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2014-434 iA TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20140434 Date Issued: Friday, May 08, 2015 This is to certify that work requested to be done as shown by Permit Number P20140434 has been completed. Location: 52 RAINBOW Trl Tax Map Number: 523400-279-015-0001-061-001-0000 Owner: BILL & APRIL CHASE Applicant: PETER DAVIS This structure may be occupied as a: Single Family Dwelling By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property (-- a40 4 owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement or Zoning Board of Appeals. lows TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY. 12804-5902 Temporary 90-Day Certificate of Occupancy Building Permit No. : 2014-434 Property Location : 52 Rainbow Trail Property Owner: Peter Chase Approved for the following uses: Single Family Dwelling Conditions of approval: 1. Establish final grade $100 fee received on: April 23, 2015 90 Day Temporary CO expires on: July 23, 2015 *A final inspection for this project must be scheduled before the expiration of this Temporary Certificate of Occupancy— if your project is not coin to within this 90 day period you will be ect to a is i ' nal fees* 4 � Signature of Applicant: `i ' Printed name of Applicant: CAI OC(-1• p Director of Building & Codes: c //O ,afte David A. Hatin Town of Queensbury Building & Codes Office Dept. of Community Development 742 Bay Road, Queensbury, NY TOWN OF QUEENSBURY ` 742 Bay Road,Queeusbun',NY 12804-5902 (518)761-8201 rie Community Development-Building& Codes (518)761-8256 BUILDING PERMIT Permit Number: P20140434 Application Number: A20140434 Tax Map No: 523400-279-015-0001-061-001-0000 Permission is hereby granted to: PETER DAVIS For property located at: 52 RAINBOW Trl 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: BILL& APRIL CHASE Single Family Dwelling $174,000.00 QUEENSBURY NY 12804-0000 Total Value $174,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2014-434 SFD 1st Fir 1,568 sq.ft. w/Garage 768 sq.ft.(3 bays) $313.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, October 03,2015 (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 of Qu sb /J I Fr .i y/. I er 03, 2014 f� I SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement � �11� 1 A, P;;fiJCiPAL STRUCTURE APPLICATION Office Use - " Vii r, ,ve r— V\4 1 DATE // / �l ReYewed, Sc? 1_6 V A / gig/ Tax Mapp ID _�� Y TAX MAP ID 279. /,s" /--- tc f./ Permit No. .,c C1Uti�'(, FS_-. 5 ,t Permit Fee0 {�t'l1N .� y a ZONING R- /r f Rec Fee�F°v21 U� � i* y:, Site Plan# HISTORIC SITE Yes Nno Subdivision # SUBDIVISION NAME eq-•,n 6 o L.J 1'2ed f'c Lot#a TOWN BD.RESOLUTION 86-2013: $850 RECREATIONTIFEE FOR NEW DWELLING UNITS,INCLUDING SINGLE FAMILY DWELLINGS,DUPLEXES jii OR TWO FAMILY DWEWNGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR MANUFACTURED & MODULAR HOMES,BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE. �nJ� / APPLICANT Q 1e/ DJi U, S OWNER et' ,e / I Th / (l,c Se ADDRESS 6 V 6 U)oY LA/ley AI ADDRESS ,4r^yGy/t 4/7 qac c o-uee.,ssa ce i,vy. PHONE/E-MAIL -575''- 72i-/ s/ .7 PHONE/E-MAIL CONTRACTOR OCfe �0,Ls CcoSfrUCte a COST OF CONSTRUCTION(ES7/MATED: 1 00 0 ADDRESS: 6g-6 t'`, '3f UC 7<v Pe) BUILDING ADDRESS: ,re ga fie,&,Lt..I 7-7 7 \(� I PHONE/E-MAIL 5-78-— / VS-0 (yam} y CONTACT PERSON FOR BUILDING&CODES COMPLIANCE T Cie D:; v, S .PHONE 22/ rr12 TYPE OF CONSTRUCTION f Check all that apply Please indicate measurements as required below New Addition Alteration 1s`floor sq.ft. 2"d floor sq.ft. Total sq.ft. Height Single Family 2K ireEr y/,g <s6$ lFI-o` Two-Family Multi-Family (#of units ) Townhouse Business Office Retail- Mercantile Factory- Industrial 7 Attached Qarage 41MICLe J t (it of3SAT 3. Qy (freezyewi 76 /I///k 26s- /8-46.c. Other i 1 Town of Queensbury Building&Codes Principal Structure Application July 2014 ------ 77.. lit . .1_1 If commercial or industrial indicate