1999-001 CERTIFICATE, ':OF OCCUPANCY
TOWN OF: QUEENSBURY
WARREN COUNTY, NEW,YORK
• March 26 . 99
Date,. 19
3O, --1- 1
99001:
This is tocertify that work requested to'be done as shown by Permit No.
has been completed.
SINGLE FAMILY': DWELLING
This- structure may be occupied as a
LOT 8-1#20 FAWN LANE •
Location
"SCHERMERHORN CONSTRUCTION
Owner
TAX MAP NO.' 121 . -15-81.. ,'By Order Town Board
• TOWN OF QUEENSBURY,
Director'of Bldg. 6c Code Enforcement
BUILDING PERMIT
VALUE $ 100000TOWN OF QUEENSBURY No 99001
TAX MAP NO. 121 .-15-81 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to SCHERMERHORN CONSTRUCTION
OWNER of property located at LOT 81 FAWN LANE Street.Road or Ave.
in the Town of Queensbury,To Construct or place a SINGLE FAMILY DWELLING
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
43H''HUNTER BRROK LANE,
QUEENSBURY, NY 12804 12804
2. CONTRACTOR or BUILDERS Name
SCHERMERHORN CONSTRUCTION
3. CONTRACTOR or BUILDERS Address
43 H HUNTER BROOK LANE
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECTS Address
PO BOX 706
HAGUE, NY 12836
6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLING
( )Wood Frame ( )Masonry ( I Steel ( )
7.'PLANS and Specifications
12880.SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE. FAMILY DWELLING
191 January 7 2000.
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(Ifa longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
7 January 1998
Dated at the Town of Queensbury this Day of 19
SIGNED BY for the Town of Queensbury
Building and oning Inspector
Department ofCommunity Development t},s., � '':
I ) 1 F Reviewed 13y:
• Building & Code Enforcement .� � '," , u' ding Inspector
TOW/1 of Queensbury � ' ',, ' Permit No.
742 Bay Road
0 cs b
Queensbury, New York 12804 . a "`3 Fee Paid $ 1 � .
(518) r .
761-8256 Budding Permit ,: 1;} ,}
gApplication ,
A PERMIT MUST BE OBTAINED HAS
CONSTRUCTION. NO IZQUI�ECTIONS
UNTIL WILL BE MADE U APPJ:,ICAN'I' AS RECEIVED A VALID BUILDING PERMIT.
All applicants ' spaces on this application MUST be completed and the .
signature of the applicant MUST appear on the application form.
Applicant: SGl,exon e_r kat...v Cdw0Aeve-A:0Ai owner: Seinr,M kr hoe.,Li C..i 5{00d 0A)
Q C4 c p •
Address: K3 Ik v Q,C' ,U!'oat ).ni. Address: "3 i+ 1-Ivnt6.r roO k: Liv: .
Phone # ( S1% )en 3 - O GO ' Thom) # ( -51e, )229 .OG�
Property Location: Lot $1 FwyvN• JAI . Jw•4.►E ••• 11 .
ba.4wi'e Fax Map Number . // /S / $�
Subdivision Name:. . She.c'v►no.r.J R.,,,„, ___ Section Block Lot
•
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
SC New Buildin : CONSTRUCTION: $ Job 000
EGEBEIBED0 / commercial /
Addition . o Building: _�
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building - •
residence / commercial ____ Single Family Dwellin ovE®
Residence / Commercial Two Family Dwellrc.:-
no change to exterior- size Family Dwe arTig
Office • 41999
Other Work (describe below) Mercantile Jo
Manufacturing ®p C3euEENSBURV
GROSS AREA OF PROPOSED STRUCTURE s Other T ®tNG AND CODE
10
S If ADDITION, 1 what will use
1st Floor. . la48% sq. ft . of new additian be? : '
2nd .Floor V sq . f t . clqi .
