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2008-311 � _ TOWN OF QUE E NSBURY Foy 742 Ba Road eensbu NY 12804-5902 518 761-8201 Y ,Qu rY, ) Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20080311 Date Issued: Monday, September 15, 2008 This is to certify that work requested to be done as shown by Permit Number P20080311 has been completed. Location: 383 GURNEY Ln Tax Map Number: 523400-288-000-0001-018-005-0000 Owner. SCOTT ERWIN Applicant: SCOTT ERWIN This structure may be occupied as a: Fireplace By Order of Town Board Garage Attached TOWN OF QUEENSBURY Single Family Dwelling 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. l i TOWN OF QUEENSBURY cors 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20080311 Application Number. A20080311 Tax Map No: 523400-288-000-0001-018-005-0000 Permission is hereby granted to: SCOTT ERWIN For property located at: GURNEY Ln 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: SCOTT ERWIN ANN DEVLIN Fireplace 707 SIGNAL St Garage Attached LANOKA HARBOR,NJ 08734-0 Single Family Dwelling $225,000.00 Total Value $225,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2008-311 2732 SQ FT SINGLE FAMILY DWELLING 648 SQ FT GARAGE &2 FIREPLACES $392.64 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,July 07, 2009 (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 of Que isbry; 6 ► ond.y,July 07, 2008 SIGNED BY( (4 f 1 for the Town of Queensbury. Director of Building&Code Enforcement . I Clef—j/i e "17 , Fire Marshal's Officefib e (ozon ,of Queenseury• /42 lar, P.oael . Queens}.urt/, New' •12804 • r ? s t r ��1ldracl I. Palmer,Fire AZarshal•Gar,:/chili-nail, Depute/Fire Marshal h , ' t d, e, e- L.... x1'.._,.._ .. .....0 APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to the Building &Codes Office for the issuance of a Building&Use Permit pursuant to the New York State Fire Prevention &Building Code. 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 all inspectors to enter premises to perform required inspections. IMPORTANT NOTE TO AP In �• L�NT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED.-�+ OWNER: ATI • b`et INSTALLER/BUILDER: .J Ep ADDRESS: 4 S' 'via{7 eil-- 'C ' ADDRESS: PHONE NOS. 1 R Z" I la 'S 4 fr ,-, PHONE NOS. LOCATION OF PROPERTY: C ipL.A 1.4..VI-C_ SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE: ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION . ( STOVE c(13�• FIREPLACE INSERT - _ FIREPLACE,FACTORY BUILT* FIREPLACE,MASONRY FURNACE(GARAGE ONLY) *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO.._ LISTED BY: NUMBER: QUESTIONS? ' - CALL 761-8205 or 761-8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: firemarshalam ueens bury.net MASONRY** CHECK ONE ✓ VISIT OUR WEBSITE TILE STEEL SIZE IN FOR MORE INFORMATION 1INCHES www.queensburv.net FLUE CHECK ONE ✓ DOUBLE CHIMNEY WALL TRIPLE WALL INSULATED DIRECT VENT LINER CHIMNEY MATERIAL CHECK ONE ✓ **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME: MODEL NO. ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. OFFICE USE ONLY �` "" t }'i' TAX MAP NO. PERMIT N0. I • PERMIT FEE It!*. i_ , +' i i APPROVALS: ZONING TOWN CLERK I 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.OWNER: Ann . )J (,I n INSTALLER: ADDRESS: 4 Sr tii(v V o-o :1)c- ADDRESS: PHONE NOS. Z 9 Z — t USA PHONE NOS, LOCATION OF INSTALLATION: YEAR BUILT I NO.OF 1 RESIDENCE INFORMATION: BEDROOMS X COMPUTATION= _ TOTAL DAILY FLOW 1980 or older L x ' GARBAGE GRIN ER 150 gallon per bedroom 1 z / l 1981 -1991 I � � 660 INSTALLED? s-- X 130 gallon per bedroom = 1992-present ; ° SPA OR HOT TU i X i 110 gallon per bedroom i = INSTALLED? I PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND LOAM CLAY OTHER Se 6 ✓ GROUNDWATER: AT WHAT DEPTH? WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT p(0-i- ✓ DOMESTIC WATER SUPLY: MUNICIPAL (� laA WEL 'J (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: GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH FT. ✓ TOTAL SYSTEM LENGTH: FT. SEEPAGE PIT(S): HOW MANY? S Q� ✓ SIZE OF EACH FT. X FT. �z G ✓ SIZE OF STONE TO BE USED: # / C 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. I! NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN I"• APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. 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 abid these and all requirements of the Town of QUESTIONS? CALL 761.8256 OR EMAIL Queensbur Sam•ary Sewage Disposal Ordinance. codesequeenaburv.net VISIT OUR WEBSITE FOR MORE INFORMATION 47 0g- www.Queensburv.net Signature of Person Responsible Dat rxf„ Town of Queensbury • Community Development Office ■ 742 Bay Road, Queensbury, NY 12804 P31/ rAi Fire Marshal's Office 62 6'Tozen of Qneensbury • 742 B/I/01 • Queensbury, Now Fork •12504 - - �F I is Michael J.Palmer,Fire Marshal•Gary Stillman, Deputy Fire Marshal APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the New York State Fire Prevention & Building Code. 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 all inspectors to enter premises to perform required inspections. IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED. A l OWNER: , A INSTALLER/BUILDER: IVOrn 6-Q13 C � ADDRESS: 4 Shorw Th A- • ADDRESS: 44 Z ' t • -AcYc" PHONE NOS. -1O Z' (0 5 4 PHONE NOS. `1 J u2 5 LOCATION OF PROPERTY: 3E-3 610119 Lck W SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: ULM- CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: Tl►1n PHONE: g )- I 1.0 5 1" ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT FIREPLACE, FACTORY BUILT* FIREPLACE, MASONRY FURNACE (GARAGE ONLY) *IF FACTORY BUILT, PLEASE PROVIDE: MANUFACTURER NAME:(iA4C1 1CL M rt., MODEL NO. LISTED BY: OM N•I t NUMBER: V 4Ws1-- QUESTIONS? CALL 761-8205 or 761-8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: firemarshal(c queensburv.net MASONRY'* CHECK ONE ✓ VISIT OUR WEBSITE TILE STEEL SIZE IN FOR MORE INFORMATION INCHES www.queensburv.net FLUE CHECK ONE ✓ �� ( II DOUBLE TRIPLE WALL INSULATED DIRECT VENT CHIMNEY WALL UNER CHIMNEY MATERIAL CHECK ONE ✓ J,,, 1 **IF NON-MASONRY,PLEASE PROVIDE: MANUFACTURER NAME:i‘kes (�t t d eS4-0 5 MODEL NO. L2 1+a'Ti2in p: ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. Fire Marshal's Office - di aV Town of Quccnsbun/ • 742 Bay Road • wenshun , Nett' York •12804 t Michael J. Palmer, Fire Marshal•Gant Stillman, Deputy Fire Marshal APPLICATION FOR FUEL BURNING APPLIANCE & CHIMNEYS Application is hereby made to the Building & Codes Office for the issuance of a Building & Use Permit pursuant to the New York State Fire Prevention& Building Code. 