RC-000111-2017 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-000111-2017 Date Issued: Thursday, August 31, 2017
This is to certify that work requested to be done as shown by Permit Number RC-000111-2017
has been completed.
Tax Map Number: 239.12-2-88
Location: 2780 State Rte 9L
Owner: Harold Gordon
Applicant: Harold Gordon
This structure may be occupied as a: Residential Interior Alterations 672 sq. ft.;
located on the left wing of the house;proposed construction of 2 bedrooms and By Order of Town Board
2 full bathrooms. TOWN OF QUEENSBURY
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
ter. Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000111-2017
Tax Map No: 239.12-2-88
Permission is hereby granted to: A Plus Home Improvement
For property located at: 2780 State Rte 9L
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
Tvne of Construction
Owner Name: Harold Gordon Single Family-Alteration $58,000.00
Owner Address: PO Box 275 Total Value $58,000.00
Cleverdale,NY 12820
Contractor or Builder's Name/Address Electrical Inspection Agency
A Plus Home Improvement
591 Vaughn RD
Hudson Falls,NY 12839
Plans&Specifications
Residential Interior Alterations 672 sq.ft.;located on the left wing of the house;proposed construction of 2 bedrooms and
2 full bathrooms.
$100.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,April 10,2018
(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 a .ratioon date.)
Dated at the Town o Queens /J Mo n 10,2017
SIGNED BY: y for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only -7
ADDITION/ALTERATION PERMIT Permit#:
APPLICATION Permit Fee: $
Gmn ut(-uccnsbur1
742 Bay Road,Queensbury,NY 12804 Invoice#: 1
P: 518-761-8256 www.gueensbury.net
Project Location: 7 JVU S `I'L 35(,
Tax Map ID #: 5__23 g/00 J 3i. i,Z Subdivision Name: - �n 2
v E
CONTACT INFORMATION: ` /
• Applicant: 10 MAR 2 3 Z__:"/
TOWN OF QUEENSBUR
Name(s): .y Ra i� ., L v c, , Y
Mailing Address, C/S/Z: 3�Y ?S� Cct� c�-44c 1`1 tUPMENT
Cell Phone: 3-i-i s".2 J 2 Land Line: 1 W ) 69-6 7o6
Email:
Primary Owner(s):
Name(s): / w to // ' /)o 1-4 4 G- iZ IJa i
Mailing Address, C/S/Z: P U i3o,r�?�S� [/•�✓.>A, /r N fd eav
Cell Phone: Land Line: � )
Email:
• Contractor(s):
Business Name: 14
Contact Name(s): S'►^� F/ 4 e,
Mailing Address, C/S/Z: -r9 / v' —v % 44 /?cB /-4,1r@fv i Al Y /.7fj9
Cell Phone: ( S_r ) 7y/ -G 39 Land Line: � )
Email:
• Architect(s)/Engineer(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line: �)
Email:
Contact Person for Building & Code Compliance: S`� ,3 ,z�G
Cell Phone: ( 0`7 ) �7S/ -4y Land Line: � )
Email: s�, , &d fol
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
PROJECT INFORMATION:
TYPE: Commercial _� Residential
WORK CLASS:
Single-Family _Two-Family _ Multi-Family (#of units )
Townhouse Business Office Retail
_ Industrial/Warehouse _Garage (# of cars ) _Other (describe )
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor:
211 floor: 2nd floor:
3rd floor: 3rd floor:
4th floor: 4th floor:
Total square feet: Total square feet:
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ P 0 c, C1
2. If Commercial project, what is the proposed use:
3. Source of Heat (circle one): Gas OilPropane Solar Other
Fireplaces need a separate Fuel Burning Appliances & Chimney Application
4. Are there any structures not shown on the plot plan? YES NC03 Explain:
5. Are there any easements on the property? YES NO
6. SITE INFORMATION:
a. What is the dimensions or acreage of the parcel? A d17,-1 .
b. Is this a corner lot? YES NO
c. Will the grade be changed as a result of the construction? YES GO)
d. What is the water source? PUBLICQi VAT ELL; _
e. Is the parcel on SEWER or a PRIVATE SEPTIC system? r S'Q�� L
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
DECLARATION:
1. 1 acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. Ifthework is not completed 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 and/or
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. 1 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: lvoe Y 'e00 1
SIGNATURE: 116; xl' DATE: .3`-�7-
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
-e�
::A ally Is we jo)ow
V D F CEUVE
MAR 2 -3 2017
TOWN OF QUEENSBURY
COMMUNITY DEVE1,0PIVIENT
239.12-2-88 RC 111-2017
Harold Gordon
2780 State Route 9L
Res. Interior Alterations 672 sq. ff.
