllily Dwellings (only) LIIeLlttal RatilIg -- Coluponept lz��(, O.I:;I s, 1&2 T'dlltily Dwellings, 1iu`lt ,;Fanlily� ter' Dwellings ( 3 stories on�VesbT PA11,11.' 4* Design by Compolient PerLoruiauvb—�-- . C011ullercial Buildings-IIi Izise tt6191d`inrtia,l, - *Itecluires submission Of* worksheet's y AP ;'LI:CTUNT1 NIItIU PROPERTY LOCATION: 41A l it 4 sr", -APT017 V 36 c2 k , I'll It.'_j 14E`l'1101) OF COMPLIA1ICI BY ACCEP`.C'AI3LE PltAC'.L'ICE: 1 . Gross Flao.. Are;'. - �pn?�j square feet 2 . Ty*Je of- H( It: - _ � Electric Oil !r' (;as Other 3 . is buildiijg IuechalliCally cooled? Yes t NQ 4 . Percentage of area of windows and doors Over 17% _ZUnder 17% 5 . I?-tT 1LUE5 FOR IrISUE,II`1'ION GIVEtT BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLAITS SU13I.1ITTED: a . Rout L1 b . Exterior walls R R c . Glared areas It R jr,Al d . CxteriOr dca'Ics It. p, e . Floors over unheated spaces' R Edge of slab on grade (heated building) 1z G . Basement/cellar walls (above grade). R h. . Bo sement/cellar walls (below grade) i . 11, at i.11g/coulii1CJ-ducLs-pipj-'ng in unheat cd space lt, �- G . Se=vile- (dultiestic) hot water heat- na device Colif7:01:111s to. luill1111um efficiency per cods � Yes. No 'Z.EMPE".I\'3.'U1tl:. COUT11.01.. 1.1.t MIUM SETTING 1400 -- WILL NOT 13E EXCEEDED Apo= . II ,�r 1�2 j7 a vC Pho11e Number f IDISP C'O Z.' S REMARKS . Fire Marshal's Office - Town of'Queensbui-y,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas .appliances Date A) 20 Permit No.aw J- 14 Application is,hereby made to the Building& Codes Office.for the issuance of 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. K_" NOTE to applicant: Rough-in and.Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: Stove: wood coal pellet gas Fireplace insert Fireplace, factory-built: wood Address: Fireplace, masonry: wood gas Phone: Furnace: wood gas oil If non-masonary applicatice, please provide Owner: Manufacturer Name: Address: Model Number: Chimney Information (circle appropriate words) Phone: Masonry block brick stone Flue tile steel size: inches Exact Address: f,_,^:)J I of construction or installation Factory-Built Manufacturer name: Model Number: Note: Listed By: Number:-- Construction lInstallation must eon f orm to.NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbui3, Handouts regarding required inspections. Double wall Triple wall 1 Insulated Direct venting Chinine),Liner Fire Marshal Code# $Collected S Refunded Received.fivin (refunded to): ld address: r­ A 173 3389 (100) Public Safety A 233 2655 (236)-Minor-s-ales— D,4 TE: White(Applicant) Green(Fire Marshal) Yellow(Bldg. Dept.) Pink&Goldenrod(Cashier's Dept,) I i Town of Queensbury Fire Marshal 742 Bay Road a Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built gas Fireplace/ tove Any ection ftort Notice:New Fork State requires that all IL]Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.N eviation fra�n�xnanufacturer's instructions or specifications is allowed» J'PZ"" permit# �3�1 Schedule Inspection � 4 TimeC� am a tytin:e Inspector Name a;�'r=t-flc Address �" f Rough In Final D ,J Appliance Man adore 1 Model# 4 Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Fl� j)U ���`�Clearances to Combustibles (all sides) A., Fire-stop(s) Vertical Clause Wall Penetration Vent Clearances to Combustibles 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 Combustion Air Hearth Extension(if airy) Mantel ' Height above f/p opening 'Fitness Operation Tank Placement(if LP) White—BuNingDept. �� Yeilow Cust r Pink—Fire Marshal Residential Final Inspection Office No. (518)761-8256 Date Inspection request received: ...............Ile .. .......... Queensbury Building&Code Enforcement Arrive: am/p art-: 7'�)r-A/pni 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PEIUMIT#-, LOCATION: DATE: 7 TYPE OF STRUCTURE: f Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Rai Lings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. V Handrail Termination at Nowell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating -Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected:- ' I Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor tr-ass,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 1/4hoi-ir fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht,)In accessible area Crawl Spaces 18"x 24"access, I sq.ft.