Other Floors Idsq. ft . • '
(not unfinished cellar or basement)
ACCESSORY BUILDINGS:
•
Detached Garage 1, 2 car
TOTAL FLOOR AREA: 12.I% SQ. FT. x Attached Garage 1, tirtalw
Private Storage Building
SIZE OF NEW . STRUCTURE : . Commercial Storage Building
(p FEET X a% FEET Other
•
Ffoundation Type : C.oncC'ele_ Will any second-hand or ungraded
- .Number of Stories : /. lumber be used? If so, for what?
. .; ( Habitable space only) it/o • •
Height (grade to ridge) : 15 feet TYPE OF HEATING SYSTEM:
H.Number of fireplaces and/or woodstove circle all. which applies)
to be installed: o llr':r ail / Gas / Wood
Forced Hot Ai / Baseboard / Other
•
Person responsible for` supervision of work as regards to building
codes is : Sc.-M CeMe.C614,0CAt St00ci%:o, / C'o.pp. 7?8-0(07y .
Name Addresss Phone c•
Builder `Sr-t1e.r,M.4t-rh er.v Ga,45te.icaleo,,, Cori�. f7tR-o 4,7 y
Plumber: Ste.vP_ •4)1&ti 7y7- 56,73
•
Mason : 00.1t . .50,,113 w : ry 19Z-;137/
Electrician: 1/ ck, ' 04.n+ isk yqy-3165
DECLARATION.• Please sign below a er 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, ai•c 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
Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; dra to scale, showi actu l location of project on premises.
•
Signature: -.,.K✓' / _
(owner, owner's agent, architect, contractor)
.. .. -__ ___�-..•,:ate-'+'Rt+�el;^t.'wsS1= _.�tF:;; :t:a'V* SACmt.Ar, u.rv::�arus.caau_::�.,.._.. .__fit-.�cemg-o.....:t. _:_ __. .
Application for SEPTIC DISPOSAL PERMIT q1.6,4
Town of Queensbury „
It te. Permit No.
Dept. of Community Development ,F,' —
Building &Codes Office ", '
742 Bay Road Fee Paid $ .
Queensbury, NY 12804
- x %_ - . J
Location of property for installation: ,L e t / Pz "N 2 N
•
Property Owner's Name: Sc,ii .4•1 cE.r ot&i eon3 i.ouc_41'0/l) Copp•
Property Owner's Mailing Address: }\- 140 e'k r LA./ .
Installer's Name: Phone # 7 9 8-0 69 V
Number of bedrooms (if residential): 3 Total daily flow: V.50
(residential - compute ® 150 gal./bdrm.)
Topography: Y. flat, rolling, steep slope % of slope
Soil Nature: 3". sand, loam, clay, other 1 depth:
Ground water:, at what depth?.v/h feet / Bedrock or linperr_cus Material: at what depth? _ feet -
Percolation test: not required, required [rate min. per inch ]
Domestic water supply: municipal, well, ever
If domestic water supply is a WELL, water supply from any secic absorption is feet.
PROPOSED SYSTEM •
Septic tank: /Oeo gallon (minimum size: 1,000 (Ts].)
• Tile field: each trench feet / Total system '_eagth: feet
Seepage pit(s): number of / size each: ft. by ft.
Size of stone to be used: # / depth or thickrr'cs feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: • Size of each: gallons
CA1arm system and aeeociated electrical work to be inspected by a certified agency.)
For your protection, please rote that pursuant to Soa.ti,u 136-29 of the code of ae Town of Queensbury, any permit or
a} vval granted which is based upon or is granted in reliance upon arty material misrepresentation or failure to make a
material fact or circumstance known by or on behalf of in applicant, shall be veil
I have read the regulations with respect to this appli and e by heee and all requirements of the Town of
Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person: Date:
7q
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Compliance Methods: PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
C\V PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings; Multi-Family
0)eGeN Dwellings (3 stories or less)
PART 4* - Design by Component Performance
9�� Commercial Buildings-Hi Rise Residential
,1AN U �NSBow *Requires submission of worksheets
APPV; 00 PROPERTY LOCATION:
Sclne.rrM.Cc'he,r,v Cchel%fric 10A) J.,o+ t 4wN J.i/.
