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2001-508 4 TOWN OF QUEENSBURY Road,Queensbury, 12804-5902 (518) 761-8201 742 Bay Ro ,Q ury, Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010508 Date Issued: Friday, December 21, 2001 This is to certify that work requested to be done as shown by Permit Number P20010508 has been completed. Tax Map Number: 523400-301-014-0002-004-000-0000 Location: 28 MC ECHRON Ln Owner: VASILIOU MICHAEL J INC Applicant: MICHAEL J. VASILIOU, INC. This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Attached Single Family Dwelling (DJ 4 YI �, Director of Building& Code Enforcement 1 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010508 Application Number: A20010508 Tax Map No: 523400-3 01-014-0001-045-000-0000 Permission is hereby granted to: MICHAEL J. VASILIOU, INC. For property located at: PEGGY ANN RD.,OFF 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: MICHAEL J. VASILIOU, INC. Fireplace 23 SUNNY WEST LANE Garage-2 Cars Attached LAKE GEORGE,NY 12845 Single Family Dwelling 201,900.00 Total Value 201,900.00 Contractor or Builder's Name/ Address Electrical Inspection Agency VASILIOU, MICHAEL 14 STONE PINE LANE OUEENSBURY,NEW YORK Plans &Specifications 2001-508 Lot 4, House No. 28 Mc Echron Lane; The Grove 2456 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $350.82 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday,July 31, 2002 (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 To of e b , esday,July 31,2001 SIGNED BY / for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application �K4411"/ Town of Queensbury - Dept. of community Development, 742 Bay Road, Queensbuuy, NY 12804 /761-8256] NOTIC"O1. BUILDING & . CODE ENFORCEMENT E Requirements prior to issuance 0.R0 e /-51 g R . A permit must be obtained before of this permit: PERMIT FILE NOS A beginning construction. No inspections A I V will be made until applicant has received • n Zoning Board Action 1zMlT 1%Lli PAID. �' _ a VALID BUILDING PERMIT. All - Area /Use JUL -"/' applicants' spaces on this application �� ® �zoui RECREATION F / $ Ib��A`C MUST be completed and.the signature "> of the applicant must appear on the 0 Planning Boc��l �►MiJE��IS ll��-VIEWED '`' implication form. SPR / Subdivision G AND co Building I�ts/aec(or JRecreation Fee Payt • Applicant: 16 ' A �,, r6 , , V4 ,z/ b2P S ._. ... . . . Address: 7 0 g)kt tom 1 IA) Address: 2 (7er, _ ivy . Y .Phone # (3'e ) ® Phone # ( ) - Property Location: le 7 � .-er„)4.OA.J 4414 . Subdivision Name: (�Qe Tax Map Number_ --J-J Section Block Lot A/a N a• / *Ic,A 4`tII- NATURE OF PROPOSED WORK: New Building: ESTIMATED MARKET U OF THE CONSTRUCTION: CPO -+ residence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial • , ),e' Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work (describe below) Mercantile Manufacturing fi Other GROSS AREA OF PROPOSED STRUCTURE: • .,.4".,, 1st Floor `� `� =` =q; eft`• If ADDITION, what will use 2nd .Floor. . .j..aa. -= sq. ft. of new addition be? : Other Floors sq, ft, (not unfinished cellar or basement) / r ACCESSORY BUILDINGS: Detached Garage 1, 2 car ,.�►�� TOTAL FLOOR AREA: ' °'=ram SQ. FT. )( Attached Garage 1, 1 Private Storage Building SIZE OF NEW STRUCTUR _ Commercial Storage Buildingt" ='z='.�"_77 Other FEET X -Li. L.�_``- = _ Foundation T Ype: 'PO U '-n Will any second-hand or ungraded ' Number of Stories : 2., lumber_ be used? _It so, for what? (habitable space only) Height (grade to ridge) : 2.8 feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which .....lies) to be installed: Electric / ._ _Ga,,..../ Wood Forced of Ai / Baseboard / Other A Person responsible for supervision of work as regards to building codes is : Name Addresss Pho e • a Builder: Mt ' Ee.. �,1 dd. v,As®l-.toci 0ic Z.4, -SeS " Plumber: , Mason: 7"0 Electrician: ,r° ear. - 2•1,® 7 DECLARATION: Please sign below after you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. ' Further, it is understood that Uwe shall submit prior to a Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; drawn t scale, show'ng actual location of project on premises. AlSignature: C� , ,(0,, • (owne owner's agent, arc tt itect, contractor) r0L . l 1k'',*: ENERGY CODE COMPLIANCE APPLICATION ti` -�'" TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS 1. 