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2005-188 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 4z Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20050188 Date Issued: Thursday, May 03, 2007 This is to certify that work requested to be done as shown by Permit Number P20050188 has been completed. Tax Map Number: 523400-226-019-0002-026-000-0000 Location: 241 ASSEMBLY PT. Rd Owner: KELLY FAMILY TRUST Applicant: JAMES KELLY This structure may be occupied as a: Fireplace By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050188 Application Number: A20050188 'Fax Map No: 523400-226-019-0002-026-000-0000 Permission is hereby granted to: JAWS KELLY For property located at: 241 ASSEMBLY PT. Rd in die Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto Piled and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Tyne of Construction Value Owner Address: KELLY FAMILY TRUST JOHN III &HELEN-JO TRUSTEES Fireplace Single Family Dwelling $800,000.00 75 MOUNTAIN CREEK Rd POUGHQUAG, NY 12570-0000 Total Value $800,000.00 Contractor or Builders Name / Address Electrical Inspection Agency Plans&Specifications 2005-188 JAMES KELLY 4324 SQ FT SINGLE FAMILY DWELLING WITH I WOOD FIREPLACE AND I GAS FIREPLACE $521.04 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday, June 06, 2006 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town of Queensbury; Monday, June 06, 2005 SIGNED BY /9for the Town of Queensbury. Director of 13ui dmb KoEnforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building.&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050188 plication Number. A20050188 Tax Map No: 523400-226-019-0002-026-000-00 Permission is hereby granted to: JAMES KELLY For property located at: 241 ASSEMBLY PT Rd in the Town of Queensbury,to construct or place at the above location in accordance with application tog a plot plans and other information hereto filed and approved and in compliance with the NYS Undo ding Codes and the Queens bury Zoning Ordinance. Type of Construction Value Owner Address: KELLY FAMILY TR JOHN III&HELEN-JO TRU EES Fireplace 75 MOUNTAIN C E Single Family Dwelling $800,000.00 POUGHQUAG 12 70-0000 Total Value $800,000.00 Contractor r Builder' Name/ Ad s Electrical Inspection Agency (V I I Plans &Specifications 2005-188 JAMES KELLY 4324 SQ FT SINGLE FAMILY DWELLING WITH 1 WOOD FIREPLACE AND 1 GAS FIREPLACE $521.04 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,June 06,2007 (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 Towr}vensbu MD#day,June 06, 2005 SIGNED BYv`7h` a ' for the Town of Queensbury. ;, .. Director of Building&Gode E orcemept Job Site Address: 2 AxEwt13,L-( Pvl'k-Z 1zbT ��`� tz�y Date: Owner: _J0441J Application No. File No. Building Permit — Calculation Sheet Natural Light, Ventilation & Emergency Egress Requirements Habitable Area of Req. Light Actual Req.Vent Actual Sq.Ft. Remarks Room Room 8%of Room Light 4%of Room Vent Opening for in Area Square Area Square Egress Square Footage Footage Feet Roowat I ©5�- �� 25(v ` s 4-5� 4� 2 (U�oRS� t'z' CAL---1S V>wA (o LAv1JDR-Y 1 1�11�r N fi. �.1 N 111�A •x-C FAN PtzoJ rpE� MPF-2,01 115 'N 16. tJ 1J IN N 5 xOA\3 ST 'FN--'s-Ftz.v weD Wls'f t2 f3eD 3 A CI 20 w1sT2 `7 '�r:b�3 11;1 1 � . 2 i� 1 •b� 'l.l l '1. 1 � �� 2 I17 I� .2 I� 1 .oQ� -1. ► I 7. 11 L:\SueHemingway\Building.Permit.FORMSW at.Light.Ventil.Calculation,Sheet.doe ` Job Site Address: 2 1 ASSGW&u-t Votjz7 t :� • r- - g 5 Date: __�._... Owner: Application No. File No. Building Permit — Calculation Sheet Natural Light, Ventilation & Emergency Egress Requirements Habitable Area of Req.Light Actual Req.Vent Actual Sq.Ft. Remarks Room Room 8%of Room Light 4%of Room Vent Opening for in Area Square Area Square Egress Square Footage Footage Feet P. SA 20l (P t (��. 3.l Co 1. I 1 N �X11usT �D,N P�(lr3•ltD�b 60Mk Zo 1� N i •A-1 IL-d4 1 N A Ex�,t�s`C FatJ WttvJtr� C�A'T�12o3 '] tXI- &Us"C FAN) ev-C VE I.:\SueHemingway\Building.Permit.FORMSWat.Light.Ventil.Calculation.Sheet.doc �� At Check Residential Plan Review: One& Two Family Dwellings V/1q/N/A f (2)Full sets of plans v , Over 1,500 sq. ft.—Stamped Design Loads On Plans: 90 Wind Floor Loads 40 psf 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: Window Schedule With Glass Size 4 Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space i Above/Below grade,5.7 sq. ft. Grade,5.0 sq. ft. 24"(h)x 20"(w)min. 44"Max.Height above floor +' Residential Check Paperwork Compliance and Inspectors Checklist: OK C - c fi 4al Dampproofing/Waterproofing Materials On Plans Foundation Drainage On Plans,if required 6"Drop in 10'Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10' Where Required Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls �y Gl Platforms At Exterior Doors Stairway Headroom 6' 8'All Stairs 36"Width Stair Run and Rise Winder Run and Rise Spiral Not Allowed From 2 Story i Smoke Detectors Battery Backup and Proper Location J�"- Bathroom Fixtures Proper Clearance Hall Width,36"min. Ah Handrails More Than One Riser On Open Sides / 4 stir,-1 Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. Safety Glazing Notes For Required Areas Garage Fire Separation Garage Floor Sloped Attic Access Roof over 30"—22"x 30"/Crawl Spaces&'x 24"Access Carbon Monoxide Detector Lowest Sleeping Level Soil Test Results, if required Septic To Well Or Water Line Separation All Paperwork Signed -CL% R-It ft—l Town of Queensbury 742 Bay Road, Queensbury, IY 12804 gilding ,& Code Enforcement Building Permit# LCC�'� one.(5IS)761-8256 Hate: `^t Cs f x. (518)745-4437 ca* codes qumssbwy net Yom bmldmglmust apphcation has been wyktdanl end to by ae&-iontin the fi>1b These deta*Head to be added to or noted on bo&s*ofpLw& Pkm fed fee to COUtOd this office With 28y Sorely, BLM DM&CODES OFFICE L;LSwe}Ienvng�aylBS, rgPcrmit.FORbtSldefx=it3t bu,7dinSP� lan2Ufl3-da Permit No. Building&Codes office-Department of Community Development<Town of Queensbury Fee Paid 742 Bay Road,Queensbury,NY 12804 Dave Hatin,Director codes@aueensb,ry n t Recreation Fee Phone: (518) 761-8256 FAX: (518) 745-4437 Principal Structure Building Permit Applicatio A lication & Plans subject to review before issuance of a valid permit for construction S1'' Instructions: A permit must be obtained before beginning construction. No inspections will be made until the applicant has received a valid building permit. All applicants' spaces on this application must be completed and must appear on the application form. `/ Applicant/Builder 0a VYI e S }!` el i Owner: 00 0 - Address: 0015 e _ Address: � � meet lee Ah I b aw g z Home Phone: °/ Home Phone: Email Address: L ®L Email Address: Cell Phone: A—- — 7 , q� Cell Phone: ! �!'7 FAX Phone: - 9 — FAX Phone: ��,�"=� Y — 2 R- Person responsible for supervision of work with respect to building and codes compliance: Name: Address: o o 5 E p',K v,, lu - Phone Location of proposed construction: Lot No. Legal Address: 2, Tax Map Number:{c,(Q- -a74'U c)-9 Subdivision Name: Estimated Cost of Construction: $_a_00, 6 00 01- RECEIVED Proposed construction is for: Residential Use _Commercial Use APR 0 6 2005 Name of Business: TOWN OF QUEENSBURY If proposed construction is an addition,what will use of new addition be? BUILDING AND CODE New Addition Alteration Proposed Construction 10 Floor 2nd floor Other Total Proposed structure (Occupancy Type) Sq. Ft. sq.ft. Sq.Ft. Square feet Height Ft.&in. Single-Famlly Dwelling Z 0/ F3 Two-Family Dwelling Townhouse Multifamily Dwelling Number of Units: Office Mercantile Manufacturing Other: Attached Garage 1, 2, 3 Type of Heating System: Electric, Oil Gas, Wood, Forced Hot Air, Baseboard, Other: Is a fireplace and/or woodstove being installed, please refer to a separate application. X—Yes _No Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review. The Building and Codes Office will allow commencement of your proposed project only after issuance of your permit. Declaration: Please sign below after you have carefully read the statement: To the best of my knowledge, the statements contained in the 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 Codes, 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 I/we 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 n w construction. Date: Z Applicant/Builder Signature: The application of d a(Pe, is hereby approved and permission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set forth above. Date: Authorized Signature: L:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Application.doc V:12/14/04 A i Application for Permit=Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ................................................................................. Office Use Location of installation: S��v/ l ,�c�, _ / / ? File Permit No. Tax Map No. F{ee Paid Owners Name: O Address: '/ ... .. ....................................._..................T................. _ree Pocc.nh 9 cc43 2. INSTALLER'S NAME : C 'r C>,Kd-a ) �`' XC Q uq a r7 PHONE NO.2jZ-04/3 j 3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#,bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total dailyflow) 1 Year of House: No of Bedrooms x Computation Total Daily Flow 1980 or older x 150 gal/bdrm 1980— 1991 x 130 gallbdrm = 1991 —present x 110 gaUbdrm , f d a, Garbage Grinder Installed yes _ / no.� Spa or Hot Tub Installed yes_ I no �_( � l 4: PARCEL INFORMATION: (circle applicable information&indicate measurements) I Topography Soil Nature Ground Water Bedrock or Imerviou5 Material Domestic Water Sunbly Flat sand at what depth at what depth municipal Rolling loam feet feet well Steep slope clay if well; water sup y �%slope other from any septic-system depth: absorption is ft. other L a. K e- Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch j I 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a lic�nsed 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. f Septic Tank: gallon(min.size 1,000 gal.) Tile Field: each trench ft. Total System Length: ft. Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # 1 depth or thickness feet Bad System Size: x it Alternative System: length and✓or size 1 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 I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordin�nce. i I Signature of responsible person bate .'1•0*111 of (Itte-cl1sbut•Y �<;tvc:c•� ttntl �c;wsis;t; I)i��>pastl t:lcrtt�lt�c• '�fil:i'/11L/�,'1'ItJi�1 tt•'I��dL)tlti�hllf�f�1'l� . ....�. fir.. Pow) ?Loin Ci t E G ►. rf- t ,�►• • Sc rt tc. i i . I 7• SMENA►TURE &wortmATIw For, is I j ' i I h Application for Pcruul.—Septic Disposal System Town Uf Queensbtny 7•1213aylK0ad Queeush►uy, NY 12804 (:515) 701-8,256 4j PIP, 1. OWNER INFORMATION: ......................................................................................................................................: 1 Office Use Location of installation: 241 Assembly Point Road File Permit No. Tax Map No.226.19` 2 / 26 1 Fce Paid Owner's Natnc: John Kelly Address: 5 Roosevelt St. , Albany, NY 2. INSTALLER'S NAME : PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate ll bedroont(S) and multiply 1/ of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bcdrooius x Computation = Total Daily flow 1980 or older x 150 gal/bdrui = 1980— 1991 x 130 gal/bdrtn = 1991 —present 4 x 110 gal/bdrw = 440 Garbage Grinder Installed yes— / no x Spa or Whirlpool Installed yes / no x 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) Top4Bippj�►��S2il Na urp Qroun� W to- Bedrock_o..r lippervious Matcrial�._Doincstic._Wlcr Supply Mat salul at whal clepJlt tit what clepth municipal Rolling loans SEE feet feet well Sleep slope clay PLANS SEE if well; water supply 2-5 %slope other PLANS SEE PLANS from any septic-system depth: absot fltion is fl. other Lake George Percolation Test: ('lobe cotnpleled by licensed professional etigitteer or architect) Rate: SEE PLANS -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 l3oard approved subdivision). Add 250 gallons to the Size of the septic tank and leach field for each Garbage Grinder, Spa or Whiriixwl'1•ub. Septic Tank: gallon (ruin. size 1,000 gal) SEE PLANS Tile Field: each french __-_f1. Total System Length: _ _fl' RECEIVED E® Seepage Pit(s): number of size of each: fl. by ft. MAY 1 2. l'.tl�_n � Size of Stone to be used: it / depth or thickness feet TOWN OF QUEENSBURY Bed System Size: x BUILDING AND CODE 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 die Town of Queensbury, any permit or approval granted which is based upon or is granted iu 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 rospect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person bate , 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 Date f` �, , 20 '- Permit No. 5- c�? 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 peiforin required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: ., ;';' Stove: wood coal pellet gas Fireplace insert Address: j `� Fireplace, factory-built: wood gas /. Fireplace, masonry:. wood__: gas ' �— urnac :� wood gas oil Phone: If non-masonary applicance, please provide Owner: % Manufacturer Name: Address: i `, f ,- Model Number: Chimney Information Phone: i / (circle appropriate words) ��: _ x 2 Masonr block brick .stone lu file steel size: inches Exact Address: of construction or installatiory Factory-Built Manufacturer name: Model Number: Note: Listed By: Number: Construction IInstallation must conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double ivall / Triple wall / Insulated / Direct venting Chimer Liner � Ca.,�rls„fear',�ar 27epartm�>E—To�� o�Qu�e��,abury, .New Yoe-lam-- -- Fire Marshal Code# $Collected $Refunded Received fi•on: (refunded to): ©0 address: A 173 3389 (190) Public Safety _ A 233 2655 (230)Minor Sales t DATE: . yio�n.av�wt�— I oww VCc2`c 02 Dr.�w�0 White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink &Goldenrod(Cashier's Dept.) 05/23/2005 12:47 518-4896294 JAMES KELLY Permit Number (town use) Town of QueensburY Application for Stormwater Management Permit Under Chapter 147, Stormwater Management,ILL 4-99 THIS APPLICATION IS FOR A Q Major Project I Minx Project 1. OWNER JVINDIVIDUAL Q PARTNERSHIP Q ASSOCIATION D CORPORATION Q MUNICIPALITY (]AGENCY NAME ry EL.V 1PHONE6jT— 72y - '1 MAILING ADDRESS C R CITY PpO STATE ZIP CODE 2. AGENT p SAME AS OWNER $CONTRACTOR D ATTORNEY O CONSULTANT Q CONTACT PERSON NAME PHONE S"/ MAILING ADDRESS ©3'd v CITY 41,b 4ol.1 STATE ZIP CODE ,Z G 3. CONTRACTOR I&SAME AS AGENT NAME A ' �� PHONE,�'j MAILING ADDRESS S' 5-fi� v CITY A tq N t STATE N, ZIP CODE 4. PROJECT LOCATION 2 / 5 5 E'M G Po 7 A/7 - 1e o R FACILITY NAME(if not residential) SECTION BLOCK LOT STREET ZONING CLASSIFICATION PROPERTY IS PRESENTLY W ge /ik N VACANT 0 PARTIALLY DEVELOPED p DEVELOPED&OCCUPIED tS PROPERTY PART OF A SUBDIVISION? JNo Q Yes, name of subdivision 5. PROJECT DESCRIPTION PROJECT C SST QH c..?'