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1999-296 TOWN OF QUEENSBURY F 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: 99296 Date Issued: Wednesday, July-28, 1999 This is to certify that work requested to be done as shown by Permit Number 99296 has been completed. Tax Map Number: 523400-308-009-0001-017-000-0000 " Location: - 692 LUZERNE Rd Owner: RICHARD & CATHERINE REED Applicant: CLUTE, LARRY This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY (3ekw,P f 1 Director of Building&Code Enforcement BUILDING PERMIT VALUE $ 65000 ' TOWN OF QUEENSBURY No. 99296 TAX MAP NO. 121 . -1-57 . 2 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to CLUTE, LARRY OWNER of property located at LUZERNE ROAD 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 13 DAWN ROAD QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDERS Name CLUTE ENTERPRISES, INC. 3. CONTRACTOR or BUILDERS Address 13 DAWN ROAD QUEENSBURY, NY 12804 4. ARCHITECT'S Name COMMONWEALTH ELECTRICAL AGENCY 5. ARCHITECT'S Address PO BOX 706 HAGUE, NY 12836 6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLING ( )Wood Frame ( )Masonry ( )Steel ( ) 7. PLANS and Specifications 1008 SQL FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use SINGLE FAMILY DWELLING. 120 $ PERMIT FEE PAID -THIS PERMIT EXPIRES June 2 19- (If a 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.) 2 June 1999 Dated at the Town of Queensbury this Day of 19 SIGNED BY for the Town of Queensbury Building and Zoning Inspector BUILDING PERMIT VALUE $ 65000 TOWN OF QUEENSBURY No 99296 TAX MAP NO. 121 . -1-57 . 2 WARREN COUNTY,NEW YOR.K PERMISSION is hereby granted to DILLARD, REID & KATHY OWNER of property located at LUZERNE ROAD 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 LUZERNE ROAD QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDERS Name CLUTE ENTERPRISES, INC. 3. CONTRACTOR or BUILDER'S Address 13 DAWN ROAD QUEENSBURY, NY . 12804 4. ARCHITECT'S Name COMMONWEALTH ELECTRICAL AGENCY 5. POHBOX 706es5 HAGUE,, NY 12836 6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLING ( )Wood Frame ( )Masonry ( )Steel ( 1 7. PLANS and Specifications 120 fiQ FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use SINGLE FAMILY DWELLING 120 June 2 2001 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 (If a 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.) 2 June. 19 . 1999 Dated at the Town of Queensbury this - Day of SIGNED BY for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY. f I 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: 99296 Application Number: 99296 Tax Map No: 523400-308-009-0001-017-000-0000 Permission is hereby granted to: CLUTE, LARRY For property located at: 692 LUZERNE Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: RICHARD & CATHERINE REED 692 LUZERNE Rd Single Family Dwelling $65,000.00 QUEENSBURY, NY 12804-0000 Total Value $65,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency CLUTE ENTERPRISES, INC. COMMONWEALTH ELECTRICAL A 13 DAWN ROAD QUEENSBURY, NY Plans&Specifications 99-296 SINGLE FAMILY DWELLING/ 1008 SQ FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS $120.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: -Saturday, June 02, 2001 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Tow f'Qu nsbu W day, June 02, 1999 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement • • Buildin Permit Applicatiomi Town of Queensbuly - Dept. of Community Development, 742 Bap Road, Queens•bmy, NI' 12804 /761-8256/ BUILDING & . CODE ENI�ORCEMEN7' NOTICE Requirclncnls prior to issuance (--- C_ Al--, A permit must bo obtained before l of this permit: 1'GIZ1141"1'lllli NO. beginning construction. No inspections d will be undo until applicant bus received ri Zoning Board Action PERMIT FEE PAID$ /00, a VALID BUILDING PERMIT. All Atca /Use applicants' spaces on this application RECREATION FEE PAID$'. MUST bo completed and lho signature 1j Planning Board Action of the applicant must appear