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RC-000603-2016 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 at Community Development-Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: RC-000603-2016 Date Issued: Friday, January 6, 2017 This is to certify that work requested to be done as shown by Permit Number RC-000603-2016 has been completed. Tax Map Number: 308.8-1-76 Location: 93 BURNT HILLS DR Owner: Michaels Group Homes,LLC Applicant: Michaels Group Homes, LLC This structure may be occupied as a: Single Family Dwelling w/fireplace 1979 s.f By Order of Town Board Garage 494 s.f. TOWN OF QUEENSBURY Burnt Ridge Subdivision Lot 32 Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&.Codes (518)761-8256 BUILDING PERMIT Permit Number: RC-000603-2016 Tax Map No: 308.8-1-76 Permission is hereby granted to: Michaels Group Homes,LLC For property located at: 93 BURNT HILLS DR 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 Tvce of Construction Owner Name: Michaels Group Homes,LLC Single Family-New $270,000.00 Owner Address: 10 Blacksmith DR Total Value $270,000.00 Malta,NY 12020 Contractor or Builder's Name/Address Electrical Inspection Agency Tony LoCascio Plans&Specifications Single Family Dwelling w/fireplace 1979 s.f. Garage 494 s.f. Burnt Ridge Subdivision Lot 32 $1,319.90 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,September 14,2017 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensb before the ex/p�(Jatio/nJdate.) Dated at the Town of ueensb _ r� //Wed e eptember 14,2016 SIGNED BY: �(� for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Office Use Only Received Date: Tax Map ID Tax Map ID Permit No. f2(v 1463- _-v31.60 Permit Fee 4319. 90 Zone Rec Fee ° Historic Site _Yes X No Site Plan# Subdivision Name 5L>1*4r 2ia4�— Lot# 3 2 Subdivision# Project Location 9 3 BLAe+*t NIL!_s T_=N= SEP 09 2016 TOWN BD.RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family,duplexes/two-family, multiple family,apartments, condominiums,townhouses, and/or manufactured&modular homes, but not mobile homes. This is in addition to the permit feels). Applicant MtU 4D 99a � p Ownerp1E Address 10IL•LAL"pA(T%4 I�!Ienlc Address Mpn.TA,lvY IZO Z.0 Phone/E-mail 45tcb,acgq .(031I Phone/E-mail Contact Person for Building&Codes Compliance: To I.L-r Lo Cn sc.tO Phone 314 4 TYPE OF CONSTRUCTION n ✓Check all that apply New Addition Alteration 1" floor sferzsf Total sf Height Single Family X l 59 I 61� (rrapg�t,.y,t l,'1 •79 � 21 _q i/- Two-Family Multi-Family (#of units_) Townhouse Business Office Retail-Mercantile Factory- Industrial Attached Garage (1,Q)3, 4—) 4414 Other If commercial or industrial please indicate of business Town of Queensbury Building&Codes Principal Structure Application Revised September 2015 Proposed use of building or addition s_%McAt,E FN."W4 f stogy Cc Source of Heat(circle one) as Oil Propane Solar Other Fireplace: Complete a separate application for Fuel Burning Appliances &Chimneys Are there structures not shown on plot plan? No Are there easements on the property? Np Site Information a. Dimensions or acreage of lot Z b. Is this a comer lot? c. Will the grade be changed as a result of construction — Yes — No d. Public water or Private well puguL e. Sewer or Private Septic System sEpnc. Value of all work to be performed(labor or materials) $ Z.7 Doe o 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. 