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2002-628 -4_ TOWN OF QUEENSBURY wow42 B 2 2 1 201 7 ay Road,Queensbury,NY 1 804-590 (518) 76 8 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20020628 Date Issued: Wednesday, November 24, 2004 This is to certify that work requested to be done as shown by Permit Number P20020628 has been completed. Tax Map Number. 523400-226-012-0001-006-000-0000 Location: 64 MASON Rd Owner. MITCHELL MATTHEWS JR Applicant: MITCHELL MATTHEWS JR This structure may be occupied as a: By Order of Town Board Garage - 2 Cars Attached TOWN OF QUEENSBURY . Single Family Dwelling Director of Building&Code Enforcement 1 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 ri� Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020628 Application Number: A20020628 Tax Map No: 523400-226-012-0001-006-000-0000 Permission is hereby granted to: MITCHELT,MATTHEWS JR For property located at: 64 MASON 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: MITCHELL MATTHEWS JR Garage-2 Cars Attached 1428 HAINESPORT Rd MT LAUREL,NJ 08054-0000 Total Value e Dwelling 120,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2002-628 1584 SQ. FT. SINGLE FAMILY DWELLING W/ATTACHED 2 CAR GARAGE PER PLOT PLAN AND SPECIFICATIONS. $242.88 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,July 31,2003 (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 Town fifiuee bury. We s y,July 31,2002 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application • Town of Queensbury-Dept of Community Development, 742 Bay Road, Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No. rkF 13' No inspection will be made until applicant has received a Fee Paid $ ' L/ valid building permit. All applicants' spaces on this ,RECEIVER Rec. Fee Paid /$ ���� application must be completed and must appear on the Reviewed By6t'� application form. // �,UL 2 3 2002 Applicant: 1h IT h'e L J . d►Ir9TTif►i S ,jie Owner: SA74-ig "MINN OF OUEENSQURY Address: if i�A Ltd tpr`wb ' Address: I o7 605( VS"- LAND COPE 2.D4-LE /_2g12 Z) CAS V 6:i2.D/9-L /(JP /22'Phone#(_ �,.�; - gib/l Phone# (S/B') - E ai 1 4 dd- : vrQ 1 z.. )33- -0 78' : Dot (5.50,0 '3 TO 6 I Property Location: Lot Number:7/4z./ House Number j 5' /4l Asa-Al % i )) Subdivision Name: i1///9 Tax Map Number: 6 -/-6 ? " New Building: residence , commercial Estimated Market Value of Construction: $ ,. El 00 0 ❑ Addition: residence/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence/com'l a Other work(describe ) Check Occupancylnformation 1st Floor 2nd Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet /1 Single family dwelling 6 A e/C /,,rg f v/v ❑ Two family dwelling f ❑ Townhouse o Multifamily dwelling #of units - ❑ Office o Mercantile o Manufacturing o 1 car detached garage a 2 car detached garage o 3 car detached garage ❑ 1 car attached garage 20 jg 2 car attached garage g 02,'3' ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other What is the proposed height of the structure 02 7 feet 7Yq inches Will any second-hand or ungraded lumber be used? If so,for what? /,o Type of Heating System: electric/ oil /10 wood orced hot air baseboard/other: 5 • Number of Fireplaces to be installed / Number of Woodstoves to be installed 930 List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder rh 17 ,4L lhi9 /f�r�.� e 3 AWfsa t1 keno, C«V t 518ois1-9az/ Plumber IV-®ANs IIA5eis'/t Ji q /1/�/f[19Jv�CIE �liiJS64101 S)7%A-67?3 Mason 09/9 Inc-if,J kai AccrTF:RnrrtX F01.45.Q�h F7fhv457 79�) 2-137/ Electrician /2Qi3 lLiw2?