Coop
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - is s s. square feet
2 . Type of Heat - Electric Oil X Gas Other
3 . Is building mechanically cooled? Yes 4 No •
4 . Percentage of area of windows and doors - Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof
b.
Exterior
R,
Ex walls R �
c . Glazed areas R 2)03
d. Exterior doors R
e . Floors over unheated spaces R =A:=
f . Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R
h . Basement/cellar walls (below grade) R
i . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per cods Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
App1 i can-^ Wure Date Phone Number
/-- Y- 7 2' 79 N Number
9 I/
INSPECTOR' S REMARKS :
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received: \
Building& Code Enforcement
Dept. of Community Development Arrive am/pm Depart/- ,nn/
Town of Queensbury Inspector's Initials U
742 Bay Road
Queensbury,New York 12804
NAME a)Nstivp....QA(AppA) PERMIT# I
LOCATION4-tofu Li) - DATE 3 , q
TYPE OF STRUCTURE
N/A YE NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location 1 � i i
Fresh Air Intake V/
Plumb Vent through roof ✓/
Roof Complete V7/1.,
Exterior Finish CompleteInterior/Exterior Railings 30"to 36"Exterior;Handrails,balconies,landing 18 in. or more
Interior'Handrails stairs both sides 3 or mo . .sers ✓/
Grade 2%away from foundation V/
8"cleara1ce to sill plate V/
Gas Valve shut-of exposed/regul. or 1:' above grade ✓/
Gas Furnace s ut-off within 30 f:•t ► within line of site , V
Oil Furnace shut at en a ., • o furnace area i A
Furnace/Hot Water Heater open,ting ✓/'
Relief Valve(s)installed l/
Headroom,6 ft. 6 in. on stairs /
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/m.1 entrance 36" �/
Floor Finish V ,,
Bathroom/Kitchen watertight ,�j
Interior Handrails Balconie A anding 18 in. or more
VRailing across window in stairwells i
Smoke Detectors: ✓f
every level V/
every bedroom V
outside every bedroom
inter connected /
Bathroom fans �/
Plumbing fixtures Foundation insulation
3/4 hour fire door/door closer / f ,/ .�
Garage fireproofing / 1105/
V F�-(.,L kp e TDR. .
Garage penetrations sealed /� V J i'�4L- (31.Q S
Furnace in separate room protected(in garage) ✓ /"
Light ventilation per room /� ,/
Safety glazing 18"or ess f om floor './
Final Electrical 'J lbZ'161 Cl C,\5
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required Alo AI 6-1?-4 - 1/3 S/(--- C3
Okay to issue C/C(Certif. of Compliance) /
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy) �/
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement '/(,)
Dept. of Community Development Arrive am/pm Depart/ ` 9rn/
Town of Queensbury Inspector's Initials ii
742 Bay Road
Queensbury,New York 12804
NAME A e. q o PERMIT# flô o I
LOCATION DATE . 7 6/
)! cI Cl
TYPE OF STRUCTURE .
N/A. YE NO COMMENTS
Chimney Heightl"B"Vent/Direct Vent Location / '
Fresh Air Intake ✓f
Plumb Vent through roof
Roof Complete .
Exterior Finish Complete. -
Interior/Exterior Railings 30"to 36" �f
Exterior Handrails,balconies,landing 18 in. or more ✓
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation /J
✓
8"clearance to sill plate..
Gas Valve shut-off exposed/regulator 18' abo've grade
Gas Furnace shut-off within 30 feet or wi . line of site
Oil Furnace shut-off at entrance to furna area 1.
Furnace/Hot Water Heater operating 1 . . t///Relief Valve(s)installed \ j / t
Headroom,6 ft.6 in. on stair' 11/
/
Basement stairs,6 ft.4 in. \ ! ,//�
Handrail exterior stairs both sides ore 3 . rs [/ /
Interior privacy/trim/doors/main en 7,
//
Floor Finish IA
Bathroom/Kitchen watertight /j
Interior Handrails Balconies/Landing 18 in or more / .