't/ "L' Compliance Methods : PART 5 - Acceptable Practice Met O' ®• +' 1&2 Family Dwellings (on ��Q '7 PART 6* - Thermal Rating - Component 44fs 1&2 Family Dwellings; Multi-Fa 6&Dwellings (3 stories or less) ®fie PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APACt-/-fr&e.:__ PLICANT'S NAME : PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE � � - 02y.97 1 . Gross Floor Areasquare feet 2 . Type of Heat - Electric Oil t Other '3 . Is building mechanically cooled? Yes No 4 . Percentage of area of windows and doors Over 17% Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES-V AS SHOWN ON PLANS SUBMITTED: a. Roof R0 b. Exterior walls R I� c. Glazed areas d. Exterior doors R 7. e. Floors over unheated spaces RR tz f. Edge of slab on grade (heated building) R 1/ g. ' llasement/cellar walls (above grade) R iC h. Basement/cellar walls (below grade) R i. Heating/cooling-ducts-piping in unheated space R , -' 6 . Service (domestic) hot water heating device Conforms to minimum 'efficiency per code Yes No a TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED 4 APPV an igna r_ Date Phone Number INSPEC OR'S REMARKS : 1 to cs Fire Marshal's Office "1'own of Queensburv. 742 Bay Road,Queensburv, NY . • (518) 761-8205 Application for Fuel Burning Appliances &.Chimneys.: applicable to solid fuel & vented gas appliances r tint.? 20 © al t;•t Date V 1 Permit No. �ez, , Appli atop is hereby.made to the Building& Codes O%Jice lire the issuance of a l#r ;n.•mg f v ' Permit pursuant to the New York State Fire Prevention and Building Code. 771e applic•ar t ip O agrees to comply with all applicable laws, ordinances-, regulations, and all conditions thcrj Q6/ F these requirements and also will allowall inspectors to enter premises to perform required inspect �.0 SZ ...„,,,,,„,,,, NOTE to applicant: Rough-in and Final Inspections are required. • Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: (r' IJ V Ld� 7,,, Stove: wood coal pellet gas Fireplace insert . Address: a.3 SvAA,) ,4 hJpv.f_L1/4..) Fireplace, factory-built: wood 4110 Z. 6 ,7 4 Fireplace, masonry: wood gas y Furnace: wood gets oil Phone: L Lv �- fsr- If non-masonary applicance, please provide Owner: Sg-7 -1 Manufacturer Name: / rjT a (';--0/4.) Address: Model Number: c L 75--0 72 Chimney Information Phone: (circle appropriate words) Mi • Masonry block b,ick stone t2g Flue tile size. inches Exact Address: Lu / of constructionXlallatioa Factory-Built /"` C Z e tiet)A) �kr Manufacturer name: :Vote: 6 F Model Number: Listed By: Number: Construction/Instal anion must conform to NYS Fire Prevention &Building Indicate (circle) chimney material: Code. Consult available Totten of Oueensbtuy Handouts regarding required inspections. Double wall 1 Triple wall / Insulated / Direct veining . . Chimney Liner C.EzAal feria..17psrtznzezzt—Towsrsz o,PQueezzsbury-, _Newt z Jr f Fire Marshal Code# / , S Collected S Refunded Rccc•ir��d�•rrnr -r/iurder!m): /l�J • jjvZ,_ ` 1�� address: 3.4 1 3389 (190) Public Safety 09. ��/ — --- .-1 233 2655 j (230) Minor Sales 9101161 .,, — TW.,. GBH Ci v,.,.,.,xl. . Whit (Applicant) i Green(Fire\larshal) I . Yellow(Bldg. Dept.) I Pink&Goldenrod(Cashier's Dept.) iiik 1 tip M0 - 1� '; TOWN OF QUEENSBU U� ® �`a" ' th : '.1 f ,,; APPLICATION FOR SEPTIC DISPOSAL A. ?®O ermi t #de)O ~ O 81 CO/Aje 4iE'� Fee Paid r?cp 1 c Date: ij Reviewed By 4 LOCATION OF PROPERTY FOR INSTALLATION: /o e #/ ' Owner's Name: A ( c z /L� 1 u) Aci-C_ Owner's Mailing Address: l A A /44% c f L j .