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 all inspectors to enter premises to perform required inspections. IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS AREA(REQUIRED. �� OWNER: -A n n :Df V I.•,i INSTALLER/BUILDER: Na '_� C TI.JC- ADDRESS: —[ . r le.rW e J • ADDRESS: 4 6 2-Tb I v- - 4-rr PHONE NOS. 1 2— 16P S" PHONE NOS. "N3 — O 2 5 LOCATION OF PROPERTY: SGAI V A4 SUBDIVISION NAME: LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: 31s"? GJVI-mak 1-04- CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: Arn b``'` PHONE: `et 1- I S 4 ✓ FUEL BURNING APPLIANCE WOOD COAL PELLET GAS OIL INFORMATION STOVE FIREPLACE INSERT N.+ FIREPLACE, FACTORY BUILT* FIREPLACE, MASONRY FURNACE(GARAGE ONLY) _ *IF FACTORY BUILT,PLEASE PROVIDE: MANUFACTURER NAME: MQyS(-6C. MODEL NO.ST v(Z. 3(D LISTED BY: V 1/1 �e b C "' %i 45 NUMBESR: lb 3 r ` QUESTIONS? CALL 761-8205 or 761-8206 CHIMNEY INFORMATION BLOCK BRICK STONE OR EMAIL: firemarshal anqueensbury.net MASONRY" CHECK ONE ✓ VISIT OUR WEBSITE TILE STEEL SIZE IN FOR MORE INFORMATION INCHES www.queensbury.net FLUE CHECK ONE ✓ S5 l' DOUBLE TRIPLE WALL INSULATED DIRECT VENT CHIMNEY WALL LINER CHIMNEY MATERIAL CHECK ONE NNJ **IF NON-MASONRY, PLEASE PROVIDE: MANUFACTURER NAME.►J,'=YJ►, + 2,,51 C- MODEL NO.. 5K Seri e ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. ' / �8 F /....1 OFFICE SE ONLY 1 /' TAX MAP NOQy. a PERMIT NO. / /iJJ// ` ,, , _.v Of [ 1 FEES: PERMIT . . REATION ENGINEERING fr , / ) sy s i 4' It`fa -(iI4 (If applicable) . -\\4 ___,..„. P INCIPAL STRUCTURE. — APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: OWNER: n 1n -beJ �h ADDRESS: ADDRESS: 4 S one r.& ,J I r . ar),(11\11( PHONE NOS. PHONE NOS. -1 c1 2- 1 C,S 1-1 II.. -142- 1(2 S`I CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:4/ln 1I L1 PHONE:13a-.(c(-1-SO tq LOCATION OF PROPERTY: WC ,a,r.e__ SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT o1-- APPLY TO YOUR z PROJECT i 0OH O � 0 � = oa a � 0 W o . 0 z a i � O � � wZ z ¢ Q •- cn N (n O u_ 1— u- a I oo SINGLE FAMILY X I -G155— 11 11 2 73 2- (.,,,, ,, TWO-FAMILY 321' MULTI-FAMILY (NO.of UNITS ) r TOWNHOUSE -..__ BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED { GARAGE(1(2)3) ;f/LI V b O .fir OTHER /i‘ f Ow c#,-) 244r( .______7 IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: (29?yj+ 6O0 FUEL TYPE: b (� 1 HEAT TYPE: F J *HOW MANY FIREPLACE(S): -AND/OR WOODSTOVES(S): I ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE? I PROPOSED USE OF BUILDING OR ADDITION: rc5 ti dkhc-e-- *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? O ARE THERE EASEMENTS ON PROPERTY? �� V 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 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 gre 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) 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: BUILDING & CODES APPROVAL ZONING APPROVAL DATE DATE I J QUESTIONS? CALL 761-8256 OR EMAIL codes(a7queensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.queensbury.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 e? 3 Town of Queensbury Michael F. Travis Highway Highway Superintendent Hone: (518) 798-0413 Department 742 Bay Road Queensbury,NY 12804 Thomas R. Vanness Deputy Superintendent Office Phone: (518) 761-8211 Hoare (518) 745 (}929 Fax: (518) 745-4466 DRIVEWAY PERMIT www.queensbury.net DATE: 7 APPLICANT NAME: 1/t t TELEPHONE NO.: 1 A2. ^ ItoSzt ADDRESS TO BE INSPECTED: lit r r\e.A.1 LA,vt e- RETURN ADDRESS: Applicant must show exact location and width of driveway(s) to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: STEP 1: ( ) Preliminary Approval NEED: ( ) Slight swale ( ) Deep swale ( ) Level with the road ( ) Level with the top of the paved wing Size culvert pipe to be used (if necessary) ( )12" ( )15" ( )18" ( )24" ( )36" Preliminary inspection completed by: Date: Approval by Highway Supt: Deputy Supt: Upon completion, please resubmit this approved permit for a final approval. STEP 2: ( ) Final Approval ( ) Rejected Date: Michael F. Travis, Highway Superintendent Thomas R. Van Ness, Deputy Highway Superintendent Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: C.4 ` O et NAME: �\) LA- LOCATION: PERMIT#: B } " Final Survey Plot Plan Approved Denied The attached final survey has been received by the Dept.of Community Development. Upon review the survey has Craig Brown,Zoning Administrator Notes: L:ISueHemingway\Building.Codes.Inspection.FORMSTina1 Survey Zoning Administrator.doc IPF IN STONE PILE ZO E= aO U / � a LANDS N F OF GSK, LTD MAP REFERENCE: MAP OF A SURVEY MADE FOR p CATHERINE PICKETT, et. al. DATED:JANUARY 30, 1997 LANDS N/F OF REVISED:OCTOBER 9, 1997 DONALD & ROGER FARR BY. VAN DUSEN&STEVES 348/525 Co o N Cb Off` 1h• / �4 4 tiG o P0/ TO z I- *+ 0 J, O^ LEGEND: b . c �GO ^_ O� O IPF=IRON PIPE FOUND Q� < O lRF=IRON ROD FOUND c DccxD =STONE WALL Q� w °� �. � RF =UTILITY POLE A 4 q 41 �o Q4 � O o 0 0 LANDS N F OF JOHN PAUL PORTER OG� OA%, c V� 'T Y / AREA 614,385 sq. ft. � � 14. 10 acres !K �; g� _ ZZ ¢ Z y a F zir-IrB �Fa�= Selo 1 S2� dp� " z L � ko CO oM LANDS N/F OF ?' HELEN B. WOOD z n, 0 \ \ W z z Cr k Cd 0.0'� d+ \ '7 �. r: CQ x Co0 S27045'20"W oo'c 61.41' S24791 3 W 39 scab T-60' GURNEY LANE S20024'23'W S_ \QF 86.37 S 13°40'44'W SHEET 1 OF 1 32.98' D 1389 DWG. NO. 08035 f_ A- ? r; �' ��® e_. Queensbury Building & Code Enforcement - esidential Final Inspection Office No. (518)761-8256 Arrive: SD am/pm Depart:2- ' am/pm Date Inspection request received: Inspector's Initials: � , NAME: r 6 f)L�/ PERMIT#: _ / _ LOCATION: 3 (7 Y�l €- l 1 .. DATE: r�i g TYPE OF STRUCTURE: -• / Comments:_ ----C _3) . Yes L N/A , 4" Building Number Address visible from road v . L Chimney Height/"B"Vent/Direct Vent Location ,t �, y {`t7-�A A'''' Fresh Air Intake �,/// (1)^ ~� 3 inch Plumbing Vent through roof minimum 6 inches •V ` P Roof Complete/Exterior Finish Complete _ � „ f� ^, Platform at all exterior doors Cr 1 ' n CL� Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade , `�\� `��r � 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 Deck Bracing/Handicapped Ramp Compliant *� - sa l `-`-0 5 Grade away from foundation 6 inches with 10 feet / . 6 inch clearance to sill plate V Gas Valve shut-off exposed/regulator 18 inches above grade A e f�! �,-„ .t;,�,T Interior privacy/trim/doors/main entrance 36 inches / Bathroom/Kitchen watertight •// �{� � Safety glazing/Wind• in stairwells safety gl ing �/ Interior Smoke 0 r ors/Cartoon Mon setectors k L5 Every level: �!/ Eve Bedrogrf�: Outside every bedroom rea: y� � �j ,� -).