on fix; 1tIVlIsIYl:1J BY: SPIt / Subdivision /Other Building hupecror vj'plicntion form. ra..ns)„4 I Recreation Fee Payment i Applicant:• / �-i CS-A- ‘ Owner: • . ' Address: .3`�c,�-�...)v\ Address: • • Phone # �r'KE • /4 r7,0-7 ces- Property Location: We-1--(-4- /t c. :Lerv--C._ (Z..3 • • Subdivision Name: ",-- 4 C �c�G�p Tax map Number. t / 1 / S7 / Section I11ock I ni NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: - CONSTRUCTION: $ C� CO—) residence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Pri g ary Building - residence / commercial >Sin le Famil Residence / Commercial - Two Family Dw � g4/ Ef no change, to exterior size Family Dwelling Office MAY 2 7 1999 Other Work (describe below) Mercantile ManufacturinVWN OF OUEENSBURy Other BUILDING AND CODE GROSS AREA OF PROPOSED STRUCTURE: 1st Floorf 2 K(� If ADDITION, what will use (.00 sq. ft.. 2nd .Floorof new, addition be? : sq. ft. Other Floors sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: . ' Detached Garage 1, 2 car TOTAL FLOOR AREA: COO ' SQ. FT. Attached Garage 1, 2 car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building ayFEET X FEET Other Foundation Type: c g Will any second-hand or ungraded ' Number of Stories : _ec► lumber be used? If so, for what? (habitable space only). c7 Height (grade to ridge) : D-0 feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle' all which as .lies) to be installed: -CI eetr-i- • ' / as / Wood Forced Hot Air sdseboard / Other Person responsible for supervision of work as regards to building codes is : L v� _ NtaMe Addresss Phone • Builder: .-713 -73 .-) -) Plumber: . Mason: 7<---`�-�-`A--cr- �� r\ r . Electrician: DECLARAT10N: 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, arc a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Oxle, 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 b ncr. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy''o crtiticat of Compliance 'n' issued, an AS BUILT PLOT PLAN by a licensed surveyor; dr n to scale, s wing actual ati 1 of project on premises. Signature: neicowner's gent, architect, contractor) Application for SEPTIC DISPOSAL PERMIT • Town of Queensbury Pi; Dept. of Community Development Permit No. Building &Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for installation: (LS / ie ,` r: . Property Owner's Name: - MAY 2 7 rO /999 Property Owner's Mailing Address: 11/1V OF , r� NG A °Rig Installer's Name: C Cje Phone # `7 9 E Number of bedrooms (if residential): Total daily flow: 3v 0 (residential -compute @ 150 gal./bdrm.) Topography: flat, rolling, steep slope % of slope - Soil Nature: sand, loam, clay, other/depth:_ Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? _ feet Percolation test: not required, required [rate min. per inch] Domestic water supply: municipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM Septic tank ko Cx gglon (minimum size: 1,000 gal.) Tile field: each trench 50 feet / Total system Ienggth: 2c) 0 feet Seepage pit(s): number of / slzze each: - ft.by ft. Size of stone to be used: # / depth or tiiiclmess feet HOLDING TANK SYSTEM: (if required) Number of tanks: - Size of each: gallons &larm system avd associated electrical vcvrk to be inspected by a certified ag:ct.) For you±protection, please note that p snant to Section 136-29 of the Code of the Town of Qoeeas bury, any permit or approval granted which is based upon or is granted in reliance upon any material naisrepresedaSoa or failure to make a material fact or circumstance Imoan by or on behalf of an a..licaat, shall be void. I have read the regulations with respect to this a.. 'cation _ .. agree abide by these and all reqarements of the Town of Queensbury Sanitary Sewage Disposal •....:. Signature of responsible pers.-: 4111111•tOIC...