-&< //k67.A1 Installer' s Name: ,j Phone #: "7 2 6 2-- Number of bedrooms (if residential ): Total daily flow (residential-compute @ 150 gal . per bedroom) : tie ------,-, Topography-Circle One Flat Rolling Steep Slope % of Slope _: :) Soil Nature-Circle One: Sand Loam Clay Other /Depth: Ground Water-At What Depth? t ., Feet Bedrock or Impervious Material-At What Depth? /47k/E Feet Percolation Test-Circle One: Not Required Required/Rate /f Wn. Per Inch Domestic Water Supply-Circle One. Municipa Well Other _ 1 If domestic water supply is a Separation: Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank /2,7 1) gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench 41 feet//Total System Length AM, feet Seepage Pit(s) : Number of / Size each: ft. x ft. Size of Stone to be used: # / Depth or Thickness feet ************** HOLDING TANK SYSTEM IF REQUIREp No. of Tanks Size\of Each Gal . Alarm system and associated electrical work to be inspected by a certified agency. **************** I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: 1I i Application for Permit—Septic Disposal System Town of Queensbtuy 742 Bay Road Queensbury, NY 12804 518) 761-8256 1. OWNER INFORMATION: Location of installation: r Lf �� - 7. 'ilk�� 0 W se / �./ ,sJax�� l�Pennit;y�j e QO1'SQd Tax Map No. / / 140/ Q�FF�r At( Owner's Name: C- ! atcli-/Ct) CQD Address: 2 3 £%l_)AJC. 1,6 3 /- Lu • 2. INSTALLER'S NAME : �}�� t7 PHONE NO. 7f 42_2� 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate #bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow . 1980 or older x 150 gal/bdrm = 1980— 1991 x 130 gal/bdrm = _ 1991 —present x 110 gal/bdrm = Garbage Grinder Installed yes / no Spa or Whirlpool Installed yes / no 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) To op graphv Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat sand at what depth at what depth municipal Rolling loam feet feet well Steep slope clay if well; water supply %slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) • Rate: minute per inch 5. 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: • gallon (min. size 1,000 gal) Tile Field: each trench ft. Total System Length: ft. Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # / depth or thickness feet Bed System Size: x Alternative System: length and/or size • 6. HOLDING TANK SYSTEM: (if required) • Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON (please read) 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 these and all requirements of the Town of eensbury Sanitary Sewage Disposal Ordinance. 71/17 �in L Signature o res on able person Date TOWN OF QUEENSBURY j ''', BUILDING & CODE ENFORCEMENT 742 BAY ROAD v n4 QUEENSBURY NY 12804 .,�.•: F ' (518) 761-8256 ARRIVE: DEPART: INSP: ( FINAL INSPECTION REPORT COMMERCIAL MULTIPLE DWELLING (hotel, motel, apt. complex) DATE INSPECTION REQUEST RECEIVED: NAME `.LC( 0�\()A , l_LOCATION ti ( g\l _ r. ,off DATE )d-a- 'PERMIT a cO01-50? • TYPE OF STRUCTURE FOOTINGS BACKFILL FRAMING PLUMBING INSULATION N/A YES NO CHIMNEY/"B" VENT/HEIGHT PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH HEATING/HOT WATIR r _ RELIEF VALVES ! FLOORS • FOUNDATION INSULAT •NI INTERIOR STAIRS/RAIL NGS I STOCKROOM ENCLOSURE I ', FIRE/DEMISE WALLS PENETRATION FIRE DAMPERS \ I CEILING FIRE STOPPI G FIRE DOORS/CLOSER/ 1\ EXIT DOOR HARDWARE I . EXIT STAIRS/RAILS , PLATFORM/ELEVATOR HANDICAPPED ACCESS 111 HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL SI LAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN, IF REO OK TO ISSUE C/O OR C/C , ...---- ---)Di\/\%_ ) 011 1 0 qt(L-1, 't �— _ RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive Depart ♦ 4 fil m Town of Queensbury ector's Initi _=s 742 Bay Road Queensbury,New Yor 12804 J� `` 1 V NAME 1 c-LQ �S)n }�,I 1S1�•� PERMIT $ LOCATION\\S\ (-I mQ__(J C"-1 Car `_DATE TYPE OF STRUC N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location ,/ ' Fresh Air Intake ;/ Plumb Vent through oof\ Roof Complete \ Exterior Finish Co c plete Interior/Exterior Ra '•gs 30" o 36" ;/ Exterior Handrails, salconies, anding 18 in.or more ,✓ Interior Handrails s •irs both s des 3 or more risers ;✓ Grade 2%away from foundati•n / ;,� 8"clearance to sill pls.e / r Gas Valve shut-off e ••sed/•egulator 18"above grade ,+'J,~ Gas Furnace shut-off wi• in 30 feet or within line of site V /4 Cr `� / -��� v - ; Oil Furnace shut-off at en . ce to furnace area Ni Furnace/Hot Water Heat- ,,aerating Relief Valve(s)install•• ✓ 7"' T 'l . --.14„___,,,X Headroom,6 ft.6 in.on stai • ✓ r Basement stairs,6 ft.4 in. i/ .,c•-,..e' • • Handrail exterior stairs both sip es more than 3 risers ../• Interior privacy/trim/doors/ma.