- Inter Connected: ♦ Battery backup: h �'"-` �f Attic access 30 inches x 22 inches x 30 inches(height)in accessible area n� �� Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents 'r ASi Bathroom Fans,if no window `vn Plumbing fixtures J ' t'r U'(.� Foundation insulation/Insulation Certification /CC.Floor truss,draft stopping finished basement 1,000 sq.ft. v,, Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site i v ' ,,4,�--"i '` Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating 1/ %/10) t '-&jam, Low water shut-off boiler /f Relief Valve(s)installed/Heat Trap/Water Temp 110 V Enclosed Stairs Sheetrock Underside minimum W Gypsum _ j ��'_ 'f Basement stairs closed rise>4 inches V Garage Floor Pitched 1ST-l�- Z :." Garage fireproofing/Y.hour fire door/door closer r1 �,,� �,.Duct work Sealed properly lj� j� _ �r ""`„ Gas Logs in Sealed or Glass Enclosure f f��/ `�'l Final Electrical rZ I Z 1 7 �� -• c24 `IL `► Final Survey Plot Plan i 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 required 0Okay to issue C I C or C I 0[Temporary/Permanent] V L:\Building&Codes Forms\Building&Codes\Inspection Fonms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 I e%"1,---6-3--7--- Framing / Firestopping Inspection Report 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: tot � „ NAME: 'IS PERMIT#: % � LOCATION: �`_-S Li Y INSPECT ON: TYPE OF STRUCTURE: '13*1-21 Framing Y A COMMENTS: `Attic Access 22°x 30° minimum s e�� -2 c' - , ,,. Jack Studs/Headers f l Bracing/Bridging >/ f �� /. - e4i Joist hangers Jack Posts/Main Beams +o/ 1� — --11q& /Wri ,NW C;au Exterior sheeting nailed properly �Vh� 12°O.C. 2 Headroom 6 ft. 8 in. TR 5 tom' PT L, - Stairwells 36 in. or more Exterior Deck Bracing kt, e-ao t) \1. s) t-- Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate . 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 Pjf A Fire wall 2, 3, 4 hour Firestopping J 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 Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Framing Firestopping Inspection Report.doc Revised January 7,2008 Town of Queensberry Fire Marshal `� � 742 Bay Road 11 Queensberry,NY 12004 761-8205/761-8206 fax 745-4437 Factory Built Wood Burning Fireplace/Stove Inspection Report Notice:New Yoit State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# Oe-31 i Schedule Inspection ,3113 Time anytime Inspector 14 NameP—A.) L1 ri Address 3 03 60 T Rough In Final Appliance Manufacturer f;1I'R`' 1 L Model# 31 o(. ) Masonry Chimney Factory Built ChimnerV- Flue Size G 11 Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection ejiswei Clearances to Combustibles(all sides) SafetyStripInstallation(fireplaces only) Firestop(s) Vertical Chase Wall Penetration Chimney Clearances to Combustibles Chimney Termination 3 feet above roof penetration;2 fed above any combustible construction within 10 feet Combustion Air Hearth Extension 1/7 Mantel(height above f/p opening) Fireplace Doors/Screen(required) White—Elsildiag Dept. Yetou—Customer Piwk—Fire Marshal Town of Queensbury Fire Marsh Mal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Wood Burning Fireplace I Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's 10 instructions specifications is allowed. Permit# ' ~ ) I Schedule Inspection 3 i Time /°4 pm anytime Inspector J Ik,'i 4 , ,-, Name 1 -t/ I Address , `? () C. C.,1/`ak _ / l �. Rough In Final kppliance Manufacturer 7/ 3i Model# C� Masonry Chimney Factory Built Chimney Flue Size, ouble Wall_Triple Wall Insulated Yes No N/A Comments Floor Protection /1/`i/a , O 1ibi/� 6� clearances to Combustibles (all sides) V /I ) Wet I// iafety Strip Installation (fireplaces only) 0/46 Firestop(s) Vertical Chase Wall Penetration Zhimney Clearances to Combustibles / f.doa :himney Termination 1 feet above roof penetration;2 feet above my combustible construction within 10 feet Zombustion Air V Elearth Extension V I/ I/c n,un-N,e-- "sk11 'AI z) eV. 15" Mantel(height above f/p opening) 0f fl1' 1 L'4 L Fireplace Doors/Screen(required) White—Buildin5 Dept. Yellow—Customer Pink—Fire Marshal Town of Queeusbury Fire Marshal 742 Bay Road NV-4W Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplince/Stove Inspection Report Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# L 8 f 3/7 Schedule Inspection �1 i 8 Time C'° t c am pin anytime r Name Off-`I t c /i Address 6"'0/e✓6'i/ £ Rough In Final Appliance Manufacturer Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection — '� (/l/< . C%t'U , Clearances to Combustibles (all sides) ( el cc klit fi,lAr-rn,f Firestop(s) Vertical Chase 0)- COW,le , 'L' 7/d t' 4i& Wall Penetration 0') -F-1 4-1P Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air an G(41 �" _ & iP -Hearth Extension (ifY) vk t /Z(Ac Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White->hliding Dept. Yellow-Comer Pink-Fire Marshal Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Ins n request received: Queensbury Building &Code Enforcement Arrive: •' -' am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspect° s Initials: NAME: `Ti%(/L/A) PERMIT#: cg 3 (i' LOCATION: Cyr 2.A,.E j L -t./- INSPECT ON: 5 TYPE OF STRUCTURE: Y N N/A COMMENTS: Framing 7 Attic Access 22" x 30" minimum fC— Cn k . > 7 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) 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 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 Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:1Buiiding&Codes Fonns-OLIThuilding&CodesUnspecdon Form&Framing Firestopping inspection Repott.doc Revised January 7,2008 Queensbury Building & Code Enforcement - Residential Final Inspection i 0 Office No. (518)761-8256 Arrive: 1 Z • '`1"am/prp Dart: am/pm Date Inspection request received: Inspector's Initials: CL NAME: �_ PERMIT#: 1 LOCATION: V (2/V61" DATE: L TYPE OF STRUCTURE: Comments Yes No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake jj��,,�� r n 3 inch Plumbing Vent through roof minimum 6 inches r`Z"� ��`�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/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector 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 fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sq.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 Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'/2"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 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/0 [Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc Framing / Firestopping Inspection Report (Y. o Office No. (518)761-8256 Date I uest received: oe Queensbury Building &Code Enforcement Arrive 4' m/ De rt: am/pm V 742 Bay Road, Queensbury, NY 12804 Inspe s'l ' Is: Mee,- X i- NAME: /.