1 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. 1 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: PRINT NAME: DATE: 9 6 d SIGNATURE: DATE: �� _ 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 2015 Fuel Burning Appliance & Chimney Application Office Use Only Received DATE: Tax Map ID TAX MAP ID: Permit No.Permit Fee ZONE: OWNER I.,,IICJ,yAAV�S G20_,p V40WAE5F�rLLL PHONE/E-MAIL 5L0.0C%q .(031r ADDRESS to CaA�t—r Mst-11h, , MY I2o2.o INSTALLER/ p,_,!F:or R v e HeTaZjW A r--6T10 PHONE/E-MAIL 5�p,g(oy.C)000 BUILDER CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: TONY Lo Gnbu O PHONE/E-MAIL 516.$rdl•3144 BUILDING ADDRESS 013 9VZ&r M0.1S t:X¢r, ROOM OF INSTALL: L.W uAc1 rrc Uul k PLANNED INSTALL DATE: FUEL BURNING APPLIANCE INFORMATION WOOD COAL PELLET GAS OIL NOTE: ROUGH-IN& STOVE FINAL INSPECTION ARE FIREPLACE INSERT REQUIRED. NOTE: FIREPLACE,FACTORY BUILT* X MANUFACTURER'S FIREPLACE,MASONRY INSTALLATION MANUAL FURNACE(GARAGE ONLY) MUST BE AVAILABLE AT TIME OF INSPECTION *If factory built provide manufacturer name: to cr-rr 4 c,uv ; Model #: 45L_--I5o Listed by: v.t_• Number: %j L_ 3o1 S CHIMNEY INFORMATION Masonry** (check one) —BLOCK BRICK —STONE Flue TIE _ STEEL _ Size in inches Material _DOUBLE WALL _TRIPLE WALL INSULATED ** If non-masonry provide manufacturer name: ; Model#: DECLARATION: Construction/installation must conform to NYS Fire Prevention & Building Code and/or manufacturer requirements. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations,and all conditions that are part of these requirements and also will allow inspector's to enter premises to perform required inspections. I HAVE READ AND AGREE TO THE"ABOVE: PRINT NAME: , H �4suo DATE: SIGNATURE: DATE: Town of Queensbury Building&Codes Principal Structure Application Revised September 2015 SEPTIC DISPOSAL APPLICATION Office Use Only Received DATE: Tax Map ID TAX MAP ID: 7lo Permit No. Permit Fee ZONE: APPLICANT M1C-44p.El-S C1Rou> 1-1C3i.A W, LLC_C PHONE/E-MAD. ADDRESS 10 bt P_/SMrm mZazo INSTALLER/ C-") .M LerS FMAEM>XXA MYC.AV AT1 N.Ct PHONE/E-MAIL 51(b. -14-7 .q S,1 t BUILDER OWNER 1M1CHA.% , C11ZUt.9 ".0MOr�, LLC SAS .4Si4 . wwI ADDRESS X13 {3VX.t,'T 4A%LL% DRAT CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: llxi-r LoC-i45CA0 PHONE/E-MAIL S$•144 .2.riOS RESIDENCE INFORMATION Year Built #of bedrooms X gallons per bedroom =total Daily Flow 1980 or older Garbage grinder installed —Yes XNo 1981-1991 Spa or Hot Tub installed Yes '<`No 1992-Present ( (O 336 PARCEL INFORMATION Topography Flat rolling _Steep slope _%Slope Soil Nature ><_Sand Loam Clay Other Groundwater At what depth: Bedrock/Impervious material At what depth: Domestic Water Supply )< Municipal Well(if well,water supply from any septic system absorption is_ft.) Percolation Test Rate: per minute per inch(test to be completed by licensed engineer/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION Tank size 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 /5_6 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: /T"wl • i !