97-019 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date April 17 19
13°11 \9:1 '(/)PN
This is to certify that work requested to be done as shown by Permit No. cr7 1 Cs
has been •completed: `
SINGLE FAMILY DWELLING
This structure may be occupied as
LOT 70 PEACHTRE'E- LANE
Location
Owner SCHERMLRHO12N CONSTRUCTION
TAX MAP NO. 1.21 > -1.5-70 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 1090TPWN OF QUEENSBURY Na 97019
TAX MAP NO. 121 . -15-"WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to SCHERMERHORN CO H
OWNER of property located at
LOT 70 PEACHTREE VANE, Street, Road or Ave.
in the Town of Queensbury,To Construct or place a STNf;T.F FAMILY DWEL LTNC
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
CORP . 9 MASTERS COMMON NORTH
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
SCHERMERHORN CONSTRUCTION
3. CONTRACTOR or BUILDER'S Address
79 MASTERS COMMON NORTH
QUEENSBURY, NY 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 ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
178t3°•SO FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECTFTCATTOFS
8. Proposed Use
SINGLE FAMILY DWELLING
$ 235 PERMIT FEE PAID -THIS PERMIT EXPIRES February 4 .19 99
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 4 Day of February 19 97
SIGNED BY 0106W12.1%1 for the Town of Queensbury
Building and Zoning Inspector
•
•
,r r
•
�}� ��ra ENERGY CODE COMPLIANCE APPLICATION -( \: 'D 1
',�;r I;1 '.I.'OWl1 or OUIs;I!;L'1 SI-lllltY WARREN COUNTY
lr y► ,o'' 9000 III!;11'. ING DEGREE U11YS
' JAN U ., .Sr
Compliance. Methods : PART I" -s -- Acceptable Practice Method B ui�iuki`fuCODE I
I r�7. Family Dwellings (on-1.1 U)
PART (i A Thermal Rating - Component Trade of Es
.I ri7. Family Dwellings; MuJ.t-i.--IFam.i.J.y.
Dwellings ( 3 stories or lens )
i.'I\It'1' '1 * -- Design by Component- Performance
Commercial IJulld_ings-Ili- Rise Residential
, *Requires submission of worksheets
A P 1?I,-1.GAFF'S.J T' S HAM!: : - -----I'I Z :V P:I Z'.I'Y 1,O C A T ION !
------ — —
�1,-1r+nnee eel/No ec,nS e � PWit+P a�' %0 h'° 1.
P1ItT 5 METHOD OF COMPLIANCE 13YACCLYT11ULE Fil.Il,CT1.CL:
I . Gross Floor Area - 11S3 r,qua.r.-e. feet
2 . Type of Ileac - — _ I.'.:.I.ect:r.-.i.c: - Oi.1. X- Gas • _ - 01:Iret:
3 . Is building mechanically cooled? Yes X No
4 . Percentage of area of windows and doors x Over .17% Under .1'11
5 . . R-VALUES FOR .iNSUTATJ.OI.I GJ.VIti1J IJL:LOW MUST CORRESPOND TO R--VALUES AS
SHOWN ON PLANS SUfM1TJ'i!;U :
n . Roof . R 3°
• b . Exterior w;r.l-.l.e R ._-!d_ -
c . Glazed nr:enr3 It /.s
d . Exterior c.locir•rt It - :5____
e . Floors over Unheated spaces R __/L-___
f . Edge of slab on q nde ( heated building) R -_-_V__ _
g ., Ilasement/cel.lar- walls ( above grade) R I?
lr . Iiesenlent/cel.lnr wells (below grade) R - L/I . Heating/cooling-ducts-piping In unheated space It 470.6
6 . Service (domesLIc ) IroL water: beating device
Con forrirs to ml.n.lmutn efficiency per. code - ,{ Yes ^_-- Ho
TEMPERATURE CONTROL MAXIMUM SETTING 140o - WILL NOT DE EXCEEDED
Appl.lAant ' s rJ. nc Lur:rr Date Phone Number
INSPECTOR' S REMARKS :
l�A� IUWN Uh- QUELNJIiUHY
;, ' ►i<N„ __APPLICATIOU FOR SEPTIC DISPOSAL._PERMIT— -,
r aST�r �),,� d� �.2. rim;',4� /dtA"."1 of o-er,s bur�Ji
�C
DATE. / Z 2 9 '7
LOCATION OF PROPERTY FOR INSTALLATION 1. of 7o A.-c-,1 l'ee.- /Ad, `'- ` '' ': ,,
Owner' s Name: Sal--e.t 4 e c ),o.r A_J JAN 22.1997
Address: 1 Y�1 aS Q cs 4Jo �oUIL' I t i�cD-v ; iiRY
Installer' s Name: g , Sc_)ne,r IA4 0 rharriv Telephone: 2l o—o67%'
Number of bedrooms (residential only) 5 97
��C
Total daily flow (compute @ 150 gal per bedroom) 4/5 o
Topography: Circle one: Flat Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth:
Ground Water: At what depth? /A Feet
Bedrock or Impervious Material : At what depth? /✓/4 Feet
Percolation test: Circle one: not req required
Rate - Min. Per Inch
Domestic water supply: Circle onerMun Well Other
If domestic water supply is a well:
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank %o o a gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench feet/Total system length feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used #. /Depth or Thickness feet
*****************************
HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks Size of Each Gal .
*Alarm system and associated electrical work to be inspected by an approved
agency.
I have read the regulation on the reverse side of this sheet and agree to abide
by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: ' ,.,,a. . -iit DATE: /- Z1 i 7
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-8256J
Or BUILDING & .CODE ENFORCEMENT
NOTICE Requirements prior to issuance
r of this permit: PERMIT FILE NO. Q 7--
A permit must be obtained before beginning construction. No inspections
will be made until applicant has recei°iP' n PERMIT FEE PAID$Zoning Board Action 11c;n
3 5 C°
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE PAID$
applicants' spaces on this application RECREATION
be completed and•the signature , n Planning Board Action REVIEWED BY: 7/of the applicant must appear on the SPR / Subdivision /Other Building Inspector
4pplication form. Thank,o,.. J Recreation Fee Payment
Applicant: Scinerinrle,(r"11°r) CetnSi-rJc.4„.A1 Owner: - a. Sc.)^e.^v-d�CI,0 hi - --
Gorp
' Address: '7 g Wi c.5'IQ s`S ' e cw ,..,,o-ii Address:
Phone # ( 515 ) 7 i G� - 6 0 4/ Phone # ( ) -
Property Location: L-b+- 74) Pe.ac.1-��^e�.. M r ---`-----
Tax Map Number /
Subdivision Name: 51.,Q.r v,"sot-✓U P;t,)els
Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
s( New Bui ng: CONSTRUCTION: $ /aq, GOp
residence/ commercial
Addition .to Building:
residence. / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial x Single Family Dwelling
Residence / Commercial Two Fam' y D,wel :-i-rrg-"""`_`�:•.`;:""`�`
no change to exterior size F miRI3° w.e'l�ing:.'
Office
Other Work (describe below) Mercan iler inhi 2 2 1`'�''997
Manufa turYfi
j49A, Other
GROSS AREA OF PROPOSED STRUCTURE: - - TOWN O QUEE ,JL.ors
i(e' /S Q RI Ili f,1NG AND CODE__ ..
If ADDITION, what will use
1st Floor sq. f /1
of new addition be? :
2nd .Floor 768 sq. ft. �`• -
Other Floors 2 /7 sq. ft
(not unfinished cellar or basemen ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: /7 83 SQ. FT. sl Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
52 FEET X y FEET - . .
Foundation Type: Gcri�i'ee. Will any second-hand or ungraded
' Number of Stories : 9 lumber be used? If so, for what?
(habitable space only) A../o
Height (grade to ridge) : 2y feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which a..l' es)
-
to be installed: O Electric / Oil / 4Wood
(Forc& ic Ho— _ / Baseboard / Other
Person responsiblie for supervision of work as regards to building
codes is: tee,- 1-,at-,M(),,r)or-.0
Name Addresss Phone
Builder: 5,.-lncLr tel,c4.iJ --75.5-0677cf
Plumber: S*e n - ,4)IPN' 74/7— 56`)3
Mason: 04.e_ iPcticl ? l.J' -79 - 13 7 /
Electrician:1/►1.'l60 Low►".slc,„ h/99—.3%O
t.
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; drawn to scale, showing actual location of project on premises.
Signature: PLiP.
J"st
(owner, owner's agent, architect, contractor)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545 9 7_O / .7
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No. Cert. 4 3 2 2 1 Cut-in Card No.
Owner D—e-66e72444,-0-12(-6 o 12.kik. e- Ai Ais-r-Rac-ri e/
Occupant
Location 1-r. 70 Po-ReM, Rez-7 L A t
Installation Consisting of (716 5 1-1 / re.(54 i I 1 126C-515 '3 o c--•i 7 ---E5.
Sgg.,,D.jw. •. ci RA/Ci e, 7 i *A-t t i 5 Cp 0_sc.-- /,.so 4- '
t, •r
Se120 t dc--,--- /
Installed By M - 0-014-15 g y Lie. #
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,,.ins.e.20 s at any time,and if its
rules are viol'ted,the Cam any shall have the right to revok-th rti , . e.
Date "?/--Y INSPECTO•) f •
Member N.F.P.A.,I.A.E.I.
TOWN OF QUEENSBURY
IA'_ r BUILDING & CODE ENFORCEMENT
742 BAY ROAD
' QUEENSBURY NY 12804
( (518) 761-8256 y
ARRIVE: iC—
(2 DEPART: C� I 'I
FINAL INSPECTION REPORT — RESIDE
DATE INSPECTIO REQUEST RECEIV, D: / _ ' "--
• Ir
NAME • \ _ • 1Ir Allid
LOCATION _..I i� . W P
DATE -- I PER 'IT $ . `$
TYPE OF STRUC RE ` '
FOOTINGS FOUNDATION BACKFILL _ FRAMING
ROUGH PLUMBING SEPTIC INSULATION •
FINAL ELECTRIC WOODSTOVE eR FIREPLACE
N/A YE NO
CHIMNEY HEIGHT/B\VENT HEIGHT
4
PLUMBING VENT
ROOFING 1 V
EXTERIOR FINISH •V
DECK/PORCH/STEPS/RAI INGS ' a/
RELIEF VALVES \ 'V!
I
FURNACE/HOT WATER OPE �TINS //p
INTERIOR TRIM/PRIVACY DeO'S J
FINISH FLOORS: `' V
BATH/KITCHEN WATERTIGH, 4 .
OTHER FLOORS SWEEPABLD \
OTHER FLOORS CARPETED _1(
STAIR CLEARANCE/RAILINeS U
SMOKE DETECTORS \ lifi
'
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATIO !
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL I
SITE PLAN/VARIANCE REO. \ I _
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O oft C/C
/1101104, TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(' (518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIA
DATE INSPECTI N REQUEST REC. VED: C 7
NAME
LOCATION /
DATE �'"1 f 7 -61 l _ PERMIT H 7-`-)/
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/RAILI
RELIEF VALVES
FURNACE/HOT WATER 0 .RATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES •
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
• 0— /0 f,36
TOM OF QUEEh1SBURY
BUILDING 81 CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 11 ��
Location c /_ C ,Q e -fr sL,
Date -17 Permit #
SOIL TYPE: Sand-Loam-Clay-
Results of Perco ti n Test-
(if applicable) Ra -Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD• To -al Length 11
Length of each rench iqb,.. -1IM>
Depth of tr hes
Size of.-s- one
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size
PIPING: Size Type`� �-,
Bldg. to Tank ! _g �
Tank to Dist. Box • ii 5CAL
Dist. Box to Field/' 4
Openings Sealed? Yes . No Partial
LOCATION/SEPAL Th IS:
Foundation to Tan . /0 feet
i4.9
Foundation to Absorption feet
Separation of Pits f
Conforms as per Plot Plan Yes N
LOCATION OF SYSTEM ON PROPERTY:
(circle ..-)
Front Rear -( - e - Right Side
Middle Fron - Middle Rear
COMMENTS:
`Rao 11 . Rut r rz-A-A) OK
SYSTEM USE APPROVED:
Arrived: ,/U /d
Departed: " ' )
Building Inspector
(518)761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT /. •
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARJP (`) DEPART2 Q" IN
REQUEST FOR INSPECTION RECEIVED: Air
NAME _ r-7L 1�• � .