=r 1.4) PERMIT#: O i-3/i LOCATION: 343 6,,.N , (. ..� INSPECT ON: i I,i 4 TYPE OF STRUCTURE: Yi N N/A COMMENTS: ifrraming Attic Access 22" x 30" minimum / e;" �,;�-1-&--0 Jack Studs/Headers ��'' Bracing/Bridging , i z r 1 R> . f�is►b Joist hangers -k 4 I �iZritkC(,' Jadc Posts/Main Beams ,.- C /r:Jc��L . 1i ��Exterior sheeting nailed properly ) (7 I ) (& / 0 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 L I r • Metal Strapping for Notches Top Plate R� 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 / 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 Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade t Yll L: Icing&Codes F 'Building&Codesvnspection Forms\F 'ng Firestopping inspection Reportdoc Revised January 7,2008 Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date InspectigA request received: Queensbury Building &Code Enforcement Arrive: . tam/pry 9ePart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: V `/ NAME: �1-6vij �,.._..� PERMIT#: 1 • LOCATION: 3,3. 6-1 ch 7l�c, INSPECT ON: l 1 fare e' TYPE OF STRUCTURE: r IL- k/Pt; Y N , N/A . hkLJ 6e V Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place _ 1 'Y inch minimum Drain Size 7' /�S Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /VentFAX2r/ke—_____ Air/Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes ` e-/< Pressure Test Water Supply Piping / �� Air/Head / C am,C Ca rQ 673 15 minutes / c Insulation esidential Check I Commercial Check 1l � `� iio l r Similar Exterior Sealant ,') z ' r Proper Vent, Attic Vent �� Door Window Sealed (No Insulation) Duct/Hot Water Piping Insulation If required unheated spaces iC bustion Air Supply for Furnace uct work sealed properly/No duct tape .6.rz-ksa 'r (2 /06 70. � —‹- COMMENTS: 04 �" , ox (/ )6'`-----)/6r Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008 - —D ) ( ec c Framing / Firestopping Inspection Repfort Office No. (518) 761-8256 Date InsDedi request received: Queensbury Building &Code Enforcement Arrive: i/(am/ppa part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: P )/ NAME: I PERMIT#: �J LOCATION: 3 G v r p.ey / ,_ INSPECT ON: — TYPE OF STRUCTURE: Y N N/A COMMENTS: Framing s 22" x 30" minimum 441---r %64P- Jack Studs/Headers / Bracing/Bridging Gh Ja,s/ � ,O ,e� �sen�e�f� Joist hangers Jack Posts/Main Beams S ins Exterior sheeting nailed properly 12"O.C. /, �3 ,,^ Headroom 6 ft. 8 in. //9 �` ' Stairwells 36 in. or more [' Exterior Deck Bracing Headroom 6 ft. 8 in. ` Notches/Holes/Bearing Walls /1b a OR' re,,eiv fh/J t i ANdi Metal Strapping for Notches Top Plate , 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 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 Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:1Building&Codes Fors-OLD\Building&Codesllnspection FormsTraming Firestopping Inspection Report.doc Revised January 7,2008 V--ll 7C/E:S:Z:Vit 1 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 � 3 761-8205/761-8206 — fax 745-4437 Factory BuiWood B ruing Fireplace/Stove Inspection Report Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# Oa // Schedule Inspection // `/—O I'ime ) f :1° am�m anytime Inspector k! / 5 IL".-lame t'J �. 5 (-)cr 1, -�7 I , ..� Address .. ( i-^ Rough In ,g Final appliance Manufacturer 7///p v v 77c-, Model# S 7 v Vlasonry Chimney Factory Built Chimn Flue Size/2 Double Wall Triple Wall Insulated Yes No N/A Comments door Protection X — CrPil '2P 61,,,,1 h {er,, 5' -e f clearances to Combustibles(all sides) safety Strip Installation (fireplaces only) X irestop(s) Vertical Cha )( Wall Penetration 2hhnney Clearances to Combustibles f ` :himne Termination ei (Z ��1 feet above roof penetration;2 feet above my combustible construction within 10 feet L 1 combustion Air f � — - '' * `9f / 7 bc y ynv L-. 'earth Extension x � �� In Pry a I �i97G Mantel(height above f/p opening) j,iP n i( � ireplace Doors/Screen(required) X ,-.....) ' CP,7)1 Vhite—Building Dept. Yellow—Customer Pink—Fire Marshal Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart:/a am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: '-`f11DJ J0Z, I)\1 PERMIT NO.: 0._ LOCATION: cp':i►zJ :-'( 0•1 INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand/ Loam/ Clay Type of Water: Municipal/ Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + / - Y N N/A Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone �� Seepage Pits: Number Size: x �-- Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field / Pit Opening Sealed: ^Y.__N End Cap _Y N Inlet/Outlet Pipes &Baffles Y N Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan N Engineer Report and As-Built Y_ N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear S s: 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 Framing / Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: q/K3k Queensbury Building &Code Enforcement Arrive: am/pm Depart:C/15_am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: j ? / 77 NAME: j ,V\ PERMIT#: U 1 LOCATION: - &fi y L J- i INSPECT ON: TYPE OF STRUCTURE: 37 N N/A COMMENTS: eraming Attic Access 22" x 30" minimum Jack Studs/Headers f ` �� y Mkl Bracing/Bridging - , / (,- Joist hangers JackPosts/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 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 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 Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\Building&Codes Forms-0LD\Building&Codes1inspedan FormsV raming Firestopping Inspection Reportdoc Revised January 7,2008 wi [Afd �7 Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: 9 Queensbury Building &Code Enforcement Arrive: am/pm Depart: / ' am/pm 742 Bay Rd , Queensbu , NY 12804 Inspector's Initials: (,L11 6 �j NAME: c"'" t 11 PERMIT NO.: 6 LOCATION: 1,4 c INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand/ Loop la Type of Water: Municipal Ai ell P a - Waterline separation distance to 1/4' ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + / - /Y N N/A Absorption Field: Total length °2.