�GV D HQ MA A JV 11 9 &y SS,0- GkRA_cr-E' QS >Pr& Pi.Aws rn T-abl PROJECT INVOLVES: Q Earthwork/Landscaping (I Tree Clearing f House Construction or Addition $Drivevway Construction Garage Construction Q Detached Structure a Septic System Q Modification of a Stormwater Device Q Other l,1GRAIGITEMPLATE&STWATAPPSITOWN STORMWATER APPL.DOC 11/20M Page 1 of 3 05/23/2005 12:47 518-4896294 JAMES KELLY PROPOSED USE 0 Residential(seasonal) rResidential(year-round) ()Association 0 Public Q Commercial PROPOSED STARTING DATE S 2 S D PROPOSED COMPLETION DATE 2- 2 e D 6— DESCRIBE THE MAXIMUM SLOPE OF THE PROPERTY IN THE PROJECT AREA: 0 0-5% (Level) Q 5-10% (Gradual slope) [)10-16% (Moderate slope) Y Greater than 15% (Steep Slope) IS ANY PORTION OF THIS ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED? Dyes 11No (if yes,please explain) 6. CALCULATIONS & CONTROLS TOTAL AREA OF PROPERTY ACRES FT2 (circle one) TOTAL AREA OF LAND DISTURBANCE: g voo FT'(do not include area of stormwater controls) TOTAL AREA OF NEWLY CREATED IMPERVIOUS SURFACE: 7 `-/ 2. o FT2 TOTAL VOLUME.OF STORMWATER TO BE CONTROLLED: _ 312 0 (see instructions) TYPE OIL STORMWATER CONTROL MEASURES TO BE USED: C t-c.h !�rz V e- (Sec Art of h'S•f HAS AN EROSION CONTROL PLAN BEEN PREPARED? $Yes,plan is attached Q No If no,please contact your County Soil&Water Conservation District for assistance: Warren County 623-3119 T. SITE INSPECTION During the processing of this application town personnel may need to visit this site for the purpose of inspecting, measuring and/or photographing site conditions. I authorize town personnel to conduct such a site Inspection* yes !a no I wish to be contacted prior to any site Inspection 4 yes A no a. CERTIFICATION hereby affirm that the information on this form and all attachments submitted herewith Is true to the best of my knowledge and belief. As a condition to the issuance of a permit,the applicant accepts full legal responsibility for all damage, direct and indirect, or whatever nature, and by whomever suffered, arising out of the project described herein and agrees to Indemnify and save harmless the town from suits, actions, damages and costs of every name and description resulting from the said project. SIGNATURE OF OWNER DATE SIGNATURE OF AGENT DATE O��- INCLUDE WITH THIS F RM: * Site location map a Project plans on 8'/s X 11 size paper(Submit 4 copies of anyplans larger than 11X17) A Names and legal mailing addresses of anyco-owners of the property � Attachment A(for major projects only) Al Stormwater Control Report(for major projects oniq A Environmental Assessment Form (for major projects only) Failure to include any one of the required items will result in an incomplete notlee and delay in processing your application. Permits and approvals may be required from other agencies. for[own use only L:ICRAIGTEMPLATESISTWATAPPaTOWN STORMWATER APPL E=1 112WO Page 2 of 3 05/23/2005 12:47 518-4896294 JAMES KELLY The project is approved as shown on the attached approved plans and subject to the conditions listed on he attached Schedule A. Approved by on Permit Expires It s Zoning Administrator Date CONDITIONS OF APPROVAL ATTACHMENT A to Stormwater Management Permit Application Permits or approvals required from other agencies Agency Permit or Approval Date Applied Date Issued Adjoining Property Owners List all parcels within 500 feet Tax Parcel Number Name Mailing Address UCRAIGtTEMPLATEWTWATAPP&TOWN STORMWATER APPL.00C 1112000 Page 3 of 3 PP'-05/23/2005 12:47 518-4896294 JAMES KELLY PAGE 04 r d SEPTIC —�o oPROPOSeD GAPAGE O 4.324 sq. ft. o� �irvr ! ,1l � r � Are Site Plan V : 4a I AA �►�1 . r rk R u, o C o N T'A o �r DFTA= L E F R.or� Roo'= GurrF To T g '' ropso = � GpA\(e'LO Saab J c� 0-1 N LD O) s 00 U1 r-I LO co N N �- LO m r 05/23/2005 12:47 518-4896294 JAMES KLLLr � �ah Iran � roof lee w attached 911v . • zc- min 05/23/2005 12:47 518-4896294 JAMES KELLY f -DLO } !SA& � l AC A r j 5ite Pl( I' ; 4U 05/23/2005 12:47 518-4896294 JAMES KELLY kl CoQtvg � .0 LF ti n O SEPTIC •, r rcl PROPOSED GARAGE C pIMi ff sq. f i'. 05/23/2005 12:47 518-4896294 JAMES KELLY Sw ` HOW •, _arw .�_._ . — ... s 1�a AWe Mvew"to be t per root Af see seed h 4,324 o� Town of Queensbury Fire Marshal 742 Bay Road Qurensbury,NY 12804 761-8205/761-8206 (aw fax 745-4437 Factory Built Gas Fireulace/Stove Insaection 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. t -f -� Zyme JL} � pm anytime inspeeto�'--�� Permit# Schedule Inspection 1_____-.— Address ..� Name t f 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 Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent I 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 Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) WWe—B UIftz De Yeilow r Pink—Fire Manahan V k� Queen u6 Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm D art: am/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: Comments Ye o TV7, Building Number/Address visible from road I V _ Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight ol Safety glazing/Window in stairwells safety glazin Interior Smoke De ctors: Every level: V Every Bedr om: Outside every bedroo ea: _ Inter Connected: BatteKy 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 s .ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emer eno a ess below grade Gas Furnace shut-off within 30 feet or within line of site < � Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Tra /Water Temp 110 Vr Enclosed Stairs Sheetrock Underside minimum VT Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Vof Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical C-1 %, 4_ _ Final Survey Plot Plan As Built Septic System/Sewer De t.Inspection Sticker Site Plan /Variance required Flood fication,if required to issue C/C or ® Temporary/Permanent LABuilding&Codes FormsBuilding&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc U Queensbury Building & Code Enforcement - Residential Final Inspection l � Office No.(518)761-8256 ' j Arrive: am/pm Depart\=`�am/pm Date Inspection request received: "t Inspector's Initials: NAME: ikA PERMIT#: D LOCATION: ( DATE: Z TYPE OF STRUCTURE: Comments Yes XA Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more V1, •� , 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 �l Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill Late ��I Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches p — Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing 1 Interior Smoke D ctors: (� Every level: V Every Bedr m: Outside every bedroom a: Inter Connected: V 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 s .ft.-150 s .ft.vents Bathroom Fans,if no window Plumbin fixtures 1 0 V _ 'Z Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. -Emergencyegress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area oe Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Tern 110 Enclosed Stairs Sheetrock Underside minimum%z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched .-Garage fireproofing/%hour fire door/door closer Duct work Sealed property Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/O Temporary/Permanent I PIV L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: Ww dto? NAME: CKG--el t� LOCATION: I1n . PERMIT#: Final Survey Plot Plan Auvroved Denied The attached final survey has been received by the Dept.of ✓ Community Development. Upon revie the survey een: Craig Brown, Zoning Administrator Notes: L:\.SueHemingway\Building.Codes.Inspection.FORMSTinal Survey Zoning Administrator.doc i i `'�� 1 a y41 xa�iw.�t*�� 6 '"'e. '�i'.r'y Pnr °� .��$� �� ,�� 'f*r, • ,. � e Van, M, AV' TNI� X3 P,-,r Lands Now or Formerly of w n 1' Town of Queensbury ��a 4t bb Book 386 Page 625 'w� f z R' .� l •a4 +`x� P�44' ...`!t.'aF?�i�r.+,.�,.:.. M t � ... 1 .n,<��„`:C ��r'.,1�1,,,`•t� YL'i; 11.32` •� .... I F mono Macadam Sued Corner .�---'''~ N82'11'30"E ' �.. 12't Cleat 261.90, l ---"' Pill * Conrrrte .¢t Gemwtor N0002130'E R E 0 E Pad 5000, TOVvRY aaa BUILD.v0 AN +JJE Pro {�1 a (PkdandCow. catch Sind WA&ady at naw Baerin Btico Wooden Sh7w yti alffSarvi O _ — — — �j ` Me gBoom ofAwk= b I . y Lax I S w9ft7Foatprnrt Ica Covermf I &ih^artce Os RoofOrff tWd- BdgeoflakePer LAKE � I Map Reese 1. GEGEOR . 00 I C" Fa I wood p� C_ I I *4., notZA AREA-1.037Acs I I o ti - - - J Dock UG :T&C4L AIM? � UG ►. $ UG .Vied UG Cox Pad UG Macadam q81 a22,00'W 9.86' FOPMFOLB 33.58' 581100,w MAPNOTES 144.60 1. Boundary information shown hereon is from a previous survey by Wayne R.Raymone.See map refemW a 1. S8201515„ 2 Noith orientation and bearing bampermap re erenae Z 100.0` 3. Warrm County taxpared 226 26. 4. The location of underground improvements or encroachments,if any erist,or as shown hereo4 are not c ertrfied There maybe other u ndergmund utilities,i be existence of which are unknown Size and location ofaB underground utilities must be verified by the apprrrpnate authorities The bader8mu nd Facxhtres Protective Organization must be L onds Now �r Formerly of notified prior to 00nduct*test borzngs,excavation and construction Paul & Kathleen Seh onewolf 5. This survey was prepared without the benefit of an up to date abstract of title. Book 962 Page 238 6. Field data capture took place n1th an acrumulated snow cover of3'to 61: Every efforthas been made to prepare a complete plotting of the conditions 7. Repraduchm orcopymg of this document may be a violation ofcopyightlaw unless permission of the author and /or copy*htholderis obtained. 8. A copy of dus document withouta pnoperapplication of the surveyor's embossed seal should be assumed to be an unauthorized dopy. DEEDRF.FEREM 1. Conveyanne to jhhn E Kel,y-,U&Helen-jo KeBy by dt+eod dated Mash 7,21�i,filed in Me Wanm County Clerks O1fae on March 24, 2X5m Book 14T,3 ofD&-&atpW 110 DONALD 050552 55DARRAN DATE REVISIONS RECORD/DESCRIPTION DRAFTER ALTERATION OR ��/IAP MAPli�EFERFYC�S ADDITION TO TM ENT IS a S OW NIJ IMPRO V llVlJ.�,L Y l J VIOLATION OF SECTION 7209 T. Map erratle+d-Map aflarwds jallirr E K Ill6r .A R Kelly;Pmjolam d by Wayne R-Raymond, SUBDIVISION s OF THE NEW YORK Lands Now orFormerl Dated y of tedSephwzber3,XM STATE EDUCATION LAW. © 2007 THE KELL YFAMIL Y TRUST Darrah Land Surveying, PLLC j7Y NEW YORK APPROVED.•DCD TOWNOF QU EWVRY WARRENCOUII .. _ DRA.F?Z�: xRD N D720 CMaV.DcD Darrah Land Surveyin& PLLC PROD.NO.' 0r10 63 Elm Street Glens Falls,NewYork 12801 "ONLY BOUNDARY SURVB'Y MAPS WffH 1HE SURVEYORS EMBOBSED MT.. OF SEAL ARE GENUINE TRUE AND CO9l<REC?COPIES OF THE SSURVEYORSVoice:(518)798-�4692 Fax-(518)74(3-0 01 ORIGINAL WORK AND OPWION 3 z� °rl z„ate, DATE:3128107 Wevertown,NewYork 12886(518)251-2211 PROJNO.- 0720 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Masonry Chimney/Firelalace Inspection Resort Aan V Permit# Schedule Inspection ;W p'� anytime Rough In A— Final Name � � Address r,?4.tI Soh PI RJQ Inspectors Yes No N/A Comments FOOTING Concrete or solid masonry Minimum 12"thickness Extends minimum 6"beyond f/p on all sides Below frost line Cleanout opening—noncombustible cover FIREBOX Walls must be solid—no hollow masonry allowed 8"minimum thickness—back/side walls Joints between firebricks—i/.,"max Refractory mortar used on firebrick Minimum depth 20" Fresh air intake Clearances to combustibles:4"rear,2"sides/front LINTEL/THROAT Non-combustible material Minimum 4"bearing length each end Damper installed,minimum 8"above f!p opening SMOKE CHAMBER Walls must be solid—no hollow masonry allowed 01 Minimum wall thickness 6"including liner Firebrick 6nIng laid with refractory mortar CHIMNEY Minimum wall thickness 4"—solid masonry Must be lined with appropriate liner type Clay flue liner laid with refractory mortar Flue liner smooth surface inside,no mortar Minimum masonry thickness between flues 4" Minimum clearances to combustibles 2"for interior chimneys,I"for exterior Termination height minimum 3 feet above highest point of roof where it passes through,2 feet above any combustible construction within 10 feet Chimney cae installed HEARTH/HEARTH EXTENSION Constructed of concrete or masonry Supported by noncombustible material No combustible material on underside r �� Minimum thickness 4"—hearth only �Ill•4� Minimum thickness 2"—hearth extension Hearth Extension—16"to the front,8"to sides NOTE:if F/P opening is greater than 6 sq.ft.,must extend 20"front,12"sides MANTEL TRIM No combustibles within 6"of 1♦YP opening Combustibles within 12 inches of F/P opening cannot �� 1 project more than 1/8"for each inch distance from F/P opening Town of Queensbury Fire Marshal i 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Masonry Chimney/Firegtace Inspection Report Permit# Schedule Inspection AW //.f, pm anytime Rough In-d Final Name �Rm� y Address9bInspectov"'� - Yes No N/A Comments FOOTING Concrete or solid masonry / Minimum 12"thickness /Y� Extends minimum 6"beyond Vp on all sides Below frost line Cieanout opening—noncombustible cover FIREBOX Walls must be solid—no hollow masonry allowed 8"minimum thickness—back!side walls Joints between firebricks—'A"max Refractory mortar used on firebrick Minimum depth 20" Fresh air intake Clearances to combustibles:4"rear,2"sides/front LINTEL/THROAT evt�pv� � �� t,t �7U►-� Non-combustible material n Minimum 4"bearing length each end Damper installed,minimum 8"above Vp opening / SMOKE CHAMBER Walls must be solid—no hollow masonry allowed n Minimum wall thickness 6"including liner i ► Firebrick lining laid with refractory mortar CHIMNEY Minimum wall thickness 4"—solid masonry Must be lined with appropriate liner type Clay flue liner laid with refractory mortar Flue liner smooth surface inside,no mortar Minimum masonry thickness between flues 4" fZ�Zj �ET'(L Minimum clearances to combustibles 2"for interior chimneys,I"for exterior Termination height minimum 3 feet above highest point of roof where it passes through,2 feet above any combustible construction within 10 feet Chimney cal installed HEARTH/HEARTH EXTENSION Constructed of concrete or masonry Supported by noncombustible material }� No combustible material on underside ) r Minimum thickness 4"—hearth only Minimum thickness 2"—hearth extension v Hearth Extension—16"to the front,8"to sides NOTE:if F/P opening is greater than 6 sq.ft.,must extend 20"front,12"sides MANTEL TRIM No combustibles within 6"of F)P opening Combustibles within 12 inches of F/P opening cannot � �+ �"r -project more than 1/8"for each inch distance from F/P opening Septic Inspection Report Office No. (518)761-8256 Date Inspe t re u t received: Queensbury Building&Code Enforcement Arrive: i am/p epart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: � /TJCJ NAME: leGz PERMIT NO.: ®6 '" LOCATION: INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand/Loam/Clay �//`O =cx�� Type of Water: Municipal/Well Water �,ewu��S Waterline separation distance ft. �� Well separation distance ft. Other wells: Absorption Field: Total length Length of each trench ft. `!f ` L floveN4 Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Siz Type Building to tank o Tank to Distribution Box #4 N Distribution Box to Field/Pit L Opening Sealed: Y/N/Partial End Caps Location/Separations Foundation to tank ft. Foundation to absorption ft. 1 �U( T a A) T� Se aration of Pits ft. Al, onforms as per Plot Plan Y N Engineer Report and As-Built Y N '�'e Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status- Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved Last revised 1/6/05 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. ' Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL / Permit No........................................Cert. N2 93728 Cut-in Card No..................................... Owner..................... fi r. ':.. .................................................................................................. ............ 