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2000-081 } TOWN OF QUEENSBURY FOTO742 Bay Road, Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: 2000081 Date Issued: Monday, July 02, 2001 This is to certify that work requested to be done as shown by Permit Number 2000081 has been completed. Tax Map Number: 523400-239-007-0001-021-002-0000 Location: 115 ASSEMBLY PT Rd Owner: MICHAEL & GAIL DAWSON Applicant: DAWSON, MICHAEL & GAIL This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Director of Building&Code Enforcement BLDGNPERMIT NO. 2 0 0 0-0 81 APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; 115 Assembly Point Road Town of Queensbury, NY for the following uses: single family dwelling March, 2001 e, DATE SIGNATURE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ){APPROVED ( )DISAPPROVED with the following conditions: Site plan issues: 1 . driveway 2. grading 3. stormwater areas per Craig Brown, Code Compliance Officer TEMPORARY CERTIFICATE OF OCCUPANCY FEE: )$10.00 DEPOSIT: (K)$100.00 3 received on Marchl-8", 2001 Date of Iss Director of Bldg. & Code Enforcement THIS TEMPO Y CERTIFICATE OF OCCUPANCY EXPIRES 90 DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement or his designee. BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 337000 Building Permit No. 2000081 TAX MAP NO. 7 . -1-16 . 14 Permission is hereby granted to DAWSON, MTCHAET. F. GATT. Owner of property located at 115 ASSEMBLY PT_ RD. in the Town of Queensbury,to construct or place a S T NcF n M I L w T E LL NC at the above location in accordance to application together withpot plans ana°trier nuormation hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Owner's Address: 81 SWIFT ROAD VOORHEESVILLE, NY 12186 Contractor or Builder's Name: Contractor or Builder's Address: Electrical Inspection Agency: NEW YORK BOARD NEW YORK BOARD OF FIRE UNDERWRITERS Type of Construction: SINGLE FAMILY DWELLING Plans and Specifications: 7093 SQ FT SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SINGLE FAMILY DWELLING $ 834 PERMIT FEE PAID—THIS PERMIT EXPIRES March 17 2002 (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 To nsbury this 17 Day of March 2 0 00 0 SIGNED B ( for the Town of Queensbury Code or ent Officer .iulianng Permit Application ofTown Queeitsl u,y - Dept. 1 f Ctmululnity Development 742 Bay Road, Queensblu y, NY 12804 /761-8256 f • pop_o• E ENFORCEMENTBUILDING & . CODENFORCEMENT Requirements prior to issuance A permit moat bo obtained before , of this permit: PERMIT FILE NO. c)06 3 bog lug construction. No inspections _ y will tw nettle until applicant has received U Zoning heart!Acl/on /'/:ltMIT PEP:PAID s )t-T, ' -----P a VALID BUILDING PERMIT. All • Ares /Use applicants` spaces on this application RECREATION FEE P MUST bo completed atld•tho signature r—t of the applicant•must appear on the ' J Planning Board Action REVIEWED BY: �t►plicntion form. TJb.k)..y `S1'll / Subdivision /Oilier 1ulf.14 hupeaor -J Recreation Fee Payment Applicant: Mtc EL4 C'l t1... Ai4%wSor-1 .Owner: •-Sir --... .. . . ' Address: 8l SL MFT P-b • Vootek sVIL ;_N`' Address: SAT-€_ 1218.E ( mtc*.e.wen.K. 1B69- 1001 Ilonc # ( S18 ) 3� ' ��zt Phone # ( ) Property Location: I l S ,acA¢,,,,,gtNIPT- re-D , LA' 44: .4€ J Y. :Subdivision Name:. Tax Map Number _ 1 / —Section Block Int ' NATURE OF PROPOSED WORK: New Buildin ESTIMATED MARKET VALUE OF THE esidenc commercialCONSTRUCTION: $ Si,-i IOOO Addition o Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial . './' Single Family Dwelling Residence. / Commercial Two Family Dwell' a no change to exterior size . Family Dwe1 tc- ;a ?000 Office Other Work (describe below) Mercantile Manufacturing • Other GROSS AREA OF PROPOSED STRUCTURE: rig • 1st Floorj�,83 sq. f-t�-_SLR If ADDITION, what will use 2nd .Floor • 341 0 sq, ft. - " • ' of thew addition be? : Other Floors sq, f tct (not unfinished cellar or basenlent'1 f. c0 ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: o SQ. FT. %./ Attached Garage 1, 2 car ► - c- - \ Private Storage Building SIZE `OF NEW STRUCTURE: +(L.- `H"peJ Commercial Storage Building - 8''> FEET X S' IC9"FEE'r Other Foundation Type: elfo. tZr...D - . -E-- Will any second-hand or ungraded ' Number of Stories : t- lumber be used? If so, for what? (habitable space only) _ Y height (grad() to l:idye) : VA-9 feet: TP71 of liEATI'NG SYSTEM: Number. of fireplaces and/or woods Love (circle all -tch applies) to be installed: Electric / Oill)/ Gas / Wood Forced Hot Air / Baseboard / Other Person responsible for supervision of work as regards to building codes is : Mtc.kA . , p14wSOn3 81 SwtrIR-r t n�) 7 lei-SS Zo - Name Addresss Phone • Builder: • Plumber: Marion: Electrician: DLCLARA77011T: Please sign below after you have carejhlly read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, arc a true and complete statement of all proposed work to be done on the described premises and that all provisions of Ilse Building Code, the Zoning Ordinance and all other laws pert: ' ' LP, to the proposed work shall 1)e complied will►, whether spccilied or noted, and that such work is authorized by the owner. Further, it is understood that 1/we shall submit prior to a Certificate of Occupancy'or Certific• of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; . n to ca - .•howiug actual location of project on premises. Signature: 4 ( At44--- (own r, owner's agent, architect, contractor) w Application for Permit—Septic Disposal System Town of Qtteensbuty 742 Bay Road Queensburv,NY 12804 (518) 761-8256 1. OWNER INFORMATION: Office Use Location of installation: 1 IS F . Tax Map No. '7 / l / 1 ,4 File Permit No. (k�Q- 0 $J • Fee Paid Owner's Name: M.1 4A-f...l_. C-tP.t l_ l:).A.,wSoN Address: 61 Sc,..,FT 1Q—Q. \loof . . f\te• �- t3 c, j 2. INSTALLER'S NAME : UNiKr..10,-, PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s)and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdnn = 1980— 1991 x 130 gal/bdrm = 1991 —present ( x 110ga1/bdrm = Gfoo Garbage Grinder Installed yes / no ✓ 44 Spa or Whirlpool Installed yes 7 I no MAR 1 0 2000 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) r Topography Soil Nature Ground Water Bedrock or impervious Material Domestic Water Supply le Ail sand x at what depth at what depth municipal Rolling loam x Q.S. feet feet well Steep slope clay if well; water supply %slope other from any septic-system • depth: absorption is ft. other •EKE Percolation Test: (To be completed by licensed professional engineer or architect) Rate: 11.1S 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 13oard approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: Zs000 gallon (min. size 1,000 gal) Tile Field: each trench 3 e.q t3'ft. Total System Length: I 4j fi. Seepage Pit(s): number of size of each: ft. by fl. Size of Stone to be used: //._.�._ / depth or thickness Bed System Size: Zoo x so '4 A4S.ot 46roc, > SSTEr" (sue rea4�0�4- PCA-n3) Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection, please note that pursuant to Section 136-29 of the Code of the Town 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: l S t:te\bl—`( 1 • File Permit No. a/f"fit\ () Tax Map No. -7 / l / [G.�} Fee Paid Owner's Name: N1,tc.1„,,N.�L- C-t1�t LwSorJ Address: 61 t FT 1 - . V'ooR . N`(• 1-2-Ace, 2. INSTALLER'S NAME : {,,t.tK4,30 c,.�r 3 PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate #bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980- 1991 x 130 gal/bdrm = 1991 -present ( x 110 gal/bdrm = 66,o Garbage Grinder Installed yes— / no Spa or Whirlpool Installed yes V / no MAR 0 2000 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) Topography Soil Nature Ground Water Bedrock or lmp_ervious Material Domestic Water Slimly /e flirt sand x at what depth at what depth municipal Rolling loam K Q.S. feet feet well Steep slope clay if well; water supply _%slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) • Rate: 11.IS minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: Zk000 gallon (min. size 1,000 gal) Tile Field: each trench 3 e 4e.1 ft. Total System Length: 144 ft. Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # ___ / depth or thickness feet Bed System Size: x Sc.) AbSoR7To1-3 -S{STE-CrN pC ) Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. V Signature of responsible person / Da Fire Marshal's Office "Town of Queensburv. 742 Bay Road,Quecnshurv, NY (518) 761-8205 r Application for Fuel Burning Appliances & Chimneys , �''" applicable to solid fuel & vented gas appliances IDate .. �L , .)0 ov ..-- ..Permit No. �,_ , .:., Application is hereby mule to the 13w/ding cf.: Codes Of/ice for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information A (circle appropriate words) Name: Mick?e I NI 61a. t i ;,(,t1 l Stove: wood coal pellet gas Fireplace insert Address:A /55i,1/ 4y ify. i Fireplace, factory-built: t ood - gas Z/4 nr e.C,.E r":9—e- , ky Fireplace, masonry: wood gas Furnace: wood gas oil Phone: `j ,r- 76". '.';as• ?4 If non-masonary applicance, please rifovide Owner: fri-+ie 1 1 .1 Oil/L. 5,0 �, Manufacturer Name: . Address: g f '`1e1, "J' SI I . Model Number: Ve i e teet42.e:-...1, i le, IV/ 14* O- r. Chimney Information Phone: 'j j C — 744 L) (circle jippr,Qpriate words) .. e Masonry brick ( ,. ' et Flue tile steel size: inches Exact Address: /11 (N r t t't / - 4 PO of construction or installation Factory-Built Manufacturer name: Model Number: :Vote: Listed By: Number: Construction/Installation must conform to NYS Fire Prevention & Building Indicate (circle) chimney material: Code. Consult available Town of Queettsbury Handouts regarding required inspections. Double~wall i Triple wall / Insulated / Direct venting Chimney Liner j Car.,gh.ier'6r Z7epiz,rtmeiit— Toxisrsar of Qzzeezakirbzz.ley, Nexesr YorIr j t )3 Fire rtIttrslral Code# S Collects°r1 S h'efirnded ,,,,,__Received.front (ei,Jimde�l In � � '_�- .4 173 3389 (190) Public Safety .4 233 2655 (230) Minor Sales -- - W'' t: 0 ( / 'i�f lVWtwLG — 3w -v r4 Vf o2 �cLN 1 7 I J, White(Applicant) , Green(Fire Marshal) Yellow(Bldg. Dept.) Pink&Goldenrod(Cashier's Dept.) Fire Marshal's Office Town of Queensburv, 742 Bay Road,Queenshurr, NY ($18) 76 1-8205 Application for Fuel Burning Appliances & Chimneys c , applicable to solid fuel & vented gas appliances Date �' (}_ f 20 Permit N f `: Application is hereby made to the Building& Codes Of/ice.for the issuance of a Building and Use Permit pursuant to the Nev York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. ,. Applicant Information Fuel Burning Appliance Information IlIr4t (circle appropriate words) Name: GA IL b s : b YTh Stove: wood coal pellet gas Fireplace insert Address: 11 ' Asst...M t 1 Fireplace, factory-built: wood gas 1,- Fireplace. masonry: root,- gas Furnace: wood Q s oil Phone: `,'3 t - I 6, 'S- If non-masonary applicance, please provide ` -. Owner: 6;i1 1 1., Q11 /111 d t ) Manufacturer Name: Address: I S(Ate PT ed - Model Number: — ee f- 1 i. !Q L4 s 11 Chimney Information Phone: I _ 7 '`.3-6S 0 (circle a propriate swords Masonry ,loc brick Flue 4012, steel size: / 13nches Exact Address: -111 6 AS-_-..C.11-46LV Pr W of cons ruction or instant:I r Factory-Built "' ea Manufacturer name: Model Number: ;Vote: Listed By: Number: umber: Construction /Installation must conform to NYS Fire Prevention & Building Indicate (circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall .I Triple wall I Insulated / Direct renting Chimney Liner j C'a. ilex-'sa 30,epz rtmc t—Tows1-xr< of QueezziElbzz.zy, Newsy-York j f 11.111111.1111111=1111MMIIIIIIIIIIIIMMemmommmill711.11111..111111.7111110111M11 I ) Fire Marshal Code# S Collected S Ptfrrurled ',,,, Received cd Ir onr,.frefiurded to). t ) { address:- -- .4 173 3389 (190) Public Safety .4 233 2655 (230)Minor Sales cL ' . _... 04:yry wve, — j,wsti 66...14 02 qq J White(Applicant) ! Green(Fire Marshal) / Yellow(Bldg. Dept.) Pink S Goldenrod(Cashier's Dept.) Fire tarshat's Office Town of Queensbury. 742 Bay Road,Quecnsburv, NY r•' (5181 761-8205 Application for Fuel Burning Appliances & Chimneys .: ._ applicable to solid fuel & vented gas appliances Date 20 Permit1it No. � r��Application is hereby tuode to the Building& Codes Of/icy leer the issuance a/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 prenti.ses to perform required inspections. NOTE to applicant: Rough-in and Final are Inspections required. p Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: fil 't . l � ._,t 't ` stove: +1�', coal pellet gas Fireplace insert Address: t 1 ,a, � .,��, Lr " . i5 Fireplace, factory-built: wood gas 14 e Fireplace. masonry: 6,o54) gas Furnace: -„/ wood gas oil Phone: If non-masonary applicance, please p,,-0vide Owner: ' t 3( Cot O. (' w Manufacturer Name: Address: ,51 Model Number: i Chimney Inforrmation Phone: (circle pzpriate words) Masonry i'blocky brick -sthtr s Flue tile) steel size: /c t inches Exact Address: !( A 45 04 illy P of construction or instaefilation Factory-Built Manufacturer name: Model Number: Note: Listed By: Number: Construction /Installation must conform to NYS Fire Prevention &Building Indicate (circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double troll Triple wall / Insulated / Direct venting Chimney Liner Caoadttler'is ZPepEartnezat- 2oxisr. of Qu�ezz�b -y, Nextsr York Fire Marshal Code# S Collected S Refiurded Received from t.refirnded to).-0 I dkr, c t (.t,t, 0 address: .4 173 3389 (190) Public Safety t" 14i41.4 233 2655 (230)Minor Sales 1e; y /% f f I c t t 'l tsf ra.G�t 4✓LG — /OwsL eetet L 62 GL1t J 1. White(Applicant) Green(Fire Marshal) ! Yellow(Bldg. Dept.) Pink&Goldenrod(Cashier's Dept.) Fire i\larshal's Office "Town ul Queensburr. 742 Bay Road,Queensburc, NY (518) 7(>1-8205 1,, Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date / , 20 60 Permit No. j c , 1 Application is hereby made to the Building& Codes Officefin-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 lasts, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: Wildiele,f iY7,11 i c BA,V5C j'tr Stove: wood coal pellet gas repla in Address: /t, Ats S4I 0I v 4, ! / . FireplFi cece factorserty built: wood -gas /.„.w ee 6-efti' G i I Fireplacea , masonry: dos Furnace: wood gas oil Phone: S 1$ ri&5- , s.Z If non-masonary applicance, please provide Qwneitt .Titbit 4 Ga it. b AW ,c,"v Manufacturer Name: - Address:n Ste i rr W • 8 Model Number: +l y- hee vi leg,. AU ,, 1a 1 0 Chimney Information Phone: S I - 1 te,S-S5 2 (,} c (circle a propriate words) 4 Masonry loci, brick 77,57,t0 Flue tifit4 steel size: /3X 6 inches Exact Address: i Ica AgS&,L1 8 ii y I, lai of construction or installation Factory-Built Manufacturer name: Model Number: Note: Listed By: Number: Construction/Installation must conform to NYS Fire Prevention & Building Indicate (circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall Triple wall / Insulated / Direct renting Cltinutc r Liner Ca,abtier'ia 1:10epartmexzt— To-sisrn of Queezi. rbzzzy-, Nevsr York i l' Fire;tlarsltal Code# S Collected S Re fi,nded c.( Recci>e cl li-o s r-cliendeel tn): "" 7},.,1, - __,j ?_ , - en -1 ad>b vss: .-1 173 3389 (190) Public Safety _„} - - - - - - - .-i 233 2655 (230) Minor Sales (. -*, 0-t,.,, 4. - /ow.,. VC�tf.02 �ve�wt. 7 1 White(Applicant) Green(Fire Marshal) / Yellow(Bldg. Dept.) Pink&Goldenrod(Cashier's Dept.) , to, ' S'i /�> Op . .A_4 ENERGY CODE COMPLIANCE APPLICATION - 3 TOWN OF QUEENSBURY, WARREN COUNTY a 9000 HEATING DEGREE DAYS Compliance Methods : PART 5 - Acceptable Practice Method - 1&2 Family Dwellings (only) • PART 6* - Thermal Rating - Component Trade Offs 1&2 Family Dwellings; Multi-Family Dwellings ( 3 stories or less) PART 4* Design by Component Performance • Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NAME: PROPERTY LOCATION: Mt C P 0.._ 1. &A L ris ..)SOr' V(S ,4-s wtaL Pr1 e.. 1.Akcc C c c- PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - A1ck4::5 square feet 2 . Tvpe of Heat - Electric \.' Oil Gas Other 3 . Is building mechanidally cooled? ✓ Yes No 4 . Percentage of area of windows and doors ✓ Over 17% Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: {`!c::-r.. �;r,:.F4:. C :.<`• a . Roof R 30 A. 3 ,ei t�Stt:.i,k. b . Exterior walls R t i c . Glazed areas R 2.,3 d . Exterior doors R .z.c e . Floors over unheated spaces R F-N- 9 f . Edge of slab on grade (heated building) R N/,.