1999-395 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 4 19 99
This is to certify that work requested to be done as shown by Permit No. o o a g
has been completed.
This structure may be occupied as a SINGLE FAMILY DWELLING
LOT 4 0 FAWN LANE
Location
Owner SCHERMERHORN CONSTRUCTION
TAX MAP NO. 121 . -15-4 0 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do 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: 99395 Application Number: 99395
Tax Map No: 523400-301-018-0001-071-000-0000
Permission is hereby granted to: SCHERMERHORN CONSTRT TCTTON
For property located at: 25 FAWN Ln
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: LE ROY&KATHARINE CORM
25 FAWN Ln Single Family Dwelling $105,000.00
Total Value $105,000.00
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
SCHERMERHORN CONSTRUCTION COMMONWEALTH ELECTRICAL A
43 H HUNTER BROOK LANE
OTTEENSBTTRY. NY
Plans&Specifications
SINGLE FAMILY DWELLING/ 1536 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR
ATTACHED GARAGEAS PER PLOT PLAN SPECIFICATIONS
$211.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, July 13, 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 Town of Queensbury; Tuesday, July 13, 1999
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
•
•
•
• BUILDING PERMIT
VALUE, $ :105000 TOWN OF QUEENSBURY Na 99395_
TAX MAP NO. 121 . -15-40 •
WARREN COUNTY, NEW YORK
PERMISSION is'hereby granted'to - SCHERMERHORN- CONSTRUCTION
OWNER of property located at LOT 40 FAWN LANE Street.Road or Ave.
in the Town of Queensbury,To Construct or place a SINGLE FAMILY DWELLTNG
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
• CORP. - .43 H HUNTER BROOK LANE --
• QUEENSBURY, NY 12804. --
2. CONTRACTOR or•BUILDERS Name:.
•
• SCHERMERHORN CONSTRUCTION
.3. CONTRACTOR or BUILDERS Address
4 3H HUNTERBROOK
•:QUEEN..SB.URY,: ,NEW:•YORK 12804 •
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL' AGENCY
•
5. ARCHITECTS Address
PO BOX.706.: ::•.
HAGUE, NY 1283`6
6. TYPE of Construction—(Please indicate by X)
. SINGLE: FAMILY DWELLING..
( Mood Frame ( )Masonry ( )Steel . ( )
7. PLANS and Specifications
1536N3Q• FT SINGLE FAMILY DWELLING;-WITH 2-CAR ATTACHED. GARAGE
AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
.SINGLE-.FAMILY..DWELLING
$ 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 Oueensbury before the expiration date.) •
Dated at the Town of Queensbury this 13 Day;of: Ju•lyr::,: :., , 19
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
Building Permit Application
Town of Quee11sbu y - Dept. of Community Development, 742 Bay Road, Queeusbury, NY 12804 1761-8256]
.o BUILDING & . CODE ENFORCEMENT
NOTICERequirements prior to issuance r
A permit must be obtained before
1 of this permit: PERMIT FILE NO. l" 1 9 1
beginning construction. No inspections tw tJ
will be made until applicant has received 1-1 ZoningBoard Action PERMIT FEE PAID$ I t
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION FE' PAID$
MUST be completed and•the signature n Planning Board Action - /
of the applicant must appear on the REVIEWED BY.
ffplieation form. N„, SPR / Subdivision /Other
Building inspector
J Recreation Fee Payment _-
Applicant: S e. o r� Co"Si' r �G e t',n/� r� o S"�1`vc.�oN Owner: '{�� �... �.� �r: �'C�t�;'�`'�� -' �"
Core.
' Address: 3 4 o ivi.e.C B Cook.. L N • Address:
•
Phone # ( 51e, ) 198 - o Qfil Phone # ( ) -
Properly Locution: Lc* 40 FAWN LN L.M.
;Iubtilvlalttn Nnnital S\e-c04aN) PINES 'Fox Mop Nnmhpr ---- .�`���_ .l�.
