2006-694 TOE OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20060694 Date Issued: Monday, December 24, 2007
This is to certify that work requested to be done as shown by Permit Number P20060694
has been completed.
Location: 24 HOLDEN Ave
Tax Map Number. 523400-309-007-0001-040-002-0000
Owner. MARJORIE JOHNSON
Applicant: MARJORIE JOHNSON
This structure maybe occupied as a:
Single Family Dwelling By Order of Town Board
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 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060694 Application Number. A20060694
Tax Map No: 523400-309-007-0001-040-002-0000
Permission is hereby granted to: MARJORIE JOHNSON
For property located at: 24 HOLDEN Ave
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: MARJORIE JOHNSON
LEESA STILLER Single Family Dwelling _ $80,000.00
THE KENNETH ELLIS TRUST Total value $80,000.00
385 RIDGE Rd
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2006-694
945 SQ FT SINGLE FAMILY DWELLING
$113.40 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,December 18,2007
(If a longer period is required,an application for an extensioii must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To ZF
cember 18, 2006
:7/vy
SIGNED BY for the Town of Queensbury.
Director of Building& de E orcement
S
s`.� ,.................a...................................................% r...................
OFFICE USE ONLY , r '
/ 6 Mr r ,... a.... ;
TAX MAP N0. > "? PERMIT NO. i �
FEES: PERMIT 2 RECREATION ENGINEERING ��" ` ? n �' f` =Q '
(If applicable)
....................-- .............r r..Osvp_®-g-���6...-=
PRINCIPAL STRUCTURE: "U ; ��s
APPLICATION FOR ZONING APPROVAL & BUILDING PE fftk'-
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO
REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. —/—/;%
D /5� 14'
APPLICANT/BUILDER: "// .�Q��/t� t/rJ /jS��WNER: � ���i � /��y,
ADDRESS: C� /�S�j� t f ADDRESS:
PHONE NOS.� y����'�l ��' PHONE NOS. - f -
CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE: Z
LOCATION OF PROPERTY:
SUBDIVISION NAME:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT
APPLY TO YOUR z 0: p d a w r y
PROJECT 0 p O J p f- _
w Sri u w ¢ a. z U
z
z a a � ° N .a (L = 06
SINGLE FAMILY ('
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS,
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHE
GARAGE3)
OTHER
IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS:
ESTIMATEI]CQNSTRUCTIC?N CO aT. pC. FU PE: �� A
HEAT TYPE: CWD *HOW MANY FIREPLACE•S : AN/OR :WOODSTOVES S -�
Psg-V wcv R��f� (_ ) ( )
ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE?
PROPOSED USE OF BUILDING OR ADDITION:
"Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office
B 3-LGL 11-05
Town of Queensbury• Community Development Office - 742 Bay Road, Queensbury, NY 12804
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I 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 NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required t0 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.
Signed
Director.of.Building &Codes: 761-8256 (for questions regarding Building Permits, construction
codes or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
....................... ...........1 :. ,........ -------------
Permission -.:._...... •.1
Permission is hereby granted to the above ; This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance.with the
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
;
1
,
BUI 0ING CODES APPR V. L I ; ZONING APPROVAL
, 1
00
1 , Y
V 0
DAT1
10
DATE
___ ____.__._..__._� -------
QUESTIONS? CALL 767.8256 OR EMAIL
codes0meensburv.net
VISIT OUR WEBSITE FOR MORE INFORMATION
wwmaueensburv.net
,,x; Town of Queensbury• Community Development Office - 742 Bay Road, Queensbury, NY 12804
' I � r //I r I r1
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3C
-OPIRMIT '
� TAX MAP N0. PERMIT NO. FEE
OCT 0 3 2006
APPROVALS: ZONING TOWN CLERK '
�l OV1iod Ur c .IL_: ,�•RY
.//r.wr/r.r./IwI_rrw/rrwww..rlw._r.r.www.w_rw_r. wL'VILUII��_:t_�ICii����_)_.�r
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT. n
OWNER: A .Ja °l �—�L� �� �� INSTALLER:
ADDRESS: �O� CG C. �' /J�l/�a4DDRESS:
PHONE NOS. '��� `9o2X PHONE NOS.
