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TOWN OF QUEENSBURY
111
Ihi742BayRoad,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150408 Application Number: A20150408
Tax Map No: 523400-266-003-0001-073-004-0000
Permission is hereby granted to: PATTEN PROPERTY DEV. LLC
For property located at: 20 RIDGEWOOD Ct
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: PATTEN PROPERTY DEVELOPMEI
7 JACKSON Rd
Fireplace
SOUTH GLENS FALLS NY 12803-0
GgAttachedge-3 ilyrs
Single Famil Dwelling 185,000.00
Total Value 185,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
BP 2015-408 Lot 4, House No. 20 Ridgewood Court
Single-Family Dwelling 2,798 sq. ft. with 3-car attached garage 900 sq. ft., and Fireplace
Cross Ref. Subdivision No. 2-2006 Ridge Road Subdivision
694.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, September 10, 2016
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 To eens u . September 10,2015
41
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION GO 65
Office Use Only
i r) S Received
Date: 9 /((/5 A'
Tax Map ID
Permit No.P1-01c10„.15
Tax Map ID 266, 1-Permit Fee 147 t.4 like
Zone R H t3 Rec Fee SCJ,00
Historic Site Yes No Site Plan#
V
Subdivision Name 'K3ewnar) 044(5-}(5- 4` s s r0 Ur • r- i
1 I
Project Location Riciy3,4163
R SEP 04 2015
TOWN BD. RESOLUTION 86-2013: $850 recreation fee or n=L. • . -Ilin_ units-sin_I; fami , duplexes/two-family,
multiple family,apartments,condominiums,townhous;.,ani°•' r ` .'CIDES
4f 1ular homes, but not mobile
homes. This is in addition to the permit fee(s).
Applicant C A S ISI Owner 5a _
Address SA_c_tc 59A_
Address
PUS Qu(LS
Phone/E-mail `7 76_96 7r( rI, Phone/E-mail
tl•E
Contact Person for Building&Codes Compliance:LrLJ P4+4-0-&_.Phone 776
4t'-/ 94/6e iJo, a Rrce, 9 e Dorf &ttitTYPEOFCONSTRUCTIONV
Check all that apply New Addition Alteration 1St floor sf 2'd floor sf Total sf Height
Single Family X S2 S .z-)3 2-79e
Ft
Two-Family
Multi-Family
of units )
Townhouse
Business Office Patten Property Dev. BP 2015-408
Lot 4, House No. 20 Ridgewood Court
Retail-Mercantile Ridge Road Subdivision)
SFD, 3-car att. garage & 1 fp
Factory-Industrial
Attached Garage
1, 2, 3, 4+) 3
Other
If commercial or industrial please indicate of business
Town of Queensbury Building&Codes Principal Structure Application Revised September 2015
If commercial or industrial please indicate of business 17f-
Proposed use of building or addition Sr A
Source of Heat(circle one)Gas Oil(ropane Solarr Other
Fireplace: Complete a separate application for Fuel Burning
f
Appliances & Chimneys
Are there structures not shown on plot plan? fd
Are there easements on the property? No
Site Information
a. Dimensions or acreage of lot t ,.-, -7q &&I
b. Is this a corner lot? 4
c. Will the grade be changed as a result of construction Yes ' o
d. Public water or Private well Piv4C
e. Sewer or Private Septic System Cff z c
Value of all work to be performed (labor or materials) 1$S
DECLARATION:
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period.
2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval.
3. I certify that the application,plans and supporting materials are a true and complete statement/description of
the work proposed,that all work will be performed in accordance with the NYS Building Codes,local building
laws and ordinances, and in conformance with local zoning regulations
4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of
occupancy.
5. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above:
11
PRINT NAME: 1 f 13 -Py f k DATE: l ( b f
SIGNATURE: 02c.-- DATE: /l/ls
For office use only
Operating Permit Issued:Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
1
Town of Queensbury Thomas R. Van Ness
Highway Department Highway Superintendent
742 Bay Road, Queensbury,NY 12804 Home: 518-745-0929
Phone: 518-761-8211
Fax: 518-745-4466 David Duel1
Deputy.Highway Superintendent
Home: 518-745-0938
DRIVEWAY PFm4iT
Date: q/y /LC Patten Property Dev. BP 2015-408
Applicant C ,S J- 1
Lot 4, House No.20 Ridgewood Court
pp Ridge Road Subdivision)
Telephone No.: 79 c, 1/65-(1 SFD, 3-car att. garage& 1 fp
Address to be Inspected r. 01- L/ Rtist,3 C ¢---
Return Address: 7 c;s r 9F.
Applicant must show exact location and width of driveway(s) to be connected to the highway by placing stakes
at the specified location
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action
has been taken:
STEP 1:Preliminary approval
NEED Slight Swale
Deep Swale
Level with the road
Level with the top of the paved wing
Size culvert pipe to be used (if necessary)
12" ( ) 15" ( ) 18" ( ) 24" ( ) 36"
Preliminary inspection completed by: Date:
Approval by Highway Supt.:or Deputy Supt.:
Upon completion please resubmit this approval permit for a final approval.
STEP 2:Final Approval Rejected
Date:
Thomas R. Van Ness,Highway Superintendent David Duell,Deputy Highway Superintendent
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
NACE ENGINEERING, P.C.
169 Haviland Road, Queensbury,NY 12804
Phone-518-745-4400 Fax 518-792-8511
July 22, 2015
n • ' #
49384
Chris Patten E E Q V
Patten Property Development D
7 Jackson Road
Si V 2015
South Glens Falls,NY 12803
TO °F
QUEENSB RY
BUILDING
CODES
RE: Septic System
Lot 4 Ridgewood Court Subdivision, Ridge Road, Queensbury,NY
Dear Mr. Patten:
At your request we have performed a percolation test on Lot #4 of the Ridgewood Court
Subdivision. The test was performed in the location you chose for the proposed septic system.
Percolation test
Test run at a depth of 24" in a 30"deep hole
Stabilized percolation rate— 1" in 3 minutes 40 seconds
The percolation test result is consistent with the percolation test results provided on the approved
subdivision drawings. As discussed the septic system size and layout should follow the standard
septic system details provided on the approved subdivision plans. The proposed 2 bedroom
house will require a 1,000 gallon septic tank and a minimum of 92 lineal feet of absorption
trench.
Please call me if you have any questions.
Sincerely,
Patten Property Dev. BP 2015-408
Lot 4, House No. 20 Ridgewood Court
Ridge Road Subdivision)
SFD, 3-car att. garage & 1 fp
Thomas W.Nace, P.E.
SEPTIC DISPOSAL APPLICATION Patten Property Dev. BP 2015-408
Lot 4, House No. 20 Ridgewood Court
DATE:g/t///5 Ridge Road Subdivision)
SFD, 3-car att. garage & 1 fp
TAX MAP ID: 24,3-/ 73, y
rermit r ee
ZONE: R' l A
APPLICANT k O IS al ( PHONE/E-MAIL 7 7G yG Sy
ADDRESS J 0. S try R.)Sa Cle.wy geafr
INSTALLER/ ft Idek s') Lx o-r—l- L(rL PHONE/E-MAIL
BUILDER
OWNER 5' r=
ADDRESS
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: Cti,,.•; R I
PHONE/E-MAIL SLI
RESIDENCE INFORMATION
Year Built of bedrooms X gallons per bedroom =total Daily flow
1980 or older Garbage grinder installed Yes )(No
1981-1991 Spa or Hot Tub installed Yes A No
1992-Present 0 33
PARCEL INFORMATION
Topography Flat rolling Steep slope Slope
Soil NatureSand Loam Clay Other
Groundwater At what depth: /2'
Bedrock/Impervious material At what depth: /1"
Domestic Water Supply Municipal Well(if well,water supply from any septic system absorption is ft.)