name of business Proposed use of building or addition —Pe 5 c/ /{at Source of heat(circle one) e Gad Oil Propane Solar Other Fireplace: complete a separate application for Fuel Burning Appliances & Chimneys M Are there structures not shown on plot plan? y//t 0 Are there easements on the property? /1,,e, Site Information Level -0.7oSt/y fi rtetd a. Dimensions or acreage of lot 3r yo 'Crea b. Is this a corner lot? 0 "� c. Will the'grade be changed as a result of construction _Yes >S No d. Public water or Private well. well _ e. Sewer or Private Septic System 5cc/C 5f to Value of all work to be performed (labor or materials) $ /7yfloo 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 NY State 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 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: PRINT NAME: ?E'-7-P ryr S D - /.. 4SIGNATURE: P DATE - /3 l 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 July 2014 2 P • CASHIER'S DEPARTMENT-TOWN OF QUEENSBURY BUILDING&CODES ✓ Code No. Title Fee Fee Reason for Refund Staff Collected Refunded Initials 01-51570 (210) Demolition Permit 01-52122(211) Sewer Variance 01-52555(212) Building Permit t / ,� . 01-52555(212) Sign Permit 01-52555(212) Septic Permit 01-52655(230) Miscellaneous PLANNING &ZONING 01-52110 (220) Zoning Fees 01-52115(221) Planning Fees 01-52115 (221) Site Plan Review 01-52115(221) Subdivision 01-380 (222) Technical Assistance Invoice# 01-52655(223) Miscellaneous 01-52002-0061 (224) Recreation Assessments '41/2 67 'T FIRE MARSHAL 01-51560(190) Public Safety 01-52655(230) Minor Sales NAME &ADDRESS OF CUSTOMER PROJECT NAME!NUMBER .2 c 1 [) -1 ...it el < R - Ko-f- - .4-r�r, f l ✓OFFICE USE ONLY Cash Check# Credit Card Total Fee Total Fee Collected / t/ * t' fs Refunded , Town Clerk! Date Deputy's Signature . ( j _ , � 1f Prepared by: k Building &Codes Planning Zoning Fire Marshal Original (Town Clerk) Canary(Town Clerk) Pink(Customer) Gold (Return to Dept. checked above) • SEPTIC DISPOSAL PERMIT Office Use Only DATE K.. 4- Received �+ TaxMap ID /� L,3 1 TAX MAP ID a 2l. Js`-1 �•/ Permit No. •'7 Permit Fee LOCATION OF INSTALLATION /,, `-.c Q 60w / rqr / Approvals: / APPLICANT 69g (j. J��a/UrS n_1 PHONE/E-MAIL ✓ r . —'77-4-/T-r/c, ADDRESS 6 Jam'/'/}T VC,ert' /i d C•4r-1 Ke 4/(K Taro fr INSTALLER/BUILDER fc/c _ •Dc. u ' S C�OoSfroc • •PONE/E-EMAIL 777 r5/7 ADDRESS: ® k6 ,,•_,e5 �cn3- Le / rt r &r /2207 OWNER 13/(( //j/r../' clic_ _____ SePHONE/E-MAIL 32/-/aip Address /n/�[p (��) 9 (� CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: K T-! e- +� �j r PHONE 7/ /`I S/' RESIDENCE INFORMATION I Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow 1980 or older Garbage grinder installed _Y X N 1981-1991 Spa or Hot Tub installed _y kN 1992-Present PARCEL INFORMATION Topography at rolling _Steep slope %slope Soilil Nature Sand nLoam Clay Other Groundwater At what depth? A,one- finde&lei On en in een r Bedrock/Impervious Material At what depth? /V O q c G Domestic Water Supply Municipal <Well(if well,water supply from any septic system absorption is /OOft.) Percolation Test Rate: per minute per inch(test to be completed by licensed engineering/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION Tank Size /0 O o gallons(minimum size 1,000 gallons,add 250 gallons to size for each garbage grinder or spa or hot tub) System Type Absorption field with#2 stone Total length / ES- ft.;Each trench 3 x S'S/ 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 aTown 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 know by or on behalf of an applicant,shall be void. I have read the regulations and agree to abide by these art all requirer nts of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Print Name: j e�C! I e LJ Date: V Si r� Signature: / kl J� Date: 6 Town of Queensbury Building&Codes Principal Structure Application July 2014 Town of Queensbury j Thomas R. Van Ness Highway Department ° 31 Highway Superintendent 742 BayRoad, Queensbury, NY 12804 ry, Home: (518) 745-0929 Phone: (518) 761-8211 Fax: (518)745-4466 David DueIl Deputy Highway Superintendent Home: (518) 745-0938 DRIVEWAY PERMIT Date: (� � Applicant Name: iQc Q 12"-)1S Telephone No.: 7 9/-17,5%7 Address to Be Inspected: dr" ca Q,bhau) 774(7 Return Address: 65-6 t F 1)Q//4y P. 47-—/e /1/r /2gre'7 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 7 Town of Queensbury Building&Codes Principal Structure Application July 2014 3 m Queensbury Building & Code Enforcement - Residential Final Inspection a- Io Office No. (51 B) 761-8256 � ��1 Arrive: • .�,e veto. /dPrt: �a- am Date Inspection request received: Inspector's Initials: NAME: Af,(. P - IT#: "S-1541 LOCATION: 5 2- QA,.4-ft g ro p vim_ c TE: 6 6 so-LS TYPE OF STRUCTURE: -orb Comments: Yes No N/A 4° Building Number Address visible from road 1 tQ5 V% Chimney Height/"B"Vent/Direct Vent Location fx L Fresh Air Intake - 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck, porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: _ Every Bedroom: _ Outside every bedroom area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation to floor/Sticker on Panel Duct work sealed properly/Blower Door Test Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shutoff at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum 36"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/''/.hour fire door/door closer Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving Light Bulbs 50% Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles C:h /C� T� ` Flex Gas Pipe Bonding �jjoc_ As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required A�.�N�EtSc Flood Plain Certification,if required / CO Okay to issue C/C or C/0[Temporary/Permanent) 'C rtiss \a St%ra ttb er• k,.&r L:\Building&Codes FormslBuilding&Codes\Inspection FormsiResidential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08; Revised 12/22/10,Revised 04/13/11 If mom 4 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: a,r r'" _'rt: a Pj Date Inspection req uest received: 112211`° Inspector's Initials „f es NAME: l ,M ' IT#: I di- LOCATION: %2. {Lo..\v�haot/a 1 v P b TE: Q ]Al 2rQ►S TYPE OF STRUCTURE: Sf-0 ` f Comments: Yes No` N/A 4" Building Number Address visible from road / 1( p J� ,S [ -45)'I-- Chimney � - Chimney Height/"B"Vent/Direct Vent Location ✓/i 1�^�/i Fresh Ar Intane 3inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Completeci Platform at all exterior doorsHandrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck, porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing I Handicapped Ramp Compliant i / Grade away from foundation 6 inches with 10 feet > ba TO _4� ' 1 6 inch clearance to sill plate try Gas Valve shut-off exposed/regulator 18 inches above grade 69--MTC- DI• r `rte Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight 007- Safety glazing/W}d� ow in stairwells safety azing J Interior Smoke D¢tectors Carbon onoxi Detectors Every level: E ry Bedr m: grazing Outside every bedroo area: J Inter Connected: Battery backup: / Attic access 30 inches x 22 inches x 30 inches(height)in accessible area ✓ Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents -Plumbing fixtures Foundation insulation to floor/Sticker on Panel Duct work sealed properly/Blower Door Test Certification Floor truss,draft stopping finished basement 1,000 sq.ft. f Emergency egress below 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 �/ Low water shut-off boiler Relief Valve(s)installed/Heat Trap/ er Temp 110 W �� Ed�� , C Enclosed Stairs Sheetrock Underside mu / ‘p Basement stairs closed rise>4 inches �/� Garage Floor Pitched (� / 7 Garage fireproofing hour fire door/door closer i-kt@i '( rag_ // 2___ `OL. F LE[ or Gas Logs in Sealed or Glass Enclosure / Final Electrical; Energy Saving Light Bulbs 50% Y J ��E� g�Z�� FinalcSurvey Plot Plan p - // • Q�- W A`� Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles ,'/// fr w�Flex Gas Pipe BondingAs Built Septic System/Sewer Dept. Inspection SlitherrtSite Plan /Variance required /7‘.)