LOCATION Lp\ `� YEK-AA 1-?_EE_
DATE 8aACk7 PERMIT # 9-1 ��Z77�TYPE OF STRUCTURE: ATO uZ \ Z_ CA[_ GpA k
RECHECK APPROVED
N/A YES _ NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RES ONSIBLE FOR
PROVIDING PROTE TION ROM FREEZING
FOR 48 HOURS FOLLOWI G THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
$ACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING: _
JACK STUDS/HEADERS
BRACING/BRIDGING - _
JOIST HANGERS
JACK POSTS MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION: , )F i
_FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
te i ) (518) 761 8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT 'a., t.4.•
742 BAY RD., QUEENSBURY NY 12804 ,`; '�Ja.µ,,
INSPECTOR'S REPORT: ARR 'f°DEPART ' •• IN'IV/ —
i
REQUEST FO INS ECTION RECE VED: L Z 6 J
NAME 71 III M 1)'1
LOCATION// 7C `—" L 7 - 2
DATE �t ZXX PERMIT # 97.---0/9 f
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
1
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN ACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE—
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE f__
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
IR INFILTRATION BARRIER
HEATING ROUGH—IN
INSULATION:
FOUNDATION WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR R—
FLOORS R—
WALLS R—
CEILING R—
DUCT WORK OR PIPING IN
UNHEATED SPACES R—
coguo
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING G CODE ENFORCEMENT :1; [
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR /(,l 3G'DEPART (I�NT__
REQUEST F IINS EC�TION RECEIVED:^ `j/'2_(Y—9
LOCATION j(i}-71-- 7 C) Q (' Le- c,
DATE --� � PERMIT H
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTING$/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR I SPONSIBLE FOR
PROVIDING PROT TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING _
JOIST HANGERS JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
}!EATING ROUGH-IN _
_ULATION: /
FOUNDATION WALLS INTERIOR R- _
FOUNDATION WALLS EXTERIOR R-
FLOORS
FLOORS R- 3 --v
WALLS R- i1 -
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
r
/ ,`•`Jq1,1 Y // ri
Ali014LL, i�v 4 //VJ s1�%rf Cei v�
pit .
c teelrack
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NJ' 12804
�a INSPECTOR'S REPORT: AR �DEPARTA NT 1k
REQUEST FOR IN PECTIONRECEIVED: 372-0D L 7
NAME cl\Pn d(��l' , t7Yf
LOCATION L 7
1
DATE 3 ?_(')1 7 PERMIT # 7
710
TYPE OF STRUCTURE: ��
RECHECK APPROVED
N/A YES NO !
FOOTINGS/PIERS \.
MONOLITHIC POUR FORM
REINFORCEMENT IN ACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURPOSE ON SITE
k'OUNDATION/WALLPOUR
REINFORCEMENT IN PLACE L
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACEk:///:_ _
—ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ^`"-
INSPECTOR'S REPORT: ARR DEPAR/ INT Vc
REQUEST FOQ$ SPECTION RECEIVED: / 3 6/74
NAME ,-,.DrzNzrIru
LOCATION ( QC1/('i�l�,/��
DATE 3 ci7 PERMIT C3)C1 - 0! "e
TYPE OF STRUCTURE:
RECHECK APPROVED
121)r
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FO
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLONING THE PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURPOSE ON SITE
k'OUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
�-FRAMING: /�
JACK STUDS/HEADERS � �/
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
)IEATING 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- •
•
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o[K `-ro �s��
, M (518) 761-8256
Q,i\r\13-:\ 3
TOWN OF QUEENSBURY ;' *r
BUILDING & CODE ENFORCEMENT ^`` vfle
742 BAY RD., QUEENSBURY NY 12804 'f`a ��1"?;,"-
INSPECTOR'S REPORT: ARR G DEPART �- k 44-
_ • •
REQUEST IN ECTION RECEI D: ,e
NAMELOCATION �� 't4.X�1r, , ,,,,„,
r --Tr`e.(7
DATE .D+? - -7 PERMIT A 7 - 0 t 9
TYPE OF STRUCTURE: 5
RECHECK APPROVED
N/A YES NO
U
FOOTINGS/PIERS
MONOLITHIC POUR FORM ,
REINFORCEMENT IN PL E - o
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOOFCCJ� s
FING
/
BACKFILL APPROVAL A" --1"13'4)„
PLUMBING VENT/VENTS IN PLACE !
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS ,
JACK POSTS/MAIN BEAM -
AIR INFILTRATION BARRIER
_
HEATING ROUGH-IN
\INSULATION: s , _ \;1:'
/FOUNDATION WALLS INTERIOR R-%O
FOUNDATION WALLS EXTERIOR R- _
FLOORS R- -
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(518) 761-8256
p.
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 )'®'
INSPECTOR'S REPORT: ARR 7(ADEPAR 1 , SENT J/-"/:
REQUEST FOR INSP I�ON�RECEIVED: ! - L -�7
NAME
LOCATION g e L /7
DATE 2- a -9 7 PERMIT It / 7-0/1
TYPE OF STRUCTURE: 0.'