Percolation Test Rate: 3'.90 per minute per inch(test to be completed by licensed engineer/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank size /6190 gallons(min.size 1,000 gallons,add 250 gallons to size for each garbage cylinder or spa or hot tub
System Absorption field with#2 stone Total length /(i 6 r
ft.;Each Trench
Seepage Pit with#3 stone How many: Size
Alternative System Bed or other type:
Holding Tank System Total required capacity? — Tank size of tanks
Notes: 1)Alarm system&associated electrical work must be inspected by a Town approved electrical inspection agency;2)We will
no longer allow systems to be covered until such time as an As-Built plan is received&approved. The installed system must match the
septic system layout on file—no exceptions.
Declaration: Any permit or approval granted which is based upon or is granted in reliance upon any material representation or failure
to make a material fact or circumstance known by or on behalf of an applicant,shall be void.I have read the regulations and agree to
abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
PRINT NAME: Ctt5 2 DATE: 97W/I
SIGNATURE: Gi—G DATE: T/9/LS
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
Patten Property Dev. BP 2015-408
Fuel Burning Appliance & Chimney Application Lot 4, House No. 20 Ridgewood Court
Ridge Road Subdivision)
DATE:
SFD, 3-car att. garage & 1 fpI
TAX MAP ID: 26(.,3-1-7 3. 4/ Permit No.
l
Permit Fee
ZONE:re
OWNER C r-t5 ,()c-T+k PHONE/E-MAIL 7 to-yam I
ADDRESS
J^mak(
INSTALLER/
Q
PHONE/E-MAIL
BUILDER
Pry?I.0 Co, La f` & 3-t-
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: a v:15
PHONE/E-MAIL 7%6 (c91 BUILDING ADDRESS 1-04-- 4( P t d5-CLara°
T wly f.rE
ROOM OF INSTALL: gviwv - PLANNED INSTALL DATE: // / y
FUEL BURNING APPLIANCE INFORMATION WOOD COAL PELLET GAS OIL NOTE: ROUGH-IN&
STOVE FINAL INSPECTION ARE
REQUIRED.FIREPLACE INSERT
NOTE:
FIREPLACE,FACTORY BUILT*
MANUFACTURER'S
FIREPLACE,MASONRY
INSTALLATION MANUAL
FURNACE(GARAGE ONLY)
MUST BE AVAILABLE AT
TIME OF INSPECTION
If factory built provide manufacturer name: (14u-e ff'i c Model#: 37/OZ?Z
Listed by: Number:
CHIMNEY INFORMATION
Masonry** (check one) BLOCK BRICK STONE
Flue TIE STEEL Size in inches
Material DOUBLE WALL TRIPLE WALL INSULATED
If non-masonry provide manufacturer name: Model#:
DECLARATION: Construction/installation must conform to NYS Fire Prevention & Building Code and/or
manufacturer requirements. The applicant or owner agrees to comply with all applicable laws, ordinances,
regulations,and all conditions that are part of these requirements and also will allow inspector's to enter premises
to perform required inspections.
I HAVE READ AND AGREE TO THE ABOVE:
PRINT NAME: IS (Z DATE:
SIGNATURE: 06k— DATE: gilN//S
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
3 _ 710 .v-7F-7
56fFoundationInspectionReportet
Office No. (518) 761-8256 Date Inspection request received: 11 2 U 2.0.4'S
Queensbury Building&Code Enforcement Arrive: am/pm Depa
j
am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial .
NAME:Pm tin PERMIT#: ' 5 llf
LOCATION: P-U 12ACITNIXCI INSPECT ON: 9 I ut)Zai,S
TYPE OF STRUCTURE: S
Comments
VY N N/A
1 Footings jfitrfr 510 i - 2-\ l
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place44
Footing Dowels or Keyway in place
Z--Ke...71) 'Se....,,,0\ --1,
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L: Buildin &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.docL:\Building
Last printed 12/9/2014
M
4
ONLY BOUNDARY SURVEY MAPS WITH TWEE SURVEYOR'S ENBOSSEO
SEAL ARE GENUK TRUE AM CORRECT COMES CF THE SURVEYOR'S
OTCGNAU. WORK AND OMN .