- g . Basement/cellar walls (above grade) R 1 t h . Basement/cellar walls (below grade) R ► t i . Heating/cooling-ducts-piping in unheated space R H/A 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code V Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED P.poi _cant ' s ignature ate Phone Number 371 60 INSPECTOR' S REMARKS : 0e}ywe x S iv/ RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart am/pm Town of Queensbury Inspector's Initial 742 Bay Road Queensbury,New York 12804 � ��//) NAME C\c \ K PERMIT# LOCATION ,1 THE X DATE TYPE OF STRUC m N/A YES NO COMMENTS Chimney Heighti"B"Vent/Direct Vent • :fist Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18.1.of m ore Interior Handrails stairs both sides 3 or mo • sers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/re: ato :"a +ve grade Gas Furnace shut-off within 30 f�• or withi line of site Oil Furnace shut-off at entrance to furnace : • Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than risers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in. •. more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) / Light ventilation per room 6 It— ( r,- p Y' Ch Safety glazing 18"or less from floor Final Electrical ✓,' n .. . L Site Plan/Variance required (Aj Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certi£of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.„') Main Office 176 Doe Run Road-Manheim,PA 17545 C/1 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No Cert. N2 7 0 8 6 0 Cut-in Card No G Dwner .1 1N ll...JJ v� Location gt-/ installation Consisting of (Q 7 i..T2.6., r 6 Retell / 3 1 T ' G -D . ...XI 10 1 P 6 6z). Tom.. L{C/-6 fr `72-v t L'6 Installed By ' D f ALL Ai. Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is :ancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making inspections at any time, and if its rules are violated,the Company shall have the right ttooevok- t •rti�fiate. Date J 2 7,6 , INSPECTOR X Or Member N.F.P.A.,I.A E.I. a . CX RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart am/pm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 lipP N \1 t \\ `OS PE # LOCATION y6w-,)-x �; DATETYPE OF STRUC �1� N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 3. Exterior Handrails,balconies,1: ding 18 in or more Interior Handrails stairs both '•-s 3 or mor- risers Grade 2%away from foundati.n 8"clearance to sill plate Gas Valve shut-off exposed/egulator 18"a,.ve grade Gas Furnace shut-off within:0 feet or wi line of site Oil Furnace shut-off at entr.i u ce to •.•- area Furnace/Hot Water I-:. - I- a Relief Valve(s)installed Headroom,6 ft.6 in.on . Basement stairs,6 ft.4 in. Handrail exterior stairs bo sides more than 3 risers Interior privacy/trim/doo :in entrance 36" Floor Finish Bathroom/Kitchen waterti, t Interior Handrails Balconi- . :'ding 18 in.or more Railing across window in s•:• ells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical u Site Plan/Variance required 66 Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name -1:)P(6- ( v'J Location ___ Date Z i'U Permit # ,) SOIL TYPE: Sand-Loam-Clay- Results of Percolation T t- (if applicable) Rate-Min to/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Numbe Size - ft. x ft. Stone size PIPING: Size ype Bldg. to Tank Tank to Dist. Box Dist. Box to Field Pit Openings Sealed? Yes No Partial LOCATION/SEPARATI, S: Foundation to Tan feet Foundation to Ab•orption feet Separation of Pi s _ feet Conforms as per 'lot Plan Yes No LOCATION OF SYS ON PROPERTY: (circle one) Front - Rear - eft Side - Right Side Middle Front - iddle Rear COMMENTS: , j f u ir,.,P I v'�. a (v I N6 Lt C,Hi-- 65 SYSTEM USE APPROVED: YES NO Arrived: Departed: f 1 - ) c-___7, C__ f' Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road 33 Queensbury NY 12804 40' (518) 761-8256 d SEPTIC DISPOSAL SYSTEM INSPECTIC10 ._0,0 00 Name 24.). u/✓ Location Date /"z S'— d Permit itC7 "()aj SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: ` Foundation to Tank feet Foundation to Absorption _ feet Separation of Pits feet Conforms as per Plot Plan, Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: 0,4 • Cr 6, Li IL E O/v SYSTEM USE APPROVED: YES NO� Arrived: / Z ' Departed: c�� Building Inspector /L) GLPk, TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ''Da-u.',C.)rTh Location Date I IL33OIC0 Permit # QOcC -O91 SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch eiRl TYPE OF SYSTEM: ABSORPTION FIELD: Total Length /'/y Length of each trench I/4 Depth of trenches i=Z' Size of stone 1'=�j., syjk... SEEPAGE PITS: Number- Size - ft. /iv]7� ft. Stone size PIPING: Size Type Bldg. to Tank 4' PAL Tank to Dist. Bo .2" PA - Dist. Box to Fie d/Pi , y" spg_ Openings Sealed No Partial LOCATION/SEPA IONS Foundation tolank /0' feet Foundation to bsorption is0 feet Separation ofPits eet ilA Conforms as pr Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle o, T_ Front - Left Side - Right Side Middle • t - Middle Rear COMMENTS: SYSTEM USE APPROVED: YES OP Arrived: /Ow Departed: i Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name '� - - Location 461e,,4P 6' Date %/a ca Permit # 22at/ SOIL TYPE: Sand-Loam-Clay% Results of Percolation Te$t- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench - Depth of trenches Size of stone SEEPAGE PITS: N nber- Size - ft: x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box ` Dist. Box to Field/Pa Openings Sealed? Yei No Partial LOCATION/SEPARATIONS: Foundation to Tank , feet Foundation to Absorption `j feet Separation off' Pitt feet Conforms as per Plot Plan ' Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) ` Front - Rear -;Left Side - Right Side Middle Front -" Middle Rear COMMENTS: t. /� / f tio" `4", UtG i C 144Ps. foe '— c d 'u' rn 1 H - //;4 / ohs/. 4-4C/rl-/ -Tr SYSTEM USE APPROVED: YES 49 Arrived: //` 'J Departed: / Building Inspecor TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name r4: : 1so n Location ccee,,, ePt- -ail Date ) ) ermit #c,2d'' SOIL TYPE: San -Loa -Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length IVY Length of each trench 4/ Depth of trenches L' Size of stone Arffillf!hA SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank 4" /WC Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partin LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption —__ feet Separation of Pits _ feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM t PROPERTY: (circle one) Front - Rear - Lef Side - Right Side Middle Front - Middle Rear COMMENTS: / J L LA e Ci Ccli►c,, z „" 0,‘ A /, -�// S� G•y / dr'L SYSTEM USE APPROVED: YES Arrived: L1Jo Departed: Building Inspe for TOWN OF QUEENSBURY 411%. BUILDING & CODE ENFORCEMENT 742 BAY ROAD (464_,(6 QUEENSBURY NY 1280 (518) 761-8256 ARRIVE: DEPART: INSP: "J FINAL INSPECTION REPORT - RESIDE TIA , DATE INSP CTION REQUEST RECEIVED: 1/ d`'O d� t NAME l ' �// 44..) LOCATION / P/ DATE 2 PERMIT✓_ OQ�V l TYPE OF TRUCTURE G(tn k' L 1 S/ FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION _ FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A ' YES ' NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS i RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPLE OTHER FLOORS CARPfTE STAIR CLEARANCE/RRLING SMOKE DETECTORS ! a __ BATHROOM FANS z� PLUMBING FIXTUR1S FOUNDATION INSUATION _ GARAGE FIRE PIjpOFING 1 DOOR CLOSERS / r FINAL ELECTR/CAL ab SITE PLAN V RIANCE REQ. FIN SURV PLOT PLAN OK TO ISS E C/O OR C/C '- privc.wc1 .t/f Sys (0.46✓ TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY .1804 ( (518) 761-8256 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT - RESID NTI L DATE INSPECTI N RE UEST ECEIVED: NAMEl LOCATION k-1.)Y Roe-. k031-"1 G'M DATE U MIT 000000 TYPE OF TR CTURE / FOOTINGS FOUNDATION BACK LL FRAMING ROUGH PLUMBING SEPTIC _ INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO I CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT:; OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETEI' STAIR CLEARANCE/RAILINGS, SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION IISULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL 612 SITE PLAN/VARIANCE REO• FINAL SURVEY PLOT PLAN Cit OK TO ISSUE C/O OR C/C xr ITC GorJPR1O/0 t4e0/N(4 Comtteli ): • — DYNtwol morn. w4( v e.0 Pr { 64 — Gottl:ni 1\10 cAD GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road [ Queensbury,NY 12804 Arrive am/pm Depart " I am/pm Inspector's Initials /1 i??