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2009-316 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 4E Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20090316 Date Issued: Friday, May 14, 2010 This is to certify that work requested to be done as shown by Permit Number P20090316 has been completed. Location: 325 CLEVERDALE Rd Tax Map Number. 523400-226-012-0001-038-000-0000 Owner. SERGAY & HOLLY SHISHIK III Applicant: SERGAY & HOLLY SHISHIK III 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, 4 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 a" I 742 Bay Road,Queensbmy,NY 12804-5904 (518)761-8201 Community Development-Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090316-36002 Tax Map No: 226.12-1-38 Permission is hereby granted to: For property located at: 325 CLEVERDALE RD In the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Type of Construction Owner Name: Sergay Shishik III z Sfd $60,000.00 Owner Address: Total Value $60,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans& Specifications PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, July 27, 2010 (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 Queensbury; Monday, July 27, 2009 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: L- NAME: , �- LOCATION: ' PERMIT#: ^ Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept. of Community Development. Upon review the surve en: Cr ' rown,Zoning Administrator Notes: L:\.SueHemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc Queensbury Building & Code Enforcement - Residential Final Inspectio Office No. (518) 761-8256 Arrive: arn/prri Depart tl ` .5amipm Date Inspection request received: Inspector's Initials: NAME: V— PERMIT LOCATION: , DATE: TYPE OF STRUCTURE: od Comments: /A Of 4" Building Number Address visible from road 14 Chimney,Height/'B°Vent/Direct Vent Location V 0- Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors _ Handrail 4 or more risers Guards at stairs decks ios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck porches 36 ind ies or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Brad /Handicapped Ramp Compliant____ Grade away from foundation 6 inches with 10 feet �- 6 inch clearance to sill plate Gas Valve shut-off e /regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Iz,_ Safety glazing/W dow in stairwellsitafety Wifizing Interior Smoke tectors Carbon ono ' Det ors Every level: E ry Bed . Outside every bedroo area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 .ft.-150 ft.vents Bathroom Fans if no window 7-- Plumbina fixtures Foundation insulation/Insulation Certification -- Floor truss,draft sto i finished basement 1,0V0 sci.ft. Emergency egress below grade 01 Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area 01 Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrodk Underside minimum IN Gypsum Basement stairs dosed rise>4 inches oe Gars a Floor Pitched oe Garage fireproofing/%hour fire door/door closer Duct work Sealed prop2rly Gas Logo in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if r2guired Okay to issue C I C or C 10 Temporary/Permanent LABuilding&Codes FormslBuilding&Codesunspec ion FormslResidential Final inspection Forrn_reviseo_100405.doc;Revised January 7,2008;Revised ISM08 QueensburY Building & Code enforcement -Resi tial Final In spection Office No. (518) 761-8256 Arrive: am/pm Depart: am/pm Date Inspection request received: Inspector's lnitials: dJ4 AV NAME: PERMIT#: LOCATION. 32 DATE: TYPE OF STRUCTURE: Comments' 4' Builds Number Address visible from road N NIA �jc 1 — `l-irU (� Chimne Height/W Vent/Direct Vent Location Fresh Air Intake �t1 iAc,f, 3 Inch Plumbing Vent through roof minimum 6 Inches Roof Complete/Exterior Finish Complete Platform at all exterior doors _ Handrail 4 or more risers Vt! ?- Guards at stairs decks,Wios more than 30 inches above grade � n Guard at stairwell at 34 inches or more � r�.S Wig Guard at deck,porches 36 Inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches V Deck Brads /Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch dearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior prMacy/trim/doors/main entrance 36 inches Bathroom/Kitchen waterd ht •.� , ' �� Safety glazing/Wirglow in stairwells safety ! n Interior Smoke ors/Carbon M noxide lectors / Every level: E ry 13edro : / Outside every bedroo area: Y 7 Inter Connected: Bette badku : Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access 1 sq.ft.