LOCATION OF INSTALLATION: HL � Y ✓!�°��1
1 �
_.•................•.•....•......................••...............•....;............................,..tt...•.................................................................................;....................................:...................................... RESIDENCE INFORMATION,
�- YEAR BUILT ( NO.OF X i COMPUTATION= i ; TOTAL DAILY FLOW
f C
BEDROOMS ••. GRINDEF�
::..............:................ ...............................:.....�...... ...•.................•......•....................................•.......,...........;.......................................................................... B /
1980 or older X 150 gallon per bedroom = j INSTALLED?
..__:.................................. ............
...
.........
............
.....................................•...........•...............................................................................•.
I X 130 allon er bedroom 1 1
1981 1991 g..•.:....•...p..•..........•........•..•....•..••� _ ! NSTALLED? TU
{ 1992 resent X i 10 gallon per bedroom i i
t................................::................................A.. ...........•.........................................................................................•...., •........... . ..•.................:
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT OLLING STEEP SLOPE %SLOPE
✓ SOIL NATURE: AND LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT
WHAT DEPTH?
✓ 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:,/o 6 0 GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH,_5 0 FT.
✓ TOTAL SYSTEM LENGTH: / 0 FT. SEEPAGE PIT(S): HOW MANY?
✓ SIZE OF EACH FT. X FT.
✓ SIZE OF STONE TO 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.
1......:::.:.:...:::.....:.......:::::....-..................:.:.:.,.:...............................:.:.:.:.,.:.:...:.:.:.:.:.:.:.:.:.:.:.............:.:.:.:.....................:.:.:.:....................:................................................. :.:.:.:.:.:.:.:.............:...............................................................
ji NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
,1 li
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 QUESTIONS? CALL 761-8266 OR EMAIL
Queensbury Sanitary Sewage Disposal Ordinance. codes@aueensburv.net
VISIT OUR WEBSITE FOR MORE INFORMAT19N
www-aueensburv.net
i1bpatu&';fjPer,s6fi Responsible Date
*r Town of Queensbury ■ Community Development Office 742 Bay Road, Queensbury, IVY 12804
.?-i%A4,�
--Queensbury Building & Code Enforcement - Resident' nal I pection
• / 9
Office No. (518)761-8256 Arrive: 0
Date Inspection request received: Z U Inspector's Initi
NAME: VE:
IT#: C)
LOCATION: ��f�=1�
TYPE OF STRUCTURE:
Comments
Yes No N/A
Building Number/Address visible from road
Chimney Height/"B"Vent/Direct Vent Location71
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 6 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Interior Handrails @ stairs 2 or more risers
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Wi dow in stairwells safet glazing
Interior Smoke D ectors:
Every level: Every Bed
mm:
Outside every bedroo ea: JJ
Inter Connected: Batte backup:
Carbon Monoxide Detector
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area —71
Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 s .ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum''/2"Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/a hour fire door/door closer
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Final Electrical
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker .
Site Plan /Variance required
Flood Plain Certification,if required
Okay to issue C/C or C/O [Temporary/ ermanent]
L:\Building&Codes Forms\Buildin Code spection Forms\Residential Final Inspection Form revised 100405.doc
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection req rec iv
Queensbury Building &Code Enforcement Arrive: /gym a it. am in
742 Bay Rd., Queensbury, NY 12804 Inspector's Initia s:
NAME: E �IT NO.: o — �9"T
LOCATION: SPECT ON: \1
RECHECK:
Comments and/or diagram
Soil T am / Clay
Type of Water. unici J Water
Waterline separation distance FPS+31 11 ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' + / - Y N N/A
Absorption Field: Total length
Length of each trench ft.
Depth of trenches Z_ ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank L r l b
Tank to Distribution Box 4 1( h
Distribution Box to Field / Pit �c z,•"' ��
Opening Sealed: Y,- N
End Ca _Y N
Inlet/Outlet Pipes&Baffles N
Location/ Separations
Foundation to tank ft.
Foundation to absorption _
Separation of Pits ft.
