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2002-831 4''` TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 C EIPAT I FIAT E �F aCCIPA��Y Permit Number: P20020831 Date Issued: Tuesday,March 16,2004 -to cer-ttfy-that work requested- This-is to:be done as shown by Permit Number P20020831 has been completed. Tax Map Number: 523400-295-006.0001-005-000-0000 Location: 1161 WEST NIT. Rd Owner: JOI3N&VALERIE SIKORAK Applicant: JOKN AND VALERIE SIKORAK This structure may be occupied as a: By Order of Town Board Single Family Dwelling 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: P20020831 Application Number: A20020831 Tax Map No: 523400-295-006-0001-005-000-0000 Permission is hereby granted to: JOHN AND VAT.FRTF STKORAK For property located at: 1161 WEST MT. 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. Type of Construction Value Owner Address: STEPHEN &NANCY BULL Single Family Dwelling 120,000.00 115 STONY CREEK Rd Total Value 120,000.00 HADLEY,NY 12835 Contractor or Builder's Name/Address Electrical Inspection Agency ROBERT LVIBIG 3840 ROUTE 196 SDI JTH HARTFORD-NY 00000-0000 Plans&Specifications 2002-861 Construction of a 1,664 sq ft single family dwelling with one fireplace per V61",'Plan and specifications. $199.68 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,November 07,2003 (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 of b day,November 07,2002 SIGNED BY I'd. :7 T urs/1 for the Town of Queensbury. Director of Building' &Co e Enforcement Building Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road, Queensbury,NY (518) 761-8256 0M 0 1 2002 44 A permit must be obtained before beginning constructior;.. -Pe-mit File No.2-0(3 No inspection will be made until applicant has received U: Fee Paid $ valid building permit. All applicants' spaces on this Rec. Fee Paid +J 2_� application must be completed and must appear on the Reviewed B application form. Applicant:7SO-401 \Nkc-ew-t-e_ 't Owner: Address: --Vlo (-!>o Y- -V-t I Address: 'Pc:>6 q-4 1 V_Vwk Phone#(,7-c 9)_2<jI Phone#(_cT cp) -,�q - ros,-S-S- L Email Address: Email Address: Property Location: Lot Number: House Number I I(a( / y,)-eS4- tj- Subdivision Name: Tax Map Number: 0(G-o I- Cr New Building: A�G�sidengc commercial Estimated Market Value of Construction: $ 1 XO 0043 Li Addition: residence/ commercial If an Addition,what will use of new addition be? Li Alteration: residence/ commercial La No change to exterior size: residence com'l L3 Other work(describe Check Occupancy I nformation 1"Floor 2'"d Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling U Two family dwelling Li Townhouse 0 Multifamily dwelling Er #of units La Office U Mercantile 0 Manufacturing Z) 1 car detached garage u 2 car detached garage U 3 car detached garage 13 1 car attached garage U 2 car attached garage_ 0 3 car attached garage L3 Storage building- commercial U Storage building residential 13 Other What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? If so, for what? -wood forced hot air/(15-a-s-eboarT/other: Type of Heating System: electric oil Number of Fireplaces to be installed 1 Number of Woodstoves to be installed List below the person(s)responsible-for supervision of work.as regards to building codes: Name Address Phone Number Builder e_obe4a Ula�66 a-1- I q C, 5 g,,, 8 Plumber :DAPI-c'— -jq&-- :S1 37 P-Pe-\-4 i U­ G -514-7-1 Mason _-S_e�p67 3q-T Electrician q L 6e til w a b s4 c-iktiQ- ca as Piq 'ic Declaration: please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be 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,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survev by a licensed surveyor;drawn to scale,showing actual location of all new construction. Signature: owner,owner's agent,architect,contractor " E D Application for Permit—Septic Disposal System OCT 0 1 2002 Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: i L_>':.„I OF QIJ�' NISP RNI Location of installation: ( �(o t vIILSk ice U �. Off'.; �_.. r a.. V11oui�la..s Tax Map No. .445 File Permit No. dZ Fee Paid Owner's Narneot�,1ye.ri `e luau et (c- _.......... ........._............ _.._ ._......... ... Address.:q> v' o ( - LAB Vza d (d-8c(5 e 2. INST.ALLEWS NAME :.R L RODeyam C bi, PHONE NO. 7J-- " i4a 4 q 3.. RESIDENCE INFORMATION: (circle year of dwelling, ind(cate.:#bedroorn(s)and'multiply'# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House No of Bedrooms ' x Computation Total Dail'v Flow - 1980 or older x 150 gal/hdrm_ = 1980-1901 x .13{}gaUbdrm = -_ 1991 -present x 110 gal/bdnn = 3216 Garbage Grinder Installed yes t no Spa or Whirlpool Installed yes, t no 4: PARCEL INFORMATION:- (circle applicable information&_indicate measurements) Touourauhv Soil Nature Ground Water Bedrock or Ixnp"eivious Material Domestic Water Supply at what depth at what depth unici a Rollin 4o:aim�n ) feet - feet w�teep slope .1 tf well; water supply =%slope other from any septic-system depth:. absorption is ft other ��J P.ercola`tion Test- 7"o be completed b licensee'° ro essional en neer-or architect - - Rate' - _ minute