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2004-737
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building & Codes (518) 761-8256 CEX"V'7vLIFI CATE OF OCCUPANCY Permit Number: P20040737 Date Issued: Thursday, May 05, 2005 This is-to certify that work requested to be done as shown by Permit Number P200.40737 has been completed. Tax Map.Number: 523400-278-020-0001-005-002-0000 Location: 10 ASPEN Rdg Owner: JOHN NRCHAELS Applicant: JOHN NHCHAELS This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Attached Single Family Dwelling r: Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040737 Application Number: A20040737 Tax Map No: 523400-278-020-0001-005-002-0000 Permission is hereby granted to: TORN MICHAELS ' For property located at: MOON HILL 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. k; Type of Construction Value Owner Address: JOHN MICHAELS 34 ORCHARD Dr Fireplace QUEENSBURY, NY 12804-0000 Garage-2 C s Attacld Siri le Fan it Dwelling $600,000.00 Total Value $600,000.00 Contractor or Builder's Name./Address Electrical Inspection Agency MICHAELS GROUP 10 BLACKSMITH Dr MALTA_ NY 12020-0000 Plans&Specifications 2004-737 Lot 2, Moon Hill Road Michaels Group Subdivision'(Sub. No. 9-2003) 3,567 Sq. Ft. SINGLE FAMILY DWELLING WITH 2 FIREPLACES • j A { I $482.44 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, October 22, 2005 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the uee u r�' a October 22,'2004 SIGNED BYtnQ for the Town of Queensbury. r .5' Director of Building&'Code Enforcement , Building Permit Application RE:0FE(6NSB EVE Town of Queensbury—Dept of Communitybevelopment,742 Bay Road,Quedasbury,NY S 2004(518)7d1.W6 NURYN CODE A permit must be obtained before beginning construction, Permit File No. No i�tspPection will be made until applicant has reoeived a Fee Paid �$o + 5 .00 valid building permit. All applicants' spaces on this Roo.Fee plaid,application raustbe completed and must appear on the Reviewed B Ir_ application form. Applicant: C(o•e (S. �` Owner: Address: n o cl r Address: 6 ML D� Phone#( ).�1,- Phone#(C,,+,) 5= PropertyLooatio:i: LotNumber:�/ House Number / �� oZ, SubdivisionName: -� Tax Map Number: 2 7 9-, s -New Buildin . rest ce /commercial 'Estimated Market Value of Construction: $ a�(�D o Addition: "r�dence/ cortunoraiat G Alteration: residence/ conunereial if�Addition,what will use of new addition be? © No change to exterior size: residence/com'1 a Other work(dvvcribe Check OccupancyWormation 1 Floor 2° Floor other floor Total Below sq.it, sq.ft. sq.ft. Square Feet Sin a f tlil, dwollisse d Z- g`7 o Two fail dwolliu m Tomhouse o Idaftuay dwelling #of units o Office a Mercantile o Meaufllatuxitx - 0 1 car deEachEd e n 2 oar detached ago 0 3 car detached pra c 0 1 oar attached pnpe 2 car attached ga 'y 0 3 car attached g=ge o Storage building- oommeroial o Storage building- residerstiaC o O er What is the proposed height of the structure feet 'inches Will any sdoond-hand or ungraded lumber be used? If so,for what? 1)o Type of Heating System: electric 1 oil as/woo oryd hot air .baseboard/other: Number of maces to be installed Number of Wovg to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address - - Phone Number Builder - - — ezn^- Lb NOWQ71Aa =11 * Plumber 67 lwwa b i�- _t/C,( Mason I .UA_ f w s . 6 Y� —/VI') Ble C 11-c- Tn.r C 3A 5� YK ems: please sign below after you have careftlly read tlao statement: To the best of my lmowledge the statements contained in this application,together with the plans and specifications submitted,are a trae and complete statement of all proposed work to be done on the described prernises and that all provisions of the Building Code,the Zoning Osdinanco 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 Vwe shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Directs fBuilding and Codes,auA&&ajYjjj=by a licensed surveyor;drawn to scale,showing actual location of all nLow c on. Signature: owner,ownex's agent,architect;contractor t +-►t t !Lx-1 REl s7 ���>r n Is- e 2- Check .Residential Plan Review: One&Two Family Dwellings Y/N/N/A (2)Full sets of plans Over 1,500 sq. ft.-Stamped Design Loads On Plans:90 Wind Floor Loads 40 psf 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. / Grade,5.0 sq.ft. V 24"(h)x 20"(w)min. 44"Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofing/Waterproofing Materials On Plans. Foundation Drainage On Plans,if required 6"Drop in 10'Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where Required Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors Stairway Headroom,6' 8'All Stairs 36"Width Stair Run and Rise = Winder Run and Rise Spiral Not Allowed From 2 Story . Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance Hall Width,36"min. Handrails More Than One Riser On Open Sides Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas c O pt-- Garage Fire Separation "b i~1;�UC--� Gcf� `I')b Garage Floor Sloped Attic AccessA-YTA 3 Roof over 30"-22"x 30"/Crawl Spaces 18"x 24"Access Carbon Monoxide Detector Lowest Sleeping Level Soil Test Results,if required Septic To Well Or Water Line Separation _ !,D� a 1 —� �C �1 All Paperwork Signed �- RECEIVED Application for Permit!Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 S F P 16 2004 1. OWNER INFORMATION: ...........�_...�........................ �- ;TQQWW..QF..1�i�.. CNSTURY �/ Office Usd3UILDING AND C DE Location of installation: 1,01 c� t&cal ry- ,l File Permit No. 04-T57 Tax Map No. � Owner's Name- (J t t c(10_ ,(,f Fee Paid.y ........,... . ........... ............... Address: A l�(�Llc Srt �� (ir�%cl� .......................... ............... . .....,... ....,...............,..... 2. INSTALLER'S NAME : /Cf uyi bC_C0tj1c PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#bedroom(s)and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No, of Bedrooms x Comp to ation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980-1991 x 130 gal/bdrm = 1991-present x 110 gandrm = 11A Garbage Grinder Installed yes_ ! no Spa or Hot Tub Installed yes ./ no 4. PARCEL INFORMATION: (circle applicable information&"indicate measurements) T DomestiWat o u Sgmlv Flat san at what depth at at depth municipal ng m eet E�'feet � teep slo clay 0<Vf ell;water supply - = o slope other from any septic-system depth: absorption is�O�•�jst, other �t.- Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For_New Construction: 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: gallon(min, size 1,000 gal) Tile Field: each trench fl; Total System �Length: f Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # / depth or thickness feet -Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size.of each: gallons /TOTAL Capacity: gallons Dote: 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 misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant,,shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Sig ure pof responsible person Date 1 a • ' :'l'awtl t�T t�ttt;c�tl�lnti-� , 5c:tvrrsc and Sowiil"o I)-4posal tilmpit-'r �I�lx:�ltl3x t: • SI:I'11'ltATION wort 1 ,M� R _ 1SouaE C� t�>: � • , ��t��'" a�il�a�s.�. G � ?1 Jv ,,o,-. sc f't 1 0 t ' - _ .. �Y�X7ACt"ttiC1 1 Frtit.L.tr � / 1 • • ir,Iw/•Iyr . • �T q����e�,�p��p,�'�'r/q�y q�u yy � •. 7• sl�}Lt {.VJ�1.4 {ifs INPOi�LKii'►1.4` w+)•c►16wrA i� 1� L�'i+ 'D��ar�4J#� ►Ye3PGaa• .• J:'i; •;„e • iy Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 'Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date , 20 Permit No. Application is hereby made to the Building& Codes Office for the issuance ofa Building and Use Pertnit pursuant to the New York State Fire Prevention and Building Code. Tlie 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 perfot•tn required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: f lr€� ' f '6 ., r ; -:; Stove: wood coal pellet gas , t'c'i`�t: _ � , x Fireplace insert Address: Af' :4�, r , 1, '.r`.' . Fireplace, factory-built: ('"..wood (gas• a [ `6 : ; Fireplace, masonry: wood gas Furnace: wood gas oil Phone: l If non-masonary applicance,please provide t Owner: C 1. _) i`.;',,' { Manufacturer Name: { Address: �'' F f i,j _ Model Number:.Y ," Chimney Information Phone: t ` (circle appropriate words) Masonry block brick stone Alt • Flue the steel size: inches_ 'Exact Address: of construction or installation Factory-Built' -Manufacturer name: Model Number: Note: Listed.By: Number: Construction/Installation musi conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall J Triple wall / Insulated / Direct venting Chimney Liner � Ca,sb�[�r-'ter Depaz-trnent—To�srz� of Queen,�rbury, N��7ETor.I�: Fire Marshal shal Code# $Collected $Reftuulcd Received fro»: (refunded to): i, A 173 3389 (190) Public Safety A 233 655 (230)Minor Sales DATE: C. ' OK' White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink K Goldenrod(Cashier's Dept.) Septic Inspection Report Office No. (518) 761-8256 Date Ins ction equest received: Queensbury Building&Code Enforcement Arrive: n anV e art: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspecto 's Initials: NAME: M l ').e',' PERMIT NO.: LOCATION: 1 t � -�J �;� INSPECT ON: `"- RECHECK: - Comments and/or diagram Soil Type: Sand/Loam/Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone See age Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial End Caps Location/Separations , Foundation to tank Foundation to absorption ft. Separation of Pits ft. ��� �„ ' d Conforms as per Plot Plan _Y N J Engineer Report and As-Built Y N A-�C {,�-�a ��L'� fl�� 1 amity � � / Location of System on Property: �1 U ifrj' Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Last revised 1/6/05 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: '5' -S-05 NAME: I G LOCATION K0 PERMIT#: (' Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept.of / Community (/ Development. S � Upon review t surve has be Craig ro oning Administrator Notes: L:1SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc MAP REFERENCE: MAP OF SURVEY Q OF LANDS OF a SANDRA B. & MARTIN J. CECH SR. z DATED: SEPTEMBER 11, 1980 m BY: W.J. ROURKE, ASSOCIATES LANDS N/F OF BRUCE ADAMS TRUST AGREEMENT w o� Z a 1086 251 SUBDIVISION MODIFICATION o� MAP OF A SUBDIVISION MADE FOR THE MICHAELS GROUP DATED: MARCH 2O03 .---45%%E/,L o LAST REVISED: OCTOBER 16, 2004 G 41 - N76 `n O BY: VAN DUSEN & STEVES .29 "` 150 _ N IPF O M Q N I O L0 Z PF sssvrl?