Conforms as per Plot Plan _Y_ N
Engineer Report and As-Built Y N
Location of System on Property:
Front I/Ref Left Side Right Side Middle Front Middle RearS stem Use St a
V Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection reqffT #:
t06
Queensbury Building & Code Enforcement Arrive: h am
742 Bay Road, Queensbury, NY 12804 Inspector's Initi
NAME: � o'�-����11� _ _ PER °�q
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
Rough Plumbing / Nail Plates
Plumbing Vent/ Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/ change of direction
Pressure Test
Drain / Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
50V, I fnr 1 5 minutes
nsulation / R idential Check/ Commercial Check
ent
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly / No duct tape
COMMENTS:
LAPam Whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Rough Plumbing / Insulation Inspec ion/ eport
Office No. (518) 761-8256 Date Inspection reques e iv : j o 07
Queensbury Building & Code Enforcement Arrive: —2tzk6tLa / D art: _
742 Bay Road, Queensbury, NY 12804 Inspector's Initial -
NAME: K PER #:
LOCATION: r-�,4 �W Id��- - INSPECT ON: o-7
TYPE OF STRUCTURE: <;„g
Y N N/A
Rough Plumbing Nail Plates
Plumbing Vent/ Vents in.Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet change of direction
Pressure Test
Drain / Vent
Air/ Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/ Head
,56-P--.$3,for 15 minutes
nsulati Residential Check/ Commercial Check ��,�,r U�,�L
Pro er Vent Attic Vent
Duct/ Hot Water Piping Insulation � Gt�'S�
If re uired unheated spaces No ��i� "
Combustion Air Supply for Furnace
Duct work sealed properl No duct toe Q
COMMENTS:
Fv zz o� VkAaT
LAPam Whiting\Building&Codes4nspection Forn s\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection re t eiv d:
Queensbury Building&Code Enforcement Arrive: y 1.�a pm D part: pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initia
NAME: S 14 PERMIT#: —(9
LOCATION: -2-LA HOLDS INSPECT ON: I() Ll—L7
TYPE OF STRUCTURE:
t Y N/A F COMMENTS
ramin
Attic Access 22"x 30"minimum
Jack Studs/Headers IJ
Bracing/Bridging
Joist hangers I
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 `h w 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Q-Z ire in
Pene a ion sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side ''/z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Rough Plumbing Insulation -'"g g / su i ton Inspection Report
Office No. (518) 761-8256 Date Inspe ion requestOe 1�LS 1,0-3
Queensbury Building &Code Enforcement Arrive: V) a art: a pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials.
NAME: ' cY PER #: OCP - CO
LOCATION: J aq INSPECT ON:
TYPE OF STRUCTURE: Af
5 �
Y N/A
R u h Plumbing)/ Nail Plates,
Plumbin nt Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet change of direction
Pressure Test
Drain / Vent
ads
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test 000l
Water Supply,Pipie9 _-- -- - -- T
or 15 minutes
Insulation Residential Check Commercial Check
Proper Vent Attic Vent
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly No duct tape
COMMENTS:
LAPam Whiting\Building&CodesVnspection For ns\Rough Plumbing Insulation Report.revised Nov 17 2003,doc Revised February 15,2005
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Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection re e' ed:
Queensbury Building&Code Enforcement Arrive: e I a l+�
742 Bay Road, Queensbury,NY 12804 Inspector s Int '
NAME: � PERMIT#: 06
�1 y
LOCATION: v1Z INSPECT ON:
TYPE OF STRUCTURE:
F raming Y N N/A COMMENTS
Attic Access 22"x 30" minimum
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z w) 16 gauge(8) 16D nails each side
raft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side11/z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: - /
Queensbury Building & Code Enforcement Arrive: -2, am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector' Initials:�°4>R(i
NAME: `l Ohn-5,0 n, PERMIT #:
LOCATION: c2 L/ Akit INSPECT ON: /a---a /-0 7
TYPE OF STRUCTURE: i D
Y N N/A
Rough Plumbing Nail Plates
Plumbing Vent Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain.2 inch minimum
Cle-anout every 100 feet change of direction
y ensure T st-- (��JflC� 5c,
VHe6ad
Ai5 ft. above highest connection for 15 minutes
4Pressure Test
Water Supply Piping f/
Air/ Head IVO 7- f
50 P.S.I for 15 minutes I I /
Insulation Residential Check Commercial Check
Proper Vent Attic Vent
Duct/ Hot Water Piping Insulation
If're uired unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly No duct tape
COMMENTS:
LAPam WhitingU3uilding&CodesVnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005
Foundation Inspection Report
Office No.(518)761-8256 Date Ins ectio request received:
Queensbury Building&Code Enforcement Arrive: pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: Q�
NAME: � PERMIT#: o y
LOCATION: INSPECT ON: A?-I 0'7
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
Monolithic Slab
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.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
ackfill Approval
P1 ing Under Slab
PVC ast/Copper " e-,J 0
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report I
Office No.(518)76178256 Date Inspection re a iv T
Queensbury Building&Code Enforcement Arrive: in Depart: J, am/
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial
NAME: OJl if T#:
LOCATION: J 24 INSPECT ON:
TYPE OF STRUCTURE:
Comments
Y N NA
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
/ for 48 hours following the placement
I \ )/ of the concrete.
Materials for this Eurpose on site.
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
-Aa'1 201Y for wet areas under slab
Backfiff ppro
Plumbing Un er ab
PVC/Cast/Copper
Foundation Insulatio Int t/Exterior
R. ko IY
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codesunspecdon Forms\Foundatlon Inspection Reportdoc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Ins ti n,,Fe r ce' e .
Queensbury Building&Code Enforcement Arrive: r Depart:
742 Bay Rd.,Queensbury,NY 12804 Inspector's IncJfis.-
NAME: 1tIvIIT#: C�
LOCATION: INSPECT ON: - O
TYPE OF STRUCTURE: S/)(=® / OM
Comments
Y N N/A
noSi IJAct'
Footings
Piers
Monolithic Slab
--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.
Foundation/Wallpour Al
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofmg
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior%Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection ReporLdoc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Ins ection rs
6
Queensbury Building&Code Enforcement Arrive: o Depart:
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi
NAME: , �! ��v�'\ ah LOCATION: ,� ] E� S �7
TYPE OF STRUCTURE: sr
Iv Comments
Y N N/A
ootin
Piers
Monolithic Slab
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.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Permit Number
r
REScheck Compliance Certificate Checked By/Date
2000 IECC
REScheckSoftware Version 3.6 Release 1
Data filename:Untitled.rck
PROJECT TITLE:MARJORIE JOHNSON
CITY: Glens Falls
STATE:New York
HDD: 7635
CONSTRUCTION TYPE: Single Family
WINDOW/WALL RATIO: 0.08
DATE: 12/05/06
DATE OF PLANS: 12/6/2006
PROJECT DESCRIPTION:
SINGLE FAMILY DWELLING W/ 1 CAR GARAGE
24 HOLDEN AVENUE
QUEENSBURY,NY 12804
518-792-9289
DESIGNER/CONTRACTOR:
TAD BELKE
COMPLIANCE:Passes
Maximum UA=321
Your Home UA=238
25.9%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R- alue -Value U- act r UA
Ceiling 1:Flat Ceiling or Scissor Truss 936 38.0 0.0 28
Wall 1:Wood Frame, 16" o.c. 1296 19.0 0.0 69
Window 1:Vinyl Frame:Double Pane with Low-E 92 0.340 31
Window 2:Vinyl Frame:Double Pane with Low-E 17 0.480 8
Door 1: Solid 42 0.100 4
Floor 1: Slab-On-Grade:Unheated 144 10.0 98
Insulation depth:4.0'
Furnace 1:Forced Hot Air,90 AFUE
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 2000 IECC requirements in RES checkVersion 3.6 Release 1 (formerly MECchecl and to comply with the
mandatory requirements listed in the RES checkInspection Checklist.
Builder/Designer .Date
REScheck Inspection Checklist
2000 IECC
REScheckSoftware Version 3.6 Release 1
DATE: 12/05/06
PROJECT TITLE:MARJORIE JOHNSON
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation
Comments:
Above-Grade Walls:
[ J 1. Wall 1:Wood Frame, 16" o.c.,R-19.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 1:Vinyl Frame:Double Pane with Low-E,U-factor: 0.340
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:
[ ] 2. Window 2:Vinyl Frame:Double Pane with Low-E,U-factor: 0.480
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes[ ]No
Comments:
Doors:
[ ] 1. Door 1: Solid,U-factor: 0.100
Comments:
Floors:
[ ] 1. Floor 1: Slab-On-Grade:Unheated,4.0'insulation depth,
R-10.0 continuous insulation
Comments:
Slab insulation to extend down from the top of the slab to at least 4.0 ft. OR down to at
least the bottom of the slab then horizontally for a total distance of 4.0 ft.