per inch 5. PROPOSED'-SYSTEM:. Fai^New Constructi!Rn: All individual sewage disposil al,systems must be designed by a licensed professional engine_er.or architect-(unless ianstal in a Planning Board approved subdivision)._Add 250 gallons to the size -< of the septic:tank-and leach-field for each.Garbage Grinder;Spa or Wlutlp601:Tub. _ Septic'Tank: gallon (miri. size 1,000ga1) G(e o Tile.Field: each trench Total System Len ; Seepage Pit(s): number of size ofeach: fi by ft Size of Stone-to be used: #-=t _ / depth or thickness- feet Bed System Size: x c j to Q Alternative System: f Q length and/or size _ 6. HOLDING TANK SYSTEM: (if required) Number of tank§: / Size.of each:: gallons (TOTAL Capacity: gallon.; Arote.:AAlarm-System-a:rd-associated-electrical-walk must Winsge&ed`by°a`Town-approved Y electrical,inspection agency. 7, SIGNATUR:E &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please`inote that pursuant to Section,136=29 ofthe 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 behalf 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-of responsible person Date -, invil tpt (Zizcells tAvy AvImmlix (: SI?I'A ltA't*ION REQUI ItF, :NTS: - _ 1 PON 7-1 4•!t*Lim ur .rrnif•ri= ..���+ - : 13ovSE G qF G 177 7. SIGNATURE 8Z INFORI 4ATION FOR'R.srumiusi.=rnx%i�vL-t WA'P------- y . Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date d- a -- , 20 a_;�'~ Permit No.2"V Application is hereby made to the Building& Codes Off ce for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention rind 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 per form required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: 8'1 -VbM10-_ Stove: wood coal pellet gas Fireplace insert Address: O' 4 Fireplace, factory-built: oo gas L���,���v �� l�S�.S- Fireplace,.masonry: wood gas -`� Furnace: wood gas oil Phone: '.`�'�( - 6-�`�"Zo" If non-masonary applicance, please provide Owner: -1 oh t� U js, cr rc._ Si` ko ram, Manufacturer Name: In/1�•�a � t tJ Address: e oX q q I Model Number: S Q, 14 d" L jLht Chimney Information Phone: �.� ` {� a (circle appropriate words) Masonry block brick stone." lu the ste size: inches Exact Address: 1 1 (0 ( L�tl t�-�Yi+3�u4nr-j�� of construction or installation Factory-Built Manufacturer name: Ma-rA-1 Model Number: S 44-7 Note: Listed By: r, --Number.:, Construction llnstallation must `,, con Orin to NYS Fire Prevention &Building Indicate(circle) chimney material: �J Code. Consult available Town of Queensbu), OCT 0 1 2002 Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting S g 9 P `To ')')':,! OF ClIhnney Liner Caa�t�.ar-'ter.Za►�Ia►,�rz*tx�r:,ess�'—T+cr�.�x oaP Qu+e,�►��arb , .Niece-7f�'"csr.X�t f Fire Marshal Code# 8 Collected ,li Refunded Receivedfr•orn (refunded ro): address: A 173 3389 (190) Public Saji:ty A 233 2655 (230)Minor Sales DATE: White(Applicant) / Green(Fire Marshal) / Yellow(Bldg, Dept.) / Pink&Goldenrod(Cashier's Dcpt.) ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY OCT 0-1 2002 9000 HEATING DEGREE DAYS Compliance Methods:Part 5 -Acceptable Practice Method- 1&2 Family Dwellings (only) _ _- Part 6*-Thermal Rating-Component trade Offs 1&2 Family Dwelling; Multi-Family Dwellings (3 Stories or less) Part 4*-Design by Component Performance, Commercial Buildings-Hi Rise Residential *Requires submission of worksheets .APPLICANT'S NAME: PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area- t tQ is square feet 2. Type of heat- Electric Oil Gas Other 3. Is building mechanically cooled? yes i,� No 4. Percentage of area of windows and doors Over 17% Under 17% 5. R-VALUES TOR INSULATION GIVEN,BELOW MUST CORRESPOND TO R VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R-.� b. Exterior walls R-_Lj 9 C. Glazed areas R 3 J- d. Exterior doors R .S"• - �/ t} e. Floors over unheated spaces R f. Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R h. Basement/cellar walls (below grade)d s'I",ro C-c ate. R i. Heating/cooling-ducts-piping in unheated space R 6. Service (domestic)hot water heating device Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140-WILL NOT BE EXEEDED Applicant's Signature Date Phone Number to- mot INSPECTOR'S REMARKS: Ka A ED TOWN OFOUEENSBURY U1i11'• t1t HIGHWAY __r_,!.11a,�3�,1,.�'. ,'�'+�;Rickard A.lt3issita — Highway Superintendent DEPARTMENTHome(518)798-5127 742 Bay Road - Queensbury,NY 12804 Michael F. Travis Office Phone: (518) 761-8211 Deputy Highway 5 8)7 Superintendent -u04113 tendent Fax: (518) 745-4466 DRIVEWAY PERMIT DATE: (0 ~` o t ` APPLICANT NAME: 4tnd� k jj' -A e r.t_ S% f or a k— TELEPHONE NO.: ADDRESS TO BE INSPECTED: $ l tsi k Wtc k g\AgK.a.,4Aax1 -� RETURN ADDRESS: �4b bow 4 L( l !19- dent-04 04 qY 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 l: ( )Preliminary Approval NEED: { )Slight Swale { )Level with the road { )Deep swale Size pipe to be used(if necessary) ( )I2" ( )I5" ( )18' ( )24" ( )36„ Preliminary inspection-completed by DATE Approval by Highway Supt. Deputy Supt Upon completion,please resubmit this approved permit for a final approval. STEP 2: ( }Final Approval ( }Rejected DATE: Richard A. Missita,Highway Superintendent BLDG. PERMIT NO.