Railing across window in stairwells ✓ /
Smoke Detectors: /
every level
every bedroom
outside every bedroom.
inter connected V�'
Bathroom fans
Plumbing fixtures
Foundation insulation .. /
3/4 hour fire door/door closer V
Garage fireproofmg
Garage penetrations sealed. / i/
Furnace in separate room protected(in garage) . -1/ ✓,
Light ventilation per room
Safety glazing 18"or less from floor r/
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan ✓
As Built Septic System layout required /
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp.C/O(Certif. of Occupancy) • /
Okay to issue permanent C/O(Certif. of Occupancy) O\. 'co y I U L 4 `iv k.o A J
� yiF �qq TOWN OF QUEENSBURY
VY�•f��1ff�`. BUILDING & CODE ENFORCEMENT
.:-100 742 BAY ROAD
_ QUEENSBURY NY 12804
'xv�„,.� a' (518)745-4447 al)
ARRIVE: DEPART: INSI':
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INT N REQUEST RECEIVED:
NAME �! \Uk��(
LOCATION C�/���1 CJ r i O-
DATE / Q` l PERMIT N -Q
3 �
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING _ SEPTIC _ INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
;N/A YES NO
CHIMNEY HEIGHT/B VENT HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH -
DECK PORCH STEPS RAILINGS
111111
RELIEF VALVES
FURNACE HOT WATER OPE• ' ING
,INTERIOR TRIM PRIVACY DOIRS
• FINISH FLOORS:
BATH KITCHEN WATT•
MI
OTHER FLOORS S ANIUMIN
OTHER FLOORS • ARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
, DOOR CLOSERS
FINAL ELECTRICAL
SITE AN/VARIANCE REQ.
INAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive m/Yji::4- ri Depart V-li tTa.S'
Inspector's Initials f�_
NAME: c C- EEt` 0;}s0V2Ni PERMIT# 99 CO 14
LOCATION: 79 ' 1,T n. 1J DATE : _ —
TYPE OF STRUCTURE: 6Fn. �1! � c.A-K CAA -A�'F
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The co 4 . . or is responsible fo
provi''1. protection from 1 -zing
for 48 h i urs following the , aceme
of the co -te.
Materials for 41's purpose in site
Foundation/Wal
Reinforcement in P1.
Foundation/Damppr.a fing
Backfill Approval
Plumbing Under Sl.
Plumbing Vent/Ve' s in Place
Rough Plumbing
VIeating Rough-In
Insulation kat, 'kyr*_,- Z
Foundation Walls Interior. R-
Foundation Walls Exterior R- ��� 10 1��' M\3tkI�
Floors R- /
Walls R- ‘4 'ar' kluIY IRMl� \- Ftu 3
Ceiling R- `I ‘A- I� MN j t t3
Duct work or piping in 1
�
unheated spaces R- ks. C—Pf '?--
Proper Vent, Attic Vent /_ \ v w
Framing
Jack Studs/Headers
Bracing/Bridging: �
Joist Hangers �°� ' � \).
Jack Posts/Main Beam
Infiltration Barrier
ration 1,2, 3, hour
Sealed
\ur
l
_..,.... I., :---- \
GENERAL INSPECTION REPORT
6\0
Town of Queensbury aa)--
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 '.ay Road 9
Queensbury,NY 12804 Arrive am/pm Depart/U -'/ m/pm
Inspector's itials ,
NAME: � 911 rt\StiA2QC1S1 _ArNj • PERMIT# OtS1
LOCATION: I e ---/35 \-- vi-C, ,Pary, �DATE ; ,- --,;—.3 ---G1 e\
TYPE OF STRUCTURE: -D
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is re nsible or
providing protection om ing
for 48 hours followin th lacement
of the concre .