Htautluu Illnek I Oil
NATURE OF PROPOSED WORKt ESTIMATED MARKET VALUE OF THE
_ . New B1din : CONSTRUCTION: $ /05� oa a
residence / commercial
Addition to wilding:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial X Single Family Dwelling
• Residence / Commercial Two Family Dwelling
no change to exterior size Family , E
Office
Other Work (describe below) Mercantil
e
Manufacturin1M 2 8199.
Other pUR.r
oti
GROSS AREA OF PROPOSED STRUCTURE -X �ca;�!Or CaUY E.,,,�r
3 If ADDITION, wDi ? _.
use
1st Floor _ 7(0$ _ sq. ft . of new, addition be? :
2nd-.Floor - 7108 sq, ft
Other Floors x sq. �/�
(not unfinished cellar or basement ACCESSORY BUILDINGS:
^� Detached Garage 1, 2 car
TOTAL FLOOR AREA: - 4."1 53 to `5-1./FT. V Attached Garage 1, (2' cal-)
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
—
5 of FEET X o`N FEET Other
Foundation Type: Co.nc.re i-e, Will any second-hand or ungraded
Number of Stories: , lumber be used? If so, for what?
(habitable space only) NO
Height (grade to ridge) : ab feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which •pli s)
to be installed: D Electric / Oil / er• /Mood
(Forced Hot Air) / Baseboard / Other
Person responsible for supervision of work as regards to building .
codes is : Sates me,riNorN 79 $- o(a7q
Name Addresss Phone
Builder: 5c oa.,e, ►1@,r1sorev -79A-oL,7y
Plumber: 5j-e.0 A1(e J 7417 - 56193
. Mason: Oo,LS ba.NcINA N 791- 1371
Electrician: m; Kt?. C.o iv SKy 119 y-39 05
DECLARATION: Please sign below after you have carefully read the statement.
To the best of my knowledge the statements contained in this application, together with the plans
and specifications submitted, are a true and complete statement of all proposed work to be done on
the described premises and that all provisions of the Building Code, the Zoning Ordinance and all
other laws pertaining to the proposed work shall be complied with, whether specified or noted, and
that such work is authorized by the owner. Further, it is understood that Uwe shall submit prior to a
Certificate of Occupancyor Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; dr n to sc , sho ing etual anon of project on premises.
Signature: �+' '
(owner, owner's agent, architect, contractor)
Appilication for IC'.I7ISP PERMIT,.. :
Toi4d of Querm.ibiitj� • AS t e.C' PI0AJ o J File C)f_i-,j9 5
dept: of cttiiyiytiniti ty beveloptnent liertnit No.
Building &Codei Office • W a}fN -O t.t.)!J 04 Q$SV '
742 Oily Road - Fee Paid $ -
Queeiishiiry,,lvY 12804
J
Laeation'bf property for installation: L o i- '10, , ,c.fl W/J Li./
Ptriiperty;Miner's Nattier . . 5 c e.r tro.:e S`k o r N Co A S+'i'v c k�o NIC° (- p -
. . ,
-. ljfoperty'bwnet•'i Mailing Address: 1\?� . H- v nee. ,f' rook LN.
tnstaller'9 Nattier. .1-€..!:Fc —. re.V . Phone # ."]g(o: I .1 -.
.
i"ttitrtber of bedrootiis (if residential): : .3 . Total daily flows '/5o
• ' (residential compute ® 150 gal./bdrm.)
. - Topti phy,:..X : flat,' rolling, steep slope o of slope .
5iill Nattire! .'. sand; loam, , . clay; othe- f depth,
r .
.
. Otoutld wt tt .at what depth/ feet / Pedrock or Imperv:cus Material: at what depth? feet
Peed,a0.loci `test:: ':,.. hot required, : : required [rate min. per inch j
..Daliiestid*titer supply:, ,, X municipal; • well, ., Cher" '
• �
if• dotiile9tiC't ater'.siipply+ Is a WELL, water supply from any septic absorption is feet.
'PROPOSg1 .tie tt11M ; •
• '"'.3eyitic:t• :' I;000 gallon (hiniititim :sire: 1,000 gal.) .
