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2002-402 ��'` TOWN OF QUEENSBURY IF4W742 Bay Road, ueensb NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20020402 Date Issued: Friday, October 25, 2002 This is to certify that work requested to be done as shown by Permit Number P20020402 has been completed. Tax Map Number: 523400-265-000-0001-019-011-0000 Location: 1433 Bay Rd. Owner: LAURA MABEY Applicant: LAURA MABEY This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 3 Cars Attached Single Family Dwelling (DJ 4 1. Director of Building&Code Enforcement Building Permit Application ,r_ Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY (5181761-8256 A permit must be obtained before beginning construction. Permit File No. No inspection will be made until applicant has received a Fee valid building permit. All applicants' spaces on this ec e ai application must be e ompleted and must appear on the Reviewed application form Applicant: C3 U Owner: [0kk Address: Address: CD17rPA r k 02 Phone# Phone# Property Location: Lot Number: House Number Subdivision Name: Tax Map Nurnber:- Qt 0� New Buildingle�.id.�n.)e /commercial E e of GonstntPri:-, c3 Addition: residence commercial If an Addition C3 No change to exterior size: residence/coni'l o C3 Other work(describe ,what will use—of ri(�w­a-ddi - T 6"'Ee? Alteration: residence/ commercial Check OccupancylInformation I"Floor 2° Floor Other floor -Totall Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling 3 1 141 U Two family dwelling 0 Townhouse 0 Multifamily dwelling #of units 0 OfficeR 9 V E 0 Mercantile IRVI 2 0 2002 U Manufacturing 0 1 car detached garage- U 2 car detached garage Rt iii"rjeqre E3 3 car detached garage U I car attached garage 0 2 car attached garage 4 --5—car attached garage 0 Storage building- commercial U Storage building- residential C3 Other What is the proposed height of the structure,;) 'V feet inches Will any second-hand or ungraded lumber be used? If so,for what? Type of Heating System: electric oil / gas/wood forced hot air^ baseboard-/-other: Number of Fireplaces to be installed Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder Plumber Mason Electrician Declaration: please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that Ywe shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all=cons ctio Signature: V- owner,owner's agent,architect,contractor Application for Permit—Septic Disposal System Town of Queensbury 742 BavRoad Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ..------,..._............................._......_.............. _ _._.....................__-; Office Use Location of installation: Z-44CE7 C' JJ�1 �___._ td� ( I File Permit No. C� 4) Tax Map No: 1 1 1 Fee Paid Owner's Name: -9 ��P.c! hf.�/3 may' s .....-(......--------------- Address: I U e- /Z,"z Y e-- .5e5!S' Z 2. INSTALLER'S NAME PHONE NO. 6 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 4 bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No of Bedrooms x Computation = Total Daily Flow ! 1980 or older x 150 gal/bdrm = ' 1980—1991 x 130 gal/bdrm = 1991—present 3 x 110 gaVbdrm = a Garbage Grinder Installed yes_ % no x M QY 2 o 2002 Spa or Whirlpool Installed yes v' / no TOWN OF C�� ~;5E311a�Y 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) 311 t C�?�`!!°,AND-CODE 0 o a h Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Si4pply Flat sand at what depth at what depth municipal Rolling oam 10_2�_-feet I�feet well Steep slope clay if well;water supply �%slope other from any septic-system depth: absorption is /moo ft. other -Perroi4tion Test:- i-To be completed by licensed projessional engineer or architect) Rate: '60 minute per inch 5. 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. II Septic Tank: ,� ji d gallon(min. size 1,000 gal.) Tile Field: each trench ft. Total System Length: .2 S—a ft• i Seepage Pit(s): number of size of each: ft. by ft Size of Stone to be used: # t depth or thickness feet Bed System Size: x Alternative System:.