-- Date: 4-7'9? qq..?1,9(0 • ENERGY .CODE COMPLIANCE APPLICATI•, 3-'= TOWN OF QUEENSBURY, WARREN COUNT?" EC EI VE® 9000 HEATING DEGREE DAYS MAY 2 7 7999 Compliance Methods: PART 5 - Acceptable Practice IsT ic9FQUEENSBURY 1&2• Family Dwellings G AND CODE PART 6* - Thermal Rating - Component Trade 1&2 Family Dwellings; Multi-Family Dwellings (3 stories or less) PART 4* = Design by Component Performance • Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NAME: PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - \cam 0 square feet • 2 . Type of Heat - Electric Oil 7< Gas Other 3 . Is building mechanically cooled? Yes No 4 . Percentage of area of windows and doors Over 17% > Under 17% 5 . R-ALLIES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a . Roof R 30 b . Exterior wails R \9 c . Glazed areas R �{.•S d. Exterior doors R 'S e . Floors over unheated spaces R _ . Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R t h . Basement/cellar walls (below grade) R [ i i . Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heatinc device Conforms to minimum efficiency per code Yes No E M?E-'-TURE CON'. OL MAXIMUM SETTING- 140° - WILL NOT BE EXCEEDED pplic=_.t ' S •• atu- D t e Phone r :•ber INSPEC • OR' S REMARKS: ,--A 411 RESIDENTIAL FINAL INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: 1 pj /q Building& Code Enforcement Dept. of Community Development Arrive Depart ,v, ,', Town of Queensbury Inspector's Initia ,1 742 Bay Road Queensbury,New York 1280411V ir NAlViE (72 � PERMIT# qq- / LOCATION C®c pet 7 .c 14.7j--tA ATE 'l , 7 4 �' TYPE OF STRUCTURE g-ae --- N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location l/� T Fresh Air Intake , /� Plumb Vent through roof J/ Roof Complete ,// Exterior Finish Complete ,/� Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in. or more Interior Handrails stairs both sides 3 or more risers J/ Grade 2%away from foundation ✓/ 8"clearance to sill plate ✓/ Gas Valve shut-off exposed/regulator 18"above grade /� Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating 4 Relief Valve(s)installed Headroom,6 ft. 6 in. on stairs �/ Basement stairs,6 ft.4 in. ti// Handrail exterior stairs both sides more than 3 risers J//// Interior privacy/trim/doors/main entrance 36" 'V/ Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in. or more f Railing across window in stairwells f L/, __ Smoke Detectors: ,B AbEt"j met % 6 0 is Ve EC.Ib1 every level V every bedroom 1)�-- ,6 c ,v ,,v) , C outside every bedroom inter connected j'ilf Bathroom fans Plumbing fixtures ‘// Foundation insulation t/ 3/4 hour fire door/door closer Garage fireproofing / Garage penetrations sealed Furnace in separate room protected(in garage) if Light ventilation per room Safety glazing 18"or less from floor t. Final Electrical Site Plan/Variance required i Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif. of Compliance) Okay to issue temp. C/C)(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: A'`I` 1 Building& Code Enforcement Dept. of Community Development Arrive am/pm Depart am/pm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 61 9 (p NAME E2/,..ck-Nc- \ A� J��' PERMIT# r LOCATION DATE 2 S LIL1 TYPE OF STRUCTURE jCO • N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in. or more Interior Handrails stairs .•Oh sides 3 or more risers Grade 2%away from ft un•..tion 8"clearance to sill plat: Gas Valve shut-off e i s ed/ •gulator 18"above grade Gas Furnace shut-off wi 31 feet or within line of site Oil Furnace shut-off at en ce to furnace area Furnace/I et-Water H• • a-• ating Relief Valve(s)installed Headroom,6 ft. 6 in. on stair Basement stairs,6 ft_4 in. Handrail exterior stairs both sires more than 3 risers �. Interior privacy/trim/doors/ma• entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in. or more R g across ow in stairwells moke Detectors:' Sp; p, , l a&V l Q Li S I every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofmg Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site PlanNariance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif. of Compliance) Okay to issue temp. C/C)(Certif. of Occupancy) Okay to issue permanent C/O(Certif. of Occupancy) COMMONWEALTH ELECTRICAL INSPECTION SERVI ,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 Z- MUNICIPAL CERTIFICATE - ELECTRICAL APP OVAL Panel Board No n Cert. N2 64627 Cut-in Card No. Owner 44 ge `-A- 6444 re Location Z e724416— i L2 cy .,,�. ,� ©1.