1999-394 •
•
•
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date =�...r .1 19 r9
This is to certify chat work requested to be done as shown by Permit No.
. has been completed.
• This structure may be occupied as a SINGLE FA.NILY DWELLING
Location9f09 SHERNAN AVE •
Owner SP74F°PMITPT4rfl?13I rnRSC'PPTTC PTnW
TAX MAP NO. 121.. —1-16 . 1$ By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE . $ 1.15145 TOWN OF QUEENSBURY No. 99394
TAX MAP NO. 121 . —1-16. 18 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to SCHERMERHORN CONSTRUCTION
OWNER of property located at SHERMAN AVE. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a SINGLE FAMILY J]wATET.T.TNG
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
43H HUNTERBROOK LANE
QUEENSBURY, NY 12804
2. 'CONTRACTOR or BUILDER'S Name
SCHERMERHORN CONSTRUCTION
3. CONTRACTOR or BUILDERS Address
43H HUNTERBROOK. LANE
QUEENSBURY., NEW YORK 12804
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECT'S Address
PO BOX .706
HAGUE, NY 12836
6. TYPE of Construction—(Please indicate by X)
SINGLE FAMILY DWELLING
• ( )Wood Frame ( I Masonry ( I Steel ( -I
r /
/ 7. PLANS and Specifications
1448 C Q FT SINGLE. .FAMILY DWELLING. WITH 2—CAR: ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE FAMILY .DWELLING.
18,9 July 12 19 2001,
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
12_. July. 19 1999
Dated at the Town of Queensbury this Day of
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
• • Building Permit Application
Town of Queensbui y - Dept. of Community Development, 7.42 Bay Road, Quo:ni,ny, NY 12804 /761-8256f
BUILDING & . CODE ENFORCEMENTNOT10E Requirements prior to issuance r
A permit must be obtained before
'' of this permit: PERMIT FILE NO. 91-39,1---,1
beginning construction. No inspections �5
will be made until applicant has received n Zoning Board Action PERMIT FEE PAID$
a VALID BUILDING PERMIT. All • Area /Use
applicants' spaces on this application ' RECREATION FEE PAID$
MUST be completed and.the signature [—] Planning Board Action •
of the applicant must appear on the REVIEWED Ill:
SPR / Subdivision /Other
�pplicalion form. i SPR lnspcclor
-i Recreation Fee Payment
Applicant: Selt1'Wte,riNor,JeAs4rae,`ii4Ai Owner:
. Coop.
Address: ik; 11 4u/4e.f"b c`ev fit'.. LN• Address:
•
-- Phone # ( 518 )7g8 - p���/ Phone # ( ) -
Properly l.ocntion: Slle..c.,,A6.14 A i e_
fna Mnp Ntitnlwr ..f -:�,8
�lilitlidnIttli Won't - ✓. 5 VI��J �' t. Holm] lllnt!k 101
NATURE OF PROPOSED WORKt ESTIMATED MARKET VALUE OF THE
X , New Bu •_ n. : CONSTRUCTION: $ /,/S /i/A
residence / commercial #
Addit . - o :uilding:
•
. ,r.esidence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
, residence / commercial X , Single Family Dwelling
Residence / Commercial • Two Family 'ci W ®
no 'change'chae to exterior size . Famil �"
Office
. .Other• Work (describe below) Mercantile JUN 2 8 1999
Manufactui,i, OF e
Other CUEEit:ISSURY
GROSS AREA OF`i#'PROPOSED STRUCTURE: • BlJILDifVG AP�CS CODB
let Floor a sq. ft. If ADDITION, what will use
- - -2nd:Ftoor. . .;. . . - ® of new, addition be'? : _._
-7� __ .sq. .:ft.3
Other Floors )t sq. S
(not unfinished cellar or basement ACCESSORY BUILDINGS:
• /e Detached Garage 1, 2 car
TOTAL FLOOR AREA: - A.. 144 a SQ.. FT/ X Attached• Garage 1,
Private Storage Bui •ing
SIZE OF NEW STRUCTURE: Commercial Storage Building
51 FEET X 30 . FEET Other
Foundation Type: Con1CCe ce Will any second-hand or ungraded
Number of Stories: a, lumber be used? If so, for what?