?--.) 4 Flood Plain Certification,if required Vf/ �}��J� �-� Okay to issue C/C or C/O[Temporary/Permanent I 1 \/ S apt 5 tar (IS toer — tJ .1a. O F l L:1Building&Codes Forns\Building&Codesllnspection FormaResidential Final Inspection Form_revised_100405.doc; Revised January 7, 2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11 � (NM- cs i.)cE M N 1 Queensbury Building & Code Enforcement - Residential - . :I Inspection Office No. (518) 761-8256 Arrive: V-tip am-t. 4/D-•art: /- ru a pm Date Inspection request received: Inspector's Initials: _ i NAME: C1-kRSE PER, T#: W -4'M LOCATION: (57 _ K Pt1fJ. ' -TRAM_ D, E: y — 23- 6r" TYPE OF STRUCTURE: V- Comments: Yes No N/A 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake ✓ 3 inch Plumbing Vent through roof minimum 18 inches J Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers ,/, Guards at stairs,decks,patios more than 30 inches above grade V/ Guard at stairwell at 34 inches or more V/ Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches J Deck Bracing/Handicapped Ramp Compliant / Grade away from foundation 6 inches with 10 feet / -rSt- BRCC)C )9 `� 6 inch clearance to sill plate V `Th Gas Valve shut-off exposed/regulator 18 inches above grade t EST P.B\--‘bNA F Interior •rive /trim/doors/main entrance 36 inches 1 1 ��R e`� Bathroom/Kitchen watertight �rw �0-1 Safe .lazing/Window in stairwells sa •lazin. -%p t _t,j2Qb3 1 f3G Interior Smoke D- - ors/Carbon Monoxid�Detectors f7 Every level: Every Bedrg6m: ✓ / C o?EST'k o v.\ suT0 Outside every bedroo rea: ✓ Inter Connected: V Battery backup: / / Attic access 30 inches x 22 inches x 30 inches(height)in accessible area ./ Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation to floor/Sticker on Panel Duct work sealed properly/ FltrZ__;E RL Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below 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 Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum W Gypsum Basement stairs closed rise>4 inches �✓ Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Fl Vc-5� 4 Gas Logs in Sealed or Glass Enclosure / M 1004, b0 Final Electrical;Enemy Saving Light Bulbs 50% t Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles CI\b 91 1 Flex Gas Pipe Bonding I As Built Septic System/Sewer Dept. Inspection Sticker Site Plan ✓ Flood Plain Certification,if r • Okay to issue C/C or C/ Tempora3 ermanent] A r u,Ss kb $sn ore aOl6 o r n eta ar L:1Building&Codes FormsWuilding&CodesUnspection Forms1Residential Final Inspection Form_revised_100405.doc;Revised January 7, 2008; Revised 6/26/08; Revised 12/22/10,Revised 04/13/11 l Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury, NY 12804 Date received: NAME: Cc,) LOCATION: 52 „- uI ti�p�,l �✓G PERMIT#: Final Survey Plot Plan A s t roved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the surve has be-n: Craig Brown, Zoning Administrator Notes: LASueHemingway\Building.Codes.Inspection.FORMSTinal Survey Zoning Admimstrator.doc MAP REFERENCES: MAP OF A SUBDIVISION MADE FOR H. RUSSELL HARRIS DATED NOVEMBER 7, 1991 LAST REVISED MARCH 24, 1992 BY VAN DUSEN & STEVES LOT -7 LAND SURVEYORS LOT 8 � MAP OF A SUBDIVISION MADE FOR W RINO LONGHITANO o, S 74°01 DATED NOVEMBER 2003 0j F LAST REVISED Co c 4j1.041 FEBRUARY 17, 2005 ,� ^/ BY VAN DUSEN & STEVES z ►�DID I m LOT 10A I LOT 11 150,856 sq.ft. �•h� w LOT 9 3.46 acres LL) I 0 0 / 0 o / ¢ � S 83-32-00- E w3, U) U w 290 40'' roV L ce o w / p o O - __ 2a _ 9rca sFOkr o d oaj 100 w000 FrznlvE <h N ^ I HOUSE 5EPTIC K 714.78' N85' 4'55"W _ I HEREBY CERTIFY THAT THIS MAP WAS PREPAREDFRO N MAN ACTUAL CERTFCATIONFISURVEY.ELD SHALLR N THSONLY TO THE PERSONS cFo/T� FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. LOT 10B CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: WILLIAM CHASE APRIL CHASE NBT BANK'-TrN A 1"r$ ,✓r I G� �� IT'S SUCCESSORS AND/OR,A$S(GNS _ FIRST AMERICAN TITTLE INSUR�AN�E COMPANY iY'. 