Materials for this p se on site
Foundation/Wallpour
Reinforcement in P1
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough P1 1 bing
Heatin: +ugh-In7-
_ I . 'on
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- /C/
Ceiling R- -3'
Duct work or piping in
unheated spaces R-
oper Vent, Attic Vent
Framing
Jack Studs/Headers(--,,t1 .C(a Y
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
GENERAL INSPECTION REPORT
Town of Queensbury ,�,�
Dept. of Community Development Date inspection request received: �Y
Building& Code Enforcement
742 Bay Road / ,
Queensbury,NY 12804 Arrive am/pm Depart • `7
`� Inspector's InitialT-
NA/vIE:�X')\CL(VM`Q 1��UV�`�� _ ' PERMIT#
^ 00 I
LOCATION: I .�—t I \c�,w f 0�u�+.-Q_ DATE : — 5 -- q
TYPE OF STRUCTURE: V
RECHECK
' / ¢
N/A S NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezin:
for 48 hours following the placeme . ,\
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 /
t --a. Plumbing 5
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
Proper ynt, Attic Vent /
I,: ;__ rig—i U°vlp,k�J L� , ✓
Jack Studs/Headers
Bracing/Bridging V
Joist Hangers // 'fif4Z.L- •3l_, 14,Aluv Lt° Go/ &KK
364%/0 KIgill
/ Jack Posts/Main Beam
%7Air Infiltration Barrier V
Fire Separation 1, 2, 3, hour
Penetration Sealed - m\--,N n _
Fire Wall 2, 3, 4 hour ��� /`� ®�
Firestopping
. TOWN -OF QUEENSBURY
BUILDING 4 CODE ENFORCEMENT
742 Bay Road -
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM. INSPECTION.
Name . G-kc4-W, t2,A)
•
Location cA6U0 t ,J
Date r \ ° nnit
# /56/2-51
SOIL TYPE: Sant-Loamlay-
Results of Percolation Test-
(if applicable) 'ate-M ,nute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Tota Length
Length of each tre ch •
Depthrenches '
Size of s -onp,„ '
SEEPAGE PITS: Numbe
Size - _ ft. x ft.
Stone size _
PIPING: ze Type
Bldg. to Tank " ;40 4/0
Tank to Dist, Box
Dist. Box to Field/P'
Openings Sealed? - No Partial
LOCATION/SEPARATION
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as per-Plot Plan Yes No
LOCATION OF SYSTEM.ON PROPER
(ci.rcl e
Front - 1M !: - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
l�t-A>c( CoV0Z5 •- oK
SYSTEM USE APPROVED: NO
Arrived:
Departed: -0
Building in-vectorc . .
/a)11'
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 2 5---,,a... r40,-.�
Location 4, ' 1 /-6,• b'`e--
Date (VP ' ° -rmi•t # 7 i' -00/
SOIL TYPE it
`- 'II l ay-
Results of P:rcolation Test-
(if applicab e) Rate-Minute/In•h
TYPE OF SYST! ' :
ABSORPTION F ELD: Total enfdt =J�-%
Length of ea•h trenc ' L6 C5'AJCIS
Depth of tren hes to ,S64v ..
Size of stone ` 3
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size
PIPING: ze Type
Bldg. to Tank 4/`4 ✓J VO
Tank to Dist. Box I' -602 35—
Dist. Box to Fiel . Pit Ammo
Openings Sealed? Y:s No Partial
LOCATIO1/SEPARATION' :
Foundation to Tank Ga feet
Foundation to Absor' t'on / feet
Separation of Pits
,—.'Conforms as per Pl it P1 .n cjeet
No
LOCATION OF SYSTE` ON P' IPERT
(circle o )_
Front Rear eft Side - Right Side
Middle • - i ddl e Rear
COMMENTS:
®K b (_t)rer'� =1L-L-e3
),- 66:e 4 -' - 6 0 i LT--
C`xPO4 //Liz-Cr 6A-F"C6
SYSTEM USE APPROVED: YES NO
Arrived:
Departed: liai
Building Inspector
TOWN OF QUEENSBURY ,
BUILDING $ CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name C(}-kC1SK'S-CGkc)v2A)
Location 1-61- 8 k 0 •
Date -2 II( ICr( Pe it # 77 '6D (
SOIL TYPE: Sand- oa -Clay-
Results of Percolat'on Test-
(if applicable) Rat--Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each tren h
Depth of trenches
Size of stone
SEEPAGE PITS: Numbe -
Size - ft. x ft.