Exterior insulation must have a rigid,opaque,weather-resistant protective covering that
covers the exposed(above-grade)insulation and extends at least 6 in.below grade.
Heating and Cooling Equipment:
[ ] 1. Furnace 1:Forced Hot Air,90 AFUE or higher
Make and Model Number
Air Leakage:
[ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
with a 0.5" clearance from combustible materials.If non-IC rated,the fixture must be installed with a
3" clearance from insulation.
Vapor Retarder:
[ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
[ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
[ ] Ducts in unconditioned spaces must be insulated to R-5.
Ducts outside the building must be insulated to R-8.0.
Duct Construction:
[ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives),
mastic-plus-embedded-fabric,or tapes. Tapes and mastics must berated UL 181A or UL 181B.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in.w.g.(500 Pa).
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] Thermostats are required for each separate HVAC system. A manual or automatic means to
partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided.
Service Water Heating:
[ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of a circulating system.
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must.have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 105 T or chilled fluids below 55 °F must be insulated to the
levels in Table 2.
vim
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(El Un to 1" Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVACPipes.
Fluid Temp. Insulation Thickness in Inches by Pine Sizes
Piping_S stTvnes Ran e F 2"Runouts 1" and Less 1.25" to 2" 2.5" to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
0 a
Cr J U U
m, RECOMMEND ALL ACCESS Uj
#r & CLEANOUT OPENINGS CL = CL
APPROXIMATE BE RAISED TO 6" BELOW CONCRETE OR STONE J U Z N
FINISH GRADE W
.c FINISH GRADE. MARKER ABOVE ALL J ZCL
BURRIED COVERS li W O 0
RECOMMENDED. F� O p U
Z 0:: W p 0
W Z �
INLET BAFFLE 12" MIN. COVER OVER W = W O W
— — r ALL STRUCTURES p
Lands n/f L41 U
Louis George Carma 2 BY FORT MILLER OR
1 2+ FT OF FILL 3 EQUALTRIBUTION BOX
L. 1 P. 315 (SEE SEPTIC SYSTEM DESIGN NOTES) N \ Q
Lands n o
I •f MIN. SLOPE LIQUID LEVEL
Debra Allen 1/4" PER FOOT MIN SLOPE
O O � �
IRS 08 E L. 1173 P. 074 1/8 PER FOOT Lo o Z
N L
O
S85'Op' r a ALL OUTLET INVERTS
1V:31i 113.00' IRS E addition 1000 GAL SEPTIC TANK ., al ° PEA TO BE SET AT
SLOPE OF FILL 5'00'08" BY FORT MILLER OR EXACTLY THE SAME
GRAVEL ELEVATION.
D-BOX clear 0.5' 113.00'` IRS EQUAL �`�ti�tii,t�;,,,
INLET & OUTLET (USE OF SPEED LEVELERS \`
over 3.4 D-BOX fence BAFFLES DISTRIBUTION BOX �� �
1Vi10H - NEW ASPHALT ENCOURAGED) �� `�,•`
q SLOPE OF FILL 1 000 GAL 45 o DRIVEWAY N.T.S. ,>
P C TANK °o' i
,...
p PARCEL W
SE ���- ,, „ON s� �� � 032 INSTALLATION OF DISPOSAL FIELDS =:3 Y� � �3
�!� o zsf PT AcnEs z TRENCHES !� o o
�' 3 w w O �' '-'IRS M co 1- CONSTRUCTION SHALL BE AS AND SHALL BE IN ACCORDANCEHOWN ON WITH THE NI Y.S DRAWING, Gr• ,
z �' v I I I I 3 DEPARTMENT OF H
NEW ASPHALT N N : HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS, AND i.r . • Q+M
DRIVE Iw I o ;n 1,000 GAL N MINIMUM 2x WIDTH ASTM F481-76 INSTALLATION OF THERMOPLASTIC PIPE AND ��i
ABSORPTION I °' f°' w SEPTIC TANK $ MAXI CORRUGATED TUBING IN SEPTIC TANK LEACH FIELDS.