\ \� LANDS N/F OF RANDALL HUBER & c \ CYNTHIA WILD � �j' �• r 680/38 100 M w ti \ z cl 'd O W LANDS N/F OF PHILLIP MITCHELL \ � REVISED LOT \ \� oPC 171,806 sq.ft. CIRF 3.94 acres \ \ O o LOT 1 \\ \ 0 H _ CIRF \ 5b to *Oc%usk- vial Zj VA 00 �Ory• \ �o I NS \ p UNOER CONSTf�1� \ b gg90 \ N � � If �� 06 20 N S S� LANDS N/F OF �� s � P5 KNOX CONVERSE & IP llw� I 26 rJ / KEVIN GREEN / of s / 1141/52 \�Ri\ � aas CIRF � \ O � \ IPF \ \ 3 T o .N LOT 3 \ cc CQ CIRF / — r 1 � z '� HILL , LEGEND: Q} a ROAD--- — 0 IPF = IRON PIPE FOUND (D z / O CIRF = CAPPED IRON ROD FOUND p C;d ^ 0 � = UTILITY POLE W Cr = STREET SIGN V1 F •o t7 a � ; r b Co CQ g I Co Dates MARCH 12005 (�• �` -=- >` seeds t�SO S- 1 SHE r 1 OF 1 D956 278.20-1-5.2 DWG. NO. 01133-2 Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 T Arrive: am/ D art: _, Date Inspection request received: Inspector's Initials: '"7T T)— J NAME: C_ (92 PERMIT#: LOCATION: G— �' _ DATE: 5 D TYPE OF STRUCTURE: _ Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake EGt1G—eIL 3 inch Plumb Vent throw h roof minimum 6" oof Com lete/Exterior Finish Complete V v 5 SL t Guard 30 in.or more a)stairs, decks, atios �C—(i �/ Guard at stairwell at 34 hi. or more Guard at deck,porches 36 in. or more Exterior Finish Complete �C�Tb�Ac „r, Q A\ (A) Interior/Exterior Railings 34 in.to 38 in. yv"� (� 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 Valves 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: lnter 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. f .-150 s .ft. vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan �v 13 6C As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent 1 (Jf 44 M L:\PamW\Building&Codes\lnspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 I C/ Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 Factory Built Gas Fj lace/Stove Mspection Report Notice:New York State requires that all UL 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 ( , -�7 instructions or specifications is allowed. n permit# V_l � J / S (�> I � am taa an f f/ 11 Schedule Inspection l Time .�� ytinae Inspector Address e--�� ��6Ufv 't�i U L_ bough Tm�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) D r , Ficestop(s) 'Vertical chase / Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet alcove roof I L penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above Up opening Witness ®Aeration 'dank Placement(if LP) White—Binding(Dept. � _� 'Yellow C wt mer I Pink—Fire Marshal Town of,Q nsbury Fire Marshal 7.0 Bay Road Queensliury,NY 12804 761-8205 1761-8206 fax 745-4437 Factory Built Wood Burning Fireplace/Stove Inspection Report Notice:New York State requires that all UL 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 specifications is allowed. Permit# c�-t �� Schedule Inspection 3 Time s/�l d 1 am (�anytime Inspector�n Name � ����t �� ��(1ddress[`'' � �F'�' �LL Rough b Final Appliance Manufacturer Model# Masonry Chimney Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Safety Strip Installation(fireplaces only) ry P ca Firestop(s) Vertical Chase Wall Penetration Chimney Clearances to Combustibles Chimney Termination `;� `��`In 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air Hearth Extension Mantel(height above fip opening) Fireplace Doors/Screen (required) White—Building Dept. Mello —casimer Pink—Are Marshal Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 ,i Arrive: am/p ,gyp ar : <<'"am/pm Date Inspection request received: /�S Inspector's Initials: g — NAME: i-11 i C 'Ac (S 6 PERMIT#: 37 LOCATION: _. Ky-�—y cN� l--ii 1�! DATE: �' U TYPE OF STRUCTURE: _ "2GEommettts Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake �lar�5� RA(;, — to 3 inch Plumb Vent through roof minimum 6" oof Complete/Exterior Finish Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck, orches 36 in. or moreAfem Exterior Finish Complete ,Q Interior/Exterior Railings 34 in.to 38 in. /`i¢/L 5• 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 Valves installed/Heat Trap/Water Tern 110 �-- Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safe glazing/Window in stairwells safetyt Interior Smoke Detectors: WL1vebC/--(S-->Every level: _ / Every Bedroom: a v Outside every bedroom area. Inter Connected: / Battery backup: ft>" arbon Monoxide Detector Bathroom Fans, if n9_wincjoW Plumbing fixtures td— t Foundation insulatio Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches ,"Garage Floor Pitched Garage fireproofing/3/4 hour fire do /door closer Duct work Seated properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht•)In accessible area IL Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required ��)f �P Final SurveyPlot Plan As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification, if required N*9kay to issue C/C or C/O Temporary/Permanent L:\PamWlBuilding&CodeslInspection FormslRes.Final Insp. form 2,docLast printed 2/12/04 Town of tnsbury Fire Marshal 74Z ay Road '=720 1 4.7NY820 -4437 Factoa Bui Wood Burnin 're lace/Stove Inspection Report Notice:New York State requires that all UL Lis 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 specifications is allowed.Permit#10M� Schedule Inspection Time am pm ytime Inspector =�ALF Name Address 00 hough In Final J Appliance Manufacturer Model# Masonry Chimney Factory Built Chimney Flue Size Double Wall .Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Safety Strip Installation(Fireplaces only) e. Ql, Firestop(s) Vertical Chase - b Wall Penetrationy J I Chimney Clearances to Combustibles Chimney Termination 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air (` O rNl4��ia CAM 0 Hearth Extension � ��� ��'"'� �® � l Mantel ei �(height above f/p opening) Fireplace Doors/Screen(required) White--Baffding Dept. YeUO —C mer Pink—Fire Marshal Tovim of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Eire.dace/Stove hisyection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the mau�ufacturer's instructions or pee• cations is allowed. V Permit �; Schedule Inspection Time ��a��pna anytime Inspector I��� Name L� i�,'}�L �� Addr€ss °'� �� I/�h 0%u,t� l'�_ lej- ' Rough In. __Fnnal Appliance Manufacturer. _ Model# Direct Vent Factory Built Chimney Fine Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection. Clearances to Combustibles (all.sides) F'icestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination t Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shutt-Off Valve Combustion Air Hearth Extension (if any) Mantel /V0C � Height above f/p opening Witness Operation er ion � ��� � Lo � Tank Placement(if LP) �U kv White—Building Dept. R��—�»�—�_ Xeb➢oev Lost es Pink—Fire Marshal Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Z C/ Arrive: am/pI�p � vam/pm Date Inspection request received: J Inspector's Initials: (-��/? NAME: Y_'C41.I t l S Chc o f O PERMIT#: Ot-t _ LOCATION: DATE: TYPE OF STRUCTURE: Comments Y N N/A � � � Chimney Ht./"B"Vent/Direct Vent Location Y�T <=C�AY< Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" --�j-�—_�3���- Roof Complete/Exterior Finish Complete D N L Guard 30 in.or more @ stairs, decks,patios G Rl� �../ Guard at stairwell at 34 in. or more C" 1 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 _74- Enclosed Stairs Sheetrock Underside minimum %2" 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 Valves 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: -7 Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window _ Plumbing fixtures A4 �iUS%PsLG_ 9t T uGC✓T- 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/'/o hour fire door/door closer ejC—� (A)C®c S Duct work Seated 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"acces , 1 s . ft.-150 s . ft.vents e Building No./Add e isibl from- d (i✓��q-{�L J SLR J Final Electrical Z Site Plan /Varian&re uir rJ -p- Final Survey Plot Plan (� As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification, if required ,��kay 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 Septic Inspection Report OfficeNo. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/iian Pepart: m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: �`�1G e 5 �//J� PERMIT NO.: 6�4_ 7137 LOCATION:/D "o (D , U INSPECT ON: 5 ps RECHECK: Cc l6 YPs Comments and/or diagram Soil Type( a oam Type of Water: Municipal/Well Water Waterline separation distanc _ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size- Piping Si / Type Building to tank c Tank to Distributi n Box `� ►^ Distribution Box field/Pit r Opening Sealed: Y/N/Partial End Caps Location/Separations Foundation to tank $. Foundation to absorption ft. Separation o per Conforms as Plot Plan N Engineer Rep and As-Built `Y N Location of Syst on Property: Front e Left Side Right Side Middle Front iddle Rear System Use Statu . Approved Partial Approved and needs to be re-inspected,please call the Building& Codes Office Disapproved Last revised 116105 Vp a LLJ ILA \\\ \\ \\ \ \ N \ \ \\\\ \ \\\ \0CV 1l to a Wikj aw g �Z I CD Cl 00 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection requ st received: Queensbury Building &Code Enforcement Arrive: am/ epart. v'pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial NAME: \�\ L�� , _ , �(� PERMIT#: O \ LOCATION: INSPECT ON: TYPE OF STRUCTURE: O—S Comments Y N N/A of s Piers Mon thic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab _ Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. 1.ASueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003 Y1, Foundation Inspection Report Office No. (518) 761-8256 Date Inspection requ t received: � 0 Queensbury Building &Code Enforcement Arrive: am/p Depart: llpm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials. NAME: Hitd,��m-Wj PERMIT#: a(:Uc�-7 37 LOCATION: a-3 A4au — INSPECT ON: TYPE OF STRUCTURE: Try Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placernent of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/ Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab _ Backfrll Approval Am ng Onder Slab PVC/Cast/Copper fiJAV ndation.Insulation Interior/ erior R- _ Rough Grade 6 inch drop within 10 ft. 1.:1SueHemingway\Buil ding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 ?- /O a-'--v-- Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection reques e eiv : ? vs� Queensbury Building & Code Enforcement Arrive: a /p art: �am 742 Bay Road, Queensbury, NY 12804 Inspector's Initial NAME: ' S PER IT �#: C �-737 LOCATION: r-� (,l INSPECT ON: 3kdes -`K TYPE OF STRUCTURE: 1�� 7 Y lit N/A Rough Plumbing / Nail Plates Plumbing Vent / Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet / change of direction Pressure Test Drain / Vent Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping � Air / Head Z�j 50 r 15 minutes I n s u I io esidential Check / Commercial Check Proper Vent Attic Vent Z v\t-'Qo� Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace _ �v Duct work sealed properly / No duct tape COMMENTS: < tz b 0�1 LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection reques rec ive - ; Queensbury Building & Code Enforcement Arrive: am/pm, art: - ; a /p'm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials. ' NAME: \ g PER fit: J� LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent / Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/ change of direction Pressure Test Drain / Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air / Head P.S.I for 15 minutes nsulation / Residential Check/ Commercial Check e Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace _ Duct work sealed ro erl / No duct tape COMMENTS: LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Town