1`K`3'�--�I r7 r+- CERTIFIED BY: �- - L BAR 22 ZU15 MATf�EW C STEVES%LLS NY�S.z50135 3,, \ DATED: NOVEMBER 11 2014 esla, %" TOWN OF QUEENSBURY BUILDING & CODES i S I Date: NOVEMBER 11, 2014 UNAUTHORIZED o LICENSED S ADDITION TO 19 A Y Map of a Survey made for Scale 1"=50' MOH r MAP BEARING A LICENSE➢ LPNO iURVEYOR$ SEAL I$ A W NEW YORK OF SECTOR EM AM0 SUU OINSION 2, OF THE NEW YORK SiAIE EOUCA➢ON LAW T11"C'1101IT115CHRULf SO, ARCOP AH 0. c I L o LAID uK,,YC s SEAL SHALL BE CONSISINU ATERED i9 BE VAIJG SIGNIFY COPIES' sT y Chase "CESURVEAPONS INOICAIED IN AC N SIGNIFY iHAi � ^ yy-M Q a A y-� y� l I EXIS EURCET WAS PREPARED Try HAND SUR WOS AD aIle yB INiV 1(. p 111 yyy �'y ��+E Er ME CODE OF PRACTICE FLJN YON SURVEYORS ADOPTED L a rid S � 'y -v e t '% ® 3 S LA DHE NEW YORK SID T AESQEIR110N OF PROFESSIONAL SHEET 1 OF 1 3 V�/ ✓�/ LANG SURVEYORS. F SAID OM THE RW SHALL PARED,UN LA TO THE PERSON FOR E M SFIE §URCEY IS PREPARED, AND 1 ON HIS BEHAyF i0 THE TIRE CUMPANY. GOYFANMFNiAL (l AGENCY AND LENDING INEMTU¶UN NOTES HEREON• AND Town of Queensbury, Warren County, New York CHASE C-2866 169 Haviland Road Queensbury, New York 12804 TO Tr' CNLEsCTTlle « N DNTIO- (518) 792-8474 New York Lie. No. 50135 1 NO. DATE DESCRIPTION DWG, NO. 89058-10A 979 15-1—F1 1 I., I Pe Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 Septic Inspection Report Inspection request received: Name: C\—\CVDV- 1 Inspected on: Location: F.7 Rc- t32M \ RAI` Arrive: ape 6p Permit No.: k —1-143\ Inspector's Initials: i Co• ments and/or dia,ram Soil Type: Sand/Loam/Clay Type of Water. Municipal/Well Water Waterline separation distance ft. Well separation distance ft Other wells: ft. Well Casing Length 50'+/- Y N N/A [150'to well required if NO] Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size. Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y N End Cap Y N Inlet/Outlet Pipes&Baffles Y N Manholes 12"or less below grade Y N [provide extension collar if Yes] Y N Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits Conforms as per Plot Plan N Engineer Report and As-Built Y N ETU Maintenance Contract provided Y_N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear S stem Use tat : Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved 1 � Septic Inspection Report 1 169 Haviland Road Queensbury, NY 12804 Hutchins Engineering Phone: (518)745-0307 Fax: (518)745-0308 April 23, 2015 Mr. John O'Brien E C E ,;►� V E R Town of Queensbury Building Department Ae 742 Bay Road D / 'rj Queensbury NY 12804 APR ! 3 2015 Re: William and April Chase, Septic System TOWN OF OUEENSBURY 52 Rainbow Trail, Tax Map ID: 279.15-1-614 BUILDING & CODES Dear Mr. O'Brien: This office prepared initial design details for septic system work on the above-referenced parcel in 2005. The current owners, William and April Chase, revised the location of proposed infrastructure from the original suggested layout in order to meet their needs. I conducted a soils test pit in the area of the proposed septic system on November 4, 2014 which confirmed that the shallow absorption trench system was appropriate, as per the original design. I inspected the installation of the absorption trenches, distribution box, and septic tank on December 23, 2014 and subsequently inspected final installation on April 21, 2015. The system, as installed, consists of a 1,000-gallon pre-cast concrete septic tank, a concrete distribution box, and three 55-foot-long pipe-in-stone conventional absorption trenches installed in shallow configuration. Attached is a mark-up of the actual surveyed building, tank, and field locations. Record drawing dimensions have been added. It is my opinion that the septic system is installed in general conformance with the original design details