$0 ft. Length each trenchft. + �� Depth of trenches �- ft. Size of Stone Seepage Pits: Number Size: Stone Size: Piping Size Type Building to tank4.1 * fZ 3 Tank to Distribution Box A- j� Distribution Box to Field/ Pit 4t- Opening Sealed: _N End Cap Y_N G k'�b 1 " V5Ca.L PM ` Inlet/Outlet Pipes &Baffles ✓Y N • l Location/ Separations Foundation to tank ft. T j - �' ��''� \-'1' 'U� Foundation to absorption 271-x' ft. fok ---, Separation of Pits ft. �� Sw�`� Conforms as per Plot Plan Y ? Engineer Report and As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear m s• 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 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: O( o 4O Queensbury Building &Code Enforcement Arrive: am/pm Depart:c` am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials:6Aot5. -- 3 vt..6) Ur NAME: �r�� PERMIT#: LOCATION: rJ��J ��1�-e jr INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS: Frain ng • 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 Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %(w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bofts 6 ft. or less o nter sand wathield s from wall L't tire 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 Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:1Building&Codes Forms-OLD1Building&Codes1Inspection Form&Framing Firestopping Inspection RepoRdoc Revised January 7,2008 Framing / Firesti ig Inspection Repo, t Office No. (518)761-8256 )ate nspection request recei ed: 9 or- Queensbury Building &Code Enforcement Arrive : am/. f = art: \ / pm 742 Bay Road, Queensbury, NY 12804 spe tor's Initials: , . ,� I NAME: -` PERMIT#: LOCATION: _ INSPECT C ��, TYPE OF STRUCTURE: I Framing I N N/A COM RENTS: 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 Exterior Deck Bracing Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 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 «' and water s 'eld 24 inches from wall (51/K a --' Fire separation 1, 2, 3 hour "i V Fire well 2, 3, 4 hour Firestopping !� Penetration sealed �f z -- 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 Ceiling/wall _ Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\Building&Codes Forms-OLD\Building&CodesWuspedion Fonns\Frami Firestopping inspection Reportdoc Revised January 7,2008 i-3 /nor\da/ Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received:,„ Queensbury Building&Code Enforcement Arrive: am/pm Depart:2\Wm pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ek4) NAME: Efl / PERMIT#: � `/ LOCATION: vt c l_�,,� INSPECT ON: 7-2 -08' TYPE OF STRUCTURE: #‘?-9 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 e crete. n s for this p se on site. Foundation/Wallpour m Place ‘ P- 1' - " Footing Dowels or Keyway in place Foundation Dampproofmg z' ALI -52owulh- 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 - `7' A/6-7epit ESQ cc-7 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: 1 2iC NAME: 1ut t - /1 I PERMIT#: C/iy— j// LOCATION: • INSPECT ON: TYPE OF STRUCTURE: Comments N/A W Footings N 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 Cfr Foundation Inspection Report Office No.(518)761-8256 Date Ins do request received: —7/Z3� 6 Queensbury Building&Code Enforcement Arrive:! am/pmi Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: -.A(" NAME: rs(L uti PERMIT#: C) Y 3%/ LOCATION: 3 G,^/Z, �, � INSPECT ON: 7/7-- 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 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 j ackfill 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 Foundation Inspection Report >t Office No.(518)761-8256 Date Inspection request received: 7 (V (V Queensbury Building&Code Enforcement Arrive: am/pm Dep : / am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: PNAME: W PERMIT#: 61 LOCATION: r rt,e_c<V INSPECT ON: i TYPE OF STRUCTURE: 61 14 Comments, Y N N/A r--ri(Y Nl 4t /1 v, Footings iers 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 -54 c Reinforcement in Place e, 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 (9 M a r • 2 . 2009 9 : 38AM:" :.MDIA'-;> -. :,'-✓:�.No. 2109 P• 2 3;�::,•:.. MIDDLE DEPARTMENT INSPECTION AGENCY, INC. ;.; W ife that the electrical wiring to the electrical equipment listed below has been examined and is approved as',1?) bein in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date \�. .7;:;) noted below and is issued subject to the following conditions. , � ? Owner: Adirondack Date: 02/25/2009 z: ') Occupant: House Location: 383 Gurney Lane :-`' Occupancy: Queensbury, Warren Co. NY %.� P Y: Single Family Dwg. •;,,-* Applicant. Scott Ellis G'` 371 Lake Ave � . • *'° ° .� PA pi- ' �.' 1O Lake Luzeme,NY 12: ,, „v,,..• AA? r'1:, ,11'. V).0.,•es ___174:r%f4444t :' '1. ,,,,, se t VA Raymond A. No k ;;,-,�;. t;" ;,;. ,t,. �.- , �� ;: (, No. °' 3180 2�:r •�,'oc , a• 4' •t :r 'r'" �` %a • ie; .�;:� p ,k ,;h4 .,4 .Equipment: 200-Amp. Service Equip ::,-nt 4/0N'-- - • ch- , fi •- - ''_ptac - , '- ixtures;'�- ater i eater; 1 -Air t'��, Conditioner; 1 - Burner, Wi ,a• &Co' ols; 1 -Garbage Disposal; 1 - Dishwasher; -Dryer -20 Amp- Receptacles; <% >l 3-Vent Fans;6-SmcDe ,�rbon Monoxide Detector ' s' i_N ..,sae 4.,�, :1 ,a_. �"`-ra�,...'y�,ws.�v.'n•3C * `fit ,.,. i fr. ,,, K:ii ,' r 1 cE 11,4 $3, ' . .. 7,,,.,.... QF (0); ``/l This Certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and;>;) above and the installation inspected as of the above noted date based on a visual ownership as Indicated herein. Upon a change in the use.occupancy or ownership (.f) (C;jl inspection. No warranty is expressed or implied as to the mechanical Safety,effi• of the property indicated above.this certificate shall be immediately null and void. ';:` ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditons, A':�: be valid for a period of one year from the above noted date. Should •the electrical •this certificate •may be revalidated upon reinapection by Middle Department ':4 •;sr, system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc, An application for inspection must be submitted to Middle rI f4:'i) ed to,the introduction of additional electrical equipment and/or the replacement of Department inspection Agency, Inc.to Initiate the Inspection and revalidation r•(?,' ) any of the components installed as of the above noted date,this certificate shall he process. A fee will be charged for this service. t. `;1�"�15i Fn;9%z iA'•; i4,7",} rr\'i•�•5N•ice•'\ \9'--y'1 7",, , \ ',� lid•', • '• \� '' 1 •''4.•.�1:‘� •>viW�1,4W:�v i�.W�%.1"-? \ �/ ,i e�F !%�%l'�%1�f.•jR\!%i'1i%1.••/��A �5:�\:j�il�•k.\'5I\• \•�\;4,%%: - �•� ��:= \ \ .\`+!i\✓.`.✓y✓\�i\✓i\✓:\�:\�i ✓i�Ji�:i :::✓ J�i�::J:\✓\i\✓: ::�•Sr\Ji`!�:1��✓�Li.