2007-421 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
(zt Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIIA►NCE
Permit Number. P20070421 Date Issued: Wednesday, January 09, 2008
This is to certify that work requested to be done as shown by Permit Number P20070421
has been completed.
Tax Map Number 523400-308-016-0002-014-000-0000
Location: 377 CORINTH Rd
Owner. HALCYON PROPERTIES, INC.
Applicant: HALCYON PROPERTIES, INC.
This structure may be occupied as a:
Septic Alteration Residential
By Older of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the (�2)j W
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 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070421 Application Number. A20070421
Tax Map No: 523400-308-016-0002-014-000-0000
Permission is hereby granted to: HALCYON PROPERTIES, INC.
For property located at: 377 CORINTH Rd
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. Tyne of Construction Value
Owner Address: HALCYON PROPERTIES, INC. Septic Alteration Residential
ATTN: MARK LEBOWITZ Total value
1617 WEST RIVER Rd
GANSEVOORT,NY 12831-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
SANITARY SEWER
DAN DRELLOS
PO BOX 224
GLENS FALLS NY
Plans &Specifications
2007-421
SEPTIC ALTERATION
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,July 09,2008
(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 b lign y,July 09,2007
SIGNED BY �"., �` '3 �- for the Town of Queensbury.
Director of Building& de Morcement
FICE USE ONLY '
46 —2
TAX MAP NO. P RMIT NO. PERMIT FEE
APPROVALS: ZONING TOWN CLERK
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT 0 REVIEW BEF79&61-J
SUANCE OF A VALID
PERMIT.
OWNER: � L C- �=UPrD .CtL-//e„r NSTALLER:
15Wt7
ADDRESS: f N ADDRESS:
PHONE NOS, PHONE NOS. / (0
LOCATION OF INSTALLATION:
t...............................-.........................................,.................... .......................;...........;....................................:.....................................: RESIDENCE INFORMATION.
l NO.OF I...........,.................. . . .
YEAR BUILT I X COMPUTATION= = ` TOTAL DAILY FLOW
t BEDROOMS '
................................................ ;...................................................................... ...... ....................................... GARBAGE
t
t 1980 or older i X 150 gallon per bedroom i O i INSTALLED?
GRIN ,R
..............................................:.............. ....................:...........;.........................................................................
;...........,..............................
..............
DER
1981 -1991 f X 130 gallon per bedroom
.................................................:....................................................................................................................................... .............................................................................. SPA OR HOT TUB N
I 1992-present i X 110 gallon per bedroom _ INSTALLED?
:
................................................ .........................................................:..........................................................................:............:..........................................................................
:
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING Z STEEP SLOPE %SLOPE
✓ SOIL NATURE: SAND ✓ LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT
WHAT DEPTHS
✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL
(IF WELL:WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT. )
✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH (TEST TO BE
COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT)
PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by
a licensed professional engineer or architect (unless installed in a Planning Board approved subdivision). Add 250
gallons to the size of the septic tank and leach field for each garbage grinder, spa or whirlpool tub.
✓ SEPTIC TANK: 1++ 0ClD GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH FT.
✓ TOTAL SYSTEM LENGTH: FT. SEEPAGE_PIT(S): HOW MANY?
✓ SIZE OF EACH FT. X FT. kZ
SIZE OF STONETO BE USED: #,�/DEPTH OR THICKNESS ' FT.
✓ BED SYSTEM SIZE: X
✓ ALTERNATIVE SYSTEM: LENGTH AND/OR SIZE
✓ HOLDING TANK SYSTEM:(If required) NO. OF TANKS: /SIZE OF EACH
✓ GALLONS./TOTAL CAPACITY., GAL.
i:....:...............:.......................:...:.:.:.:.:.:::.,.,.:.:.,.:,.:.,.:.:...:.:.,.:.:.:„. ,.:.:.:.:.:„.:.:.:.:...:::.:::_::.:::.:.:.:::•:.:::;.:.:::::::.:,:.::.:.,.:::::.:......,,,.:...:.,..........,:................:,.:.:.::,.::.........................
l NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
l
APPROVED ELECTRICAL INSPECTION AGENCY PLEASE REVIEW LIST PROVIDED..