/- .2/6t G @ DATE: Y L SIGNATURE: 6 DATE: Town of Queensbury Building&Codes Principal Structure Application Revised September 2015 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 Duell Deputy Highway Superintendent Home: 518-745-0938 DRIVEWAY PERMIT Date: E 1 s k)►to Applicant Name: M%C fkh.�Q C;V3tXA WDI.A S. ,LLC-- Telephone iLTelephone No.: 5ts.C2ACi.(0'311 Address to be Inspected q 3 %Ak LS ta'Zx%'t Return Address: P4A-y d,N•i 1207-0 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 O Slight Swale ( ) Deep Swale O 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 2015 REScheck Software Version 4.6.2 Compliance Certificate 308.8-1-76 RC-000603-2016 Project The Lily Michaels Group Homes LLC Energy Code: 2010 New York Energy Conservation 93 Burnt Hills Drive, LOT 32 Location: warren County, New York SFD wi 1979 s.f., Garage 494 s.f. Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 1,979 ft2 Glazing Area 16% Climate Zone: 6 (7635 HDD) Permit Date: 22 August, 2016 Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 93 Burnt Hills Drive The Michaels Group, LLC Queensbury, NY Malta, NY Compliance: Passes using UA trade-off Compliance: 0.09/6 Better Than Code Maximum UA: 261 Your UA: 261 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cast relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Assembly Pen or R-Value R-Value U-Factor UA meter Ceiling: Raised or Energy Truss 1,591 38.0 0.0 0.025 40 Walls: Wood Frame, 24" o.c. 1,701 21.0 0.0 0.056 81 Entry#1: Solid 21 0.170 4 Ix Dining (H):Vinyl Frame:Double Pane with Low-E 33 0.310 10 Mud #20: Solid 19 0.170 3 1 Master Bath (AM):Vinyl Frame:Double Pane with Low-E 7 0.310 2 1x Master Bed Q):Vinyl Frame:Double Pane with Low-E 7 0.310 2 1x Master Bed (H):Vinyl Frame:Double Pane with Low-E 33 0.310 10 2x Breakfast(B):Vinyl Frame:Double Pane with Low-E 20 0.310 6 Breakfast#7:Glass 40 0.300 12 2x Great Room (AV): Vinyl Frame:Double Pane with Low-E 33 0.310 10 1x Bed #2 (D):Vinyl Frame:Double Pane with Law-E 'SSP 5. 0.310 2 Ix Bed #2 (j):Vinyl Frame:Double Pane with Low-E 7 0.310 2 1x Bath (AA):Vinyl Frame:Double Pane with Low-E 5 0.310 2 1x Home Office(H):Vinyl Frame:Double Pane with Low-E 33 0.310 10 Basement Walls:Solid Concrete or Masonry 1,436 0.0 13.0 0.052 73 Wall height: 7.6' Depth below grade: 6.6' Insulation depth: 7.6' Project Title:The Lily Report date: 08/23/16 Data filename: F:\Share\Design\Res-Check\Burnt Ridge\93 Burnt Hills Drive.rck Page 1 of 7 Gross Area Cavity Cont. Assembly or U-Factor UA 2x Oversized Basement Windows:Wood Frame:Double Pane with Low-E 4 0.310 1 2x 6030 Sliding Windows:Vinyl Frame:Double Pane with Low-E 36 0.310 11 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2010 New York Energy Conservation Construction Code requirements in REScheck Version 4.6 2 and to comply with the mandatory requirements listed in th REScheck In t, n Checklist. - aA-,.J # Lat mYM-� PCLcS 1ok�T �S Name-Title Signatu -..