> length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136 29 of the Code of the Town of Queensbury,any permit or approval granted-which is based upon or is.granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all j requirements of the Town of Qu sb Sanitary Sewage Disposal Ordinance. I 3_Zf°Z -- ignature of responsible person Date Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances a,_ 20 Permit No. .� O Date '� �:. , � s ��,� �_ t Application is hereby made to the Building&Codes Office for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and 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. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information / c �-¢� , , (circle appropriate words) ,. .Naitrie: Stove ,., wood coal pellet gas c f t r c ,, Fitepi nrert . Fireplace, masonry: wood as � ,r- � Ffice ire la , acto Address: / � � �,,,� ce °' 1 " trrr /4,re.' / fps p Y g Furnaee wood gas oil Phone: „r •' If non-masonary applicance,please provide ,. i t ct.,gr AIai�acturer Name: ? / .t ,� . Owner; ''.- c'4 `- -mot` Address: J 46-` Model Number: ' /. 451 Chimney Information / A, Phone: ( j"'* $- el c,/((( (circle appropriate words) f Masonry block brick stone Flue tile steel size: inches Exact Address: Y3 3 ty4 (7." of construction or installation Factory-Built 011 rya--e Manufacturer name: Model Number: Note: Listed By: Number: Construction/Installation must conform to NYS Fire Prevention &Building Indicate(circle)chimney material: Code. Consult available.Town of Queensbury Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting Chimney Liner ,.C411ia�7Fi ,exiortec•trnt— u e�bzy, �� orl� � Fire Marshal Code# $Collected $Refunded Received from (refunded to):F"��{"{`r address: — A 173 3389 (190) Public Safety A 233 2655 (230)Minor Sales _ DATE: j ( r .: E o. .,pfi w- Tw.,. ete4,4,o.v Day. White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.) - (7.201/4/_;b2 ,---y-0) .if' k-R ENERGY CODE COMPLIANCE APPLICATION • ', _ TOWN OF QUEENSBURY, WARREN COUNTY - : 9000 HEATING DEGREE DAYS Compliance Methods : PART 5 - Acceptable Practice Method - 3; 1&2 Family Dwellings (only) 5'. ; PART 6* - Thermal Rating - Component Trade Offs 1&2 Family Dwellings; Multi-Family Dwellings (3 stories or less) PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NAME : PROPERTY LOCATION: __ /" r��0 cc _ z /V Y 3 i A V ,r Z-44 r'Arcq-e 6,r /2 8 4, PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 0-7C square feet 2 . Type of Heat - Electric 1. Oil Gas Other 3 . Is building mechanically cooled? Yes V No 4 . Percentage of area of windows and doors Over 17% t/ Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: R 3a, /� 30 a. Roof b . Exterior walls R / 9 c. Glazed areas R C/mil` d. Exterior doors R CaA?g e . Floors over unheated spaces R ie/y f . Edge of slab on grade (heated building) R X'4 g. Basement/cellar walls (above grade) R 1i h. Basement/cellar walls (below grade) R /S i . Heating/cooling-ducts-piping in unheated space R ,& . 6 . Service (domestic) hot water heating device / Conforms to minimum efficiency per code V Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 — WILL NOT BE EXCEEDED .1 a ' s ignature Date Phone Number i' NA D / 7 Zoe 2 /, We? ( INSPECTOR' S REMARKS : RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart am/pm Town of Queensbury Inspector's Initials q.., 742 Bay Road Queensbury,New York 12804 NAME PERMIT# / '— 2 LOCATION DATE /t AGE v TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Heightl"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above 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 Relief Valve(s)installed Headroom,6 ft.6 in.on stairs /. Basement stairs,6 ft.4 in. , Handrail exterior stairs both sides more than 3 risers ,r Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom 1 inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical S'a Plan/Variance required ial Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy), Okay to issue permanent C/O(Certif of Occupancy) TOWN IF QUEEN : • 'Y A41'i BUILDING & ,OD a FORCEMENT 742 y Road Quee; ►u NY 12804 (518) .1-8256 SEPTIC DISPOSAL S .TEM INSPECTION Namebi,vrk? Location rKe4 64a,f # ka-41,1 P-rmit # "2lYa2 Y02. SOIL TYPE: an. oa ,- ay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length zrip Length of each trench bGeTbc Depth of trenches Size of stone � I�41__ SZAM SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box 1—tt k L I Dist. Box to Field/P' k1!