..........:...............................................::.:.:.............:........................ ....... .... :.. .................... ... .:...::....... ..:.::::.::.:,:.,,,,:.,::.:.:.....:.....
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any
permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation 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 with respect to this application and
agree to abide by the nd all requirements of the Town of QUESTIONS? CALL 761-8256 OR EMAIL
eens ry Sanitary Se a Disposal Ordinan e. codes@aueensbury.net
VISIT OUR WEBSITE FOR MORE INFORMATION
6 O www.aueensburv.net
sign ture of Person R sponsibie Date
YaY . Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804
'Nov. 30. 2011� 2: 34PN MDIA, WatervI iet, NY` No. 0512 5P_ 2/6'
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
3
a
urfie� that the electrical wiring to the electrical equipment listed below has been examined and is approved as -;
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions.
Owner: Lebowitz Date: 11/18/2011
'Y
Occupant: Same Location: Corinth Road
Occupancy: Single Family Dwg. Queensbury, Warren Co. NY
Applicant Bdan Hayward
21 Stoddard Ave
Glens Falls, NY 12801,
L J
Richard Moon
f..
No. 318014:140.867E1'
Equipment:
150-Amp, Service Equipment 2/0
This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and
above and the installation inspected as of the above noted dale based on a visual ownership as indicated herein. upon a change in the use,occupancy or ownership
inspection. No warranty is expressed or implied as to the mechanical safety,ehi• of the property indicated above,this certificate shall be Immediately null and void.
ciency or fitness of the equipment for any particular purpose. This cartilicate shall In the event that this certificate becomes invalid based upon the above conditions,
be valid for a period of one year from the above noted dale. Should the electrical this certificate may be revalidated upon reinspection by Middle Department
system to which this certificate applies be altered in any way,Including but not limit- Inspection Agency.Inc. An application for inspection must be submitted to Middle
ad to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency. Inc. to Initiate the inspection and revalidation
any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service.
Framing / Firestopping Inspect on Report
Office No. (518) 761-8256 Date Ins ' request�ceived:
Queensbury Building &Code Enforcement Arrive. am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspecto s Initials: -3
NAME: PERMIT# l
LOCATI INSPECT ON: -
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS:
Attic Access 22" x 30" minimum f ��
Jack Studs/Headers roo �
Bracing/Bridging
Joist hangers 7`, C�-- ric)
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/Bearing Walls
Metal Strapping for Notches Top Plate
1 % w 16 gauge 8 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
ft. or less on center
Ice and water field 24 inches from wall
on 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 518 inch Type X
Garage side 5/8 inch Type X
Ceiling1wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. OM
5.7 sf above/below grade
5.0 sf grade
LABuilding&Codes FornwOMBuilding&CodesNnspection FoffnsTraminp Firestopping Inspection ReporLdoc Revised January 7,2008
10
91 7 /0-7
�3
Septic Inspection Report
Office No. (518) 761-8256 Date Ins - . nyagUest received:
Queensbury Building&Code Enforcement Arrive: 0'5 am/pm pa : am/pm
742 Bay Rd., Queensbury, NY 12804 Ins s Initials:
NAME: I PERMIT NO.: 7
LOCATION: INSPECT ON:
RECHECK:
Comments and/or diagram
Sal T Clay
Type of Water: kuniciiWeli Water
Waterline se ration istance ft.
Well separation distance ft.
Other wells: ft,
Absorption Field: Total length / ft.
Length of each trench ft.
Depth of trenches
Size of Stone 71
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type.
Building to tank
Tank to Distributi lit -ft
Distribution Box ield Pit H
O nin Sealed. N Partial
End Ca
In Outlet Pipes&Baffles Y N
Location/Se rations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Engineer Report and As-Built Y N
Location of System on Property:
Front 0ea Left Side Right Side
Middle Fron Middle Rear
SYSm tat
Approved
Partial Approved and needs to be re-inspected, please call the Building&Codes Office
Disapproved
Last revised 021006
Last revised 1/6/05
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