�� j 9\0 1*
t �I I I I I o , MUM 4x WIDTH
0 0 0 0 W
UK A 2. NO HEAVY EQUIPMENT SHALL BE ALLOWED WITHIN THE LIMITS
3 O 4O 41 N z o+ o OF THE DISPOSAL FIELDS AFTER PIPE INSTALLATION HAS BEGUN.
WL f I �ML N 2 OOM Q 3. AFTER EXCAVATION 2' WIDE TRENCH TO THE DEPTHS REQUIRED,
O HOME (SLAB ON GRADE) O O 00 THE WALLS AND FLOOR OF EACH TRENCH SHOULD BE CLEANED
p RS !!��, PROVIDE 3" SAND OR---'R)p0�0 O AND RAKED TO SMEARED SECTIONS ACHIEVE
E AN TRENCH EN SURFACE AND TO LOOSEN
113.00' — w I ''�i PEA GRAVEL UNDER TANK SEPTIC TANK
IRS TIP. PARCEL B 1V:1OH N.T.S. 4. PLACEMENT OF CRUSHED STONE, PERFORATED PIPE AND UNTREATED BUILDING
HOME NEW 2 N85'00'Og"yyT 113.00' AREA = SLOPE OF FILL PAPER OR STRAW SHALL BE AS SHOWN, AND CARE SHALL BE
W h y,� — o.zsf ACRES � OTHER WASTE MATERIAL IN THE STONE AND PIPE.
O IRS t EXERCISED TO AVOID INCLUSION OF FINE GRAINED SOILS AND
NEW DRIVEWAY HALT b 1V:3H a N aS7RIBUTION BOX �-� SEPTIC TANKS 5. HE PI of SHOULD BE
EAd LAID
THIS DRAWING,GRADES
TOTHE
STRAIGHT vi �
SLOPE OF FILL CONTINUOUS GRADES WITHOUT SAGS, HUMPS, SEPARATED JOINTS cCQ
OR OTHER UNSUITABLE CONDITIONS. THE PIPE SHALL BE LAID w 1. ALL UNITS SHALL COMPLY WITH THE REQUIREMENTS OF THE NEW YORK WITH THE HOLES DOWN IN ALL CASES.
Lands n/f STATE DEPARTMENT OF HEALTH AND SHALL BE PRECAST CONCRETE 6. ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL
w
AS MANUFACTURED BY FORT MILLER OR EQUIVALENT. z
rie Johnson ti
AND TO DIVERT SURFACE RUNOFF FROM ADJACENT AREAS AWAY c 2. ALL STRUCTURES TO BE PLACED ON FIRM, COMPACT SAND OR FROM THE DISPOSAL FIELD.
& Leesa Knob Lands n�f s GRAVEL FOUNDATION. WHEREVER EXISTING FOUNDATION CONDITIONS
L. 682 P. 209 ,Naar orie Johnson ARE UNSUITABLE, CRUSHED STONE SHALL BE PLACED AS 7. REMOVE LEAVES, ROOTS, PLANTS AND ORGANIC DEBRIS. PLOW SURFACE PRIOR z
& Leesa no NECESSARY TO ACHIEVE A STABLE FOUNDATION. TO SPREADING FILL MATERIAL w x
L. 682 P. 209 3. SEPTIC TANKS INSTALLED IN TRAFFIC AREAS SHALL BE EXTRA HEAVY 8. DO NOT USE HEAVY EQUIPMENT WITHIN THE ABSORPTION FIELD AREA.
CONSTRUCTION DESIGNED FOR H-20 WHEEL LOADING. 9. PLACE FILL AND ALLOW TO STABILIZE IN ACCORDANCE WITH NEW YORK STATE
DEPARTMENT OF HEALTH STANDARDS.
IPF I q
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OVERFILL TO ALLOW
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MAP REFERENCE h
N
MAP OF A SURVEY MADE FOR
MARJORIE JOHNSON PLAN
Ro EARTH UNTREATED BUILDING PAPER,
BY: BOLSTER do ASSOCIATES 2" MIN. FILL OR GEOTEXIILE.