-150 sq,ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept,Inspection Sticker Flood Plain Certification, if required Okay to issue C/C(Cert.Of Compliance) Okay to issue Temporary C I 0(Cert.Of Occiipan Okay to issue Permanent C 0(Cert.Of Occupan y) L:\SueHemingN%,ay\Building.Codes.Inspectioji.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 • Queensbury Building & Code Entorceinent - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm De art: am/pm Date Inspection request received: Inspector's Initials: NAME: '1 , PERMIT#: CL3 LOCATION: ` DATE: TYPE OF STRUCTURE. Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location ' Fresh Air Intake( 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in.or more P,stairs,decks,patios a Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more i 7" Exterior Finish Complete ecz/n Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %2" Gypsum Grade away from foundation 6 in.with 10 ft. �t Handrail Termination at Newell Post or Wall (n� 6 inch clearance to sill plate v"`c15 Gas Valve shut-off exposed/regulator 18"above grade .51 J A Gas Furnace shut-off within 30 ft. or within line of site ( � l Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety lazing/Window in stairwells safety glazing Interior Smoke Detectors: �C C d►�.17(IJ�- t7 P��t3 V `� ' Every level: i Every Bedroom: Outside every bedroom area: G/� Pe- Carbon Inter Connected: / Batter backup: I t/1 Monoxide Detector -.- Bathroom Fans, if no window Plumbing fixtures .--- ------~ Foundation insulation I. 1 I`L �� Floor truss,draft stopping finished basement 1,000 sf �hV lj un�I� (�� r Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft,150 s . ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/Ci Temporary/Permanent] L:\PamW\Building&Codes\Inspection Forms\Res. 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IRON ROD SET cu� UTILITY POLE OOGO STONE WALL -- BARBED WIRE FENCE • POINT W.F.P. WOOD FENCE POST -ohw- OVERHEAD WIRES n/f NOW OR FORMERLY i NOTES: 1) THIS SURVEY WAS PREPARED BENEFIT OF AN ABSTRACT Of THEREFORE SUBJECT TO ANY COVENANTS OR RESTRICTION', ANY STATEMENT OF FACTS S WOULD DISCLOSE. 2) UNAUTHORIZED ALTERATK N t MAP BEARING A LICENSED U VIOLATION OF SECTION 7209, SUB -DIVISION 2, OF THE NEW YORK STATE EDUCATION LAW. 3) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. MAP REFERENCE: MAP ENTITLED "MAP OF A PROPOSED SUBDIVISION MADE FOR GUIDO PASSERELLI, ROUND POND SUBDIVISION SITE PLAN" PREPARED BY VANDUSEN k STEVES, L.L.S. DATED JUNE 24, 1993 1 ACT DC\ACrr% CCOTCiLJGCO 00 1(l93 ARREN COUNTY CLERK No. 86 I HEREBY CERTIFY TO: 1) LESTER V. FELTON III k BARBARA A. FELTON 2) FIRST FRANKLIN FINANCIAL CORP., ITS SUCCESSORS AND/OR ASSIGNS 3 FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY COMPLETED ON MARCH 25, 2004. THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR EXPRESSLY STATED HEREON. DAVID J. BOLSTER APRIL 12, 2004 Residential Final Inspection Office No. (518)761-8256 Date Inspection request received: Enforcement Arrive: arn/ rt: �- *'7 Queensbury Building&Code Enf epa am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: .1" PERMIT#: 3 LOCATION: 01— DATE: TYPE OF STRIJC Comments Y ,/ N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more j Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in. to 38 in. Platform at all exterior doors IAI 91 If 416 Interior Handrails stairs 2 or more risers V0, 01 Grade away from foundation 6 in.with 10 ft. V111 Handrail Termination at Newell Post or"Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 3 0.ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler t/ Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Bathroom Fans,if no window I Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf V Emergency egress below grade Basement stairs closed rise>4 inches 3/4hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq.ft.