° 1.lXjy Date J•+'> 06911 y r'rtsSIo" Project Title: The Lily Report date: 08/23/16 Data filename: F:\Share\Design\Res-Check\Burnt Ridge\93 Burnt Hills Drive.rck Page 2 of 7 REScheck Software Version 4.6.2 Inspection Checklist Energy Code: 2010 New York Energy Conservation Construction Code Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plans Verified Field Verified # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions 103.2 Construction drawings and ❑Complies [PR111 documentation sufficiently ❑Does Not demonstrates energy code compliance for the building ❑Not Observable envelope. ❑Not Applicable 103.2, Construction drawings and ❑Complies 403.7 documentation sufficiently []Does Not (PR311 demonstrates energy code ,4P compliance for lighting and ❑Not Observable mechanical systems.Systems ❑Not Applicable serving multiple dwelling units must demonstrate compliance with the commercial code. 403.6 Heating and cooling equipment is Heating: Heating: ❑Complies [PR2]2 sized per ACCA Manual 5 based Btu/hr Btu/hr ❑Does Not Q, on loads per ACCA Manual J or Cooling: Cooling: ❑Not Observable other approved methods. Btu/hr Btu/hr— []Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 13 1 Low Impact(Tier 3) Project Title:The Lily Report date: 08/23/16 Data filename: F:\Share\Design\Res-Check\Burnt Ridge\93 Burnt Hills Drive.rck Page 3 of 7 Section # Foundation Inspection Complies? Comments/Assumptions & Re .ID 303.2.1 Exposed foundation insulation ❑Complies [FO11]2 protection. ❑Does Not .4 ❑Not Observable ❑Not Applicable 403.8 Snow melt controls. ❑Complies [F012]2 ❑Does Not VA ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 13 1 Low Impact(Tier 3) Project Title:The Lily Report date: 08/23/16 Data filename: F:\Share\Design\Res-Check\Burnt Ridge\93 Burnt Hills Drive.rck Page 4 of 7 Section Plans Verified Field Verified # Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions &Re .ID 402.4.4 Fenestration that is not site built ❑Complies [FR2011 is listed and labeled as meeting ❑Does Not to, AAMA/WDMA/CSA 101/I.S.2/A440 []Not Observable or has infiltration rates per NFRC 400 that do not exceed code []Not Applicable limits. 402.4.5 IC-rated recessed lighting fixtures []Complies [FR16]2 sealed at housing/interior finish ❑Does Not u, and labeled to indicate&It;= 2.0 cfm leakage at 75 Pa. ❑Not Observable []Not Applicable 403.2.2 All joints and seams of air ducts, ❑Complies [FR13]1 air handlers,filter boxes, and ❑Does Not QV building cavities used as return ❑Not Observable ducts are sealed. ❑Not Applicable 403.2.3 Building cavities are not used as ❑Complies [FR15]3 ducts or plenums. ❑Does Not N' ❑Not Observable ❑Not Applicable 403.3 HVAC piping conveying fluids R-_ R-_ ❑Complies [FR1712 above 105 4F or chilled Fluids []Does Not U, below 55➢F are insulated to R-3. ❑Not Observable ❑Not Applicable 403.4 Circulating service hot water R-_ R-_ ❑Complies [FR18]2 pipes are insulated to R-2. []Does Not ❑Not Observable []Not Applicable 403.5 Automatic or gravity dampers are []Complies [FR19]2 installed on all outdoor air ❑Does Not intakes and exhausts. []Not Observable []Not Applicable Additional Comments/Assumptions: 1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 J Low Impact(Tier 3) Project Title:The Lily Report date: 08/23/16 Data filename: F:\Share\Design\Res-Check\Burnt Ridge\93 Burnt Hills Drive.rck Page 5 of 7 Section # Insulation Inspection Complies? Comments/Assumptions & Req.ID 303.1 All installed insulation labeled or ❑Complies [IN13]' installed R-values provided. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title:The Lily Report date: 08/23/16 Data filename: F:\Share\Design\Res-Check\Burnt Ridge\93 Burnt Hills Drive.rck Page 6 of 7 Section plans Verified Field Verified# Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID 402.4.2, Building envelope tightness ACH 50 =_ ACH 50 =_ ❑Complies 402.4.2.1 verified by blower door test result ❑Does Not [FI1711 of<7 ACH at 50 Pa.This MY requirement may instead be met ❑Not Observable via visual inspection,in which ❑Not Applicable case verification may need to occur during Insulation Inspection. 403.2.2 Duct tightness via post- _dm _dm ❑Complies (F14]1 construction with maximum ❑Does Not 0, leakage of 8 cfm to outdoors, or ❑Not Observable 12 cfm across systems. For ❑Not Applicable rough-in tests, verification may PP need to occur during Framing Inspection,with maximum leakage of 6 dm across systems and 4 dm without air handler. 403.1.1 Programmable thermostats ❑Complies [FI9]1 installed on forced air furnaces. - ❑Does Not di !❑Not Observable ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies [F]10]2 on heat pumps. ❑Does Not v ❑Not Observable ❑Not Applicable 403.4 Circulating service hot water - ]❑Complies [Flll]' systems have automatic or ❑Does Not accessible manual controls. ❑No[Observable !❑Not Applicable 401.3 Compliance certificate posted. - ❑Complies [FI712 - - ;[:]Does Not d ❑Not Observable -!❑Not Applicable 303.3 Manufacturer manuals for - - - EComplies [FI18]3 mechanical and water heating - _ _ ❑Does Not equipment have been provided. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title:The Lily Report date: 08/23/16 Data filename: F:\Share\Design\Res-Check\Burnt Ridge\93 Burnt Hills Drive.rck Page 7 of 7 �( 2010 New York j Energy Conservation Construction Code Energy Efficiency Certificate Insulation Rating R-Value Above-Grade Wall 21.00 Below-Grade Wall 13.00 Floor 0.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.31 Door 0.30 Heating&Cooling Equipment Efficiency Heating System: Cooling System: Water Heater: Name: Date: Comments Air Leakage Property Organization HERS Unknown GRAJNY Consulting, LLC Confirmed 93 Burnt Hills Drive 518-221-3240 01/05/17 Queensbury, NY 12804 Stan Gmjny, PE Rating NO:1005167 RaterID:5609922 Weather:Albany,NY Builder 93_BurntHilis The Michaels Group MlchaelsGroup_930urntHillsQueen sbury_T2_010517.b1g Whole House Infiltration Blower Door Test Heating Cooling Natural ACH 0.13 0.10 ACH @ 50 Pascals 2.39 2.39 CFM @ 25 Pascals 686 686 CFM @ 50 Pascals 1077 1077 Elf. Leakage Area(sq.in) 59.1 59.1 Specific Leakage Area 0.00013 0.00013 ELA/100 sf shell(sq.1n) 0.92 0.92 Duct Leakage Lealugs to outside Units Ducting C CFM @ 25 Pascals 0 �� CFM25 /CFMfan 0.0000 CFM25!CFA 0.0000 CFM per Std 152 N/A Ji CFM per Std 152/CFA N/A �._; CFM @ 50 Pascals 0 TOWN OF ('Ul-r';i.-.