97-265 • 4,
— .
•
CERTIFICATE OF OCCUPANCY
•
TOWN OF QUEENSBURY ,
WARREN COUNTY; NEW YORK
February 11 98
Date' 19
•,
I st, - •
97265
• This, is to certify that work requested to be done as shown by Permit No. •
•
has been completed.
SINGLE FAMILY DWELLING
This structure may be occupied as a
LOT- 74 #73 -PEACHTREE LANE
Location
SCHERMERHORN CONSTRUCTION
•
Owner
Y
TAX MAP NO. 121 .-15-74 By Order Town Board • `
TOWN OF QUEENSBURY
- "
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE $ ' 90500 No. 97265
TAX MAP NO. 121 . -15-74 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to SCHERIIERHO1- ELO-N- PION
OWNER of property located at LOT 74 PEACHTREE LANE Street,Road or Ave.
in the Town of Queensbury,To Construct or place a CINGLE FAMILY DWELLING .
at the above location in accordance to application together with plot plans and other in ormation 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 BUILDERS Name
SCHERMERHORN CONSTRUCTION
3. CONTRACTOR or BUILDERS Address
79 MASTERS COMMON NORTH
QUEENSBURY, NY 12804
4. ARCHITECTS Name
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECTS Address
PO BOX 706
HAGUE , NY 12836
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )SteeISINgLE FAMILY DWELLING
7. PLANS and Specifications
1463 FT SINGLE FAMILY DWELLING WITH 2—CAR ATTACHED GARAGE
AS PF.R PLOT PLAN SpECT_FICATIO-NS
8. Proposed Use
SINGLE FAMILY DWELLING
$ 189 PERMIT FEE PAID —THIS PERMIT EXPIRES September 17 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 Oueensbury before the expiration date.)
Dated at the Town of Queensbury this 17 Day of September 19 97
SIGNED BY .12CW01--� + for the Town of Queensbury
Building and Zoning Inspector
c
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
• 9000 HEATING DEGREE DAYS • RFCFWED
Compliance Methods : PART 5 - Acceptable Practice Meth d -MAY 271997
1&2 Family Dwellings (onlyi `" Y
PART 6* - Thermal Rating - Componer}t �c �c ODE
1&2 Family Dwellings; Mul i-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:
ScAe.c.•vv.er1orn> C20,-+Str)e.r:oio (_;oCp. Io+ 7y PLac�,}! 'ee 1./V-
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - /580 scuare feet
2 . Type of Heat - Electric Oil X Gas Other
3 . Is building mechanically cooled? Yes No
4 . Percentage of area of windows and doors se Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R 30
b. Exterior walls R /9
c . Glazed areas R J.$
d_ Exterior doors • R a j
e . Floors over unheated spaces R /9
f. Edge of slab on grade (heated building) R //
g_ Basement/cellar walls . ( above grade) R j q
h _ Basement/cellar walls (below grade) R
1. Heating/cooling-ducts—piping in unheated space R y_b
6 . Service (domestic) hot *water heating device
Conforms to minimum efficiency per code )( • Yes. No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
A can ' ' Date Phone Number
PP s S gn ure 5'-27- 97 720_0637Y
INSPECTOR'S REMARKS:
Application for SEPTIC DISPOSAL PERMIT
r
Town of Queensbury "15�e r /"act•./ oi✓ �'l
Dept. of Community Development :' /��V-l. ,✓ti o C ✓�e�S b Li ��;Permit No.