(.._. NAME: PERMIT# .�11 1 LOCATION: f-N IN e\—*/ DATE : 1 --, ..p& 0 TYPE OF STRUCTURE: . RECHECK N/A YES NO .- COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heatin In • ation i Foundation Walls Inte 'it R- Foundation Walls Ext, 'or R- Floors R- Walls R- Ceiling R- ,L' Duct work or pipi g in unheated spac s R- Proper Vent, Attic ent Framing Jack Studs/H-..-rs Bracing/Bri.j+ng . Joist Hange Jack Post' . .'n Beam Air Infiltra i n Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping 411/9 c GENERAL INSPECTION REPORT 14171 _ ( 518 ) 761-8256 li Town of Queensbury ,.-,—— Dept.of Community Development Date inspection request received: -------- Building& Code Enforcement ,,/ 742 Bay Road ' �� 47 Queensbury,NY 12804 Arrive am/pm Depa 4 , m/pm tee"" Inspector's Initia s �./ NAME: Q 'P." PERMIT# LOCATION: 'c ( 2 C) DATE : '- lil,c1), TYPE OF STRU URE: (�) RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Walipour_____ Reinforcement in Place t. Foundation/Dampproof i ng Backfill Approval_ Plumbing Under Slab ,` Plumbing Vent/Vents in Place_ t Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- _ Ceiling R- _ Duct work or piping in unheated spaces R _ 0,4i, P oper Vcngc i �t Jack Studs/Headers ,/ Bracing/Bridging_ Joist Hangers_ Jack Posts/Main Beam Air Infiltration Barrier_ _ . / Fire Separation I, 2, 3, hour / Penetration Sealed !- Fire all 2, 3, 4 hour v .i estopping C' 71 Nr-%� GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: 1073 c/a-creft Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Dep Inspector's Initials L NAME: C- �21�"'`e.r�,�"r`,- PERMIT# QL LOCATION: DATE : 10/3 r` atn.u 7Zceo TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site r Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Pr �c t, Attic Vent Frain y> ' f, �.�� < Jack Studs/Headers t/ !ti ''� �'� a ` Bracing/Bridging /X"444 Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2, 3,4 hour , teriratopping� C-,07 c u6 .c? 4 ex:;J 1- C v,> i :LIt >(, FIRE MARSHAL A ,' TOWN OF QUEENSBURY `t;Tj QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED 1, c C`, PPECTIONREPORT NAME �._V ,'YI ) 0i)t i I 6 _Ev LOCATION X'\c>X (Th( PERMIT# �') ' __/ Iection request received: SCHEDULE INSPECTION ON , (,` _ / ' __j � /,t , AM PM Depart a m �� spector's Initta Aect.1-ilia°e. t_Li11 1 c P N/A VED PERMIT# — 1 fi N1 . PERMIT : , EXITS ' AISLE WIDTHS EXIT SIGNS i 0 EMERGENCY LIGHTING 1 t S NO COMMENTS FIRE EXTINGUISHERS f TT / FIRE ALARM SYSTEM ---` J FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM / HOOD INSTALLATION f i INTERIOR FINISHES f _ STORAGE: 1 CLEARANCE TO SPRINKLERS CLEARANCE TO HEFTING UNITS REQUIRED SIGNAGE CHIMNEY 1 WOOD STOVE / %NA..- �i"r FIREPLACE ❑MASONRY 'FACTORY BLT. ROUGH-IN / ❑FINAL REMARKS: X OK TO THIS DATE jZ;) bra Chir ` z"-to cor.t, 4ii _51(its hietv-k 5IaR1 h►IUS-1 6 00x 26) It v a\uQ- \ ►`(O V Va lue.. 0 L1-3 r c M 1z.- o I Z" it -ba INSPSLIP.PUB I PECT 2-3 1 `t , / 23J GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury �u\ Dept.of Community Development Date inspection request received: I D Iry �;1 o*) Building&Code Enforcement 742 Bay Road _ ;�'` Queensbury,NY 1280 Am 'ye Depart : e Inspector's Initial NAME � GSC `E'/ 1-7^ � PERMIT# — � LOCATION: (CliAse,1_/ Y y DATE : /0 i 7/on)�TYPE OF STRUCT RECHECK .1'P -/7011410 Al) , -7-/- / / 1 N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible f rq( \ providing protection from freezing for 48 hours following the placement of the concrete. ' \ Materials for this purpose on site Foundation/Walipour Reinforcement in` lace Foundation/Damppfing _______y) Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In / �lsulation T }jam �✓ Foundation Walls Interior R- Foundation Walls Exterior R- Floors Floors R- ,�+ J/ Walls R- ICI �/ Ceiling R- '' W>1`,e r; t.: _.. g—1\ L A c t \ Duct work or piping in c unheated spaces R- 1 '�. �> V,Z5 -- vM� Proper Vent, Attic Vent44.4 Framing 1- Jack Studs/Headers Bracing/Bridging �— Joist Hangers lW cl r v,\____-- ---ht: --. V - , _ , Jack Posts/Main Beam t f� a •Air Infiltration Barrier �"^ !L`? `" t �..: k ;f Fire Separation 1,2, 3,hour ,� Penetration Sealed �,J�: �.t1i t ' Fire Wall 2, 3,4 hour Firesto in 1 k`� is 'M,'`�`"` i, t" jai. pp gtAtl. -, F-tc ,`'(\ t t_ t t t--TALL GENERAL INSPECTION REPORT J ( 518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: /0/�C2 Building&Code Enforcement 742 Bay Road `l' L ; Queensbury,NY 12804 Arrive am/pm Depart \ prm Inspector's Initials NAME: j)$1 J S(1Y‘ y� PERMIT# . __ LOCATION: V\S c-si 1 , J?-i) - DATE : ` ) , •�. TYPE OF STRUCTURE: RECHECK `N/A YES NO COMMENTS Footings/Piers I T Monolithic Pour Form Reinforcement in Place The contractor is responsible for �'• providing protection from freezing for 48 hours following the placement of the concrete. f Materials for this purpose on site Foundation/Wallpour Reinforcement in Place , Foundation/Dampproofing / Backfill Approval f Plumbing Under Slab �+ Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing \� ' Jack Studs/Headers (, ; � Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour penetration Sealed Fire Wall 2,3,( hour 1 Firestopping ff `,) tAr3P, cil;tesc--e 4-M GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: 04. `&i Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart arn j Inspector's Initials -_) NAME: 1,3301/‘ � PERMIT#(G�-d g � LOCATION: /15 gek, �y DATE : ?S• Oii' /0 p1cV0 TYPE OF STRUCTURE: oil RECHECK N/A YES NO COMMENTS Footings/Piers 1 f I Monolithic Pour Form r> ti - Reinforcement in Place a i'4`; t ( A \ The contractor is responsible for providing protection from freezing E= 4 1. C /A A!k- Cv-% for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Walipour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab bing nt/Vents in Place ough Plumb' g •� ea g ugh-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- r.- r Vent,Attic Vent w_f i\ - 4\ rami'y n`� )/c �� •c Studs/Headers(-) Bracin rid n i �C=`4 <'^ `J A. A) Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall opping3,4 hour c, is /,-�' 6c-�'�;1�1-� � (_(cc (< ALL s L. Lv GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement y\ 742 Bay Road ,,cc' (j Queensbury,NY 12804 Arrive am/pm Depart/O am/ m 1QCLly-(-,1'6 LInspector's Initials c �'1�►�6i "" I NAME: � gi'�.05/`6.12i9ti� PERMIT# ,� LOCATION�7��/4 :,t;(Nw , T , DATE : 'J zci.1d?..) TYPE OF STRUCTURE: _ I l Co. I if RECHECK 7 N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place _ The contractor is responsible providing protection from freez g for 48 hours following the place nt of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval P1 ' .'ng Under Slab P ••ling Vent/Vents in Place �► ough Plumbing : l Heating Rough-In Insulation 1-164.4-. RE (A) kke 1fL�OGe Foundation Walls Interior R Foundation Walls Exterior R- 7� :` �fic,� Floors R- .-- Walls R- Ceiling R- - Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging • Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3, hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart - �J xy�lC Inspector's Initials ic- NAME: -0905010 PERMIT# 0-0j 1 LOCATION: 4.55G,-w._ Ier- DATE : cfz/ TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I , I Monolithic Pour Form , Reinforcement in Place The contractor is responsible for !. providing protection from freezing for 48 hours following the placement \, of the concrete. l; Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab \ ) Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in junheated spaces R- oper Vent, Attic Vent7 r amingf-taco& Jack Studs/Headers ��C �< R)2 Bracing/B rridging dw, F, Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping llA GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart 11 m/a m Inspector's Initials \1 NAME: �+j'Sca.s1 PERMIT# a r tog 1 LOCATION: AO elm., ?T. 0 DATE : 5/L/li) TYPE OF STRUCTURE: ., RECHECK N/A YESO COMMENTS Footings/Piers 1 I Monolithic Pour Form Reinforcement in Place \ g The contractor is responsible f providing protection from freez g for 48 hours following the place ent of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing \ . Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- ct work or piping in unheated spaces R- �� oper Vent,Attic Vent naming Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam 1, Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive the am/pm Depart___7Fpm Inspector's Initials NAME: DALt 1 4) • PERMIT# off LOCATION: i9S IC ? , • DATE: fgiz/e2) TYPE OF STRUCTURE: RECHECK N/A YES 0 COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for freezingproviding protection from �ezing for 48 hours following the placement \ of the concrete. / Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place F l 0:- Art,„.„,,,,)Co Rough Plumbing Heating Rough-In Insulation J✓ en4 kir-4e /'e0,5A.4- Foundation Walls Interior R- Foundation Foundation Walls Exterior R- i Grame, /re c e- Tv "y WallsFlools R- id 5 . �„c �� 4„`,. 4"a R- r�j�' `� Ceiling R- n �1 Duct work or piping in es `�'e a/mu, .414 unheated spaces R- ✓ Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wal12, 3,4 hour Firestopping FIRE MARSHAL w TOWN OF QUEENSBURY �� j QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST- RECEIVED NAME 1 JO1/4VJSOM LOCATION Pr .f,frIkAy Pt PERMIT#Obc( SCHEDULE INSPECTION ON B rr OO AM ja APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS s FIRE ALARM SYSTEM 1 FIRE SPRINKLER SYSTM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD ST VE FIREP E MASONRY ❑FACTORY BLT. UGH-IN ❑FINAL REMARKS: ❑ OK TO THIS DATE bm5 do not- r -1- C Yctr,c to comb \\D tes INSPSUP.PUB INSP TOR GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement , 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart C� pm Inspector's Initials V NAME: A n�.4) PERMIT# �d I LOCATION: . ?r_ IiO . DATE: TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 1 I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- '� Duct work or piping in unheated spaces R- /' oper Vent, Attic Ventming 7 C�,s /'i iz, �� n RE PP- f R- �I na Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping tO GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: S /S Building& Code Enforcement 742 Bay Road P Quecnsbury,NY 12804 Arrive am/pm De a { g {/ Inspector's Initials NAME: c: yN,/1 6 r4 1)/7 PERMIT# '�l LOCATIOINf: , DATE : TYPE OF STRUCTURE: 4 RECHECK / N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following t>tie placement of the concrete. Materials for this purpose n site f Foundation/Wal 1pour_ ReinforcemenNn Place Foundation/Dam' nackfill Approval umbing Under Slab Plumbing Vent/Vents in Place _ Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors J R- Walls , R- Ceiling R- Duct work or piping i unheated spaces / R- Proper Vent, Attic Vent( Framing Jack Studs/Headers I Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping /D 3GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrivem Depa Inspector's Initi NAME: PERMIT# , al0 08 LOCATION: V\ S A, DATE : _ o TYPE OF STRUCTURE: S �v RECHECK N/A YE 0 COMMENTS F mgs/Piers $►� _ Z.4" (. I VNEV-6 3s,„ *5-1l Monolithic Pour Form Reinforcement in Place -2_ — -- ' 1--1'_ E C V\�j The contractor is responsible for providing protection from freezing. k .— �E� 3(" v-5 y 1 for 48 hours following the placerrknt of the concrete. 3 c )E 5- v0EuJ�� Materials for this purpose on site t y Foundation/Wallpour .. ._v.-- Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab PL 36E ��] %„\N-1-- Plumbing nts in Place ,000 ®o� Rough Plumbing Heating Rough In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping ‘ \ 1 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive art e Town of Queensbury or's ' ' 742 Bay Road Queensbury,New York 12804 ((� r1 /�I;l� 19rg NAME- ( --. 1�, CA,-\.c; _v PERMIT Q V LOCATI (�(�x DATE—3— ` 7CJ) TYPE OF STRUC ',(-- N/A YES NO COMMENTS Chimney Heightl"B"Vent/Direct Vecation I/ • Fresh Air Intake I 1// 1.6 0 c\---t 013 Q Plumb Vent through roof J RExof CompleteFinish �// �EH n©vA g_- CV Exterior Finish Complete i �/ `/ Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 118 in.or more \ G V>{11 J b 1 Interior Handrails stairs both sides 3 0�m e t r" l Grade 2%away from fundation `� ��` +// 8"clearance to sill plateb / �/ Gas Valve shut-off exposed/regulator'18"a love grade I Gas Furnace shut-ofFwithin 30 feet o ut line of site �� Oil Furnace shut-off at entrance to area \�� Furnace/Hot Wateer Heater operating ✓/ Relief Valve(s)i in. _ ti, `//f T 3t- NA) D Headroom,6 ft.6 in.on stairs � Basement stairs,6 ft.4 in. kf ` N b `‘3 S Handrail exterior stairs both sides mor than 3 risers Interior privacy/trim/doors/main entrancV 36" 1 _ /' ,Floor Finish �// �_ L C Bathroom/Kitchenerinrailsalconieht sl g ,// ' �i3\ Q Interior Handrails Balconies/Landing 18 . .or more i ti/ J� Railing across window in stairwells Smoke Detectors: / every level �/� every bedroom 1 f/ outside every bedroom I/ inter connected V/ Bathroom fans ✓/ Plumbing fixtures � �/� Foundation insulation l 3/4 hour fire door/door closer A tGarage fireproofing /✓/ Garage penetrations sealed ✓ Furnace in separate room protected(in garage) Light ventilation per room / Safety glazing 18"or less from floor I Final Electrical Site Plan/Variance required / Final Survey Plot Plan As Built Septic System layout required j Okay to issue C/C(Certif.of Compliance) J/ Okay to issue temp.C/O(Certif.of Occupancy) Okay to issue permanent CIO(Certif.of Occupancy) FIRE MARSHAL 11,111ftli TOWN OF QUEENSBURY jx.cj QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED 3 1 0 t NAME -bi(4\03Oti1 LOCATION Mii PtZL PERMIT#Z OCA0g I SCHEDULE INSPECTION ON _L3 1.0( 130 AM PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTIN FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTE FIRE SUPPRESSION S T M _ HOOD INSTALLATI INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO DATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE ❑MASONRY ❑FACTORY BLT. ❑ROUGH-IN A / FINAL REMARKS: r ( OK TO THIS DATE 11C4 oKI Fed 4:WA MOM n k �01 INSPSLIP.PUB 1 PEC R z,,,./L 4 0(0 -7y / - 47 i,"_e RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: 1 �1.--k. Building&Code Enforcement ��) L Dept.of Community Development Arrive2. �� +�_' •epart a �• ,i_�!�' C.t'�ZtS `'"` Town of Queensbury •: tor's Initials - �r 742 Bay Road Queensbury:_New York 12804 „a/ / NAME -44•/,,,,,)G-- //.C..ce r7h 47z PERMIT# LOCATION ( DATE 3 TYPE OF STRUCTURE .S 23 N/A YES NO COMMENTS \ Chimney Height/"B"Vent/Direct Vent Location I — R—t ck 1 rev U W t o IJ 1A1 4i& Fresh Air Intake �V/ ,/ Plumb Vent through roof V/ 1 0 W e Roof Complete Exterior Finish Complete ilI — 1--A6 c ( Co?1J1-yt _ ,61- (7-_-_k CoLo Interior/Exterior Railings 30" 36" \ Exterior Handrails,balconies,lding 18,in.or more Interior Handrails stairs both si 3 or mb�re risers ` '�r(� �1 yam` ,L Grade 2%away from foundation a,. v� Vi` 8"clearance to sill plate t-kv 11.. 6 a b y. Pk.)1A Gas Valve shut-off exposed/regul or 18" ve grade J/ Gas Furnace shut-off within 30 feet r within line of site V 1 1 aV Vt U lADI 13 Cj W_IJ 6 Oil Furnace shut-off at entrance to ce ea `7-1-1 \}(A F-1yD Furnace/Hot Water Heater operating V/ Relief Valve(s)installed < J — F. t-V F) C-LE p L E i..,l*y. Headroom,t ft.6 in.on sta / 1 M Basement stairs,6 ft.4 in. ii. �-� i3V_DP.-aeci, Handrail exterior stairs both sides m e than 3 risers � Interior privacy/trim/doors/main entrance 36" y ?1 t OM— F 1 QE (�C)r J @ Floor Finish / Bathroom/Kitchen watertight t// F�� e C-1-'P►vJ�. .lJ Interior Handrails Balconies/Landing:8 in.or more I t/ td�"\ b1 DQEI5. Railing across window in stairwells — , Smoke Detectors: CA-WEC-VL Suv. c-�‘Cal every level 1 �o� ?Lill- 1►J CQ_AH iJ�k every bedroom bQ�t outside every bedroom inter connected / Bathroom fans ✓/ �i____ 11-y1�L. 1 �=ki Plumbing fixtures ' �/ U P3 P P-A Foundation insulation ` E� 1f 3/44hour fire door/door closer V / �� Garage fireproofing I, N// — Garage penetrations sealed J JV RDCv...t,J tic L ( Ft.D C,V..._ Furnace in separate room protected(in garage) / " ©1`li�b 'F1� Light ventilation per room V� E. �IC/� Safety glazing 18"or less from floor �/f Final Electrical ‘/ Site Plan/Variance required Z E. C?