-/ i �'l'/ /�if1N is i?O . l�u,�iw5/1uP;� �Srt"s)79i-/9f3 Eiger/NSP J'W AOUe-1 ye-ill-nib 1�c viouto�}LTtf c, P.5�r2vtc5 (Svc)5ro�--993V 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 Cert • to of Occupancy or Certificate of Compliance being issued, as requested by the Zoning Administrator or Director uilding and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new Signature: owner,owner's agent, architect,contractor nr.D.m -7-77f5 j 4rt, Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: I Office Use Location of installation: (y 1,9-Sew •rA. , 6.evazo.Al Map .�� i 1 File Permit Nc0716/ '&2g) TaxNo.22Gf !o jFee Paid Owner's Name: !"-Clt�., JD-)1f}T1/ /S ZT C. 1, C E J E Address: 3 Asa,,, ,f' P. .4.- )3ox Z 'J JULa 2 8, 2002 e LA7✓ i C), .E, M > I Z S?_d 2. INSTALLER'S NAME Grnrc'/.s Ckv:9}9vAL1- TOWNAHON`ENO§V ' U�31 nuil..DdNn 411\10 Cu'';_ 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedrooms)-and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x . 150 gal/bdnn = 1980- x 130 gal/bdrm = 91 -present Z. x 110 gal/bdrm = 22 0 Garbage Grinder Installed yes / no X Spa or Whirlpool Installed yes / no X 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) graphy Soil-Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat s at what depth at what depth municipal o ing loam ? •9 feet - ,> feet well Steep slope clay if well;water supply _%slope other from any septic-system depth: ?51 absorption is ft * C HRr,)-rcbv .SAn+ny 1„o/t.M other 2.4x4.- 6.&—G, Percolation Test: (To be completed by licensed professional engineer or architect) Rate: .4 -of minute per inch . 5. PROPOSED SYSTEM: For New Constructign: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed 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 Whirlpool Tub. Septic Tank: ) da0 gallon (min. size 1,000 gal) QTQOE$ FN\ Tile Field: each trench 9D ft. Total System Length: 2Od ft, 4,0-' 0 "'Acr7 yG'!, x Seepage Pit(s): number of Ail/} size of each: ft. by ft , � / ' iY 4, , ,4 ,, - A _, A TZ;e.:'. Size of Stone to be used: # .2, / depth or thickness 1 feet 411115 I(s 04282E. , Bed System Size: AI A x elf Of NEB 2'NF)i�s.ATor2,5 ',Ay Ago 1,/sze, 2w Hies dF' Alternative System:pp f.sreivE Tir�++ch►o.'s. 6. HOLDING TANK SYSTEM: (if required) Number of tanks: 1///�' / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 of the Code of the Town - of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentatibn or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the re:.i Y •ns with respect to this application and agree to abide by these and all requirements of the To r'of Queensbury Sanitary Sewage Disposal Ordinance. &11JS,rnr• "� r/� . J/��D� + r '�i !1 L Signature of responsi person JJ Date 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, . . 7 .. Da te 20 Permit No.6734°03- 6. g Applic ..on is hereby made to the Building& Codes Office 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. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance I 1 o . '' (circle appropriate word'l Name: 1'l r 74.=`;r=:..1- I), eil-V2-;r IHet i..)..+`M� ip1/2 . Stove: �. wood coal p et gas • ,Fir,.eplace�•i-nsert— Address: 67 1 /`%A 5e-14.1 E"74, ,, Fireplace.,faactor -by uilt: _ eo- :, ) r / )' } --Fireplace, masonry: s Furnace: wood gas oil • Phone: ( 5 i ,� (v - 702._i • •�;;' . If non-masonary applicance,please provide ‹_.. Manufacturer Name: �'/ 7" Owner: L-' 'r. - • \. Model Number: 1i Address: w ` ,r,r l'i . _ `- . Chimney Information Phone: (�, (circle appropriate words) 1, Masonry block„ brick stone in Flue — tile ¢ stesel size: iv;''A' inches Exact Address: \\( . . of construction or installation Factory-Built Manufacturer name: '1/tL ' Model Number: I . Note: Listed By: L' Number: Construction/Installation must .conform to NYS Fire Prevention &Building Indicate(circle) chimney material: . Code. Consult;available Town of Queensbury — "' Handouts regarding required inspections. Double wall Triple wc� rll,) Insulated 7 Direct venting Chimney Liner 1 Casahf�r'sr.Depaaa-tme.zzt—Toss, of Quec buz'y, 1V'ew yor1: 7 . f . • ,., fAlt_21- 4- -F` ).Fire Marshal Code it $Collected. R Refiurded Received front (ref zded to):,tr"�i -14.