Building &Codes Office � - -�_ or
`- - -- �_ '
742 Bay Road Fee Paid $
Qii&pnsbury, NY 12804
Location of property for installation: o f 7 Y Pry,a c-A LA./
Property Owner's Name: S e t-1-t o r :o Corp
Property Owner's Mailing Address: 7 W1 a s r'S Co•rvi ,M o.0 itlo r-4-1,
Installer's Name: Sc.1-t e,r wt e r-l o o.A-) Phone # 7 9 8—o C.-Z y
Number of bedrooms (if residential): Total daily flow:
(residential - comput 0 a l hdrm )
FIECENED
Topography: u flat, roping, steep slope % of slop
Soil Nature: u sand, loam, clay, other /depth: MAY 2 7 1997
TOWN OF QurEM8:3URY
Ground water: at what depth? feet / Bedrock or Impervious Materials a e"•t? D CCU _
Percolation test: not required, required [rate min. per inch ]
Domestic water supply: municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
Septic tank: icoo gallon (minimum size: 1,000 gal.)
Tile field: each trench feet / Total system length: feet
Seepage pit(s): number of / size each: ft. by ft.
Size of stone to be used: # L / depth or thickness feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
Alarm system and associated electrical work to be inspected by a certified agency.
J
For your protection, please note that pursuant to.Section 136-29 of the Code of the Town of Queensbury, any permit or
approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a
material fact or circumstance known by or on 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
os Queensbury Sanitary Sewage Disposal .
Signature of responsible person: Date: 5 - a 7- 9 7
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, IVY 12804 [761-82561
-Or BUILDING & CODE. ENFORCEMENT
NOTICE Requirements prior to issuance --
r of this permit: PERMIT FILE NO.
A permit must be obtained before
beginning construction. No inspections PERMIT FEE PAID$ 9will be made until applicant has received pi Zoning Board Action 1
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE PAID$
applicants' spaces on this application
MUST be completed and the signature n Planning Board Action REVIEWED BY•
of the applicant must appear on the SPR / Subdivision /Other Building Inspector
application form. Thank you. - J Recreation Fee Payment
Applicant: 5CL.er..n e,Act Al ConSlr.?c-A:os-ICarp. Owner: Sa.w,r a.s cLpp h..o r- f
• Address: 7`1 VVIaS1-e.rs Cow,v,-oN /UOr+A Address:
Phone # ( a, ) - 1g - 06-21/ Phone # ( ) -
Property Location: Lot `l Pa.cl.fre_ I. o
7 e e i�`� 1 L C l �' Q
Tax Map Number 1—�! J "1
Subdivision Name: Sl,ter,...a.n! P i N E.S
Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
X New Buildin CONSTRUCTION: $ go�$oe,
(residence) / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary BuiliG1i. g -
residence / commercial x Single amp r =7w
Residence / Commercial Two Fam'ly�H D ,1 .nbgv.
no change to exterior size F-mily. Dwelling
9 7
Office ' MAY
Other Work (describe below) Mercanri1e
Manufa c t 5iii 3F t E-a:l83URY
Other BUILDING AND CODE
GROSS AREA OF PROPOSED STRUCTURE:.e
If ADDITION what will use
1st Floor _ 731:.50 sq. f S of new addition be? •.
IS9 2nd .Floor 73/.5o sq. ft
Other Floors sq. f
(not unfinished cellar or basement ACCESSORY BUILDINGS:
)963 Detached Garage 1, 2 car
TOTAL FLOOR AREA: SQ. FT. u Attached Garage 1, (2 cab
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
5b FEET X a2-) FEET ..
Foundation Type: (onct- I-6- Will any second-hand or ungraded
' Number of Stories: 2. lumber be used? If so, for what?
(habitable space only) No
Height (grade to ridge) : a feet TYPE OF- HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which a pl' es)
to be installed: p Elect • Oil /CGaj Wood
forced Hot Air / BasOboard / Other
Person responsible for supervision of work as regards to building
codes is : P .Se e r.Merko r,v 778-067V
Name Addresss Phone
Builder: 9. . S�b.er."4e,rL.,,, r iJ • "79B-o6-7,!