and the attached record drawing mark-up. Please contact me if you have any questions or if you require additional information. Best Regards, G. Thomas Hutchins, P.E. sr Cc: Mr. Bill Chase As BU L 11 Mr. Pete Davis G.Thomas Hutchins,P.E. thutchins@hutchinsengineering.com MAP REFERENCES: MAP OF A SUBDIVISION MADE FOR - H. RUSSELL HARRIS DATED NOVEMBER 7, 1991 --- LOT 8 LAST REVISED MARCH 24, 1992 BY VAN DUSEN & STEVES LAND SURVEYORS MAP OF A SUBDIVISION MADE FOR RING LONGHITANO DATED NOVEMBER 2003 LAST REVISED g 471.04 FEBRUARY 17, 2005 BY VAN DUSEN & STEVES F F LOT't7 LOT 8 g 471.04 � w 2 Queensbury Building & Code Enforcement - Residential Etal Inspection 2-21 Office No. (518) 761-8256 At ( Arrive: `",()1.am/0 : r: elp a pm Date Inspection request received: ` S Inspector's Initials: `1'/ej IV C�ctse..3 NAME: PER I #: 14-4M LOCATION: r.)1.- 11-r-W r Tran\ DAT : A]a -i 2.o tS TYPE OF STRUCTURE: Sir--1� / Comments: Y! Yea' No N/A -- 4° Building Number Address visible from road p t,zi5 t 2— Chimney Height! BS Vent/Direct Vent Location ,f T Fresh Air Intake v/ 3 inch Plumbing Vent through roof minimum 18 inches ✓ Roof Complete/Exterior Finish Complete V Platform at all exterior doors V Handrail 4 or more risers Guards at stairs,decks,patios more than 30 Inches above grade Ve Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall `i, Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant / / — Grade away from foundation 6 inches with 10 feet c tJk\-- 6v 14.9>,- ` r 6 inch clearance to sill plate I Gas Valve shut-off exposed/regulator 18 inches above gradeInterior privacy!trim/doors!main entrance 36 inchesIiit Bathroom/Kitchen watertightSafety glazing/Window in stairwells safety glazing Interior Smoke Defectors/Carbon Monoxide/Detectors Every level: / Every Bedro/afn: ✓ Outside every bedroomarea: ✓ / Inter Connected: ✓ Battery backup: Attic access 30 inches x 22 inches x 30 Inches(height)in accessible area / Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents /— Bathroom Fans,if no window / Plumbing fixtures Foundation insulation to floor/Sticker on Panel Duct work sealed property!Blower Door Test Certifcati Floor truss,draft stopping finished basement 1,000 sq. Emergency egress below grade ✓ Gas Furnace shut-off within 30 feet or within line of site • V Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating i Low water shut-off boiler — Relief Valve(s)installed/Heat Trap/Water Tem 110 Enclosed Stairs Sheetrock Underside minimum W Gypsum V Basement stairs closed rise>4 inches k/ Garage Floor Pitched • / — Garage fireproofing!%hour fire door/door closer F 1 RE.5fh?ToP t ✓ // Gas Logs in Sealed or Glass Enclosure / Final Electrical;Energy Saving Light Bulbs 50% / eyr_„LG 1.JE� — Final Survey Plot Plan J f l‘ k /2 F t 13 Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles V Flex Gas Pipe Bonding l ^ As Built Septic System/Sewer Dept. Inspection Sucker ✓ RS-6‘m-r\--- jJiPC\Ci Site Plan /Variance required Flood Plain Certification, if r-. ' -• "Okay,to issue C/C or C/O CD Permanent] • l r14,s.s 1rb ,si5nmrr - SIS br 'Mew err L:1Building&Codes Forns1Building &Codeslinspection Forms\Residential Final Inspection Form_revised 100405.doc; Revised January 7, 2008; Revised 6/26/08; Revised 12/22/10,Revised 04/13/11 0 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Insp ctio st received: Queensbury Building & Code Enforcement Arrive: ��m/pm 742 Bay Road, Queensb(urry, NY 12804. Inspector's riff NAME: (-(1\a„4‘1_, PERMIT#: 1 sky LOCATION: s a RQ f/1 n -{,meq t I INSPECT ON: TYPE OF STRUCTURE: S F b Y N N/A Plumbing under slab Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 11/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/Head 5 P.S.I. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 50 P.S.I. for for 15 minutes JInsulation /,Residential Check/Commercial Check Window Sealing Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape Blower Door Test Air Sealing COMMENTS: �L LA Co (L-- 2 `( ice' Rough Plumbing_Insulation Inspection_02 0513 A Rough Plumbing / Insulation Inspection Report Ie -/a Office No. (518) 761-8256 Date Inspection uest received: Queensbury Building & Code Enforcement Arrive: ��'c c a /pm' 742 Bay Road,+ �Q"ueensbury, NY 12804 Inspect r s Inl la s: NAME: GAOL'S C. PERMIT#: LOCATION: 5 `� Ra I n NO a w 1" r4e1 I INSPECT ON: TYPE OF STRUCTURE: S j b Y N N/A Plumbing under slab ug_ tubing /Nail Plates Plumbing Vent/Vents in Place 11/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/Head 5 P.S.I. for 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I. for for 15 minutes Insulation /Residential Check/Commercial Check Window Sealing Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct /Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape Blower Door Test Air Sealing COMMENTS:c1p Rough Plumbing_Insulation Inspection_02 0513 Town of Queensbury Building & Code Enforcement ed F-? Office No. (518) 761-8256 Framing ! Firestopping Inspection Report Inspection request received: Name: Ci tf--. d" Inspected on: _ �- Location: Sat RcZLk ..66t.0the Arrive: a.m.!p.m. • Permit No.: /4-1-cfaci Inspector's Initials: _Salk TYPE OF STRUCTURE: S F N NIA COMMENTS: g+� c cress 22"x 30"minimum Jack Studs/Headers V Truss Specification Provided Bracing I Bridging Joist hangers ‘77 Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in.or more Exterior Deck Bracing Headroom 6 ft.8 in. Notches/Holes I Bearing Walls Metal Strapping for Notches Top Plate 1 1/2(w)16 gauge(8) 16D nails each side Draft stopping 1,000 sq.ft.floor trusses Anchor Bolts 6 ft.or less on center Ice and water shield 24 inches from wall Fire separation 1,2,3 hour Fire wall 2,3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side''%inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in.(H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Design Professional Sign-off,if required Framing/Firestopping Inspection Report of Queensbury Building & Code Enforcement It ti.to s c)---(/ Office No. (518) 761-8256 Septic Inspection Report Inspection request received: Name: CAA 14.rA-Q. Inspected on: -I : 3- Location: S oil Ra4/e,fre-tediJatt.Q, Arrive: �CIL" Permit No.: -4/ 3 y Inspector's Initials:' `�mments and/or diagram ' Soil Type: Sand/Loam/Cla Type of Water: Municipal/ ll Water Waterline separation distance ft. Well separation distance I 1/45 v ft. —' Other wells: i ft. Well Casing Length 50'+/- Y N N/A [150'to well required if NO] Absorption Field Total length 14CL ft. /�" Length of each trench L�:J ft. Depth of trenches " �ft Size of Stone Seepage Pits. Number Size x Stone Size: Piping Size Type Building to lank {I o T i .-reNf ; � Tank to Distribution Box 'r "Ci � �/ Distribution Box to Field/Pit /y " Pccc_ -rs L. I t Opening Sealed: `/v%� N 'k7 \\ p.-L___End Cap y Inlet/Outlet Pipes&Baffles Y—N c -_- ?�-c c $ J 13 Manholes 12"or less below grade [provide extension collar if Yes] _Y N Location/Separations — ‘ - -. 1. O f „v M` 15 Foundation to tank , 1 ft. �=t S tw Foundation to absorption ft. E--%—T- ��TR {S1�^ btQ1` Separation of Pits --c ' � `� / Conforms as per Plot Plan _Y �"�� Fl Engineer Report and As-Built Y N - -.o 0 N 1:A. --Cr. ETU Maintenance Contract provided Y_N l'i�c Q-->e1 ‘-ke\ .7 ,/ Location of System on Property: = 11) -WK. d Front Rear Left Side Right Side Middle Fro' Middle Rear c� System Use Status: pproved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Septic Inspection Report Town of Queensbury Building& Code Enforcement lG Office No. (518) 761-8256 Framing / Firestopping Inspection Report Inspection request received: Name: CArYa) .2._ Inspected on: / a -/ Location: n Mae�(JYt Arrive:QTDc.c� �/t.17 a.m,l p.m. Permit No.: / k/`-'f 3 y Inspector's Initials: eiraralah TYPE OF STRUCTURE: S F 1 Y N NIA COMMENTS: Framing Attic Access 22"x 30"minimum Jack Studs/Headers Truss Specification Provided Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O C. Headroom 6 ft.8 in. Stairwells 36 in.or more Exterior Deck Bracing Headroom 6 ft.8 in. Notches/Holes I Bearing Walls Metal Strapping for Notches Top Plate 1 '/z(w) 16 gauge(8)16D nails each side Draft stopping 1,000 sq.ft.floor trusses Anchor Bolts 6 ft.or less on center 'Ice and water shield 24 inches from wall Fire separation 1,273 hour Fire wall 2,3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 1/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in.