RECHECK APPROVED_
N/A YES NO
OTINGS/PIERS
MONOLITHIC POU
R FORM `/
//////:
REINFORCEMENT IN PLACE -2-4 _
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. _
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JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
` Nn1 (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 '' . •INSPECTOR'S REPORT: ARR/f��"DEPARjS�'/� IN '
REQUEST FOR n IN.PECTION RECEI'ED:
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 �:,
INSPECTOR'S REPORT: ARRI ' EPART ,�INT
REQUEST FOR I SPECTION RBFEIVED: C- -//�i
F� _.� ' �'t�1ILAMA
NAME � ��
LOCATIO O ( px1�J Tree
• DATE - ! " - ' PERMIT A q /- 1 1
TYPE OF STRUCTURE: , .>,�1\\ /
RECHECK APE) OVED
N/A /' YES NO
FOOTINGS/PI S
MONOLITHIC P UR FORM ,/
REINFORCEMENT N PLACE /
THE CONTRACTOR S RESPONSIBLE FOR/
PROVIDING PROTE TION FROM FREEZIP
FOR 48 HOURS FOLLOWING THE PLAC ,
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MATERIALS FOR THIS PURPOSE ON .SITE
FOUNDATION/WALLPOUR\ /
77 REINFORCEMENT IN PLA E / _
FOUNDATION/DAMPPROOFIN /
1 ' OU/FILL APPROVAL / d
PLUMBING VENT/VENTS IN ACE
ROUGH PLUMBING /
PLUMBING UNDER SLAB /
FRAMING: /
JACK STUDS .HEADERS
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JOIST HAN'ERS
JACK POStS/MAIN BEAM
AIR INFILTRATIO,/BARRIER
HEATING ROUGH- /4
INSULATION: /
T
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FOUNDATIO WALLS INTERIOR R-
FOUNDATIrN WALLS EXTERIOR R-
FLOORS / R-
WALLS / R- _
CEILIN / R-
. DUCT W'iRK OR PIPING IN
UNHEA' D SPACES R- •
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(518) 761-8256
0
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 "' .1"
INSPECTOR'S REPORT: ARR1 DEPART,- 4
REQUEST FOR INSPECTION RECEIkl1Yl)
: � /1�
NAME v Q'l / PkQ�. ) . --\
afrLOCATION / t, / -C a 7 e�C,
DATE pC I / J f PERMIT A
TYPE OF STRUCTURE: S I�
RECHECK APPROVED
N/A _ YES NO
V4TINGS/PIERS 140/8
MONOLITHIC POUR FORM
REINFORCEMENT 'LeC ,7_ _ am.l _
THE CONTRACTOR IS 'ES ONSIBLE FOR
PROVIDING PROTE : IN ROM FREEZING
FOR 48 HOURS FO 0 I G THE PLACE-
MENT OF THE CO 'RE
MATERIALS FOFj!THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
-
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
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MAP REFERENCE:
SHERMAN PINES SUBDIVISION
BY MORSE ENGINEERING P.C.
LAST REVISED JUNE 7, 1993
FILED IN THE WARREN COUNTY
CLERK'S OFFICE ON JANUARY 29, 1993
IN PLAT CABINET A SLIDE 197
COMMON AREA
S 82*179
20
E
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 OWNERS.
CERTIFIED TO: MICHAEL & KATHLEEN M. MAGNER
BINGHAMTON SAVINGS BANK, FSB,
IT'S SUCCESSORS AND\OR ASSIGNS;-
OLD REPUBLIC NATIONAL TITLE INSURANCE COMAPNY
CERTIFIED BY:..
,
MATTHEW C. STEVES, LLS NYS 50135
DATED: APRIL 16, 1997
101.00'
co
w
LOT 70
W
,W
ONc
Nc
LOT 69
cv
0
Z D HOUSE 0 v
LOT 71
c cat
o u�
a � I
co cu
15.64' ...�
O O n (1
1RANs. I �J
101.00' 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
N 82'17'20" APj� r `��w� VIOLATION OF SECTION 7200. SUB -DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW
Q 'ONLY COPES FROM THE ORIGINAL OF 74S SURVEY
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS
SEAL *CERTIFFICATIALL ONSC�NDICA D HEREON SIGNIFY SIGNIFY COPIES"
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE
EXISTING CODE OF PRACTICE FOR LAID SURVEYORS ADOPTED
BY THE NEW PORK STATE ASSOCIATION OF PROFESSIONAL
`� •L �( lT /�J " LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY
�L•�`••,,// .� M THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND
LANE
ON HIS ALF TC THE TITLE COMPANY. GOVERNMENTAL
BEHALF
AGENCY AND LENDING INSTITWTION LISTED HEREON. AND
TO THE ASSIGNEES OF THE LENDING INSTITUTION.'
121-15-70