�;fi i�: i,✓wv ✓ ✓�-\�, C r..._ 3// Community Development Office I�` , , ". s vymtv own of Queensbury• 742 Bay Road • Queensbury, New York •12 • Electrical Inspectors THE FOLLOWING ELECTRICAL INSPECTION AGENCIES ARE CERTIFIED BY THE TOWN OF QUEENSBURY TO PERFORM ELECTRICAL INSPECTIONS: - NAME&ADDRESS OF BUSINESS INSPECTOR CONTACT NUMBER(S) Commonwealth Electrical Inspection Services 176 Doe Run Road Donald Loveland Local Office:1-800_562_9934 Manheim, PA 17545 Ron Mumblo Ron: 518-798-0905 Main Office: 1-800-873-6432 Middle Department Local Office: 1-800-479-4504 143 Troy Schenectady Road Ray Novak 518-273-0861 Watervliet, NY 12189 (Office Hours:7:00—9:00 AM) Ray: 369-6614 The Inspector,LLC Richard Moon Main Office:_1-800-487-0535 4755 McConchie Rd. Douglas R. Hull Local Office:(518)882-6140 Galway, NY 12074 Brian D. Sweet David J. Irwin New York Board of Fire Underwriters 40 Fulton Street-6th Street Walter Sonntag Local Office: (518)373-7003 New York, New York 10038 PLEASE NOTE: WE CANNOT RECOMMEND AN INSPECTOR, HOWEVER, PLEASE ASK YOUR CONTRACTOR WHO HE PREFERS TO INSPECT HIS WORK. 3/28/07 V. Code Compliance and Informational Sheet for Permit Use Queensbury Dept. of Community Deve sPE.- 4 t Project for: BP 2008 - 3/1 Applicant Name: J(LJ -_ Zoning Administrator Tax Map No. Q5c.s,e•to-t - le s APPROVED Lot# House # a Ap•lication road, stree ilp U ' 6 2008 Lot Size: Mobile Home Park: ning Administrator Business Plaza: TOWN OF QUEENSBURY _ Planned Unit Dev. Subdivision: Phase/Section Effective Year Zoning Designation Zoning Ordinance Prior to 1967, July 10 Subject to current setback requirements at time of development. Section 179-20-10,B Subsequent to Development of lots within subdivisions subsequent to July 10, 1967 July 10, 1967 shall use the setback requirements in place at the time of the approval of the subdivision. 1967 1982, June 11 88,September 19 Corner lot rule Prior to N 3, 1992,ppproved subdivisions * (see note on back of form) 2002, April 9 5 7L Road Name I- SetbacksExisting Requir + P ose Difference Front 1 5ad Front 2 IiIce2 1 i ISW 1--- Rear 1 i t O Rear 2 { i Shoreline 7 Travel Cooridor Overla Zone ,. Buffer - ._— L.----- Yes No meets depth,width, &square footage requirements preexisting,nonconforming lot with proper setbacks required frontage on public road has required off-street parking permeable area is adequate (Requirement is %) building does not exceed maximum height (Max. ft.) Is lot in a Flood Zone? Floor Area Ratio worksheet required?Zone: WR-1 A Town of Queensbury Code Compliance and Informational Sheet for Permit Use Queensbury Dept. of Community Development a Nf U 0 Z *Corner Lot Information for Subdivisions Approved Prior to November 23, 1992 Section 179-30.1 which requires front yard setbacks on both roads for a corner lot was not enacted until November 23,1992. Therefore,prior to November 23, 1992 parcels within approved subdivisions have one (1) front yard,two (2) side yards,and one (1) rear yard setback. Review Type File No. Action Resolution Date Zoning Board of Appeals Planning Board Town Board f L Check List Yes i No Recreation Fee Paid rEngineering Fee Paid Site Plan Maps on File rSubdivision Mylar Signed and IL Filed with County Application appears to conform to the requirements of Section(s) of the local Town Code: Application requires additional review for the following: Zoning Board of Appeals Planning Board Town Board of Health Town Board for Mobile Home Outside of a Mobile Home Park Other Revie '- • by St• Date Notes UPBTOY---- Town of Queensbury BPC Make Map Page 2 of 3 Building Permit Checklist(BPC)Support Checklist Report Parcel #28800000010180050000 (NEWSBL) Tax map#: 28800000010180050000 Current Zoning: 'RR-5A' Current Subdivision: None APA BlueLine Status: Outside of APA Flood Plain Status: False Zoning setback requirements(effective -2002): RR-5A- Rural Residential Zoning Setbacks Front 50 Side 30 Rear 30 Shoreline becomes front yard 75 Feet Permits: Permit# Type Permit Date Sfd Allowed Uses for this Zoning Zone Uses Value RR-5A Agricultural Use SPR(7) See Sectiion 179-5-030 RR-5A Bed&Breakfast Site Plan Review RR-5A Cemetery Site Plan Review RR-5A Game Preserve Site Plan Review RR-5A Golf Course SPR(6) Golf driving range not allowed. RR-5A Group Camp Site Plan Review RR-5A Home Occupation Accessory Use or Structure RR-5A Hunting&Fishing Cabin<500 permitted Use Sq. Ft. RR-5A Kennel Special Use Permit RR-5A Nursery Site Plan Review RR-5A Place of Worship Site Plan Review RR-5A Produce Stand<100 sq. ft. Accessory Use or Structure RR-5A Produce Stand> 100 sq. ft. Site Plan Review RR-5A Riding Academy Site Plan Review RR-5A School Site Plan Review RR-5A Single Family Dwelling Permitted Use RR-5A Sportmen's Club/Firing Range Site Plan Review RR-5A Uses Accesory to Principal Use Accessory Use or Structure http://gby2svr/GIS/MAKEREPORTtest.ASP 6/20/2008 a .. off, 311 REScheck Software Version 4.1.3 - : , - (0, Compliance CertificateVe f Jut,' EF{'; Project Title: PLAN NO. 2732-08 Report Date:05/22/08 Data filename:C:\Program Files\Check\REScheck\2732-08 DEVLIN GURNEY LANE QUEENSBURY.rck Energy Code: 2007 New York Energy Conservation Construction Code Location: Warren County,New York Construction Type: Detached 1 or 2 Family Heating Type: Non-Electric Glazing Area Percentage: 13% Heating Degree Days: 7635 Construction Site: Owner/Agent: Designer/Contractor: GURNEY LANE SCOTT ERWIN&ANN DEVLIN JESSICA CHENIER QUEENSBURY,NY 12804 4 SHERWOOD DRIVE WILLIAMS&WILLIAMS DESIGNERS QUEENSBURY,NY 12804 509 GLEN STREET 518-792-1654 GLENS FALLS,NY 12801 518-798-4687 Compliance:Passes Compliance:28.5%Better Than Code Maximum UA:627 Your UA:448 Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or Door Perimeter U-Factor Ceiling 1:Flat Ceiling or Scissor Truss 652 38.0 0.0 20 Ceiling 2:Flat Ceiling or Scissor Truss 1170 38.0 0.0 35 Wall 1:Wood Frame,16"o.c. 1794 19.0 0.0 90 Window 1:Wood Frame:Double Pane with Low-E 157 0.300 47 Door 1:Solid 20 0.130 3 Door 2:Solid 37 0.130 5 Door 3:Glass 20 0.300 6 Door 4:Glass 20 0.300 6 Door 5:Glass 40 0.300 12 Wall 2:Wood Frame,16"o.c. 1160 19.0 0.0 60 Window 2:Wood Frame:Double Pane with Low-E 156 0.300 47 Basement Wall 1:Solid Concrete or Masonry 1776 11.0 0.0 108 Wall height:9.0' Depth below grade:8.0' Insulation depth:9.0' Floor 1:All-Wood JoistlTruss:Over Outside Air 90 38.0 0.0 2 Floor 2:All-Wood JoistiTruss:Over Unconditioned Space 263 38.0 0.0 7 Furnace 1:Forced Hot Air92 AFUE The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application.The proposed systems have been designed to meet the 2007 w York Energy Conservation Construction Code requirements.When a Registered Design Professional has stamped and si s p , ey are attesting that to the best of his/her knowledge,belief,and professional judgment,such plans or specifications are..' pli ce '' this Code. Name-Title Si atu Dat / Project Title: PLAN NO. 2732-08 Report date: 05/22/08 Data filename:C:\Program Files\Check\REScheck\2732-08 DEVLIN GURNEY LANE QUEENSBURY.rck Page 1 of 4 r c ElREScheck Software Version 4.1.3 Inspection Checklist Date:05/22/08 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: ❑ Ceiling 2:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: ❑ Wall 2:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: Basement Walls: ❑ Basement Wall 1:Solid Concrete or Masonry,9.0'ht/8.0'bg/9.0'insul,R-11.