-159 sq. ft.vents Building No./Addrpp vi4ble from rpAd Final Electrical , Site Plan /VariaJA re wire Final Survey Plot Plan L/ As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert.Of Compliance) Okay to issue Temporary C/0(Cert. Of Occiipancy—) Okay to issue Permanent C/0(Cert. Of Occupancy) L:\Suellen-dfigNvay\Building.Codes.Inspection.I,ORMS\Res.Final Insp.form 2.doe edited January 728,2003 1 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fire la e/ tove Ins ecti n lie ort 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§p ations is allowed. C II 1 �lv Permit# -� � V Schedule Inspection '' v Time am pin anytime Xnspector` Name Address Ui/4 / r, Olee RoughYet �I+ nal Appliance M anuf cturer Model# Direct Vent z Factory Built Chimney Flue Size Double Wall Triple Wall Instalatesi Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet alcove roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening "Witness Operation Tank Placement(if LP) White—BuRding Dept. WHO C-. er Fink—Fire MarAalE 76 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date'Inspection reques ive Queensbury Building&Code Enforcement Arrive: a pm e aq r - an pm 742 Bay Road,Queensbury,NY 12804 Inspector's In* D- I,-,�'k PERMIT#: NAME 9— -V, (--11- r INSPECT '1%;�—!q—rj17j LOCATION: 1.14114tr �y -- TYPE OF STRUCTURE:URE: 7 N N/A PVC: R-1,R-2,R-3,R-4 Drain l Vents Cast Iron,Copper Drain/Vent 1 Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Dfain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water S;Oply Piping C4per Commercial Co per,CPVC,Pex One&Two Family ✓ lation/Residential Check/Commercial Check Proper Vent, Attic Vent Duct/Hot Water PipingInsulation If required unheated Taces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: 70C -L:iSueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Framing /Firestopping Inspection Report tc eDate Inspection req Office No.{518 761-8256 ~Queensbury Building&Code Enforcement Ai-rive: p a rt:- ' = 742 Bay Road,Queensbury,NY 12804 Inspector's Initia NAME: PERMIT#: LOCATION: - INSPECT ON: —( TYPE OF STRUCTURE: _ Y lv NSA COMMENTSraming Jack Studs./Header Bracing/Bridging V7 l-v\- C--i ti )(� Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. I Headroom 6 ft. 8 in. ! Stairwells 3 6 in.or more Headroom 6 ft. 8 in: Notches/Holes/Bearing.Walls Metal Strapping for Notches Top Plate J , 1 'l2(w) 16 gauge(8) 16D nails each side - f Draft'stopping 1,000 sq. ft.floor trusses` Anchor Bolts 6 ft. or less on center. . lee and snow shield 24 inches from wall Fire separation 1,2, 3 hour ire wall.2, 3,4 hour Firestopping -, - _ Penetration sealed ,a 11 16 inch insulation in.cavity min. Garage Fire Separation House side%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 L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Rough Plumbing/ Insulation Inspection Report ��� Office No. (518)761-8256 Date Inspection re at)st received: Queensbury Building&Code Enforcement Arrive: I Derma_, C 742 Bay Road,Queensbuiy,NY 12804 Inspector's Ini Is: NAME: PERMIT#: LOCATION: C INSPECT ON: TYPE OF STRUCTURE: V N N/A PVC: R-1,R-2,R-3,R-4 Drain Vents Cast Iron, Copper Drain/Vent Comm. Plumbing Vent/.Vents in Place gh Plumbing/Nail Plates Z V) XH or Air Supply Test ain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping 4_1 Copper Commercial Coper, CPVC,Pex One&Two Family Insulation/Residential Check/Commercial Check -Proper Vent,Attic Vent Duct/Hot Water Piping insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: -L:\Sueliemingway\Building.Codes.inspection.FORMS\Roi.igh Plumbing Insulation Report.doc January 28,2003 Framing/Firestopping Inspection Report Office No, (518)761-8256 Date lh pection re ecei ectio Queensbury Building&Code Enforcement Arrive: a art: 742 Bay Road, Queensbury,NY 1.2804 Inspector's Initi NAME: PERMIT#: LOCATION: o INSPECT ON:TYPE OF STRUCTURE: Y N N/A . CONEWE TS Framing Jack Studs Headers �Omw Bracing Bridging . Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Beating Walls Metal Strapping for Notches Top Plate 1 Y2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center .Jee andp!;sh' z1 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 Y2inch or 518 inch Type X Garage side 5/8 inch Type X Ceilin&all Windows Habitable Space/Bedrooms 24 in.(H) 20 in.