of Qj*nsbury Fire Marshal 742 Bay Road low Queensliury,NY 12804 761-8205/761-8206 fax 7454437 Factory Built Wood Burning Fireplace/Stove Insyection Itegort Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructionyd specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufactu instructions 0 rsnee ifications is allowed. Permit# Q ' 'U'l Schedule Inspection Time apK pm anytime. Inspector Name J \f (OrOUP Address N Rough In Final Appliance Manufacturer I�,�' )��, Model# Masonry Chimney .Factory Built Chimney Flue Size Double Wall Triple Wall)�nsulated r Yes No N/A Comments Floor Protection ©k -6 t,& y� olj -Ij Daj--� z" Clearances to Combustibles (all sides) o IC ' i P Safety Strip Installation(fireplaces only) O� � l Firestop(s) Vertical Chase& Wall Penetration Chimney Clearances to Combustibles Chimney Termination J, ok� 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Combustion Air W� Hearth Extension Mantel(height above f/p opening) X] 0� Fireplace Door s ro/Screen(required) Y4 X TI White—BamngmPt. Ylul4a4mer. Pink— Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 , Facto Built Gas Fi=lace/Stove Inspection_Report � Notice. New York State requires that all FJL Listed,factory but appliances g it liances be installed according to the instructio s and/ specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufactu er' instructions or specifications is allowed. Permit# Schedule Inspection 3 Time ' am pm ytime Inspector—nj� Address lug Yn AFinali Appliance Manufacturer — Model# Direct Vent Factory:wilt Chimney Flue Sire Double Wall Triple Wall Insulated +^ Yes No N/A Comments ]Floor Protection Clearances to Combustibles (call sides) Firestop(s) Vertical Chase y Wall Penetration C7 Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible , construction within 10 feet Gas Shut-Off Value — . q d Combustion Air Hearth Extension (if any) Mantel �( ✓ ��f� n gj(fir L . ]Height above f/p opening (h "ti Witness Operation --� tVo Tank Placement(if LP) White-Building Dept. _ Yellow t st er Pink e h ���` Rough Plumbing I Insulation Inspection Re x Office No. (518) 761-8256 Date Inspection requ st recei e :f Queensbury Building & Code Enforcement Arrive: �am/pmrt: arr/pr /742 Bay Road, /-Repa , Queensbury NY 12804 Inspector's Ini �als• (_ NAME, PER ' #: cXV-7 S LOCATION: a arr. INSP CT ON: o TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent/ Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet / change of direction Pressure Test Drain / Vent Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air / Head for 15 minutes I esidential Check / Commercial Check Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape -- � ;�= t �' LAPam WhitingTuilding&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Town of Queensbury Fire Marshal Cal 742 Day Road /7 Queensbury,NY 12804 J 761-8205/761-8206 fax 745-4437 PactorBuilt Gas Fireplace/Stove In on Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions"d specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer'g� /� I instructions or specifications is allowed. permit# U U�( .�3 Schedule Inspection 3 '1(�J�Time �O am an anytime Inspector Nalne- x Sc Address_ �llll� ( � ,�� iSougb In Final Ty..�- l Appliance Manufacturer a i 10 Model# DD V fZ/ _ Direct Vent Factory Built Chimney JL, Flue Size 4 if Double Wall �. Triple Wall Insulated -� Yes No N/A Comments Floor Protection ��v ��.��J (��� ,[�Cltm/k�. Clearances to Combustibles (all sides) I+irestop(s) 'vertical.Chase--r ` ` ! Wall Penetration �/,R .� ` Vent Clearances to Combustibles rj ' �� i`, �`�u Vent/Chimney Termination i � .l Chimney height must be 3 feet above roof ( /� � P.�,it penetration;2 feet above any combustible 1rAl P construction within 10 feet ) k,I Gas Shut-Off Valve l U off C� l Combustion Air Hearth Extension if any) Mantel 1l "_" 1�:� MG014 le: I. Height above f/p opening Witness Operation QL Tank Placement LP if t ) �� —P hat White�-Building Dept. 'Yellow Cast er �/ � xU 11 �Fire M� ` s i\ -�'- Framing Trestopping nspec ion eport Office No. (518)761-8256 Date Inspection requ-estreive Queensbury Building&Code Enforcement Arrive: am/pm D a a m y 742 Bay Road, Queensbury,NY 1.2804 Inspector's Initia s: �. q 737 NAME: C,k\ \S��y PERMIT#: LOCATION: -7 ;%A'Pc,j; IL- Q Q INSPECT ON: TYPE OF STRUCTURE: Y N N/A4 COMMENTS raining Jack Studs/Headers Bracing/Bridging. Joist hangers Jack Posts/Main Beams V/1 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 %2 (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 hourIL ire wall 2, 3,4 hour restopping / Penetration sealed 16 inch insulation in-cavity min. Garage Fire Separation House side 1/2 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 LASueHemingway\Building.Codes,Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003 _ -ASS � = Framing / Firestopping Inspection Rep rt h Office No. (518) 761-8256 Date Inspection re st ece' ed: �,,16Queensbury Building& Code Enforcement Arrive: epart: _ tea pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initia s: L NAME: G IS PERMIT#: 6'/- 7 7 LOCATION: Mute,,. a p INSPECT ON: TYPE OF STRUCTURE: a 1 Y N N/A _ CO 1VIEl\1TS Framing Jacic Studs/Headers raci idging 'T, T \A A i���5 oast 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 r/ 1 %2 (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 F' e wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms / 24 in. (H) J 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SucHemineway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request