Plumber: S-e.)e. A-ilerA.) -747- 51093
. Mason: bye, Rct.lcwi `I 79g-1371
Electrician: yM:te-e. Co,nt :0- 1-10(4-34 65
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: P.2-ii c -cL^^—
'(owner, owner's agent, architect, contractor)
TOWN OF QUEENSBURY
742 Bay Rd., Queensbury, NY 12804 ,
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date A w - ,19 Permit No. 9.)---
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 ;' ,1,0,.•,,-, a'/c r"f ,,,,a s ,,,,,,i- APPLIANCE (check appropriate boxes)
Address -2 ;,.. '1',. / / ',.,,- .,. _ 4-- ❑ STOVE: ID Wood o Coal ❑ Pellet o Gas
. ' ID FIREPLACE INSERT
ii ,/,i-/�1 _._- Zip ®!FIREPLACE, FACTORY-BUILT:
/ ' ❑ Wood o-`G as
Phone .7 Y 3"- C' 6 2z/ 0 FIREPLACE, MASONRY:
❑ Wood 7 G as -
Owner ;.,- %re ,-/-,....,x,/ .__ :�w --/,-,-4- <../1- D?FURNACE: ❑ Wood 0'Gas ❑ Oil
Address ';� ) , ; ,,,/, _ , 0 ,, „„,,,�.-z,/,.- '-IF NON-MASONRY APPLIANCE:
- - - - - - - -- - - _--- -- ___ - _ - - - --Manufacturer,-
Zip Model:
Phone -? :r -- ,. 7 ;;
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
-i.- 0 MASONRY: 0 Block 0 Brick 0 Stone
't4 u, to "i i fir' '` _,' FLUE: ❑ Tile ❑ Steel
ct."-* r) LA 1Size: inches
CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated ❑ Direct Venting
❑ Chimney Liner
,Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title ,o(,..)
A 17,3 3389 (190) Public Safety C
A 233.265..5 ,(230) Minor Sales .�
.ee Collected fro or Refunded to: ...:�.�_ �m A;� A ;'\1/2-,,.. �:^\\ `-r,;a,,-�� _,-,��> i'�1., .i t �� f,) '0
Address: /.-`-Th />f i / ,
' Dated: A. -- -2, e q Town Clerk or Deputy:`—,r ,r .it , ,, ,i X /i 11.4 -.i
White: Applicant Green: Fire Marshal Yellow:Bldg. Dept Pink & Goldenrod: Cashier's Dept.
•
RESIDENTIAL FINAL INSPECTION REPORT 9,-'67:(Office No. (518)761-8256 Date inspection request rece
ived:
Building& Code Enforcement
Dept. of Community Development Arrive °i e a
....-------- 7) 36
Town of Queensbury --
Inspector's Initials
742 Bay Road
Queensbury,New York 12804 ��
\ r' ,1 PERMIT#
NAME \ DATE —
LOCATION -7 Lj C -P�
TYPE OF STRUCTURE 'nc.�
N/A YESNO COMMENTS
Chimney Height/"B"Vent/Dir•,t Vent Location\ \.//'�
Fresh Air Intake \ ",/
Plumb Vent through roof y
Roof Complete n
Exterior Finish Complete /
Interior/Exterior Railings 30' to 36" V// ✓
Exterior Handrails,balconies,landing 18 in. or more
Interior Handrails stairs both -des 3 or more risers /
Grade 2%away from foundati• /
8"clearance to sill plate ��JJf
Gas Valve shut-off exposed/re: ator 18"above a .a e
Gas Furnace shut-off within 30 f=•tor within line f site / /
Oil Furnace shut off at entrance to furnace area V
Furnace of Water Heater operatin' 1Relief Valve(sj installed /
Headroom,6 ft. 6 in. on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides- or.than 3 risers j
Interior privacy/trim/doors/ma' entran : 36"
Floor Finish
Bathroom/Kitchen waterti y t
Interior Handrails Bale 'es/Landing 18 in. k more ///Railing across windo in stairwells
Smoke Detectors:
every level /
every bedroom--
outside-every bedroom
inter/onnected
Bathroom fans V;7
Plumbing fixtures
Foundation insulation 3/4 hour fire door/door closerGarage fireproofmg > /\$
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floorFinal Electrical `//
Site Plan/Variance required
Final Survey Plot Plan -i ��Ptt�
As Built Septic System layout required ki
Okay to issue C/C(Certif. of Compliance) IA o t-
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
TOWN OF QUEENSBURY
,.€� S_ FIRE MARSHAL
''' ; 1,,,: QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED 774 s
/
NAME da-i01114/ ..4,-
LOCATION ,e/ 74/ /0;d9 , 4-3.