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2:Wood Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,U-factor:0.130 Comments: ❑ Door 2:Solid,U-factor:0.130 Comments: ❑ Door 3:Glass,U-factor:0.300 Comments: ❑ Door 4:Glass,U-factor:0.300 Comments: ❑ Door 5:Glass,U-factor:0.300 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Outside Air,R-38.0 cavity insulation Comments: ❑ Floor 2:All-Wood Joist/Truss:Over Unconditioned Space,R-38.0 cavity insulation Comments: Heating and Cooling Equipment: Project Title: PLAN NO.2732-08 Report date: 05/22/08 Data filename:C:\Program Files\Check\REScheck\2732-08 DEVLIN GURNEY LANE QUEENSBURY.rck Page 2 of 4 ❑ Furnace 1:Forced Hot Air:92 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 are sealed. ❑ Recessed lights are 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,fixtures are installed with a 3"clearance from insulation. Vapor Retarder: ❑ Installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. ❑ Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: ❑ Supply ducts in unconditioned attics or outside the building are insulated to at least R-11. ❑ Return ducts in unconditioned attics or outside the building are insulated to at least R-6. ❑ Supply ducts in unconditioned spaces are insulated to at least R-11. ❑ Return ducts in unconditioned spaces(except basements)are insulated to R-2.Insulation is not required on return ducts in basements. Duct Construction: ❑ All joints,seams,and connections are securely fastened with welds,gaskets,mastics(adhesives),mastic-plus-embedded-fabric,or tapes.Tapes and mastics are rated UL 181A or UL 181 B. Exceptions: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). ❑ The HVAC system provides a means for balancing air and water systems. Temperature Controls: ❑ Each dwelling unit has at least one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: ❑ Separate electric meters exist for each dwelling unit. Fireplaces: ❑ Fireplaces are installed with tight fitting non-combustible fireplace doors. ❑ Fireplaces have a source of combustion air,as required by the Fireplace construction provisions of the Building Code of New York State,the Residential Code of New York State or the New York City Building Code,as applicable. Service Water Heating: ❑ Water heaters with vertical pipe risers 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. ❑ Circulating hot water pipes are insulated to the levels in Table 1. Circulating Hot Water Systems: ❑ Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools have an on/off heater switch and a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps have a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Project Title: PLAN NO. 2732-08 Report date: 05/22/08 Data filename:C:\Program Files\Check\REScheck\2732-08 DEVLIN GURNEY LANE QUEENSBURY.rck Page 3 of 4 Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" Temperature(°F) 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Insulation Thickness in Inches by Pipe Sizes Fluid Temp. Piping System Types Range(°F) 2"Runouts 1"and Less 1.25"to 2.0" 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 and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) Project Title: PLAN NO.2732-08 Report date: 05/22/08 Data filename:C:\Program Files\Check\REScheck\2732-08 DEVLIN GURNEY LANE QUEENSBURY.rck Page 4 of 4 .A6\ 169 Haviland Road Queensbury, NY 12804 Hutchins Engineering PFax: (518)74 0308 O 5 v-3il September 17, 2008 Town of Queensbury Buildings Department 742 Bay Road Queensbury, NY 12804 Reference: Devlin/Erwin Residence—Gurney Lane, Queensbury, NY 12804 Wastewater System Design I have inspected the installation of the wastewater system at the referenced project. The wastewater system consists of a 1250 gallon precast concrete septic tank and five Infiltrator Quick-4 Equalizer 36 chambers installed in a shallow trench configuration at fifty-six feet each, totaling 280 lineal feet. Attached is a record drawing indicating actual locations. Should you have any ,.-- questions, please contact this office. Regards, 4...t.t:K-_ ,,tt.,, _..----7----- i G. Thomas Hutchins, P.E. Cc. Ann Devlin G.Thomas Hutchins, P.E. O� O� SUGGESTED: POLYETHYLENE EXTENSION TO GRADE WITH TAMPER APPROXIMATE RESISTANT ACCESS COVER FINISH GRADE 2" MIN. DROP BETWEEN INVERTS ltr SUGGESTED: INSTALL POLYLOK Pt-122 FILTER SUCH THAT IT IS 12" MIN. COVER 12" MIN. COVER READILY REMOVABLE THROUGH y, TANK ACCESS COVER 6-1 cl' DISTRIBUTION BOX -' n -._. ...n ,. . , : . - 2" 4" PVC SDR-35 \ 30''0�� EXISTING 2" MIN. LC 4" PVC SDR-35 OUTLET INLET NATURAL \70\ e��Nc\ GRADE IPF MIN. SLOPE LIQUID LEVEL MIN. SLOPE ,0 S� BAFFLE 1/8" PER FOOT 1/4 PER FOOT SPEED LEVELERS TO 18101N. 1 S" 4 noN �c�r ASSURE ARE AT Pc_r \ EXACTLYALL THEOUTLETS SAME ELEVATION LET AND SLEEVE �p D SEAL (TYP.) 4" PVC SDR-35 SOLID HEADER o 'F' 7 TO PERFORATED TRENCH PIPING, 1/8" PER FOOT MIN SLOPE 1250 GAL PRECAST 5. s� -=i CONCRETE SEPTIC TANK S s��, MINIMUM 2X WIDTH MAXIMUM 4X WIDTH \ A3 A . p \ 00.00' WELL SE7BACK--j \ , SEPTIC TANK IWOTES XIS77NG TREE LINE ALL UNITS SHALL COMPLY NTH THE REQUIREMENTS OF THE NEW YORK STATE DEPARTMENT OF HEALTH AND SHALL BE OF PRECAST CONCRETE AS ROPOSED LIMIT ' MANUFACTURED BY FORT MILLER OR EQUIVALENT. \QF OF CLEARING ALL STRUCTURES SHALL BE PLACED ON FIRM, COMPACT SAND OR GRAVEL BASE. PROPOSED SHALLOW ABSORPTION TRENCHES,(5) TRENCHES OF INFILTRATOR QUICK-4 QF WHERE EXIS77NG SOIL CONDITIONS ARE UNSUITABLE, CRUSHED STONE SHALL BE EQUALIZER 36 CHAMBERS O 56' EACH / PLACED AS NECESSARY TO ACHIEVE A STABLE BASE. PROPOSED DISTRIBUTION BOX SEP77C TANKS INSTALLED IN TRAFFIC AREAS SHALL BE OF EXTRA HEAVY CONSTRUCTION DESIGNED FOR H-20 WHEEL LOADING. PROPOSED 4" SDR-35 EFFLUENT SEWER, � � 1/8" PER FT MIN. SLOPE ALL JOINTS MUST BE SEALED. PROPOSED 1250 GAL PRECAST CONCRETE SEP77C TANK PROPOSED 4" SDR-35 HOUSE � SITE SOILS DATA SEWER; 1/4" PER FT. MIN. SLOPE 4'�s��jam, S2 0 410'W SYSTEM INSTALLA?TON NOTES \gs4� TEST PI TS CONSYRUC71ON SHALL BE AS SHOWN ON THIS DRAWING AND IN ACCORDANCE TPjf1 - 04115108 BY: L.W. DOBIE - HUTCHINS ENGINEERING NTH THE N.Y.S DEPARTMENT OF HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS O-8" TOPSOIL AND ASTM F481 INSTALLATION OF 77-IERMOPLAS77C PIPE AND CORRUGATED TAX MAP 1 288.