0.Location.!z. r �S cv L.?2C L� T .. ........'........ ...................... ...... ....................e ............... ........ � L�?2- pit�Yol. `d'CCt N 7 zz Installation Consisting of /�..,.�-,.�.... ............[...................................................................................... ..............................................,r�/�:C..v...C'�........................................................................................................ .................................................................................................................................................................................... InstalledBy................................. ............................................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 ma g spections at any time, and if its rules are violated,the Company shall have the right to Ve,t��..Date...S .......�.�.�.............. INSPECTOR................ ... ....................................................................... Framing / Fire oppm,; Inspection Report Office No.(518)761-8256 Date inspection re st r ce' e Queensbury Building&Code Enforcement Arrive: VsAo in art: '_ZD pm 742 Bay Road,Queensbury,NY 12804 Inspector's s: NAME: --J � PERMIT#: te'13 LOCATION: INSPECT ON: TYPE OF STRUCTURE: Framing Y N N/A COMMENTS Attic Access 22"x 30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate ^� 1 '/2(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 21J� F Penetration sealed 16 inch insulation in cavity min. �T 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 I 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade E ' 1r Septic Inspection Report / Office No.(518)761-8256 Date Inspection re u t c ve Queensbury Building&Code Enforcement Arrive: 100,2b a art: am/pm 742 Bay Rd.,Queensbury,N•Y1 12804 Inspector's Initials. — NAME: _ Ei i �( _ ERMIT NO.: LOCATION:ZA A�E M�L_R PT ED L INSPECT ON: _i --1 U --U 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. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x ME. CF 3- t—U(9 Stone Size: 1tJ� tl71J Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial End Caps Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. r Plot Plan Y En 'veer Re ort d As-Built Y N K1E-E� F tJL1 tJ EEFZ�S R EPv RT Location of System on Property: btJ � _t� 1 A LJU 1�'' Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: pproved Partial Approved and needs to be re-inspected, please call the Building& Codes Office Disapproved Last revised 1/6/05 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: �m/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: Il AV PERMIT#: L LOCATION: INSPECT ON: - --� TYPE OF STRUCTURE: Y N N/A aming COMMENTS Attic Access 22"x 30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %z(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft.or less on center f Ice and water shield 24 inches from wall Fire separation 1,2,3 hour Fi a 2, 3, ur 4"Firestopping �''` . �1 C..y�„_' "' Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X el 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 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: —a pm Depart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: QtLNJAC- PERMIT#: LOCATION: O INSPECT ON: TYPE OF STRUCTURE: S� Framing Y N N/A COMMENTS Attic Access 22"x 30"minimum - — Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/z w) 16 gauge(8) 16D nails each side 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 2, 3,4 hour irestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in.(H) 20 in.(W) 5.7 sf above/below grade 5.0 sf grade Rough Plumbing / Insurlation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/pm Depart: _ 1 pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials-,# —�v (..*0 NAME: J PERMIT #: LOCATION: S INSPECT ON: TYPE OF STRUCTURE: Y N N/A l PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron,Copper Drain/Vent/Comm. / Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 % inch min.Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping Cooper Commercial ,00irer,CPVC,Pex One and Two-Family nsulation/Residential Check/Commercial Check Proper Vent Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: LASueHemingway\Huilding.Codes.Inspection.FORM S\Rough Plumbing Insulation Report.doc November l7,2003 -Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspecti n,r gpest received: Queensbury Building & Code Enforcement Arrive: m/pm D pa am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's I itials: NAME:- PERMIT #: LOCATION: A�c-i - PQ INSPECT ON: zA TYPE OF STRUCTURE: Y N N/A Rou h PlumbingNail Plates ��G� Plumbing Vent / Vents in Place ' luez z _ 1 1/2 inch minimum Drain Size �� 5 Washing Machine Drain 2 inch minimum Cleanout every 100 feet/ change of direction Pressure Test Drain / Vent Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation / Residential Check / Commercial Check Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: LAPam Whiting\Building&CodeAnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date InspecMceqqRkest received: Queensbury Building&Code Enforcement Arrive: p D part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT #: T LOCATION: . `, INSPECT ON: TYPE OF STRUCTURE: PVC. R-1,R 2,R 3,R4 Drain/Vents Y N N/A ast Iron, Copper Drain/Vent/Comm. lumb' ent/Vents in Place LgaugPlumbing/Nail Plates inch min.Drain Size as Machine Drain 2 inch min. wi ply Test in and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction pwly Piping Cooper Commercial Cooper,CPVC,Pex One and Two-Famil Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed ro erl /No duct tape COMMENTS: L:\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 4a Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 ` Masonry Chimney/Fireplace Inspection Report � Permit# —/ I(�/, i'_ Schedule Inspection 2� �pm anytime Rough In Final r Name Address 0211 Aaw� %��. &;to Inspector Yes No N/A Comments FOOTING Concrete or solid masonry Minimum 12"thickness Extends minimum 6"beyond Up on all sides Below frost line Cleanout opening—noncombustible cover FIREBOX Walls must be solid—no hollow masonry allowed 8"minimum thickness—back/side walls Joints between firebricks-'/4"max Refractory mortar used on firebrick Minimum depth 20" Fresh air intake Clearances to combustibles:4"rear,2"sides/front LINTEL/THROAT Non-combustible material Minimum 4"bearing length each end Damper installed,minimum 8"above Up opening SMOKE CHAMBER Walls must be solid—no hollow masonry allowed Minimum wall thickness 6"including liner Firebrick lining laid with refractory mortar CHIMNEY Minimum wall thickness 4"—solid masonry Must be lined with appropriate liner type Clay flue liner laid with refractory mortar Flue liner smooth surface inside,no mortar Minimum masonry thickness between flues 4" Minimum clearances to combustibles 2"for interior chimneys,1"for exterior Termination height minimum 3 feet above highest - point of roof where it passes through,2 feet above any combustible construction within 10 feet ; Chimney cap installed 'V HEARTH/HEARTH EXTENSION Constructed of concrete or masonry I Supported by noncombustible material l No combustible material on underside Minimum thickness 4"—hearth only Minimum thickness 2"—hearth extension Hearth Extension—16"to the front,8"to sides NOTE:if F/P opening is greater than 6 sq.ft.,must extend 20"front,12"sides MANTEL/TRIM No combustibles within 6"of F/P opening Combustibles within 12 inches of F/P opening cannot �s project more than 1/8"for each inch distance from F/P opening r�s-f 4d j % s o �atx � �Ct Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm epart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: ' NAME: 1\E PERMIT#: 000 -- LOCATION: INSPECT ON: —� TYPE OF STRUCTURE: Y N N/AXam'ng COMMENTS Attic Access 22"x 30" minimum Jack Studs/Headers Bracing/Bridging l ' Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %s 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 '/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Frederick G. Bremer Architecture, PLLC April 3, 2006 APR 1 4 200o Town of Queensbury 100 Hanover Avenue 742 Bay Road Queensbury,NY 12804 Dear Sir or Madam; We have inspected the structure of the Kelly residence located at 241 Assembly Point Road, Queensbury,New York and find it to have been built according with the plans submitted to your office dated, 3 % -I-) i - or-,, Should you have any questions please do not hesitate to call. Sincerely, Frederick G. Bremer,A.I.A. ®ARC'yi rOOROG�V z (P�.5!!J, 0,21356"� n;:M Frederick 6.Bremer Architecture,PLLC 2215 Nutt Street,Niskayuna,W 12309 (518)374-9177 (518)928-8829 mobile f9bremer@nycap.rr.com f: Septic Inspection Report Office No. (518) 761-8256 Date Inspection . west;, eN Queensbury Building&Code Enforcement Arrive: am part: i la 742 Bay Rd.,Queensbury, NY 12804 Inspector's Initia s: 4 NAME: IT NO.: LOCATION: INSPECT ON: -- RECHECK: _ �( So Q�►1C i �� c Comments and/or diagram Sal T Sand m Cla T of Wa unici ell Water Waterline se ration distance ft. Well separation distance ft. Other wells: ft, Abso tion Field: Total lengthft. Length of each trench Depth of trenches Z ft. 1 ►� 1 L -,� Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field ti O nin Sealed: Y N artiai 4KC, �:C� End Cap �.� Inlet/Outlet Pipes&Baffles I Y N Location Separations Foundation to tank Foundation to absorption Separation of Pits �,� Conforms as_per Plot Plan Y VINzU Engineer Report and As-Built Y Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Sta Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 1 Foundation Inspection Report Office No. (518) 761-8256 Date In �'ct' n quest recei ed: Queensbury Building&Code Enforcement Arrive: am/ Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspec 's itial . NAME: �� ; PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A F7110 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 Foundation Dampproofmg Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump F�12ch in Stone: idth 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. Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm Depart:Z20�'& m/pm Date Inspection request received: — Inspector's Initials: __tj NAME: �,.�r C �� ` "°`�`�'`� PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: Comments Yes I No /A Buildin Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location coFresh Air Intake � s6 3 inch in Vent through roof minimum 6 inches R Com le /Exterior Finish Complete-PTy -( — a orm at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more �7 Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches ,� E. �- P-eNkdZ0k Interior Handrails stairs 2 or more risers Grade away from foundation 6 inches with 10 feet tea_ 6 inch clearance to sill late Gas Valve shut-off exposed/regulator 18 inches above grade Vr` /�'�• `� / Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety lzin G Interior Smoke De ctors: _ Every level: Every Be dr m: 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 s .ft.-150 s .ft. vents 01 Bathroom Fans,if no window 01 `i Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below gradeL Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area r,6 Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum''/:"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/O Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form—revised—I 00405.doc /W Foundation Inspection Report est to�ivOffce No. (518) 761-8256 Date Ins ecti d: Queensbury Building&Code Enforcement Arrive: am/pm Depart. pm 742 Bay Rd., Queensbury,NY 12804 Inspectors Initials,:.- NAME: Jc�i,'`_�—�I�� ,.PERMIT#: LOCATION: ECT ON: b TYPE OF STRUCTURE: Comments Y�T 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. ose on site. Rein orcement m ace Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/ 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. I.ASueHenr:ngway\Buil ding,Codes.Inspection.FORMSWoundation Inspection Report.doc Januajy 28,2003 Foundation Inspection Report Office No. (518)761-8256 Date Inspection r uest r c ived:' Queensbury Building&Code Enforcement Arrive: epart: a 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials,:. NAME: . PERMIT#: 15< LOCATION: INSPECT ON: _ \. TYPE OF STRUCTURE: Comments Fdo'tings Piers Monolithic Slab Reinforcement in Place t1J E V;> The contractor is responsible for providing protection from freezing . . for 48 hours following the placement of the concrete. kA C Q Materials for this purpose on site. Foundation/Wailpour103 \ �V WE Reinforcement in Place Footing Dowels or Keyway in place ! Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab 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\lnspection Forms\Foundation Inspedion Repoft doc Last printed 12/20/2005 9:24:00 AM �t r Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: anvpr�},. /��Depart: pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials. _ NAME: PERMIT#: LOCATION: - --- ��G �'-- _ INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings --- ---------------- J' �� G`�C� 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 Foundation Dampproofing ' Foundation /Waterproofing Type of Dampproofing/Waterproofing 1 Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfrll Approval Plumbing Under Slab�^ PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\SueHetningway\Building.Codes.Inspection.FORMS\i'oundation Inspection Report.doe January 28.200-3 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: arrvlvn Depart: Cm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: 4e --' S t �5� Jc NAME: _ PERMIT #: LOCATION: INSPECT ON: -� TYPE OF STRUCTURE: Comments Y N N/A tings Piers -�� Monolithic Slab Reinforcement in Place i The contractor is respo Bible fo 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 Foundation/Waterproofing Type of Dampproofing/Waterproofing i Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfiil Approval �^ Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Suer-Icmingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doe January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: a 'pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: �\ NAME: J�� 1L PERMIT#: LOCATION: , INSPECT ON: TYPE OF STRUCTURE: .4 } Comm s Y N)V/A Footings Piers �C) Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/ Waterproofing Footing Drain Daylight or Sump Foo g Drain Stone: 2 inch width 6 ches above footing JA 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:1 ueHemingway\Building.Codes,InspectionTORMSToundation Inspection Report.doc January 28,2003 it Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: J- Pm' Queensbury Building&Code Enforcement Arrive: am/p Depart742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: �GPERMIT#:LOCATION: INSPECT ON: 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. Fo dation/Wallpour enforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproof ng F oting Drain Daylight or Sump noting 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:\.SueRemingway\Building.Codes.Inspcction.FORMS\[bundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/ Depart: am/pm ' 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:( NAME: PERMIT#: l ots LOCATION: INSPECT ON: TYPE OF STRUCTUR : Com _ Y N N/A Footings Piers Monolithic Slab Reinforcement in Placer The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. F dation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/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. I,:\SueRemingway\Building.Codes,Inspection.FORMS\roundation Inspection Report-doe January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/p De pa anv`pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: _ ' PERMIT#: LOCATION: 'f INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A—I 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 Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/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:SueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003 Foundation Inspection Report /0 Office No. (518) 761-8256 Date Inspection request received: 1 Queensbury Building&Code Enforcement Arrive: am/ Depart: m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PA 1-� PERMIT#: -- LOCATION: INSPECT ON: -7 /�; -( - TYPE OF STRUCTURE: Comments Y r N N/A ootings Piers Monolithic Slab Reinforcement in Place The contractor is responsible r providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place T Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/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 i Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- _ Rough Grade 6 inch drop within 10 ft. I,ASueHerningway\Building.Codes,InspectionTORMSToundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/9!Lkq m Depart: J am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: . �tV F� NAME: �C'�`"(� PERMIT#: LOCATION: ---- INSPECT ON: -- 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 Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/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. LASueHem:ngway\I3uilding.Codes,Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 0 STORMWATER MANAGEMENT REPORT for Kelly Residential Redevelopment Assembly Point Road ' Town of Queensbury October 2005 1AS� �0 � 9 I Prepared for. John E. Kelly by. Jarrett-Martin Engineers, PLLC IProfessional Engineering 12 East Washington St. I Glens Fails NY 12801 I I uzivai4000 inU 15:u4 rAb WIUUJ/UUO ' Permit Number (town use) Town of Queensbury ' Application for StQrmwater Management Permit Under Chapter 147,Stormwater Management, LL 4-99 ' THIS APPLICATION IS FORA [Major Project 0 Minor Project ' 1. OWNER b INDIVIDUAL 0 PARTNERSHIP DASSOCIATION d CORPORATION []MUNICIPALITY O AGENCY ' NAME John E. Kell PHONE 845-724-3971 MAILING ADDRESS 75 Mountain Creek Road ICITY Pou h ua STATE NY ZIP CODE 12570 2, AGENT D SAME AS OWNER O CONTRACTOR D ATTORNEY R-CONSULTANT O CONTACT PERSON ' NAME Jarrett-Martin Engineers, PLLC PHONE 518 792-2907 MAILING ADDRESS 12 East Washington Street ' CITY Glens Falls STATE NY ZIP CODE 12801 3. CONTRACTOR D SAME AS AGENT INAME James Kelly PHONE (518) 253-7295 I MAILING ADDRESS 5 Roosevelt Street CITY Albanz STATE ZIP CODE 12206 ' 4. PROJECT LOCATION FACILITY NAME(if not residential) SECTION 226.19 I .BLOCK 2 LOT 26 ' STREET 241 Assembly Point Road ZONING CLASSIFICATION PROPERTY IS PRESENTLY ' Waterfront Residential DVACANT D PARTIALLY DEVELOPED )]DEVELOPED&OCCUPIED IS PROPERTY PART OF A SUBDIVISION? [TNo D Yes, name of subdivision ' 5. PROJECT DESCRIPTION PROJECT T Demolition of an existing single family residence and ' construction of a new single family residence, PROJECT INVOLVES: [&Earthwork/Landscaping R Tree"aearding i[]House Construction or Addition jWriveway Construction ' [TGarage Construction 0 Detached Structure aSeptic System 0 Modification of a Stormwater Device 0 Other r _. .. ' LACRAIGTEMPLATESISTWATAPPSITOWN STORMWATER AP PL.DOC 11/2000 Page 1 of 3 vci V W f cvVQ 1nV LV,Vs rAA vvv IPROPOSED USE p Residential (seasonal)�Residential (year-round) p Association pPublic pCommercial IPROPOSED STARTING DATE 2005 PROPOSED COMPLETION DATE 2006 DI~SCRIBE THE MAXIMUM SLOPE OF THE PROPERTY IN THE PROJECT AREA: I0 0-5% (Level) Q 5-10% (Gradual slope) Iq 10-15% (Moderate slope)y p Greater than 15% (Steep Slope) IS ANY PORTION OF THIS ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED? >&Yes p No (if yes, please explain) Demolition of former house and new house foundation ' 6. CALCULATIONS4 CONTROLS TOTAL AREA OF PROPERTY 1.04 acres ACRES FT2 (circle one) ' TOTAL AREA OF LAND DISTURBANCE: 25,000 ± FT (do not include area of stormwater controls) TOTAL AREA OF NEWLY CREATED IMPERVIOUS SURFACE: See report FT ' TOTAL VOLUME OF STORMWATER TO BE CONTROLLED: See report P (See instructions) ' TYPE OF STORMWATER CONTROL. MEASURES TO BE USED: Retention basins and landscaped terrace infiltration system ' HAS AN EROSION CONTROL PLAN BEEN PREPARED? i0iYes, plan is attached p No If no, please contact your County Soil&Water Conservation District for assistance: Warren County 623-3119 ' 7. SITE INSPECTION During the processing of this application town personnel may need to visit this site for the purpose of inspecting, Imeasuring and/or photographing site conditions. I authorize town personnel to conduct such a site inspection A yes 'L no ' I wish to be contacted prior to any site inspection YA yes & no B. CERTIFICATION ' I hereby affirm that the information on this form and all attachments submitted herewith is true to the best of my knowledge and belief. As a condition to the issuance of a permit,the applicant accepts full legal responsibility for all damage, direct and indirect, or whatever nature, and by whomever suffered, arising out of the project described ' herein and agrees to indemnify and save harmless the town from suits, actions, damages and costs of every name and description resulting from the said project. SIGNATURE OF OWNER DATE $IGNAT N �i�rF�/l.-.�,,y /�yiZr)/J � d DATE 11/3/05 ' I tt WiT THIS FORM: S location map ' roject plans on V/2 X 1-1 size-paper(Submit 4 copies of anyp.lans larger-than 11X17) A Names and legal.mall.ing addresses of any' co-owners of the property A Attachment A.(for major.proloots,only} ' n Stormwater Control Report(fo>r miaj,or projects.only) A Environmental Assessment Form (for major projects only) Failure to include any one of the required items will result in an incomplete notice and delay in processing your ' application. Permits and approvals may be required from other agencies. ' for.town use only L!1CRA)GITEMPLA,rESSTWATAPPaTOWN STORMWATER APPL.DOC 1112000 Page 2 of 3 The project is ap as shown on the attached approved plans and subject to the conditions listed on ' the attached Sc ed Approved by on ` Permit Expires 3 2 47 Wing Administrator Date ' CONDITIONS OF APPROVAL ( r� ��Cvhy C �. � o SvN �✓� I/Lt i�e--i--� i�, I ' ATTACHMENT A to Stormwater Management Permit Application Permits or approvals required from other agencies Agency Permit or Approval Date Applied Date Issued I Adjoining Property Owners List all parcels Within 500 feet ' Tax Parcel Number Name Mailing Address 1 ' L:ICRAIC3IT5MPLATESSTWATAPPSITOWN STORMWATER APPL.DOG 11/2000 Page 3 of 3 1 617.20 Appendix A ' State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM ' Purpose: The full EAF is designed to help applicants and agencies determine,in an orderly manner,whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequently,there are aspects of a project that are subjective or unmeasurabie. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may not be technically expert in environmental analysis. In addition, many who have knowledge ' in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly,comprehensive in nature,yet flexible enough to allow introduction of information to fit a project or action. ' Fuli EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By Identifying basic project data,it assists ' a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially-large impact. The ' form also identifies whether an Impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large,then Part 3 is used to evaluate whether or not the impact is actually important. THIS AREA FOR LEAD AGENCY USE ONLY ' DETERMINATION OF SIGNIFICANCE -- Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: Part 1 Part 2 Part 3 ___ ' Upon review of the information recorded on this EAF(Parts 1 and 2 and 3 if appropriate),and any other.supporting information,and considering both he magnitude and importance of each impact, it is reasonably determined by the lead agency that: A. The project will not result in any large and important impact(s)and, therefore, Is one which will not have a ' significant impact on the environment,therefore a negative declaration will be prepared. MB. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore ' a CONDITIONED negative declaration wil be prepared.* C. The project may result in one or more large and important impacts that may have a significant impact on the ' environment, therefore a positive declaration wffl be prepared. *A Conditioned Negative Declaration is only valid for Unlisted Actions ' Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Jjp6nsible Officer 1 Signature of Responsible Officer in Lead Agency Sign ure Preparer(If different from responsible officer) '�l ' website Date Page 1 of 21 i PART 1—PROJECT INFORMATION ' Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the ' application for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, ' research or investigation. If information requiring such additional work is unavailable,so indicate and specify each instance. Name of Action Kelly Stormwater Location of Action(include Street Address, Municipality and County) 241 Assembly Point Road, Qsby, NY 12804 NameofApplicant/Sponsor James Kelly ' Address 5 Roosevelt St. ' City/PO Albany State NY Zip Code 12206 Business Telephone 253-7295 Name of Owner(if different) John E. Kelly Address 75 Mountain Creek Road ' City/PO Prn,ghQ„ag State TTy Zip Code 12570 Business Telephone 945-724-3971 ' Description of Action: ' Demolition of an existing single family residence & construction of a new single family residence. ' Page 2 of 21 i Please Complete Each Question--Indicate N.A. if not applicable ' A. SITE DESCRIPTION Physical setting of overall project, both developed and undeveloped areas. ' 1. Present Land Use:M Urban 11 Industrial a Commercial ❑Residential (suburban) Rural (non-farm) Forest r I Agriculture Other Waterfront R d dential ' 2. Total acreage of project area: 1.04-acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION ' Meadow or Brushland (Non-agricultural) acres acres Forested acres acres ' Agricultural(includes orchards, cropland, pasture, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24,25 of ECL) acres acres ' Water Surface Area acres acres ' Unvegetated(Rock, earth or fill) acres acres Roads,buildings and other paved surfaces acres acres Other(Indicate type) Rural Residential 1.04 acres 1.04 acres I ' 3. What is predominant soil type(s)on project site? a. Soil drainage: M Well drained %of site Moderately well drained 100%of site. Poorly drained _%of site ' b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System? acres(see 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? M Yes El No a. What is depth to bedrock (in feet) ' 5. Approximate percentage of proposed project site with slopes: r70-10% 67±% 1:110-15%33± % 15%or greater_% ' 6. Is project substantially contiguous to,or contain a building, site, or district, listed on the State or National Registers of Historic Places? Yes it" No ' 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes E]No 8. What is the depth of the water table? 0'—4' (in feet) ' 9. Is site located over a primary, principal, or sole source aquifer? E]Yes 1:1 No 10. Do hunting,fishing or shell fishing opportunities presently exist in the project area? ❑Yes �No ' Page 3 of 21 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? OYes ❑No ' Accordi to: Unknown (Note: Site was residentialy developed) ' I entffy eachspecies: 12. Are there any unique or unusual land forms on the project site?(i.e.,cliffs,dunes,other geological formations? ' E]Yes R No Describe: 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? rl Yes ®No If es,explain: I 14. Does the present site include scenic views known to be important to the community? ElYes X®No I 15. Streams within or contiguous to project area: N/A a. Name of Stream and name of River to which it is tributary I ' 16. Lakes, ponds,wetland areas within or contiguous to project area: Lake George — East of property b. Size(in acres): Page 4 of 21 I i 17. Is the site served by existing public utilities? Yes No Power (elec) only Ia. If YES,does sufficient capacity exist to allow connection? 1:1 Yes n No b. If YES,will improvements be necessary to allow connection? riYes E]No 18. Is the site located in bt ultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? M No 19. Is the site located in or substantial contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? r7Yes X No I20. Has the site ever been used for the disposal of solid or hazardous wastes? Yes Li I B. Project Description 1. Physical dimensions and scale of project(fill in dimensions as appropriate). a. Total contiguous acreage owned or controlled by project sponsor: 1.04 acres. I b. Project acreage to be developed: 1.04 acres initially; 1.04 acres ultimately. c. Project acreage to remain undeveloped: N/A acres. d. Length of project, in miles: N/A (if appropriate) ' e. If the project is an expansion, indicate percent of expansion proposed. N/A % f. Number of off-street parking spaces existing N/A • proposed N/A ' g.