2 bdrms, 2 full bathrms
JARR E77 EQ,97�2eerS, PLLC Civil&Environmental humeerulg
Transmitted via email
April 6, 2017
Mr. Charles Dyer � � � n
Town of Queensbury D U
Building& Codes -'
742 Bay Road APR 6 2017
Queensbury,NY 12804
0
C'harlesL)(WQucensbury.n t TOWN OF OUEENSBURY
COMMUNITY DI VELOPMEVT .
Re: Gordon Residence
2780 State Route 9L
Queensbury,NY 12804
Existing Wastewater Treatment System
JE# 17-008
Dear Charles,
On Wednesday April 5, 2017 representatives from this office visited the Gordon
Residence at 2780 State Route 9L to evaluate the existing on-site wastewater treatment
system(OWTS) for appropriate sizing, configuration and function in accordance with the
town of Queensbury wastewater standards. During the site visit we found that the
existing OWTS serving the existing three bedroom residence consists of a 1,000 gallon
concrete septic tank and a gravity distribution leaching system that uses a concrete
distribution box and four stone and pipe leaching laterals each 50'± long.
The existing septic tank is located on the north side of the residence that appears to be
watertight and functioning as intended. The septic tank outlet effluent line then drains to
the west wrapping around the west end of the residence,then turns to the south crossing
under the driveway and then between the garage and shed. The leaching system is
located immediately to the southwest of the garage near the driveway. The distribution
box is at grade but appears to be watertight and not subject to surface water inflow. Per
our recommendation the contractor will be covering the distribution box with soil to
provide an additional level of protection from inflow as well as provide some frost
protection. Speed levelers were installed in the outlet pipes to better assure equal
distribution. The (4) 50'± stone and pipe leaching laterals are substantially constructed in
fill material that had been placed behind the garage. Two small hand excavations were
dug adjacent to two of the laterals to evaluate leaching system function and buildup of
biomat. In both hand excavations the biomat buildup was minimal. The stone trenches
appear to be approximately 2' in with and 1' -2' in depth.
A percolation test within the footprint of the leaching system was performed in order to
determine an appropriate system sizing. The percolation test yielded a stabilized
percolation rate of 5 minutes 52 seconds,thus a corresponding with a design application
12 East Washington Street 518 792-2907
Glens Falls, NY 12801
Charles Dyer, Queensbury Buildings & Codes April 6, 2017
Re: Gordon Residence--2780 Rt. 9L
rate of 1.0 gpd/sf. For on OWTS consisting of(4)2' wide by 50't leaching trenches
with an application rate 1.0 gpd/sf has a system design capacity of 400 gpd. The 400
gpd design capacity exceeds the 330 gpd design flow for the three bedroom residence.
Four items of note were observed during the evaluation of the existing OWTS:
• The separation of the septic tank to the residence was found to be 4' instead of the
minimum requirement of 10'. While the septic tank is closer to the residence
than minimum standards allow. However, it does not appear that proximity of
the septic tank to the residence does not have any adverse impacts on either the
tank or the residence.
• The residence presently has a kitchen grinder. Per standards a three bedroom
residence with a kitchen grinder requires that the septic tank have a minimum
capacity of 1,250 gallons. As a result of this finding the kitchen grinder has been
removed in order to meet the requirements for use of a 1,000 gallon septic tank.
• A portion of one of the leaching laterals appears to be closer than the 20'
minimum setback to the garage. We believe this is not a concern of significance
given the garage foundation is constructed on a slab on grade.
• The four stone and pipe leaching laterals were not constructed with a barrier
material (Le: building paper,poly membrane, etc.) over the top of the trenches.
Only a small amount of soil that was placed over the top trenches at the time of
construction has migrated downward into the stone. The penetration of soil into
the stone was observed to be 2"to 3". While this downward migration of soil is
not desirable it does not appear to have caused any adverse effect thus far.
From our review of the existing OWTS it is our opinion that the existing OWTS serving
the 3 bedroom residence is functioning properly and is sized accordingly to meet present
design standards.
Should you have any questions,please do not hesitate to contact us at 792-2907.
Sincerely,
JARIUETF Engineers, PLLC
2017.04.06
- � 13:22:11 -04'00'
Robert U. Holmes II, P.E.
Project Manager
Cc: Chip Gordon
FADataFile\2017 Proj\2017 Resid\17-008 Gordon WW\Subm\170406 WW Review to Qby\Srce Files\16008 170406 Gordon WW
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