\ h q Openings Sealed? h Par �'�,k�� LOCATION/SEPARATI �� o Pari ai i Foundation to Tank I feet Foundation to Absorptions eet Separation of Pits `� � fe, Conforms as per Plot Plan LOCATION OF SYSTEM ON PROPE' ` � � (circle one) Front - Rear - Left Side Right Side) - ro - Middle Rear KA SYSTEM USE APPROVED: YE N Arrived: ' Depart i Ong Inspe to A , Town of Queensbury giurtipFire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone(518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received: Permit# ? INSPECTION ON: Name: / 7,7{ �/ AM PM ANYTIME Location: J`' /� APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION /� INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGH IN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN / OK THIS DATE OK FOR CO NOT OK FINAL FIREPLACE ROUGH IN BUILT FacTORYi INSPECTED BY V'FINAL CUMDEV/CHRISJMORD/LETTERex001/FIREMARSHALINSPECTIONREPOR 11022001 YELLOW-OCCUPANT COPY WHITE-BUILDING DEPARTMENT COPY /((7 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: 1 '' 6 Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart i ►` n/`—e .. Town of Queensbury Inspector's Initials 'J 742 Bay Road Queensbury,New Y rk 12804 NAME & PERMIT# 0 Z' ?- LOCATION DATE TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete ' lC1,1 G L vo Exterior Finish Complete Interior/Exterior Railings 30"to 36" (/ Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above 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 Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: / every level ✓/ every bedroom ✓/ outside every bedroom ✓ inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/a hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate twin protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required 7/ Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) '"""'* -•_� (1, /b /1/11 RESIDENTIAL FINAL INSPECTION REPORT i Office No.(518)761-8256 Date inspection request received: C 0 C J�O Building&Code Enforcement Dept.of Community Development Arrive am/pm Departt U'`1 am/pm Town of Queensbury Inspector's Initials \l(L!/ 742 Bay Road Queensbury,New York 12804 NAME Mab-ti4 PERMIT# 2-OO2 - / i LOCATION i'f 5J/ gay CI- DATE Joii O Zi TYPE OF STRUCTURE S FP N/A YE NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location t --z- Su b � �P Fresh Air Intake /4 l56 Plumb Vent through roof ✓ Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or more Vj R Jk\/j L G izitk\7 �� 7j'c=1� Interior Handrails stairs both sides 3 or more risers v/ Grade 2%away from foundation isoy I-L-4— AA 8"clearance to sill plate ] �%� Gas Valve shut-off exposed/regulator 18"above 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 Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers / Interior privacy/trim/doors/main entrance 36" �// Floor Finish Vz Bathroom/Kitchen watertight _ ✓� Interior Handrails Balconies/Landing 18 in.or more / Railing across window in stairwells ,/ // Smoke Detectors: ✓/ 1.447A-t jam.N ( 16-k every level J/ every bedroom f outside every bedroom y� inter connected J Bathroom fans ,j Plumbing fixtures ,,j Foundation insulation 3/4 hour fire door/door closer / Garage fireproofing Garage penetrations sealed ✓ Furnace in separate room protected(in garage) Light ventilation perroom Safety glazing 18" less Fr floor Final Electrical L `2u'Fi lr . 