- Maximum vehicular trips generated per hour: N/A (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium X Initially Ultimately X L-Dimensions(in feet)of largest proposed structure: 35'± height; 70'± width; 80'± length. ' j. Linear feet of frontage along a public thoroughfare project will occupy is? 180'± ft. 2. How much natural material (i.e. rock, earth, etc.)will be removed from the site? 200± to yards. ' 3. Will disturbed areas be reclaimed Yes nNo EIN/A a. If yes,for what intended purpose is the site being reclaimed? ' Residential use ' b. Will topsoil be stockpiled for reclamation? FiYes No ' C. Will upper subsoil be stockpiled for reclamation? Ltj Yes 17 No Several trees only 4. How many acres of vegetation (trees, shrubs, ground covers)will be removed from site? acres. 1 Page 5 of 21 i 5. Will any mature forest(over 100 years old)or other locally-important vegetation be removed by this project? Yes 1:1 No 6. If single phase project:Anticipated period of construction: 12 t months, (including demolition) 7. If multi-phased: a. Total number of phases anticipated (number) Ib. Anticipated date of commencement phase 1: month year, (including demolition) c. Approximate completion date of final phase: month year. d. Is phase 1 functionally dependent on subsequent phases? El Yes M No 8. Will blasting occur during construction? rl Yes MX No 9. Number of jobs generated: during construction 4± ; after project is complete 10. Number of jobs eliminated by this project 0 11. Will project require relocation of any projects or facilities? Yes No I If yes,explain: 12. Is surface liquid waste disposal involved? El Yes E]No ' a. If yes, indicate type of waste(sewage, industrial,etc)and amount b. Name of water body into which effluent will be discharged ' 13. Is subsurface liquid waste disposal involved? MYes C1 No Type Domestic JJaarPwntar 14. Will surface area of an existing water body increase or decrease by proposal?E]Yes M No If yes,explain: ' 15. Is project or any portion of project located in a 100 year flood plain? 13Yes IDNo 16. Will the project generate solid waste? M Yes ❑No ' a. If yes, what is the amount per month? .10± tons b. if yes,will an existing solid waste facility be used? I 'I Yes 0 No ' c. If yes,give name Waste to energy incinerator location Hudson Falls New York d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? riYes M No Page 6 of 21 i e. If yes,explain: I I I 17. Will the project involve the disposal of solid waste? ayes 9No a. If yes,what is the anticipated rate of disposal? tons/month. Ib. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? nYes ❑No Unknown I19. Will project routinely produce odors(more than one hour per day)? ❑Yes XNo 20. Will project produce operating noise exceeding the local ambient noise levels? E]Yes E]No 21. Will project result in an increase in energy use? El Yes rX1 No If yes, indicate type(s) INew house may use more electric power than former house I 22, If water supply is from wells, indicate pumping capacity NSA gallons/minute. 23. Total anticipated water usage per day N/A gallons/day. ' 24. Does project involve Local, State or Federal funding? E]Yes LJ No ' If yes,explain: 1 ' Page 7 of 21 i 25. Approvals Required: Type Submittal Date City,Town, Village Board �Yes �No ' City, Town, Village Planning Board a Yes a No ' nhta; City, Town Zoning Board a Setbacks Yes ❑ No ' City,County Health Department Yes No Other Local Agencies ayes ❑ No Wastewater & 2005 ' Stormwater Permits ' Other Regional Agencies a Yes No I State Agencies ®Yes M No ' Federal Agencies aYes El No ' C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? MYes a No ' If Yes, Indicate decision required: MZoning amendment 0 Zoning variance M New/revision of master plan a Subdivision ' ❑Site plan Special use permit Q Resource management plan Other ' Page 8 of 21 ' 2. What is the zoningclassifications of the site? ( } ' Waterfront Residential ' 3. What is the maximum potential development of the site if developed as permitted by the present zoning? 1 house 4. What is the proposed zoning of the site? ' N/A 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? N/A 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? E]Yes r1 No ' 7. What are the predominant land use(s)and zoning classifications within a A mile radius of proposed action? Residential I ' 8. Is the proposed action compatible with adjoinkVsurrounding land uses with a Y4 mile? X®Yes ®No 9. If the proposed action is the subdivision of land, how many lots are proposed? N/A ' a. What is the minimum lot size proposed? ' Page 9 of 21 ' 10. Will proposed action require an authorizations for the formation of sewer or water districts? Yes No ProPos q Y O a 11. Will the proposed action create a demand for any community provided services(recreation,education,police, fire protection? ' Yes ®No a. If yes, is existing capacity sufficient to handle projected demand? M Yes No 12. Will the proposed action result in the generation of traffic significantly above present levels? rl Yes 1.:J No ' a. If yes, is the existing road network adequate to handle the additional traffic. E]Yes ri No D. Informational Details I Attach-any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification II certify that the information provided above is true to the best of my knowledge. Applicant/Sponsor Name /�✓ .m,41znAl 6PVK-,(A1ZRVZX/°G L C Date ' Signature ' Title / 2yNGCj��C ' If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. IPage 1 Q of 21 PART 2-PROJECT G IMPACTS AND THEIR MAGNITUDE Responsibility of Lead Agency General Information(Read Carefully) ± In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst I ± The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But,for any specific project or site other examples and/or lower thresholds may be appropriate for a o otential Large Impact response,thus requiring evaluation in Part 3. he impacts of each project,on each site,in each locality,will vary. Therefore,the examples are illustrative and have been ffered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. The number of examples per question does not indicate the importance of each question. ' ± In identifying impacts,consider long term,short term and cumulative effects. Instructions(Read carefully) a. Answer each of the 20 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box(column 1 or 2)to indicate the potential size of the impact.If impact threshold equals or exceeds any example provided,check column 2. If impact will occur but threshold is lower than example,check column 1. I d. Identifying that an Impact will be potentially large(column 2)does not mean that it is also necessarily significant Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simply asks that it be looked at further. e. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART 3. I f. If a potentially large impact checked in column 2 can be mitigated by change(s)in the project to a small to moderate impact,also check the Yes box in column 3. A No response indicates that such a reduction is not possible. This must be explained in Part3. 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated by Impact Impact Project Change ' Impact on Land 1. Will the Proposed Action result in a p ysical change to the project ' site? NO r YES Examples that would apply to column 2 ' Any construction on slopes of 15%or greater,(15 foot o ri Yes r7No rise per 100 foot of length),or where the general slopes in the project area exceed.10%. ' Construction on land where the depth to the water table Yes No is less than 3 feet. ,r n • Construction of paved parking area for 1,000 or more N Yt ❑ E] Yes No ' vehicles. • Construction on land where bedrock is exposed or r Yes No ' generally within 3 feet of existing ground surface. • Construction that will continue for more than 1 year or rl 1:1 Yes []No ' involve more than one phase or stage. • Excavation for mining purposes that would remove ® ❑ Yes [:]No more than 1,000 tons of natural material(i.e.,rock or soil)per year. 1 Page 11 of 21 f 1 2 3 Small to Potential Can Impact Be I Moderate Large Mitigated by Impact Impact Project Change IConstruction or expansion of a santary landfill. r7 Yes [:]No • Construction in a designated floodway. r7 Yes No IOther impacts: []Yes [:]No 2. Will there be an effect to any unique or unusual land forms found on the site? 'ke.,cliffs,dunes,geological formations,etc.) DYES I VI Speck land forms: Yes No Impact on Water 3. Will Proposed Action affect any water body designated as protected? (Under Articles 15,24,25 of the Environmental Conservation Law, ECL) E�.J O 17 YES Examples that would apply to column 2 • Developable area of site contains a protected water body. JJ Yes rl No I • Dredging more than 100 cubic yards of material from channel of E] []Yes [:]No a protected stream. ' • Extension of utility distribution facilities through a protected water ❑ r Yes rl No may. • Construction in a designated freshwater or tidal wetland. M E Yes [:]No ' Other impacts: ❑ D Yes E No 4. Will Proposed Action affect any non-protected existing or new body of ' water? !O []YES Examples that would apply to column 2 • A 10%increase or decrease in the surface area of any body of r7 [:]Yes No ' water or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface ❑ QYes nNo ' area. • Other impacts: E []Yes C]No 1 Page 12 of 21 1 2 3 Small to Potential Can Impact Be ' Moderate Large Mitigated by Impact Impact Project Change ' 5. Will Propo d Action affect surface or groundwater quality or quantity NO YES ' Examples that would apply to column 2 • Proposed Action will require a discharge permit. ❑Yes ®No • Proposed Action requires use of a source of water that does not ri M Yes No have approval to serve proposed(project)action. • Proposed Action requires water supply from wells with greater ❑ []Yes No than 45 gallons per minute pumping capacity. ' Construction or operation causing any contamination of a water M ®Yes No supply system. IProposed Action will adversely affect groundwater. ri El Yes n No • Liquid effluent will be conveyed off the site to facilities which ❑ []Yes No presently do not exist or have inadequate capacity. ' Proposed Action would use water in excess of 20,000 gallons ❑Yes �_ No per day. I Proposed Action will likely cause siltation or other discharge into ❑ Yes No an existing body of wafter to the extent that there will be an obvious visual contrast to natural conditions. ' Proposed Action will require the storage of petroleum or ❑ rl Yes rl No chemical products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without r E]Yes ❑No I water and/or sewer services. • Proposed Action locates commercial and/or industrial uses ❑ Yes 1:1 No ' which may require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: El 1:1 DYes E]No I I I Page 13 of 21 1 2 3 Small to Potential Can Impact Be ' Moderate Large Mitigated by Impact Impact Project Change 6. Will Proposed Action alter drainage flow or patterns,or surface water runoff? 17 NO YES I Examples that would apply to column 2 • Proposed Action would change flood water flows Yes ❑No • Proposed Action may cause substantial erosion. Q [7]Yes [:]No IProposed Action is incompatible with existing drainage patterns. rl r7 Yes allo • Proposed Action will allow development in a designated Yes rINo Ifloodway. • Other impacts: DYes No oi I IMPACT ON AIR 7. Will Prop9sed Action affect air quality? L L4 �YES ' Examples that would apply to column 2 Proposed Action will induce 1,000 or more vehicle trips in any r1Yes ❑No given hour. IProposed Action will result in the incineration of more than 1 ton ❑ 0 Yes rlNo of refuse per hour. • Emission rate of total contaminants will exceed 5lbs.per hour 0 ❑ ElYes ONo I or a heat source producing more than 10 million BTU's per hour. • Proposed Action will allow an increase in the amount of land Yes QNo ' committed to industrial use. • Proposed Action will allow an increase in the density of M ❑ ElYes oNo ' industrial development within existing industrial areas. • Other impacts: [DYes DNo ' IMPACT ON PLANTS AND ANIMALS 8. Will Pro sed Action affect any threatened or endangered species? OYES ' Examples that would apply to column 2 • Reduction of one or more species listed on the New York or ❑ ® ❑Yes [:]No Federal list,using the site,over or near ' the site,or found on the site. ' Page 14 of 21 1 2 3 Small to Potential Can Impact Be ' Moderate Large Mitigated by Impact Impact Project Change • Removal of any portion of a critical or significant wildlife habitat. ri 17 El Yes QNo fApplication of pesticide or herbicide more than twice a year, riYes r7No other than for agricultural purposes. ' Other impacts: E Q 0Yes []No g. VMII Proposed Action substantially affect non-threatened or non- endang ed species? [N O ❑YES ' Examples that would apply to column 2 • Proposed Action would substantially interfere with any resident ❑ ❑ ®Yes No or migratory fish,shellfish or wildlife species. • Proposed Action requires the removal of more than 10 acres of ® rl 1:1 Yes MNo mature forest(over 100 years of age)or other locally important ' vegetation. • Other impacts: D Yes ONo I IMPACT ON AGRICULTURAL LAND RESOURCES ' 10. Wiill�P;rooped Action affect agricultural land resources? rC . - E]YES Examples that would apply to column 2 I The Proposed Action would sever,cross or limit access to M Yes ❑No agricultural land(includes cropland,hayfields,pasture,vineyard, orchard,etc.) • Construction activity would excavate or compact the soil profile of r ❑ [:]Yes No agricultural land. • The Proposed Action would irreversibly convert more than 10 r7 Yes [7]No ' acres of agricultural land or,if located in an Agricultural District, more than 2.5 acres of agricultural land. I I I IPage 15 of 21 I 1 2 3 Small to Potential Can Impact Be ' Moderate Large Mitigated by Impact Impact Project Change • The Proposed Action would disrupt or prevent installation of El rJ F1 Yes n No ' agricultural land management systems(e.g.,subsurface drain lines,outlet ditches,strip cropping);or create a need for such measures(e.g.cause a farm field to drain poorly due to ' increased runoff). • Otherimpacts_ El 11 Yes 13 No IMPACT ON AESTHETIC RESOURCES ' 11. Will Proposed Action affect aesthetic resources?(If necessary,use the Visua AF Addendum in Section 617.20,Appendix B.) 1O YES Examples that would apply to column 2 • Proposed land uses,or project components obviously different El E] E]Yes [:]No from or in sharp contrast to current surrounding land use ' patterns,whether man-made or natural. Proposed land uses,or project components visible to users of ri Yes r7 No aesthetic resources which will eliminate or significantly reduce ' their enjoyment of the aesthetic qualities of that resource. • Project components that will result in the elimination or ri 0 E]Yes 1:1No significant screening of scenic views known to be important to Ithe area. • Other impacts: El 0 Yes 11 No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, prehisto . or paleontological importance? ' O EI YES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or El n Yes n No ' substantially contiguous to any facility or site listed on the State or National Register of historic places. • Any impact to an archaeological site or fossil bed located within ❑ n Yes n No ' the project site. • Proposed Action will occur in an area designated as sensitive El El 0 Yes n No for archaeological sites on the NYS Site Inventory, IPage 16 of 21 ' 1 2 3 Small to Potential Can Impact Be ' Moderate Large Mitigated by Impact Impact Project Change • Other impacts: 0 Elyse 1-1 No ' IMPACT ON OPEN SPACE AND RECREATION 13. Will proposed Action affect the quantity or quality of existing or future ' open spaces or recreational opportunities? 