• entrance 36" / Floor Finish ✓/ Bathroom/Kitchen watertight /� Interior Handrails Balconies/Lani,.•: 18 in.or more Railing across window in stairwe is .,✓ Smoke Detectors: L/ every level every bedroom ✓ outside every bedroom ✓/ inter connected ✓/ Bathroom fans :✓ Plumbing fixtures ✓Foundation insulation 3/4 hour fire door/door closer ✓ • Garage fireproofing ,1/ Garage penetrations sealed ! ,/ Furnace in separate room protected(in garage) ✓ Light ventilation per room ii ✓ Safety glazing 18"or less from floor l Final Electrical / a/ Site Plan/Variance required ./ /� Final Survey Plot Plan / ✓ As Built Septic System layout required V Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy) Okay to issue permanent C/O(Certif.of Occupancy) I,ua6 to 0 uoi-i-4e•y) AFFLictku owed,.I FIRE MARSHAL TOWN OF QUEENSBURY . `1% j QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIV D d ifZO PERMIT# 0 1"505 NAME VA5.1 116 G4 LOCATION o28 !I1 C Ce i 0/\) Lome. - l0 `#11 SCHEDULE INSPECTION ON 1 2,, - 2'E - 01 1V I i A PM ANYTIME APPROVED \.- N/A YES NO N J EXITS ,q AISLE WIDTHS EXIT SIGNS (-) 7 EMERGENCY LIGHTING ( 1 FIRE EXTINGUISHERS I FIRE ALARM SYSTEM 1 i , FIRE SPRINKLER SYSTEM I C `O FIRE SUPPRESSION SYSTEM I a HOOD INSTALLATION 4 c INTERIOR FINISHES r C STORAGE: C. = CLEARANCE TO SPRINKLERS N A CLEARANCE TO HEATING UfIITS REQUIRED SIGNAGE Z / ., CHIMNEY WOOD STOVE / �` FIREPLACE-MASONRY .I EPLACE-FACTORY BUILT 6I 3 X I yvs M'-Uto * L ri5o rv/ REMARKS: ,kOK TO THIS DATE - tL 5re6-6241 do]i +`ICi 5 -- Q" Ikio-i c 12 i d geiw - OK 6c,-ruAt. g<egdfr ,Te6/ y ' d - Of( /�4 " lor— (91((iv- -,-,A, ,, occ, , ,i-vcP • T, _ e � 5 F CV Ce,1109 - of NSPSLIP.PUB I P CT R L'.. A411, 7 I( - 'lel kfak VP:;?r keia41 ext 401- turd - ' Q — C1„r.P(1,5/4 n Ant, Po a ti k A. n(1 9'c\ l,,etaA.i1 li1N) //402FIRE MARSHAL TOWN OF QUEENSBURY c ;� QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT# V) -S8 NAME I /� — C � LOCATION IL C o ; SCHEDULE INSPECTION ON /c9 1) AM 'M ANYTIME APPROVED N/A YES I NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNI S REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE-MASONRY EFIREPLACE-FACTORY BUILT 6A5 REMARKS: ❑ OK TO THIS DATE ()/NI1CIA +0 \W e.IttfaMe 'lb C®�1��� '1��2� AiiMk j/07a/( /072q-ei iiiifilOtAf. R091/1- 2, c- •n (Amble Gio \Igik-yc Lealrexiix tiyr rife evib-hru:c--bori INSPSLIP.PUB A ) CCAMbl ne r ,Vr7V-i)r)€( ,, (),re___LtWv.\&161/4. --N Ilj sok , // )) RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive o a m Depart iiiiaro,o- Town of Queensbury spector's Initi~ 742 Bay Road 1-�� Queensbury,`� New York 12804 NAME \N\\X- ,\"CV� 1 1{-,i' PERMIT# /-5�g LOCATION c� L ins, C S'lv0 )_(:)/�a _,DATE / -c9- ( -)()( TYPE OF STRUCTURE - \r-) . N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location V' Fresh Air Intake Plumb Vent through roof �` Roof Complete �( Exterior Finish Complete v J �/ Interior/Exterior Railingsr 30"to 36" ile- 1-F'\1 v... Exterior Handrails,balconies,landing 18 in. .r ore ' iN\- 7 5 •-VkA k ;' r.. C✓ Interior Handrails stairs both sides 3 or mor, ris: s 9- r`c B; �F Grade 2%away from foundation ✓� �n~�\ �� 8"clearance to sill plate ./ f- l7 vo Gas Valve shut-off exposed/regulator 18"ab• a grade ✓Gas Furnace shut-off within 30 feet or wi M . line of site Oil Furnace shut-off at entrance to faun • area -✓ / Furnace/Hot Water Heater oppeerating - ✓ lAr,e C. ‘,.3 �� Relief Valve(s)installed IVii Headroom,6 ft.6 in.on stairs ' ✓ Basement stairs,6 ft.4 in. / Handrail exterior stairs both sides more Iran 3 risers / Interior privacy/trim/doors/main entrant:36" ✓ V\-4W--V v:, P\ZS.