• .'tie tieldi oeh trench . ._. . feet /, :Total system !e gth: . - feet
.SetOge pit(s).:: dumber of . . / size each' ft. by , ft.
Size of gtottb to be used: A . . /.! depth or thickness . feet
. 1-10Lbilkiti TANK SYSTtM: (if requited) .
Number bf*hitt .. . Sire of.eacli: gallons
( etnociiutedetethcs1#44 tO be hiapeete+d hi a certn1ed figeticp.).
:`Ptii your pto'-"•.' plill fits butt p�irbtixtit to St3ctoti 1i64 bf the Code of 66 Town of tQiieendbury,'etry permit or
tfptin,vitl gtiitUil elh iiiii.kiiid tt pitt or is Borthid lit telitmeii'tit*ilny inittetial itmtitept'tAetlt itlnd or fiu'luce to mike s
tiiitewul fact tt el t8tanee troth by tilt on behalf of,ut iipptte*nt;.shaft ba%ota. •.
't hAiAi• t*�nd ttie friiiti lirniA ith i�iipe t id tlt3A imppllo>itioh. bgtt�(d to dbide b..hete Budd*11 regtilretrieota of the Town of
Qilwetiilitry,Satnitiiiy 9eviiiie tihtiieiied Ordbtitnce.
....al.s......,
' bate: ( S"9 9
i ' . use of f Cs' tisibie tfintt: I.
S gnit pn ! .
01/03/1996 21:22 5187454437 DEPT OF COMM DEVEL PAGE 01
•
. 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)
PART 6*• Thermal Rating - Component Trade Offs
. 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:
SGIle.rekit r'\.o 1'N ConSil\Ja o/J , Lot L O FA mQ LN .
p$RT 5 METHOD Or COMPLIANCE :BY ACCEPTABLE PRACTICE:
3.. Gross Floor Area - •15Blo scniare feet
•
2 . Tyne of Heat - Electric • • Oil Y Gas Other
3. Is building mechanically cooled? • • yes x No •
•
4 . Percentage of area of windows and doors $ Over 17% — Cinder 17%
5 . R-VALUES POR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED::
e.. Roof R 3 o
b . Exterior walls R i9
c . Glazed areas , • R S.y
d.. Exterior doors R
e . Floors over unheated spaces • R i9
f . Edge of slab on grade. (:heated building) R /9 -
c. Basement/cellar walls (above grade) R I3
h . Basement/cellar. walls (below grade) R 19
i . heating/cooling-ducts-piping in. unheated space R 2.4
6 . Service (domestic) hot water heating device
Confor<ts to minimum efficiency per .code Yes No
•
• TEMPERATURE CONTROL MAXIMUM- SETTING • 14.0o - WILL NOT BE EXCEEDED
ApD'_i :t S g atu e • Date Phone Number
• 4- e -99 _ 7gg_0427q
•
•
INS?EC=C'' S REMARKS: • .
V , .