13 NO ❑YES Examples that would apply to column 2 • The permanent foreclosure of a future recreational opportunity. ri ❑ ❑Yes DNo • A major reduction of an open space important to the community. [D [D Yes 0 No • Other impacts: ❑ OYes ❑No IMPACT ON CRITICAL ENVIRONMENTAL AREAS 14. Will Proposed Action impact the exceptional or unique ' characteristics of a critical environmental area(CEA)established pursuant to subdiv�isio-n�6 YCRR 617.14(g)? ONO OAS ' List the environmental characteristics that caused the designation of the CEA. Examples that would apply to column 2• Proposed Action to locate within the CEA? O ry n nYes nNo ' Proposed Action will result in a reduction in the quantity of the ❑ Q Yes ❑No resource? • Proposed Action will result in a reduction in the quality of the 1:1 ❑ E]Yes r7l No ' resource? • Proposed Action will impact the use,function or enjoyment of the El 1:1 Yes 1:1No ' resource? • Other impacts: E 0 [7]Yes ❑No ' Page 17 of 21 ' 1 2 3 Small to Potential Can Impact Be ' Moderate Large Mitigated by Impact Impact Project Change IMPACT ON TRANSPORTATION ' 15. Will there an effect to existing transportation systems? WO' - YES ' Examples that would apply to column 2 • Alteration of present patterns of movement of people and/or ❑ ❑ ❑Yes ❑No goods. ' Proposed Action will result in major traffic problems. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ ❑Yes ❑No ' IMPACT ON ENERGY 16. Will Proposed Action affect the community's sources of fuel or energy supply? ' M1O DYES Examples that would apply to column 2 • Proposed Action will cause a greater than 5%increase in the ❑ ❑ Dyes ❑No ' use of any form of energy in the municipality. Proposed Action will require the creation or extension of an ❑ ❑ ❑Yes ❑No ' energy transmission or supply system to serve more than 50 single ortwo family residences or to serve a major commercial or industrial use. ' Other impacts: ❑ ❑ []Yes ❑No NOISE AND ODOR IMPACT ' 17. Will there be objectionable odors,noise,or vibration as a result of the Propo d Action? WN O ❑YES ' Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital,school or other sensitive ❑ ❑ ❑Yes ❑No facility. ' Odors will occur routinely(more than one hour per day). ❑ ❑ ❑Yes ❑No • Proposed Action will produce operating noise exceeding the ❑ ❑ ❑Yes ❑No ' local ambient noise levels for noise outside of structures. • Proposed Action will remove natural barriers that would act as a ❑ ❑ ❑Yes ❑No noise screen. ' Other impacts: ❑ ❑ ❑Yes ❑No Page 18 of 21 ' 1 2 3 Small to Potential Can Impact Be ' Moderate Large Mitigated by Impact Impact Project Change ' IMPACT ON PUBLIC HEALTH 18. Will Proposed Action affect public health and safety? [ KO ®YES ' Proposed Action may cause a risk of explosion or release of ❑ rlYes a No hazardous substances(i.e.oil,pesticides,chemicals,radiation, ' etc.)in the event of accident or upset conditions,or there may be a chronic low level discharge or emission. • Proposed Action may result in the burial of"hazardous wastes" El 1:1 ElYes 11No in any form(i.e.toxic,poisonous,highly reactive,radioactive, ' irritating,infectious,etc.) • Storage facilities for one million or more gallons of liquefied E] Dyes ❑No I natural gas or other flammable liquids. • Proposed Action may result in the excavation or other ❑ ❑ Yes f7 No disturbance within 2,000 feet of a site used for the disposal of ' solid or hazardous waste. • Other impacts: OYes No IMPACT ON GROWTH AND CHARACTER IOF COMMUNITY OR NEIGHBORHOOD 19. Will Wsed Action affect the character of the existing community? r7YES ' Examples that would apply to column 2 • The permanent population of the city,town or village in which the ❑ DYes [D No project is located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating ❑ []Yes [D No services will increase by more than 5%per year as a result of ' this project. • Proposed Action will conflict with officially adopted plans or DYes [D No goals. ' Proposed Action will cause a change in the density of land use. 17 M DYes E]No • Proposed Action will replace or eliminate existing facilities, [3Yes R No ' structures or areas of historic importance to the community. • Development will create a demand for additional community 1 ❑Yes r7 No services(e.g.schools,police and fire,etc.) ' Page 19 of 21 ' 1 2 3 Small to Potential Can Impact Be ' Moderate Large Mitigated by Impact Impact Project Change • Proposed Action will set an important precedent for future ❑ [:]Yes [:]No projects. • Proposed Action will create or eliminate employment. [:]Yes a No IOther impacts: 0 Q Q Yes E]No 20. Is there,or is there likely to be,public controversy related to potential adverse vironment impacts? l�J"O ®YES ' If Any Action in Part 2 Is Identified as a Potential Large Impact or If you Cannot Determine the Magnitude of Impact, Proceed to Part 3 I fPage 20 of 21 i IPart 3-EVALUATION OF THE IMPORTANCE OF IMPACTS ' Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s)is considered to be potentially large,even if the impact(s)may be mitigated. IInstructions(If you need more space,attach additional sheets) I Discuss the following for each impact identified in Column 2 of Part 2: 1. Briefly describe the impact 2. Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by project change(s). 3. Based on the information available,decide if it is reasonable to conclude that this impact is important ITo answer the question of importance,consider: ! The probability of the impact occurring ' ! The duration of the impact ! Its irreversibility,including permanently lost resources of value I Whether the impact can or will be controlled ! The regional consequence of the impact ' ! Its potential divergence from local needs and goals ! Whether known objections to the project relate to this impact. � V d I Page 21 of 21 I MWWRae e H.Thomas Jarrett, P.E. ' Professional Engineering Kenneth Martin, P.E. ' Stormwater Management Report Kelly Residential Redevelopment Assembly Point Road ITown of Queensbury IOctober 2005 IIntroduction ' The Kelly property is located on the East side of Assembly Point where Assembly Point Road turns away from the lake shoreline and intersects Honeysuckle Lane. The property spans between Assembly Point Road on the East and Honeysuckle Lane on the West. An ' existing summer camp is being removed in favor of a new year round home. Stormwater conditions represented in this report are based on modeling of the site of both I the "pre-development", or existing, and "post-development" or predicted future conditions. Stormwater flows are calculated based on a computer program entitled "Hydrocad" that utilizes the SCS TR-20 methodology. This method should be thought of ' as a reasonable comparison of before and after development conditions, not necessarily a predictor of actual runoff rates under all site conditions. The stormwater model uses coefficients of runoff based on ground surface conditions as well as estimates of runoff itravel times to predict stormwater flow rates under "normal" conditions. Actual runoff rates can vary from predicted flow rates due to site conditions such as soil type, vegetation patterns, weather patterns, and soil moisture conditions, etc. which can be ' highly variable over a site and over time, and which can easily depart from predicted or documented conditions. Site Conditions ' The property is gently sloping with a total topographic relief in the area of development of approximately 5' to 10'. There is a drainage divide on the property, approximately in ' the area of the proposed house; runoff east of the house flows toward Lake George, and runoff west of the house flows toward and across Honeysuckle Lane to an existing wetland near the center of Assembly Point. 12 East Washington St. • Glens Falls, NY 12801 ' 518-792-2907/ 518-798-1864 Fax ®Printed on Recycled Paper ' Kelly Property hRedevelopment—Assembly Point, Town of Queensbury ' Stormwater Management Report October 2005 ' The site is presently partially vegetated with several large evergreen trees, but little to no undergrowth/groundcover exists. ' Subsurface investigations of the property show a silt loam with shallow (perched) groundwater especially during spring and heavy precipitation periods. Percolation rates ' were measured to range between 4 and 50 minutes per inch ' Pre-development(Existing) Stormwater Conditions The site has been analyzed as having two drainage "subcatchments", or sub-watersheds, ' following the topography described above. The attached calculations show that the total runoff volume during a 10 year storm event has been calculated as 0.182 acre-feet or 7928 cubic feet (59,300 gallons), and that the runoff rate has been calculated as 4.11 ' cubic feet per second(1845 gallons per minute). ' Post-development Stormwater Conditions -With No Stormwater Mitigation Based on the new residential development, which increases the amount of impervious ' surfaces on the property over that which existing previously, both the runoff rate and runoff volume are predicted to increase. 1 Recommended Stormwater Runoff Management (Mitigation) ' To reduce stormwater rates to pre-development levels and to minimize the chances for increased stormwater impacts,two systems to manage stormwater have been developed. ' On the east side of the property a landscaped terrace infiltration system is proposed that would intercept surface runoff from the house area and would accept roof runoff directed ' to it. The system is comprised of a series of infiltrators (for retention) buried in a landscaped terrace designed to infiltrate retained stormwater. ' The west side of the property includes a series of landscaped berms that are intended to create retention areas that trap and infiltrate stormwater. 1 ' Page 2 of 4 ' Kelly Property Redevelopment— Assembly Point, Town of Queensbury Stormwater Management Report October 2005 Post-development Stormwater Runoff-With Recommended Stormwater Mitigation ' Calculations of stormwater rate and volume following property re-development and including the proposed stormwater management systems are as follows: Pre-Development Post-Development ' 10 Year Storm -Volume 0.182 acre feet 0.054 acre feet 25 Year Storm - Rate 4.11 cubic feet/second 3.39 cubic feet/second Conclusion: ' The stormwater management proposed for this site has been calculated to reduce the post development runoff volume during a 10 year storm and the runoff rate during a 25 year storm, to below the corresponding values existing prior to development. IReport Prepared by: IJarrett-Martin Engineers, PLLC ' bPrnincipa Jarrett,P.E. ' F.11 JM Llbraryl Forms Reports Docsl JM Report TemplgtesiLERC Strmwter Rep Template(I Nov05).doc I I ' Page 3 of 4 Kelly Property Redevelopment—Assembly Point,Town of Queensbury Stormwater Management Report October 2005 Appendix ' • Jarrett-Martin Engineers,PLLC Site Plan Drawings and Details: Cl, C2,D1,D2; Last g Revised 10/21/05 • Pre-development Stormwater runoff calculations ' • Post-development Stormwater runoff calculations I I Page 4 of 4 I I I 20S I I Exist Sub #2 (West) ! S I I Exist Sub #1 (East) I I I ' Subcat Reach on Link Drainage Diagram for 05020 090605 Stmwtr Pre CalIcs Prepared by{enter your company name here} 11/1/2005 HydroCAD®7.00 s/n 001268 ©1986-2003 Applied Microcomputer Systems ' 05020 090605 Stmwtr Pre Calcs Type // 24-hr 10 YR Rainfall=3.80" Prepared by{enter your company name here} Page 2 HydroCAD®7 00 s/n 001268 © 1986-2003 Applied Microcomputer Systems 11/1/2005 ' Time span=5.00-20.00 hrs, dt=0.05 hrs, 301 points Runoff by SCS TR-20 method, UH=SCS ' Reach routing by Stor-Ind+Trans method - Pond routing by Stor-Ind method Subcatchment 1S: Exist Sub#1 (East) Runoff Area=16,977 sf Runoff Depth=1.95" Flow Length=102' Tc=9.9 min CN=83 Runoff=1.25 cfs 0.063 of ' Subcatchment 2S: Exist Sub#2 (West) Runoff Area=30,625 sf Runoff Depth=2.03" Flow Length=249' Tc=13.7 min CN=84 Runoff=2.07 cfs 0.119 of Total Runoff Area= 1.093 ac Runoff Volume = 0.182 of Average Runoff Depth = 2.00" I I I I I I ' 05020 090605 Stmwtr Pre Calcs Type 1124-hr 10 YR Rainfall=3.80" Prepared by {enter your company name here} Page 3 HydroCAD®7.00 s/n 001268 01986-2003 Applied Microcomputer Systems 11/1/2005 ' Subcatchment 1S: Exist Sub #1 (East) ' Runoff = 1.25 cfs @ 12.01 hrs, Volume= 0.063 af, Depth= 1.95" Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Type II 24-hr 10 YR Rainfall=3.80" Areas CN Description 1,264 98 Paved parking & roofs 15,713 82 Woods/grass comb. Fair HSG D 16,977 83 Weighted Average ' Tc Length Slope Velocity Capacity Description (min) (feet) (ft/ft) (fUsec) (cfs) 9.9 102 0.0700 0.2 Sheet Flow, grass/trees Grass: Dense n= 0.240 P2= 2.50" Subcatchment 2S: Exist Sub #2 (West) fRunoff = 2.07 cfs @ 12.06 hrs, Volume= 0.119 af, Depth= 2.03" Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Type II 24-hr 10 YR Rainfall=3.80" Area (sf) CN Description 1,225 98 Paved parking & roofs: camp 26,850 82 Woods/grass comb., Fair, HSG D 176 98 sheds 2,374 98 Paved parking 30,625 84 Weighted Average ' Tc Length Slope Velocity Capacity Description min feet ft/ft ft/sec cfs 12.2 100 0.0400 0.1 Sheet Flow, grass/trees ' Grass: Dense n= 0.240 P2= 2.50" 1.3 77 0.0200 1.0 Shallow Concentrated Flow, grass/trees Short Grass Pasture Kv= 7.0 fps 0.2 72 0.0150 5.0 7.49 Channel Flow, road ditch ' Area= 1.5 sf Perim= 3.2' r= 0.47' n= 0.022 13.7 249 Total ' 05020 090605 Stmwtr Pre Calcs Type Il 24-hr 25 YR Rainfall=4.40" Prepared by{enter your company name here} Page 4 HydroCAD®7 00 s/n 001268 © 1986-2003 Applied Microcomputer Systems 11/1/2005 ' Time span=5.00-20.00 hrs, dt=0.05 hrs, 301 points Runoff by SCS TR-20 method, UH=SCS Reach routing by Stor-Ind+Trans method - Pond routing by Stor-Ind method ' Subcatchment 1S: Exist Sub#1 East Runoff Area=16,977 sf Runoff Depth=2.44" (East) Flow Length=102' Tc=9.9 min CN=83 Runoff=1.55 cfs 0.079 of ' Subcatchment 2S: Exist Sub#2 (West) Runoff Area=30,625 sf Runoff Depth=2.53" Flow Length=249' Tc=13.7 min CN=84 Runoff=2.56 cfs 0.148 of ' Total Runoff Area = 1.093 ac Runoff Volume= 0.228 of Average Runoff Depth = 2.50" I I I I ' 05020 090605 Stmwtr Pre Calcs Type 11 24-hr 25 YR Rainfall=4.40" Prepared by{enter your company name here} Page 5 HydroCAD®7.00 s/n 001268 © 1986-2003 Applied Microcomputer