--A l( 6 e L 1I Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) 1117, -->Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) TOWN OF QUEENSBURY ••004", 742 Bay Road, Queensbury, NY 12804-5902 518-761-8201 December 21, 2000 Michael&Gail Dawson 81 Swift Road Voorheesville,NY 12186 s RE: Building Permit File No. 2000-081 V 115 Assembly Point Road Dear Mr. &Mrs. Dawson: In response to an inquiry, I performed an onsite inspection of the above-referenced project site on December 7, 2000. As a result of this inspection I observed site conditions that do not appear to be consistent with the approved plans for the project. I understand the site is still at"rough grade"and there are still site improvements to be performed which is why I would like to bring these items to your attention at this time. I observed two, approximately 6 inch, drainage pipes emerging from the filled area currently graded as your driveway. Both of the pipes I observed, one on the south side of your site and one in the "corner" near Mr. McCall's septic area, appear to be installed in a manner that would allow direct discharge of water onto lands other than yours. After review of the plans submitted with your building permit, I assume these pipes to be the outlet of the footing drains depicted on said plans. The use of footing drains that flow to "daylight" is an accepted practice, however, the outlets of such drains must be directed to empty onto your parcel only. The site plan for this project depicts the installation of storm water detention devices on the site, as required. I did not observe any storm water devices on the site during my inspection. The site has been re-graded with a substantial amount of fill, apparently to raise the final grade of the site in order to alleviate potential "water" problems. This filling / grading of the site has created a mound, if you will, which is considerably higher than portions of the surrounding properties as well as Assembly Point Road. As discussed, this project is subject to the to Chapter 147 of the Town of Queensbury Code; Storm water Management. Both items listed above will need to be remedied in order to facilitate the issuance of a final Certificate of Occupancy for the home. Should you have any questions, comments or additional information please do not hesitate to contact this office. Sincerely, DEPT. OF COMMUNITY DEV. Craig own Code Compliance Officer cc. Dave Hatin, Director—Building& Codes Richard Schermerhorn L:Craig\2000 Letters\Dawson121900.doc "HOME OF NATURAL BEAUTY. . . A GOOD PLACE TO LIVE' SETTLED 1763 b-I b--2UU I / :be- M r I-<UM J I t V tb/NALt/M 1 LLtI- b I 0 / G on I I r_ I RECEIVED NACE ENGINEERING, P.G. MAY 1 7 2001 169 Haviland Road, Queensbury, NY 12804 Phone-518-745-4400 Fax -518-792-8511 TOWN OF QUEENSBURY PLANNING OFFICE May 16, 2001 Job#4 9049 Mr. Craig Brown VIA FAX—745-4437 Town of Queensbury 742 Bay Road Queensbury, NY 12804 Dear Craig, At your request of Mr. Richard Schermerhorn, I visited the Dawson house site on Assembly Point yesterday to determine the necessity for stormwater detention basins. It is my understanding that the house has been under roof since last summer and that the fill around the house has been in place and graded since last fall. It is also my understanding that the house is constructed on a slab with a 4 foot perimeter frost wall and that a footing drain was installed with considerable stone around it. The site fill I observed around the house is well- drained medium to coarse sand. 1 did not observe any erosion around the house, or in the areas where drainage from the roof would be expected to concentrate. Based upon the fact that there have been no erosion problems with this site over last fall and winter (in spite of the fact that there is no groundcover), 1 believe that any stormwater runoff from the house roof or other impervious surfaces is quickly infiltrating into the large amount of granular soils used for site fill. In general, I do not see the need for any stormwater detention. basins. However, if any erosion problems were to develop they could be simply addressed by placing landscaping stone or other pervious, non-erodable landscaping material under the roof cave areas where roof runoff is concentrating. Please call if you have any questions regarding this matter, Sincerely, • Thomas W. Nace, P.E. Fax copy: Rich Schermerhorn- 743-9653 LAKE GEORGE PARK COMMISSION --- '-C it ii { PO Box 749, 75 Fort George Rd ' ALake George NY 12845 �; (518) 668-9347, fax(518) 668-5001 1 .xs=...4., lgpc@superior.net, www.superior.netl—lgpc March 29, 2000 ______ MICHAEL & GAIL DAWSON 81 SWIFT RD VOORHEESVILLE, NY 12186 Wharf Construction Permit# 5234-8-00 Lot#7-1-16.14, Town of QUEENSBURY Dear MICHAEL & GAIL DAWSON: Enclosed is your permit which was issued in accordance with the applicable provisions of the Park Commission's rules and regulations (6 NYCRR 645 & 646) and the Environmental Conservation Law. Please review the general and special conditions included in the permit; these are intended to minimize any environmental disturbance associated with the authorized activity. Please note that it is the responsibility of the permittee to comply with all permit conditions. Further, the permit is valid only for the activity expressly authorized. Work beyond the scope of the permit shall be considered as work without a permit. The notice enclosed with the permit must be displayed in a conspicuous place near the project site during the entire period of construction and must be suitable protected from the elements. Any failure to comply with the terms of the permit may be treated as a violation of the Environmental Conservation Law. Questions regarding this permit should be directed to the undersigned. Should your plans change, you must contact this office to determine whether a modification to the permit is required prior to initiating construction. Please note the expiration date of the permit. If further time is required to complete the project, you must request renewal of the permit prior to this date. Your interest in maintaining the environmental quality of Lake George is greatly appreciated by the Commission. Sincerely, tyM46, pet( Molly Gallagher Deputy Permit Administrator cc: Telephone (518) 668-9347 E-mail: lgpc@superior.net Facsimile (518) 668-5001 LGPC Permit Number LAKE GEORGE PARK COMMISSION Effective Date 5234-8-00 DM { I �� March 29,2000 I :'. �� • Modification or Renewal Date •a ate"`!T Type of Permit "�■:w plc New PERMIT p Renewal Expiration Date Modification Under the Environmental Conservation Law March 29,2001 p Variance X Article 43, Title 1, 6NYCRR 646-1.1 Article 43, Title 1, 6NYCRR 646-1.1 Construction and Modification of Wharfs Placement of Moorings Article 15, Title 5, 6NYCRR 608.5 Article 43, Title 1, 6NYCRR 646-1.2 Excavation and Placement of Fill in Navigable Waters Operation and Modification of Class A Marinas Article 43, Title 1, 6NYCRR 646-1.4 Article 43, Title 1, 6NYCRR 646-1.4 Recreational Use- New Recreational Use- Parasail Article 43, Title 1, 6NYCRR 646-1.4 Article 43, Title 1, 6NYCRR 646-1.4 Recreational Use-Seaplanes Recreational Use-Tour Boat Article 43, Title 1, Section 43-0117 Operation of ferries Article 43, Title 1, 6NYCRR 646-1.4 and certain other boats, barges and vessels restricted Stormwater Management Permit Issued to Telephone Number MICHAEL &GAIL DAWSON 765-5520 • Address of Permittee 81 SWIFT RD VOORHEESVILLE, NY 12186 Contact Person (if not permittee) Telephone Number Facility Name (and address if different from permittee) DAWSON MARINA County Town: Parcel#: WARREN QUEENSBURY 7-1-16.14 AUTHORIZED ACTIVITY MODIFY AN EXISTING PEAK ROOF BOATCOVER TO A SUNDECK AS SHOWN ON THE PLANS ATTACHED AS SCHEDULE A AND MADE PART OF THIS PERMIT. By the acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the Environmental Conservation Law, the Navigaiton Law, all applicable regulations, and the General and Special Conditions included as part Deputy Permit