N Patten Property ®ev. BP 2015-408
Lot 4, House No. 20 Ridgewood Court
Ridge Road Subdivision)
SFD, 3 -car att. garage & 1 fp
MAPNOTES
1. Boundaryinformation shown hereon perMap Ref. 1.
2. North orientation and bearing Base per Map Ref. 1.
3. Warren County taxparce1266.5' 1-73.4.
4. The location of underground improvements or encroachments, if
any exist, or as shown hereon, are not certified There maybe
other underground utilities, the existence of which are unknown.
Size and location of all underground utilities must be verified by
the appropriate authorities. The Underground Facilities Protective
Organization must be notified prior to conducting test borings,
excavation and construction.
5. Tlrissurvey wasprepared without the benefit ofan up to date
abstract of title.
SEPTIC PLOT PLAN
I HAVE SEEN OR OBSERVED ALL OBJECTS
6. Reproduction orcopying ofthi:;documentmaybeaviolation of
SUCH -AS HOUSES,
copyrightlawunlesspermissionofthe author and/orcofyr4gbt
WELLS, TREES, FENCES, ETC
holder is obtained
1V
UVh ON THIS DOC, MENT. !HAVE PERSONALLY 7 A copy of this document without a ro erapplication of thew1EASf''<< HE "' • C : S -T FORTN ON THIS IA RAM
P P
4 surveyors embossed seal should be assumed to be an unauthorized
SIGNATURE _ ( COPY,
DATE
DEEDREFERENCE.•
1. Conveyance to Robert Wall by deed Eled in the Warren County
Clerks Office on October 3,2006 in Book 3070 of Deeds atpage
296.
MAPREFERENCE.-
1. Map entitled 'TUDGEWOODHOMES, RIDGEROAD
SUBDIVISION' prepared ly VanDusen andSteves Land
Surveyors, dated May 5, 2005, lastrewsed July 11, 2005, filed
in the Warren County Clerks Office on Aprd 5, 2007as map
number G5.
KRISTIN M DARR*i aq REVISIONS RECORD/DESCRIPTION DRAFTER uNwmararFo w.Tvw wx Map of a Proposed Flof Plan50803AoananromsDOW" a A
RNOLAAAW'" 1; EixNEUiandsNoworFormer/yof
S"
015 ""' a zaTs Robert Wall
Darras Land 9—y[M M.LC
APPROVED:r4vID
R?WNOFQUFENSUURY WA:ftRENCOVATY,NEW YORK
DRAPIED: AUG N
PLLC
MD, KA -1Z)_ __ Jarrah Land Surveying, 15430-1
PRO/. N4 15030 3764'North Shore Road Hadley, New York 12835
Phone.- (518)798-4692 51=IOF1
SCALE: 1'=40'
DATE: Y104/15 -..-- -- -
PROIIVQ 1,5Q30
JB3 Consulting
Joseph Biss III
553 State Route 149 - Suite B
Lake George, New York 12845-3515
Phone: (518) 761-9888
JBISS3@AOL.COM
NYSDOH Lab ID# 11637
Client:
Parker Water Wells
PO Box 627
East Poultney, VT 05741
Phone: (802) 287-4016 E-mail: parkerwaterwells@gmail.com
Results: Pressure Tank—20 Ridgewood Lot#4—Patten Develo ment
Sample Date/Time Date Date/Time Analysis Method Result NYSDOH
Collection Received Analysis Drinking Water
Number LhWt
160225FOI 02/25/16 02/25/16 02/25/16 Total SM 18-22 <1 CFU/100 <1 CFU/100
9222A,B,C
2:45 P 5:00 P Coliform 97ml ml
The results relate only to the sample(s) as received by the laboratory. The sample received was
analyzed in compliance with NYSDOH and NELAP approved methods and within their accepted
holding times. The result(s) is (are) equal to or lower than the State's limits therefore it (they)
meets the requirements for NYSDOH Part 5 Drinking Water Regulations.