(W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\FraTning Firestopping Inspection Report.doo January 28,2003 Framing/Firestopping Inspection Report Office No. (518)761-8256 Date Inspection re received: Queensbury Building&Code Enforcement Arrive: PI Depad 742 Bay Road,Queensbury,NY 1.2804 Inspector's Init I NAME: S N- PERMIT#: v oo LOCATION: T— INSPECT ON: TYPE OF STRUCTURE. OMM Framing Y N N/A CONM NTS Jack Studs Headers N-1 Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate I V2(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 snow shield 24 inches from wall ----- -- Vk�\V�:) 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 V2inch 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 L:\SucHemingway\Building.Codes,lnspection.FORMS\FraTning Firestopping Inspection Report.doc January 28,2003 Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Buil 'ng&Code Enforcement Arrive: am/,epart: , am/pm 742 Bay Rd., Que ns ,NY 12804 Inspector's Initials: 1 2 NAME: PERMIT NC LOCATION: INSPECT ON: RECHECK: Comments omments aid/or diagram Soil T e. la T e of Water: Munidi t Well Water Waterline separa on istance ft. Well separation distance _ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone .Seepage Pits: Number Size: x Stone Size: Piping S' Type Building to tank ' Tank to Distribution Box a K Distribution Box t F1 d/Pit et LA Opening Sealed Y/ /Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as er Plot Plan Y N Location of Sy®Re n Property: Front Left Side Right Side Middle Front iddle Rear �Ss tem Use Statu , Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:1SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Foundation Inspection Report 30M Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: � D pa .-am/ rt , � kam/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: 0/3 LOCATION: SPECT ON: TYPE OF STRUCTURE: ev Comments Y N N/A /00tings 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 Foundation Darapproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil of 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:\SucHeiningway\Building.Codes.Inspection.FORMS\Foundation Inspection Report doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection reques rece ved: Queensbury Building&Code Enforcement Arrive: am/p p epapK��pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials. NAME: C r PERMIT#: LOCATIOf4aL INSPECT ON: TYPE OF Comments Y N N/A 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 A Reinforcement in Place Foundation Dampproofing V Foundation/Waterproofing Type of Darapproofing/Waterproofing Footing Drain Daylight or Sump. Footing Drain Stone: 12 inch width ;6 e 6s above footing IMP1ilv of for wet areas under slab aclll Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SucHemingway\Btiilding,Codes.Inspectioii,FORMS\Foundation Inspection Report,doc January 28,2003 10[PER PRO Pon rf r9l 1,- 51 0:215 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 40 FULTON STREET — NEW YORK, NY 10038 CS U 5 CERTIFIES THAT J 5 Upon the application of upon premises owned by 5 5 5 5 TERRE MAJESTIC INC., *TERRE MAJESTIC 959 STATE ROUTE#9 959 RT 9 5 QUEENSBURY, NY 12804-6290, QUEENSBURY, NY 12804 5 5 Located at� #12 lot 17 HIGH-POINT-RID:WEE148130 RY,'NY­1 2664 5 5 Application Number: 1192551 Certificate Number: 1192551 5 Section: Block: Lot: Building Permit: BDC: A239 5 5 5 Residential Described as a occupancy,�wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 Basement,First Floor,Second Floor,Attached Garage,Outside, 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 authority having jurisdiction, and found to be in compliance therewith on the' 7th Day of April,2004. Name OTY Rate Eating Circuit Type 5 Alarm and Emergency Equipment Sensor 1 0 Carbon Monoxide 5 Sensor 6 0 Smoke Appliances and Accessories Bell Transformer 1 0 KW Dish Washer 1 0 KW Exhaust Fan 3 0 F.H.P. Furnace t 10 Gas Micro-wave 1 0 KW 5 5 Cooking Deck 1 0 8.1 KW 5 Oven 1 0 7.2 KW 5 Wiring and Devices 'r,;fl 5 Fixture 36 0 Incandescent 5Fixture 1 0 Fluorescent Switch 40 0 General Purp_b,�Va, 5Receptacle 50 0 General Pur os" p � _ _ 5 Receptacle 5 0 GFCl f seal Outlet 5 :0 Telephone Continued on Next Page I of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 l WE3JEU FL3 rfflL3�a PL PL r@ r@rQ PL rL3ffl i�ll - RIME PC.��:i�I i J01 fl [nIra ..c.l�[J 3�PtJ��[n�P[PrJ�[nrJ��P�LJ@1�C1C1"cPC.nr?1�C1[PE1�[J�[J�[J�[.1C.17[n[.