- -+RY BUILDING L'r° Eif. Leakage Area Isq.inj 0.00 B _-_-------"�� Thermal Efficiency N/A Total Duct Leakage Units CFM25/CFA Total Duct Leakage 0.1135 Ventilation Mechanical Exhaust Only ASHRAE Sensible Recovery Elf. 1%) 0.0 62.2-2010 Total Recovery Elf. 1%) 0.0 Rate MIT) 66 62 Hours/Day 24.0 24.0 Fan Watts 30.0 Cooling Ventilation Natural ventilation ASHRAE 62.2 -Ventilation Requirements t the The ASHRAE 62.2 flow rates shown above are the CONTINUOUS mechanical fresh airvenni ation'infiltrwhich wilt m'.eIn[ermitten[e•building' appropriate requirement under that version of the standard. Both values Incorporate any mechanical ventilation may be used if the flow rate is adjusted accordingly. For example, the runtime can be reduce ids ` per day using a doubled flow rate, as long as the system provides ventilation at least once every 3 hours. For RIOT the appropriate standard. U "°t 1f REM/Rate- Residential Energ Analysis and Rating Software v14.6.4 m This Information does not constitute any warranty of energy cost or savings. m 1985-2016 Noresco, Boulder,Colorado. \� � 308.8-1-76 RC-000603-2016 Michaels Group Homes LLC 93 Burnt Hills Drive, LOT 32 "Ic 41 SFD w/FP 1979 s.f., Garage 494 s.f. F5 g SFP n a 2oli i s00 r� S �1 , .l CID 410 / J e i 325 0 g„ W o n 0 50 / a 66 '/ \ ,Z Map Reference: r SEPTIC PLOT PLAN ;� E Map Of A Proposed Subdivision Made I HAVE SEEN OR OBSERVED ALL OBJECTS A Laric Development, LLC SUCH AS HOUSES LLS, TREES, FENCES, ETC ,N Dated: April 10, 2003 SHOWN THI OCUMENT.I HAVE PERSONALLY Last Revised. January 4, 2014 MEASU T (STANCE SET FORTH ON THIS IAG 6 o By: Van Dusen & Steves N 7 URE o 1 Filed: March 3, 2014, Plat C-349 a -NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 January 3,2017 Job#46257 New York State Dept. of Health 77 Mohican Street Glens Falls,NY 12801 RE: Burnt Ridge Subdivision Phase 2 - Queensbury(T), Warren County Lot#32 Septic System—93 Burnt Hills Drive Gentlemen: This letter is to inform you that we inspected the completed septic system for the house at 93 Burnt Hills Drive(Lot#32) in the Burnt Ridge Subdivision on 12/20/2016. The septic system as installed was for a 3 bedroom house and consisted of a 1,000 gallon septic tank and 150 lineal feet of absorption trench constructed with stone and perforated pipe. The system conforms to the requirements of the approved subdivision design drawings. Please call me if you have any questions or concerns. Sincerely, RC — 6 D-6. 2OA b Thomas R. Center Jr., PE D cc: Dave Hatin,Town of Queensbury c I Eric Wilson, The Michaels Group TOWN OF BUILDING& COI)ESRY CODES Map Reference: Map p Of A Proposed Subdivision Made For Laric Development, LLC Dated:April 10, 2003 Last Revised: January 4, 2014 By: Van Dusen c& Steves Filed: March 3, 2014, Plat 0-349 / ABSORPTION / TRENCHE5 3 @ 50-EA. LOT 33 LOT 34 o DISTRIBUTION BOX -• 1000 GAL. SEPTIC TANK ®®. / TIC SYSTEM 2yh �W a F 0) � \ •mss �ti N N M M I `'Z i LOT 32 S / 3485. 