DATE PERMIT # 'IA 9 77'2 f
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS 1
EXIT SIGNS
EMERGENCY LIGHTINt
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING 'YSTEM
HOOD INSTALLATION , i
AUTO. SPRINKLER SYSTEM\ /
ALARM SYSTEM i'
,/
INTERIOR FINISHES
STORAGE: I
CLEARANCE TO SPRINKLER
CLEARANCE TO HEATING¢UNITS
REQUIRED SIGNAGE / `:
/ `�\`
CHIMNEY
�.
WOODSTOVE /
FIREPLACE -MA'SONRY v. /'
,/ FIREPLACE- FACTORY BUILT ice` OP
REMAR 0 O TO THIS DATE
/I' f '-' , . 10,/-----'r dee a/4p/it lc.4'
'D17-,'€5
/6 22 ,70e?41-, ,..." 0
INSPSUP.PUB IN PECTOR
TOWN OF QUEENSBURY
f��U - BUILDING & CODE ENFORCEMENT
S 742 BAY ROAD
�, QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: r.112 DEPART:. '2LW) SIA
FINAI. INSPECTION REPORT — RESIDE TIAL
DATE INSPECTION REQUEST REBaCEIVED:
NAME 4;C
LOCATION 1 Li 'PFKAA` V_FE .�J
DATE Z.,-- 1- A r p 1 ��{- FG IT II Q{ `6Q
TYPE OF STRUCTURE i'J \J L AP- l/4�_
-
'
FOOTINGS ✓FOUNDATION ✓_ BACKFILL CH
FRAMING
ROUGH PLUMBING ASEPTIC ,/INSULATION ✓
FINAL ELECTRICAL ,-WOODSTOVE OR/FIREPLACE
r
/ N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT /e
t 9
PLUMBING VENT
ROOFING �•
EXTERIOR FINISH k.
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES /
FURNAC OT WATER O ERATING �.
INTERIOR TRIM/PRIV'ACY' DOORS
'P,
FINISH FLOORS:
BATH/KITCHENiWATERTIGHT
OTHER FLOORS -SWEEPABLE1,
OTHER FLOORS CARPETED cA
STAIR CLEARANCE/RAILINGS
SMOKE ( TECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
*K TO ISSUE C/O OR C/C
RESIDENTIAL FINAL INSPECTION REPORT l'; /lo .----7
Office No. (518)761-8256 Date inspection request received: eP•_9_ /er
Building& Code Enforcement
Dept.of Community Development Arrive . Depart
Town of Queensbury Inspector's Initia
742 Bay Road .
Queensbury,New York 12804 '
NAME G� ��G� t,—P.r"[,.rJ— PERMIT# 7— a _S
LOCATION "7 :-�: c-/- <1r -ram,-e DATE — 0—
TYPE OF STRUCTURE
N/A YES
NO co EN'fS
Chimney HeightP'B"Vent/Direct Vent Location I V I
Fresh Air Intake
Plumb Vent throughroof Cid—r 0�'N`-e Rec
Roof Complete Q_ - 1 ` .a
Exterior Finish Complete ,
Interior/Exterior Railings 30"to 36" �f
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 plate � �
Gas Valve shut-off exposed/regulator 18"above grade ,//
Gas Furnace shut-off within 30 feet or within line of site ✓
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating 0 1 ✓��— r-5V vJP'T -?— 01— is. tJ(
Relief Valve(s)installed L`J` 1%, 1 A c__o\E�
Headroom,6 ft. 6 in.on stairs
Basement stairs,6 ft.4 in. \f/"/
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish , -(/
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. or more
Railing across window in stairwells V /
Smoke Detectors: V/
every level �/
every bedroom
outside every bedroom ,f
inter connected
Bathroom fans .� ,!