-w -_2 iV }.` � address: A 173 3389 (190) Public Safety ``' A 233 2655 (230)Minor Sales ' V3 DATE• /. c^ c `-•°.,a.. . White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.) Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: ,i/2iI6/ • tl NAME: A, LOCATION: C16fecOk PERMIT#: 700 -'6 20 Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the survey has bee : Craig Brown, Zoning Administrator • Notes: L:\SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc Queensbury Building & Code Enforcement - Residential Final Inspection /— 3pi'-'.. Office No. (518)761-8256 r Arrive: am/pmi epart: am/pm Jac=7 Date Inspection request received: I I jifl Inspectors Initials: NAME: PERMIT#: qa);' 1 LOCATION: (p _/1/1A-?(D.-1 DATE: t lfi I e4 TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location 'Fresh Air Intake 3'inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in.or more @ 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 %" Gypsum Grade away 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 Valve(s)installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide-Detector Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft. vents Building No./Address visible from road /(/k12 '‘ere— pL 4t 4 proV/-4 Final Electrical Site Plan /Variance required V�! Final'Survey Plot Plan fµ.t'r U� As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C or C/O [Temporary/Permanent] L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 Queensbury Building & Code Enforcement - Residential Final Inspection —O ce No.(518)761-8256 Arrive: am/pm I Depart: �.'� ii pm Date Inspection request received: Inspector's Initials: g..(/ � NAME: `\C4�� 3-0 PERMIT#: 0OtL---61A3 LOCATION: 0 \'\ O C,(c'1 - DATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" / D......, Roof Complete/Exterior Finish Complete / IGuard 30 in.or more�u�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 ''/" Gypsum Grade away 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 1/.- Relief Valve(s)installed/Heat Trap/Water Temp 110 �/� Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight ...1 Safety Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: / 4ifr Every level: / Every Bedroom: ar f74.--2-k^ A- Outside every bedroom area: Inter Connected: / Battery backup: 17 (A-5 -1AA.Z-AiT Carbon Monoxide Detector Bathroom Fans,if no window / Plumbing fixtures t/S Foundation insulation i / Floor truss, draft stopping finished basement 1,000 sf �/ 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"acc ss, 1 sq. ft.-150 sq. ft.vents 1:// � /� p/�l�,/� / BuildingNo./Addr visi le om road Ae7 "/!Gi I e-4 Af /'TC U( Final Electrical 9 0 • (6 Site Plan /Varian re ed Final Survey Plot Plan40Atok r lCM? t't' As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required / Okay to issue C/C or C/0 [Temporary/Permanent] �/ L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 /l ,s.s Town of Queensbury Fire Marshal 742 Ba Road Q ueensbury,NY 12804 �"". r;} 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice:New York State requires that all!IL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or peel cations is allowed Permit# 0 Schedule Inspection "II r d Time am pm anytime Inspector i Name kkA J kr,c--tL 5 Address &T k14-, Rough In Final Appliance Manufacturer Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof t/ penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel • Height above f/p opening Witness Operation Tank Placement(if LP) • White—Building Dept. Yellow—Cnistcates Pink—Fire Marshal ro -P4J4-) 0 � a) a) 0)z �» I� ro a � 4 A O �W I Ld I Fri I 0 ¢3 N vo). W �• S. } . aI 1 X r ICI C U) C"ro� LF 0; 4) 0 u ,W 1 )s r ' *0a) � U WC <Q. s-� � 4 a)>• -aI-.)i .,aI() NU C 0) .