7 Sq. ,Feet 1110 oc / - - STORY - '"' WOOD FAME '9 t� / HOUSE 77.0 .. ,4QI Fes' o • 00 z I / o50T1 / S 6$ y LOT 37 y,.H,e.ty�k as B \ a �; s a ,� \ .. ;`��\�4�0 e��4��1��is 7'��✓� . r r' NY „ 9P ;iasp`TLiHr�ICX�� SEPTIC :S ST M BUILT C ' ENGINEERING ® _Map of. a • �.... �..... ••.... .... ... �. .. .... a e. ecem er 21� ... . ...,.w� ®.e . Survey anade .for b 2016 D t .... le Dus - _ -UNAUTHORIZED ALTERATION ORADIAHONTO A5UKVEY - ('� MAP NEARING A LICENSED LAND 5URVEYOR55FAL15A = _' _ _ - �CQIe 1 4•Ut _ - = VIOLATION OF 5CCUON 7209,5UD-DIVI51ON 2,OF THE - - - ° J/(�/ I.JCe - NEW YORK STATE EDUCATION LY /�yyy /� ••` ,'•y°'. , ••••'J•-..••�•y_-�•,u,..,, •...L - - 'ONLY COPIC5 FROM THE ORIGINAL OFTHIS SURVEY - � e i e e MARKED WITH AN ORIGINAL OF THE LAND 5UKVOR5 1 \J �L `.../ L.� 5EAL 5HALL DE CONSIDERED TO DE VALID TRUE CONIES.' 'CERTIFICATION5 INDICATED HEREON 51GNIFY THAT lAnd THI5 5URVEY WA5 PREPARED IN ACCORDANCE WTH THE -EXISTINGCODEOF FRAG'TICE FOR LAND 5URV--ADDPTED - - _ BY THE NEW YORK 5TATE A550CIATION OF PROFE55IONAL (� use •/�,] _ LAID SURVEYORS.SAID CERTIFICATIONS SPAN.RUN ONLY 169 Havxland ®ad ween TO THE BEHALF FOR WHOM TIS SURVEY ISPREPARED, EITTAPND _ ON H15 BEHALF ND THE TITLE COMPANY,NI-15 GOVERNMENTAL _ -. Carolyn �.••� ®l V • " 6jQ - LENDING INSTITUITION LISTED HEREON,AND _ tl��..RR J _ III Mellhede � - . Queensbury, New York 12804 TO THE A551GN1E5 Of THE LENDING IN5TITUTION.' AGENCY AND 1 518 792 Town of Queensburl , Warren County, New York 0 013/17 I SEPTIC SYSTEM AS—BUILT " Me�lhede - No. 50135 NO. GATE DESCRIPTION DWG. NO. 99241-Lot 32 8474 New York Lic I j , W..•,. �.W... .W ..ry,._.. �. .� ., .............. ....................... ....................................... ............. Map Reference: ; Map Of A Proposed Subdivision Made For Laric Development, LLC Dated: April 10, 2003 Last Revised: January 4, 2014 By: Van Dusen & Steves Filed: March 3, 2014, Plat C-3491 � y / LOT 33 1 i of/ \ Lor 34 I I / 5�0� , ° / ° Piles SY.;'EPJ ) ' P l � C\1 C\1 I I CV3 I I LOT 32 I 53485. 7 Sq. Feet 401 / o I 1.23 Acres O / _. srORY \ i -- - WOOD FRAM, 7 , - - �7.0 o 1110 _J � �/- 325 00.9„ W \ 680 5� y LOT 31 1 vvo of WC. -� ?vn' ,. � - \ � + TOWN air {�3U ,E �`'E3011�'� ZON SO LAND '801 V5 .w,... ...,,.. .. ... ......•....,.. .............. . _.a"fe' . Du MAP of a Survey made for Date: December 21, 2016 'UHAU1HC;RI4ED ALTEP.ATIOH GP,ADDITIOH TO A5UKVEY MAP BEAR1IIG A LICEI15EO_AHD 5UKVEYOP.55EA.15 A )i 1 Scale 1 =40' VIOIATIOII r1F SECIIOtI 7209,5UB-DIV151Gf1 2,Or THE - , i� FINAL SURVEY — TEW 10RC STATE EDUCATION FIGIJAY.' - 'OfILY CC, f5FROM THE OKITHE OF THIS SURVE'l = - RIARKED 4ll IN AH ORIGIIIAL OF THE W ID SUP,VEYOPS , 5EAi.5HALE 6E CGHSIDEPED TO DE VAUD TKUE COPIE5• ` r 1 - 'CERTIfICAf_JCH5111DICATED HEREON 51GIUFY THAT I - - THIS SURDy THJt EN\NAS PREPARED Yom 5TATE o ACCGRD F rK WITH THE And R C 603-2016 �! {7 Larid �/y _ U15TIIJG f�OE or PRACTICE FOR W ID 5UKVEYOR5 ADOP,TEO � ' + 9yors - LV D SUJ2`C ORS.SAID CEKTIORCAT1011119 SHAIIFP,U!loll ti' - Meilhede _ 1 TO THE PEF50H FOR ETOM THE SURVEY 15 PP.EPARED,A110 _ I - �� i OII HIS DEI IPIF TO THE TITLE COMPPIIY,GOVERJlMETTAL M. - 1 169 Haviland Road Queensbury, New York 121704 OTHE A",K&6ElE5fOfTETLEKVIG TJOfl U5HTUTi001J A10 Town of Queensbury, Warren County, New York Mellhede 792-3474 New York Lie. No. 50135 �..., -Lot 32 513 ! DESCRIPTION 24 I 100 DATE � DWG NO 99