(W) 5.7 sf above/below grade 5.0 sf grade Design Professional Sign-off,if required Framing /Firestopping Inspection Report ITU e3 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p t Depart<74�/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:/ G NAME: a total PERMIT#: I'4-4/,3 y LOCATION: �^ a R ett t,b n r7 INSPECT ON: //-as- /y TYPE OF STRUCTURE: .3 'F A Comments Footings J N N/A -,tI Piers 7--f-CAZ-3),(2dir-C Monolithic Slab Reinforcement in Place d'd d 1 C C- 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 Footing Dowels or Keyway in place 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:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM &.t„cdial_q"—// Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Departam/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials �.(t) NAME: 4,07) PERMIT#: -- ,a • LOCATION: Ca K6 D U.7 i J Qu I INSPECT ON: f,3 TYPE OF STRUCTURE: S F'h rCo encs Y • N N/A 7 dr Footing K 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 Place OR / Footing Dowels or Keyway in place 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:\Building&Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM • -taArrefti Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: 10 36 edi Queensbury Building&Code Enforcement Arrive: am/ppm- Depart: / 7 am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:/J !� I /J� ) NAME: C kriSt- PERMIT#: 02614-113q LOCATION: S,-9-- Pet:"benr �/Gr / INSPECT ON: 10/50/14/ TYPE OF STRUCTURE: •.".. k#2.1) k#2. U !/�/ Comments Y N N/A Footings r} ✓l I �J Piers I l9 i -q� 7 / 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 Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight ir Sump C Footingain Ston' - f2 inch width 6 inches above footitM liked:44/ a Bo or wet areas under slab ac i rl •pproval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R - Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM Foundation Inspection Report Office No. (518) 761-8256 Date Inspection re4u�- ed: Queensbury Building& Code Enforcement Arrive:t-`:� a rfji� Depart: . .m 742 Bay Rd., Queensbury, NY 12804 Inspector's InitialsOl��1' NAME: \ • • • IT#: /q131 LOCATION: .�a R A ' I n_ INSPECT ON: /0 -499 i` / TYPE OF STRUCTURE: S Ft Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place �P The contractor is responsible for D providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place CAN L R- Ca,€.c eY--- Foun atmaifipprooting Ls Foundation Waterproofing ovV--43A gt_p__)+4 Footing Drain Daylight or Sump V evhfr {) rioting- rainStone: oto it inchwidtli�r 6 inches above footing 7-6 \ 6 mil poly for wet areas under slab � siinkra ova ,I`S Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R - Rough Grade 6 inch drop within 10 ft. L:\Building &Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM c}od- ! —3 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depart:../c am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:/ NAME: C�,_\ /� _ PEIRMIT, #: v /<1 Cf 3 LOCATION: 5 A R 4; n b 6 toter' INSPECT ON: /Q -aa-r4 TYPE OF STRUCTURE: CS F 6 Comments _ Y / N N/A 'Footings" _v/ 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 c Reinforcement in Place � 4"5 }zd_ ,' T j Footing Dowels or Keyway in place 4 G SSP— r7t Foundation Dampproofing Foundation Waterproofing W L2S— 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:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM