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1989-520 VL "NY CUPANC 1,RTIFICAt'g OF TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Dote June 28 140 Q This is to certify that work requested to be done as showin by Permit No. jQ9- 520 p has been completed. This structure may be occup" me a Single Fa[njly Dwell ing LAxation M 11 f7ftftly-4w�zl ONMer Jeffery & Karolyn Smith By Order Town Board TOWN OF QUEENSSURY Director of Bldg. & Code Enforcement o` BUILDING PERMIT TOWN OF QUEENSBUR'Y Na R4_ S70.. WARREN COUNTY, NEW YORRK Y h'� the PERMISSION is hereby granted to Jeffery & Karolyn Smith -a r40 OWNER of property located at Hi 1 ) man Road street, Road or Ave. in the Town of Queensbury, To Construct or place a Single Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t. OVNVER'S Address is v' 49 Wincrest Drive Glens Falls , N . Y . 12801 c., 2. CONTRACTOR or 8UI LDE WS Name rn' rn T rn Paul Rouselle a CONTRACTOR or BUILDER'S Address 30 Pebble Beach Drive r Clifton Park , N . Y . s d. ARCHITECT'S Name S. ARCHITECT'S Address r r 6_ TYPE of Construction — (Please indicate by X) Yy TX) wood Frame [ ) Masonry i 1 Steel { I C 7. PLANS and Specifications No. 68 . 75 ' x 59 . 5 ' Single 'Family Dwelling as per plot plan , specifications and application , including septic , attached three car 8_ Proposed Use 9drage , t r Single Family Dwelling $ 302 Of' PERMIT FEE PAID — THIS PERMIT EXPIRES 'February 1 i9 90 r (If a longer period is required an application for an extension musk be made to the 8uiIdIng and Zoning inspector of the town of Clueensbury before the expiration date.) n Dated at the Town of Queensbury Q Day of ,Jul V 79 �+9 w f SIGNED BY ` for the Town of Queensbury Building andVZoning Inspector TOE IN Ore APPI. ICATTON r0R ALJIL5rNG AND ZONINr, PERNITT I'� cam - f C7N ' F.ec,icv r��i C3" Rev iewed� � RECEP� a S'�URY Fee raid : U I LDI NC AND CODES Uf VARPMEMT Date Iaaued Y and HAVILaND ROADS RD 2 Fox 93 t Penmi t No . �7 CODE KEPT. �UEENSBURY, NEIJ YOR#: 22804 _ Tel , ( 528J ?92-5832. 8xc 204 Its * ■ a * x r r a ■ r a r r Its ■ r a w ■ a s Or ■ A PEWIT mLIS'i' BI? OBTAINED BE17ORE BEGINNING CONSTRUCTION . NO INSPECTIONS WILL BE MADE UNTIL APPLICAmT HAS RECEIVED A VALID BL: ILDINC PERMIT . All applicable spaces on this application must be completed and the s -iouature of the applicant must appear on the reverse side of this sheet . It * * * X * * * * * * * * * * * * It * * * * * * * * * * * * * * x * * * * `1` h e owner of this property i s : Jeffery and Karolyn Smith L' , o . Address &Amnwww 4j2 Wincrest Drive , Glens Falls New York T E L . i' r o p e r t y location Hillman Road eensbury New Ygrok TAX MAP N O . teas there been any split of this property since October 1 , 1988 ? - yes no 1f yes , Planning Board Review is necessary . SUBDIVISION NAME , Ir APPLICAnLE LOT NO The person responsible for supervision of work as regards Building Codes is : NAME F . O . ADDRESS TEL . NO . Game of builder Address TelMenem N"me of Plumber I.ddress Tel Name of Mason Address Tel t4ATuRk or r'r,OPOSCO ►�QRK : ZONING INFORMATION ( oftice use Only ) ..rons true Ciort of a ne:w buildin7 ZONING DESIGNATION OF PROPERTY Ad4iCian to a building r pERMITTED PRINCrpAL PERMITTED ACCESSORY �Al Lur.. Lion to a Luilding ' i ( isa Cli.anq � LG aaxta: riar ckimenSians) ' REVIEW REQUIRED - PLANNING BOARD ZONING DOARD UCt,4r work (,1ascribe ) ' SITE PLAN REVIEW 0 APPROVED DATE } c tsOS AftLA OL' 1' ROPOSCCI :+ 'PItU4'1' UteE VARIANCE M /' 7 � `APPROVED �,� DATE ist Floor 2112, sq ft . • Remarks : 3d Floor sq f t . „ CCNiV .LTa IN 01QQVr1O" 10,LQu110ED UL:L4jW . ther Floors -- sq N Et . : iuu of propwrty 12c+ it X 145:t rt . not collar or basiament ) • f:xis:Li�ac� Ysuil�li� � ? ice ] Si �u I.` t % rc . DOTAL FLOOR AREA�2114 sq f t . " L'xiaCinc] 17uilulini� { ; } {Js.s :.: 1Gw of nQw :.- trueturu 68 . 71t xQj� Ltaai7ad:atian-raier/ �l.aL/crawl/La3rti.al/ cull ' kaia(aLlsa:d Cauilclang , di:: Cano� croua L.r.alsurty link: (circle one ) Front y"rd 20+ fr. Rear y:.rd 50+ ft N,J . of ,terries {h:►I>iC;attla: rl�acc } � , • Side y;Ardu .20 er. :and �5 rt Ikwight ( grade to r. dgar ) � 2 t fC . � If on cornar , zutb:ack from side ::trwut.. fc 1 f ra: ;iduntial. no . of f:amilia:s 1 • OCCUP+ANL;Y INF0!'.JMATICN Noe of rooms { excludinq Lethal 14 OF 1100 of biudrooras 2 • • PRIMARY GUILDING 's Noe of b:atl►rooua:.: 2 fu11-1 half ` x Ono fan Lily dwelling Vriuury hu:aCiruj UY=Lwua f org a aig ! Lti.�a 1C:+u►i1y dw+jliiny Typ" of f ua: l gas FeNNOWNP At Mu1til�lvs +lwaalling / Hui abor of unitS Noe of firieplscwa tea lau in;;C"lla:q 2 L'Aarsn.anatat occupWicy Will :a WL3004 SCOVu law ifluc allwal? no # '1'ran :i.unt rauauis;uacy La:ntrwl Air c044aiiti0nisa97? ves ---------------- 13usinr:sis BUILDING STYLC, PRIMARY STRUCTURE Industrial 1u,ac1: Contwu.twr..rV Len c:alain Othar Y:.siswd ranclx M;.antaL(jIa i]aal�lwat If wddstican . 411r4C will Lrr+�2 bw'7 uplit luvel old styla Uu,ay.alow ' C:apu Cool CPttzLg%2 OrIa..:r • AcCaSS'ORY UUIL.DINCw Caloni+rl how Toara 1J014$a " Lrv;;tachsd y:►riago/ono czar/ two QQC/ car { CIRCLL ONC PLkASC } x Attached eampf--swe -4w&WvL 'thrge-CoLae' a w ■ a a r . ■ ■ a r ■ a r ■ a * * 11r!v" c%.: stor"go building L: ,STIMATPO MARKE01' VALUE of • Other � a.w wlf 6Q,d wow wwww �� 3NF•ORMATTON ON BUILDIN+C SPECIFTGATIONS , ON REVERSE: SIDE OF TUTS SHEET, TO BE COMPLETED Form DPA 20188 v2 BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . wood frame 2x6 exterior wall Will any second-hand or ungraded lumber be used ? If so , for what ? Foundation wall material concrete masonry units Thickness Varies ; 8-1 () "" Depth of foundation below grade ( to bottom of footing ) 91 "r Will there be a cellar ?yes Heated or unheated? heat Floor sq . footage joeU sq ft Will there be a basement? La -Will any portion be used as living space ? ( I€ so , what portion? 440 sq. ft . - - Type of use? family room/bedroom%ba Type of roof - sloped/flat/shed/otherh_i- _ Material of roof 2xJ2 fir 016"" size , wood studs 2 lox 6 IDspacing TF "o . c . length 9 ft . -� Joists ( floor beams ) 1st _ floor 1ry'JgspacIt 16 "o . c , span ' ' ft . *11 7,/81" T . .T . I . Joists ( floor beams ) 2nd . floor "x "' spacing "o . c . span ft . plywood laminated overlays ( ceiling beams ) "x " spacing "o . c . span ft . joists Roof rafters 2 "x 12 " spacing 16 o . c . span��ft . Roof trusses (pre-engineered) spacing -- " o . c . span -- ft . Exterior wall finish wood siding/masorA* what material ? cedar/ masonry " � Interior wall finish �="_ gyp . board , painted If a garage is to be attached , describe materials to be used for FIRE SEPARATION : 5/8" type X , LnM , brd . 3/4 hrw fire rated is there to be an opening between garage and dwelling? yes if so will a fire- rated door , enclosure , and self-closing device be provided? yes Will a flue-lined chimney be installed? yes Height above roor. 5f Depth of chimney foundation below grade ftlk fireplace to be pre-fab . zero clearance Depth of fireplace hearth ft . in . unit , with dbl . lined metal flue . Product Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private weli ( inc uding adjoining properties Io c> ft . (A separate application is necessary for any repair or new installation of septic system) DEC LA RATION To the best of my knowledge and belief 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 not, and that such work is authorized by the owner. r. Signature Own r, 'owner"s ent, arc itect , contractor SPECIAL CONDITIONS OF THE PERMIT : Hy------------------------------------- - TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the following : 1 . Gross floor area 211E sf 2 . Type of heat gas 3 . Is the building mechanically cooled ? yes 4 . Percentage of area of windows and doors 35% A . Over 16 % Only 10 q value of gross area of walls , roof / ceiling and floors exposed to ambient conditions WAS i 4�w OS 2 . Floor over heated spaces YES NO a . Are foundation walls insted7 YES NO 1 . If YES , what is the R value ? 19 3 . Slab on grade YES NO basement exposed a . If YES , what is the R value of insulation around perimeter of floor ? Lf� 4 . Is basement. heated ? YES NO a . R value of insulation tia 5 . Type of insulation 61, & 3u"' fiberglass ba.tt insul . as indicated B . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions _ 2 . R value of exterior walls 3 . R value of glazed area 4 . R value of doors 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab 8 . R value of heated basement /cellar walls ( above grade ) 9 . R value of heated basement / cellar walls ( below grade ) 14 . Type of insulation C . Controls 1 . Thermostat maximum heat setting 950 D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installation 19 b . R value of duct in other areas - E . Piping Insulation 1. size of hot water or cooling carrying agent. pipe 3/4' 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency 85% { 2 . Temperature control setting maximum 1400 G . For Swimming Pool Only 1 . Maximum heating { ? Telephone No . C) ( appl .i ant ' s signature ) TO FN OF QUEENSBuRY APPLICATION FOR M -; Y TO N OF QUEENSBURY� SEPTIC DISPOSAL Fi:RMI'r k +� 1 w iS CREPT.; REViEVVED BY - DATE DATE 6 / 30 / 89 LOCATION OF PROPERTY FOR INSTALLATION Ili t l rnan Ituad Owner's Name: Karolyn Smith Telephone : Address: 49 Wincrest Drive , Glens Falls , NY Installer's Name: Not selected Telephone: N / A Number of bedrooms (residential only} .5 Total daily flow (compute (d 150 gal per bedroom) 4 t� 0 Topography: Circle one: Flat Rolling Steep Slope of Slope Soil Nature: Circle one: Sand Loam Clay Other Mixed /Depth : Feet Ground Water: At what depth ? 1 2 " - Feet Bedrock or Impervious Material: At what depth ? 4 - 5 Feet Percolation test : Circle one: not required required rate l 6 min. inch . Domestic water supply: circle one: Municipal Well Other Lake if domestic water supply is a well: Separation : Water supply from septic absorption feet PROPOSED SYSTEM : Septic Tank I 000 gal. ( minimum size : l . non gal . ) TILE FIELD: Each Trench 81 feet /Total system length -394 feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # /Depth or Thickness feet 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 Sewa Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON : DATE: / OVER Septic System ins ;sect ions : A , All applications for septic system installation , alteration or repair , as required by the fruwn of Queensbury SarziLAFy :sewage 01-0inailCa2 sktall be StjbmiCted to the Building Uupaartmn nt at least ? 4 Boers before start of construction and shall include a Blot plan showing- 1 . ) the propos:� d .Location of tlxe System w . } location and distance to lot lines 3 . ) location and distance to sc rucCures 4 . ) location astd distance to any writer supply 5 . ) size and dimensions of all ranks , distribution 'boxes , tile f it: lds sinJ / or drywe lls li , Nu :system shall be covered before inspection and approval by the lsuilding llispector . Failure to comply with this require-mo « t may Vujult in tite uncovering; of tYte System by the installer taIIJ a fine or up to '_150 . U0 . C . An approved copy of Clue plot plan sllall be available on the construction r; ite . Failure to produce said plot plain at time of inspection may result in an immediare worse stoppage . D . Should unforeseen problems during construction prevent proper installa- tion , alteration or r� l,.iir of an approvad system , a new Preapus" l must bo submitted to the QLIu. unSbury fiui. ldini; l t- partment before further C 0LIt: trucC ion , `l'ocsn of Queensbury BUILDING and CODES DEPARTMENT ti.ty and Haviland loads QuVCRSlsury , New Yurk 12804 h�marl: s ; 1 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT / J BAY & HAVILAND ROADS QUSENSBURYr NEW YOR 2280tr TELEPHONE (5I8 ) 79 5832 BUILDING SPECTOR' S REPORT REQUEST INSPEC N RE EIVED NAME LOCATION DATE 2, �7 PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORM FOUNDATION/DAHP-PROD ING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING .APINAL INSPECTION: CHIMNEY HEIGHT" ROOFING SIDING EXTERNAL PORCHES/ST S STAIRS-CLEARANCE & LS PLUMBING FIXTURES/ E EF VALVE INTERIOR TRIMfPRI C DOORS FINISHED FLOORS GARAGE FIREPROOF G DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL NSPEC ION FINAL APPROVAL O CONST CTION OK TO ISSUE C/O C/C A .SIGNED CERTIF ATE OF CUPANCY MUST BE OBTAINED FROM T E BUILDI G DEPARTMENT ,BEFORE THESE PREMISES RE OCCUP EDi REMARKS : MW ARRIVE 1rr2 0 DEPAl2'i�'� - INSPECTOR THE NEW 'YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 47 STATE STREET, ALBANY, NEW YORK 12207 Application No. on file THIS CERTIFIES THAT only the eEectrical equipment as described below and introduced by the applicant nenned oft the above application number in tha promises of . f ; . 1 1 "4 it . . . j ff''``''11 f • � 1 1—� ? . � . ,: j in the folloscing location; .i—] Basement LJ' , lat Ff. ❑, Znd Fl. Section Black Lot was examined ors S and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COCKING DECKS OVENS DISH WASHERS EXHAUST Et FAi OUTLETS EhTACLlt'S St7MITCHES 04CANPE5CEN7 FI.LMMSCENT OTHER AMT. K. W. AMT- K. W. AMT, K.W- AMT- K- W- AAlT- H. P. 4 DRYERS FURNACE MOTORS TUTNQE AMBIANCE FEGDERS SI IOAL RECFT TIME CLOCKS M{L UHIT HEATERS MULT64MTLET DIMMERS AMT. K. W. OVL H. P- GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. Amp$- TRANS. AMT, H, P, S TEIIIS• AMT, WATTS NO. OF FEET SERVICE DIS{pOIrNrECT TCO. Os S E R V I C E AMT. Amp TYPE EOLRF. 1 t' 2W 1 .T 3W 3 X 3W 3 X AW NO. f Or Of Or C{. GND NO- OF WAE I G Of IM EC3 NO. Of NEUTRALS CW i A-AI OTHER A"ARATUS: • V i - i - . . . . f '. i L,- r . . BRANCH MANAGER per— This certificate muse not be ahYered in any manner, return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST HOT BE ALTERED IN ANY MAHMER. TOWN OF QUEENSBU Y ` BUILDING AND CODE'S DEPARTMENT BAY & HAVILAND ROADS ENSBURY, NEWYL7RK I2$Dr& TELEPHONE (538) 792-5832 BUILDING INSPECTOR ' S RT REQU ST N PE rON IjECEI � NAME ZOCATIO DATE PERMI ## APPROVED YES NO FOOTING/PXERS NONOLrTHrC POUR FO S FOUNDATSON/DAMP-PR FIN BACKFILL .APPROVAL ROUGH PLUMBING FRAMING ZZRCTRXCAZ ROUGH-XN INSULATION: FOUNDATION FLOORS WALLS '� CEILrNG FXNAZ INSPECTION: CHIMNEY HEIGHT ROOFING SIDING 'exTeRNAL PORCHES STEPS STAIRS-CLEARANCE & RAI PLUMaBXIVG FIXT0WE /RELrE VALVE INTERIOR TRIM/P VACY RS FINISHED FLOORS GARAGE FIREPROO rNG DOOR CLOSER (S) SMOKE DETEC2gOR FINAL ELECTRICAL INSPECTION F'r1VAL APPROVAL O CONSTRUCT' ON OK TO ISSUE C/o R C/C A SIGNED CERT'rF CATE OF OCCU ANCY MUST BE OBTAINED FROM T E BUILDING D PARTMENT .BEFORE THESE PREMISES RE OCCUPTEDI REMARKS: ARRIVE DSPAI2'�__ INSPECTOR TOWN OF QUEEN BURY BUXLi7XNG AND CO ES DE+ARTMENT BAY & HAVILAND OARS QUEEN.SBURY, N YORK 1280& TELEPHONE (5 ) 792-5832 BUI ING INSPECTOR' S REPOR RwU T NS TXON ECEXV NAME LOCATX DA Ck PERM # {J APPROVED YES NO FOOTING/PSE MONOLITHIC FORMS FOUNDATION/ P-PROOFING BACKFILL AP . ROVAL ROUGH PLUMB NG FRAMING ELECTRICAL GH-XN XRSULATION: FOUNDATXOM FLOORS WALLS CEILING • XNAL INSPECT ON: CHIMNEY HEIfFHT ROOFING SIDING EXTERNAL" PORfHE /STEPS STAIRS- RAP & RAILS PLUMBING FIXM, ES/RELIEF VALVE .INTERIOR fiRIMf RIVACY DOORS FINISHED FLOG GARAGE FIRE XNG - DOOR CLOSER SMOKE DETEC RS FINAL ELECTRI L I1475PECTION FINAL APPROVA OF doMSTRUCTION - OK TO ISSUE /O OR C r. A SXGNED CE IFICATE 'OF OCCUPANCY MUST BE OBTAINED F M THE BUXNG DEPARTMENT BEFORE THESE PREMX ES ARE OcCb LED! REMARKS: ARRIVE ►�/��} / 78P.ART A INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT �} BAY ,& HAVILAND ROADS 1 ' � QUEENSBURY, NEW YORK 1280LL TELEPHONE (518) 792-5932 BUILDING INSPECTOR ' S REPORT REQUEST FOR SPECTION RECEIVED Q ` NAME LOCATION DATE U PERMIT �# SL Cam+ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIONJDAMP-PROOFING _ BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROU H-IN / TNSULATION: l \\ FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: _ CHIMNEY HEIGHT + i ROOFING SIDING EXTERNAL PORCHES/STEP STAIRS-CLEARANCE & RA4r k ` PLUMBING FIXTURES/RE IEF VALVE INTERIOR TRIMfPRIVAC� DOORS FINISHED FLOORS GARAGE FIREPRooFS� [— DOOR CLOSER (S) -- SMOKE DETECTORS - FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTX01v�v 'l A .SIGNED CERTIFICA `E OF OCCUPANCY MUST E OBTAINED FROM THE 'BUIL XNG DEPARTMENT B FORE THESE PREMISES ARE OCCUPIED! 1 REMARKS: { INSPECTOR TOWN OF QUEENSBURY y � BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK I280¢. TELEPHONE ( 510) 792- 5832 BUILDING INSPECTOR ' S REPORT__ REQUEST FO NSPE ION RECEIVEb�',11G NAME LOCA TIONf DATE PERMIT #• APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR ORMS FOUNDATXON/DAMP- ROOFING BACKFILL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IAj INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES'I# TEPS' STAIRS-CLEARANCE 3& RAIL P4UMBING FIXTUR IRELIE VALVE INTERIOR TRIM/P IVACY D FINISHED FLOORS GARAGE FIREPR FING DOOR CLOSERS) SMOKE DETECTO — -- FINAL ELECTRICA ENSPECTION _ FINAL APPROVAL F CONSTRUCTION_ k A SIGNED CERTI ICATE OF OCCUPANCY MUST BE OBTAINED FROM HE BUILDING DEPART BEFORE THESE PREMISE ARE OCCUPIEDI 1 REMARKS: INSPECTOR TOWN OF QUEENSBURY � BUILDING AND CODES DEPARTMENT .BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 128pg. TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S► REPORT REQUEST IN PECTION RE'CE rVED ''J fC- NAME - �-� LOCATION DATE PE APPROVED YES NO FOOTINGfPIERS MONOLITHIC POUR `EYORMS FOUNDATION/DAMP-�>R0C7FI G BACKFILL APPROVAZ ROUGH PLUMBING FRAMING y ELECTRICAL RQUGH�17N INSULATION; FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ FPS STAIRS-CLEARANCE RAILS PLUMBING FIXTURES ELXEF VALVE INTERIOR TRIM/PRS Cy DOOR g FINISHED FLOORS GARAGE F'IREPROOFI DOOR CLOSERS) SMOKE DETECTORS FINAL, ELECTRICAL IN PE TION FINAL APPROVAL OF NS UCTION A SIGNED CERTIFICA OF CUPANCY MUST BE OBTAINED PROM THE B ILDI DEPARTMENT BEFORE THESE PREMISE'S ARE CCUPI D! Y REMARKS: 6 s �� .INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HA V?LAND ROADS QUEENSBURY, NEW YORK 12804. TELEPHONE (528) 792-5832 BUILDING INSPECTOR ' S REPORT REVUEST FOR INSPECTION p7t/ NAME LOCAT10NDATE PERMIT - J ( APPROVED YES NO FOOTING/PIERS � MONOLITHIC POUR FORMS YfOUNDATIONfDAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-I INSULATION.- FOUNDATION- FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES STEPS STAIRS-CLEARANCE & LS PLUMBING FIXTURE /R IEF VALVE INTERIOR TRIM/PR S/ Y DOORS FINISHED FLOORS GARAGE FIREPROOF G DOOR CLOSERS) .SMOKE DETECTORS FINAL ELECTRICAL IN ECTION FINAL APPROVAL CO STRUCTION A SIGNED CE'RT FICATE OCCUPANCY MUST BE OBTAINED FRO THE BUT ING DEPARTMENT BEFORE THESE PREMIS S ARE OCC P rFD! REMARKS: The Contactor is resp sible to provide protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site YES NU 140 INSPECTOR �� TOWN OF QLIEENSBt1RY � z,�" BUILDING AND CODES .DEPARTMENT DAY Se HAVILAND ROADS QUEENSBURY, NEW YORK 128021 TELEPHONE {518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIED � NAME � LC.iCAT2 DATE PE IT #,E APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS_ FOUNDATXON/.DAMP—PROOFS , -- y�OCKFILL APPROVAL UGH PLUMBING FRAMING ELECTRICAL ROUGH—IN -INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES 40T S STAIRS—CLEARANCE & ILS PLUMBING FIXTURESIREL £F VALVE I INTEROR TRIM/PR VACY IRS FINISHED FLC7ORS GARAGE FIREPROO ZNG DOOR CLOSERS) .SMOKE DETECTORS FINAL. ELECTRICAL INSPECTION FINAL APPROVAL OF4 CONSTRUCTION ". I d A SIGNED CERTIFXgATE OF OCCUPANCYNVUST BE OBTAINED FROM TH# BUILDING DEPARTMRkT BEFORE THESE PREMISES A E OCCUPIED! REMARKS; t I ' I SPECTOR TOWN OF +(QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YOR K 128 pg TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REp©RT REQUEST FOR .TIVSPECTION RECEIVED NAME {� LOCAT-rOrN} + 11 DATR PE T APPROVED �/ YES NO VfOOTXNG/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP.PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN F INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESIsTEPS -STAIRS-CLEARANCE & RAILSr PLUMBING FIXTURES/RELI -p VA E INTERIOR TRIM/PRIVACYOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL IN PECTION FINAL APPROVAL OF ONSTRUCTION A SIGNED CERT'IFI ATE OF OCCUPA Y MUST* BE OBTAINED FROM T E BUILDING DEPA TRENT BEFORE THESE PREMISES RE OCCUPIED! REMARKS. 3 �re t> � . INSPECTOR BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. C1. 1 Box 98 Oueensbury, New York 12801 SEPTIC D��Iq�SF'OSAf, SYSrTEM INSPECTION NAME ��� ._--�-"/Js-tip r' LOCATION DATE 9 4 PERMIT No.��` SOIL TYPE - Sand - Loam - Clay - Percolation Test equired? YES - NO Percolation rate Min/Inch TYPE of SYSTEM : Absorption field , tal lencprth� Length of each tren h - Depth of trenches J Size of gravel_ SEEPAGE PITS{Nvinber o ) Size- ft. x _ gt Gravel size PIPING : S e &Pa Bldg _ to tankTank to dist . box Dist. box to fieldOpenings sealed? S Nq rtial J Zr LOCATION/SEPARi4T S Foundation to t kC t. Foundation to sorption Absorption Absorption to of line Z +. Separation o pits ft` LOCATION OF YSTEM ON PROPERTY (caLcle one ) Front - Re - Left side - Right side - CCMMEriTTS no a SYSTEM USE APPROVED YES NO Buildi Inspector 01/86 and v1 SELECT BUSINESS FORMS (609) 848-5203 APPLICATION FOR ELECTRICAL INSPECTION _ PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES. } MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters 900 Haddon Ave., Collingswood, N_J_ 08108 Date : 7 Z ak9 City, Town or Township 11 I+ County Vn"' C] fe e�.... State Location/Address H- - � l a2G n C �� i ( If Located in Rural Area - Please Attach Directions) Pole aY Owner.�T`' CI V2 l4, 0 L } , �rv_r ; Permit Occupied As Building; New NewirlK oldQ Occupant Work Area in Buildin Floor #, etc. ) ; App. for; Wirin = Service or: Ready for Inspection : Fee Remitted - $ Cash = Check Q M.O. [] Make Payable To : M, D. I.A. 500 750 3000 1254 I5o0 1750 200p 2250 2500 2750 3000 Number of Rough Wiring Outlets Elect, Heat Switches Lighting Amp. Service Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer pump Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H-P. Vent Fans Other Equipment: of Each S MOTORS H.P, i/2 1/12 1/10 1/a 1/6 1/4 1/3 1/2 3/4 1 1 x 2 3 5 7vz LO 15 20 25 30 40 50 75 140 Mark Number iza Applicant'S Signature License # Permit # T/A Utility: Applicant's Address: (NAME) OFFICE L CAT10N (City) (State) (Zip) Service Request # Phone # Electrician : * DATE RECEIVED: DATE INSPECTED: Correct Location : Same as Above [] or: Red Notice Label = Hough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring & Controls for Amp. Receptacle Amp. Service Conductors Pump Vent Fans MOTORS H.P. 1/20 1112 111❑ 1/8 1 1/6 1/4 1 1/3 1/2 3/4 1 1>z 2 3 5 7 r 10 15 20 25 a© 40 50 75 100 Mark Number of Each Size Elect. Heat Sao 750 1000 125o I500 1750 2000 22sa 2500 2750 3aoo CORRECT R ECT IK:Aw I!!E FOR INITIAI. VLSFT ElIi1 Y IiOTIF1CD DATE FEE FEE PA&D ,. .p Q RW Progress : Inc. Q LKD Q Contractor Q CFT Violation : Work Camp. [] Inc. 0 �] L/A Owner CASH 0 LIA Fee CH K Due # (� ipA Municipal MO # it # Date: Other Side = Utility Applicant Owner Cut in Card Q Temp # Date f f Or - � r j 4 f croN rrr x3 rr G(SQillZl3d crew dO / � S'/TE AAA/ ,3CA4f, /" -30' tEGE'ND 0 /ORaPERTY CDRNER Nor--: INFORM,,rION TAKEN FROM MAP PREiARED p / ROPERTY LINE BY VANDuSEN at SrEVES LAND JURVEYE4T9 /OoWeR 1PO4.E 64zvs FAia,:s, N Y. — NY5 L./c. No . ,95G/7 E P011,69 43Nt INF64MArI61V oN LA/VDS EAsr OF R/GHr _ - - _ _ - EX/3T/NG 5 rf0c7URE5 ro be REMOVED OF WAY TAO&V FRO&I TOWN of • FOUND IRON ROD QUEEIV56URY JAX MAP 4 CATCH BAJIN 0 54P17L TANK ® n�1 Al�/ &, LUENT AumpSEEDIVOTE3 ® D/srRlaurlOA! ,Box 8r De-rAIL.S IB DIST. 4° SOLID PVC SDR 35 LATERAL TRENCH AREA NOT TO SCALE -- DRAWING NOTES: 1. Pump shall be Goulds GL-885 effluent pump, 113 H.P., capable of pumping 30 GPM at 20 foot T.D.H. 2. Controller shall be Goulds A 3-2012 with three (3) A2-3 level control switches and one A4-1 alarm. Wire alarm to cut out water pump operation when alarm is activated. 3. Distribution box shall be Fort Miller 1-A distribution box. 4. Fill shall be granular in nature with 10-20%, -200 mesh material. In situ percolation rate to be 1"/5 Min. to 1"/15 Min. 5. Topsoil shall be removed prior to fill placement, and reused. Area to be seeded with grass. ABSORBTION TRENCH wand Q ,+• - + I+ nartvR�I; �,I Sheldon, i'av 1 �5. Panr 1 aunMly 1 ➢ant 1 Sp.dY r'n,so. . F�<arnq 1 r_ Q F Nam. r` ' 1 i llma� C` a I 1 r 6,av ran Fo j 1 r�� 1 G 1 1 a A, 1 S ROR (N CUEfNSBURv ENERCENCY 542YAD LOCATION MAP LEACH FIELD SECTION NOT TO SCALE (SEE NOTES 4 & 5) DESIGN DATA_ DESIGN FLOW = 3 BEDROOMS X 1,50 GALLONS/DAY/BEDROOM DESIGN FLOW = 450 GALLONS/DAY APPLICATION RATE = 0.70 GAL./S.F./GAY DISPOSAL AREA REQUIRED 0.7 GAL./S.F./DAY DISPOSAL AREA REQUIRED = 643 S.E'. LINEAR FEET = 2 S.F./L.F. LINEAR FEET = 322 USE 4 LATERALS AT 81' = 324' TEST PIT DATA (Taken by Janes E. Hutchins, P.H., 4/2b;69 0 - 6" CLAY TOPSOIL 61• - 4'0" BROWN TO DARK GRAY CLAY, SOME GRAVEL, LITTLE SAND 4'0" - 5'0" BROKEN, SHATTERED ROCK - SHALE WATER SEEPING AT 1.0" PERCOLATION TEST AT 10' - 1"/16 MINUTES PAVEMEN 4" TOPSOIL / SEED a TURF ESTABLISHMENT �✓E� E.Yi'YOS/GUI �r}"�PF I uGdtZ'r�7d/ drDX I rSIR 2 �� �ATI, t —SELECT GRANULAR MATERIAL E,YrE.tis'iav �S �PEOui.P�o R�NAr,4 .4�vo .SGII.rM 2<jP,Ve' JDe-3S iD,CCE yousaE. 5' MIN. MAIN TOT�GEFEGO /*L_r7 COVER a47Z' 0*W-,V Y.IcvE - G,e/A1PLr& )PWP /000 GALLON .3'EAML•ESS CGV/G.P,eTZ` S4PnC ;%A/x + _ SAND (12" UNIFORM COVER) EFFLUENT PUMP DETAIL NOT Tu SCALE 2 FORCE MAIN FORCE MAIN TRENCH DETAIL NOT TO SCALE .3 TOPSOIL FOR SETTLING 2MIN. GROUNDWATER r IMPERVIOUS LAYER CR9W SECTIONAL VIEW 1 '�;An - Ir •• �fit!';$Jt t'<J"y•3•( ;`,:.7��-rr`E'rir /'�t'}t .1'•, l � ..—.rr FLU — r�fr-0 ` a :jam-ktl:I;rRc/cC�Ij � Btit'C;�'jl(Q::FIR?FJi:_f?It::S?:f?7�YQ� '•'.� 1 r S 3/4" TO 11/2" 5' MIN. L CRUSHED STONE OR WASHED GRAVEL BEDROCK ' LONGITUDINAL VIEW -•%^ i. .7.:'s.r r'. ter!°ds,,,;2rMINr SDR-35 P.V.C. �— SLOPE-.I/16 TO 1/32" PER FT. TRENCH PROFILE AM, -DO NOT INSTALL TRENCHES IN WET SOIL -RAKE SIDESANO BOTTOM OF TRENCH PRIOR TO PLACING GRAVEL .•ENDOFALL DISTRIBUTOR PIPES MUST BE PLUSGED UNLESS INT"CONNECTED -BFN&e OR ABe0RPT10N TRENCH 6_O"O.C. F'T**# a iJ ► a i� tWHOM r LOCATION STAKE IMLIT CAULKED JONIT---' SANITARY TEE - PERFORATION DISTRIBUTOR PIPE ---- FMSHED GRADP — MANHOLE A�►IALTIC eEAt' � - INVERT (IF MET 2" ABOVE 1N)VERT OF OUTLET In' LKIUID LEVEL I +' Olt BAFFLES MAY BE U1�1 INSTEAD OF SANTARY TEE I ?a, q� • I 48" MIN.-60 MAX .0. .�op LIQUID DEPTH 0 SECTION - VIEW ASPHALTIC SEAL RING BOLTS TJ �I L _41._ :Q..o. PLAN - VIEW TYPICAL CONCRETE SEPTIC TANK NoN To Sooty SIZE: 1/SE 0000 GAL. FOR 2,3 9 4 BEDROOM HOME OUTLET `CAULKED JOINT —SANITARY TEE ► 6" MMANM UM NW1 THICKNESS FOR POUTED IN PLACE CONCRETE M TOWN OF QUEENSBURY Zoning Administrator /G Dater. �-- �.is 7 1I R.S.M 1 7/6/89 119tynwo T S,Wow Mrw s c FooTPR/AIT' REV: 8Y DAT : T111i' Karolyn Smith Septic Site Plan r'ki J MORSE ENGINEERING 99 LOWER DIX AVE.o i wn of_ Ount _ t GLENS N%L43 ,Y, Giffin a Hutchins Checked, R. S. Morse Salle, es of As Shown +_ Sheets Drawlrq No. Drawn 1 Date I Project No. K. Higgins 6/30/99 89-036