1� Site Plan/Variance7 Final Survey Plot Plan CY\t<- re R , 1'P,f _ As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ J Okay to issue permanent C/O(Certif.of Occupancy) 111111 1Arty Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request Received: Permit# G - / / SCHEDULE � 6 Z INSPECTION ON: /6a /Z Z 70)---- Name: 1/14,e4' AM PM ANYTIME Location: 6.tr ,eD APPROVED N IA YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY UGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM / FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY Q). M SONRY ROUGH INz;64-6- GAr &„ IZI-1-( 7 Uv 1 7- n -LL-lk- FI�AL ,r CHIMNEY PRC>U I 9� Clt tk r? ` ljJ� FACTORY BUILT ROUGH IN FINALp t � 1-^ -�eA WOOD STOVE RO FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE ASONRY)/A ROUGH IN THIS DATE OK FOR CO (NOT O K FINAL dtpFIREPLACE �(� FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMD HRISJIWORDILETTERS2001/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No. Cert. N e 79285 Cut-in Card No. 2°C5-246z Owner /— ` m Pt f3 er Location /q 3 3 /3 AY gQ, &a,/7 Installation Consisting a)ey 672 /iv) G' 21SJPi 50�..l u /z L Pav 6 f=A-a-rSl rrn .f... d .A- Sri C6 Installed By J , /1,4 Q/ Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of m.kispections at any time, and if its rules aref violated,the Company shall have the right re ke th' flea . Date.! D -z f -0 /---/ INSPECTOR IP Mnmh.r N.RP_A..I.A.E.I. Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road �` am/pm Queensbury, NY 12804 ARRIVE am/pm: DEPART?: V Notes: (518) 761-8256 Inspector's Initials v e-C-" NAME: re&..-6r PERMIT# &Z LOCATION: I f53 enri , INSPECT ON(date): 0 411Z--- TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form_ Reinforcement in Place The contractor is responsible for d providing protection from freezing for 48 hours following the placement 4 of the concrete. Materials for this purpose on site Foundation/Wallpour iol 'nforcement in Place _ ii //. undation/Dampproofing ,/ ckfill Approval_ ' Plumbing Under Slab Plumbing Vent/Vents in Place _ Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- ___ Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging _ Joist Hangers Jack Posts/Main Beam Air Infiltration.Barrier _ Fire Separation I,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Buifding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Ready at time: A d Town of Queensbury ; ice. Dept. of Community Development Request received: f� %2/0 Z- Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE ,cJ a," : D T , se on Notes: (518) 761-8256 Inspector's Initi s NAME: t-42- _ (///r rf PERMIT# L LOCATION: j �' I 'Ay 'Zc 41> INSPECT ON(date): //,/2-/61 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form 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 FoundationlDampproofing_� 1' Backfill Approval__ Plumbing Under Slab A `¢ Plumbing Vent/Vents in Place___ Rough Plumbing____ ____ F Heating Rough-In F Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R _ Duct work or piping in unheated spaces R- Proper Vent,Attic Vent 3rFraming `�,C� _cv Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc FIRE MARSHAL AV Oft TOWN OF QUEENSBURY tj QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT# 0 Z_ 9 1/ NAME fl1A-60t LOCATION _1 Al.b - SCHEDULE INSPECTION ON 6' oZii i 0ci) tar M ANYTIME S APPROVED rW N/A YES NO 4! EXITS AISLE WIDTHS4. EXIT SIGN /I EMERGENCY LIGHT! 8 1 FIRE EXTING4SH;''S FIRE ALARM S . EM 0 FIRE SPRINKLE• .YSTEM vo FIRE SUPPRES•I0 SYSTEM HOOD INSTAL 'TIO t INTERIOR FI SHES _ --, STORAGE: I --- CLEARANCE TO S.'• NKLERS •-3 CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY o WOOD STOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT *-a. ////' 2{ REMARKS: ❑ OK TO THIS DATE ,s - mAjes'nei VIZ:1761 po0,4,1„,,,,r6,-rvcir. Ayr Mcu nfd ®AEI ik cc46 tie 5LZ -------1j { - - lr i l 5 rebc41 dezi(O .ta- j/ 9 ai( I .' 140A it IWL4- q" b . I S - 1 ''1e,/ 1A:5-n114A Q nn.1,.-4,, 1.1, I Fri, .'� Town of Queensbury • " nl Fire Marshal's Office y ) ) 742 Bay Road ��� Queensbury, NY 12804 � Phone(518)761-8205 Fax(518) 745-4437 C. ^t Fire Marshal's Inspection Report Request SCHEDULE Received: Permit# a co - 4cl INSPECTION ON: l 0?" n j ^ Name: ,� , r�;(.n{b i,t), 1 LI K AM M ANYTIME Location: f 0 f5 j,w APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING 49 11 �'c FIRE EXTINGUISHERS Nao 5pirter -rin I` , , t f' FIRE ALARM SYSTEMFIRE SPRINKLER SYSTE '"� (( FIRE SUPPRESSION SYSTEM , t ck f-c-' 1 kt1 � HOOD INSTALLATION P INTERIOR FINISHES -� STORAGE -.. -COMPRESSED GAS ~ CLEARANCE TO SPRINKLERS ,.,) N ,.._,) , CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL �■ REQUIRED SIGNAGE EMERGENCY PLAN WEN� MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN �- FINAL allia CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGH IN FINAL i VENTED GAS * . APPLIANCE ROUGH IN 5 FINAL FIREPLACE MASONRY ROUGH IN K DATE OK FOR CO NOT OK FINAL FIREPLACE �_ j- V FACTORY BUILT ROUGH IN A. INS ECTE Y FINAL COMDEV/CHRISJNVORDRETTERSR001/FIREMARSHALINSPECTIONREPOR 11022001 YELLOW-OCCUPANT COPY WHITE-BUILDING DEPARTMENT COPY r Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: t'a. Meet: Building& Code Enforcement ) At time: 742 Bay Road /1 G"/Jl Queensbury, NY 12804 ARRIVE am/pm: DEPART!` UUam/pm Notes // (518) 761-825 : Inspector's Initials it 'e-- NAME: ,— __ PERMIT#c( ,O6,2 LOCATION: /7 7 INSPECT ON(date): 9/ Q TYPE OF STRUCTURE: G.'1 3 CL"` e RECHECK Lt (l r `., _,J'�-�_' N/A YES NO CO NTS Footings/Piers Monolithic Pour Form 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 Foundation/Dampproofmg_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place III Rough Plumbing Heatin Rough-In MEW �t t...cyL _ M 1 CC-/C.iA1C, A Ot_ r bed oun ation Walls Interior R- _ Foundation Walls Exterior R- ; C4� F o2 ��eK��tC Floors R- 1 �Q Pi f"le 2 Walls R- `i i� 'm V s'� 2 i 2,7r 1� 4.. (iJt�(spr4 Ceiling R- (� ,JP��`S re)Re �V,Z05C ct work or piping in ` RlJ ll De- /}�1 t! unheated spaces R- _Q , /1�c_vC 5 rYent,Attic Vent g '� Jack Stud eaders/" `j IA( L. • BracingBri giur7 Joist Hangers Jack Posts/Main Beam Air Infiltration.Barrier _ Fire Separation 1,2, 3,hour 111 Penetration Sealed Fire Wall 2,3,4 hour - Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc FIRE MARSHAL 11111111111h TOWN OF QUEENSBURY tti QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT#UZ 0;1 NAME A60/ LOCATION /f33 6411 le° SCHEDULE INSPECTION ON 7/5A— �' 5.5"--- AM PM ANYTIME APPROVED 1 N/A YES I NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUIS RS FIRE ALARM SYST . . FIRE SPRINKLER SYS M FIRE SUPPRESSION SY E HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FI LACE-MASONRY kfrIREPLACE-FACTORY BUILT-6 //4// REMARKS: ❑ OK TO THIS DATE EA$OR IO2oAq 4l_ tt ACC? ion FL CC_ FiR� TaP &/ 11z L&AA CHI To/3 nic- 410 Cove's jgc INSPSUP.PUB INSPECTOR t 0 OPEC b ) Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: -grnry Dept. of community Development Request received: gf7/6Z_. Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIT� H r a EF ate, Notes: -.-et:A ., —(518) 761-8256 Ins ector's Initials u�- ( —low p NAME: 4—ZCIS:r_ M.abey PERMIT# 02^ tiOZ--- LOCATION: Ill , kc) ,. INSPECT ON(date): kc 'j 7/3o/ _6 TYPE OF STRUCTURE: S f b 4'q fAil-. 3 Car ci- al-tea-cc- RECHECK N/A YES NO COMMENTS 4 Footings/Piers Monolithic Pour Form P 1_il Hp,%t.. t •thkQLEIY-- Reinforcement in Place The contractor is responsible for r`�E 6 Lf�K `� providing protection from freezing QE P tl 1 ALA for 48 hours following the placement of the concrete. — QW M g, i f O Materials for this purpose on site \A� Foundation/Wallpour Reinforcement in Place t ' Fit—(— Vo b _- 't kt%t t L Foundation/Dampproofing -C1/4 6 VO t ai, c fill Approval ing Under Slab �" .of u Gt - " 6 Bing Vent/Vents in Place _ J �( ��b t t ough Plumbing P R t D Heating Rough-In Insulation Foundation Walls Interior R- t Foundation Walls Exterior R- 7V--- i7,6 c_x_v_T.17 Floors R- Walls R- Ceiling R- 9� ® <'1� t t, SniPt(* Duct work or piping in unheated spaces R- / z�C A / L 7 ' o er Vent,Attic Vent LJ t"c'� l��VV (j 1���� anSt __I1 T 8 - �Q J �F\E-R� Jackg Studs/Headers ttJVI BracingBridging_ Joist HangersNY Jack Posts/Main Beam \ 0�O <_1 kZ�� Air Infiltration Barrier n �7 �7l��tJ t 6 Fire Separation 1,2, 3, .ur _ _ / t�CS� C- Penetration Sealed ,/ e Wa112,3,4 hour i M \ 3 F estoppmg L:\SueHemingway\Building.Codes.Inspection.F'ORMSENERAL INSPECTION REPORT.doc agOOF 7 J yn y t.-� 7 1 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive 1"l!1, at �t"- "Depart , .1l,,,•m 1P Inspector's Initi �► ■ . NAME: t\AA PERMIT# Mir v1 OZ.