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received: • 3-' 3
Building& Code Enforcement
Dept.of Community Development Arrive___` r
Town of Queensbury Inspector's Ini • r
742 Bay Road
Queensbury,New York 12804
\ t r1_3 9�
NAME < Y�C�l M\_ PERMIT#
LOCATION L-fY— () (--k_L).__) n DATE J 0'-0 Lj G(1
TYPE OF STRUCTURE S 1(�
N/A YES/ NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location �l
Fresh Air Intake '/
Plumb Vent through roof /
Roof Complete
Exterior Finish Complete / \ •✓
Interior/Exterior Railings,30"to 36" / \
Exterior Handrails,balconies,lan•.s g 18 inl or more
Interior Handrails stairs lxkh sides or more risers
Grade 2%away from formation I
8"clearance to sill plate / ✓/
Gas Valve shut-off exposed/re:...: • : 'above grade ✓✓
Gas Furnace shut-off within 30 f.-t or within line of site ii >
Oil Furnace shut-off at entrance to furnace area `
Furnace/Hot Water Heater opera u/
Relief Valve(s)installed ✓/
Headroom,6 ft. 6 in. on stairs ✓/
Basement stairs,6 ft. 4 in.Handrail exterior stairs both sid s more than 3 risers ✓/
Interior privacy/trim/doors/main entrance 36" ✓,
Floor Finish ✓ ,
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. or more /
Railing across window in stairwells ✓
Smoke Detectors:
every level
every bedroom
outside every bedroom J
inter connected
Bathroom fans ,//
Plumbing fixtures f
Foundation insulation ✓Vi
3/4 hour fire door/door closer A
Garage fireproofing 16
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor /
Final Electrical v/
Site Plan/Variance required r�
Final Survey Plot Plan / �/
As Built Septic System layout required t/
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)
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP: Or)
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME 1
LOCATION rG lA�`(� La/tiLQ
DATE _ b '- PERMIT NC \R,3Q.5
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/ ILING'
RELIEF VALVES
FURNACE/HOT WATER OP..4:TING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATE•'TIGHT
OTHER FLOORS SWEPABLE
OTHER FLOORS CA`PETED
STAIR CLEARANCE * kILINGS
SMOKE DETECTO
BATHROOM FA .
PLUMBING F XTURES
FOUNDAT •N INSULATION
GARAG' FIRE PROOFING
DeIR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO. �
L SURVEY PLOT PLAN r
OK TO ISSUE C/O OR C/C
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury WY 12804
(5L8) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name jC I-14\02_,
Location y( FlPt ►_. LIPt3V:_
Date — \ Permit # -c-_a
SOIL TYP San Loam-Clay-
Results of Percolation est-
(if applicable) '-ate-Miiute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD. T. al Length
Length of each . -nch
Depth of t-enc :s
Size of stone
SEEPAGE PITS: ' umber-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank _
Tank to Dist. Box
Dist. Box to Field/Pit
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits -:t
Conforms as per Plot Plan ' o
LOCATION OF SYSTEM ON PROPE' : .
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
• 2c=c5IDI N —V )\CT-1
6& \C_____
SYSTEM USE APPROVED: YE NO
Arrived: _
Depar� •- . .r`^�
'Iding In:p•ctor
, .,
' 99- 39 s- .
.
5a
ve seen or observed,or believe I saw fence of,
jects such as houses,wells,trees,fences,etc.
A shown on this document I also represent that I have ►,
personally measur distan set forth on the diagram."
f__--
,--- \
GNATURI
u
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,
Main Office 176 Doe Run Road-Manheim,PA 17545 y
MUNICIPAL CERTIFICATE - ELECTRICAL APP' O VAL
Panel Board No Cert. N2 64865 Cut-in Card No
Owner 5 C t4„6- 6�/44 20 e0-&)S l
Location...
Installation Consisting of 3?seat rc,484 -c42-/ 2 6 4--G'lreS
Installed By in en/VI 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 pections at any time, and if its
rules are violated,d,d the Company
Company shall have the right to r ke i te.
Z l Date 6 r " INSPECTOR
M....l...N GDA I A G
egEcic
TOWN OF QUEENSBURY fjolk)
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name ;.0V\PP(Pi)f\-4)VIfY)
Location (; 140 V'Q
Date -jt-1-91 Permit #(T\-3e 5
SOIL TYP Ian oam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length1�
Length of each trench J���(9 - i_€4Q\
Depth of trenches t -
Size of stone Z •
SEEPAGE PITS: Numbe`,,,,
Size - ft. x ft.