Systems 11/1/2005 ' Subcatchment 1S: Exist Sub #1 (East) Runoff = 1.55 cfs @ 12.01 hrs, Volume= 0.079 af, Depth= 2.44" Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs ' Type II 24-hr 25 YR Rainfall=4.40" Area (sf) CN Description 1,264 98 Paved parking & roofs ' 15,713 82 Woods/grass comb., Fair, HSG D 16,977 83 Weighted Average ' Tc Length Slope Velocity Capacity Description (min) (feet) (ft/ft) (ft/sec) (cfs) 9.9 102 0.0700 0.2 Sheet Flow, grass/trees ' Grass: Dense n= 0.240 P2= 2.50" Subcatchment 2S: Exist Sub #2 (West) ' Runoff = 2.56 cfs @ 12.05 hrs, Volume= 0.148 af, Depth= 2.53" Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Type II 24-hr 25 YR Rainfall=4.40" Area (sf) CN Description I 1,225 98 Paved parking & roofs: camp 26,850 82 Woods/grass comb., Fair, HSG D 176 98 sheds 2,374 98 Paved parking 30,625 84 Weighted Average Tc Length Slope Velocity Capacity Description (min) (feet) (ft/ft) (ft/sec) (cfs) 12.2 100 0.0400 0.1 Sheet Flow, grass/trees ' Grass: Dense n= 0.240 P2= 2.50" 1.3 77 0.0200 1.0 Shallow Concentrated Flow, grass/trees Short Grass Pasture Kv= 7.0 fps 0.2 72 0.0150 5.0 7.49 Channel Flow, road ditch I Area= 1.5 sf Perim= 3.2' r= 0.47' n= 0.022 13.7 249 Total I I I I (2S) 1S f ' Devel Sub 2 (West) Devel Sut #1 (East) 2PA ' Pond #1 alo driveway P 9 YA Landscaped Terrace w/infiltrators ZPB Pond #2 along driveway Y A t Retention Pond NW Corner Subcat Reach on ILinkI Drainage Diagram for 05020 090605 Stmwtr Post Calcs Prepared by(enter your company name here} 11/1/2005 HydroCADS 7.00 s/n 001268 01986-2003 Applied Microcomputer Systems i I 05020 090605 Stmwtr Post Calcs Type // 24-hr 10 YR Rainfall=3.80" Prepared by{enter your company name here} Page 2 HydroCADO 7.00 s/n 001268 © 1986-2003 Applied Microcomputer Systems 11/1/2005 ITime span=5.00-20.00 hrs, dt=0.05 hrs, 301 points Runoff by SCS TR-20 method, UH=SCS IReach routing by Stor-Ind+Trans method - Pond routing by Stor-Ind method Subcatchment 1S: Devel Sub#1 (East) Runoff Area=14,840 sf Runoff Depth=2.11" Flow Length=190' Tc=14.7 min CN=85 Runoff=1.00 cfs 0.060 of Subcatchment 2S: Devel Sub#2 (West) Runoff Area=32,763 sf Runoff Depth=2.29" Flow Length=340' Tc=1.3 min CN=87 Runoff=3.52 cfs 0.143 of Pond IPA: Landscaped Terrace w/infiltrators Peak EIev=338.03' Storage=13 cf Inflow=1.00 cfs 0.060 of Discarded=0.55 cfs 0.034 of Secondary=0.43 cfs 0.026 of Outflow=0.98 cfs 0.060 of IPond 2PA: Pond #1 along driveway Peak EIev=340.15' Storage=105 cf Inflow=3.52 cfs 0.143 of Discarded=0.27 cfs 0.084 of Primary=3.07 cfs 0.059 of Outflow=3.34 cfs 0.143 of IPond 2PB: Pond#2 along driveway Peak EIev=339.14' Storage=105 cf Inflow=3.07 cfs 0.059 of Discarded=0.27 cfs 0.014 of Primary=2.80 cfs 0.044 of Outflow=3.07 cfs 0.059 of IPond 2PC: Retention Pond NW Corner Peak EIev=337.84' Storage=904 cf Inflow=2.80 cfs 0.044 of Discarded=0.32 cfs 0.016 of Primary=2.11 cfs 0.028 of Secondary=0.00 cfs 0.000 of Outflow=2.42 cfs 0.044 of ITotal Runoff Area = 1.093 ac Runoff Volume =0.203 of Average Runoff Depth = 2.23" I I I I ' 05020 090605 Stmwtr Post Calcs Type Il 24-hr 10 YR Rainfall=3.80" Prepared by{enter your company name here} Page 3 HydroCADO 7.00 s/n 001268 © 1986-2003 Applied Microcomputer Systems 11/1/2005 ' Subcatchment 1S: Devel Sub #1 (East) ' Runoff = 1.00 cfs @ 12.07 hrs, Volume= 0.060 af, Depth= 2.11" Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Type II 24-hr 10 YR Rainfall=3.80" Area (sf) CN Description 1,264 98 Paved parking & roofs: driveways 13,576 84 50-75% Grass cover, Fair, HSG D 14,840 85 Weighted Average ' Tc Length Slope Velocity Capacity Description (min) (feet) (ft/ft) (ft/sec) (cfs) 8.7 90 0.0750 0.2 Sheet Flow, landscaped front yard Grass: Dense n= 0.240 P2= 2.50" 6.0 100 0.0001 0.3 0.28 Channel Flow, Area= 1.0 sf Perim= 3.1' r= 0.32' n= 0.025 14.7 190 Total Subcatchment 2S: Devel Sub #2 (West) IRunoff = 3.52 cfs @ 11.90 hrs, Volume= 0.143 af, Depth= 2.29" Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Type II 24-hr 10 YR Rainfall=3.80" Area (sf) CN Description I 3,885 98 House 825 98 Garage 122 98 Sheds 2,374 98 Neighboring Driveway 25,557 84 50-75% Grass cover, Fair, HSG D 32,763 87 Weighted Average ITc Length Slope Velocity Capacity Description (min) (feet) (ft/ft) (ft/sec) (cfs) 0.7 120 0.0100 2.8 0.25 Circular Channel (pipe), underdrain I Diam=4.0" Area= 0.1 sf Perim= 1.0' r= 0.08' n= 0.010 0.6 220 0.0300 5.8 8.63 Channel Flow, swale Area= 1.5 sf Perim= 3.2' r= 0.47' n= 0.027 1.3 340 Total Pond 1 PA: Landscaped Terrace w/infiltrators IInflow Area = 0.341 ac, Inflow Depth = 2.11" for 10 YR event Inflow = 1.00 cfs @ 12.07 hrs, Volume= 0.060 of I Outflow = 0.98 cfs @ 12.08 hrs, Volume= 0.060 af, Atten= 2%, Lag= 0.6 min Discarded = 0.55 cfs @ 12.08 hrs, Volume= 0.034 of Secondary = 0.43 cfs @ 12.08 hrs, Volume= 0.026 of I 05020 090605 Stmwtr Post Calcs Type 1124-hr 10 YR Rainfall=3.80" Prepared by{enter your company name here} Page 4 HydroCADO 7.00 s/n 001268 © 1986-2003 Applied Microcomputer Systems 11/1/2005 ' Routingb Stor-Ind method, Time S an= 5.00-20.00 hrs, dt= 0.05 hrs Y p Peak Elev= 338.03' @ 12.09 hrs Surf.Area= 407 sf Storage= 13 cf I Plug-Flow detention time= (not calculated: outflow precedes inflow) Center-of-Mass det. time= (not calculated) I # Invert Avail Storage Storage Description 1 338.00' 363 cf Custom Stage Data (Prismatic) Listed below x 200 1,200 cf Overall - 163 cf Embedded = 1,037 cf x 35.0% Voids 2 338.00' 163 cf 15.8"W x 12.0"H x 8.001 Cultec C-EZ-24 x 25 Inside#1 526 cf Total Available Storage I Elevation Surf.Area Inc.Store Cum.Store (feet) (sq-ft) (cubic-feet) (cubic-feet) 338.00 2 0 0 340.00 4 6 6 # Routing Invert Outlet Devices 1 Discarded 0.00' 0.080000 fpm Exfiltration over entire Surface area I2 Secondary 337.00' 4.0" Horiz. Orifice/Grate Limited to weir flow C= 0.600 Discarded OutFlow Max=0.54 cfs @ 12.08 hrs HW=338.03' (Free Discharge) t1=Exfiltration (Exfiltration Controls 0.54 cfs) Secondary OutFlow Max=0.43 cfs @ 12.08 hrs HW=338.03' (Free Discharge) L2=Orifice/Grate (Orifice Controls 0.43 cfs @ 4.9 fps) I Pond 2PA: Pond #1 along driveway IInflow Area = 0.752 ac, Inflow Depth = 2.29" for 10 YR event Inflow - 3.52 cfs @ 11.90 hrs, Volume= 0.143 of Outflow = 3.34 cfs @ 11.91 hrs, Volume= 0.143 af, Atten= 5%, Lag= 0.3 min ' Discarded 0.27 cfs @ 11.60 hrs, Volume= 0.084 of Primary 3.07 cfs @ 11.91 hrs, Volume= 0.059 of ' Routing by Stor-Ind method, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Peak Elev= 340.15' @ 11.91 hrs Surf.Area= 200 sf Storage= 105 cf Plug-Flow detention time= 3.4 min calculated for 0.143 of(100% of inflow) ' Center-of-Mass det. time= 2.8 min (770.1 -767.3 ) # Invert Avail Storage Storage Description 1 339.00' 105 cf Custom Stage Data (Prismatic) Listed below ' Elevation Surf.Area Inc.Store Cum.Store (feet) (sq-ft) (cubic-feet) (cubic-feet) f 339.00 10 0 0 340.00 200 105 105 I # Routing Invert Outlet Devices 1 Primary 340.00' 20.0' long x 1.0' breadth Broad-Crested Rectangular Weir Head (feet) 0.20 0.40 0.60 0.80 1.00 1.20 1.40 1.60 1.80 2.00 2.50 I ' 05020 090605 Stmwtr Post Calcs Type //24-hr 10 YR Rainfall=3.80" Prepared by {enter your company name here} Page 5 HydroCADO 7.00 s/n 001268 © 1986-2003 Applied Microcomputer Systems 11/1/2005 3.00 Coef. (English) 2.69 2.72 2.75 2.85 2.98 3.08 3.20 3.28 3.31 3.30 3.31 ' 3.32 2 Discarded 0.00' 0.080000 fpm Exfiltration over entire Surface area Discarded OutFlow Max=0.27 cfs @ 11.60 hrs HW=340.01' (Free Discharge) L2=Exfiltration (Exfiltration Controls 0.27 cfs) Primary OutFlow Max=3.02 cfs @ 11.91 hrs HW=340.15' (Free Discharge) t1=Broad-Crested Rectangular Weir (Weir Controls 3.02 cfs @ 1.0 fps) Pond 2PB: Pond #2 along driveway Inflow Area = 0.752 ac, Inflow Depth = 0.94" for 10 YR event Inflow = 3.07 cfs @ 11.91 hrs, Volume= 0.059 of Outflow = 3.07 cfs @ 11.91 hrs, Volume= 0.059 af, Atten= 0%, Lag= 0.0 min Discarded 0.27 cfs @ 11.70 hrs, Volume= 0.014 of Primary 2.80 cfs @ 11.91 hrs, Volume= 0.044 of Routing by Stor-Ind method, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Peak Elev= 339.14' @ 11.91 hrs Surf.Area= 200 sf Storage= 105 cf Plug-Flow detention time= 1.5 min calculated for 0.059 of(100% of inflow) Center-of-Mass det. time= 1.6 min ( 714.4- 712.8 ) # Invert Avail.Storage Storage Description 1 338.00' 105 cf Custom Stage Data (Prismatic) Listed below Elevation Surf.Area Inc.Store Cum.Store (feet) (sq-ft) (cubic-feet) (cubic-feet) 338.00 10 0 0 339.00 200 105 105 # Routing Invert Outlet Devices 1 Discarded 0.00' 0.080000 fpm Exfiltration over entire Surface area 2 Primary 339.00' 20.0' long x 1.0' breadth Broad-Crested Rectangular Weir Head (feet) 0.20 0.40 0.60 0.80 1.00 1.20 1.40 1.60 1.80 2.00 2.50 3.00 Coef. (English) 2.69 2.72 2.75 2.85 2.98 3.08 3.20 3.28 3.31 3.30 3.31 I 3.32 Discarded OutFlow Max=0.27 cfs @ 11.70 hrs HW_339.03' (Free Discharge) L1=Exfiltration (Exfiltration Controls 0.27 cfs) IPrimary OutFlow Max=2.74 cfs @ 11.91 hrs HW=339.14' (Free Discharge) L2=Broad-Crested Rectangular Weir (Weir Controls 2.74 cfs @ 1.0 fps) I I I ' 05020 090605 Stmwtr Post Calcs Type 11 24-hr 10 YR Rainfall=3.80" Prepared by {enter your company name here} Page 6 HydroCADO 7.00 s/n 001268 © 1986-2003 Applied Microcomputer Systems 11/1/2005 Pond 2PC: Retention Pond NW Corner Inflow Area 0.752 ac, Inflow Depth = 0.71" for 10 YR event Inflow 2.80 cfs @ 11.91 hrs, Volume= 0.044 of Outflow = 2.42 cfs @ 11.95 hrs, Volume= 0.044 af, Atten= 13%, Lag= 2.5 min Discarded = 0.32 cfs @ 11.95 hrs, Volume= 0.016 of I Primary = 2.11 cfs @ 11.95 hrs, Volume= 0.028 of Secondary = 0.00 cfs @ 5.00 hrs, Volume= 0.000 of Routing by Stor-Ind method, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Peak Elev= 337.84' @ 11.95 hrs Surf.Area= 1,115 sf Storage= 904 cf Plug-Flow detention time= 13.9 min calculated for 0.044 of(100% of inflow) Center-of-Mass det. time= 13.5 min ( 726.3- 712.7) # Invert Avail.Storage Storage Description 1 336.00' 1,035 cf Custom Stage Data (Prismatic) Listed below Elevation Surf.Area Inc.Store Cum.Store (feet) (sq-ft) (cubic-feet) (cubic-feet) I 336.00 20 0 0 337.00 400 210 210 338.00 1,250 825 1,035 I # Routing Invert Outlet Devices 1 Discarded 0.00' 0.017000 fpm Exfiltration over entire Surface area 2 Secondary 338.00' 30.0' long x 1.0' breadth Broad-Crested Rectangular Weir Head (feet) 0.20 0.40 0.60 0.80 1.00 1.20 1.40 1.60 1.80 2.00 2.50 3.00 Coef. (English) 2.69 2.72 2.75 2.85 2.98 3.08 3.20 3.28 3.31 3.30 3.31 I 3.32 3 Primary 337.00' 90.0 deg x 0.2' long Sharp-Crested Vee/Trap Weir C= 2.50 I Discarded OutFlow Max=0.31 cfs @ 11.95 hrs HW=337.84' (Free Discharge) L1=Exfiltration (Exfiltration Controls 0.31 cfs) I Primary OutFlow Max=2.08 cfs @ 11.95 hrs HW=337.84' (Free Discharge) L3=Sharp-Crested Vee/Trap Weir (Weir Controls 2.08 cfs @ 2.4 fps) Secondary OutFlow Max=0.00 cfs @ 5.00 hrs HW=336.00' (Free Discharge) It2=Broad-Crested Rectangular Weir ( Controls 0.00 cfs) I I I I i I 05020 090605 Stmwtr Post Caics Type 11 24-hr 25 YR Rainfall=4.40" Prepared by{enter your company name here} Page 7 HydroCADO 7.00 s/n 001268 © 1986-2003 Applied Microcomputer Systems 11/1/2005 Time span=5.00-20.00 hrs, dt=0.05 hrs, 301 points Runoff by SCS TR-20 method, UH=SCS Reach routing by Stor-Ind+Trans method - Pond routing by Stor-Ind method Subcatchment IS: Devel Sub#1 (East) Runoff Area=14,840 sf Runoff Depth=2.62" Flow Length=190' Tc=14.7 min CN=85 Runoff=1.24 cfs 0.074 of Subcatchment 2S: Devel Sub#2 (West) Runoff Area=32,763 sf Runoff Depth=2.81" Flow Length=340' Tc=1.3 min CN=87 Runoff=4.27 cfs 0.176 of IPond IPA: Landscaped Terrace w/infiltrators Peak Elev=338.23' Storage=82 cf Inflow=1.24 cfs 0.074 of Discarded=0.59 cfs 0.042 of Secondary=0.47 cfs 0.033 of Outflow=1.06 cfs 0.074 of IPond 2PA: Pond #1 along driveway Peak Elev=340.18' Storage=105 cf Inflow=4.27 cfs 0.176 of Discarded=0.27 cfs 0.099 of Primary=4.10 cfs 0.077 of Outflow=4.37 cfs 0.176 of Pond 2PB: Pond #2 along driveway Peak Elev=339.18' Storage=105 cf Inflow=4.10 cfs 0.077 of Discarded=0.27 cfs 0.017 of Primary=4.13 cfs 0.059 of Outflow=4.39 cfs 0.077 of IPond 2PC: Retention Pond NW Corner Peak Elev=337.97' Storage=1,012 cf Inflow=4.13 cfs 0.059 of Discarded=0.35 cfs 0.018 of Primary=2.92 cfs 0.042 of Secondary=0.00 cfs 0.000 of Outflow=3.27 cfs 0.059 of Total Runoff Area = 1.093 ac Runoff Volume = 0.250 of Average Runoff Depth = 2.75" I I I I i I 05020 090605 Stmwtr Post Calcs Type 11 24-hr 25 YR Rainfall=4.40" Prepared by {enter your company name here} Page 8 HydroCADO 7.00 s/n 001268 © 1986-2003 Applied Microcomputer Systems 11/1/2005 Subcatchment IS: Devel Sub #1 (East) ' Runoff = 1.24 cfs @ 12.06 hrs, Volume= 0.074 af, Depth= 2.62" Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Type II 24-hr 25 YR Rainfall=4.40" Area (sf) CN Description 1,264 98 Paved parking & roofs: driveways I 13,576 84 50-75% Grass cover, Fair, HSG D 14,840 85 Weighted Average Tc Length Slope Velocity Capacity Description (min) (feet) (ft/ft) (ft/sec) (cfs) 8.7 90 0.0750 0.2 Sheet Flow, landscaped front yard Grass: Dense n= 0.240 P2= 2.50" 6.0 100 0.0001 0.3 0.28 Channel Flow, Area= 1.0 sf Perim= 3.1' r= 0.32' n= 0.025 14.7 190 Total Subcatchment 2S: Devel Sub #2 (West) ' Runoff = 4.27 cfs @ 11.90 hrs, Volume= 0.176 af, Depth= 2.81" Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs IType II 24-hr 25 YR Rainfall=4.40" Area (sf) CN Description I 3,885 98 House 825 98 Garage 122 98 Sheds I 2,374 98 Neighboring Driveway 25,557 84 50-75% Grass cover, Fair, HSG D 32,763 87 Weighted Average ' Tc Length Slope Velocity Capacity Description (min) (feet) (ft/ft) (ft/sec) (cfs) 0.7 120 0.0100 2.8 0.25 Circular Channel (pipe), underdrain ' Diam= 4.0" Area= 0.1 sf Perim= 1.0' r= 0.08' n= 0.010 0.6 220 0.0300 5.8 8.63 Channel Flow, swale Area= 1.5 sf Perim= 3.2' r= 0.47' n= 0.027 I1.3 340 Total Pond IPA: Landscaped Terrace w/lnfiltrators IInflow Area = 0.341 ac, Inflow Depth = 2.62" for 25 YR event Inflow = 1.24 cfs @ 12.06 hrs, Volume= 0.074 of ' Outflow = 1.06 cfs @ 12.13 hrs, Volume= 0.074 af, Atten= 14%, Lag= 4.0 min Discarded = 0.59 cfs @ 12.13 hrs, Volume= 0.042 of Secondary = 0.47 cfs @ 12.13 hrs, Volume= 0.033 of 05020 090605 Stmwtr Post Calcs Type // 24-hr 25 YR Rainfall=4.40" Prepared by{enter your company name here} Page 9 HydroCADO 7.00 s/n 001268 © 1986-2003 Applied Microcomputer Systems 11/1/2005 Routingb Stor-In = - _y d method, Time Span 5.00 20.00 hrs, dt 0.05 hrs Peak Elev= 338.23' @ 12.13 hrs Surf.Area= 446 sf Storage= 82 cf Plug-Flow detention time= (not calculated: outflow precedes inflow) Center-of-Mass det. time= (not calculated) I # Invert Avail.Storage Storage Description 1 338.00' 363 cf Custom Stage Data (Prismatic) Listed below x 200 1,200 cf Overall - 163 cf Embedded = 1,037 cf x 35.0% Voids I 2 338.00' 163 cf 15.8"W x 12.0"H x 8.001 Cultec C-EZ-24 x 25 Inside#1 526 cf Total Available Storage I Elevation Surf.Area Inc.Store Cum.Store (feet) (sq-ft) (cubic-feet) (cubic-feet) 