�� Installation Consisting of v2-t��` r` j:�k/w P, f 1 L ' P7.DJ..� P-rf -s'1 S",71-40eArt� o o n 54.72ai • Installed Byf C`�Q t�. Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of makin inspections at any time, and if its rules are -v violated,the Company shall have the right to re ke th. certi tea . Date 2.2 .L 7 INSPECTOR `' TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT i#�:� 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: q .____ FINAL INSPECTION REPORT - RESIDENTIAL r� DATE INSPECTION -JI REQUEST RECEIVED: G CA C\ NAME N Q-__.) LOCATION �� V FOrN �DATE 7pL ) 07 PERMIT 0 CV1'�9 U 61L--) 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/RAI INGS RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR TRIM/PR VACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL / SITE .PLAN/VARIANCE REQ. INAL SURVEY PLOT PLAN a OK TO ISSUE C/O OR C C \ ,W \ 04 '- -) GENERAL INSPECTION REPORTCf.")0/ Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 ay Road Queeusbury,NY 12804 Arrive,i{r_a rn Depa I, •m Inspector's Initials NAME: 3.,.,etl Q_cl PERMIT# '`)q(0 LOCATION: - �r DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contactor is respo • = or providing protection I om -- g for 48 hours followin the pla,-ment of the Concrete. Materi. for this purpo - o site Foundatio k•& all.. Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbin ent/Vents in 'lace Rough umbing Hea ' g Rough-In Foundation Walls In erior R- Foundation Walls Exterior R- Floors R- Walls R- 6 ✓/ Ceiling R- �� V 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 -', ,3 v GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 ;:,ay Road Queensbury,NY 12804 Arrive am/pm Depart /- am/pm d Inspector's itials (`u_ NAME: 0(0\N('a QII)AA..teff- PERMIT# _ a G r LOCATION: iL iN( -.Q— DATE : - �`/ TYPE OF STRUCTURE: �= >' 1 RECHECK N/A YES NO COMMENTS Footings/Piers .� Monolithic Pour Form \ / Reinforcement in Place \ .7 The contractor is responsiblefor providing protection from ing for 48 hours following the place ent of the concrete. n Materials for this purpose on site ( �1 j E�I'l,v� D f vs�'� b e C-K Foundation/Wallpour Reinforcement in Place / Foundation/Dampproofmg I Backfill Approval / \ /� Plumbing Under Slab / / / ` PI Bing Vent/Vents in P ' �/� ugh Plumbing . / \Heating Rough-In Insulation Foundation Walls I tenor R- Foundation Walls xterior R- Floors R- Walls R \\\\ - Ceiling R- ---- j - Duct work or pipi g in J%r unheated spaces RAJ Vent, Attic Vent ,` I mang �Jr'�C R �C u G-C— f (� -' 1, /J U L , Jack Studs/Headers �/l Bracing/Bridging / ✓ Joist Hangers ✓� J Posts/Main Beam PdfInfiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed fire Wall 2, 3, 4 hour IfFirestopping- 7 PK ___L___/ ...A ..._,,/ ,--) TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location ?_re2SL. Ri 0, (10 Dat )— - iPenhlit # SOIL TYP : and oam-Clay Results of\ ercolation est- (if applica le) Rate- nute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: To al Length' Length of each 'tren•h 1 527 Depth of trenche 2 Size of stone �`` 'L- - SEEPAGE PITS: Nu .e. - Size - _ ft x \ ft. Stone size PIPING: Si- e Type Bldg. to Tank b i1 4e e) Tank to Dist. Bo , Dist. Box to Fie'. d/P, vx tt Openings Sealed? 0 N• Partial LOCATION/SEPARA ON . Foundation to Ta k / feet Foundation to Ab, orption _ IVeet Separation of Pis eet - Conforms as per °l of Plan es No LOCATION OF SYST: ON PROPERTY: (circle • e) Front - Rear Le't Side - Right Si,e Middle MMEN Front - Middle COMMENTS: -go (�r-- • SYSTEM USE APPROVED: YES NO Arrived: / Departed: 2a -ZS !U`7e / Building Inspector ..-. - 1 have seen or observed, or believe 1 saw evidence of, - LS - \ — \''C\ - all objects si as ouses, wells, trees, fences, etc., ! ishown this document. 