Stone size
PIPING: , Size Type
Bldg. to Tank "_hC 140
Tank to Dist. Box •4 �JL
Dist. Box to Field/Pit %%
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank \7 - feet
Foundation to Absorpti n (s,D feet
Separation of Pits fe
Conforms as per Plot Plan Yes N;;%7
A .JO
LOCATION OF SYSTEM ON PROPERTY:�‘ . DLE
(circle one) v;,5
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
:=======l
(rp 1
0
SYSTEM USE PROVED: YES NO
Arrived: V e�D 'SD
Departed: �. D�
// Bu din p ctor
liu5P 4A64,77
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive am/pm Departl b' ` m
Inspector's Initials c•sta
NAME: .!l l�► 1 IL d 6 PERMIT#
LOCATIO _ fa, _411 ► II ATE : I-
TYPE OF STRUCTURE:
RECHECK
N/A YES NO .MMENTS
Footings/Piers \\ I I—I
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/Dampproofing
Backfill Approval
Plumbing Under Slab •
Plumbing VenUVents in Place
Rough P Lambing
Heat Rough-ln
I ulation .,
- 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 /
ire Wall 2, 3,4 hour
irestopping
•
GENERAL INSPECTION REPORT 1
(-518 ) 761-8256 �/
Town of QUeensbury
Dept. of Community Development Date inspection request received:
Building&Code Enforcement /
742 Bay Road O
Quecnsbury, NY 12804 Arrive ant/pm Depa ` am/ m
Inspector's Initials "-•1
NAME: I1(V PERMIT# \. —3
LOCATION: ta:/___211\QL,DATE : 9.
TYPE OF STRUCTURE:
RECHECK
/
N/A YES NO COMMENTS
Footings/Piers I f/
Monolithic Pour Form /
Reinforcement in Place
The contractor is responsible for
providing protection rom freezing
for 48 hours followin: he placement •
of the concrete.
Materials for this purpose on itc .
Foundation/Wallpour__
Reinforcement in Place .
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab •
_ _
Plt thing Vent/Vents in Place /�
•- .ough Pluumb.ng ,/
`'`Heating Rough-In
Insulation
Foundation Walls Interior -
Foundation Walls Exterior -
Floors R-
Walls R-
Ceiling R-
Duct work or piping in .2
unheated spaces R-
jiro r Vent, Attic Vent
.- - ming
Jack Studs/Headers_ •
Bracing/Bridging
Joist Hangers_ ,
Jack Posts/Main`Beam
/
'Air Infiltration_Barrier
Fire-Separation I. 2, 3, hour
Penetration Sealed _
Fir all 2, 3, 4 hour S 6
trestopping �t7 Lt{�. (0Ae VoLc-5 1— ha-
1M kR(a D • j 0�
GENERAL INSPECTION REPORT
( 518 ) 761-8256 C9
Town of Queensbury •
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arriv n Depa ` m
nspector's In' •
NAME: ` PERMIT
LOCATION: ) o DATE : —/S-9
TYPE OF STRUCTURE: s�
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the pI• • ent
of the concrete.
Materials for this purpose .n site
Foundation/Wallpour
Reinforce nt in Pl• e
Foundation/Damp. oofing
Lftel�fill Approv:
Plumbing Und Slab
Plumbing Ve' Vents in Place
Rough Plu .ing
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
Fircstopping
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road - a
Queensbury,NY 12804 Arrive pm Depart : aF 1,m
Inspector's Ini ' ofr
NAME: (�CE'Jj FI-/) D2.13 PERMIT# }(�
LOCATION: 1-\\ii E )113 QE___ . DATE : --"r
TYPE OF STRUCTURE:
RECHECK
N/A YE NO COMMENTS
Footings/Piers �. I
Monolithic Pour Form
Reinforcement in Place Z - 5
The contractor is responsible for
providing protection from freezing
for 48 hours following the placem t
of the concrete.
Materials for this purpose o site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart • `barn/ m
Inspector's Initials_.
()°
NAME: 0__)\p► sx\p,o, . PERMIT# --3 I
LOCATION: L f.p 00, Q DATE : / 3-9 9
TYPE OF STRUCTURE: L r
RECHECK
N/A YES NO COMMENTS
F 2/Piers •
Monolithic Pour Form `-E_-pc 1J" ®U\_
1M S
Reinforcement in Place 4
The contractor is responsible for c(
providing protection from freezing A-L
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing — OK
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
BracingBridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping _
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i'''. i iatipssAritiliton REV.: BY: iTS TO NOM
........ AD NI EXISTING VEGETATION CONSISTS OF EVERGREENS UP TO 12 SHERMAN PINES C FAL
DIAMETER .-15. IN ‘ifiti'Wake .1 Huntington
c'..1 ADD MISCELLANEOUSL H SMALARDWOODS. ALL EXISTING ".