Stone size _
PIPING: Size Type
Bldg. to Tank
Ta k to Dist. Box
st. Box to Fiel ' r- .
Openings Sealed? , No Partial
LOCATION/SEPARATIO
Foundation to Tank feet
Foundation to Absorptio feet
Separation of Pits feet
Conforms as per Plot P an Yes No
LOCATION OF SYSTEM ON PROPE'TY:
(circle one)
Front Rear - Left 'ide - R ght Side
Middle Front - Midd1 - Rear
COMMENTS:
/
(=3)(Fc jiLc:- , 4F FCA-
•
v\AA4,44„ Pc-v-A (1 --cA4R -re
SYSTEM USE APOVED: YES NO
Arrived: I • �9
Departed:
Building Inspector
QikIA-'61---c
071
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name %9�' U`YAQAL1/1 GTVD9-
11-..afin
Date l— 5 9(1 Permit #q_ l- o�
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each trench
Depth of trenches
Size of stone /
SEEPAGE PIT : Numbe
Size - ft. ,/J ft.
Stone size
PIPING: Size1 Type .
Bldg. to Tank i/ �je� /D
Tank to Dist. Bo
Dist. Box to Fie d/Pit
Openings Sealed? Yes No Partial
LOCATION/SEPARA IONS:
Foundation to T k ( 2_ feet
Foundation to Ab orption feet
Separation of Pit _ f
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle
Front - Re - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
13f.-1-121L,
1A-NK 1 �-CG ANT C'.clC,j
Lt -i- Cou R fv✓'Z 84FF66- (+NA-
8 cj A - /3otc r .2 --r4.,0K L c Tt6.1)
SYSTEM USE APPROVED: YES NO
Arrived: -�
Departed:
Building Inspector
GENERAL INSPECTION REPORT
Town of Queensbury
Dept.of Community Development Date inspection request received: /- I g
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart/a Danve___________„7-pm
Inspector's Initials -4(P
NAME: 4 (vv1 6,- hum PERMIT#
LOCATION: „� - ($1 f awn I-4 DATE : ___29 `£I t
TYPE OF STRUCTURE: "-r�
RECHECK
N/A YE NO COMMENTS .
ootings/Piers C�.k{z , I
Monolithic Pour Form
Reinforcement in Place (� — 4ki
The contractor is responsible for
providing protection from freezing
for 4it\hours following the placement
of the coicrete.
Materials fo\this purpose on site
Foundatio 1pour
Reinforcement in ace
Foundation/Dampproo g
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Wilts i' Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R- _
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENERAL INSPECTION REPORTti)
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
:s Road Queensbury,
De art `� a
Queensbury,NY 12804 Arrivepe,Kian
Inspector's Initi ,'
NAME: P PERMIT# J
LOCATIO ` r1S i DATE : I— I
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is spo ible for
providing protection zing
for 48 hours followi the placement
of the concrete.
Materials for this p se on site
Foundation/Wallpour
Reinforcement in Pl
Foundation/Dampproofing
`L$aeill 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
GENERAL INSPECTION REPORT
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 ay Road r r •
Queensbury,NY 12804 Arrive am/pm Depart ' f✓�_
Inspector's Initials /)
NAME: /� 7PER1VIIT# { ,Ir _ 1.
LOCATION: �'f �1 DATE : — •—
TYPE OF STRUCTURE: FAIOrd
RECHECK
N/A YES O COMMENTS
4 ootings/Piers V k
Monolithic Pour Form
Reinforcement in Place ' —
The contractor is responsible for
providing prot ion from freezing
for 48 hours foil wing the place
of the concrete.