DATED: JANUARY 30, 2006 SCALE: 1 = 30 I co
REVISED: SEPTEMBER 19, 2006
Z 4 PERFORATED
LATERAL
c o0 e
000 0 3/4" TO 1 1/2-
GRAPHIC SCALE 24" MIN. CRUSHED STONE
30 0 15 30 so 120 z
MAXIMUM SEASONAL HIGH = w ,
GROUNDWATER ELEVATION - w c
1 �h 30 )f. STANDARD ABSORPTION TRENCH SECTION E- R
N.T.S. t/1 x
0
V b
S3000 T ON101inB E--4 I 0:
J unSSN33f10 :10 NMOI P-4 Z
w O a
SEPTIC SYSTEM DESIGN
LOOZ g 0 d3S Go
� � 0 � a� � Q O m
SOILS DATA o
DESIGN FLOW - PROPOSED 2 BEDROOM HOUSES
- 2 BEDROOMS ® 110 GAL./DAY/BDRM = 220 BARRIER MATERIAL 0
LEST PIT HOLDEN AVE LOT) TEST PIT (FEED AVE SEPTIC TANK - USE 1,000 GALLON TANK 12" MAX. ��I�=II= 1111= z a 0
0-10" TOP SOIL 0-13" TOP SOIL 11 1111_ = O
ABSORPTION FIELD - NEW ABSORPTION SYSTEMS TO BE STANDARD ABSORP11ON TRENCH 2" MIN. SLOPE 6" MIN.
10-23" LOAMY MEDIUM FINE SAND 13-27" LOAMY MDIUM FINE SAND SYSTEM.
23-51" MEDIUM FINE SAND 27-44" MEDIUM FILE SAND - PRIOR TO INSTALLATION OF ABSORPTION FIELD THE CONTRACTOR SHALL bbNoNb
51-65" MEDIUM COARSE SAND 44-65" MEDIUM CsARSE SAND REMOVE THE TOPSOIL LAYER AND PLACE APPROXIMATELY 2+ FT OF LOAMY FILL 4" PERFORATED PVC LATERAL,
AND COMPACT IN 12" LIFTS. FILL SHALL BE PLACED AND ALLOWED TO SETTLE SLOPE 1/16"-1/32" PER FT. w
MOTTLING OBSERVED AT 23" MOTTLING OBSERVED AT 27"
THRU ONE FREEZE THAW CYCLE.
WATER OBSERVED AT 65" WATER OBSERVED A' 65" - PERCOLATION RATE OF THE FILL MATERIAL SHALL BE 1 - 5 MINUTES PER INCH. NOTES:
STABILIZED PERCOLATION RATE - 1" IN 1 MINUTES 38 SECONDS STABILIZED PERCOLAION RATE - 1" IN 1 MINUTES 06 SECONDS - ENGINEER TO PERFORM PERCOLATION TEST PRIOR TO CONSTRUCTION 1. END OF ALL DISTRIBUTOR PIPES MUST BE DeA°° 1K 2006
TEST PIT & PERC LEST BY NICE ENGINEERING - 10/24/06 PLUGGED UNLESS INTERCONNECTED. SCALE_A8 pq�
OF NEW AEISORPT ON FIELD TO CONFIRM PERCOLATION RATE OF SOIL. 2. ALL LATERALS BE OF EQUAL LENGTH.
& OBSERVED AND APPROVED BY BARTON & LOGUDICE REPRESENTATIVE - AT NYSDOH PPnA4
A 9 F A 0 ON H REQUIRED.
STABILIZED PERCOLATION RATE - 1" IN 4 MINUTES 56 SECONDS STABILIZED PERCOLAION RATE - 1" IN 5 MINUTES 38 SECONDS OFEABSORF'TIONS AT 40 LF EACH EQUIRED 120 LF OF TRENCH TOTAL STANDARD ABSORPTION TRENCH PROFILE
49231
ENGINEERED FILL PERC TEST BY NACE ENGINEERING - 11/30/06 (HOLDEN ME) & 8/24/07 (FELD AVE)
N.T.S.
