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TOWN OF QUEENSBURY Wr 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 +�-- _- Community Development-Building& Codes (518)761-8256 BUILDING PERMIT Permit Number: RC-000122-2015 2(� G Tax Map No: 266.3-1-73.3 r� Permission is hereby granted to: PATTEN PROPERTY DEVELOPMENT,LLC For property located at: 15 RIDGEWOOD CT In the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Tyne of Construction Owner Name: PATTEN PROPERTY DEVELOPMENT,' Single Family-New $150,000.00 Owner Address: 7 Jackon RD Total Value $150,000.00 South Glens Falls,NY 12803 Contractor or Builder's Name/Address Electrical Inspection Agency Chris Patten 7 Jackson RD South Glens Falls,NY 12803 Plans&Specifications SFD 1723 s.f. wlgarage,FP Ridge Rd.Subdivision,Lot 3 PERMIT FEE PAID-THIS PERMIT EXPIRES: Monday,September 26,2016 (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 ate. Dated at theob r' t"Neensember 25,2015 SIGNED BY: 4 /- for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY OW 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150454 Application Number: A20150454 Tax Map No: 523400-266-003-0001-073-003-0000 Permission is hereby granted to: PATTEN PROPERTY DEVELOPMENT For property located at: 15 RIDGEWOOD Ct 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: PATTEN PROPERTY DEV. LLC 7 JACKSON Rd Fireplace Garage-2 Cars Attached SOUTH GLENS FALLS NY 12803-0 Single FamilyDwellin $150,000.00 Total Value $150,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications BP 2015-454 Lot 3, House No. 15 Ridgewood Court (Ridge Road Subdivision) Single-Family Dwelling 1,723 sq. ft. first floor, 331 sq. ft. second floor, and 600 sq. ft. 2-car attached garage and 1 gas fireplace $500.80 PERMIT FEE PAID -THIS PERMIT EXPIRES: Sunday, September 25,2016 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town of ens ry; rjQay, . p .. : 25,2015 SIGNED BY \ for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLI is 4 e Use Only R c ived Date: V13/ /S I ... 2 v 2015 T ap ID Tax Map ID Z.660;3 - 1 -7 3,3 1 it No. e it Fee055-0, D Zone EN - TOWN OF QJESBIlRI� BUILDING& CODES ec ee Historic Site Yes /4-Nd' I e lan# Subdivision Name R-a ew00,) Su.,e)'Uus't en Lot# Subdivision# Project Location i 7.�3e0Cir--{— TOWN BD. RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family,duplexes/two-family, multiple family,apartments,condominiums,townhouses, and/or manufactured&modular homes, but not mobile homes. This is in addition to the permit fee(s). Applicant I cV`V `C Owner 2 l\ ' Address —7 -3-0G1-csoy._ Ti Address Phone/E-mail 7%6 ,C`6 s y Phone/E-mail Contact Person for Building&Codes Compliance: al/` kPhone 7% 96 fi TYPE OF CONSTRUCTION ✓Check all that apply New Addition Alteration 1$`floor sf 2nd floor sf Total sf Height Single Family ( 7 23 33 / 2 d,Sy / g' ' Two-Family Multi-Family (#of units ) Chris Patten BP 2015-454 Lot 3, House No. 15 Ridgewood Court Townhouse (Ridge Road Subdivision) Business Office SFD, 2-car att. garage, 1 fpl Retail-Mercantile Factory-Industrial Attached Garage 6 Co (1, 2, 3, 4+) Other If commercial or industrial please indicate of business Town of Queensbury Building&Codes Principal Structure Application Revised September 2015 I L Proposed use of building or addition jt it F-i vvv t Source of Heat(circle one) Gas Oil Solar Other Fireplace:'Complete a separate application for Fuel Burning Appliances & Chimneys eS Are there structures not shown on plot plan? a Are there easements on the property? Site Information a. Dimensions or acreage of lot 03 s T-C4 '5 b. Is this a corner lot? r/t/o c. Will the grade be changed as a result of construction Yes t- No d. Public water or Private well r Liv-41 e. Sewer or Private Septic System Sert Lc Value of all work to be performed (labor or materials) $ /5-0 DECLARATION: 1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 3. 