- Floor Finish Bathroom/Kitchen watertight � • Interior Handrails Balconies/Landing 18 in.or more / X. Railing across window in stairwells ,./ l .� Smoke Detectors: ✓ ' • ,\sZ,� " every level ✓ every bedroom // outside every bedroom a/ inter connected ✓ Bathroom fans Plumbing fixtures / Foundation insulation 1. Vv-: 3/4 hour fire door/door closer / V ..--I- EA\0(1 j \c3b�,� � Garage fireproofing �,// \-\q, j Garage penetrations sealed // Furnace in separate room protected(in garage) „/ Light ventilation per room 1 Saf ���� � � FinalV't Electrical / �/ ( e}`t Site Plan/Variance required f J Final Survey Plot Plan I ✓As Built Septic System layout required f�Nt-'� Okay to issue C/C(Certi£of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ a Okay to issue permanent C/O(Certif.of Occupancy) NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 December 20, 2001 Job#46143 Mr. Glen Bruso New York State Dept. of Health 77 Mohican Street Glens Falls,NY 12801 RE: Lot#4—David & Jackie Mulchahy,purchasers Emerald Grove Subdivision- Queensbury(T) Dear Glen: - This letter is to inform you that I inspected the completed septic system for the house on Lot #4 in the Emerald Grove Subdivision on December 20, 2001. The house being constructed on this lot is a 4 bedroom house with no expansion attic, no garbage grinder and no hot tub/spa. The septic system as installed consists of a 1,250 gallon septic tank and 216 lineal feet of absorption trench. The installation conforms with the requirements of the approved subdivision design drawings. Please call me if you have any questions or concerns. Sincerel , • C-, Thomas W.Nace, P.E. cc: Dave Hatin, Town of Queensbury Michael Vasiliou ti II l"/1) '''64 TOWN OF QUEENSBURY" I, / BUILDING & CODE_ENFORCEMENT / 742 Bay Road f' Queensbury NY 12804 tS (518) 761-8256 SEPTIC DISPOSAL/ SYSTEM INSPECTION Name W Location^4T 1_11DVIr;- Date ,/ � f�il Permit # of-,5j(/V SOIL TYPE: Sand-Loam-Clay- Results of `- colation Test- (if applicable) Rate-Mi ut- Inch TYPE OF SYSTEM: r ABSORPTION FIELD: Total Lengt Z 1(0- 114/k) Length of each trench III-?) Depth of trenches! 7., Size of stone tir.:/L /2 z) • SEEPAGE PITS: Number- Size - ft. x 't. Stone size PIPING: ze Type Bldg. to Tank `' et) 50 Tank to Dist. Box • i 2- Dist. Box to Field/P,1 it ', Openings Sealed? Yes No Partial LOCATION/SEPARATI NS: Foundation to Tank /`j feet Foundation to Absorption . 'Z(> feet . . Separation of Pits __.. eet LFr nforms as per Plot Plan es No .Conforms OF SYSTEM ON PROPE' : ; leone) an . - Rear - Left Side - `ight Side idle Front - Middle Rear MMENTS: /Z.5-6 6jq,[_ ,4,nJK - 6K Z-C A5.- 6 -U [L.T- . • SYSTEM.USE APPROVED: • / YES NO Arrived: Departed: -'c- d P-f-i---- . Building Inspector TOWN OF QUEENSBURY 111/r BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name '''.f/�`J1 LtOQ Location Lo t T jiiit�& a oN Cu , Date I`Z\ttq l04 Permit # c( -6-06. SOIL TYPE: Sand-Le.'i-Clay- Results of Perc. atio Test- (if applicable) Rate- inute/Inch TYPE OF SYSTEM: • ABSORPTION FIELD : Total Length . Z/�a ��QJ Length of each t enc Depth of trenche Size of stone SEEPAGE PITS: N m"er- Size - ft x ft. Stone size PIPING: Size Type Bldg. to-an Tank to Dist. Box Dist. Box to Field Pit Openings Sealed? Yes No Partial LOCATION/SEPARATII: : Foundation to Tank feet Foundation to Absor tion feet Separation of Pits _ feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM 0 PROPERTY: (circle one) Front - Rear - Left Si e - Right Side Middle Front - Middle 'ear COMMENTS: —f (-00-Y2, — i4I 1L &VO — kG° PL fid 510 S 1741J - %a . (o Pam- SYSTEM USE APPROVED: YES N Arrived:Departed: lib) I Building Inspector ,1 1 `ram.,I TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road U/L� �6c. L n i9-� Queensbuvy_!!Y 12804 �� , (518)761-8256 l uL Cp, n / I SEPTIC DISPOSAL SYSTEM INSPECT ON —1 1 *'.:CIE',ii-e. ,- \411., Name a - Location ' ` I �(-4 Date �_- _ 1 Permit # p"Ile li CD - SOIL TYPE . •-Lo." Clay- — Results o Percolation T-st- 4-14 44%, , . 