Administrator: Molly Gallagher Authorized Signature02/ Date Page 1 of 5 • GENERAL CONDITIONS 1. All activities authorized by this permit must be in 9. Granting of this permit does not relieve the permittee strict conformance with the plans attached as Schedule of the responsibility of obtaining any other permission, A and made part of this permit. Modifications to the consent, permit, or approval from the US Army Corps of project require prior approval in writing from the Engineers, US Coast Guard, NYS Office of General Commission. Services, NYS Department of Environmental Conservation, NYS Department of Health, Adirondack 2. The permittee and any contractor, project Park Agency, or local government which may be engineer, or other person responsible for the overall required. supervision of this project shall read, understand and comply with this permit, including all special conditions 10. The permittee has accepted expressly, by the to prevent environmental degradation. execution of the application, the full legal responsibility of all damages, direct or indirect, or whatever nature, and Inspections by whomever suffered, arising out of the project described herein and has agreed to indemnify and save 3. The Commission and/or the Department of harmless the State from suits, actions, damages and Environmental Conservation (the Department)may costs of every name and description resulting from the conduct such on-site surveys, investigations, said project. examinations, and evaluations from time-to-time as it deems necessary to ensure compliance with the terms 11. The State of New York shall in no case be liable for and conditions of this permit. any damage or injury to the structure or work herein authorized which may be caused by or result from future 4. A copy of this permit must be available at all times operations undertaken by the State for the conservation at the project site during performance of the authorized or improvement of navigation, or for other purposes, and activities. Failure to produce a copy of the permit upon no claim or right to compensation shall accrue from any request by a Commission or a Department such damage. representative is a violation of this permit. 12. No commercial use, as defined in 6 NYCRR Permit Modifications & Renewals 645-2.1(i), of the permitted dock,wharf or mooring is herein authorized. Regulatory fees are due April 1 of 5. The permittee is responsible for keeping the permit each year for docks, wharfs and moorings. active by submitting a renewal application, including any forms, fees or supplemental information which may Environmental Protection be required by the Commission, no later than 30 days prior to the expiration of this permit. 13. Disturbance to the bed and banks of Lake George shall be kept to the minimum necessary to complete the 6. Any change or modification in any of the activities project authorized by this permit is subject to prior review and approval by the Commission. Any modification of this 14. All necessary precautions shall be taken to preclude permit granted by the Commission must be in writing contamination of any wetland or waterway by suspended and attached hereto. solids, sediment,fuels, solvents, lubricants, epoxy coatings, paint, concrete, leachate or any other 7. The permittee is responsible for obtaining any environmentally deleterious materials associated with the other permits, approvals, land easements, and project. rights-of-way which may be required for this activity. 15. Heavy equipment, including bulldozers, backhoes, Other Legal Obligations of Permittee payloaders, etc., shall not be driven in the water. 8. This permit shall not be construed as conveying to 16. Any material dredged in the prosecution of the work the permittee any right to trespass upon the lands or herein permitted shall be removed evenly,without interfere with the riparian rights of others in order to leaving large refuse piles, ridges across the bed of a perform the permitted work or as authorizing the waterway or floodplain or deep holes that may have a impairment of any rights, title or interest in real or tendency to cause damage to navigable channels or to personal property held or vested in a person not a the banks of a waterway. party to the permit. 17. Any debris or excess materials from construction of this project shall be immediately and completely removed from the bed and banks of all water areas to an appropriate upland area for disposal. Permit: 5234-8-00 Page 2 of 5 GENERAL CONDITIONS 18. There shall be no unreasonable interference with Crib Work navigation by the work herein authorized. 27. Stone used for filling shall be clean (not contain any 19. If upon the expiration or revocation of this permit, material than can pass through a No. 8 sieve). The the project hereby authorized has not been completed, stone shall not be less than six (6) inches in diameter. the permittee shall, without expense to the State, and to such extent and in such time and manner as the 28. No rocks for use in construction are to come from the Commission or the Department may require, remove lake bed. all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim The following specifications apply to the construction or shall be made against the State of New York on replacement of rock-filled cribs. Existing cribs may be account of any such removal or alteration. repaired. 20. If future operations by the State of New York 29. The size of any individual crib shall not exceed 8 feet require an alteration in the position or the structure or by 12 feet. work herein authorized, or if, in the opinion of the Commission or the Department, it shall cause 30. Spacing between cribs shall not be less than 8 feet. unreasonable obstruction to the free navigation of said A minimum of 6 feet of open water shall be maintained waters or flood flows or endanger the health, safety or between the shoreline and the first crib to allow for free welfare of the people of the State, or cause loss or circulation of water. destruction of the natural resources of the State, the owner may be ordered by the Commission or the 31. Completed cribs shall be of the"open-sided"type Department to remove or alter the structural work, construction and provide for at least 40% unboarded obstructions, or hazards caused thereby without water contact area to the rock fill. expense to the State. Moorings Wharf Construction Specifications The following conditions apply to all newly constructed 32. Moorings shall be placed so that vessels moored to wharfs which have not received a variance from any of them, at the full swing of their mooring or anchor line, will these limits: be no closer than twenty feet to the projection of the property lines extended into the lake along the axis of the 21. The location of the mean low water mark must be property lines as they intersect the lake, or a line field verified prior to construction. In no case shall any extended at a right angle to the mean high-water mark, part of the wharf extend further than 40'from the mean whichever results in the greater setback. low water mark. 33. Moorings shall not be placed so that the full swing of 22. The maximum surface area of any dock or wharf the vessel extends more than one hundred feet offshore shall be seven hundred square feet, including any from the mean high-water mark. walkway. 34. Moorings must meet the following minimum 23. The maximum width of any pier shall be eight feet specifications: At least one cubic foot of buoy is to be and the minimum width of any pier shall be two feet. above the waterline; a one inch strip of reflector tape is to be placed around the upper part of the buoy; the buoy 24. The maximum width of any dock or wharf, shall be all white with a one inch blue strip placed including all lateral projections, shall be forty feet. Crib Work 25. No structure shall be constructed on a dock,wharf or mooring which exceeds sixteen feet in height above 27. Stone used for filling shall be clean (not contain any the mean high water mark and which is not in material than can pass through a No. 8 sieve). The compliance with local zoning. stone shall not be less than six(6) inches in diameter. 