� Q ` w'ru Q p Cr 0 � W o,�� 4' +) I'~ a) f � GroC�'� aroip w � W 0 0)4-) 4 cu 9:H M44 4J g: I~ ro'4. C .0 w it- to U � H 04-Q. (4CaNWN01 -0r. 04) Ua0 " (aQC ." 0 0 0 0 �" a) (D'r-W-t- V y � ro ar- 0. 0 0 a) 0 C U 0 "o COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Goo Permit No. Cert. 85948 Cut-in Card No. Owner //4` �tM 1T 'S ,� Location. 1.2 c /" 6T T�-/� 2'/) z" y Installation CConsisti g of 4 /77 gZ� —5 7 4-€ GJ/ a c1 t� 87WeG%' Installed By 6 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 makin ins ections at any time, and if its rules are violated,the/Company shall have the right o r ke this ertifi ate. Z Date... '� G.T INSPECTOR Member N.F.P.A__I_A.F._i. Rough Plumbing / Insulation Inspection Report • 90L( Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ D art: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: /11rt `ak''G'.-cJ S NI.i 7CIA PERMIT#: -LOU Z — LOCATION: /lit t<t S Gri fa-1 . INSPECT ON: 0 (,13 TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents r Cast Iron,Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping • Copper Commercial Copper, CPVC,Pex One &Two Family . Insulation/Residential Check/Commercial Chec OAR_ � (L-1,3C_o. R Proper Vent, Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: • • L:\SueHemingway\Buiiding.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 - - Rough Plumbing / Insulation Inspection Report ) „,(50 Th Office No. (518) 761-8256 Date Inspection request received: r to Queensbury Building&Code Enforcement • Arrive: am/pti Dip ! • am/pm itZi, hr,k 742 Bay Road, Queensbury,NY. 12804 Inspector's Initials: NAME: 1 c t 1 PERMIT#: oa -CoR. LOCATION:- `Q'l (1 (2) INSPECT ON: ip -y 5- Q TYPE OF STRUCTURE: X N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent:/Vents in Place / . !Kongh =1imbing/Nail Plates Iliffeld or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes L-4—, Water Supply Piping ' upper Commercial Copper, CPVC,rPex One &Two Family Insul 'can, REVleiitial Check/Commercial Check f�2-1 id.11.11 / 6.) A-6A%, groper Vent,Attic Vent �! �— Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace • Duct Work Sealed Prop erlyt,��TC_ 611c.R COMMENTS: • • • L:\SueHemingway\Building.Codes.Inspection,FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Framing / Firestopping Inspection Report /3,01 Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/pm Depart: . 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: l�L Nrsz NAME: � �QSC\0\4 PERMIT#: C)C LOCATION: Ns-•c\r-A G,2-Nr\ �INSPECT ON: —l.-j— 3 TYPE OF STRUCTURE - Y/lv N/A COMMENTS 40 tiraJ"iai Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %a (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center • Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2 3 4 hodr-= iresto""" r"g jv d N 'enetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms • 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade • L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 0 �y� D tep office Use GENERAL INSPECT N \r \® Inspector: Town of Queensbury Ready at time:., f Dept. of Community Development Request received: fll 0a' Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE - a / • EP ,fj / ,m Notes: (518) 761-8256 Inspector's Ini ' is - NAME: g4geed-- PERMIT#P - Cf9c LOCATION: 1Y V 72L G NSPECT ON(date): /1 41)--- TYPE OF STRUCTURE: .0 ' 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 placement of the concrete. Materials for this purpose on site Foundation/W allpour Reinforcement in Place Foundation/D amppro o fmg Backfill Approval • Plumbing Under Slab / -' Plumbing Vent/Vents in Place I. au h Plumbi 1. \ Ni k\`‘— Lb =___ -- ', 0 E 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 �/ "� L:t)s`-k. UE1, -- v7P- Pbl G, I NLD` --D ack Studs/He ders _ Bracin ridging _ i k---V-C L Joist Han _✓ Jack Posts/Main Beam ✓ — Q A2LcJ6 SZ cr 5- uv ` ; Air Infiltration Barrier _ ' / IC-Da?"" F\ p-\\ `� 't- C �`A p27 Fire Separation I,2, 3,hour P etration Sealed �� � in Wall 2,3,4 hour — F\Q- C?"UjLV--- Z�P Vi_V- p� '�— `Ian cL Firestopping f ` ,�r \Npr t>�� V `lh..4, 47 bL.- RL. F � \tv )� -rig L:\SueHemingway\Building.Codes.Inspcction.FORMS\GENERAL INSPECTION RE doc IN -A. E k k, _ ' - ;' Town of Queensbury Fire Marshal's Office "' 742 Bay Road op:i-ya,b,,,, Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 .p. p r',✓,,YhrO( j1r Fire Marshal's Inspection Report 5 Request n �� SCHEDULE �) Received: Permit# . a 6.20 INSPECTION ON: — 4) L, r Name: ,I cj'�!J t 1 Iy I I4 Q i -, Tr A r AM PM ANYTIME Location:. q I a>D 6� `, _ APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL ,�! - BATTERY 6,P5 �'f r I - Lk) iii I di, EMERGENCY LIGHTING ,' ll • FIRE EXTINGUISHERS �/ �,07(j /�0'{���- 2� t�9/( fit�" FIRE ALARM SYSTEM , A 1 FIRE SPRINKLER SYSTEM / FIRE SUPPRESSION,SYSTEM / t �� �= HOOD INSTALLATIO / G��`�-4V l o-! � C� fri INTERIOR FINISHES / ` STORAGE / I /^1r COMPRESSED GAS -5f e-041 Q3 e_i_86t,�(a l_d U /G��I 6, J. CLEARANCE TO HEAT)SPRIN1� ERS A 't4L / te_a(c(Aze5 CLEARANCE TO HEAG (� UNITS CLEARANCE TO EL TRICA\ llo ��REQUIRED SIGNAG (ea( EMERGENCY PLA CCMXIMUM HIMNEY OCCU ANCY SIGN V ^ \/ / 'a ele_cLrco, e.5 MASONRY ROUGH IN D, A,,\ FINAL 'A U4L) PC1 '‘:,- fti-r'V /A)4610d A-) CHIMNEY I LOA!J �i �j , FACTORY BUILT ROUGH IN ��I `)�� 0-1 i, i FINAL WOOD . 1 r' .!� (V lC��'ti�:1-f ,�. /-f.t STOVE ROUGH iNe���U� e air. FINAL fat ,: (�c � Jt l i1 &X ' lifiti--(Y-er t)Liii - - VENTED GAS f APPLIANCE ROUGH IN 7\ CQMb: 't•'1'U u41 1 Cti,(ir''.l (rV1,Q0.,60 _, "u l I f FINAL 11-7i r 1 E ii1,'��,C , r�F'\1-Q�t'7 0 e'er Gc: .k�, FIREPLACE COnv�LQ - • MASONRY ROUGH IN . OK THIS DATE OK FOR CO- NOT OK FINAL � FIREPLACE �,I�`�iti r'' FACTORY BUILT ROUGH IN INSPECTED Y FINAL \ COMDEV/CHRISJIWORD/LETTERS2001/FIREMARSHALINS PECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY I YELLOW-OCCUPANT CO Y IP 2'1" `��=cvt011/4 -c-C tql-\U "i/\117, ,nn .� r Town of Queensbury ` Fire Marshal's Office6)15 I- . . 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 u i�(,— ?1d Fire Marshal's Inspection Report Request SCHEDULE J Received: (iqPermit# oo A INSPECTION ON: -f I 2.7"'(0- Name: Pi Lad( I U 1A`t A(7,1,1 - l U Z—7 AM PM ANYTIME Location:• (p t oAi R EL APPROVED N/A YES ' NO COMMENTS EXITS AISLE EXITEI NS-S -M t/J�_f1Ia D000 ir- EXiT SIGNS-NORMAL J'zcJ V - BATTERY EMERGENCY UGHTING FIRE EXTINGUISHERS % ^_ 5 .i1 Ia._ O"`aY��CeA, cr ,.► FIRE ALARM SYSTEM / FIRE SPRINKLER SYSTEM `� j i �, � E `�p FIRE SUPPRESSIO SYSTEM / e I' HOOD INSTALLATI / INTERIOR FINISHES / STORAGE C6 7 j' 1 ci S I COMPRESSED GAS if 1 ,t�L CCe� CLEARANCE TO 5 RI L RS J 1w� �,/ LEARAN E P K p p l l a•fA e Z l J CLEARANCE TO HEAT 1. ��l• • UNITS I �� (�(y`J� ,1��� ©N CLEARANCE TO EL• T-ICAL L I)L+ WI , REQUIRED SIGN:, .E Worm �- � ��� . EMERGENCY P ,�N l)5Q,) I' r MAXIMUM OC PANCY SIG 1 { ¢' ] f j f • CHIMNEY f el , �f MII�i' %t,�l�G1 l�' 1�v�l ![MASONRY ROUGH I - V P/ � re FINAL � ✓U'��1 !` �+ �tItr► lliv( �C�I�I `v`--�cl- CHIMNEY FACTORY BUILT ROUGH IN `�'p 0,4 /tIA-U I,P,-I t b i`e FINAL 1 WOOD 1.!i.al�- ju.�� -/�; STOVE ROUGH IN e ma.-ut "!�� i 4.+G(�/� ( , ,? 4^ FINAL '4 CX �, Pr 1 ,41 ve,4CL G' 1 re --'i,I p r, � VENTED GAS 4.O C 0/`. II�reyl �.ti�.