Plumbing fixtures ' . V 1c\'C'c\-\ . b\ a__ to\
Foundation insulation vy u- C 6 f E Ft 6 Ep.
3/4 hour fire door/door closer `Or 1EED3 TO T6 E. ta60
Garage fireproofmg �S 'M. emu'' 1"S C0
Garage penetrations sealed ' � EF N t,L_ '\-\ 'i Q 6
Furnace in separate room protected(in garage) V - GD -mv_6 VJ flLl__
Light ventilation per room
Safety glazing 18"or less from floor -1
Final Electrical J
Site Plan/Variance required V
Final Su ey Plot Pt _ Ct F1 E-EVLA� l
As Built Septic System layout requiredV �iJ 1A`,t
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) /6). 11J Rom. ` D Eca. DF Mt j
14,
B -1DG i. N
�t�G kAP- C3A6
COMMONWEALTH ELECTRICAL INSPECTION SERVI, INC.----
Main Office 357 Elwyn Terrace — Manheim,PA 1754` 9 7.Z(o C
MUNICIPAL CERTIFICATE - ELECTRICAL APP
Panel Board No. Cert. 5 2 5 5 4 Cut-in Card No. C/
Owner....SC 141 -n4./, 2AJ earWS i i
Occupant
Location L0 / 7 Y fe C -7`/L L 4- 641,6--X
Installation Consisting of -3 a /rc-e/ eld /ze d .YLi 725
et 6-0 A 5 7Q'/G d-e -
Installed By A .exygtsKX 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 makin in a tions at any time, and if its
rules are violated,the Company
.QCoom�pany shall have the right to revoke t i�r ifica e�,(/��,,
Date...el."C'..l.. . INSPECTOR.. �,I,��
ember N.F.P.A.,1.A.E
TOWN OF QUEENSBURY
r5 w' FIRE MARSHAL
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 2 /we
NAME fPe7P14/�2
LOCATION td747 5 IPG.I.CA j°--64,7-Q)
DATE PERMIT # 2. c 2"215'
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTIN
FIRE EXTINGUISHER
AUTO. EXTINGUISH NG SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE -MASONRY
�FIREP�CTORY BUILT
REMARKS: OK TO THIS DATE
— �� � ►
INSPSLIP.PUB • ECTO
(518) 761-8256
TOWN OF QUEENSBURY `
• BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 .E'a �' • .y'.
INSPECTOR'S REPORT: ARR DEPART ,C.. T\-
REQUEST R INSPECTION RECEIVED: 1
NAME FC�V'C M.6e U t K"J'
LOCATION 74/ 41100(‹ L-v
DATE J2 lG PERMIT R ??—
TYPE OF TRUCTU E:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONS .:LE FO:
PROVIDING PROTE TION FROM '••EEZI'
FOR 48 HOURS FOLLOWING THE • ACE
•
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SI
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
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS _4
R
CEILING R- -V
DUCT WORK OR PIPING IN
HEATED SPACES R- •
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT «yk
•
742 BAY RD., QUEENSBURY NY 12804 r i �?` ;,,,-
de-yrl
INSPECTOR'S REPORT: ARR DEPARTp ,dbINT\IAA
-
REQUEST FF INSPECTION RECEIVED:
`
-
NAME /� � '1,E !V
LOCATION 14 Pwll (
DATE 1 V� l PERMIT A 17 -'1-4 -�
TYPE OF ST UCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
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/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
LUMBING UN ER SLA
FRAMING: 1rj'T --1-7
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-
01) (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT 1.1111.