1 al . rep sent that I have ��y • �1'-1 per „Wally me red the . tanc set forth on the diagram.'Z) ✓� - . __G-/?-7//? i I S1G�dA RE A i , Q& • • )(L V „ 40 , F CI -J • ti c 6' _ t 0 . . rz, n` L o 1 1 De. k at_ .. v l) P ' ii• 3 pD aNd DNIa�I(19 0 r, L_. �� r DON4. :..._...\ - I � . ._.. I -O 96tb b / l e ia GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 ,ay Road Queensbury,NY 12804 Arrive am/pm Depart I1 - am/pm Inspector's Initials W NAME: \ C � PERMIT# 1 ,9 (p LOCATI : �< Z \f \I J DATE : Wi►:at TYPE OF STRUCTURE % RECHECK /' _ Alb. N/A NO COMMENTS tiii ' °.eis,��s � I Monolithic Pour Form / Reinforcement in Place \ ! The contractor is responsible for i providing protection from freez g for 48 hours following the place' ent of the concrete. Materials for this purpose on site Foundation/Wallpour I Reinforcement in Place 1 r Fo tion/Dampproofing I\ i// V2iaCkfill Approval I Plumbing Under Slab i \ Plumbing Vent/Vents in Place I Rough Plumbing i Heating Rough-In i Insulation 1 1 Foundation Walls Interior R- i \ Foundation Walls Exterior R- 1 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: 91 Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart" am/pm Inspector's Initials - � NAME: 4 r a PERMIT# %l-02 9‘1"), , LOCATION: 632, ,,, -A,-v! /�.(,,.t.-e _ DATE : //S74 lit e4 TYPE OF STRUCTURE: ` RECHECK N/A YESNO COMMENTS tings/Piers �J I ` Monolithic Pour Form t � Reinforcement in Place In v .4 The contractor is respo ' le for providing p"otection fr freezin for 48 hour following e place ent of the concre . Materials for this on si Foundation/Wallpour Reinforcement in Pla Foundation/Damppr fing Backfill Approval Plumbing Under Sl Plumbing Vent/Ve 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 . • • "I have seen or observed, or believe I saw evidence of, 'LS \ r , \ ' all objects s as`l ousel, wells, trees, fences, etc., i I -shown his-doc ment. I al : rep -sent that-I_have -= -- - -per pally me _ red the o` tanc•: set forth en-the d agra 1 ��1 SIGNA IRE i DAT , C ajC ,• - ; • t !J.:.. ,.''.;.',. i;i• , ,),' . • �y { /Q� , !„.:-• .• , .0 i 0 . _ .. , 0 —.I . . . f p oe t ® 4\ 0 : ' 1 ,I t 1 l i no�o�nnoi f _ _,1 ! ,N 4:)L 666L' L Z -1%tlIN . • _l� { _ _ j..., -,.,:::.....1....____,.„„,.i . _63ire,‘ ‘73,0, 'D .':7.,,;. •.-;-...-.:--. - .: ''-- ', 96(i.b6 , , . . , , ,;:, , , • , .. , , ..i.,-• , : ii , . , ,,.., •., ! ; . , i . , . 1 \ , 1\ ;\ \ -,, . ,;;,,,,-..-.•,-, . - , , , . • . • , , ,, iI j, ,' , . , . MAP REFERENCE: MAP OF A PROPOSED SUBDIVISION OF LANDS OF CINDY JARVIS DATED MARCH 31, 1993 LAST REVISED AUGUST 19, 1993 BY MORSE ENGINEERING P.C. I LEGEND: I.P.F. = IRON PIPE FOUND I.R.F. = IRON ROD FOUND (� cQ> = UTILITY POLE � an. D u s eh 8c Steves Land Surveyors, LLC 37 Chester Street Glens Falls, New York (518) 792-8474 New York Lie. No. 12801 50135 'UNAU HOMM ALTERATION OR ADDITION TO A SURVEY YAP REARM A UCIDAED LAND SURVEVM 'SEAL IS A NOLALOI DF SC1DN 72DIN &W-00.00 % OF THE NEW WRK STATE FDUCATIOI LAW* 'ONLY COPIM FROM THE C Rk1NAL OF THIS WURKY MARKED VAN AN ORKONAL OF MLAND 1PARWWR3 SEA. SNNL DE CO MERED Ta N VAUD TIM COPW 'LSRTRICATIONS NOICAIFD HEREON NORFY THAT THS SURVEY US PREPARED N ACOMM" VAIN THE IDN" OW OP PRACR CE M END SLRIYEWRS AOOPIED BY IHE NEW WIN STATE A91001AIM OF NNOEBEOML LAND SMATYUM VA fERTFICATAM SHALL. RIM CKY TO THE PERSON FOR 9M INE SlNUEY 6 PREPARED. AND DN M BEHALF TO THE RXE CM~. G(PO D TAL ADERCY AND LENOW NSBIIRRON USIED NEREDH. NO ID THE ALNEOEES OF IRE LDDND NSRIUWK' Qg�®� ISE�J" s 1AW . Magi of a Survey made for RICHARD C. & CATHERINE L. REED Town of Queensbury, Warren County, New York NO. I DATE 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: RICHARD C. & CATHERINE L REED M do T MORTGAGE CORPORATION. ITS SUCCESSORS MID/OR ASSIGNS CHICAGO TITLE INSURANCE COMPANY CERTIFIED BY: MATTHEW C. STEVES, LLS NYS 50135 DATED: JULY 1. 1999 DESCRIPTION cate 1'=50' S-1 %*ET 1 OF 1 REED DWG. NO. 99127 C-89 N r- N I I N e- ci Z a a x Q