-- LOCATION: t I-4'7,`, Cj7 flt eQ DATE : _or— 0i Z TYPE OF STRUCTURE: RECHECK N/A YES NO CO I 0111Footings/Piers lI , Monolithic Pour Form c 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 Foundation/Dampproofing Backfill Approval Ilumbing Under Slab ` Plumbing Vent/Vents in Place Rough Plumbing J Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- _ Ceiling R- Duct work or piping in unheated spaces ' Proper Vent,Attic Vent Framing i a v‘< IA 6-v-� Ei Jack Studs/Headers �/ eg Bracing/Bridging . / �)�,��'-e �� tP Lj Joist Hangers i --"'��� --3 Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour titration Sealed FireWall 2,3,4hour j Firestopping Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: i Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE arn/pm: DEPAR am/pm Notes: •,r �` (518) 761-8256 Inspector's Initials NAME: 6_401 PERMIT# e 2-- /t. )3"--- LOCATION: l 753 Afr 4, INSPECT ON(date): 72----.7V;2,---- TYPE OF STRUCTURE: RECHECK N/A Y NO rMMENTS Footing/Piers l Menolit ' P r Form Reinforcement in Place The contractor is responsible for providing protection from freezing \ I for 48 hours following the placement of the concrete. \ 1 Materials for this purpose on site Foundation/Wallpour ReinforcementfrdationJDamProofin in Place gW ll Approval (AZ7- Plumbing Under Slab Plumbing Vent/Vents in Place [ Rough Plumbing__ __ Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging _ _ Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier _ Fire Separation 1,2, 3,hour Penetration Sealed - Fire Wall 2,3,4 hour _ Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc %,.L.,,G- Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received:0___Vaz. Meet: Building& Code Enforcement ` NI At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPAR am/pm Notes: (518) 761-8256 Inspector's Initials NAME: /lQOki9 I/98 e_1/ PERMIT# 6:7ao.0? LOCATION: %/1/,3n'earLA421-1„ INSPECT ON(date): Way/0 0'3 .)r t TYPE OF STRUCTURE: k RECHECK N/A YES N COMMENTS Footings/Piers Monolithic Pour Form 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 Foundation/Dampproofing - Backfill Approval Plumbing Under Slab �� it OKfr- i/OS/ Plumbing Vent/Vents in Place C��� /,J Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- 1, /j Foundation Wails Exterior R- C if 6 C! Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Readyat time—l O Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVEQc,1)D 'A`T 114 a ,m Notes: (518) 761-8256 Inspector's Initia . c NAME: ___3_, `lam PERMIT# � A 1�.A-�* lj LOCATION: � INSPECT ON(date): S— TYPE OF STRUCTURE: RECHECK N/A YE/NO COMMENTS ootings/Piers _ Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours folio ing e placement of the concrete. Materials for this p ose on ite Foundation/Wallpo Reinforcement in Pl. e Foundation/Damppro.fing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in ' :ce Rough Plumbing Heating Rough-In Insulation Foundation Walls Interio R- Foundation Walls Exterio R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam _ Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road 10 e O 0 f\t Queensbury NY 12804 C;\t) (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION (CO c Y E-MC-) Name L ARR`1 %-AoLA Location ‘9' t) t►.>`TS=RQFErJ Date vr -ct-©Z_ Permit # per +r, SOIL TYPE: Sand-Loam-Clay- a- --1012) Results of Percol a ii on Test- (if applicable) Rat,-Mi ute/Inch TYPE OF SYSTEM: ABSORPTION FIEL • To al ength Length of each t enc Depth of trenche Size of stone SEEPAGE PITS: N mber- Size - ;t. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box — Dist. Box to Field/Pi Openings Sealed? Y:s No artial LOCATION/SEPARATIONS: feet Foundation to Tank feet Foundation to Absorpti \n -- feet Separation of Pits — Yes No Conforms as per Plot Plan LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: 3 \ \C_ .''{. 06--.\--, \ti \A \ ttlLL r-v' Ll S SYSTEM USE APPROVED: \ NO = Arrived: Depar LI uil ing Inspe o I i Dave Raba&Engineering 14 Old Post Road Lake George,NY 12845 (518)668-9761 ry) /3 2.