742 BAY RD., QUEENSBURY NY 1280a �
INSPECTOR'S REPORT: ARR)`� PAR / INA-T
REQUEST FOR SPFaCTION RECEIV D: _/S
NAME 1
LOCATION2
DATE 9 a t s"- -7 1 PERMIT 0 7
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FO
REINFORCEMENT IN PLAC.
THE CONTRACTOR IS RESPO E FOR
PROVIDING PROTE TION FR M FREEZING
FOR 48 HOURS FOLLOWING HE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPO E ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL /f
PLUMBING VENT/VENTS IN PLACE
_
1GH PLUMBING
PLUMBING UNDER SLAB
F ING:
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 DEPARTMIN V
REQUEST FO INSPECTION RECEIVED:� �)
NAME 1C!64f tti°
LOCATION /- ( 11 • C� Tie -‹
DATE )21 792 PERMIT c7-2 246
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
•MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TIO FROM EEZING
FOR 48 HOURS FOLLOW NG TH P ACE-
MENT OF THE CONCRETE
MATERIALS FOR THIS PU 0 E ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFIN
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLU BING UNDERI SLAB
J S
ING: [ - f }-c
JACK ST DS/HEADERS .kf
BRACING/BRIDGING _
JOIST HANGERS
JACK POSTS/MAIN BEAM I/
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
•
T (F�
' j�i�L k� 1lCt-f
OK
1 o L .
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT •iµ 'a''
742 BAY RD., QUEENSBURY NY 12804 ? r:: ,.,
//
INSPECTOR'S REPORT: ARR DEPART\•I6 rJINT
REQUEST --F--7QR INSPECTION RECEIVED:
NAME /�% GIe/&0 /1G1C�4/"
_ . /,6-
LOCATION �'� !� ��7��I� C
DATE ` -{1c1(i7
, ( PERMIT A C�7 &;TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
!ONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RES•.NSIB OR
PROVIDING PROTE TION FOM F: ING
FOR 48 HOURS FOLLOWING IHE • -
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURPO' :ON SITE I_ _
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN LACE
ROUGH PLUMBING •
PLUMBING UNDER SLAB _ _ j
FRAMING: +�
JACK STUDS/HEADERS -
BRACING/BRIDGING
JOIST HANGERS
JACK POSTSJMAIN BEAM
- 1/
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 •
-
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
C;;Name 414 - -,
Location Lf 14 Pc &
Date L\ " Permit # '7' e3
SOIL TYPE: Sand- oam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length(of each tre ch
Depth of ches \
Size of stone
SEEPAGE PITS: Nu r
Size - ft. x ft.
Stone size
PIPING: Size ype
Bldg. to Tank N Z.
Id
Tank to Dist. Box tv2, '?,3
Dist. Box to Fiel . '1 ,.
Openings Sealed? Ye No Partial
LOCATION/SEPARATIMS:
Foundation to Tank )9---- feet
Foundation to Absorption _ feet
Separation of Pits /p-et
Conforms as per Plot Plan No
LOCATION OF SYSTEM ON PROPER
(circle og -_,
Front 'eaP -4 ide - Right Side
Middle •ront - iddle Rear
COMMENTS:
1 , (") �o (Ak\fJ 57
LEA, 1 a u f I A) PL. A cE-
SYSTEM USE APPROVED: YE NO
Arrived: 2_,'
Departed: "Z; 09
Building Inspector
(518) 761-8256
TOWN OF QUEENSBURY }
BUILDING 5 CODE ENFORCEMENT •?,A
742 BAY RD., QUEENSBURY NY 12804 '/;�.•
INSPECTOR'S REPORT: ARR DEPART
REQUEST FOR INSPECTION RECEIVEED:
NAME : ,C,_t-Wert )1/Ji N211 LOCATION LC5 7 1-1 •P c I, ivRc E_
DATE I t - Z.D—q 1 17 // PERMIT A c4 7- 5
TYPE OF STRUCTURE: L �r)� 1A11 L RECHECK APPROVED
N/A YES /NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS R• -PONSIBLE 'OR
PROVIDING PROTE TI•. FROM FREEZ , G
FOR 48 HOURS FOE I ING THE PLACE
MENT OF THE CONC•z .
