2002-888 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFIrAA'LE OF COMPLIANCE
Permit Number: P20020888 Date Issued: Tuesday, September 14, 2004
This is to certify that work requested to be done as shown by Permit Number P20020888
has been completed.
Tax Map Number: 523400-278-000-0001-008-000-0000
Location: STATE ROUTE 149
Owner: JOHN HUGHES
Applicant: JOHN HUGHES
This structure may be occupied as a:
By Order of Town Board
Garage- 1 Car Attached TOWN OF QUEENSBURY
Single Family Dwelling
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: P20020888 Application Number: A20020888
Tax Map No: 523400-278-000-0001-008-000-0000
Permission is hereby granted to: JOHNHUGHFS
For property located at STATE ROUTE 149
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: JOHN HUGHES
Garage- I Car Attached
I ROCKLAND Dr Single Family Dwelling 70,000.00
LAKE GEORGE,NY 12845 Total Value 70,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2002-888 Ledgeview Village, 4 Leisure Lane, existing septic
Construction of a 1,286 sq ft single family home with a 336 sq ft attached orecar garage per plot plan and
specifications.
$187.92 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,October 25,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement
of the Town of Queensbury before the expiration date.) I R \%
Dated at the T October 25,2002
SIGNED BY r2;;tW 4r for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application A
Town of Queensbury-Dept of Community Development,742 Bay Road, Queensbury,NY
(518)761-8256 OCT E 2002
7,
A permit must be obtained before beginning construction. Permit File No. C)4
_2 -_
No inspection will be made until applicant has received a Fee Paid T
valid building permit. All applicants' spaces on this Rec. Fee Paid
application must be completed and must appear on the Reviewed By-
application form.
Applicant: a;DRAj Owner' �:Te>
Address: / L>,--. Address: / C1e1"4,.WWPiZ
0 k_j e- G_e,. A,•( .4 -6.
Phone#(_) 79-.1- / I Phone -4-141
Property Location: Lot Number: I ,0(2-
J_/ House Number Af e-I��t-e- 1_pq
Subdivision Name: L e-,Jge y Tax Map Number:
mr''"New Building: xesjd�en /commercial Estimated Market Value of Construction: S 7L7, -r-N—
L3 Addition: residence/ commercial If an Addition,what will use of new addition be?
E3 Alteration: residence/ commercial
E3 No change to exterior size: residence i com'l
L:3 Other work(describe
Check OccupancyInformation 1"Floor 2"d Floor Other floor� Total Below sq.ft. sq.ft. sq.ft. Square Feet
2r Single family dwelling
E3 Two family dwelling
La --Townhouse
0 Multifamily dwelling
#of units
0 Office-
0 Mercantile
0 Manufacturing
U 1 car detached garage
U 2 car detached garage
C3 3 car detached garage
Ga--- I car attached garage 33 iZ
U 2 car attached garage
C3 3 car attached garage
U Storage building-
commercial
U Storage building-
residential
U Other F
What is the proposed height of the structure 1,6 feet inches
Will any second-hand or ungraded lumber be used? If so,for what? N,,
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard other:
Number of FW a ces to be installed _.A4 d w e Number of Woodstoves to be installed A)
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder Ze,,9-, 14,9 A e-5 6 9-
Plumber if
f
Mason n fl
Electrician U-P
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
-with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that Uwe shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signature: jf owner,owner's agent,architect,contractor
' t •� V
2a 2-PE'
Permit Number
MECcheck Compliance Report Checked By/Date
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
Data filename: Untitled
TITLE: spec house ( y `V L
COUNTY: Warren OCT 6 NOZ
STATE:New York
CONSTRUCTION TYPE:Detached 1 or 1-Family
HEATING TYPE:Non-Electric
DATE: 10/16/02
DATE OF PLANS: 10/16/02
PROJECT INFORMATION:
Ledgeview
COMPANY INFORMATION:
ledgevie inc.
COMPLIANCE:Passes
Maximum UA=282
Your Home=276
2.1%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 1286 38.0 0.0 39
Wall 1: Wood Frame, 16"o.c. 1710 19,0 0.0 90
Window 1: Vinyl Frame,Double Pane 166 0.510 85
Door 1: Solid 10 0.061 1
Door 3: Glass 10 0.090 1
Door 2: Glass 20 0.400 8
Crawl 2:
Solid Concrete or Masonry,4.0'ht/3.0'bg/4.0'insul 760 0.0 11.0 52
Furnace 1:Forced Hot Air,78 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 Proposed New York State Energy Conservation Construction Code requirements.
Builder/Designer Date
MECcheck Inspection Checklist
Proposed New York State Energy Conservation Construction Code
MECcheck Software Version 3.3 Release lb
DATE: 10/16/02
TITLE: spec house
Bldg.
Dept.
Use
1. Ceilings:
[ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R=38.0 cavity insulation
Comments:
Above-Grade Walls:
[ j I 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation
1 Comments:
I
1 Windows:
[ ] 1 1. Window 1:Vinyl'Frame,Double Pane,U-factor:6.510
1 For windows without labeled U factors,describe features:
1 #Panes Frame Type Thermal Break?[ ]Yes[ ]No
1 Comments:
1 Doors:
] 1 1. Door 1: Solid,U-factor: 0.061
i Comments:
[ ] 1 2. Door 3: Glass,U-factor: 0.090
1 #Panes Frame Type Thermal Break?[ ]Yes [ ]No
1 Comments:
[ ] 1 3. Door 2: Glass,U-factor: 0.400
1 #Panes Frame Type Thermal Break?[ ]Yes[ ]No
1 Comments:
I
Crawl Space Walls:
[ ] I 1. Crawl 2: Solid Concrete or Masonry,4.0'ht/3.0'bg/4.0'insul,
C R-11.0 continuous insulation
1 Comments:
1 Applies to walls of unventilated crawl spaces.
1 Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
1 covers the exposed(above-grade)"insulation and extends at least 6 in.below grade.
1
1 Heating and Cooling Equipment:
[ ] I 1. Furnace 1:Forced Hot Air,78 AFUE or higher
1 Make and Model Number
. I
Air Leakage:
[ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] I Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC
1 rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible
materials and 3"clearance from insulation.
1
r
r
F
J Vapor Retarder:
[ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
[ ] I Materials and equipment must be installed in accordance with the manufacturer's installation
instructions.
[ ] J Materials and equipment must be identified so that compliance can be determined.
[ ] J Manufacturer manuals for all installed heating and cooling equipment and service water heating
J equipment must be provided.
[ ] J Insulation R values and glazing U-factors must be clearly marked on the building plans or specifications.
J
J 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.
[ ] I Supply ducts in unconditioned spaces must be insulated to R 11.
[ ] ( Return ducts in unconditioned spaces(except basements)must be insulated to R-2.
I Insulation is not required on return ducts in basements.
J
[ Duct Construction:
[ ] I All joints, seams,and connections must be securely fastened with welds,gaskets,mastics
I (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted.
I Exception: Continuously welded and locking-type longitudinal joints and seams on ducts
J 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.
[ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder.
[ ] ( Air filters are required in the return air system.
[ ] I 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.
l
I Electric Systems:
[ ] ( Separate electric meters are required for each dwelling unit.
I
Fireplaces:
[ ] I Fireplaces must be installed with,pght fitting non-combustible fireplace doors.
[ ] I 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
I the New York City Building Code,as applicable.
I
I Service Water Heating:
[ ] I 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.
I
Circulating Hot Water Systems:.
[ ] ( Insulate circulating hot water pipes to the levels in Table 1.
I
I Swimming Pools:
[ ] I 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.
I
I Heating and Cooling Piping Insulation:
[ ] I HVAC piping conveying fluids above 105°F or chilled fluids below 55°F must be insulated to the
levels in Table 2.
r
_ s
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness in Inches by Pipe Sizes
Pleated Water . Non-Circulating Runouts Circulating Mains and Runouts
Temperature(F) U 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 0.15 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD(Building Department Use Only)
r
J
Residential Final Inspection
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: amz/p D part:_Z1'._Wa to
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
4l
NAME: �ryPERMIT M
LOCATION: 4 0 1 A fA Q DATE:
TYPE OF STRUrTUKE-_ —
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof 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 (,<Aki
Grade away from foundation 6 in.with 10 ft. A)T-IZ
Handrail Termination at Newell Post or Wall
8 inch clearance to sill plate A
Gas Valve shut-off exposed/regulator 18"above grade V/
Gas Fumace 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 V
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safety glazj!jg
Interior Smoke Detectors:
Every level: — / Every Bedroom:
Outside every bedroom area:
Connected: — / Battery backup:
Bathroom Fans,if no window
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
314 hour fire door/door closer
7_
Garage fireproofing Ft iZ e-00& � V 610.1-11 ,J Gle__�
Duct work Sealed properly
Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area
Crawl Spaces 18"x 24"access, 1 sg.ft.-150 sq.ft.vents
Building No./Addrei vistble from roid.
Final Electrical . (t
Site Plan [Varlanc—e egfired
Final Survey Plot Plan
As Built Septic System/Sewer Dept,Inspection Sticker
Flood Plain Certification,if required
Okay to issue C/C(Cert.Of Compliance)
Okay to issue Temporary C 0(Cert.Of Occiipancy)
Okay to issue Permanent C 0(Cert. Of Occupancy)
L:\SueHen-iingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received:
Meet:T5��
Building& Code Enforcement At time: V
742 Bay Road Queensbury, AT 12804 ARRIVE am/pm: DEPART 31a-6m7pm Notes:
(518) 761-8256 Inspector's Initia s 6>
NAME: G yes PERMIT#
LOCATION: INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
L
Footing s/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/Wallpour
Reinforcement in Place
Foundation/Dampproofmg_
Backfill Approval
Plumb Under Slab
P1 ing Vent/Vents in Place
RXgh Plumbing
-
)leating Rough-In V
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- I G1
Ceiling R-
Duct work or piping m
unheated spaces R-
Proper Vent,Attic Vent
Fran-ling
Jack Studs/Headers
Bracing/Bridgmig-
Joist Hangers
Jack Posts/Main Beam
e Separation
Barrier
e par a tion 1,2,3,hour
enelration Sealed
ire all 2�3,4 hour
Fire toppin
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
Offwe Use
.GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready attime.,
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm No
(518) 761-825b Inspector's Initials
NAME: 40co PERMIT# 8?91
LOCATION: 2/3
INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor i responsible for
providing protec\nfi-orn freezing
for 48 hours follo, ing the placement
of the concrete.
Materials for this p se on site
)ur
Foundation/Wallpour
Reinforcement in Plac
FoundationJDampproo , g_
ackfill Approval
lumbing Under Stab
lumbing VentlVent in.F�lace
u o" Plumb*
Hea g ,- u
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
I unheated spaces R- —74--
A per Vent,Attic Vent
ramin
WJ_a"!rk
Bracing/Bridging_
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fi Wall 2,3 -hour
N r resto
t op
. Ring
L:\SueHemiiigwaylBuilding.Codes.lnspcetion.FORMS\GENERAL INSPECTION REPORT.doe
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time: ftm-
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time-
742 Bay Road
Queensburj AT 12804 ARRIVE am/pm: DEPART mlpm Not
e
(518) 761-8256 Inspector's Initials
NAME: U, PERMIT#
LOCATION: )LA \C E, pow INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the pkcement
of the concrete.
Materials for this purpose on
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing-
Backfill Approval
Plumbing Under Slabs-
Its
g venwAleigsufflace
qmt�_
Plumbia V, u6sme,C
9—
*�R Cobra BiFi
Hef' ugh-In
Insulation
Foundation Walls Interior o, R_
R�-Foundati�n Walls Exteri
or R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
ON# 1v1f1,La&,
Bracing/Bridgmig— 74
Joist Hangers tj 6fANC Pffl,()06 4 i�A t-
Jack Posts/Main Beam
Air Infiltration Barrier-,
Fire Separation 1,2,3,hour
Penetration Sealed A/A J
ireWaI12 3, hot
V
I,iV n 4 7A=etopwp_�
DA
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
. 2
GENERAL INSPECTION REPORT
(518 ) 761--8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive l te.O am/pm. Depart am/pm
Inspector's Initials
NAME: llcr- .144 z PERMIT# OZ
LOCATION: ei DATE: 6�
TYPE OF STRUCTURE:
RECHECK
•' N/A YES•NO COMMENTS
Footings/Piers 1
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement f
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
Framin -
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
Firestoppin
Office Use
.GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at
Dept. of Community Development Request received: 2-S 0
Meet:
0
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART < amIpm Notes,
(518) 761-8256 -46- kvv k'4--l"n'spector's Initials
2002
NAME: PERMIT#- -c—
LOCATION: INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YE 9 NO COMMENTS
Footings/Piers V
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/Wallpour
Reinforcement in Place
Foundation/Dampproofmg_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place 7
Rough Plumbing_
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Ekterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping mi
. 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:\SueHemiiigway\Building.Codes.Inspection.FORMS\GBNERAL INSPECTION REPORT.doe
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: ap/pm—) Depart* z 0a �m
Date Inspection request received: Inspector's—InitiaK.
NAME: T#:
LOCATION: FATE!
TYPE OF STRUCTURE:I
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 Co!npfete
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 A
Interior Handrails stairs 2 or more risers X/
Enclosed Stairs Sheetrock Underside minimum 1/2"
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 Valve(s)installed/Heat Trap/Water Temp 110
Interior privacy I trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: I 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?,.rade
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, I sq. ft.-150 sq.ft.vents
Building No./Address visible from road
Final Electrical
Site Plan /Variance re uired
Final Survey Plot Plan
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\Insvection Forms\Res.Final InsD. form 2.docLast vrinted 2/12/04
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