___ Dave Rubado E lAA)" , 21302. TOWN UEM a February 26,2002 ;; $ g CSOD Town of Queensbury 742 Bay Road Queensbury,NY 12804 Health Department The following septic system report is for the residence of John Fedorowicz and Laura Mabey 1415 Bay road,Queensbury,NY 12804. Deep test Information: Test Pit#4 0"-6"Topsoil,6"-24" Fine sandy loam,24"-36"medium course sand and gravel. Percolation,Test pit results: Test Pit# 1 Test pit#2 Run Number Time(minutes) Run Number Time(Minutes) 1. 3.25 I. 3.50 2. 4.25 2. 4.45 3. 5.50 3. 5.55 4. 6.0 4. 6.25 5. 6.45 5. 6.52 6. 6.45 6, 6.52 Test Pit#3 Test pit#4 Run Number Time(minutes) Run Number Time(Minutes) 1. 4.55 1. 4.20 2. 5.45 2. 4.55 3. 6.10 3. 5.25 4. 6.55 4. 5.55 5. 7.20 5. 6.25 6. 7.20 6. 6.25 Average,stabilized rate of percolation=6.60 y. • Required Length of absorption Trench for 3 bedroom=250 feet Typical field of 5 each, 50 foot Laterals. Two foot wide trench, at 6 feet on center. Septic Tank 1250 Gallon Please see attached sheet with sketch for location of house,driveway,and septic system. Also attached is a warren county map showing all registered streams? There are two run off areas on the property map called intermittent streams, to obtain the 100 foot set back from the intermittent streams,the north stream will be moved 25 feet north. Mr. Fedorowicz talked with Richard Speidel(Project Manager for the department of environmental conservation,division of environmental permits)who visited the site and concluded the streams were just run off,there is no wetlands on property and the streams could be moved to accommodate the septic system. David Rubado s I f 7 /1 eh/ Date: _,, c4s r r ��t Of NEyy A. , A Q \ °,6_ 088956 ,4< � t 0FESSIO* MAR 0 12002 ....1 , . ,r . _ i 1 ---9-4= 7 1 1. 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I i,t ; 1 _ti ,,,Lt_L.,LI.„ 1-,,---1--,2--Z,i,L,A r-1'-; 1 i ; 1 il i 3 1 ', 1 i i 1 i ; i 1 1 ', i 1, Li it..._1_1-1-4,--.1,-1,,r-?-1:-,'-'-'--t---L-'-------- '-'------- New York State - - 7� Irergnent of Emireauaentai Conservation ? -_ - - 37s 'Division Environmental Permits ' _ `_ _ c RICHARD SPEIDEL ; • D = — _— --� Project Manager \ -4- _ _ _ • w __- !;3�6 i{"'- _ - - II (518)623-3603 FAX (518)623-1281 OFFICE — - um 232 N.Hudson St.,P.O.Boa 220,Warrensburg,NY 12885.0220 =_ __ • - - - Internet Address: - - �-.-" 25' wrspidagw.dee.state.ny.us = - = I(== o E N / s (B - 5 R h.. PI KLE 1"II l/ 410r�� 11 ROAD 365 .. •.. j-'( 0 e !�.7?' atilhil6 421"1"-''- , YMCA \\ .-� o � ,( Camp 7 1. i • Golf TRAIL ..'' ,q Course I • P.. -- c) a'_i438 • • 1 240 00 z nA i �I w 7 li = '( T =9359 Lt i -- - _`c15 y_--- P43y 4 _,, /74--/. - ii I 4805000M.N. 4371• Graven"-,tr PARK. pR ATION WITHIN ,THE ADIRONDAC;. I. AA(r� \ /PARK •AGENCY •GemJ. — THE A ARONDAC7IC _ • _ oa A�UD POND ._. _ ROAD :w srs•-7-• wr�a na0.. g' n MAP :'W I T H. I N r- .. - T H is • RE NO WETLANDS ON LL 9L THERE ULATED UN:TER THE THAT ARE AG ' T .� • THIS CiOUN\ �.. ANDSIACT. I^ .� I^a0400amN. • FRESHWA�TE /-i_ — - __________7,_ /4 7 ream Lake G F- : 9 :L-t)1-4•ty Cm 939 _ 519' - I�07 La P.440 iOneida i -- ____ 631• 63 ,,r. 63 Lake...- I .''.4'Corners—.. •- r �Sunnyside ; ;aM 40' I," 680 O -- �9 ' ' • - ® {389 39=' 01�,` m E. r 19i: 73o3f7 33'22'3O„ — c-r34-4- bb 0.. INDEX TO BOUNDARIES: �.�9- t 9-�°'!'fo 1.9600(1": 800') L _-- 1 MILE State. . . . .. . . . . . . . .. . o ENLARGEMENTS 6000 7� FEET County O . . . . . . . . . . . .. . . . . . . . . . Town. . . . . . . . .. . . . . . . . 1 KItUME'ER _-_- � / City or Incorporated Village... . . . . . — — — — - <- Federal-aid approved Urban Area `- - - U Su lemental ma enlargement c. PP P 8 limit.. . -'- - \ ROADS: L, __._._ ram`? *;.5/16/00 MOTION TO APPROVE PRELIMINARY STAGE SUBDIVISION NO. 1-2000 BYRON &JUDY RIST, Introduced by Robert Paling who moved for its adoption, seconded by Robert Vollaro: As written in the prepared resolution,with the following conditions: Number One, that the Sketch Plan be waived,Number Two,Preliminary approval of a two lot subdivision with the condition that there be no further subdivision, and that a note to that effect be added to the final plat. Number Three,that the perc tests as read to the Board becomes part of the file,and the profile of the slope to be on the final plat,of that eight to ten percent