338.00 2 0 0 340.00 4 6 6 # Routing Invert Outlet Devices 1 Discarded 0.00' 0.080000 fpm Exfiltration over entire Surface area 2 Secondary 337.00' 4.0" Horiz. Orifice/Grate Limited to weir flow C= 0.600 Discarded OutFlow Max=0.59 cfs @ 12.13 hrs HW=338.22' (Free Discharge) It1=Exfiltration (Exfiltration Controls 0.59 cfs) $econdary OutFlow Max=0.46 cfs @ 12.13 hrs HW=338.22' (Free Discharge) I2=Orifice/Grate (Orifice Controls 0.46 cfs @ 5.3 fps) Pond 2PA: Pond #1 along driveway IInflow Area = 0.752 ac, Inflow Depth = 2.81" for 25 YR event Inflow - 4.27 cfs @ 11.90 hrs, Volume= 0.176 of Outflow = 4.37 cfs @ 11.90 hrs, Volume= 0.176 af, Atten= 0%, Lag= 0.0 min Discarded 0.27 cfs @ 11.60 hrs, Volume= 0.099 of Primary 4.10 cfs @ 11.90 hrs, Volume= 0.077 of I Routing by Stor-Ind method, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Peak Elev= 340.18' @ 11.90 hrs Surf.Area= 200 sf Storage= 105 cf Plug-Flow detention time= 3.3 min calculated for 0.175 of (100% of inflow) ICenter-of-Mass det. time= 2.7 min (765.2 - 762.5 ) # Invert Avail.Storage Storage Description 1 339.00' 105 cf Custom Stage Data (Prismatic) Listed below Elevation Surf.Area Inc.Store Cum.Store (feet) (sq-ft) (cubic-feet) (cubic-feet) ' 339.00 10 0 0 340.00 200 105 105 # Routing Invert Outlet Devices 1 Primary 340.00' 20.0' long x 1.0' breadth Broad-Crested Rectangular Weir Head (feet) 0.20 0.40 0.60 0.80 1.00 1.20 1.40 1.60 1.80 2.00 2.50 i 05020 090605 Stmwtr Post Calcs Type 1124-hr 25 YR Rainfall=4.40" Prepared by {enter your company name here} Page 10 HydroCADO 7.00 s/n 001268 © 1986-2003 Applied Microcomputer Systems 11/1/2005 3.00 Coef. (English) 2.69 2.72 2.75 2.85 2.98 3.08 3.20 3.28 3.31 3.30 3.31 3.32 I2 Discarded 0.00' 0.080000 fpm Exfiltration over entire Surface area Discarded OutFlow Max=0.27 cfs @ 11.60 hrs HW=340.04' (Free Discharge) L2=Exfiltration (Exfiltration Controls 0.27 cfs) Primary OutFlow Max=4.03 cfs @ 11.90 hrs HW=340.18' (Free Discharge) L1=Broad-Crested Rectangular Weir (Weir Controls 4.03 cfs @ 1.1 fps) Pond 2PB: Pond #2 alongdriveway Y I Inflow Area = 0.752 ac, Inflow Depth = 1.22" for 25 YR event Inflow = 4.10 cfs @ 11.90 hrs, Volume= 0.077 of Outflow = 4.39 cfs @ 11.90 hrs, Volume= 0.077 af, Atten= 0%, Lag= 0.0 min I Discarded 0.27 cfs @ 11.70 hrs, Volume= 0.017 of Primary 4.13 cfs @ 11.90 hrs, Volume= 0.059 of I Routing by Stor-Ind method, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Peak Elev= 339.18' @ 11.90 hrs Surf.Area= 200 sf Storage= 105 cf Plug-Flow detention time= 1.4 min calculated for 0.076 of(100% of inflow) Center-of-Mass det. time= 1.4 min ( 714.3- 712.9 ) # Invert Avail Storage Storage Description 1 338.00' 105 cf Custom Stage Data (Prismatic) Listed below Elevation Surf.Area Inc.Store Cum.Store (feet) (sq-ft) (cubic-feet) (cubic-feet) 338.00 10 0 0 339.00 200 105 105 # Routing Invert Outlet Devices 1 Discarded 0.00' 0.080000 fpm Exfiltration over entire Surface area 2 Primary 339.00' 20.0' long x 1.0' breadth Broad-Crested Rectangular Weir Head (feet) 0.20 0.40 0.60 0.80 1.00 1.20 1.40 1.60 1.80 2.00 2.50 3.00 Coef. (English) 2.69 2.72 2.75 2.85 2.98 3.08 3.20 3.28 3.31 3.30 3.31 3.32 IDiscarded OutFlow Max=0.27 cfs @ 11.70 hrs HW=339.08' (Free Discharge) t-1=Exfiltration (Exfiltration Controls 0.27 cfs) I Primary ary OutFlow Max=4.06 cfs @ 11.90 hrs HW=339.18' (Free Discharge) 2=Broad-Crested Rectangular Weir (Weir Controls 4.06 cfs @ 1.1 fps) I I i ' 05020 090605 Stmwtr Post Calcs Type 11 24-hr 25 YR Rainfall=4.40" Prepared by{enter your company name here} Page 11 HydroCADO 7.00 s/n 001268 © 1986-2003 Applied Microcomputer Systems 11/1/2005 Pond 2PC: Retention Pond NW Corner I Inflow Area = 0.752 ac, Inflow Depth = 0.95" for 25 YR event Inflow 4.13 cfs @ 11.90 hrs, Volume= 0.059 of Outflow = 3.27 cfs @ 11.94 hrs, Volume= 0.059 af, Atten= 21%, Lag= 2.5 min Discarded = 0.35 cfs @ 11.94 hrs, Volume= 0.018 of I Primary = 2.92 cfs @ 11.94 hrs, Volume= 0.042 of Secondary = 0.00 cfs @ 5.00 hrs, Volume= 0.000 of Routing by Stor-Ind method, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Peak Elev= 337.97' @ 11.94 hrs Surf.Area= 1,226 sf Storage= 1,012 cf Plug-Flow detention time= 11.0 min calculated for 0.059 of(100% of inflow) I Center-of-Mass det. time= 11.3 min ( 723.6- 712.3) # Invert Avail.Storage Storage Description 1 336.00' 1,035 cf Custom Stage Data (Prismatic) Listed below Elevation Surf.Area Inc.Store Cum.Store (feet) (sq-ft) (cubic-feet) (cubic-feet) I 336.00 20 0 0 337.00 400 210 210 338.00 1,250 825 1,035 # Routing Invert Outlet Devices 1 Discarded 0.00' 0.017000 fpm Exfiltration over entire Surface area I 2 Secondary 338.00' 30.0' long x 1.0' breadth Broad-Crested Rectangular Weir Head (feet) 0.20 0.40 0.60 0.80 1.00 1.20 1.40 1.60 1.80 2.00 2.50 3.00 Coef. (English) 2.69 2.72 2.75 2.85 2.98 3.08 3.20 3.28 3.31 3.30 3.31 3.32 3 Primary 337.00' 90.0 deg x 0.2' long Sharp-Crested Vee/Trap Weir C= 2.50 Discarded OutFlow Max=0.34 cfs @ 11.94 hrs HW=337.96' (Free Discharge) t-1=Exfiltration (Exfiltration Controls 0.34 cfs) Primary OutFlow Max=2.82 cfs @ 11.94 hrs HW=337.96' (Free Discharge) t-3=Sharp-Crested Vee/Trap Weir (Weir Controls 2.82 cfs @ 2.6 fps) Secondary OutFlow Max=0.00 cfs @ 5.00 hrs HW=336.00' (Free Discharge) It-2=Broad-Crested Rectangular Weir ( Controls 0.00 cfs) I I I Hug 15 U5 U7: 53a James Kelly A 518-489-6294 p. l Top James Kelly 5 Roosevelt St. Albany,NY 12206 Tel. 253-7295 Craig Brown, In reference to the construction project of the single family home on 241 Assembly Point road and an adjustment of the position of the new garage and driveway, I would like to make two minor changes. The existing plot plan indicates a 30 foot distance between the west side of the house and the east side of the garage. The homeowner would like to increase this distance to 35'. This would also move the septic field back 5'. All property line setbacks would still be met. This would allow a more useable turn around area between the garage and the house. The other adjustment is moving the driveway entering from Honeysuckle Ln. to the south to nun along the property line for 80' and then veering north toward the house. The neighbor to the south is agreeable to this driveway location. I do not see any negative impact to either adjustment. I am including a plot plan with the two changes shown and will call you to discuss them. Sincerely, .lames Kelly 1s Aug 15 05 07: 53a James Kelly 518-489-6294 p. 2 01 LE SEPTIC EO �. PROPOSED GAPAGE ' see s4dc pia.it - 1� • /�slF coMtsl O o \ O N _ O 1 4,324 sq. ft. o` oo Af f cif a � E n • Ac: •— r �E Site Plan I" : 40' u 5-1 � Permit Number Z� REScheck Compliance Certificate Checked By/Date 2000 IECC REScheckSoflware Version 3.6 Release 1 Data filename:05-001 4-1-05 Kelly.rck PROJECT TITLE:Residence fo Mr.John Kelly CITY:Glens Falls STATE:New York HDD:7635 CONSTRUCTION TYPE:Single Family WINDOW/WALL RATIO:0.23 DATE:04/05/05 DATE OF PLANS:4/1/05 PROJECT DESCRIPTION: Single Family Log Home DESIGNER/CONTRACTOR: Frederick G.Bremer Architecture,PLLC COMPLIANCE:Passes Maximum UA=771 Your Home UA=750 2.7%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value -Fa for _TA Ceiling 1: Structural Insulated Panels(SIPs) 3149 30.0 109 Skylight 1:Wood Frame:Double Pane with Low-E 8 0.370 3 Skylight 2:Wood Frame:Double Pane with Low-E 12 0.370 4 Skylight 3:Wood Frame:Double Pane with Low-E 8 0.370 3 Skylight 4:Wood Frame:Double Pane with Low-E 12 0.370 4 Wall 1:Log:8"Nominal Width 1915 0.0 147 Window 2:Wood Frame:Double Pane with Low-E 95 0.340 32 `Door 1:Glass 273 0.310 85 Wall 2:Wood Frame, 16"o.c. 192 19.0 0.0 11 Wall 3:Wood Frame, 16"o.c. 1024 19.0 0.0 51 Window 3:Wood Frame:Double Pane with Low-E 108 0.320 35 Window 4:Wood Frame:Double Pane with Low-E 11 0.340 4 Door 3:Glass 48 0.310 15 Wall 4:Wood Frame, 16"o.c. 500 19.0 0.0 6 Window 1: Wood Frame:Double Pane with Low-E 288 0.340 98 Door 6:Glass 56 0.320 18 Door 7:Glass 56 0.320 18 Wall 5: Wood Frame, 16"o.c. 459 18.0 0.0 28 Basement Wall 1: Solid Concrete or Masonry 2015 19.0 5.0 77 Wall height: 8.8' Depth below grade:7.0' Insulation depth: 8.8' Floor 1:All-Wood Joist/Truss:Over Outside Air 72 30.0 0.0 2 Furnace 1:Forced Hot Air,87 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC requirements in RES checkVersion 3.6 Release 1 (formerly MECchec)� and to comply with the mandatory requirements listed in the RES checklnspection Checklist. Builder/Designer Date �' b GORDFfi ' = i sic � t 021'3VYN i� F FROM : ,BLESSED SACRAMENT SCHOOL FAX NO. : 518 4385854 Apr. 27 2005 11:14RM P2 REScheck Inspection Checklist 2000 IECC RECEIVED REScheck Sofwarc Version 3.6 Release 2 DATE: 04/20/05 PROJECT TITLE: Residence fo Mr. Sohn Kelly TOWN OF QUEENSBURY BUILDING AND CODE Bldg. J rvt• I Use { I J Ceilings: [ J J 1, Ceiling 1: Structural Insulated Panels(S1Ps), R-30.0 assembly R-value Documentation must be submitted verifying the overall assembly R value. ( The R-value must be developed in accordance with accepted engineering pruaticc_ + Comments: J Above-Grade Walls: [ ] ( 1_ Wall I: Log:8"Nominal Width, R-0(uninsulated) J Comments: [ ] { 2. Wall 2: Wood Frame, 16" o.c., R-19.0 cavity insulation ( Comments: [ ] { 3. Wall 3: Wood Frame, 16" o.c_, R-19,0 cavity insulation J Comments: [ J 4. Wall 4: Wood Frame, 16"o.c., R-19.0 cavity insulation ( Comments: ( ] J 5. Wall 5: Wood Fume, 16"o.c_, R-18.0 cavity insulation ( Comments: J J Basement Walls: [ ] ( 1. Basement Wall 1: Solid Concrete or Masonry, 8,8'htJ7.0' bg/8.8' insul, ( R-19.0 cavity+R-5.0 continuous insulation { Comments: { Exterior insulation must have a rigid, opaque, weather-resistant protective covering that covers the:exposed(above-grade)insulation and extends at least 6 in. below grade. ( J Windows: [ ] J 1. Window 2: Wood Ftame:Double Pane with Low-E, U-bctor: 0.340 { For windows without labeled U-fwtors, describe features: J #Panes Frame Type Thermal Break? [ ]Yes [ ]No J Comments: [ ] J 2. Window 3: Wood FrameMouble Pane with Lover-E, U-factor. 0.320 ( For.windows without labeled U-factors, describe Eatures: { #Panes Frame Type__ Thermal Break? [ ] Yes [ )No ( Comments. [ ] ( 3. Window 4: Wood Frame:Double Pane with Low-S, U-bcton 0,340 J For windows without labeled U-factors, describe features: J #Panes— - Frame Type Thermal Break? [ ]Yes C ]No J Comments: ( ] { 4. Window 1:Wood Frama:Double-Pane with Low-E, U-facto: 0.340 FROM BLESSED SACRAMENT SCHOOL FAX NO. : 518 4385854 - Apr. 27 2005 11:14AM P3 J For windows without labeled U-fixors, describe fixtures: #Pages Frame Type Thermal Break? [ ]Yes j )No I Comments; ( Sl�elights: [ ] ( 1. Skylight 1: Wood Frame:Double Pane with Low E, U-factor: 0.370 ( For skylights without labeled U-fu tom, describe katures: ( #Panes Frame Type Thermal Break? [ ]Yes [ ]No I Comments: [ ] I 2• Skylight 2: Wood Frame:Double Pane with Low-E, U-fictor: 0370 J For skylights without labeled U-factors, describe features: J #panes Frame Type Thermal Break? [ ] Yes [ ]No J Comments: ( ] J 3. Skylight 3: Wood Frame:Double Pane with Low-H,U-fac tor: 0.370 J For skylights without labeled U-fitctors, describe£atures: J #panes Frame Type Thermal Break? ( J Yes [ ]No ( Comments: [ } ( 4_ Skylight 4: Wood Fratne:Double Pane with Low-E, U-factor. 0.370 ( For skylights without)."ed U-factors, describe features: J #Panes Frame Type Thermal Break? j ] Yes [ ]No J Comments: I ( Doors: [ J ( 1. Door 1: Glass, U-factor, 0.310 J Comments: ( ] J 2. Door 3: Glass, U-factor. 0.310 J Comments: _ [ ] ( 3. Door 6: Glass, U-foor- 0.320 ( Comments: _ [ ] J 4. Door 7: Glass, U-factor. 0.320 I Comments: I ( Floors: [ 1 ( 1. Floor 1: All Wood Joist/Truss:Over Outside Aar, R-30.0 cavity insulation J Comments: I J Hetadng and Cooling Equipment: [ ] ( 1. Furnace 1: Forced Hot Air, $7 A.FUE or higher ( Make and Model Number J ( Air Leakage: [ 1 J Joints, penetrations, and all other such openings in the building;envelope that are sources of'air ( leakage must be sealed. [ ] Recessed lights must be 1)Type IC rated, or 2)installed inside an appropriate air-tight assembly ( with a 0.5"clearance from cotmmbustiblc materials. Ifnon-IC rated, the fixture trust be installed with a J 3"clearance from insulation, I Vapor Retarder: [ J ( RequirW on the warm-in-winter side ofull non-vcatod framed ceilings, walls, and loom, 1 - ( Materials identification: [ ] ( Materials and equipment must be installed in accordance with the manuficturees installation instructions, FROM' : .BLE6SED SACRAMENT SCHOOL FAX NO. : 518 4385854 Apr. 27 2005 11:15AM P4 [ ] I Materials and equipment must be identified so that compliance can be determine!. [ ] Manutecturex manuals 1br all installed heating and cooling equipment and service water heating equipment must be provided. ] Insulation R-values, glaang U-factors, and heating equipment efficiency trust be clearly marked on the building plans or specifications. I Dud Insulation: [ ] I Ducts in unconditional spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. 1 I Dud Construction: [ l I All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 181B, Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). [ ] I The HVAC system must provide a meats for balancing air and water systems. I Temperature Controls: [ ] I Thermostats arc required for each separate HVAC system. A manual or automatic means to partially restrict or shut oifthe heating and/or cooling input to each zone or floor shall be provided. I Service Water Heating: [ ) Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heats has an integral heat trap or is part of circulating system. ] I Insulate circulating hot water piper,to the levels in Table 1. 1 Circulating Hot Water Systems: [ ] I Insulate cirwiating hot water pipes to the levels in Table 1. i Swimming Pools: [ ] I All heated swimming pools must have an on/offheater switch and require a cover unless over 20% of the heating energy is f orn non-dcpletable sources. Pool pumps require a time clock. I i Heating and Cooling Piping Insulation: [ ) I HVAC piping conveying$uids above 105 T or chilled fluids below 55 OF must be insulated to the levels in Table 2. FROM BLESSED SACRAMENT SCHOOL FAX NO. : 518 4385854 Apr. 27 2005 11:15RM P5 Table. 1: Minimum Insulation Thickness far CirculatingJV#t Water Pipes. Tnsulafion Thickness is lnches by Pine Sizes Heated Water Non- -i ilating E=Quts S,irculatine Mains and 12unouts Temnctature(F) Up to 1„ Un to 1,25' 1,5" to 2.0" QYZ 21, 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. Fluid Temp. insulation Thicknes,, in Inches by PiR2 Sizes $laing Syst= Types $age l Fl 2" 1ZuWl 1" and Less 1,25" to 2" 2_5" to 4" Heating Systems Low Pressure/Tetnpcsature 201-250 1.0 1.5 1.5 2.0 Low T emperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(fDr bod water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled'Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 .1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only)