VEGETATION TO REMAIN EXCEPT AS REQUIRED FOIE CONSTRUCTION 4,%.• ,,,olo a...4 .r!,..
PURPOSES. (SEE TYPICAL LANDSCAPE AND CLEARING PLANS - DRAWINGS
•-11-' ‘4•A? :10 '' '- SITE PLAN & UTILITIES J.C.M.
ColOrtro oft0.1C7 MI,
S-1, S-2, 5-3). SELECTIVE TilitaliNG WILL DE DONE TO ENHANCE
1,APPEARANCE ON SOME LOTS. (nxisTING in:ni) OR DAMAGED TREES WILL DE '( POW. it S. Mot. 92-011
CRAMO iv.
1,REMOVED). NO ADDITIONAL PLANTINGS Will, 1111 DONE BY DEVELOPER ' *.
:•1,':EXCEPT AS SHOWN ON SIGN DETAIL. 4, Torn of quilonybury-Ccvnly of Ibrron-Stol•of How Yon
...I
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5 i Ara MOOSE ENONEENNO P.C.
• • "nt 71bi 9; Innl wpm plkel"F"LCITY.SLY .-Tr"T-.7' "4
.''
:',...
MAP REFERENCE:
SHERMAN PINES SUBDIVISION
SITE PLAN PHASE III
BY MORSE ENGINEERING P.C.
LAST REVISED APRIL 5, 1995
39
D u s eh
8c Steves
Land Surveyors, LLC
37 Chester Street Glens Falls, New York 12801
(518) 792-8474. New York Lie. No. 50135
OCT 0 4 1999
16.98'
w
'U MMOttlffD ALTERATION OR AUDITION TO A SIRVEY
MAP SEARING A LA VdED LAID SURVEVORS SEAL IS A
MOLATION OF SECTION TSGG. SIB-LTM1ASDI 1, OF THE
NEW TORN STATE MXICA71ON LAW.'
*ONLY COPES FROM 1HE MOBIAL OF THIS SURVEY
MARKED MARL AN ORIGINAL OF THE LAD SURKYORS
SEAT. SIALL BE CONSIDERED TO BE VALID TRUE COPES.•
'CER71NCADONS INDICATED HEREON SSNRY THAT
THS SURVEY WAS PREPARED N ACCORDANCE MATH THE
EXIFW CODE OF PRACTICE FOR LAD SMVEVORS ADCP70
BY DE NEW YORN STATE ASSOCIATION OF PROFESIRONAL
LAND SIRVEMIRS SAID CEWWK'ATIONS SHALL RLIN ONLY
TO THE PERSON FOR 1MI0Y THE SIRVEY 6 PREPARED. AND
ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL
AGENCY AND LENDING NSTITINRONI LISTED HER8ft AND
W TILE ASSON EES OF THE LFTIOMIG INSTITUTION.•
rn
M
COMMON AREA
S64'48'50"E
106.00'
40
10,600 sq ft M
106.00'
N 6�53
FAWN
00
0
0
0�
N
Ln
f- 34.91'
CTV JE
TEL
LEC
RAN
LANE
NF�r�� o
b 0x,
Map of a Survey made for
MARK D. CARRUTHERS
Town of Queensbury, Warren County, New York
Lf1_
NO. I DA TE
42
1 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 70: Mark D. Carruthers
First American Title Insurance Company
Bonknorth Mortgage Company Ina, its
successors and/or assigns
CERTIFIED BY
MATTHEW C. STEVES, LLS NYS 50135
DATED: September 27, 1999
DESCRIPTION
1 "=20'
S-1
8HM71 OF 1
CARRUTHERS
DWG. NO. 94246-40