degree slope. Duly adopted this 16th day of May, 2000, by the following vote: AYES: Mr.Vollaro,Mr.Ringer,Mr.Metivier,Mr.Paling,Mrs.LaBombard,Mr.MacE wan NOES: NONE ABSENT: Mr.Abbott MOTION TO APPROVE FINAL STAGE SUBDIVISION NO. 1-2000 BYRON &JUDY RIST,Introduced by Robert Paling who moved for its adoption,seconded by Robert Vollaro: As written in the prepared resolution,with the following conditions: Number One,that the Sketch Plan be waived,Number Two,Final approval of a two lot subdivision with the condition that there be no further subdivision, and that a note to that effect be added to the final plat. Number Three, that the perc tests as read to the Board becomes part of the file,and the profile of the slope to be on the final plat,of that eight to ten percent degree slope. Duly adopted this 16th day of May,2000,by the following vote: AYES: Mr.Metivier,Mr.Paling,Mrs.LaBombard,Mr.Vollaro,Mr.Ringer,Mr.MacEwan NOES: NONE ABSENT: Mr.Abbott MAP REFERENCE: MAP OF THE LANDS OF CHARLES J. & RUTH E. cn JENKINS z DATED: JANUARY 19, 1966 BY: JOHN B. VAN DUSEN 0 U �p O MAP OF A SURVEY MADE FOR LEGEND: ¢ a BYRON & JUDY RIST DATED: MAY 26, 1999 O IPF = IRON PIPE FOUND as PER Y.lP REFEREN�Li' m v BY: VAN DUSEN & STEVES O IRF = IRON ROD FOUND ca W LAND SURVEYORS, L.L.C. RECREATION FEE o CIRF = CAPPED IRON ROD FOUND z = UTILITY POLE z Ta o = TELEPHONE PEDASTAL c4o LANDS N/F OFi., , , , 000 = STONE WALL EARL SPELLBURG, SCOTT SPELLBURG x — = WIRE FENCE & JUDY SPELLBURG I` "' i ' = TREE SYMBOLS o �y = WELL of o Q ,o 2 0 2 10 w pK1f. r. , 20• W. PINE t2•MAPLE 1g N21.03'38"W " 58.32 `1• V,ps%5' h' NO3'i6 22"E N42'41'57"W I_R.F: 37.53' ___ _ -� I.R. . 20' W. PINE _..... it x N 59.32'21"W - 52.90' 9 0 : 0 PERC TEST INFORMATION: 1g• - PERC TEST II! 1 RATE = 1" IN 1• MINUTE 30 SECONDS INV - n73.92' _ - —- "--- $ ____-•- LANDS N/F OF LANDS N/F OF It LOT 1 �; •- 'HOWARD GRUNDBORG CAROB. STEVENSON � DEEP TEST INFORMATION: 0 acres LANDS N/�' OF TEST PIT 3 0 ,' J170 JESSE L. JENKINS 0"-9' TE SANDY LOAM oPsaL p, Z q 36"48" M"ED UMUFINENSAND WITH GRAVEL O 4) ' 48"-72" COURSE SAND AND GRAVEL NO MO cr LANDS N/F OF �+' �' _ ( TILING) �j JOYCE JECKEL / _ 170 14" HICK-DRY 0 'cO TEST PIT& - f I _ 111 4 � o LISA PERKETT 12• I+IacoRY 0"-6" TOPSOIL -•J, � � � _ -� 6"-24" FINE SANDY LOAM ll MAPLE 24 ' e• '-36 MEDIUM COURSE SAND AND GRAVEL H BLAZES (MOTTLING AT 26") AkZ STUMP R.F.f _ MITE PINE �� J� BLAZED NO6 23' O.E co LANDS N/F OF 349.7 ' 12• hl HICAORY N06'jg ANDREW & LINDA - n `I' Yj . 8• ' 30"E 61 DOBROSKI � N , BIRCH •.uQY �' .23' 1 f7 t �� f - - r =' - — - - j i - r• 8 HICKORY 'AkC ORZ' Ys DAK ID Irb foil IIAJ .� _ Cv 10 APPROXIMATE _I oo, HIGHWAY 2 30 . \ BOUNDSOAK g \ _ _- - ,�, , , N . • • • E RATION FEE , t0.14•-acr4s ,r�, ,�`? ` ;`; s- ASH N66 54 _ �\ _ _ BLAZED �,'- - ' -- -_ -"-- - --- - - _ _ - • %`.- o _ TO BE PAID AT • _ � �. � • 4., _TP - -. - _._. _ -_ is __._ THE TIME � - -• - _ � A BUILDING . o � - - , L G PERMIT �T APPL! A C TION _ 120 vo IS SUBMITTEDTEL - - _ , 8 I.P.F. f. - 65' = C.I. .F. C —_ L 7 D29. '' C.I.R.F. ap @') _ _ 1 - — �� RECREATION FEE ANGLE IRON _ o - _ _ - _ _ -_ _ -_---_ _- --- - a BAY - .�; 0 TO BE PAID AT THE TIME a y;: z too N U j U §J ............. • 0 A BUILDING PERMIT APPLICATION R 0 ROAD 0 IS SUBMITTED RECREATION FEE z a TO BE PAID AT THE TIME > 0 a A BUILDING PERMIT APPLICATION z� � 6 IS SUBMITTED C I cl) '7 I - CID I I PLANN BOARD w d I~ DATUA! ELEy 90.00 I v co N o M o rn o n N ao n n o o M ZONING INFORMATION o 0 of �; Q? o •r "'� a, 0 o,so 0� ,n� N"� �co .-rn N N APPROVED UNDER AUTHORITY OF RURAL RESIDENTIAL — Dates IdARCM 21l �000 0 0 '+ o � Sri a; o,.i 'n�: of r7 4m a<i o r o; vo n cc A RESOLU11ON 3 ACRES .- 0 .- o �� ^ � �N IN TM �M �M �� � O �t �� ° �� 2OO •••• •-�' ° ADOPTED 2000 MINIMUM LOT WIDTH = � ram, - - BUILDING SETBACKS BY THE P OF THE TOWN OF FRONT SIDE- REAR 1+00 2+00 3+00 4+00 5+00 6+00 7+00 8+00 NOTES: _ DRIVEWAY PROFILE - Q SOUR EVtiI YO 50 30' 30' HORIZONTAL 1"=100' 1. NO FURTHER SUBDIVISION OF LOT TO BE ALLOWED. VERTICAL 1"=20' - DATUM: ASSUMED 1 28-1-16 CONTOUR INTERVAL = 2 FEET D205 DWG. NO. 99079—B