- �'�`' ' • -t APPLIANCE ROUGH IN A, y FINAL • FIREPLACE MASONRY ROUGH IN OK THIS DATE OK FOR C- .L NOT OK FINAL FIREPLACE 3-)--e,,,,,,,taFACTORY BUILT ROUGH IN INSP BY FINAL COMDEVICHRISJIWORD/LETTERS2001/FIREMARSHALINSPECTIONREPOR ��LOW-OCCUPANT COPY WHITE-BUILDING DEPARTMENT COPY Office Use GENERAL INSPECTION REPORT Inspector: / ___ ._h_ Town of Queensbury Re�fly at time: Dept. of Community Development Request received: q` I I .1-6��, Meet: Building& Code Enforcement ,'' /' At time: 742 Bay Road e.' 1 / I1 Queensbury, NY 12804 ARRIV am t. ,,/irEPA t '• i a /pm 1. otes: (518) 761-8256 Inspector's Initials ".- 111 NAME: p1414.0 � 11��►I� S 01: �r'0 al-- 62... LOCATION: fg L( VK y SPECT�O )Ct ): 9 /12/OL TYPE OF STRUCTURE: SI(D 1 ,\ f RECHECK /� / i N/A YES NO COMMENTS . Footings/Piers Monolithic Pour Form `"'A b 1_-1_- �‘..-ot-Ath --T-o uD0oKD Reinforcement in Place Q The contractor is responsible for providing protection from freezing , \A p VC 5T ‘A \\RL&--- for 48hours following the placement of thee concrete. l/ l r 1' , G...`��� A���E ��D7 � Materials for this purpose on site /Foundation/Wallpour c?R.A Ob\t'b \tb,1 sb ( _-- 15 9)A\c- Reinforcement in Place Foundation/D amppro o fing O V" �0 V � C-0 yam 01 ��� Fodat Backfill Approval Plumbing Under Slab , Plumbing Vent/Vents in Place / -- AOQ \\'7\R.\ - d (-- --\N \ VLF`;^W Rough Plumbing ' Heating Rough-In eat SCR s \rw � Insulation / Foundation Walls Interior R- ' iQLa Foundation Walls Exterior R- / ` Floors R- Walls R- Ceiling R- / Duct work or piping in / cJ\ ----Z7 ;J�� unheated spaces R- , � Q� Proper Vol, ttic Vent / ---.--k cii���- 4raming G�V k�C ‘‘ ,vi: ��`P1 Jack Studs/Headers Bracing/Bridging Joist Hangers Q�V ,, n`\�41 �� � �_ • � n� Jack Posts/Main Beam .. \\ 4_ Air Infiltration Barrier ‘t -4- ccb c,�1)0/ z()t`1`�Q Fire Separation 1,2,3,hour Penetration Sealed �, c P� CD Fire Wall 2,3,4 hour tU (�1 ✓ / Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Ready at time: Town of Queensbury Dept. of Community Development Request received:47/ 1 oZ Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART I- am/pm Notes: (518) 761-8256 Inspector's Initials NAME: 144, /4,l41S PERMIT# 02— -6 2F LOCATION: (Q ifMaLsoe, Q d INSPECT ON(date): CI TYPE OF STRUCTURE: • RECHECK N/A YE NO COMMENTS -X-Footings/Piers Monolithic Pour Form 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 :4 Foundation/Wallpour _ Reinforcement in Place Foundation/Dampproofmg 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 L:1SueHerningway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc • Office Use -GENERAL INSPECTION REPORT Inspector: Ready at time: po Town of Queensbury Dept. of Community Development Request received: 110_6- Meet: Building& Code Enforcement At time: 742 Bay Road i lie Queensbury, NY 12804 ARRIVE am/pm: DEPART " am/pm Notes: (518) 761-8256 Inspector's Initials114 W`f NAME: IN S PERMIT# Z'(Q ZS/ f LOCATION: #1064 INSPECT ON(date): I TYPE OF STRUCTURE: -PD 44 , 2_, RECHECK N/A YES NO COMMENTS *Footings/Piers Monolithic Pour Form Reinforcement in Place Noy A-440ciThe 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 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 — L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc TAT g INSPECTION 7� Office Use GENERAL REPORT Inspector: Town of Qnseensbuny . Ready at time: , P1 Dept. of Community Development Request received: r�Iv, Meet: Building& Code Enforcement At time: 742 Bay Road " Lam' Queensbury, NY 12804 ARRIVE__am/pm: DEPART -l dm/pm Notes: (518) 761-8256 Inspector's Initials'12—£ cy NAME: ► -Fat ivIdakus. PERMIT# Oa- Z b LOCATION: i 11 INLOAPIX. C � i'�/' INSPECT ON(date): Y/I3/ 6 2- TYPE OF STRUCTURE: S F D RECHECK Gc.D I'S!- `/i "-i !T wi �l if N/A I YES NO COMMENTS Footings/Piers Monolithic Pour Foni 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/W allpour _ Reinforcement in Place Foundation/D ampproofing ,. 