(habitable space only) ^/O
Height (grade to ridge) : ac„ feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which . . .li s)
to be installed: _ � / Electric / Oil / Gas /Mood
CForced Clot Alp / : . eboard / Other
Person responsible for supervision of• work as regards to building
codes is : Sr Q.C'v Q. rtiot it.). : . . 79B•oto1 .Y.
Name Addresse Phone
Builder: S�e +s L e,, .0-r ,rd • �9g-ovill .
Plumber: 5--e.A1 e. 411e,m 7y7- 503 •
Mason: p&L �,a1Aw r,n! 79a- l31 J
Electrician: tike_0_„_,,,,;sky 1194-394)5
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 Uwe shall submit prior to a
Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; dra n to sc e, showing fiat location f project on premises.
Signature: • -4 _. .
• (owner, owner's agent, architect, contrac r)
Application for SEPTIC DISPOSAL PERMIT
'rn«n of Orseensbtiry �YQ
Dept. of Community Development Permit No. I l
3 9_y
Building &Codes Office
742 Ray Rond Fee Paid $ ____
Queenshury, NY 12804
L _—___-1
Location of property for installation: Sl.ervua.N A E. `Tam NIa.f It l ai ..1 -- it,
Property Owner's Name: Se IN e,c.04 t rhoeN
Property Owner's Mailing Address: v.‘" }} 4v ni-e,T' „'ac L Liu•
installer's Name: lee e,(4br Cons L Phone # '798--0474
Cbr P
Number ot bedrooms (if residential): .3 Total daily flow: 950
(residential - compute 0 150 gaL/bdrm.)
Topography: X flat, rolling, steep slope c of slope
Soil Nature: 9 sand, loam, clay, other 1 depth:
Ground water: at what depth? 1J 4feet / Bedrock or Imperv:cus Material: at what depth? _ feet
Percolation test! X not required, required ( rate min. per inch )
Domestic water supply: Se municipal, well, ether.
If ddrriestic water supply is a WELL, water supply from any sci.ic absorption is feet.
PROPOSED SYSTEM
Septic tank! ./aao gallon (minimum size: 1,000 gat)
Tile field: each trench 5o feet / Total system eigth: d o O feet
Seepage pit(s): number of . / size each: ft. by ft.
Size of stone to be used: # 42 / depth or thickness / feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: • Size of each: gallons
(-Moth syetenl nand utaocb+ied electrical wink to be bripecied by, a certified ageocy.)
tot yottr protection, plt the Note thst pursuant to Section 116-2P of the Code of 66 Town of Qneeitebury, any permit or
Aliprov it granted itiltleh IA Mined upon of IA minted hi t+limfee lipoii any rnaternal mierepreeentAtiod or failure to make a
tnnterbil fire or eirctirtiAbiiicd ldro et by et bit behitlf of kJ Mrptie*nt, thrill be void.
I have rend did regutationA with teipect to thin lipplice ' agree b:de And all reTtirrmente of the Town of
r)tw..nAlnlry SAnS my SANMge DIApoARt Onlinnuce.
Signahnn of responsible person: _ _ _r► _ Date: �� 7"
01/03/1996 21:22 5187454437 DEPT OF COMM DEVEL PAGE 01
. T?- 377
. „� ENERGY' CODE COMPLIANCE APPLIcATI
• � _:: TOWN OF.QUEENSBURY; • WARREN CO EN
ED
910 IEAT'ING DEGREE DAYS ,
JUN281999
•
Compliance ethods: PART. 5 Acceptable Practiced:5 eUEE SBURY
. 1&2. Family Dwellings BORibp)ta ANDE
PART 6* -, Thermal. Rating - Co Trade Offs
. 1&2 Family Dwellings; 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:
S c.)A t r.A►4._e Nor on ,ry e:uat1 •
� Shedln�a��7 U
'ART S METHOD OF COMPLIANCE :BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - ./1148 square feet
2. Type of Heat - Electric • • Oil 5e Gas Other
3 . .Is building inechanidally cooled? . . Yes kz No .