(ClL PPLrL3rr rrPC1rJ�CJ�[1�[P[l��PrJ���C1r l�[1�[.l�rJ�rPt1[J�[.1�r.1[.F7rJ�[1�[Jpa �S. BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 S RITERB 5 BUREAU OF ELECTRICITY cS 40 FULTON STREET - NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 TERRE MAJESTIC INC., ''TERRE MAJESTIC 5 959 STATE ROUTE#9 959 RT 9 5 QUEENSBURY, NY 12804-6290, QUEENSBURY,NY 12804 - 5 5 Located^at *12 -lot 17 HIGH-POIN T'RID QUEENSBURY, NY 12804 5 5 S Application Number. 1192551 Certificate Number: 1192551 5 Section: Block: Lot: Building Permit: BDC: A239 5 Residential Described as a occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Basement,First Floor,Second Floor,Attached Garage,Outside, 5 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 authority having jurisdiction, and found to be in compliance therewith on the 7th Day of April,2004. 5 Name OTTY Rate Rating Circuit Type 5 Outlet 7 0 CATV 5 5 Paddle Fan 2 0 Residential SService �5 1 Phase 3 W Service Rating 200 Amperes L'v 5 Service Disconnect: 1 200 cb � 5 Meters: 1 5 - 5 5 4 S 5 5 1 rt�i'�.�,�?tf•-fir}R�y� C� 5 2 of 2 P� S 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 © r��Pr��PcPcJrJ��P>Pr�c��Pr�r1Lffl J��EIPLprr PCpr PL E3 CPr��Pc.1�EPr.PrPcPrJ�P�P�Pr�cPcPr�rJ�r3 rrPr Pr Prrlr�rP�rJr�c!"NrJ�rJ�r3r�r��cPrJPC R' Pr D R_,ERfE_ OCT 2 2 9003 Permit Rumber jpy MECcheck Compliance Report Checked By/Date Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb Data filename:Untitled TITLE:TERRE MAJESTIC COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached I or 2 Family BEATING TYPE:Non-Electric DATE: 10/17/03 1 DATE OF PLANS: 10/14/03 PROJECT INFORMATION: LOT 17 HIG]HPOINT DRIVE COMPLIANCE:Passes Maximum UA=424 Your Home=325 23.3%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1036 30.0 0.0 36 Wall 1:Wood Frame, 16"o.c. 2339 19.0 0.0 119 Window 1:Vinyl Frame,Double Pane with Low-E 255 0.340 87 Door 1:Glass, 40 0.340 14 Door 2:Solid 58 0.100 6 Basement Wall 1: Solid Concrete or Masonry,7.6'ht/6.8'bg/7.6'insul 976 11.0 0.0 61 Floor 1:All-Wood Joist/Truss,Over Outside Air 48 19.0 0.0 2 Furnace 1:Forced Hot Air,90 AFUE Furnace 2:Forced Hot Air,90 AFUE Air Conditioner 1:Electric Central Air, 10 SEER COMPLIANCE-STATEMENT: The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the Proposed New York State Energy Conservation Construction Code requirements. -BuRder-/Designer�I Date MECcheck Inspection Checklist Proposed New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lb DATE: 10/17/03 TITLE:TERRE MAJESTIC Bldg. Dept. Use Ceilings: 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Basement Walls: 1. Basement Wall 1: Solid Concrete or Masonry,7.6'ht/6.8bg/7.6'insul, R-1 1.0 cavity insulation Comments: Windows: 1. Window 1:Vinyl Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes - Frame Type Thermal Break? Yes No Comments: Doors: I. Door 1:Glass,U-factor:0.340 #Panes Frame Type Thermal Break? Yes No Comments: 2. Door 2:Solid,U-factor:0.100 Comments: Floors: 1. Floor 1:All-Wood Joist/Truss,Over Outside Air,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: 1. Furnace 1:Forced Hot Air,90 AFUE or higher Make and Model Number 2. Furnace 2:Forced Hot Air,90 AFUE or higher Make and Model Number 3. Air Conditioner 1:Electric Central Air, 10 SEER or higher Make and Model Number Air Leakage: Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials and 3"clearance from insulation. Vapor Retarder: Required on the warm-in-winter side of all non-vented filduled ceilings,walls,and floors. Materials Identification: Materials and equipment must be installed in accordance with the manufacturer's installation instructions. Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: Supply ducts in unconditioned attics or outside the building must be insulated to R-1 1. Return ducts in unconditioned attics or outside the building must be insulated to R-6. Supply ducts in unconditioned spaces must be insulated to R-1 1. Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. Duct Construction: I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in,w.g.-(500 Pa). Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. Cooling ducts with exterior insulation must be covered with a vapor retarder. Air filters are required in the return air system. The HVAC system must provide a means for balancing air and water systems. Temperature Controls: Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: Separate electric meters are required for each dwelling unit. Fireplaces: Fireplaces must be installed with tight fitting non-combustible fireplace doors. Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York State,the Residential Code of New York State or the New York City Building Code,as applicable. Service Water Heating: Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105'F or chilled fluids below 55'F must be insulated to the Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) U�ta 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. .Insulation Thickness in Inches by Pipe Sizes Piping System Tykes Ranee(F) 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0- and Brine Below 40 1.0 1.0 1.5 1.5 P NOTES TO FIELD(Building Department Use Only) Check Residential Plan Review: One&Two Family Dwellings YIN/N/A Full sets of plans Over 1,500 sq. ft.--Stamped Design Loads On Plans:90 Wind Floor Loads 40 psf 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size t oor Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. Grade,5.0 sq_ft. 24"(h)x 20"(w)min. 44"Max.Height above floor - Residential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofing/Waterproofing Materials On Plans Foundation Drainage On Plans,if required "Drop in 10'Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where Required Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls P atforms At Exterior Doors Stairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise , Winder Run and Rise f ' Spiral Not Allowed From 2nd Story Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance all Width,36"min. drails More Than One Riser On Open Sides Railing and Guards>30"1 Basement Stairs Included/Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas Garage Fire Separation Garage Floor Sloped Attic Access Roof over 30"—22"x 3V I Crawl Spaces 18"x 24"Access Carbon Monoxide Detector Lowest Sleeping Level Sail Test Results,if required Septic To Well Or Water Line Separation All Paperwork Signed Project Name: BP# c?,Ob 3-91y4 Address: Building Permit Submission SbCl_-fanily dad iig Twfamly dad4 Checklist All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of QueensburyBuilding Department. if any of the below items are lad*,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed .....I............................... n no El n/a 2. EnergyForm or Checkbdate Energy Code Compliance Form Complete.. Oyes Ono nn/a 3. Energy Code Inspector's Report from ChecklNfite Program.. ... ...... .... _f 'yes 0 no 0 n/a 4. Septic application completely filled out(if applicable).. B'5ms 0 no n n/a 5. Solid Fuel Burning or Gas Appliance Form............ ......... ... ............. Oyes Ono On/a 6. Electrical Inspection Form......... ... ... ............... ......... ......... .......—019 Ono On/a 7. Two(2) complete sets of structural drawings........... ... ...... ...... ... ..... .[30 Ono []n/a a)floor plan;b)foundation plan;.q) cross sections-d)elevations; e)window and door schedule 8. Two(2)site plans showing location of the structure to be built, ..... ... E""Iye's Ono iOn/a location of well or water lines,location of septic system or's ewer line. 9. Setbacks from property lines to new structure........................... ..... Ono On/a 10. Setbacks to neighboring wells and septicsystems,including onsite well... eyes Flno On/a and septic systems (if applicable) 11. DrivewayPernit...... ... ...... ... ...... ... ......... ............... ......I .. ...... �s Flno On/a Date: Staff Initial- L-.\Suel-lemingway\Bugding.Penrit-FORNE\Generic Checklist.doc Faye seep or observed,or believe I saw evidence of, . —; ,,u�et i tail I s S, ells, reel;Tences,em, 'wn or}this d ^urnent.I also re resent}ha ' have ALEX D. ��sonaii mea red the distances se i 1� the diag��arn:' . � ' , 1 © 200.00' �►0.0�0 ! 4� R1U1� �, !RT "tip ,h 3 2I243. s...1t. GOT 17 .� '�, , 0,48 acres 37,258, sq, f t, 0.85 acres ht LOT 16 35,843 sq f t yti 0.84 acres °° !IROPos ,s I;ONC. S ON EN ' I . q I nT 15 / /,