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 L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: j' `, Dept. of Community Development Request received: , - Meet: CQ -{'lr'z-eiOV' Building& Code Enforcement At time: l( FE-M 742 Bay Road �n Queensbuiy, NY 12804 ARRIVE__am/pm: DEPART I/'( - m/pm Notes: (518) 761-8256 Inspector's Initials, PY/ NAME: 4chd l Iltalikews PERMIT# .100 2- LOCATION: (p .0-8)1 INSPECT ON(date): / 7 / b 7-- TYPE OF STRUCTURE: S F RECHECK N/A YES O COMMENTS ootings/Piers Monolithic Pour Form Reinforcement in Place .2— 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/W allpour - , Reinforcement in Place Foundation/Dampproofing f 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 L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc kAtla Maf-Aea ECEVEn 0� Permit Number c;26a2 JUL 2 3 2002 TOWN OF QUEENSSURY MECcheck Compliance Report PlJR-DIN;t4 AND COOS Checked By/Date New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lc Data filename: C:\Program Files\Check\MECcheck\2183-02 Mathews.cck COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE: 07/08/02 DATE OF PLANS:07/08/2002 PROJECT INFORMATION: Mitchel Mathews) (o 9 /4 4- 8sJ /1 ei-}9, cLE ve-a-DALE. COMPANY INFORMATION: Northern Design&Building Assoc. COMPLIANCE:Passes Maximum UA=374 Your Home=323 13.6%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 960 38.0 0.0 29 Ceiling 2: Cathedral Ceiling(no attic) 224 30.0 0.0 8 Wall 1: Wood Frame, 16" o.c. 1187 19.0 0.0 63 Window 1: Wood Frame,Double Pane with Low-E 48 0.350 17 Door 1: Glass 72 0.330 24 Door 2: Solid 21 0.160 3 Wall 2: Wood Frame, 16" o.c. 905 19.0 0.0 43 Window 2: Wood Frame,Double Pane with Low-E 171 0.350 60 Door 3: Glass 21 0.330 7 Basement Wall 1: Solid Concrete or Masonry,7.5'ht/6.2'bg/7.5'insul 658 11.0 0.0 44 Floor 1: All-Wood Joist/Truss,Over Unconditioned Space 528 19.0 0.0 25 Furnace 1:Forced Hot Air, 85 AFUE Air Conditioner 1:Electric Central Air, 11 SEER COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are in compliance with this Code. Builder/Designer ,� r �� Date 7 $ 'bZ MECcheck Inspection Checklist New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lc DATE: 07/08/02 Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: [ ] 2. Ceiling 2: Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] 2. Wall 2: Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry,7.5'ht/6.2'bg/7.5'insul, R-11.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Wood Frame,Double Pane with Low-E,U-factor: 0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 2. Window 2: Wood Frame,Double Pane with Low-E,U-factor: 0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: Doors: [ ] 1. Door 1: Glass,U-factor: 0.330 #Panes _Frame Type Thermal Break? [ ]Yes [ ] No Comments: _ [ ] 2. Door 2: Solid,U-factor: 0.160 Comments: [ ] 3. Door 3: Glass,U-factor: 0.330 #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: Floors: [ ] 1. Floor 1: All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air, 85 AFUE or higher Make and Model Number [ ] 2. Air Conditioner 1:Electric Central Air, 11 SEER or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 1)Type IC rated, or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials. If non-IC rated,the fixture must be installed with a 3"clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,glazing U-factors,and heating and cooling equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] Supply ducts in unconditioned spaces must be insulated to R-11. [ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. Duct Construction: [ ] All joints,seams,and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g. (500 Pa). [ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] Air filters are required in the return air system. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: [ ] Separate electric meters are required for each dwelling unit. Fireplaces: [ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction provisions of the Building Code of New York State,the Residential Code of New York State or the New York City Building Code,as applicable. Service Water Heating: [ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105 °F or chilled fluids below 55°F must be insulated to the levels in Table 2. . ' - Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0• 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(F) 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) OA 0 N I AV I 1 ` (DEED: Lackey Road ' Thomas A. and Patricia Burke (i a pOLE NM 5 �/ NYT 11 2ND PARCEL-- (Qg ) —+ O �\ (632/589) h "FFobert A. 4raham R vocable rust" I ( 5/1 z , (DEED:APPROX.82) I(1053/105 _ qy_ I $ NOTE: Existing Town records 'N ej I I• Indicate that there are no active 1STPARCEL' wells within 100 feet of proposed IS t 1 ZI I 1 absorption field. b' 1 1 \52) O \i 5 1 I (DEED:50) I IRON PIPE W -- - -I - -- - - - - - ✓�/d° 2 ''Io1 FOUND Lawrence J. and Christine B. Busino O I FOUND 16 c J35 04 l' ' =EME'S FEN= �o a (796/321) b � � 0 4t-` Lo AREA: 24,040.4 Sq. Ft. + r� > A CDI a� 901 2Tax 26.1t2-1.60.: Z' S3 � M r I I Ab4pv► on i Dist. _ •r 2 STY 1 veld 4"Box (/G � �� � d � ; I _z �°t'• �/�'��' FR.HOUSE `- f pl O L_ _ - ► -j -- — --— I ADDITION- . � ^` GARAOE \V � `1 I \ I �R ROW OF TALL MET/{L POSTS: �t ., . I - _ w�fK L__� Septic `91 J N �j E+,rr01114406. �p //O��� OOCK ilk COPIC.W ETWA I R L �'¢ -9 E WOOD STAKES80M.0 8 T .317 ELEC. IN ... 1 V` �' 4 °B 5¢J 41 / � � I DIRT DRIVE IRON ' Y (METER V STARS ••.. y — -- z FOUND DrIVeW8y � I I a svey � W/ ;' `I / � w- 'o� -Story Resi and Garagenoe -- --- --+ v �l to W 1 STORY i7) �u°p 1 story PROPANE I ZONING DESIGNATION: WR - 1A FRAME HOUSE ( ram. b h - I ENTRANCE � I k.9I POPLARI • �4 ^ MIN.SL SETS-M I I (✓r Jc 1 1 / - ST E REA: 9,365 Sq. Ft. ± CAP ATOP BURIED , FR. l , 1 PROPANE TANK p 1 I GARAGE WOOD STAKES SET ALONG LWE B1Ns /5 3. 3 2 N i 1 X � " I I I l l Of l I/•� �9 ' WOOD STAKES SET R OF8" EMLOCKS ~ 20 -dv ' 'l° i1/= jG 32 ' 40'= w I Ah � p pia � � I "Jose h Allen Haraden 11 Barbara T. Haraden" C51 I (676/56) $. Joseph A. Haraden 11 and Barbara Y. Haraden ��� (551/471) � I / _ _ 1 /42. 24' (DEED:142 217) 1 0 1 cgs f - C29 DEED REFERENCE I I MAP Inez P. Langford l to J -MAP REFERENCE of a survey of lands deeded to Jean L. Matthews "Map of Ripleys Point," made by J.W. Reed D: 5/19/1955 in April 1887, and filed in the Warren County Jean L. Matthews R: 5/25/1955 342/299 Clerk's Office in Deed Book 86, page 96 _ (Deed conveys Lot No. 17.) situated in — — —--{ Town of Queensbury , Warren Co. , N.Y. o Inez P.-Langford Scale: 1" = 30' June 18, 1999 to Map amended to show site July an details. Jean L. Matthews Survey and Map By P D: 5/19/1955 Unauthorized alteration or addition to a survey map CHARLES T. NACY Map amended Nov. 19,2004 R: 5/25/1955 342/301 bearing a licensed land surveyor's awl is a violation of Licensed Land Surveyor to show as-built location (Deed conveys Lot Nos. 90, 91, Sacdon 7209, subdivision 2, of the Nov York State � 32 John Street of residence and improvements. ,Q 92, and land immediately in the Education Law. Queensbury,NY 12804 rear of said lots layed out for a Only copies made from the original of this survey map roadway as shown onMap of which are marked with an original of the land surveyors Ripleys Point, and also conveys embossed seal and bearing the surveyors original IRON Roo Lot No. 89, exceot the rear 15'. signature In red Ink shall be considered valid and true FOUND copes.