-150 sq.ft.vents Bathroom Fans if no window Plumbing failures Foundation insulation/Insulation Certification Floor truss draft stopping finished basement 1,000 sq.ft. Emerawcy ogress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut trance to furnace area Fum titer H o rats Low wet ut-off boiler ng Relief Valves installed 1 Heat Trapt Water Temp 110 Vr Enclosed Stairs Sheetrock underside minimum W Gypsum Basement stairs dosed rise>4 inches Game Floor Pitched Garage fire roofs /%hour fire door/door doser Duct work Sealed proWy Gas Logo in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bondin As Built Se tic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if r uired Okay to issue C I C or C 10 1 Tem ora i Permanent L:1Building&Codes Form"uilding&CodeMinspection FormsWesidential Final inspection Form_rovised_100405.doc;Revised January 7,2008;Revised 6/26/08 Report h Pumbin Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: �-�--am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:66 �� NAME: . PERMIT #: LOCATION: INSPECT ON: TYPE OF STRUCTURE: C �. Y N NIA Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 %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 fit. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/Head 15 minutes Insulation/R sidential Check/Commercial Check Tyvek1-7 filar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: '` �• wj�/ ram '... V 1J �. V$A J C- Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Quee Wx"Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's lnitiaals: NAME: �I PERMIT#: _ 316 LOCATION: 2 INSPECT ON: TYPE OF STRUCTURE: Framing Y 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. ���V�`Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strappingfor Notches To Plate s4l� P 1 % 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 !� 4 hour Firestopping NeMntlWsealed 16 inch insulation in cavity min. Garage Fire Separation House side rli inch or 5/8 inch Type X Garage side 5/8 inch Type X CeilingNall Windows Habitable Space I Bedrooms 24 in. (H) 20 in. (W) .- 5.7 sf above/below grade 4 L ( � - 5.0 sf grade LABuilding&Codes Forma-X0\Builft&CodesVnspection FomaTr rring Firestopping rrapection Reixxt•doc Revised January 7,2= Framing / Firestopping Inspectlo epo Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm De rt: m/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 4- NAME: PERMIT V LOCATION: INSPECT ON: TYPE OF STRUCTURE: _ /' 41t : N WA naming COMMENTS: Attic Access 220 x 300 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 Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 161)nails each We 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 Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side'A inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilingfwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. tM 5.7 sf above/below grade 5.0 sf grade LABuiidaS&Codes FoM*-0LDSAdM9&CodasllnsWtion FomolFnfp FnstoWft Impection RePortdoc Revised January 7,20M Framing / Firestopping Inspection Report /C) -3c-D Once No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: JA am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's initials: NAME: - PERMIT#: [ LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y QUA COMMENTS: Framing Attic Access 220 x W minimum Jack Studs/Headers Bracing/Brimming Joist hangers Jadc Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 % w 16 gauge 8 16D naps 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 Firestopping Penetration sealed 16 inch insulation in mdy min. Garage Fire Separation House side h inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilin ll Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\Bulldft&Codes Forms-OWSuiiding&Cod*$VrA pedbn FomaTronft FKadoppft Inapoc ka RepoR.doc Revired January 7,2008 . �z -�ao ) 2- Rough Plumb m g / Insulation In pec (on Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/p Depa am/pm 742 Bay Road, Queensbury, NY 12804 Inspector`s Initials: NAME: _ PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: + „ , Y N NIA RougkPlumbing Nail Plates Piumbin I Vents in Place 1 % 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 or Water Supply Piping Air/Head 50 P.S.I for 15 minutes Insulation/Residential Check/Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct to COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, remised February 15,2005, revised January 7,2008 HAROLD BERGER, P.E., LLC CONSULTING ENGINEER P.O.BOX 513 CLIFTON PARK.NEW YORK 12065 (518)373-9860 December 9, 2009 CHANGE ORDER NO. 1 - 325 Cleverdale Road Town of Queensbury, NY This change shall be to provide substantial floor support for joist members that must receive a 3. 