JB3 Consulting's liability for any work performed is limited to the amount billed to the
customer leading to the claim of the customer.
Joh Bi III
An yst/Director
Thursday, June 23, 2016
This is an original Certificate of Analysis, do not duplicate
This is page 1 of 1
rel
Revision#2 —Address Correction As Per Client—Please Destroy The Original
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNrICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit NJC./. ..G .. .Z.'trtrt.N® 29178 Cut-in Card No.....................................
Owner.............''.(....... !. =....:.`!.................................................................................
Locatioril
g
L E w .. ...... T....................... G ..YT.--a...... ......................... .
Installation Consistm of. ... .1 E t'G .. —...r cf....ar.......
f......................................
InstalledBy.......a.. Z_ ..........................................................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 making ctions at any time, and if its
rules are violated,the mny shall have the right to re .a...t.hi.s..c... ate.
Date........
7..................
INSPECTOR...C......Member N.F.P.A.,I.A.E.I.
I
1
r Lands Now or Formerly of
N Wall
Book 3070 Page 296
266.3-1-73.5
1llAPNOTF,S I
1. Boundwymformation shown herleon perMap Ref. 1. c
Improvements shown hereon perfield data captured on Q
December7,,2015.
2. North orientation and bearing base perMap Ref.1.
3. Warren County tax parre12663-173.4. I U
4. The location of underground improvements or
f
encroachments,ifany emk,or as shown hereon,are not
certified. There may be other underground utilities,the
existence of which ane unknown Size and location ofaff Blacktop IundergroundutilitiesmustbeverifiedbytheappropriateDriveway
authorities The Underground Facilities P.irotective
Organrzadon must benotOedprror to conducting test
borings,excavation and construction.
5. Th&survey,waspzeowed without the benefit of an up to
date abstract of title.
O7-7
WOOD6. Reproduction or copying of this document may be a 55.01 ............I o
violation of copynkhtlaw unless permi. an of the author o Wood Frame
and/or copyrWhtholderis obtained.COURTI
II p Residence I
7. A copy of this document withouta proper application of
the surveyors embossed seal should be assumed to be an
unauthorized copy.
DEEDREFEREWT. I
1.Conveyance to Robert Wall by deed filed in the Warren
AREA =1.02-+acnes
County Cerks OYfice on October 32"in Book 3070 of I
Deeds atpage2,06
IM7]p RF.FF.RF.7 TCE;
1.Map entitled'RIVIGEWODDHOAMS,RIDGEROAD
SUBDIVISION;prepared by VanDusen and Sieves Land
Surveyors,dated May s,2005,lastrevisedJuly 11,2005,Lands NOW or Formerly offiledmtheWarrenCountyQerksOfficeonApnl9,2007
as map number C-5.
Wall I
Book 3070 Page 296 v
266.3-1-73.5
i
RISTIN M DARRAH Map ofa Final SurveyDATEREVISIONSRECORDDESCRIPTIONDRAFTERuNwuMoarnKYM+OR
FIN' 'AL SURVL- I
50803 ADDITIONVLA ON ons DOCUMENT72 ns"VIOLATION OF SECTIONN MOnzOFn+e ru:w row(Lain aNow orPormerlyaf
S`"TE EDUCATION
2015
LAW.
Patten Property Development, LLCoFN , ozoTs
Darren Land Surwytng, PUrttiR 1a
APPROVAW.AUW
2VWN0PQUS W,9URY WARR"C0UNTX MW YORK
D PAIc N
JUMP Darrah Land Surve PLLCY 15031
o I
PROJ.IITU 3764 North Miam Road,Hadley,New York MW
ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOSSED
50803
V 11--ff
SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S q ly D g
P1101te.'(518)75 46.92 1•` i OPr
SCALE:
ORIGINAL WORK AND OPINION DATE:7/B116 PRIDJIVVO ISM
JUL 12 2016 .
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