-1-18.5 � S24 � 3'W 8-26" REDISH-BROWN FINE LOAMY SAND TUBING IN SEP77C TANK LEACH FIELDS. 7939 ZONING REQUIREMENT BUILDING SETBACKS RR-5A 26" + GRAYISH-BROWN FINE SAND, FIRM AFTER EXCAVATION OF 2' WIDE TRENCH TO THE DEPTHS REQUIRED, THE MOTTLING ® 26" WALLS AND FLOOR OF EACH TRENCH SHALL BE CLEANED AND RAKED IN COBBLES AND BOULDERS THROUGHOUT ORDER TO LOOSEN SMEARED SECTIONS OF TRENCH. FRONT SIDE REAR SHORELINE BUILDING HEIGHT WATER SEEPAGE ® 42" S20°24'23"W PLACEMENT OF CRUSHED STONE, PERFORATED PIPE AND FILTER FABRIC SHALL 50 30 30 75 35 86.37 PERCOLATION TEST BE AS SHOWN, AND CARE SHALL BE EXERCISED TO AVOID INCLUSION OF FINE GURNEY LANE PT11 - 06/10108 BY L.W. D081E - HUTCHINS ENGINEERING GRAINED SOILS AND WASTE MATERIAL IN THE STONE AND PIPE. 18" DEEP WITH MEDIUM BROWN LOAMY SAND WITH SILT AND COBBLES 7HE PIPE SHOULD BE LAID AT THE GRADES INDICATED, MAINTAINING STRAIGHT S13040'44"W WATERTIGHT COVER NTH THROUGHOUT. (AREA DISTURBED AND COMPACTED) CON77N000S GRADES WTHOUT SAGS, HUMPS, SEPARATED JOINTS, OR OTHER STABILIZED PERCOLATION RATE: 32.98' SANITARY SEAL AND VENT 28 MIN PER INCH UNSUITABLE CONDITIONS PIPE SHALL BE LAID NTH HOLES DOWN IN ALL CASES PT�2 - 06/10/08 BY: C. WOODCOCK - HUTCHINS ENGINEERING 18" MIN 16" DEEP NTH MEDIUM BROWN LOAMY SAND WTH SILT AND COBBLES ALL DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL AND DIVERT WASTEWATER SYSTEM DESIGN PLAN VIEW 5 MINIMUM COVER THROUGHOUT (AREA DISTURBED AND COMPACTED) SURFACE RUNOFF AWAY FROM THE DISPOSAL FIELD. SCALE: 1"=40' STABILIZED PERCOLATION RATE. -� 25 MIN PER INCH DO NOT USE HEAVY EQUIPMENT NTHIN THE ABSORP71ON AREA AFTER PIPING ' . " PM3 - 06113108 BY T. HUTCHINS, P.E. HAS BEEN INSTALLED. - FINISHED GRADE 16" DEEP SILT SANDY LOAM NTH COBBLES AND BOULDERS THROUGHOUT. 53" -+--TO HOUSE - . , " (10' MIN) = PITLESS ADAPTER STABILIZED PERCOLATION RATE: FILL MATERIAL NOTES 48" EFFECTIVE LENGTH 2 MIN, 20 SECONDS PER INCH AFTER REMOVING ORGANICS, PLACE SYSTEM FILL OVER THE ENTIRE AREA OF NATIVE MATERIAL WHEN COMPACTED EXHIBITS A MUCH REDUCED RATE OF PROPOSED ABSORP71ON TRENCHES AND TAPER AREA. SYSTEM FILL TO BE LOAMY A 2" ANNULUS OF NEAT CEMENT OR SAND FILL NTH PERCOLA77ON RATE SIMILAR TO IN SITU USEABLE SOIL IN THE BENTONITE GROUT IS REQUIRED. SEAL CASING TO BEDROCK PERCOLATION, THEREFORE ABSORP71ON FIELD IS DESIGNED FOR A 21-30 ABSORPTION FIELD AREA. FILL TO BE STABILIZED IN 6" LIFTS TO A TOTAL DEPTH REFER TO CITED PUBLICA77ON FOR MINUTE PERCOLATION RATE. 12' MINIMUM REQUIRED D GROUT NOT TO EXCEED 2' (NOT INCLUDING TOPSOIL) ABOVE EXISTING GRADE FILL DEPTH OF UT WASTEWATER SYSTEM DESIGN - - — - - - - - - - - - MATERIAL SHALL EXTEND 6' HORIZONTALLY FROM THE EDGE OF OUTER TRENCHES. TAPER THE FILL AREA AT A 1:3 MAXIMUM SLOPE TO MEET NTH THE EXIS77NG 4 BEDROOM RESIDENCE GRADE. WATER SAVING FIXTURES (1.6 GPF MAX. FLUSH, 3.0 GPM MAX. FAUCETS) DESIGN FLOW - 110 GPD/BEDROOM BE 22" SUPPLY SHALL SHALLOW ABSORPTION TRENCH NOTES CONS7RUC7ED IN ACCORDANCE W1H7HE SYSTEM DESIGN FLOW - 440 GPD THIS SYSTE SEPTIC TANK - 1250 GAL PRECAST CONCRETE M UTILIZES SHALLOW ABSORP77ON TRENCHES, CUT ALL TREES, STUMPS STANDARDS OF APPENDIX 5-B "STANDARDS SUBMERSIBLE PUMP LEACH FIELD - INFILTRATOR QUICK-4 EQUALIZER 36 CHAMBERS INSTALLED IN AND OTHER VEGETATION AT GRADE AND REMOVE. REMOVE STUMPS AND EXISTING FOR WATER WELLS" OF 10 NYCRR ORGANIC MATERIAL FROM SURFACE PRIOR INFILTRATOR@ QUICK 4 INFILTRATOR@ QUICK 4 SHALLOW TRENCH CONFIGURATION. TO PLACING FILL. USE TRACKED DESIGN PERCOLATION RATE = 20-31 M!N/IN EQUIPMENT FOR ALL WORK IN ABSOPR110N FIELD AREA. BOTTOM OF ]BENCH TO EQUALIZER 36 SECTION EQUALIZER 36 PROFILE APPLICATION RATE= .80 GPD/SF (NYSDOH SPECIFIC WAIVER CRITERIA) BE INSTALLED AT EXISTING GRADE TO PROVIDE 24" MINIMUM OF SEPARATION TOSEASONAL HIGH GROUNDWATER NIS NIS 275 LF OF INFILTRATOR QUICK-4 EQUALIZER 36 CHAMBERS REQUIRED TABLE. PER NYSDOH SPECIFIC WAIVER CRITERIA. CONSTRUCT DRAINAGE SWALE UPGRADE OF SYSTEM IN ORDER TO DIVERT SURFACE TYPICAL ABSORBIION TRENCH USE 5 TRENCHES AT 56' LONG (280 LF) RUNOFF AROUND ABSORPTION FIELD. 4" MINIMUM TOPSOIL ON (5) INFILTRATOR QUICK-4 WELL DETAIL POTABLE WATER SUPPLY TO BE ONSITE WELL EN77RE FILL AREA. SEED EQUALIZER 36 TRENCHES 6' TYP TO TOP AND ESTABLISH TURF REQUIRED EACH 56' LONG NIS -MAINTAIN 50' WELL POINT TO SEP71C TANK SETBACK OF TAPER -MAINTAIN 100' WELL POINT TO ABSORPTION FIELD SETBACIr ALTERATION OF THIS DOCUMENT EXCEPT BY A LICENSED PROFESSIONAL 6' TYP. TRENCH ENGINEER IS A VIOLATION OF NYS EDUCATION LAW. SPACING THE WASTEWATER TREATMENT SYSTEM IS DESIGNED AND APPROVED BASED APPROXIMATE EXISTING GRADE UPON THE INSTALLATION OF WATER CONSERVING FIXTURES AND A DESIGN 6.OR TYP TO TOP FLOW OF 110 GPD PER BEDROOM. THE SYSTEM IS NOT DESIGNED TO OF TAPER ACCOMMODATE EXTREME WATER USE FIXTURES, SUCH AS JACUZZI-TYPE SPA TUBS OR WATER TREATMENT EQUIPMENT. THE SYSTEM IS NOT DESIGNED TO 2 RECORD DRAWNG 9/10/08 WATER ACCOMODATE GARBAGE GRINDERS: THE lNSTALLA710N OF GARBAGE GRINDERS, 1 APPROXIMATE SEASONAL NON-CONSERVING WATER FIXTURES OR EXTREME W A R USE AXIURES IS RELOCATED ABSORPTION FIELD PER OWNER 6/16/08 2 MIN CONTRARY TO THE APPROVAL OF THIS WASTEWATER TREATMENT SYSTEM. 0 ISSUED 6113108 No. Revisions Date EXISTING ORGANIC MATERIAL TO BE REMOVED PRIOR TO PLACING GRANULAR FILLLL --LAI WASTEWATER SYSTEM DESIGN 8-16" MECHANICALLY STABIUZED prepared for. SYSTEM FILL MATERIAL, 10-30 MIN. TYPICAL TAPER AREA FOR Ann Devlin & Scott Erwin INPLACE STABILIZED PERCOLATION SHALLOW ABSORPTION FIELD RATE Gurney Lane MAP REFERENCES: DRAWING S-1 OF OF A SURVEY Qucensbury,NY 12804 SHALLOW ABSORPTION FIELD SECTION MADE FOR ANN DEVLIN do SCOTT ERNN Drawn: CCW Checked: GTH Scale: NOTED Date: 6/10/08 SCALE: 1"=3' BY VAN DUSEN do SIEVES LAND 169 Havilond Road SURVEYORS, 169 HAVILAND ROAD, Queensbury, NY 12804 .1 QUEENSBURY, NEW PORK 12804 29322-01-S1 APRIL 2, 2008 (518) 745-0307 Phone Hutchins Engineering 518 745-0308 Fox Mike Palmer From: Mike Palmer Sent: Wednesday,July 30,2008 3:06 PM To: Joel Clugstone;John O'Brien; Dave Hatin;Charles Dyer Cc: Gary Stillman Subject: open burning permit#2008 311 Charlie Dyer reported an open bum on property associated with permit#2008 311. I spoke with Ann Devlin who admitted responsibility for the fire.I outlined for her that the bum was illegal and must cease. She was advidsed that future incidents will result in court action and possibly revocation of the building permit. I will make periodic checks,and keep me informed if you are in the area and the issue is ongoing. Mike 7/30/2008