re,ei ed Queensbury Building & Code Enforcement Arrive: am/p D art:, 742 Bay Road, Queensbury, NY 12804 Inspector's Initibts: 0 _ NAME: IA�Ck�1E� � PER, IT #: LOCATION: INSECT ON: TYPE OF STRUCTURE: y tN/V/ARou h Plumbin / Nail Plates , �— �1=_Plumbin Vent / Vents in Place � `�_-- i�� 1 1/2 inch minimum Drain Size Dlb ; E- Washing Machine Drain 2 inch minimum L Au— r'F Cleanout every 100 feet / change of direction Pressure Testi Drain / Vent Air / Head FSL 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping ' Air/ Head 50 P.S.I for 15 minutes Insulation / Residential Check / Commercial Check Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If re uired unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tapd COMMENTS: LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: ' 5 Queensbury Building& Code Enforcement Arrive: anI/ Depart: '` amfpm 742 Bay Road, Queensbury, NY 12804 Inspector's Initial AJ1 � 2 NAME: G� q PERMIT#: -� 3 LOCATION: )-r 6V Kd INSPECT ON: G TYPE OF STRUCTURE: Y N N/A COMMENTS Framing 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 %z (w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses —Anehor- 6 ft. or less on center Ice and snow shield -4 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration 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 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&.Code Enforcement Arrive: all p Depart: �' wpm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: 1-1 I e , Q 31 NAME: V��� IC f7 �dE PERMIT#: LOCATION: _ �� rJ� FNTSPECT ON: TYPE OF STRUCTURE: Comments Footings _ �^ Piers Monolithic Slab 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 purr ose on site. _ Foundation/Wallpour Reinforcement in Place Foundation Dainpproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump / Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under SIab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHcmingwaylBuiIding.Codes.Inspecti on.PORMSToundation Inspection Report.doc January 28,2003 1l Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: r Queensbury Building& Code Enforcement Arrive: _a1 part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials NAME: PERMIT#: LOCATION: de. .j INSPECT ON: 05-- TYPE OF STRUCTURE: Framing Y N N/A. COMMENTS 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 %z,(�v) 16 gauge (8) 16D nails each side Deft stopping 1,000 sq. ft. floor trusses /richor Bolts 6 ft. or less on center 1 i Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration 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 LASueHemineway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Deport I ' Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: a /part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initi s / NAME: PERMIT#: ✓ � _ LOCATION: L,"— INSPECT ON: BS TYPE OF STRUCTURE- Framing N N/A COMMENTS TS Framing 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 Bearing Walls Metal apping for Notches Top Plate 1 % w) 16 gauge(8) 16D nails each side D ft 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 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedroom 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHerningw•ay\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Fr aming / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: _arn/p part: / am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: Im /V PERMIT#: © 7:37l LOCATION: 1 w INSPECT ON: 2ZI TYPE OF STRUCTURE: GGGG Framing Y N N/A COMMENTS 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 %2 (w) 16 gauge(8) 16D nails each side Dr ft stopping 1,000 sq. ft. floor trusses chor 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 hour Firestopping Penetration 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:\SucHemingway\Building.Codes.lnspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report 7/ i Office No. (518) 761-8256 Date Inspection request received: l� Queensbury Building& Code Enforcement Arrive: am/ D part: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 1 NAME: `t '' PERMIT LOCATION: INSPECT ON: �S TYPE OF STRUCTURE: 1 Framing Y N IN/A COMMENTS 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 %z (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 wa Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration 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 LASueHemin-Way\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Ap- Foundation Inspection Report Office No. (518)761-8256 Date Inspection requ . t received: J,-> 7 44/ Queensbury Building&Code Enforcement Arrive: am/p Depart: m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial • tc- NAME: PERMIT#: LOCATION: INSPECT ON: ! G TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this-purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofmg/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 1.2 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Bing Under Slab PV y /Cast/Coppery Foundation Insulation Interior/ xterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am44 Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: S PERMIT#: C�� 7 LOCATION: INSPECT ON: �- TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Mg6rials for this purpose on site. Fo dation/Wallpour leinforcenient in Place Faundatiozl arnppi cfin _ _ aterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfil Approval - Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.Inspection.FORMSToundation Inspection Report.doc January 28,2003 i Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: I Z� �� Queensbury Building&Code Enforcement Arrive: airi/plip Depart: T am/pm" 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials<Zj V NAME: PERMIT#: L! - LOCATION: ', + �`r � d 'c sh a INSPECT ON: L �' TYPE OF STRUCT Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofmg/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width ��5�� �4 ONL� 6 inches above footing 6 mil ly for wet ai s under lab ackfill Approval f Plumbing Under Slab C PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft.. L:1SueHemingway\Building.Codes.Inspectiou.