4 , 4 _ -Iv-(if applicable) Rate-Minute/Inch 1 w� .. .3 tg-�. { TYPE OF SYSTEM: w ._I ABSORPTION FIELD: total eggthi �d c�h o L_ o Length of each tre chi , `� 1_'' Depth of tr$nche 40 -' �" C° f a Size of ston- 1(,�Z t #CD .h C: C SEEPAGE PITS: Numb:r- �'-* - Size - ft. ft. I I ' y t. Stone size IN_'� ? ` CD �i: Size Type �=_ � PIPING: Z I hti c b ,. Bldg. to Tank Tank to Dist. Box `�o //" - " Dist. Box to Field/P' : w '0.., GO No Partial c , " co Openings Sealed? a c. "' c LOCATION/SEPARATION 7i feet � � � : Foundation to Tank ' � ; � h �` �" = --.-= � '�� � Foundation to Absorptio , Z5 feet its-z„€�„. �w a-,gym ?5-, ;5_�__ zA , Separation of Pits , _ fe- I_ 4 Conforms as per Plot Plan Yes 'o P ---] ' LOCATION OF SYSTEM ON PR PERTY: - (circle one) / Front - Rear - Left Side - Right Side I U Middle Front - Middle Re r I r- Z COMMENTS: I -t es 0 (ter sr*LL cooZI( e lb -65/ i c rai /A) rr aP6SL— L % Q ov i L C�-� /' ,v.' 1 K l o . ,-- I) jz,' tj s j��6 �,,�� /-� 5 gvi� T 11 z A APPROVED: YES ' NO xi SYSTEM USE AP rn e 3 !Arrived: _ l _ Departed: J , I ~�1'-:7 Building Insp ctor O s ...tee N �, / III , 1, - 1' , Au.__. GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road , 0 • Queensbury,NY 12804 Arrive am/pm Depar a j Inspector's Initials �V- 1A� ^ U NAME: V"`3 it(� >�� PERMIT# L)f Ci LOCATION: (eT 9 t,tiC�L in r2 d^f DATE : l l l/-l'l�� t TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers '— I T l Monolithic Pour Form Reinforcement in Place The contractor is re •nsible 1 or providing protection ,•m fret zing for 48 hours following he p1.cement of the concrete. Materials for this purpose an s.te Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi : _ Backfill Appzval Plumbing Under Slab Plumbing Vent/Vents in Pla4 e Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour / P netration Sealed ire Wall 2, 3 our e/Firestopping V�1 u CS ( 434 76:1 di? c GENERAL INSPECTION REPORT G ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received:// /. ,2-e1)/ Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depare' Inspector's Initials NAME: �j iale / PERMIT it /—-Cod'--LOCATION: ,Pg_P),.e 49/-4 DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers �— I Monolithic Pour Form Reinforcement in Place The contractor is respon . e •r providing protection fro freezi,g for 48 hours following t t'e place ent of the concrete. Materials for this purpose o site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing 1 Backfill Approval Plumbing Under Slab I Plumbing Vent/Vents in Place l r Rough Plumbing Heating Rough-Ins / - 0 Al S i, 'ui dat`on' alls Intefior '- Foundation Walls Exterior "- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging _ Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed a112,,,4 4hour / ,i P g*4 R; v} /1f5(j{-CL. / ( o ,,e . 7-- \ VeC---cikU GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive lb"l©aapm Depart - Inspector's Initia — NAME: \rizvi-?11„k 0 PERMIT# LOCATION: 14 MC C'AAV__0t� _ DATE: 7O7-61 TYPE OF STRUCTURE: RECHECK ,/ / N/A YES NO 1) COMMENTS Footings/Piers / / 1 Monolithic Pour Form ' Reinforcement in Place i` The contractor is responsible f•r providing protection from freezing for 48 hours following the pl cement of the concrete. / Materials for this urpose on,�it'e Foundation/Wallpoi Reinforcement in Place ./ Foundation/Dampproofing/ Backfill Approval Plumbing Under Slab / Plumbing Vent/Vents in/Place Rough Plumbing Heating Rough-In Insulation 0 C) v_CAor Foundation Wall Interior R- Foundation Wal Exterior R- Floors R- Walls R- Ceiling 1 R- Duct work o piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping DT i)tp _, -,...__:,„ ,,,,4-RE. -- • epdl , • GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive3a (MOO D•part Inspector's Initia NAME: VOic-;11--,.i(cam - f\i -PQ PERMIT# )E LOCATION: & v- C I D iA� - t � DATE : - f TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers —7- I Monolithic Pour Form es 1--- zN:17 - �2 -1,i0 V, A-N.:Cz-, Reinforcement in Place 1 �// The contractor is responsi 1 for b � �; \, providing protection from frdezing for 48 hours following the plcement y � of the concrete. ' — L✓ 7- \ y� Materials for this purpose oil site _ ' � � -moo 6�� � Foundation/Wallpour I I Reinforcement in Place ! 