MATERIALS FOR TH S PURPi' ON SI 'E
FOUNDATION/WALL'OUR
REINFORCEMENT N PLACE
FOUNDATION/D" PPROOFING
- BACKFILL A`PROVA1
PLUMBIN VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING:
JACK STUD /HEADERS
BRACING B IDGING _
JOIST H GERS
JACK P TS/MAIN BEAM
,AIR INFILTRATT/ ON BARRIER _
HEATING RODUGH-IN -
INSULATION:
FOUN ATION WALLS INTERIOR R-
FOU ATION WALLS EXTERIOR R-
FL RS R-
W LS R-
C ILING R-
UCT WORK OR PIPING IN
UNHEATED SPACES R-
�E P� \t=�R i3 E
r
o iVWDoED -�
da) S 0 (518) 761-8256
TOWN OF QUEENSBURY /}
BUILDING & CODE ENFORCEMENT 11
742 SPAY RD., QUEENSBURY NY 12804 e^+ ;�' -,,,
INSPECTOR'S REPORT: ARRiI(4 ))EPAR e ', ... ,
REQUEST FO* INSPECTION REC IVED: ' 46'' .i
t
NAME F G�J_____ _
LOCATION D. 11 • �� . /
DATE ' V -PI - p��7 7 PERMIT fl ` -(o
TYPE OF STRUCTURE: '‘C) i
RECHECK _ / APPROVED .
/N/A YES NO
FOOTINGS PIERS r
MONOLITHIC POUR FORM _ ,
• )7
REINFORCEMENT IA PLACE
THE CONTRACTOR Iq RESPONSIBLE FO
PROVIDING PROTE TION FROM FREEZT� G
FOR 48 HOURS FOLI)ONINO THE PLAC - •
MENT OF THE CONCRETE.MATERIALS FOR THIA PURPOSE ONtS I
ITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PL CE / .7-
FOUNDATION/DAMPPROOF\NG / _
tp/iiACKFILL APPROVAL / Nirt - -
PLUMBING VENT/VENTS Il P CE
ROUGH PLUMBING
PLUMBING UNDER SLAB �+.
FRAMING:
JACK STUDS/H ADERS�
BRACING/BRID• ING ‘
JOIST HANGS S 'A,
JACK POSTS/ IN BEAM\
AIR INFILTRATION BA RIER . \ _
HEATING ROUGH-IN I
INSULATION: /
FOUNDATION WALLS INTERIOR R- \
FOUNDATION WA LS EXTERIOR R- -
FLOORS / R- \
WALLS R- \
CEILING R-
DUCT WORK 'R PIPING IN
UNHEATED S .ACES R •
-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRlj, ODEPARTi.. OI ` -
r
REQUEST FOR INSPECTION RECEIVED:
11
NAME C
LOCATIONp.
DA E C\- rfn PERMIT i r� - 5
TYPE OF STRUCTURE:
0- j c_
RECHECK !) 8
R-) _ t,-�UK-i'� �l� -r0 `�`� N YES,//
NO
� S' Y
OOTINGS/PIER��J\ f��C��r'' � 5
MONOLITHIC POUR FORM I'
REINFORCEMENT IN PEACE
THE CONTRACTOR IS RVSPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOHAG THE/PLACE-
MENT OF THE CONCRETES
MATERIALS FOR THIS PURPOS ON SITE
FOUNBATION/WALLPOUR
'REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFIN al
BACKFILL APPROVAL r
PLUMBING VENT/VENTS rIN 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-
FLOOI{S R_ -
WALLS R-
CEILING R- 1
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
Cb\-1 (518) 761-8256
TOWN OF QUE BURY
BUILDING & CODE ENFORCEMENT m ;.
742 BAY RD., QUEENSBURY NY 12804 .'
INSPECTOR'S REPORT: ARRa? PAR ta e
REQUE �R INSPECTION ECEIVED: ` ��lw. r`
NAME �0�� 7 -
LOCATION ,� d\,� ea .