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 NYS Building Codes, local building laws and ordinances, and in conformance with local zoning regulations 4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. 5. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above: PRINT NAME: Cbc (y a� DATE:SIGNATURE: (31-- DATE: s 173 /� For office use only Operating Permit Issued: Yes No Occupancy Type Construction Classification Assembly Occupancy Limit Special Conditions Town of Queensbury Building&Codes Principal Structure Application Revised September 2015 Fuel Burning Appliance & Chimney Application Office Use Only Received DATE: / 3/ /s Tax Map ID TAX MAP ID: 216,3- f 7 3,) Permit No. Permit Fee ZONE: `1 C- OWNER /71'S �aA-t PHONE/E-MAIL pw � 6=9e l . (Th ADDRESS 7 ;,,mks INSTALLER/ D�,ve..( v-icprz /}—t_u_ PHONE/E-MAIL BUILDER CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: (7-tt/`1-5- ;� PHONE/E-MAIL �� ' ,.i .C'✓y�BUILDING ADDRESS Lo 13 ( 1S j2 )Cm"di)C° Jl ROOM OF INSTALL: G re-A4- DY-1\- PLANNED INSTALL DATE: ( ° / (S7 / FUEL BURNING APPLIANCE INFORMATION WOOD COAL PELLET GAS OIL NOTE: ROUGH-IN& STOVE FINAL INSPECTION ARE FIREPLACE INSERT REQUIRED. FIREPLACE,FACTORY BUILT* " NOTE: MANUFACTURER'S FIREPLACE,MASONRY INSTALLATION MANUAL FURNACE(GARAGE ONLY) MUST BE AVAILABLE AT TIME OF INSPECTION *If factory bui t provide manufacturer name: 77/1f f-ir( ; Model#: 6/bo s-tvvicj Listed by: � tS fit Number: OD J � CHIMNEY INFORMATION Masonry** (check one) BLOCK BRICK STONE Flue TIE STEEL Size in inches Material DOUBLE WALL TRIPLE WALL INSULATED ** If non-masonry provide manufacturer name: _ ; Model#: DECLARATION: Construction/installation must conform to NYS Fire Prevention & Building Code and/or manufacturer requirements. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow inspector's to enter premises to perform required inspections. I HAVE READ AND AGREE TO THE ABOVE: PRINT NAME: .-isr-E -kv.. DATE: ?/&3/1-5- SIGNATURE: DATE: Z7)/3- Town STown of Queensbury Building&Codes Principal Structure Application Revised September 2014 1 . Foundation Inspection Report C �� U c ` '`) T P P cr-1". Office No. (518)761-8256 Date Inspection request received: / //3775 Queensbury Building&Code Enforcement Arrive: am/pm Depart: �L am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: P � PERMIT#: LOCATION: L 5- j/tV (2/0C,(2/0C, (i l , INSPECT ON: 10 /C 5 TYPE OF STRUCTURE: Comments Y N N/A "`r F v �ootings ` / rp _'� 7,r Piers VVV " C 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/Walipour Reinforcement in Place CrZ: 4 tLd Footing Dowels or Keyway in place ✓ Foundation Dampproofing WrC 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 12/9/2014 NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 September 21, 2015 Chris Patten wECEV t Job#49384 Patten Property Development se 2 3 2015 7 Jackson Road South Glens Falls,NY 12803 OF QUEENSBURY TOWN BUILDING&CODES RE: Septic System Lot 3 Ridgewood Court Subdivision, Ridge Road, Queensbury,NY Dear Mr. Patten: At your request we have performed a percolation test on Lot #6 of the Ridgewood Court Subdivision. The test was performed in the location you chose for the proposed septic system. Percolation test Test run at a depth of 24"in a 30"deep hole Stabilized percolation rate— 1" in 1 minutes 38 seconds The percolation test result is consistent with the percolation test results provided on the approved subdivision drawings. As discussed the septic system size and layout should follow the standard septic system details provided on the approved subdivision plans. The proposed 3 bedroom house will require a 1,000 gallon septic tank and a minimum of 138 lineal feet of absorption trench. Please call me if you have any questions. Sincerely, Thomas W.Nace, P.E. JB3 Consulting T EIV El Joseph Biss III 553 State Route 149 - Suite B '�' �1 Lake George,New York 12845-3515 Phone: (518) 761-9888 22-_ JBISS3@AOL.COM ��� NYSDOH Lab ID# 11637 Client: Parker Water Wells PO Box 627 East Poultney, VT 05741 Phone: (802) 287-4016 E-mail: parkerwaterwells@gmail.com Results: Pressure Tank—Lot#3 - 15 Ridge ood Court—Patten Develo ment Sample Date/Time Date Date rime Analysis Method Result NYSDOH Collection Received Analysis Drinking Water Number Limit 160225F01 02/25/16 02/25/16 02/25/16 Total SM 18-22 <1 CFU/100 <1 CFU/100 2:45 P 5:00 P Coliform 922 (-97)9�> ml ml The results relate only to the sample(s) as received by the laboratory. The sample received was analyzed in compliance with NYSDOH and NELAP approved methods and within their accepted holding times. The result(s)is (are) equal to or lower than the State's limits therefore it (they) meets the requirements for NYSDOH Part 5 Drinking Water Regulations. JB3 Consulting's liability for any work performed is limited to the amount billed to the customer leading to the claim of the customer. J040 Bi III An yst/Director Wednesday, March 02, 2016 This is an original Certificate of Analysis,do not duplicate This is page 1 of 1 Revision#1 —Address Information Addition—Please Destroy The Original COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No. ...Cert. ® 29144 Cut-in Card No..................................... Owner..................C..................... ................................................................................................... Location..... JDZ -..._.6".—V .. Installation Cons' ting of... .... .. . L 1,72 ...11.iz..............5),A... ................................................... .................................................................................................................................................................................... InstalledBy........::114-PI ......................................................Lic.No................................................... The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making in tions at any time, and if its rules are violated,the Company shall have the right to rev e this Date... ................. INSPECTOR.... Mpmhor N-F-P-A--LA-V I Lands Now or Formerly of V Chris Patten BP 2015-454 Mackrodt Lot 3, House No. 15 Ridgewood Court SEP 2 3 0015 (Ridge Road Subdivision) Book 3287 Page 47 SF®, 2 -car att. garage, 1 fpl — — — — 266.3-1-71 & 72 S84'08'�J'E TOWN of QUE �lS�1JR'l BUILDING &, 'ODES. 236.50' MAPNOTff 1. Boundaryzddrmation shown hereon perMap Ref.1. N2. North orientation and bearing base perMap Ref.1. — — — — — — 3. Warren Countytaxpan:e1266X1 T3.3. J O 4. The location of underground improvements or encroachments, ifany e'sry J 4 y oras shown hereon; "not certified Theremaybe other underground utilities, the existence of which are unknown Size and locafton ofall J underground utilitiesmusthe verified by the appropriate authorities ?Ire ® J I Underground Facilities Protective Organization must be no& ed prior to J Proposed conducting test borings, excavation and construction Septic Area J I 5. This survey wasprepared without the benefit of an up to date abstract of k) J title. h o q J Q 6 awunlessonper�so�theautho d/or copyrightholderiso&-dne .. 7. A copy of this document withouta proper application of the surveyors ry T /�7� J IOD' / embossed sealshould be assumed to bean unauthorized copy. I HAVE PFRSOMLLY M PIJLU-ISTA�ICF J FRS i THE PROPERTYLINES TO THE J i P Op"' .'c. .USrF'�!�TURF(S)OR,,�IGN(S) J �� � Lands Now or Formerly of - ��� J Proposed S GiJATURE Concrete DATE J Foundation / 0�2�� � Carter Book 623 Page 347 L � 266.4-1-1 S .9� RIDO.EWOOD COURT 'ONLY SOUNDW SURVEY YAP' WIN THE SURVEYOR'S BABOSSED SEH. ARE GENURE TRUE AND CORRECT COM OF THE SURVEYOR'S Of6GML WORK AND OM WI. z Proposed / Well i DEEDREFERENC.h: 1. Conveyance to Robert Wall by deedfiledin the Warren County Cerks Office on Grtober 3, 2Mm Book 3070 ofDeeds atpage 296. AMPREIhRBNM 1. Map entitled 'RIDGEWOODHOMW RIDGEROADSUBDI MION, prepared by VanDusen and Steves Land Surveyors, dated Mays, 2Q5, Iastrevised fuly11, 2b filed in the Warren County Cerks Office on Aprd 5, 2007asmapnumber C,5.