SHEET 1 OF 1
DWG. NO. 49231
LEGEND
o I.R.F. IRON ROD FOUND
o I.P.F. IRON PIPE FOUND
o I.R.S. IRON ROD SET
`ai UTILITY POLE
(=00o STONE WALL
x-x--X- WIRE FENCE
O CHAIN LINK FENCE
o WOOD FENCE
o POINT
F.P. FENCE POST
—ehw OVERHEAD WIRES
n/f NOW OR FORMERLY
R 3/, MAP REFERENCE1
L
f
CV
I Lands n/f
w Louis George Caf rrraa
L. 211 P. 315 Lands n/f
Q - ---- ; Debra Allen
IRS _ !. �;% - L1173 P. 074
in %j,
1 QD' IRS /i S85�'o$'E addition %/ ` O Sei%
13fi 113. — '
\ i oo' '
' r over 3.4' clear 0.5' fence IRS I
r �
tree row overt 1 1 4-
_--
sW satellite dish om CD 9.8' \ r
over
PEEL A
A - AREA = _
w z� 0.23f ACRES ___ ---_ PARCEL B 3 i
AREA = N
0.23t ACRES - S
3 W Co W
jr h f`N `f
t\37' wooden "bridge"
i IRS
' 113.00,
N85Yrfi7a-� IRS t 115 ,
N85'�0'og'yy RS
—-- Lands n/f
r `�--- MgzjDrae Johnson
d: Leesa 15,071L
Lands n/f
L. 682 P. - Ma42,gr'ie Johnson
I & Leesa
L, 682 P. 209
1
`_`_- ----_—_ IPF ! i
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CO.LUM.BIA s
h S'TR.EEET
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DEED REFERENCE: h
1) UPPER HUDSON DEVELOPMENT, INC. TO MARJORIE JOHNSON AND _--°h"'--
KENNETH EWS. FILED IN THE OFFICE OF THE WARREN COUNTY CLERK
IN BOOK 983 AT PAGE 167, DATED JUNE 06, 1996.
h
a
MAP REFERENCE.•
1) "MAP OF SUNSET PARK ADDITION" DATED MARCH 07, 1916,
PREPARED BY ERNEST L H. MEYER, SURVEYOR. GRAPHIC SCALE
ao o fs 30 so 6—��o
NOTES.
( IN FEET )
1) BASE MAP PREPARED FROM A JANUARY 21006 FIELD SURVEY. 1. inch = 30 ft.
2) NORTH ORIENTATION IS BASED ON MAGNETIC MERIDIAN 2005. OCT O 3 203f]3
3) THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF AN ABSTRACT OF TITLE AND
IS THEREFORE SUBJECT TO ANY EASEMENTS, COVENANTS OR RESTRICTIONS OF RECORD
ANY STATEMENT OF FACTS SUCH DOCUMENT WOULD DISCLOSE.
4) SUBJECT TO A RIGHT OF WAY TO NIAGARA MOHAWK CORPORATION, ITS SUCCESSORS
AND ASSIGNS, AS FILED IN THE OFFICE OF THE WARREN COUNTY CLERK IN
BOOK 983 AT PAGE 167 OF NIS
P�� �MMETTR y0 MAP OF A SURVEY MADE FOR
5) SUBJECT TO APPLICABLE LAWS AND APPROVALS OF THE TOWN, COUNTY, AND STATE P2 �v yP'9
REGARDING THE SUBDIVISION OF LAND. h� 9� MARJORIE JOHNSON
6) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND
SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW. �
054 QJ Town of Queensbury County of Warren State of New York
7) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE O LAND S� ROISTER AND ASSOCIATES
LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.
8) UNDERGROUND UTILITIES, STRUCTURES AND FACILITIES HAVE BEEN SHOWN FROM PROFESSIONAL LAND SURVEYORS
SURFACE LOCATIONS AND MEASUREMENTS OBTAINED FROM A FIELD SURVEY. 342 Main Street, Hudson Falls, New York 12839
THERE MAY BE OTHER UTILITIES WHICH THE EXISTENCE OF ARE NOT KNOWN. SIZE,
TYPE AND LOCATION OF ALL UTILITIES AND STRUCTURES MUST BE VERIFIED BY Russell E. Howard, PLS N.Y.S Lic. No. 50540 Date: 01130106 Tax Map #: 309.7-1-40
PROPER AUTHORITIES PRIOR TO ANY AND ALL CONSTRUCTION. CALL DIG SAFE PRIOR
TO ANY EXCAVATION. Date Sealed: Scale: 1 inch = 30 feet Revised: 9119106 Drawing #: 05242c