5" hole for the passage of piping. All such members shall be doubled. This document shall be deemed a part of the engineering drawings for this project. Harold Berger, P.E. cc: Owner Queensbury Building Department t Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: 1/ Sh Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 3� NAME: SL11 S PERMIT#: ! , LOCATION: c -e,77 314 T a *' INSPECT ON: Z G� TYPE OF STRUCTURE: Y WA COMMENTS: taming Attic Access 22" x 30" minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams "j �� Exterior sheeting nailed property 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. n Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %W 16 gauge 8 16D name each swe Draft stopping 1,000 sq. ft. floor trusses --'� Anchor Bolts 6 ft. or less on center on Ace 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 side%inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling1wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L\Buiidirr0&Codes Forms-0LD\8u11dbV&CodosUrapection FamslFrarning Fredopp ft Inspection ReporLdoc Revised January 7,2005 raming / F' estoppll�g lnspectio Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: /pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initiais: .. NAME: PERMIT#: LOCATION: INSPECT ON: 49 TYPE OF STRUCTURE: "" Framing Y WA COMMENTS: 22"x 30" minimum Jack Studs/Headers Bracing/Bridging VV/'01101 Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly ff 12"O.C. Gov, COIL Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 'h w 16 e 8 16D name each side Draft stopping 1,000 sq. ft. floor trusses , Anchor Botts 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 side%inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilinalwall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. OM 5.7 sf above/below grade 5.0 sf grade L-Tuiiding&Codes Fortes-OLDSMing&CodesUnspedion FwneTraming FndoppbV IraPection Reportdoc Revised January 7,20M Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: 1 0 1 -3 169 Queensbury Building &Code Enforcement Arrive: am/pm Depart: / a pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: 57" >�� i. PERMIT #: LOCATION: /t)v y 3Ig (f INSPECT ON: / / �( TYPE OF STRUCT RE: Y N NIA Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 % 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 50 P.S.1 for 15 minutes ,- '`� insulation/Residential Check/Commercial Check V---) Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/kNo duct tape Z�. COMMENTS: C1 -1+�- Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbuury, NY 12804 Inspector's Initials: /I NAME: PERMIT NO.: 0 LOCATION: INSPECT ON: RECHECK: Comments and/or diagram Soil T / oa Clay Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance Other wells: ft. Well Casin Length 50' + - Y N _N/A Absorption Field: Total length Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number TV Size: Stone Size: Piping Size Type Building to tank Tank to Distribution Box Lk Distribution Box to Field/ Pit Opening Sealed: N �►� `����/ End Ca N Inlet/Outlet Pipes&Baffles Y N Location Separations Foundation to tank c)kr� L Foundation to absorption Le—ft. Separation of Pits t ft. Conforms as per Plot Plan 9 Engineer Report and As-Built Y N ► � Location of System on Property: Front ®Rear Left Side Right Side Middle Front Middle Rear Sy5Wm Use S t 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-01-1)\Building&Codes\Inspection Forms\Septic Inspection Report.doc Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart• m am/p 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: t LOCATION: INSPECT ON: TYPE OF STRUC . 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 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 Fortes\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Z ' /v Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: I pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:,--/ -� NAME: A J PERMIT#: sx� LOCATION: a INSPECT ON: TYPE OF STRUCTURE: cogImeng 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 of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footin in place V.pundation Darn proofmg 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\lnspecdon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: �pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: &le INSPECT ON: 42 TYPE OF STRUM COMMCBM Y N NA Footings Piers N!!