4. Pe_centage of area of windows and doors k Over 17% — Under 17%
5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO- R-VALUES AS
SHOWN ON PLANS SUBMITTED:::
a. Roof • • R .3o
b. Exterior walls R .s.i /9
c . Glazed areas . • R .S.Y
d. Exterior doors K . s:V
e . Floors over unheated 'spaces �.��
. Edge of slab on grade. (heated building) K R 19
c. Basement/cellar walls (above grade) R
h. Basement/cellar. walls (below grade) R -
i - Heating/cooling-ducts-piping in, unheated space R ., r.y
6. Service (domestic) hot water heating device
Conforms to minimum efficiency per code re_ Yes No
•
• TEMP RATURE CONT•OL . :IMUM- BETTIMG : 14•0° - WILL NOT BE EXCEEDED
Adp'_ica ` s Sn • u • . Date Phone Number 6�? -.? 1 • 798 - oCo 1V
INS?EC.0?'S REMARKS; . •
/' -,
TOWN OF Q UEE S.BU1 Y
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
9 (9 -34-7,
Date c,19 Permit N®.
APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with
all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow
all inspectors to enter premises to perform required inspections. •
Please fill out additional form if more than one appliance and/or chimney.
Applicant Scj1 ,r Ail _,,(',4..1o(',/ APPLIANCE (check appropriate boxes)
Address \lu . -1)(a: k Lte 0 STOVE: ❑Wood o Coal o Pellet ❑ Gas
0 FIREPLACE INSERT
Zip I ?c 9' D4FIREPLACE, FACTORY-BUILT:
❑ Wood ,o Gas
Phone - ) c, `-Z -C 7 it 0 FIREPLACE, MASONRY:
a ❑ Wood ❑ Gas.,;
Owner ,j., ._/Fl/-t--i 0 /',C. AI 0 FURNACE: ❑ Wood Q Gas ❑ Oil
Address cc' .5 A 2ot3 . IF NON-MASONRY APPLIANCE:
Manufacturer:
Zip Gam. Model:
Phone — 067 91
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
0 MASONRY: 0 Block 0 Brick 0 Stone
(7\1\' \IA 11 ri\l,)'''ej'L ,, FLUE: 0 Tile zji Steel
/ Size: inches
CONSTRUCTION / INSTALLATION MUST a�'FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & / Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS 0 Double Wall 0 Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting
0 Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title f' .
A 173 3389 (190) Public Safety - �'' :J
A 233 2655 (230) Minor Sales
(-- NU.-
iFee Collected From or Refunded to: c.�`> C` , -? P+`-�' _\,t •c``'r fl .
Address: ``,L / V / 1
Dated: ( f) 'i-6164, Town Clerk or Deputy: /i117 tA ) ./.JL,'J _
1
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept..
COMMONWEALTH ELECTRICAL INSPECTION SERVICA,j.K. C/
Main Office 176 Doe Run Road-Manheim,PA 17545 Gi y ,n7
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No Cert. N2 64907 Cut-in Card No
Owner L x 6O-.t)
Location /-'r 4 0 U-PPe 2 ✓he-��t214-70 .11,V
Installati n Consisting of Q01�#`0 72� 3 .9'44 ?
fits') 3,c Ss.... 0 /5-6 A- Ste,e
Installed By F vl.;...L. !t . It Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of maki ' spections at any time, and if its
rules are violated,the Company shall have the right to r oke h' ce Inc .
Date.(d- Z 7 9 2 INSPECTOR..
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 ' Date inspection request received:
Building& Code Enforcement If t, ./
/ "
Dept. of Community Development Arrive am/pm Depart U.✓
Town of Queensbury Inspector's Initials Al
742 Bay Road
_Queensbury,New York 12804 4 NAME Ci-tegliteie1stN/d62 PERMIT# _. __
LOCATION DATE U Z 7 G
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location T
Fresh Air Intake
Plumb Vent through roof
Roof Complete ..----.
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"\
Exterior Handrai s,balconi•s,landing 18 in. or more
Interior Handrails tairs bo sides 3 r more risers
Grade 2%away fro fo n tit. .
8"clearance to sill plate
Gas Valve shut-off expose. regulator 18"above grade
Gas Furnace shut-off wi - 30 feet or within line of site
Oil Furnace shut-off at entr; ce to furnace area 5 (90
Furnace/Hot Water Heater .perating /v1 0 05 c'
Relief Valve(s)installed /'C.-6- 2 G�
Headroom,6 ft. 6 in. on s ' s
Basement stairs,6 ft.4 in.
Handrail exterior stairs be sides more than 3 risers
Interior privacy/trim/door main entrance 36"
Floor Finish
Bathroom/Kitchen waterti;, t
Interior Handrails Balconies/Landing 18 in. or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Pounding fixtures / .
oundation insulation
3/4 hour fire door/door closer '
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
S fety glazing 18"or f "s fro floor /1 .•
nal Electrical /� iZ Ti Cc
Site Plan/Variance r uired
Final Survey Plot Plan i 0 21 6\.
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
nt TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
�....` � 742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP: U4
FINAL INSPECTION REPORT - RESIDENTIAL
DATE I i ,CT ON REQUEST R CEIVED:
NAME
LOCATION
DATE a) 67 1 �PERMIT H
TYPE OF STRUCTURE ��
FOOTINGS FOUNDATION BACKFILL __ FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILING. I/
RELIET V L-;FF•S _
FURNACE/HOT WATER OPE' ING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERT GHT
OTHER FLOORS 'SWEEPALE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS /
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN V E REO.
AL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
FIRE MARSHAL
•.--401111111111wU, TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPO
REQUEST RECEIVED PERMIT# l - L
NAME
LOCATION 90 0 .5 `1:2 -3`VAA. N
SCHEDULE INSPECTION ON ' 2
r) :CV AMP NYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHER
FIRE ALARM SYSTEM
FIRE SPRINKLER SYST
FIRE SUPPRESSION S TEM
HOOD INSTALLATION
INTERIOR FINISHE
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
/FIREPLACE-MASONRY
-J FIREPLACE-FACTORY BUILT
REMARKS: IE/C/X TO THIS DATE
INSPSUP.PUB INSPECTOR
I i
RESIDENTIAL FINAL.INSPECTION REPORT 1f o
0 rifr
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement •
Dept. of Community Development Arrive am/pm Depart Z' pm
Town of Queensbury Inspector's Initials c C.i
742 Bay Road
Queensbury,New York 12804 c),AT13-9----
NAME N 'COY\ PERMIT# J3 „,,,,
LOCATION irr\CI (\ e DATE
TYPE OF STRUC •
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location a' ,
Fresh Air Intake
Plumb Vent through roofRoof CompleteExterior Finish CompleteInterior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in. or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate1/1v./i/
Gas Valve shut-off exposed/regula or 18"above grade
Gas Furnace shut-off within 30 f or with line of site
Oil Furnace shut-off at-entrance t: furnac area I
Furnace/Hot Water HeaterQrau g 10//
Relief Valve(s)installed V/
Headroom,6 ft. 6 in. on stairs �
Basement stairs,6 ft.4 in.
Handrail exterior stairs both • des more than 3 risers
Interior privacy/trim/doors/ :in entrance 36"
Floor Finish
Bathroom/Kitchen watertigh
Interior Handrails Balconies anding 18 in. or more
Railing across window in stai ells
Smoke Detectors:
every level �/
every bedroom
outside every bedroom V/
inter connected 'V ,
Bathroom fans 1
Plumbing fixtures
Foundation insulation CaU 1P KR*F j P,,�1PLit
3/4 hour fire door/door closer
Garage fireproofmg ,//
Garage penetrations sealed j
11
Furnace in separate room protected(in garage)
7 .
Light ventilation per room /
Safety glazing 18"or less from floor i!
,
Final Electrical / // { 9%� 6--D i tUf4'L �e- C-C
Site Plan/Variance required
Final Survey Plot Plan I 1 b&O 3_U lx-y . a te..,
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
/91
1 TOWN OF QUEENSBURY
. -BUILDING b CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name(/W572C�'LeI--h--er
L o c a t i ong20V
Date/ ( /O ab Permit # 39'
SOIL TYP : San - lay-
Results of Percolation Test-
(if applicable) Rate-Minute nch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total ength
Length of each tr n�ch _ c�
Depth of trenches
Size of stone
SEEPAGE PITS: Numbe -
Size - ft. ft.
Stone size
PIPING: Size Type
Bldg. to Tank U`yl
Tank to Dist. Bo c_j It
Dist. Box to Field/Pit 1-1 '�
Openings Sealed? Yes No artial
LOCATION/SEPARATIONS:
Foundation to Tank 13 feet
Foundation to Absorption -77 feet
Separation of Pits feet
Conforms as per P1 d �1 an 4fillo No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - - Side - Right Side
Middle Front 'edle Rear
COMMENTS:
•
SYSTEM USE APPROVED: YES NO
Arrived: t
Depar o
uilding Ispector
5
,;. ,;
yp73•;
•r5'f/
' ';':.---..- 5-3 9
TOWN or LI(stk-No-aufiy
O d JUN 2 8 9
1q
. 9
1 al - I - IL, . a - I, ___r______.
Asir 1 Ai of
ell-4ws.�.�ivmr, ../teAr
OPr 5 P- ea'edVI:"
ir
lie
)4' c- o
-2K�/ j',do GAL -
v
) D ° . . co r
a'I.5 1-}o�S E Ga,resi' — ay .b
— J
c'
CD35
1 ill
I"I have seen or observed, or believe I snw evidence of,
tall objects such as houses, wells,trees,fences,etc.,
pshown on this document. I also represent that I have
d u personally measured the distances set forth on the diagram."
SIGNATURE DATE
Aiddi,„:„... ,<____d
te.°L--
Dom- - pb,/
-ry‘kaa, /
0,/-1
.. I l FIRE MARSHAL
':4 a . TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
77;=°;y ,, - (518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST REC 0-- .-Q
NAME
LOCATION 7`9vj.5 4R — 2j ;
SCHEDULE INSPECTION ON / 0/—2r-9 9
A
APPROVED N/A YES NO
L EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSIQN SYST M
HOOD INSTALLATION
INTERIOR FINISHES _
STORAGE:
CLEARANCE To SPRINKLERS
CLEARANCE To HEATING UNITS
REQUIRED SIGNAGE _
CHIMNEY tZ.4= �t���)i�
�l
WOOD STOVE
FIREPLACE ❑MASONRYIJFACTORYBLT.
WROUGH-IN
❑FINAL ��
REMARKS: 1—VkcA 4-4-7 L}10K TO THIS DATE
!1f0V"U`S
q".- Dt)
INSPSLIP.PUB INSPECTOR
GENERAL INSPECTION REPORT 411
( 518 ) 761-8256 • � ' 'L .
Town of Quecnsbury
Dept.of Community Development ' Date inspection request received:
Building& Code Enforcement ' 611)1
742 Bay Road ( S
Quecnsbury,NY 12804 Arrive am/pm Depart 6' am/pm
Inspector's Initials -1427---"
NAME: ) PERMIT# eck(\.-30vii
LOCATION: DATE : LA-la-Ca
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing 1 / \
for 48 hours following the placement 1
of the concrete. i
Materials for this purpose on site �r
Foundation/Wallpour ', /
Reinforcement in Place � / � I
Foundation/Dampproo(ing ,
Backfill Approval Y' i
Plumbing Under Slab \
Plumbing Vent/Vents in Place 1 .\
Rough Plumbing \,
Heati ig Rough-In f
ulation \
Foundation Walls Interior R- \N
Foundation Walls Exterior R-
Floors R- 11//
Walls R- ("`�
1
Ceiling R 0 /
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers_
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Scaled
Fire Wall 2. 3,4 hour
Firestopping
r \ 1 .
GENERAL INSPECTION REPORT
( 518 ) 761-8256 .
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart 7'' am/ m
�1
Inspector's Initials
NAME: �C.� U .� i)11-) PERMIT# ✓ ' dG,
LOCATION: /240 G DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place N
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
Backfill Approval
Plu thing Under Slab
P_ _robing Vent/Vents in Place
-ugh plumbing-' 1/1
• Heating Rough-ln l
insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
P oper Vent, Attic Went�� r //`
-- n g: \�k ti AYE-d4-?
Jack Studs/Headers VA'
Bracing/Bridging V
. Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier •
Fire Separation I, 2, 3, hour
Pe titration Scaled
F're Wall 2, 3,4 hour s
irestopping A!
/°kAt
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: S c 3 9l
Building& Code Enforcement /
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depark)- am/pm
Inspector's Initials 7:4\
NAME: ` '- °`�' - PERMIT# ! / /2-/`
LOCATION: 0,./—Ot `(-)� DATE : g a 3 q
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place •
The contractor is responsible for
providing protection from freezing
for 48 hours following the • accment
of the concrete.
Materials for this purpose
Foundation/Wallpour
Reinforcem: tin Place
Foundation/D• pproofing
Backfill Approv
Plumbing Under S •
Plumbing Vent/Vents II
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior '-
Foundation Walls Exterior '-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
y)Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road �'�
Queensbury,NY 12804 Arrive am/pm Depart' pm
Inspector's Initials
NAME: JUI.4(Z�1-�C -� i\ PERMIT# 9 � �`�
LOCATION: DATE : '7
TYPE OF STRUCTURE:
RECHECK f
N/Atings/Piers �9 PCL • I
Monolithic Pour Form
Reinforcement in Place a-__-yk 17 contractor is responsible for
providing protection from freezi g
for 48 hours following the placement
of the concrete.
Materials for this purpose on',/
site ,
Foundation/Wallpour !
Reinforcement in Place / .r,
Foundation/Dampproof ng_y
Backfill Approval. ;/
Plumbing Under Slab I
Plumbing Vent/Vents ill Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENERAL INSPECTION REPORT •
Town of Queensbury
2—Rin
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bey Road 2/±Ain/pn
Queensbury,NY 12804 Arrive am/pm Depart
Inspector's Initia1
ft
NAME: "1SlOs5'M'P\ `(1.Olk gv PERMIT if — if
LOCATION: J , r DATE . —
TYPE OF STRUCTURE:
RECHECK
yp.may\� p( N/A YES N COMMENTS
G-kv--
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible-for a
providing protection from/freezing Aif
G�/-�
for 48 hours following the placement
of the concrete.
Materials for this purpose on site,
Foundation/Wallpocir�^ t
Reinforcement in Place \
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
29)(r)
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive V. a Depart r •��
spector's
� - ��' •
NAME: PERMIT# r
LOCATION: p �p � DATE : _
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place -
The contractor is responsible for
providing protection froniNfreei u)_
for 48 hours following the?•11 .ce ent
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
V2sakfilliApproval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers.
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration.Sealed
Fire Wall 2; 3, 4 hour
Firestopping
n A4
GENERAL INSPECTION REPORT
Town of Queensbanry Dept. of Community Development Date inspection request received: '7/&/1 5
Building&Code Enforcement
742 Bay Roadib
Queensbury,NY 12804 Arrive am/pm Depart- am/ m
Inspector's Initials
NAME: `'mot CL SC-G\Se PERMIT# " 71-
LOCATION: Lli ,cS DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES O COMMENTS
ootings/Piers
Monolithic Pour Form
Reinforcement in Place 2-
The contractor is responsible t.s r V.C)
providing protection from =:: ing
for 48 hours following the p1.i ement
of the concrete.
Materials for this purpo"- on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
SG111 0,4-v. C..0031- otkoN aorp .
53u
RECEIVED
°a Ju
2 8 7999
V'1'N q, uuEEN0,,z.URY
Y'�yc IvlaQ
I et
rj0'
_21 1 116bO (pf}L
51 , a 60
� oo '
cJ
V 35 '' n
"I have see n or observed,or believe I Saw evidence of,
all objects such as houses,wells,trees,fences,etc.,
I „ shown on this document. I also represent that I have
O personally measured the distances set forth on the diagram."
SIGNATURE DATE
S �,e,r ant iqvg 4
MAP REFERENCE:
MOUNTAIN VIEW SUBDIVISION
DATED: MAY 12, 1969
LAST REVISED: MARCH 24, 1970
BY: JOHN B. VAN DUSEN
2
LEGEND:
O IPF = IRON PIPE FOUND
O IRS = IRON ROD SET
� an. D u s en
8c Steves
Land Surveyors, LLC
37 Chester Street
Glens Falls,
New
York
12801
(518) 792-8474
New York
lAc.
No.
50135
70
IPF
37
F _
S83'4 00" E
100.00'
I W
N
100.00Q
U
N83'21 00,,W
SHERMAN
AVE,
9RAMINI £D ALTERATION OR ADDITION TO A SURVEY
YAP DBAIOLO A LICENIMD LAND IIRVEVM !AL IS A
WMADON OF XMICM 72M ilhDpMON & OF THE
NUN VOIK SPATE EDUCATION LAK'
-ONLY OWU FNOI THE MONAL OF TN: SIRVEY
NAWSD WIN AN OROMAL OF W LAND SURVEVVIRS
WAL SNIALL ER: CONNIOEM 10 BE VALID IM CORES.•
•CLRINICANINT MDIGTED MM M SIOWY THAT
DES SIMVEV VMS POPARm M ACCOOANCE VAIN DIE
EXWW CODE OF PRACTICE FM LAND SURVEIM ADOM
BY DIE W9 TV11K RAN AOIMATAN OF POWENO MAL
LAND SLW*-t= SAD OEITs1CAIM STALL MUM ONLY
TO DIE PERSON FOR WHIM DIE SUMEY LS PIETNUIED. AND
ON MIS NNW 70 7NE DDE OON/ANY. 401010MEDTAL
AODICY AND LDIOSD 04VIU 10I MIND NUM4 AND
TO IM AmONE71 W WE LETIIOD 06=1101•
0
N
0
IRS
3G
OCT 2 7 1999
i }= y
a
06 C.
. N) `%%,�' . I "
IPF
Map of a Survey made for
RICHARD A. & CHRISTINE A.
SCHIERLOH
Town of Queensbury, Marren County, New York
M
i HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR
BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT ONNERS.
CERTIFIED TAD: Richard A. & Christine A. Schierloh
McT Mortgage Corporation, Its successors
and/or assigns
Chicago Title Insurance Company
State of New York Mortgage Agency. Inc..
Its successors and/or assigns
CERTIFIED BY:
MATTHEW C. STEVES, LLS NYS 50135
DATED: July 21, 1999
2 10/27/99 DRIVEWAY
1 10/1/99 ADD S.N.Y.M.A.I. TO CERTIFICATIONS
NO. DATE DESCRIPTION
ateL ..
cafe 1
i Wl
SHEET 1 OF 1
SCHIERLOH
DWG. NO. 99120