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection e est e ive Queensbury Building&Code Enforcement Arrive: pm Depart: a 742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initia C-5YZ)UjVP (\NAME: RMIT#. U ' ) -�� LOCATION: INSPECT ON: TYPE OF STRUCTURE: Com7ents r Y N N/A ; otings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. r,pz Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofmg/Waterproofing Footing Drain Daylight or Sump. Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Y Foundation Inspection Report Office No. (518) 761-8256 Date Inspection re es r ceiv d: Queensbury Building&Code Enforcement Arrive: a p Depart: '= a� 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial . NAME: \ C L IT#: Z.0 Ox-1 -7�-7 LOCATION: SPECT ON: p TYPE OF STRUCTURE: ..Comments ' 'ti Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofmg/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing - 6 mil poly for wet areas under slab Backf ll Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R-. . Rough Grade 6 inch drop within 10 ft. L:\SucHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 h Fe tuber ►o REScheck Compliance Certificate y/Date New York State Energy Conservation Construction C REScheckSoftware Version 3.5 Release lc Data filename:F:\SHARE\Design\Energy Calc\ON YOUR LOT\Moon Hill.rck TITLE:Savannah COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE: 08/09/04 DATE OF PLANS:August 9,2004 FILE COPY PROJECT INFORMATION: Lots 2,3 Moon Hill Queensbury,NY COMPANY INFORMATION: The Michaels Group 10 Blacksmith Dr. Malta,NY 12020 , NOTES: Custom Savannah ,rg h u Pella Proline Windows 'e k x COMPLIANCE:Passest Maximum UA=705 Your Home UA=586 16.9%Better Than Code(UA) Gross GI zin Area or Cavity Cont. or o0 Perimeter R-Value R-Value U- ac r UA Ceiling 1:Raised or Energy Truss 1857 30.0 0.0 59 First Floor Walls:Wood Frame, 16"o.c. 1881 19.0 0.0 88 lx Study(D):Wood Frame,Double Pane with Low-E 15 0.340 5 Study#25:Glass 40 0.350 14 lx Kitchen(BH):Wood Frame,Double Pane with Low-E 17 0.340 6 2x Brkfst(BJ):Wood Frame,Double Pane with Low-E 21 0.340 7 lx Brkfst(BY):Wood Frame,Double Pane with Low-E 33 0.340 11 Brkfst#34: Glass 23 0.350 8 Brkfst#34: Glass 23 0.350 8 lx Family(BP):Wood Frame,Double Pane with Low-E 11 0.340 4 lx Family(E):Wood Frame,Double Pane with Low-E 28 - 0.340 10 4 4x Family(BS):Wood Frame,Double Pane with Low-E 20 0.340 7 4x Family(Y):Wood Frame,Double Pane with Low-E 55 0.340 19 Utility#20:Solid 19 0.240 5 lx Dining(D):Wood Frame,Double Pane with Low-E 16 0.340 5 2x Dining(AH):Wood Frame,Double Pane with Low-E 14 0.340 8 Foyer#lB: Glass 37 0.350 13 2x Living(D):Wood Frame,Double Pane with Low-E 31 0.340 11 1x Bath(N):Wood Frame,Double Pane with Low-E 7 0.340 2 2nd Story Walls:Wood Frame, 16"o.c. 1748 19.0 0.0 93 1x Bed#2(C):Wood Frame,Double Pane with Low-E 31 0.340 11 lx Mbath(V):Wood Frame,Double Pane with Low-E 16 I 0.340 5 4x Mbr(BX):Wood Frame,Double Pane with Low-E 66 0.340 22 lx Bed#4(C):Wood Frame,Double Pane with Low-E 31 0.340 11 lx Foyer(BZ):Wood Frame,Double Pane with Low-E 15 0.340 5 2x Bed#3(BA):Wood Frame,Double Pane with Low-E 31 0.340 11 lx Bath(1):Wood Frame,Double Pane with Low-E 13 0.340 4 Bsmnt Wall 1: Solid Concrete or Masonry 1032 0.0 11.0 67 Wall height:7.6' Depth below grade: 6.6' Insulation depth: 6.0' Bsmnt windows:Wood Frame,Double Pane with Low-E 2 0.560 1 Bsmt Wall @ Walkout:Solid Concrete or Masonry 650 0.0 11.0 40 Wall height: 8.0' Depth below grade: 6.6' Insulation depth:6.0' (2)3359 Window:Wood Frame:Double Pane with Low-E 27 0.340 9 6068 Slider: Glass 40 0.350 14 Over garage: All-Wood Joist/Truss,Over Unconditioned Space 81 30.0 0.0 3 Furnace 1:Forced Hot Air,92 AFUE 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 att tin that to t t of his/her knowledge,belief,and professional judgment,such plans or specifications are in complia e ith th' Co Builder/Designer Date 9 U REScheck Inspection Checklist f New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release lc DATE:08/09/04 TITLE:Savannah Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Raised or Energy Truss,R-30.0 cavity insulation Comments: Insulation must achieve full height over the plate lines of exterior walls. Above-Grade Walls: [ ] 1. First Floor Walls:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: [ ] 2. 2nd Story Walls:Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: Basement Walls: [ ] ( 1. Bsmnt Wall 1:Solid Concrete or Masonry,7.6'hd6.6'bg/6.0' insul, R-11.0 continuous insulation Comments: Exterior insulation must have a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade)insulation and extends at least 6 in.below grade. [ ] 2. Bsmt Wall @ Walkout:Solid Concrete or Masonry,8.0'ht/6.6' bg/6.0'insul, R-11.0 continuous insulation Comments: Exterior insulation must have a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade)insulation and extends at least 6 in.below grade. Windows: [ ] 1. lx Study(D):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without-labeled U-factors,describe features: #Panes Frame Type,_Thermal Break? [ ]Yes[ ]No Comments: [ ] 2. lx Kitchen(BIB:Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 3. 