Materials for this pu se on
Foundation/Wallpour
Reinforcement in Place
Foundation/Damppr ng
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
A - 6,(irr 66-prie-- .6-m zo
RECEIVED
AUTUMN LANE
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ih...111 RECEVED. 5c_ ._s vi,,,.bki 15
,-,
141.110CAPILLGAIDTI: At a..1 Vv‘. .013 G.° -ifY ..t .2-i1-2_,F:-;;7,Y •
Mt' i ar. O.if:.
' . 1111.1..1111 EXISTING VEGETATION CONSISTS Or EVERGREENS UP TO 11 -15. IN ..."SiiIIii/4.
DIAMETER AND MISCELLANEOUS SMALL HARDWOODS. ALL. EXISTING
VEGETATION TO REMAIN EXCEPT AS REQUIRED FOX CONSTRUCTION ...,.-:\
To , • OF QUEENSBURY PURPOSES. (SEE TYPICALLANS LANDSCAPE AND CLEARING P - DRAWINGS 1Y i %I.S-i, S-2; S-3). SELECTIVE THINNING WILL DC DONE TO ENHANCE Si•
APPROVED UNDER ABritame AErifyeempTEE APPEARANCE ON SOME 1.01-5. (EXISTING DEAD OH DAMAGED TREES WILL DK (
./ n.,../.4 DI THE PLANNING REMOVED). NO ADDITIONAL PLANTINGS w 113. DE DONE BY DEVELOPER
EXCEPT AS &DOWN ON SIGN DETAIL. -.
MAKI OP rILE TOWN or QUEENSBUNY, NEW TONS. ' Ill
.. •
MAP REFERENCE:
SHERMAN PINES SUBDIVISION
SITE PLAN PHASE III
BY MORSE ENGINEERING P.C.
LAST REVISED APRIL 5, 1995
Dus e�
8c Steves
Land Surveyors, LLC
37 Chester Street Glens Falls, New York 12801
518) 792-8474 New York lAc. No. 50135
'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP WARM A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 770% SUB -DIVISION 7. OF THE
NEW YORK STATE MUCATIGII LAW
'ONLY COPIES FROM IHE ORIOOOL OF THIS SURVEY
MARKED V117H AN ORIGINAL OF TID E LASURVEYORS
SEAL SHAM DE CONSIDERED 70 B VALID TRUE COPIES'
'CLIRTNICATI NS NOICAIED HEREON 9%&'Y THAT
THIS SURVEY WAS PREPARED N ACCORDANCE W7H 7HE
EX6RNG CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY THE NEW YLIRN STATE ASSDCIA71ON OF PROFESSIONAL
LAND SURVEYORS: SAID CERIWAIMS SHALL RUN ONLY
TO THE PERSON FOR NHON THE SURVEY IS PREPARED, AND
ON HIS BEHALF TO THE 71TLE COVPANY, DOVEINYENTAL
AGENCY AND LENDING IN STITUITION LISTED HEREON. AND
TO 1HE ASSIGNEES OF 7HE LENDING NSTIIUTN7N.'
FAWN LANE
COMMON AREA
e a or- iN '*
Map of a Survey made for
JANE E. LAPATO
Town of Queensbury, Warren County, New York
MAR 2 6 1999
TOWN OF QUEENS13URY
BUILDING AND CODE
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: JANE E. LAPATO
M & T MORTGAGE CORPORATION,
ITS SUCCESSORS AND\OR ASSIGNS
CHICAGO TITLE INSURANCE COMPANY
CERTIFIED BY:
MATTHEW C. STEVES, LLS NYS 50135
DATED: MARCH 18, 1999
1 1 1 3-18-99 1 PORCH & CERTIFICATION
NO. I DATE
DESCRIPTION
wcel r Lk5KUHK T 3, J
cale 1'=30'
S-1
8F$T 1 OF 1
LAPTO
DWG. NO. 94246-81
G-,