1 Foundation/Dampproofing I/ Backfill Approval A Plumbing Under Slab Plumbing Vent/Vei is i lace Rough Plumbing : Hea ' g Rough-In 1 / I ulation I �/ Foundation alls Interio` R- FoundationWalls Exterior ,R- Floors R--` f Walls R- lq Ceiling R 'b ' Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers \i/ Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed / Fire Wall 2, 3,4 hour ���//// Firestopping lU - -- i' L-V- 4► Gsr 7- \ A' 6oWL_ o4JC. \\ i-, z1,sp ♦n GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742Bay Road �� Queensbury,NY 12804 Arrive; �j�m~ /��' Depart Inspector's Initial NAME: \iyfj,. PERMIT# 015 LOCATION: i-} 1`A DATE : I I—D TYPE OF STRUCTURE: FCD RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is res sible or providing protection fr m fr zing for 48 hours following he pla4ment of the concrete. Materials for this purpose n site Foundation/Wallpour Reinforcement in Place `` �l7 Foundatio ampproofin _ �j Ba kf11I Appro 1 Plumbing Under Slab pumbing Vent/Vents in Place / ✓Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior Foundation Walls Exterior - Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- roper Vent, Attic Vent lAraming Jack Studs/Headers Bracing/Bridging J j G�j /� �C� ►��% `t O 0t Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed fire Wall 2,3,4 hour ✓Firestopping kl.� . , . '_ .) GENERAL INS ECTION RE ®R1 "\- -------__ ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive � a praepart (.. Inspector's Initial NAME: {�,1i 0.-L_ PERMIT#LOCATIO py�.�, DATE : J a�OTYPE OF STRUCTURE: _ RECHECK /A YES NO COMMENTS Footings/Piers -7 I Monolithic Pour Form Reinforcement in Place _ The contractor is responsible for providing protection from freezing for 48 hours following the placemen of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place vf ii- Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R Pr per Vent, Attic Vent / turning _ P 7 G�ti � -. t;c Jack Studs/Headers Y l\f;\W �_ Fay_ 6i-�'�- �6DQ . ,i N Bracing/Bridging J—(�, '�\C)(��tJ Z�� �''� �E ���J( c�o Joist Hangers \55\�� FX�CQfC� Jack Posts/Main Beam Q O y`"( lJ - j 0\-) Wow Air Infiltration Barrier b (A\Q_-.) E_L� ` Fire Separation 1,2, 3,hour / CEO _ Penetration Sealed l/' l w2� Pere_ \, (o Fire Wall 2, 3,4 hour AV.E.26-c-oVV‘, 'L p M- lv� ��JSS TQ�S� Nta CSC�.I ifk4 Firestopping �/� �-- ----:-\zcp N , �:,:.. - l a_aci;i„... G GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: f 7 0u)/ Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive _ ' 4% "' spector's partIniti• . P . NAME: /!/ r'l ( 5rjt�L� ,07 - 5 D P PERMIT# LOCATION: P ��'tJ�2 DATE: 471M. e,. TYPE OF STRUCTURE: �� RECHECK /VieL�Actr-- . N/A YES NO COMMENTS Footings/Piers —1, I to � t-)1� t 1 6 t�1 L.� Monolithic Pour Fo I. 1 1 C� �1�� oA� �c Reinforcement in Pla - [l The contractor is re .inside for providing protection om --zing ta) 244n. e)tzCAL R2OVE 1.6 .0n for 48 hours followin: the .lacement �� coca-ei- 2-c:c Ft bV-- ' A of the concrete. Materials for this purpose on ite Foundation/Wallpour ' B V-1n 6\ \5t t a Q 1 vS\ Reinforcement in Place 12-,p pA cD F- ti-1 VCANE6 13. `1—Tc Foundation/Damppropfin 2-. C Fib Backfill Approval ( JA q t QZ,z : ��/� �_ Plumbing Under Slab"' �G !V\ F-5 G 0 Plumbing PlumbingVent ents in Place �,�9 V1-�� � ,� -AD� 0 Rough Heating Rough-In Insulation Foundation Walls Interior Foundation Walls Exterior R Floors R- .. Walls R- e '� cli Ceiling R- U)t\—— QQb-\e j _o�a,1 Duct work or piping inkK. 4 unheated spaces R= F\� -01—: \ � \Ib --�\10"� . Q d Pro.:- Vent,Attic Vent 1 r raining 111 \1 Nit.-- 1 1,.e \-\`4 � '}J �� � tuds/Headers _ t Bracing/Bridging /3' �� 0� J\ \ A Joist Hangers fJack Posts/Main Beam ir Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed . Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart m/,,pm,„ Inspector's Initials_ NAME: \S\aS) �---1 � PERMIT#c7VO 1-5O Z� LOCATION:cle4 2' r N, DATE : TYPE OF STRUCTURE: Sc� RECHECK N/A YE NO COMMENTS otings/Piers(_' ! Monolithic Pour Form . �G �( �In 5 Reinforcement in Place � �-! The contractor is re •i nsible for providing protection f..m freezin t for 48 hours following m e place. ent of the concrete. Materials fort s purpose •, s' - Foundation/Wa •stir Reinforcement in - Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R • - Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping { / a-a p GENERAL INSPECTION REPORT ( 518 )761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive /21- am/pm Depart am/pm Inspector's Initialsia Df,�-- NAME: 1 C S 1 L 4 � `�%� , ` PERMIT# `�" //5O� LOCATION: LI 4 r( r1j J`DATE: �'��' TYPE OF STRUCTURE: 0� J , .� RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Plac- The contractor is re.ponsibl. for providing protectio from -zing for 48 hours folio ng the ph cement of the concrete. Materials for this pu ,'se on s' - Foundation/Wallpour Reinforcement in P1a (�'/ Fours 'on/Damppro fing 11 Approval Plumbing Under Slab Plumbing Vent/Ven 1 Place Rough Plumbi Heating Rough-In Insulation Foundation Walls Inrrior R- Foundation Walls E erior R- Floors R- Walls R- Ceiling R- Duct work or piping i unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: ci I Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive 1 I"' am/pm Depart am/pm Inspector's Initials:PA NAME: VA 5 1 , Ulf PERMIT# 26U(� 5 DY LOCATION: L.0 T L `fir,1�C1N „,. DATE: 913 D l O( y '\, TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form 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 Foundatio •llpour Reinforce i-nt in 'lace Foundatio F110 ampp •offing 44Backftll A. royal Plumbing U i•er Slab Plumbing Ve i ents i Place Rough Plumbi . Heating Rough- , Insulation Foundati.• .Ds Interior R- Foundation Wa.s Exterior R- Floors R- Walls= R- Ceiling R- Duct work or pipi g in unheated spaces R- Proper Vent,Attic Ve t Framing Jack Studs/Header. Bracing/Bridging Joist Hangers Jack Posts/Main Beath Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ 3t. 3 0 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road ��,.� ,,,,,,,� Queensbury,NY 12804 Arrive9 „ 12O p.i Depa s 1 Inspector's Ini '. 1, 6.4 NAME: C:i J. PERMIT) # _APsR LOCATION: /lino nfin DATE: - TYPE OF STRUCTURE: RECHECK N/A YEVNO COMMENTS \,,,Yootings/Piers Monolithic Pour 'orm Reinforcement i Place "L The contracto is respoo sible for providing pro :ction fro freezing for 48 hours fo owing th- placement % of the concrete. Materialsfor i i, ...se on site Foundation/Wall..ur Reinforcement in • ace Foundation/Dampp oofing Backfill Approval Plumbing Under SI.b Plumbing Vent/Ven in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls i tenor R- Foundation Walls 1 xterior R • - Floors R- Walls R- Ceiling R- Duct work or pipi g in unheated spac s R- Proper Vent,Attic ent Framing Jack Studs/H-:ders Bracing/Bridiing Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping 1 NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 September 3, 2002 Job#46024 Mr. Glen Bruso New York State Dept. of Health 77 Mohican Street Z C-- Ovcr'1 Glens Falls,NY 12801 Z'l U l - cO X RE: Lot#4—Robert&Alida Vollaro, purchasers The Glen Subdivision(Vasiliou—off of West Mt. Road)- Queensbury(T) Dear Glen: This letter is to inform you that I inspected the completed septic system for the house on Lot #4 in The Glen Subdivision on August 17, 2002. The house being constructed on this lot is a - 3bedroom house with no expansion attic, no garbage grinder and no hot tub/spa. The septic system as installed consists of a 1,000 gallon septic tank and 162 lineal feet of absorption trench. The installation conforms with the requirements of the approved subdivision design drawings. Please call me if you have any questions or concerns. Sin rely, Thomas W.Nace, P.E. cc: �ve,-Hatin;Town of Queensbury Michael Vasiliou—fax 668-5656 | ' | | / 475 - ------