DATE �, ' PERMIT fl d
r
TYPE OF S +UCTURE: S (2) a'
REC! CK I APPROVED
NL41 YES/ NO
FOOTINGS/PIlERS
/
MONOLITHIC IPOUR FORM d _
p
REINFORCEME T IN PLACE `�"�'�r
'7 _
THE CONTRAC OR IS RESPONSIBLE FOR{
PROVIDING P OTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE
MENT OF THE ONCRETE.
MATERIALS FO THIS PURPOSE ON SITE
FOUNDATION/WA LPOUR
REINFORCEMENT ‘N PLACE
FOUNDATION/DAMP ROOFING
BACKF ILI;APPROVA - _.__ __--- - -
PLUMBING VENT/VEN S IN LACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB -
FRAMING:
JACK STUDS DERS
BRACING BRI GI G _
JOIST RANGE S
JACK POSTS! IN 'BEAM
AIR INFILTRATION B RRIER
HEATING ROUGH-IN \
INSULATION: \ _
FOUNDATION WALLS INTERIOR R\.
FOUNDATION WALLS EXTERIOR R
FLOORS R-\
WALLS I R- \ - _
CEILING / R- \
DUCT WORK 0 PIPING IN \
UNHEATED S ACES R-
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MAP REFERENCE:
SHERMAN PINES SUBDIVISION
a BY MORSE ENGINEERING P.C.
FILED IN THE WARREN COUNTY
CLERKS OFFICE ON JANUARY 29, 1993
IN PLAT CABINET A SLIDE 197
d
� an D u s eh
Sc Steve s
Land Surveyors, LLC
37 Chester Street
Glens Falls,
New
York
12801
(518) 792-8474
New York
fAc.
No.
50135
;tof NEW
Y <
LAND
•UMAUTIpgBD ALTERATION OR ADWION TO A SURVEY
MAP 9FARNC A UCEMSED LAND SURVEYORS SEAL IS A Map of a Survey made for
NCLAI M OF SECTION 720% SUB-DMNON 7, OF THE
um mix swE our.A p1 LAW
•ONLY COMM FRAM 714E ORIOW OF THIS SURVEY
MARRED WT14 AN ORMOL OF TE LIID SURVEMORS
SEAL SMALL BE COWERED TO K VAUD TRUE COPIES.•
HZItURVEYWS WICA7ED PATRICE M. & THOMAS C. WYSOCKI, JR.
7H3 SURVEY WAS PH'lEPARm N ACCORDANCE W114 714E
EI057BL I OWE OF PRACTICE no LAND SUR%"= ADOPTED
BY TE NEW YOREL STATE ASS0CIA%0N OF PROFESWNAL
Lwe "%EYIDRs SAID carnFICA71WS SMALL RUN ONLY
TO THE PERSON FOR OM 714E SURVEY IS PREPARED, NO
ON M BENAUF W 114E TTd COMPANY, 00VERNME ITAL
AGENCY AM "MG 1I IT"DM USTD SON. ""0 Town of Queensbury, Warren County, New York
TO TE ASSINICES OF 714E UMIID INBTHIUTIOK•
I
NO. I DATE
V,
RECEIVED
FEE 0 51998
-roti r'0j)e
.;;k�H1ANJ'ACTUAL
CERTIFY THAT THIS MAP WAs o ���
FROM 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: PATRICE M. & THOMAS C. WYSOCKI, JR.
SCHENECTADY FEDERAL SAVINGS BANK,
IT'S SUCCESSORS AND\OR ASSIGNS
FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK
CERTIFIED BY:
MATTHEW C. STEVES, LLS NYS 50135
DATED: FEBRUARY 3, 1998
DESCRIPTION
el t tt5KUAK T J, J
le 1'=30'
S-1
SHEET 1 OF 1
WYSOCKI
DWG. NO. 94246-74