-C �_ FOL APPLICATION FOR A TEMPORARY CERTIFICATE OF'OCCUPANCY A_TEMPORARY CERTIFICATE OF OCCUPANCY is 11preby requested for.the.property located at for the following uses: %, , . pp .DATE SIGNATURE OF APPLICANT- TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is herebyP466VED ( )DISAPPROVED with the following conditions: 'TEMPORARY C 1CATE OF.'OCCUPANCY F jo E Si s received on J� Date of Issuance Director of Bidg. & Code Enforcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES /c DAYS FROM THE DATE OF ISSUANCE.., NOTE: This 'Certificate is'NOT VALID unless signed by',-the Director of Bldg.. & Code Enforcement or his designee. '. - Dire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date f - _ , 20 a Permit No. Application is hereby anade to the Building& Codey Officefor the issuance of a Building and Use Permit pursuant to the New York Mate File Prevention and Building Corte_ 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 toni NOTE to applicant: Rough-in and Final,Inspections are required: Applicant Information Fuel burning Appliance Information (circle appropriate words) Name: � \, A 1 Stove: wood coal pellet acts Fireplace insert Address: ox Fireplace,'factory-built: o j gas t 'Fireplace,masonry: wood gas t Furnace: wood � as oil Phone: G 1:7-S-5 If non-masonary applicance,please provide Dwneri :1 G5'�r58? 4�r� t e'� a1r16 Manufacturer Name VA;Xe r s t4 Address: ' r,X 1444 l Model Number: d Q, _ Chimney Information Phone: _ _ �` (circle appropriate words) Masonry block brick stone lue the steed size: inches 5 U q�) . Exact Address; Mot of construction or installation Factory-Built Manufacturer naive! kN`\_t't v_ Model Number:. Note: Listed By: "► Number: Construction/Installation must con to NYS Fire Prevention &Building Indicate(circle)chimney iiaati rial: Code. Consult available Town of Queensbury Handouts regarding required inspections. (Dvrrblcj wall ! Triple wall ,/ Insulated / Direct venting Clrirnney Liner �",�„sae#�r'�r.Ls.�p,�r,�*�ara�s�:ani.�—�?'cr :�er�?a�,o#''+Q►s.ar�s�ar�.�b�ex:�c�r, .2MTi��r�rr-�v.7r.I�; i Fire Mm;slral Code# $Collected S Refunded 1Zeceived fr-onr(jo0`inrinrf�rr): A 173 3389 (190) Public Safi ly. A 233 2655 (230)AYlinor Sales (p, White(Applicant) / Green'(Fire Marshal) l Yellow(Bldg.Dept.) I Pink&:Goldenrod(Cashier's Dept.) rAa-21 2002 1 :52PM Apex Ho'mes Inc. 8372346 N o 2 3 2 7 P. 2/2 Rik\ E-vC. 2(62-261 OCT 0 1 2002 fb%," %, R Pern"unbT MECcheck Compliance Report Checked By/Date )Proposed New York State Energy Conservation Construction Code NmCchwk Software Version 3.3 Release lb Data filename:C:\Prog=Filos\Check\M9Ccheck\l 0283.cck OF NE4 TITLE:QN-10283/NY C1 rn COUNTY:War= Uj STATE:New York (P -Z' ?, HDD-,7635 CONSTRUCTION TYPE:Detached I or 2 Family HEATING TYPE;Non-Electric DATE:08/23/02 DATE OF PLANS,8/21/07, 'ro PROJECT INFORMATION: A?f AL IL tT PC)jAfl0N UTOPIA ENTERPRISES OF HARTFORD/JOHN SIKORAK FACTORYSol COMPANY INFORMATION; Ali G APEX HOMES INC. 247 US HWY 522N MIDDLEBURG,PA 17842- COMPLIANCE:Passes Maximum UA=26S Your Home=249 6.0%Better Than Code Gross Glazing Area or Cavity Cont. or Door kaimcl R--Value R-Value U-Facto UA Ceiling 1;Flat Ceiling or Scissor Truss 1580 38.0 0.0 47 Wall 1:Wood Frame, 16"o.c. 1319 19.0 0,0 66 Window 1:Wood Frame,Double Pane with Low E 136 0.370 50 Door 1:Solid 20 0,140 3 Door 3:Glass 44 0.140 6 Door 2:Glass 20 0.140 3 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 1580 19.0 0.0 74 COMPLIANCE STATEMENT. The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application. no proposed systems have been designed to meet the Proposed New York State Energy Conservation Construction Code requirements. B ui I der/D e s iga eTj"qo-( Datel, a/Lk- :D Project Name.- k,,,4,- BP# Address: Building Permit Submission S4&fart*du ding Tuofiani(y dad* 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 lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed ... ... ... ......... ... ...... ......... . r]no F1 n/a 2 En - Form or CheckMate Energy Code Compliance Forms Complete no []n/a !� nergy Code Inspector's Report from CheckMate Program... ... ... ... ..... 19 yes F]no F]n/a 4. Septic application completely filled out(if applicable)......... ... ... ... ...... . no F1 n/a 5. Solid Fuel Burning or Gas Appliance Form... .................. ... ...... ... ... s E:]no E]n/a 6. Electrical Inspection Form... ... ... ... ...... ... ... ... ......... ... ... ...... ... ... .. s nno [:In/a 7. Two(2) complete sets of structural drawings... .............. ... ... ... ... ... .... Dno [Jn/a a) floor plan;b) foundation plan;c) cross sections:d)elevations; e) window and door schedule 8. Two(2) site plans showing location of the structure to be built............. nno F-Jn/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new structure ... ... ............ ... ...... ..... no E]n/a 10. etbacks to neighboring wells and septic s3rterm' ,including onsite well Olno an (�P ds septic (if applicable) 11. DrivewayPermit...I... ......... ... ... ... ... ... ... ...... ......... ... ... ... ......... Ono [Jn/a Date: Staff Initi L:\Suel-kmingway\Bading.Pertrit.FORMS\Gencric Checklist.doc Queensbury Building & Code Enforcement - Residential Final Inspection i Office No.(518)761-8256 Arrive: am/p e rt;7�` f as pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: LOCATION: DATE: ] 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 minimum 6" Roof Complete 1.Exterior Finish Co m lete ! 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 Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum '/z" Gypsum Grade awa from foundation 6 in. with 10 ft. Handrail Termination at Newell Post or Wall 6 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 Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safeglazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans,if no window Plumbing fixtures ` Y Foundation insulation h j1 Floor truss, Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched I 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, I 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/0 f Temporary/Permanent L:IPamW\Building&CodesUnsuection FormslRes. Final Insta. form 2.docLast printed 2/12/04 T. 4cizLTOWN OF QL)EENSBURY j B[JILDING & COQE ENFORCEMENT 742 01--Y ROAD QUEENSBLJRY NY XZ004 4 ? 11f2RIVf x DEPl1f2Ts INSP x ' L711`.L'E 2 N S E'E C T"I...C^�'�-�' f2 T✓Q LJ G S'T F2 f C E= L7 E L'r : N J\M I� e ✓ � ��V`i i� -- - r� DATE -t FILM S T # 'TYPE OF STRUCTUF2E Gj'�� FOOTINGS FOUNDATION S A C K F I L L FRAMING F20UGfi PLUMBX"(-- SEPTIC INSULATION FINAL ELECTRICAL WOOL?STOVE OfZ FIREPLACE !Z A F£S NQ CHIMNEY iif IrG1iTlS VENT,/HE�G€i'.I' PLL7ML3 I NG VENT ROOF I NG EXTERIOR FINISH DECK PORCH STEPS RAIL=NG S E2ELIEF VALVES FURNACE Fi0 T WATER OPERATING INTERIOR TRIM PRIVACY E�QO R S FINISH FLOORS BATH KITCHEZ`T WATERTSGHT OTHER FLOORS S WE E PA S LE OTHER. FLOORS CAR P E TE D '�'TAIi2 CLEARANCE/RAILINGS SMOKE DE'Z'ECTORS SAZ'Iif2.00M FANS PLUMBING FIXTURES FOUNI?AT I ON INSULATION GARI�GE FIRE PROOFING DOOR CLOSERS FINAL E LE C`I R I CAL S 1 TE PLAN VARIANCE R E �sF I NA L SURVEY PLOT P LAN CQK 'I'O ISSUE C (D OR C C DEED REFERENCE: KAREN L. WHITMAN A/K/A KAREN L. POWERS TO STEPHEN C. & NANCY J. BULL DATED MAY 12, 1995 IN BOOK 947 PAGE 169 9 N ar-01 LANDS N/F OF LANDS N/F OF RICHARD VAN DUSEN, JR. MICHAEL HILL !! z 0 CIRF o q Da �" � w z !l--) C1 W 582 05'42 -E Cr 1N ^p 1185,29• w o 2 C E STONE PILE 01 it LANDS N/F OF JAMES WALKER AREA 230,743 sq. ft. 5.30 acres N82 28-22•W LANDS N/F OF EDWIN & YVONNE ALLEN 50 GRAPHIC SCALE 25 50 100 ( IN FEET ) 1 inch = 50 it. 200 105; 43 ASPHALT DRIVE ci I/ LEGEND: IPF - IRON PIPE FOUND CIRF - CAPPED IRON ROD FOUND IRF - IRON ROD FOUND CIR5 = CAPPED IRON ROD SET Mj UTILITY POLE - Awit a� � gig -it grill I, � <bl<Q �list-IRS 2 CCQ M 0 a4 a z (� z ^1 W C) a a � � z b 0 a lot co N CA m � � Date= DUPE 2A 2002 scab r- w S-1 SHEET 1 OF 1 DWG. NO. 021GI LO I M� W D-571 F�-N�� lNS�EGTiON REAORT ROVOMN`!E• - l�AOQU.I�AR - Town- cnf Clu4e nsbury ' Buiicilno .Ek Cod® EnfcwcE�mant 42 Etay '1FIc xcl Quaensbury, NY 12804 '(51 8) -761-8256 b � .RRI'41E: DEPART: INSP: DATE INSPECTION REQUEST RECEIVED: 14�O�IILI� OME MtiOtlLAIIi HOSE PC.�CYI`INGS F4[.JNi?,A'IZC�l`3 BACKFILL FR.A,MING N/A 'VIES Nth► I- foundatiorx support, pier spacing pear xxia3axif. ... ........ ...... 2. anchoaring per marnuf_ ............ ... 3_ water line shut off --------------- - --- � 4_ sewer Iiue support (W 4 feet __-_-_- 5_ lieatirig crossover tdblewide� -off grd_ �� 6_ dryer vented outside" ---------------- - 7_ skirting ventilated -------------------- 8_ hat water relief valve pipirig outside 9_ deck, porches, steps, railirig _-_ _ -.-_ 1p. fi*rnacelll©t water operating -___.__ _ 11_ garage fire; proofr�g ----- - -- -- ------ 12_ door cicisers ----------- ---- ---- --- -- 13. pitImb►ing Sixture __ ________________ ____ 14. fou a ndtikwx insulation (if aprpl.).... . . - 15. smoker detqa:ctors _ 16_ finial electrical - 17. va.rianct-- reggtx.i.r ..................... 18. data plate. 6k.-ty ----------- - - -- - -------- 19. mobile HUD seal o1caY -------------- IVlodel # 17 A-J Mariufacturer Bate of Mar3.ufacturer � � ,Z� � �"��` j oKAY -ro ISSUE. -rES - zvo "Oooever f Fl"AL- AlVSs=ECTlON REPORT To%iVii all- C3u+�nslaury _ E?tUilcli rg _aL CCKdei` �nfcircr rri+enfi _ ?42 -E c-ty Roy xcl - - C,�ueensbury, NY- 1 P-SO4 DATE .�NSPEC'TIDN- REQUEST RECEDED: - - -- -- - - DATE: I +t' �► - P'ERMIT #cf-- _ MOBILE Z�011alE -- _ " Mti�LJI.AR H©�tE _- FOOrTINGS FOUNI?A`I'I03�T BACI���-i i FRAMING����' -. - _ - - ,_- - - - :- _ --• ITT! _` YES - - NCB _ 1- foundation supp>rt., pier spacing per. r+nai axaMf. _. `. -------- _ __•. 2_ anchoring per b. marsttf; ----------- --- 3. watE<r line shgt erff ................... ..: . - 4_ sewer line supp►cxrt @ 4 feet _------ = S_ heating crossover (dblewide� _off_grd_ _ _J _ 6_ dryer vented outside-=-=------------------ 7_ skirting ventilated` `-------------------- -- ]hot water relief valve piping outside 9. deck, porches, steps railirig -.----- 14_ furnat--6/11cit water operating ....... IL I- garagt-- fiirc ppirb"fxn' g --------- -------- -......... 