� - Reinforcement- ace for 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 DamPP roofing 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 Backfiff 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\lnspectlon Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: k-- am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: 1 PERMIT#: u� LOCATION: • INSPECT ON: TYPE OF STRUC Comments Y N NA Footings 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 1 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 Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior , R- Rough Grade 6 inch drop within 10 ft. L:\Bullding&Codes Forms\Building&Codes\Inspectlon Fors\Foundation Inspectlon Report.doc Last printed 12/20/2005 9:24:00 AM 5C109 ()K ori 31110.& -KaN 'vlt9-96L (M)' jo UAL01 fogaT 41OX —m 'Sinqsuaanb -eH 69T PROH Pu'al!A p CIIOH 40UVUIW EL '40UVUIW EL Vul/ulw Z L - Old SIIV130 NOA IVnNY"NOLLYTTY.LSNI CNV NOIS30 NrING-NI N3M 33S 43UVUIW 9 '140UVUIW 9 '43uVulw 2 -Z#ld 4*uVulw OL '4*uVulw OL '4OuVultu 6 - Ad 0-0 NOL03S 1.0/*Z/9 uO Pg—(>JJG-d !S4.Sai D,4a Li, 4o paillos)punoj j9pM CZ 04 umop SIO08 ibe jo jolom punojB jo Noojpoq lno45nOJ4}I(OUOISISU00 OUJDS ,GI49DM "Imr)j anolAiedwl ol wnwlulw 2 '8100J JIDWS 'W001 APUDS umojq;qB!l ljos dol .6-0 16 LO/*Z/9 uO POLWOPOd :.Sal as Iiluoal� ul '7' UDId al!S 7 I-d I d ,.0 (d4) q " N I qqDsn . PBO-d OILIPJQAOID- NI OW NOIS30 NWdO-NI taM 33S 8 N0003S (9�oj Luo.)j pad-j id) gad "ols ;ooj 10*05 —7 Xlddns 9jD'M g/L 10j,"Inpo4os r—ac�i.d polojojoid-uoN - fit Sjollno JID UO pasn OJD SJOAOI Poods 11 aAoqo jo n9ji ul pasn eq A uj IP ul �Z/L-L C>4 1,/2)=11011OD D10 PGq Zj V •pmDjB Dad jo puos jo paq Zt eoudSjtejoj, dureD co CT posodojl uj- OPoJ0 MON \—xoq uoiltiqljIslo �L oz 11 �UDI otidas JOILYTWISNI QNV NOIS30 NrVtJQ-NI N3n3 MS add v 6 T U01100 OOOL V—V N0103S bupauuoo P!10*s 'o lio uo pasn ajo SJaAOj paods p I d d J (JO)OLUDIP U! ol .*/C) 9Uq lu9A 'o -IGIADJB Dad jo PUDS 10 POq Zt xoe uoilnq!j;slC) All 196*i5t, GPDJ0 MON J4,11 a lool Jad pul zj:/L XDW"zj 6vol Z IOZ oinpaqoS D (sl!un jalllj PUDS Gj!jXa40G0 ZL) 7 _.o d N adjd p....... 'Ddld polojoliod-uON pae uoilqjosqV xoq uoll7nqljlsla eV, y � Commynipj Development Office 4 �1 ozvu of Queensbury 742 Bail Rd, jo"% Queensbury, New York ■12804. PLOT PLAN ` Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines. SIDE PROPERTY LINE c --3 03 c w z Uj �J c� m <, O r Z � N J V 1Q C. s SIDE PROPERTY LINE 1 SQUARE = FT. Distribution box 4" dia. preforated pipe, schedule 20, Ab s o rbt i o n Bed Non-perforated pipe, 1/16"-1/32" per foot slope n Six Geotextile Sand Filter Units per line " � � B4aL2 I 12max Schedule 20, 2' long min., (12 Geotextile Sand Filter Units) 1/32 inch per foot slope 4" vent Two bedroom home. No garbage disposal. 6"min !"— Usable fill from site 220 gallons per day (110 gal. x 2 bedrooms) New Grade C !� �--New Grade Percolation Rate (max.) = 13 min. per inch Required number of Geotextile Sand Filters - 12 49.9(� -� - _ -�—Original Grade Septic tank capacity - 1000 gallons No wells within 100 feet. Shed 25, 1 5"max. from original grade c i Separation Distances < in), Distribution BOX 12" bed of sand or pea gravel. A 12" bed of aggregate ^-- 1 of in), Line (3/4" to 1-1/2" In diameter) may be used in lieu of above Septic tank & effluent line to well, stream, lake, if speed levers are used on all outlets watercourse or wetland: 50 feet A p'"' Septic tank & effluent line to dwelling, property line: 10 10 Solid connecting feet 9 SECTION A—A Distribution box to well, stream, lake watercourse or A pipe wetland: 100 feet 1000 Gallon T SEE ELJEN IN—DRAIN DESIGN AND INSTALLA11ON MANUAL FOR DETAILS Distribution box to dwelling: 20 feet Se tic Tank 1 1 ►� Distribution box to property line: 10 feet p 20 —1�5 Absorption field to well, stream, lake, watercourse or L wetland: 100 feet Absorption field to dwelling: 20 feet 1 t%1 Slab 3' ~1 Absorption field to property line: 10 feet Distribution box House sewer to well, stream, lake, watercourse or C 12"max Slab wetland: 50 feet J New Grade 6"min House sewer to