2x Brkfst(Bn:Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 4. lx Brkfst(BY):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 5. lx Family(BP):Wood Frame,Double Pahe with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 6. lx Family(E):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No v Comments: [ ] 7. 4x Family(BS):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 8. 4x Family(Y):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes.Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 9. lx Dining(D):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: [ ] 10. 2x Dining(AH):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 11. 2x Living(D):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 12. lx Bath(N ):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 13. lx Bed#2(C):Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 14. lx Mbath(V):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 15. 4x Mbr(BX):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ J Yes [ ]No Comments: [ ] 16. 1x Bed#4(C):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 17. 1x Foyer(BZ):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] 18. 2x Bed#3 (BA):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments:_ [ ] 19. lx Bath(N):Wood Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 20. Bsmnt windows:Wood Frame,Double Pane with Low-E,U-factor:0.560 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: [ ] 21. (2)3359 Window:Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,des cribe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: Doors: ( ] 1. Study#25:Glass,U-factor:0.350 Comments: [ ] 2. Brkfst#34: Glass,U-factor:0.350 Comments: [ ] 3. Brkfst#34: Glass,U-factor:0.350 Comments: [ ] 4. Utility#20:Solid,U-factor:0.240 Comments: Foyer#lB: Glass,U-factor:0.350 Comments: [ ] 6. 6068 Slider:Glass,U-factor:0.350 Comments: Floors: [ ] 1. Over garage:All-Wood Joist/Truss,Over Unconditioned Space,R-30.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air,92 AFUE 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 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 me ans 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 OF or chilled fluids below 55 T must be insulated to the levels in Table 2. a 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) i � W i Z Q ~ O j 60 p nWc i d Z) i= 70 v 0 [L MAP REFERENCE: o-e" TOPSOIL o z o`c - r F SURVEY. / '-' 8-20" FINE SANDY LOAM Q X O JO a OWNER: MAP 0 so LANDS N/F OF THE MICHAELS GROUP ANDS OF -;' NO MO" FINE SAND - TRACE SILT o OF L ADAMS TRUST AGREEMENT No MornlNc OR WATER m o a W U n 10 BLACKSMITH DRIVE MARTIN J. CECH SR. BRUCE �" SANDRA B. & 60 ''' z F - W R 11 1980 1086/251 100 12 0-10" roPsaL Z � > > MALTA, NEW YORK DATED: SEPTEMBE d�� :' ' ' Z Q ~ LK W ROURKE ASSOCIATES fo-2e" FINE SANDY LOAM a BY: W.J. %, /';/' -' J ` %�- 110 ?8-150" FINE SAND - TRACE SILT NO MOTTLING OR WATER APPLICANT: rr� - ; AP REFERENCE: -';;, 120 DEED REFER ''/ - >�3 PIT ON S�N AREA Ma" Sal TRANSIALL AREA W/ OP�aL STRIPPED E MICHAELS GROUP JEANNE C. ALLEN _ ' . R �F- .- ' ' -' ' ' 130 `a TH n CENTER GRADED GRAVEL & COARSE SAND Di NORTH SIDE PIT COBBLES & MED. SAND p 10 BLACKSMITH DRIVE TO 41 45 , - �e�.�i' ' '�', -' r j PIT MEDIUM SAND to ' MARTIN J. & SANDRA B. CECH N�6' — 'a SOUTH srDE MALTA, NEW YORK ., � = , ' OR WATER TO 96" DATED: NOVE MBER 1 1985 NO MOTTLING BOOK 677 PAGE 263 •59' " •• - -/ TEST PITS BY TNOMAS W. NACE ON 1/29/02 70 IPf ZONING INFORMATION: eo RURAL RESIDENTIAL 3 Acre - ` ' �� RR3 — - `:� i -''� - . ' 12o LANDS N/F OF i SETBACKS: ,- & FRONT = 50' - RANDALL HUBER 75 ao CYNTHIA WILD TRAVEL CORRIDOR = ; \ uo p-+ SIDE = 30' �� ;" �; _.. `�, , 680/38 REAR = ' 2\ aU �- s s TAX MAP NO. 48-1-13.1 100 i O w TOTAL AREA RATE 3 v 449,290 sq.f t. °- 10.31 acres sFr� C q ` LANDS N F OF :� a / , \ > w PHILLIP MITCHELL � � PC 171,254 sq.ft. I 3.93 acres ww 120 O GIRF W ` i ��• \ o F \�PT 100 0 P-0 Will \, z 146,391 sq.ft. ® _ -- - - \'• \ 35 .37 130 - \ 3.36 acres f /. 1- I I 0� R L t;ANI)S N/F OF IPF t• �, I _ • 11 �, KNOX CONVERSE +& �/v�a� � �� ����=��;`�, �r 00 - KEVIN GRVEN 41/52 ; F GIRFki � 657 'sq - RATE 4 MINUTES V�`( - --- • ', ,./ _� ! i �i- . , APT .80 � \j -'}' TP#1 50 'NN - `, GIRF in Co n _ c .,, 1.06 T ____ --- - �\\ .-• SE BACK � ZZ T 0,3av� Z 110 #2 - - lot h 0 ``' LEGEND: z a 00 _N.82-15 yy ^� f _N 85' '. .. �4 p5 O IPF = IRON PIPE FOUND Ul ul HILLT TANLE o 00 `SIGHT DISTANCE OCIRF = CAPPED IRON ROD FOUND n, ?� TO THE WEST 351' TO THE EAST 136" O ' �, = UTILITY POLE �+ r �+ 0 3. -------- ,C� 5� `j� W - ,[� - = STREET SIGN 7 co-) 6�. 03• 5 DESIGN SPEED, 40 Mph �4S 57241 STOPPING SIGHT DISTANGE MINIMUM, 275 DESIRABLE STOPPING SIGHT DISTANCE, 325' DATUM ASSUMED AS PER D.O.T. STANDARDS CONTOUR INTERVAL = 2 FEET q0 a m aI x � CQ PLANNING BOARD APPROVAL Data MARC*t, 2oas _ j Approved Under Authority of PP 003 s r-5o� a Res-olutiorj dopted 1_ �-- by�}the Pla ni . Board of the Town of Sbury, New York. S- 1 __ _ Chairman �, ---- =-----_/--ova--- Si-�ET 1 OF 3 � 8 Fib 2� 29 D423 04JPN2 DWG. NO. 01133-M , Warren County Clerk 48-1-13.21