13. plun�xbirag fixture `.:.:...__. _ r 14. foundati+cm insulation (if appi_)-__- w _ 15_ smoke detectors --- ------------- --- 16_ final electrical -- ---------------------------- ---------------------- - -Is data plate okay-- --- -- - - ----------- - i9_ mobile 73UI set�lcay - _� �5 +. OKAY TO_I,SS ~NO- - i 095_ .�v gip _:.:. =G. ,t= -t, '- c► Adopp—RIIIII)k.7- Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request ZOP--Q&LZ SCHEDULE Received: Permit# INSPECTION ON: Ito 1c) I Name: Z) 1<0 otz -- PM ANYTIME Location. e5-, APPROVED N* YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL C�h Irn N4� - BATTERY I (33 S-t I b EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGHIN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGH IN A FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN 03LK THIS DATE FOR CCO NOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMOEV/CHRISJNVORD/LETTERS200I/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received- Queensbury Building&Code Enforcement Arrive: am/p epart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: C� NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: 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 Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/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 .1e "Foundation Insulation Interior/Exterior V6- VA+C--R- 7(- Rough Grade 6 inch drop within 10 ft. Town of Queensbury Fire Marshal's Office 742 Bay Road Z Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 437 0IN fit Fire Marshal's Inspection Report Request SCHEDULE Received: 1v —Permit# INSPECTION C Name: __� 0 t AM (!M)ANYTIME Location. v-n+t\j 'iZ,C) 16-_ APPROVED N/A YES NO COMMENTS EXITS rY\vlvv -,tom! AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING \j FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES -5-r-i Y731�,_S STORAGE COMPRESSED GAS L)v IIIq,0 CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN V MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGHIN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL C WOOD STOVE ROUGH INc; FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY O ROUGH INK NOT OK k THIS DAT OK ��)DR CO N FIREPLACE FINAL FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMDEV/CHRISJNVORD/LETTERS20011FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: f Queensbury Building&Code Enforcement Arrive: am/prn Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: (e NAME: J G PERMIT NO.: (J LOCATION: 0J INSPECT ON: RECHECK: Comments and/or diagram Soil T : San 1 /Clay Type of r. Munici 1/Well Water Waterlines ara istance ft. Well separation distance ft. Other wells: Absorption Field: Total length Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: I x Stone Size: Piping Si e T Building to tank Tank to Distribution Box k 7� Distribution BqMField/Pit 1k. Opening Sealed YJ N/Partial Location/Separations Foundation to tank Foundation to abso tion ft. Separation of Pits ft. L Conforms as per Plot Plan N JL� 7� o (�i l..j Location of System on Property: `'Front Rear Left Side Right Side Middle Front iddle Rear System Use Statu . Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved f lT � 1610 ro leau a DL �m W d` , 0) N z COI � -P 0) V) W CL W " (A I EI 0 i �. ,r 4 r N Z 0 4U C E L J �„� U Y 0 w?-. L. 0 � � "j � Xr, a C (A �p (fit W N� t i " h s { it ¢t z W z u L, 0 1 r 3 ai 0 0 Q!r-W M u ; N ,aG r-Q 0 0 4- Q� Cz 0 Ul 0 .0�° W to 0 t� � +� Q ro +J � 0 ,�, �. +) � r� M t0 Vy Q -L 0}- rti to � a)W^ tl Li.. 0 tt C Iron Cr Cr W or). � �N Q) Iwor VI (V! i- CC0 C (D0 J C V 4- in 4 N A X \ 0 0 0 0 X S. � W C4 Cf I- t * 0 4- or. 0 0 ►A�n '-~,r, to jr, '►1/1f t +�� or. O allot hli « 0 - W +' -P 0 CO O) T" ¢J .EJ v{4t t � C„ � r• � Q� �.0 � i 0 � '� CH ►� � � �* r'"'w 0[z" 4-Q. i/� CQ. NWN01 CU) OUz CICUr0.0 rtl 0 0 QJ �r 0 41 tU�r W or- ,W hM r• ro �r, QO 0 0 N 00 u S ,r V) icQ Office Use -GENERAL INSPECTION REPORT Inspector: Town of Queensbuty Ready at time:.'. Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: P F) 742 Bay Road Queensbury, ArY 12804 ARRIVE am/pm: DEPART, l h am/pm Notes: (518 7b1-8256 Ins s` P<--, � Inspector's Initial p NAME: OY PERMIT# Z 0 0 Z- �-3 i LOCATION; ��`� ( eQ (/v INSPECT ON(date): TYPE OF STRUCTURE: RECHECK _ N/A YE 0 COMMENTS ,Footing&l iers Monolithic Pour Form Reinforcement in Place The contractor is responsible fo providing protection from freezirl IZ3 for 48 hours following the placement of the concrete. Materials for this purpose on site L Eoundation/Wallpour Reinforcement in Place Foundation/D ampproof ng Backfill Approval / Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-hi 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 - - - - Frarning Jack Studs/Headers BracingBridging Joist Hangers _ Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Walla 2,3,4 hour Firestopping _ L:LSueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc OCT. 25. 2 0 0 N 10; 2 9 AMINc.