dwelling, property line: 10 feet 1\ Crawl ;p °v Space Proposed � ^�` °O Camp 36' 1000 Gallon Septic Tank: 12" max Septic Tank 1000 gallon steel reinforced concrete tank designed in 6" min accordance with New York Sanitory Code Appendix 75-A. 24' 4'Crall Space 12" bed of sand or pea gravel. A 12" bed of aggregate (3/4" to House sewer line to lie on Distribution BOX, 1-1/2" in diameter) may be used a firm foundation at a In lieu of above if speed levers minimum grade of 1/4" per Distribution box shall be made of concrete, fiberglass or are used on all outlets foot. Sewer line shall be a plastic. The drop between inlet and outlet inverts shall �� minimum of 4" diameter be at least 2". A baffle is required at the Inlet side of 1 4 —4� Non-preforated pipe, box. The distribution box may be used on a sloped site " provided the inverts of the outlets are all on the some schedule 40, 1/8 per 3 bed sand pea gravel. elevation and the first ten feet of the outlet lines have foot slope A 5" bedd of aggregate (3/4" to the some slope or speed levels are used. Drop Water supply 1-1/2" In diameter) may be manholes with distribution lines and outlet levers may be S0.0 used in lieu of above used on moderate to steep slopes. (piped from lake) —� SECTION B-6 SEE EVEN IN—DRAIN DESIGN AND INSTALLATION MANUAL FOR DETAILS Cleverdale Road •' _ Absorption Field: r Geotextile Sand Filters shall be installed in accordance with EIJen Design & Installation Guidelines (New York version) 3' Filter is Cork: (typ) Usable fill from site Do not block 4 vc (typs� holes in pips New Grade p"'� tom) General Notes: 12 in Clean Unauthorized alteration of these documents is a Site Plan backflll 6"(tYP) violation of New York State Education Law. 13" Original Grade Deem TTest= 3= Performed on 6/24/07 (-"— s 5"Max. from original grade Approvals PROJECT 0-9" top soil 325 Cteverdale Road 9"-48" light brown sandy loom, small rocks, 3' minimum to impervious layer, Washed medium to course concrete some consistency throughout bedrock or ground water or equ valent Hof NEW y Queensbury, NY 12804 '� O Roots down to 23" �ZH M.�� ���* Owner, Serge Shlshik Water found (settled at 41") 4////7Mi/////77777rrrr777777777777777i7-r- CO Perc Tests, W CMK Engineering Performed on 6/24/07 SECTION C--C �y = 5 Morningdate Court PT#1 - 9 min/inch, 10 min/inch, 10 min/inch SEE EI,JEN IN—DRAIN DESIGN AND INSTALLATION MANUAL FOR DETAILS CFO �097� ���� Ballston Lake, NY PT�12 - 5 min/Inch. 6 min/inch, 6 min/inch PT#3 - 12 min/inch, 13 min/inch, 13 min/inch �FESSI 518-369-6207 ONP ��,®� ?/✓ ])at*, SCQte= Drewing Nos Revo Sheets �r�< 1/12/2009 None I H012 8 1 of 1 71 47 46 72 0 MAP REFERENCES 27 45 44 73 74 26 43 MAP OF A SURVEY MADE FOR 75 A MARY SAMMLER 2523 BY: VAN DUSEN & STEWS a2 76. DATED: JULY 9, 1993 4t LANDS N/F OF 21 40 HOLOHAN 3 39 20 0 SITE ` 77 "< z 37 MAP OF A SURVEY MADE FOR 19 q 78 WILLIAM H. & ANN B. TAFT 35 34 BY: VAN DUSEN & SIEVES 18 79 1979 DATED: JULY 26, gg 17 33 32 80 28 29 8t 30 I16Y 10 82 IPF S86°14' 14"E ti 9 15 83 8 0 0 0� 76.45' ----Cl 84 � 7 14 1. 6 5 85 l� N .o .r 1 SCREEN «st.4 y�F'oxd CATION MAP PORCH / Ia.as -e4 �*:t'0 f O =200 27.26 28 g• PARKING 2 STORY AREA WOOD FRAMED HOUSE W ' TO BE REMOVED --- 29.53' M — } WALK TO 8E REMOVED N I o oa AREA ft. PROPOSED 3 M (o d 3,937.45 sq. 2 STORY HOUSE 12.69 - LANDS N/F OF Z 0.09 acres = �' WHEELER Q f o M i SCREEN PORCH N 4 tt 4.38' a.o2' �-+•-. WATER SERVICE 20.88' POSSIBLE - SHED WELL PUMP r , TO BE REMOVED L � 0 CIRF 81.30' M86014'00"W CIR C. STD 17 LEGEND LANDS N/F OF DOPP POSSIBLE 1pF0= IRON PIPE FOUND WELL PUMP CIRFO= CAPPED IRON ROD FOUND LAM (� WOODEN FENCE LINE iLV11 © _�----o—= METAL FENCE LINE atet June 7, 200 Scale Map of a Survey made for S 1 u+Avma"zEo umunoN a+A "tOA ` 4 2-27--09 REVISE PROPOSED HOUSE AUC Dii S a NEW YORK STA7E ElX1OAtI0N IAMB' r.7hi shik 3 01-02--09 LOCATION PLAN �T 1 OF 1 & . � ��, «�E�M g� Sergay NAPo��TM AN«MO °°THE`A Holly EXISTING PORCH e ,� e s ,.�,A,A� T°=vE 2 10--26--07 cEn,�lus+°Ns n+acAscO HEREON a°aF"'"�"THE Shishik C2100 r a CE FW L"---0 s Ap0 IED PROPOSED HOUSE 0 s By�,�,yM STATE,SsoaARON OF ONAL New York 1 10--26--07 DWG. NO. 07079 S u r V E'y `A"D FR S n�A�AM Town of Queensbury, Warren County, DESCRIPTION L «ws� — OOyE(„IYENTAL N0. DATE AcEMY,to mom 00.7,US=HEREON.AND York 12804 To i++E ASSIGNEES OF'HE�aHc elsTnuTron.' Queensbury, New - 169 Haviland Road New York Lie. No. 50135 (518) 792-8474