-cohcc�r=- PHD�iE NO' . , ; 518632918$ 0 356 P. 2 :4epM P1 JCS !toucher 8nterprisee, Inc. 347 Pope Hill Road Granville, NY 12832 518-632-5477 Proposal far: }P�j�rop�Proposal Date ' �Y�1�iV ,�Vl�8l j/2 .Jahn Sikarak FaW:743-6038 This is a propel far 26' G4' poured con,. to fbundafion. Proposal includes labor and materials. 'ItV'ork to be performed per the foAowing specs: Footings: 18"wlde by 8"thick,reinforced by 2 rows 1/2" rebar Hcuusee M1M lls: t`10"high by f"thick, reinforced by 2 rows VT rebar Floors: 4" thick, reinforced Wth fiberrnesh Conafvto and Labor: waterproof: 4 Proposal Total: _00— I_lomBe5l INC. (570) 837-2333 (PHONE) " 247 US HWY 522N,MIDDLEBURG, PA. 17842 (570) 837-2346 (FAX) JOB/NAME/LOCATION: JOHN SIKORAK LAKE 6EOROE NY. WARREN CO. UNIT SERIAL NUMBER: 7484 AB MODEL RANCH STATELABEL NUMBER: 1918948 7PIA ACCEPTANCE NUMBER. 00-790 7PIA LABEL NUMBER: 485957 DA7FL48EL AFFIXED: 1146-02 DA 7E OF MANUFACTURER: 11-020-02 DATEDATA PLATEAFFIXED: 11-26-Q2 TYPE OFCON57PW770Ak 549 USE 6ROUPt A-1 BLD6HT/5TORYLIMITArrON: 35FT/Z_STORY FLOORAREA: 1,631 SQ,FT 7PIA NAME/ADDRESS: PFS CORPORATION MADISON WISCONSIN FURNACE: WATER HEATER: MFG: SLANT FIN MFG: NIA MODEL:: HOT WATER-B/8 MODEL: MH WASHER: DISPOSAL: MFG: NIA MFG: N/A' MODEL. MODEL: ELECTRICAL RATINGS: 10,3W.120/240V.AC) FIREPLACE: 200 MFG: MARTIN WOOD BURNING MODEL: # SC42 . CODES AND STANDARDS COMPLIED WITH: NEW YORK UNIFORM FIRE PREVENTION 6 BUILDING'CODE,1993 NEC NEW YORK ENERGY CONSERVATION CONSTRUCTION CObE. DESIGN PARAMETERRS: SNOW LOAD: • .60 PSF ELECTRICAL TESTS PERFORMED: WIND LOAD: 15/80 PSF/MPH DIELECTRIC TEST WATER TEST: #125 PSIG CONTINUITY TEST UNIT WEIGHT: -35LBS.SQ.FT.LOAD LBS. POLARITY TEST MIN OUTPUT OF HTG.EQUIP: 72.000 BTUH OPERATIONAL TEST' SPECIAL ENVIROMENTAL FACTORS: NONE FLOOR LOAD: 40 PSF DEGREE DAYS: 7500 OUTSIDE TEMP: -20 *F SEISMrC ZONE` 2 DWV TEST: #5 PSIG/TIM ROOF UO--0.025 WALL UO=0.038 FLOOR U0=NONE FIRE RATING EXT.WALLS= 0 ' SPECIAL INSTRUCTIONS: HEAT L055 WAS CALCULATED W/R-19INSULATION IN FLOOR OR HEATED BASEMENT. BUILDER 15 RESPONSIBLE FOR PROVIDING A PROPERLY SIZED HEATING SYSTEM TO COVER A 72.000 BTU LOSS. FIRE STOPPING AROUND WATER SUPPLY LINES MUST MEET A5TME SPECS. INSTRUCTIONS FOR WATER/DRAIN CONNECTIONS: FITTINGS FACTORY TESTED WITH AIR. COMPLETE SYSTEM MUST BE FIELD TESTED AFTER UNITS ARE SET. SEC.-210-8(a)4 or 5.NECI 99 COMPLETED ON SITE: THE FOUR ELEMENTS OF CERTIFICATION RFQUIREb BY A MANUFACTURER TO£XCLUbE EACH HOME ARE AS FOLLOWS: 1. DESIGNATED ONLY FOR ERECTION OR INSTALLATION ON A SITE-BUILT,PERMANENT FOUNbATION 2. NOT DESIGNED TO BE MOVED ONCE 50 ERECTED OR V45TALLED 3. DESIGNED AND MANUFACTURED TO COMPLY WITH A NATIONALLY RECOGNIZED MODEL BUILDING CODE OR AN EQUIVALENT TO BUILDING CODES FOR SITE-BUILT HOUSING.OR WITH MINUMUM PROPERTY STANDARDS ADAPTED BY THE SECRETARY PURSUANT TO TITLE II O TH NATIONAL HOUSING ACT 4. AND TO THE MANUFACTURE'S KNOWLEDGE IS NOT INTENDED TO BE USED OTHER THAN ON A SITE-BUILT PERMANENT FOUNDATION ORIGINAL- ATTACH TO UNIT (1)COPY-TPIA FILE (1)COPY-MANUFACTURERS FILE ,'UUAL]lY CONTROL TRAVELER FOR LINE A & B, 0 Lj ArTE LJ TER SIZE ON-LINE '0 U z z' n: I = CDRR. MIDDLEBURG PA, 1784�! CORR. STYLE: OFF-LIN z L3 ]WT. APEX HOMES, INC. C3 S TATE: INT. of Z R 247 US HIGHWAY 522KI 0 U Ar IE:-IL-L-S tj V I STATION Cl) STATION*(5) - I 1. CHECKED FLOOR FRAMING PER APPROVED DRAWING 1. PENETRATION FIRESTOPPING LI-1 t I 2. RIM JOISTS, GRADE, SPLICES L FASTENING 2. CEILING INSULATION, R-VALUE:5 3. .a FLOOR JOISTS, GRADE, SPACING L FASTENING 3. INSULATION BAFFLES 4. LEDGERS/HANGERS L FASTENING 4. OVERHANG CUT OUT FOR CHIMNEY 5. FLOOR INSULATION_R-VALUE 5. WIRES STAPLED TO CODE xx D.A. INSPECTOR SIGNATURE ROUGH WIRING AND DEVICES INSTALLED 6..DECKING L FASTENING !!r/,? 17. PROPER VIRr/BDX SIZES 7. LAUAN L FASTENING I K KITCHEN ELECTRICAL DEVICES COMP B. FIRE-ASSEMBLIES iKx-D.A. INSPECTOR SIGNATURE: - �,ETE STATION #8- OZ. )NT.-ofta )Nf--' STATION (2)' STATION (6) 1. CHECKED WALL FRAMING PER APPROVED PRINTS- 11. EXTERIOR SHEATHING, 2. WALL HEIGHT. GRADE, CONDITION L SPACING t. WALL INSULATION. R-VALE -AW119-ly 3. CABINET AND/OR VAJNSCDAT BRACING 3. CHECK DEPTH OF BLOVN-IN INSULATION A. WALLS CAULKED CEND WALLS) 4. ROOF/FLOOR SHEATHING L FASTENING 5. DOOR LOCATIONS L SIZE. 5. STYRDFOAM AND 00 WIND BARRIER INSTALLED r.. PROPER WALL HEADERS L FRAMING S. EXTERIOR WINDOWS- L DOORS INSTALLED 7. PROPER BATH FIXTURES INSTALLED 7. RANGE VENT AND-BATH FAN THRV-EXTER113R B. PLUMBING PIPES- INSTALLED.. SECURED,-FIAtSTC[PED. B. FELT PAPER AND ICE BARRIER APPLICATION 9. 3' RADON VENT INSTALLED.-(WHEN REUU]kE]))- 9. SHINGLE APPLICATION - COLDR;'�',n ID. FIRE ASSEMBLIES A 44 10. VENTS RUN TO EXTERIOR L FLASHED O.C. INT. r 1q., 11. PROPER OVERHANGS L DRIP EDGE COLOR STATION (3)' PPED . 13. FIREPLACES INSTALLED PER MFGS INSTRUCTIONS 1. CHECKED WALL FRAMING PER APPROVED PRINTS 2. WALL HEIGHT, GRADE, CONDITION L SPACING X 3. WALLS CAULKED'.CSJDEWALLS)' 4. WALLS INTERCONNECTED Q.C. INT. CAMNE-1 ANf);'dk wair,SCOA7"BRACING' I STATION' 6. INTERIOR WALL.VIRING 1. SIDING, SOFFIT, FLASHING L TRIM INSTALLED 7. DRYWALL.APPLICATION 2. OSB/PLYWOOD FASTENING, V/ 1/8' GAP B. RECEPT/SVITCH BOX LOCATION L CUT OUTS 3. HAZARDOUS GLAZING LOCATIONS 9. WINDOW & DOOR LOCATIONS L SIZES 4. INTERIOR DOORS INSTALLED 10. PROPER WALL HEADERS L, FRAMING 5. HEATING ELEMENTS INSTALLED F, I]): ELECT. DROP LOCATIONS L BLOCKS 6. PANEL BOX INSTALLED 0 ,44 J IP. FIRE ASSEMBLIES 7. ELECTRICAL EDUIPMENT INSTALLED D.C. TNT. B. PROPER GROUNDING STATION (4) 9. GFI PROTECTION I I 1D. EXT. LIGHT BOXES, RECEPTS, L CHIME BUTTONS.. 1. ROOF SYSTEM L PITCH 3712 717Q< 2. CEILING/ROOF FRAMING L FASTENING 11. ARC-FAULT BEDROOM CIR47TS 3. LIMBER GRADE L SPACING A. PROPER CEILING BEAMS L SPLICES _10010 STATION (a)' 5. ACCESS SIZE & LOCATION 1. RECEPT'SPACING (4, 6, 12)" . 6. LEDGERS/HANGERS L FASTENING K 2. DIELECTRIC TEST COMPLETE '57 7. CEILING CAULKED x 3.•PDLARITY/DPERATID14AL TEST COMPLETE B. FASTEN SYSTEM TO WALLS K 4. CONTINUITY TEST COMPLETE 9. ROOF EXTENSIONS SIZE 5. CABINETS, COUNTERTOPS L SINKS INSTALLED ID. KNEEVALL SIZE 6. WATER CLOSETS INSTALLED 11. LATERAL BRACES INSTALLED X 7. POTABLE WATER SYSTEM/DWV TEST COMPLETE rw 12.'PROPER PIPE SIZES L-NATER IALS S. KITCHEN ELECTRICAL COMPLETE 13. PIPE RUNS, SLOPED & SECURED xx O.A. INSPECTOR SIGNATURE - 14. FIRE ASSEMBLIES B. UNIT LABELED 115. CABLE PROTECTION Q.L. .INT. 16. AMP CONNECTORS INSTALLED CORRECTLY COMMENTS. 117. LIGHT L SMOKE DETECTOR LOCATIONS 1407E: ALL COMMENTS AND PROBLEM CLARIFICATIONS TO BE. 21, WRITTEN IN SPACE ABOVE OR ON THE BACK OF THIS PAGE. xx MANDATORY CHECKPOINT - MANDATORY INSPECTION x Person conducting the test must be inspected and signed off by Unit must be inspected and signed off by D.C. department before the next work process is performed. . D.C. department before the next work process Is performed .......... 'QUALITY CONTROL TRAVELER FOR LINE A & 13' r 61 :C 6: APEX HDMES, INC. z SN� STATE- Al L/ M z INT. C3 ON-LINE C) U U 0 247 US HIGHWAY 522N AFTER SIZE! 1311C4256 INT. Ar TER 61 E-- z Z, D: 1- z 'X CORR. MIDDLEBURG PA. 17842 0 13 M CORR. STYLE: 9AI401+ OFF-LINE: 0 U C3 z L? z U STATION (1) STATION '(5) 1. CHECKED FLOOR FRAMING PER.APPROVED DRAWING 1. PENETRATION FIRESTOPPING 2. RIM JOISTS, GRADE, SPLICES L FASTENING 2. CEILING INSULATION, R- ALUE J 3. FLOOR JOISTS, GRADE, SPACING,L FASTENING 3. INSULATION BAFFLES 4. LEDGERS/HANGERS L FASTENING 4. OVERHANG CUT OUT FOR CHIMNEY 5. FLOOR INSULATION, R VALUE f,F 5. WIRES STAPLED TO CODE xx D.A. INSPECTOR SIGNATURE - 16. ROUGH WIRING AND DEVICES INSTALLED 16. DECKING L FASTENING 17. PROPER WIRE/BOX SIZES. 7. AUAN L FASTENING K KITCHEN ELECTRICAL DEVICES COTLETE STATIONS - �T * �l B-FIRE ASSEMBLIES_. XX 0,A, INS0j 13R SIGNATURE D.C. INT. STATION (2) STATION (6) 11. CHECKED WALL FRAMING PER APPROVED PRINTS 1. EXTERIOR SHEATHING. (FE) CBE ja 2. WALL HEIGHT, GRADE, CONDITION L SPACING 2. WALL INSULATION, R-VALUE FE_9(V W ol 3. CABINET AND/OR WAINSCOAT BRACING 3. CHECK BE PTH OF BLOWN-IN INSULATION A: WALLS CAULKED (END WALLS) 4. ROOF/FLOOR SHEATHING L FASTENING j 5. DOOR LOCATIONS L SIZE 5. STYROFOAM AND OR WIND BARRIER INSTALLED 6. PROPER WALL HEADERS L FRAMING 6. EXTERIOR.WINDOWS- L DOORS INSTALLED 1 7. PROPER BATH FIXTURES INSTALLED 17, RANGE VENT AND BATH FAN THRU EXTERIOR B. PLUMBING PIPES INSTALLED:, SECURED, FIRESTOPED., S. FELT PAPER AND ICE BARRIER APPLICATION 9. 3' RADON VENT INSTALLED. (WHEN REQUIRED)' 9. SHINGLE APPLICATION - COLOR WA= ID. FIRE ASSEMBLIES V41,/1' 10. VENTS RUN TO EXTERIOR L FLASHED D.C. INT. ll...PROPER OVERHANGS L DRIP EDGE COLOR 12. WIRE L DROPS FIRESTOPPED STATION 0) 13 FIREPLACES INSTALLED PER MFG'S INSTRUCTIONS 1..CHECKED WALL FRAMING PER APPROVED PRINTS 14. BOXES FASTENED & CAULKED/FDAMEI) 12. WALL HEIGHT, GRADE, CONDITION L SPACING -*�p X(rEy7liq �q H 3. WALLS CAULKED (SIDEWALLS) 0, - 4.-WALLS INTERCONNECTED 5. CABINET AND/OR WAINSCOAT BRAC-IN&-- STATION 7) 6. INTERIOR WALL.AJIRING 1. SIDING, SOFFIT, FLASHING L TRIM INSTALLED 7. DRYWALL APPLICATION 2. OSB/PLYWOOD FASTENING, W/ I/B' GAP B. RECEPT/SVITCH BOX LOCATION L CUT OUTS 3. HAZARDOUS GLAZING LOCATIONS 9.- WINDOW L DOOR LOCATIONS L SIZES 4. INTERIOR i)boRs INSTALLED ID. PROPER WALL HEADERS L FRAMING 5. HEATING ELEMENTS INSTALLEY��-g II.. ELECT. DROP LOCATIONS & BLOCKS 6^149 6. PANEL BOX INSTALLED 12.-FIRE ASSEMBLIES 7. ELECTRICAL EQUIPMENT INSTALLED Q.C. INT. B. PROPER GROUNDING STATION (4) 9. ISFI-PROTECTION 11,011 I. ROOF SYSTEM L PITCH Ia. EXT. LIGHT BOXES, RECEPTS, CHIME BUTTONS. 3; g_ ,/I 7711k It$ 2. CEILING/ROOF FRAMING L FASTENING IL ARC-FAULT BEDROOM Clj�� 1-12 D.C. INT.- 3. LIMBER GRADE L SPACING C. STATION (6> 4. PROPER CEILING BEAMS & SPLICES 5. ACCESS SIZE 8 LOCATION RECEPT SPACING (4, 6, 12) 6. LEDGERS/HANGERS L FASTENING M , DIELECTRIC TEST COMPLETE 7. CEILING CAULKED "00e K 3.-POLARItY/DPERAIIDNAL TEST COMPLETE S. FASTEN SYSTEM TO WALLS x 4. CONTINUITY TEST COMPLETE . -11100f -- I----- I 9. ROOF EXTENSIONS SIZE 000, 5. CABINETS, COUNTERTOPS L SINKS INSTALLED ID. KNEEWALL SIZE 6. WATER CLOSETS INSTALLED Ill. LATERAL BRACES INSTALLED IK 7. POTABLE WATER SYSTEM/DWV TEST COMPLETE 112. PROPER PIPE SIZES L MATERIALS S. KITCHEN ELECTRICAL C0jiPLETE 13. PIPE RUNS, SLOPED L SECURED Kx O.A. INSPECTOR SIGNATURE 21INPLETEJ 34. FIRE ASSEMBLIES 8- UNIT LABELED 15. CABLE PROTECTION D.C. INT. 16. AMP CONNECTORS INSTALLED CORRECTLY COMMENTS: 17. LIGHT L SMOKE DETECTOR LOCATIONS ........... D.C. INT. NOTE: ALL COMMENTS AND PROBLEM'CLARIrICAT TONS TO BE 21. WRITTEN IN SPACE ABOVE OR ON THE BACK OF THIS PAGE. Lx-:.ANIDATORY CHECKPOINT MANDATORY INSPECTION Unit x Person conducting the test must be inspected and signed off by Unit must be inspected and signed off by D.C. department D.C. department before the next work process is performed before before the next work process is performed, UTOPIA ENTERPRISES OF HARTFORD/JOHN SIKORAK �D, >aT�WP, a AaX AMPAaFmK SN-7484/QN-10283/NY a Ties row WNYADTtRLD NX aw PLAN WU SEEM APP9m mil A'"SCi D FIN nua,PAMCdRLP ARwVW AY RAT . APPumm a%ol"fi-0A7,WVAFADmiCA'S 16 K116A,Ep'1AAT9N .iwn�-s-atf rmia xu rmT sttx SEa1rk0 a un x�Mu • E X OW F=tl N Q r M PLM WAS SEa PACPMED M3 Klfil-* D SaaGT InCOTGITmo mlo x mm DOe wATmi D ITADCTRH DODE �irrrrrrrrrrrrr� ,If MEV=102 alaml AN u DI Nit DortUM Val X solar t0tt y ENTIRE HOUSE TO HAVE r LUAN INSTALLED ON FLOOR �rrr�rrrrrrrrrl� 1T-0 3U' b4'-D' 10'0 1/4' Id Pri wo.wilm 7 TA SAX UK '-' 9'-8' AA y3 Vbn 11'-91l2' CLO M , r no w yy m u sus mm �' Ala m 4 1!2 z M 0 RAaDW VINt >� r-A BREAKFAST k n L--VRD_: 1 1 15'-T .4 HOOK m BATH B! 3,_pY DOING BOON y .27-9' 99.25 S0,FT, y 11942 SO,FT, , REITg iu BEDROOM 02 H 9,52 LIGHT Rill " ro 3A7 VENT REWD m Bo 4,76 VENT REQ'D 11,90 LIGHT PROV'B n 114,72$0,FT, 22;40 LIGHT PROW �Aur KITCHEN m 190 VENT PROV'D UTILITY i 9U8 LIGHT REQ'D Q 1020 VENT PROV'D a 419 VENT REQ'A 10,90 LIGHT PRDV'D I IV-7 1/2' S90 VENT,PROV'D ^ pm HAIL 29'-5'� Q a ' VN1f-tN VALK tN i 8'-31l2' n I uA PAN b h CLOSET CLOSET LiN CLO Q rr I VAS• vnu 3'-0' 5'-7 1!2' 5'-B' m ' 61/2' 41-51/2' ,3'- : iU CLO CLO d 1 t4 Pr 3tao Ia1aE `u' s g r i BEDROOM B3 LIVING ROOM N l3(u44 S0 FT, 202,]l•SO,,FT, g�q BEDROOM NI » 3'-B' 4' ' 1092 LIGHT REQ D 22.62 LIGHT REQ'B Y IM23$9,FT, `0+ ' 1131 VENT REO'D ` land LIGHT REO'D P 194 LIGHT PROVB 2L80 LIGHT PRDV'D � .O 713 VENT REO'D. BATH 02 3L00 VENT PROV'D •2 21,80 LIGHT PROV'D. 5.90 VENT PPRDV' 7FO „ADD'L LIGHT PROV'D ADB L LIGHT PROV'D r IS,W VENT PRDV'D -z V4YER 71.31 20-0 0-B, 0 nor z 43'-Q se'0 62'D 64 0 HOUSE TO BE ERECTED AT LNOE GEORGE,NY, THIS PRINT IS OK VARREN COUNTY TO BE BUD.T 60 LB..SNOV ZONE a N, ROOF 116,01O k F.N1J , NOTES,1,BUILDER IS RESPONSIBLE,FOR,PROVIDING A PROPERLY 6, _ fffm'nf 2664—ALPINE 136 SIZED HEATING SYSTEM TO COVER A 72,000 BTU LOSS 7, 2,HEAT LOSS WAS CALCULATED W/R-19 INSULATION OR HEATED BSMT 8, SIDING=20 SQ pEx ���/eN 1st STORY FLOOR PLAN 4,CLG BEAM 2ELIV/D NTO ADDITIONAL COLUMN 1M1/2 BASEMENT t0,SHINGLES=23 1/.2 SQ DOMES, INC, Dw+uWAn DAM � LAtTh rncAo 5, NCUDGH 1 10/04/02 IfAllf sWrrn A10283 FS Sheet of Z, pi; '..64 'rm QUALITY CONTROL INSPECTION SHEET Form A 1191 PFS CORPORATION RED TAG DISPOSITION PREVIOUSLY OUTSTANDING 0 DATE: //=/g.02. 1.NSPECTOR: Ae. ISSUED THIS INSPECTION 0 CLEARED THIS INSPECTION TIME IN 7.'06 TIME OUT AL&A REG--Z S'PE INC— INSPECTION CURRENTLY OUTSTANDING MANUFACTURER/LOCATION I SYSTEM: S-Structural; P-Plumbing; M-Mechanical; E-Electrical; T-Thermal CONDITION:O� Acceptable;R/T-Not Acceptable;Y/C-Minor Violation(Corrected immediately) Computer Work Unit SYS COND Code No Document REMARKS Area Serla�No. or State Code No. /0 0 0j'- 2,170 ,q re-,,ci A"o wv 3 77 ok, to p /0 5-.,e -6r 7-of s- A4 0/wr;ry 7 AJO AI& 0/c 7q*,Il a -5 p 0 Y vle- r--vo'-01 6 ok 5 0 fC 0 v 0,U 0 f Copies to: Manufacturer, PFS Office PFS Rating 0/r,7z eve.-;- PFS CORPORATION —2402 DANIELS STREET — MADISON, WI 53704 euf-IreD • I.u• LUUa_ l -UbMTTRLAPe% HOMe8 If1C. T-pPIo.J6924/poP 2z7i MP x6.01 Itillpm MtQlr guM T"811 T-114 P-114/004 F-111 ArI6_4db VLkl/iitl ^lWii9 YYrtI&M &LIM si U. luu•iYY- RYY tilOL a• •••�• RECeIVgn IX FEB j�t20D3 TOWN OF QUEE BUNG ANDS C,SRY tir!+�e';�L+swrHrr� •(7dq•l+r• �'+�*..!�"�� /�Tia.� � f�i11tr�R. tJitiri�: 40VP..WWo MAW. 1 � i.cs�.tG�• 1� ►'•' �+G i !a"LLOIf" Ioop 'd= +vKR' ,�fr�!" 'yt��'r G� .••aE .�. r.� L D��G'iF•►�6r . � ,: � l�st•i3�IfLVri.•,�ct�l+Q. -. 1i1G 0wh>sii+r►+isilfi!�#?! tdsrLneotY •0�1 lair�+t> ,1 {( - -f-,S$ ) t l^'tn '-tj-d DEED REFERENCE: KAREN L. WHITMAN A/K/A KAREN L. POWERS TO STEPHEN C. & NANCY J. BULL DATED MAY 12, 1995 IN BOOK 947 PAGE 169 LANDS N/F OF RICHARD VAN DUSEN, JR. STONE PILE �w �o In04 LANDS N/F OF JAMES WALKER J LANDS N/F MICHAEL H p� QJ AREA 230,743 sq.ft 5.30 acres N82 5 LANDS N/F OF EDWIN & YVONNE ALLEN 50 32' Iq A - CL LA KT, r; GRIPHIC SCALE 0 25 1 100 ( IN FEET ) finch = 50 ft. a- u 0 7 v , i f g I � lu 7 3 200 Lq� CA: 6 ASpHA►,'f LEGEND: IPF - IRON PIPE FOUND CIRF : CAPPED IRON ROD FOUND IRF : IRON ROD FOUND CIRS = CAPPED IRON ROD SET q.), = UTILITY POLE believe 1 saw evidence n 311s, trees, fences, etc„ yo represent that I h<i' 'Inces set forth on the . b DA W Q n I 1w so O 4) z 0 w Gi ^ V U a N Cd c 1 � z O m O or w O 0 O E- o CQ aQ � M ti a 0z y z V a ul � 0 a s< A r� v Cr z C� b O 1z I x c� m .-i co 4 0 Dodo JUPE 24, 2002 Sod* T- W S-1 SHEET 1OF1 DWG. NO. 0216' D-571