26. Every dock or wharf constructed shall have a 28. No rocks for use in construction are to come from minimum setback of twenty feet from the adjacent the lake bed. property line extended into the lake on the same axis as the property line runs onshore where it meets the The following specifications apply to the construction or lake, or at a right angle to the mean high-water mark, replacement of rock-filled cribs. Existing cribs may be whichever results in the greater setback. repaired. 29. The size of any individual crib shall not exceed 8 feet Permit: 5234-8-00 Page 3 of 5 n r CI) J `) JJ "0 = -G. n m v ." x RECEIVED - 1 cc y +M,k.:, r D 3, m ,� y i Lake George Park Commission l/ //EJ EC - �r-, .—Pc f (; ; — OA) ,�xi's,-1.4 G- CiiE• -21)0‘e ... .-- - - / s I 1, Al 1 I f 11 ' ;1I I IiC 1 j \ j ' �.1, it lf: i � . iil1 I t . !�- / �, II I / 1 .V 1 I . • 1 C \ 1 "• .= ,I 1. _- ; T--i.' i -- 1'\I .. .. 4 ,\ - ,, // �` // II 1 t(/7 '- 1 i �..,-.1 ,. .,,,,_ ,,, ; . �`- ili I wiTi `i\ ! . 1 - 1 1 I ) II •y— / •/--- --- 1\. . I I \\,- - - , � MOTT e L I" E I j� /fix - 1 r - I i 7,if// I 1 1 1 1 1 - I 1 1 1 1 1 I -U / I — — HI S /.Xi /1 f a'i5%i,1C. rn /'1 '( '4i C 2' . - oci‹.. C/ ,. UCJc c r. 4J . oc< S.i 0 11 • r 0 - 0z n m � v m m3 o r o � m ----=65 - pis ; %I r -- L, ...s-c ,z,-,...,_, , .--:'i------1 4441 L, X;-c4r5 if / GFCvrcrd:cr I ©F1L% GJOO %O QE %/•es:c. c 77Z/'i i / 1?C1-51—Exc EPTC,'rG'✓ ,, - t -HAN-D - r,id os = `moo L1Nc ��t v1 s 3ELo . ..9 ' Syi464Z E.L. / 1• - v 1 '.: ' -..,...;7/. . ._----- t>GLR i114^�ix'TccTiorJ r— n+ m 1 it { 3 1 0 7 v _.. a r Wi' v, CHEDULE A I t •C Z I : : U 3! . . Thi • . J. W b or -J ) , PI to (11 17---.-'' • .---' . / �1 r (` `, j l' L IQ ! o i j o - • v 0\--. o \: L0 v v \ f il �/ W 1 •�u v ' \I- .Z \� IA 0 ‹. W K 3 s // \___/ \. ./ 1 > > \. it r \ / • • J • z - • .. RECEIVED NI ¢ v K ►� MAR _ 20X1 ,s, y "j , t 1,)'" Lake George Park Commission b" '" LGPC Permit # PAGE S OF $ I WON CONCRETE OR STONE FINISHED MARKER ABOVE ALL { GRADE BURRIED COVERS RECOMMENDED. APPROXIMATE CONCRETE OR STONE MARKER ABOVE ALL ACCESS MATCH _ �+ GEO-TEXTILE COVER FINISH GRADE 4 PERFORATED PIPE TYPAR 3401 DR EQUAL BERRIED COVERS --- — A. RECOMMENDED. j. { INLET BAFFLE 12' IAIN. COVER OVER 1T MAX, _ �— I �T ,.._ SLOPE 1/16 1/32' PER FT, �•: j ALL STRUCTURES � s,s —,�.• �.. ; =1111- I 3- ELECTRICAL RECOMMEND ALL ACCESS 1 ,FUNCTION ; . r 10, MIN. , dt CLEANOUT OPENINGS BOX •j . . ._ , , . SL P _ BE RAISED t0 8 BELOW FINISH GRADE. f �• ;-....: :�;.i.. ..�.. •,;.,.,, s:.."=• �. •�— � _ _ p OFiPTION '.;•� ,,.i:, •.+•, f• ..�.. • c> r} , . ..., a ,t.. a, a: C �J '...�`.--' FIELD �•i: ,r�< <+,•^s.:h.',Y 4:.,, q •o:, ,,, QK �:T � •i. ..-..r.. •t•' '..a • ..;t:r•R�..•.,.K.••��:.�t.;�... .1 .t��Z,:.At,•11:..:Y'I :lit*' r `` k��.• r!Ja t A..••:.:^•• • PUMPERSIe rt: ALL OUTLET INVERTS BY ELJEN IN-DRAIN UNIT CONCRETE SAND �y TO BE SET AT JEN CORPORATION W _� c `~ EXACTLY THE SAME — MM. SLOPE 4' PVC ELEVATION. NYSDOT ITEM #703-07 Qn 7/4" PER FOOL SLOPEh ' Z �. N �s . f 1/8' PER FOOT LAG PUMP & ALARM ON E PEA GRAVEL U. .115 o� � 2 FORCE MAIN - PVC DR •-"---�•— ----• -..•. , BI0 MAT -ABSORPTION SEPTIC TANK , LEAD PUTAP ON • • 2' OIA. PPE V Q BY FORT MILLER OR i i .; POLYETHYLENE PIPE ae Ti O N S 1 S TE M NOTES! EQUAL 1NLEt de OUTLET :. N.T•S. 1. END OF ALL DISTRIBUTOR PIPES MUST `C BE BAFFLES ; PUMPS OFF '.; ECK VAL, .. PLUGGED UNLESS INTERCONNECTED. b.C$ r~1 � � 1 r�: STANDARD TRENCH PROFILE 2. ALL LATERALS TO BE OF EQUAL LENGTH. , $ INSTALLATION OF Df 5 o= POSAL FIELDS a • • �• ' : + �. ` i CONCRETE TO BE N.T.S.NTS ,Qi o ,_ TROWEL FINISHED 4 0 I.D. PRECAST CONCRETE - E,,• MANHOLE WITH INTEGRAL BASE MERCURY FLOAT EFFLUENT PUMPS 1. CONSTRUCTION SHALL BE AS SHOWN ON THIS DRAWING, MINIMUM WIDTH AND FLAT SLAB TOP. SNITCH WITH DUPLEX INSTALLATION ANO SHALL BE IN ACCORDANCE WITH THE N.Y.S. MAXIMUM x WIDTH AS MANUFACTURED BY FORT MILLER WEIGHT (TYP.) DEI)ARF48NT OF HEALTH INDIVIDUAL HOUSEHOLD SYSTEMS, AND OR EQUIVALENT I'M 1 7 INSTALLATIONTHERMOPLASTIC PIPE AND (NO LADDER RUNGS) CORRUGATED TUBING IN SEPTIC TANK LEACH FIELDS. 2. NO HEAVY EQUIPMENT SHALL BE ALLOWED WITHIN THE LIMITS pp OF THE DISPOSAL FIELDS AFTER PIPE INSTALLATION HAS BEGUN. PROVIDE 3" SAND OR------- 8:i0i&0O 3. AFTER EXCAVATION OF 4' EWOEACH TRENCH TRENC TO THE DEPTHS REQUIRED, 0 PEA GRAVEL UNDER TANK SEPTIC TANK AND RAKED TO AGiiIM ANEEVEN TRENCH SHOULDTO BE CLEANED 411 M s>4 IN,.TOPSOIL, N.T.S. EFFLUENT PUMP STATION SMEARED SECTIONS OF TRENCH. OVERFILL TO ALLOW SEED AND MULCH 4. PLACEMENT OF' CONCRETE SAND. IN—DRAIN UNITS, PERFORATED PIPE, FOR SETTELMENT BACKFILL W�iTH SUITABLE MATERIAL U� N.T.S. AND GEO TEXTILE SHALL BE AS SHOWN AND IN ACCORDANCE WITH EL,�TI IN—DRAIN DESIGN MANUAL AND;.NYSDOH APPROVAL CONDITIONS. •, ., ,, .. • :.•. ., .• •.•• .,, • R ••; ,; _ �/ b. THE PIPE AND IN-DRAIN UNITS SHOULD BE LAID AT THE GRADES `C <L ;•• „. ..•. w 5EPTIC T/1 N (�`"` 1. PUMPS TO BE TA L D Nt PUMPS RATED AT A MINIMUiA OF 3O ULD AN° TO THE RELATIONSHIPS SHOWN ON THIS DRAWING, MAINTAINING \� �,.1 A �J AT 20 FEEt TOTAL DYNAMIC HEAD. PUMPS TO 8E 1/3 HP COULDS ��l/l 36„ Z a \ 4 STRAIGHT CONTINUOUS GRADES WITHOUT SAGS, HUMPS. SEPARATED /�•I MODEL 3PX5WE03L OR EQUAL. JONTS OR OTHER UNSUITABLE CONDITIONS. THE PIPE SHALLE 6" 4110 PERFORATED B LAID F'Ir�L 1 1. ALL A UNITS SHALL COMPLY WITH THE REQUIREMENTS OF THE NEW YORK Z• PUMP CONTROL PACKAGE TO ALTERNATE BETIkM LEAD AND LAG WA'M1i THE HOLES DOWN IN ALL CASES MIN. c Ih GEO-TEXT STATE DEPARTMENT OF HEALTH AND SHALL BE PRECAST CONCRETE PUMPS ANo TO BE SUPPLIED BY PUMP MANUFACTURER. AUDIBLE 8. AU.DISPOSAL FIELDS SHALL BE GRADED TO SHED RAINFALL ILE COVER A5 MANUFACTURED BY FORT MILLER OR EQUIVALENT. AND VISIU,Z ALARM TO BE ACTIVATED BY LAG PUMP ON FLOAT. AND TO DIVERT SURFACE RUNOFF FROM ADJACENT AREAS AWAY t�-rrdr,.Y TYPAR 3401 OR EQUAL FROM THE DISPOSAL FIELD. tS�:d:i#ad;E:x41 ; GSF. •:d J• .. r: `�I �. ALL STRUC'URES TO BE PLACER: ON FIRM. COMPACT SAND OR 3. PUMP C`!CIE VOLUME - 86 GALLONS 105Y. OF ABSORPTION 9. NO PART OF THE DISPOSAL FIELD SHALL 5E INSTALLED UNDER GRIVEWAYs. ;; * GRAVEL FOUNDATION. WHEREVER EXISTING FOUNDATION CONDITIONS ABSOR?TIGN FIELD PIPE VOLUM's:. -- .•,.• , ARE UNSUITABLE. CRUSHED STONE SHALL BE PLACED AS NECESSARY TO ACHIEVEASTABLE FOUNDATION. ,'.'t: , , it';•, ,,.a. .;,:.w y:"=':r^I.; a;;.,. a+ 3. SEPTIC a .. „•' ••..,._.,... . ;, . •. 'r.',, • TYPE B .IN-DRAIu UNIT SE TI YANKS INSTALLED IN TRAFFIC AREAS SHALL BE EXTRA HEAVY �"�' , CONSTRUCTION DESIGNED FOR H-20 WHEEL LOADING. '~''• 4' MIN. BY ELJEN CORPORATION V 41 MIN s , 'UNDISTURBED RBF'D SOIL CONCRETE SAND 'NYSDOT ITEM' #703-G7 ` MAXIMUM SEASONAL HIGH nnC"s' M GROUNDWATER ELEVATION F� SEPTIC SYSTEM DESIGN B10-- MAT ABSORPTION SYSTEM STA NDARD `'fESIGN FLDW NEW 6 BEDROOM HOUSE � 780 GAL/DAY . �� AR D TR E NCH SECTION-SEPTIC TANK 1,750 GALLON TANK REQUIRED - USE 2,000 GAL TANK h as hoUS wets, :.+ F' I a off Such � r � N.T S 0 t * t imve :k H ABSDRPtION FIELD - SYSTEM REQUIRES 3 USEABLE SOIL (WITHIN 1,000' OF LAKE GEORGE) w Sh01�f11 Q'I!�i.$t�OCUIItetlt. also Il"��re� N TEST PIT SHOWS 4.5' TO SEASONAL HIGH GROUNDWATER, - THEREFORE M v mmur a dMant�se# C3 d':egmm. - STADARD SYSTEM PROPOSED WITH USE OF ELJEN IN DRAIN UNITS TO 1 M M pB Y REDUCE SPACE REQUIREMENT... l M c� .-, O l� - AT NYSDOH APPROVED APPLICATION RATE, t +ty Cl) 780 GPD DESIGN FLOW WITH 11 TD 15 MINUTE PERCOLATION RATE DISTRIBUTION BOX "`'•-►• _ Cl) M i SIGNATURE REQUIRES A MINIMUM 139 LINEAL FEET OF ELJEN IN DRAIN UNITS. LANDS N/F OF M - USE 3 LINES OF IN-DRAIN UINTS WITH 48 FT OF IN-DRAIN UNITS IN EACH 144 FEET TOTAL, r, KNOX LANDS N/F OF NO WELL ON THIS �, b- PROPERTY WITHIN 1('Q' OF � `�' '•.�-•-r,,, ,-- HOFFMAN S$ • P OWNER REPORTS NO YVELL COMMON PROPERTY L':NE ,0� / ... 2 5r 9 �`/� ^ "`Fm�� 1 � Fp 41 300 g38 E ON THIS PROPERTY a rI. r rl• ''3 / /� > M'4_dt{ ROE jH in �'"-- (USE LAKE WATER) �� `°• ///�,/ / // �' / `� "�-- ... ail EFFLUENT PUMP '`--• N8205 i 48"W 1.4 SOILS DATA //' // // �// /� �;^� ;-_..___ N' STATION SEE EXIST. TREES i9 // / .� DETAILS 4.19� w -/ 2,00o GAL. o / r TYP // / �/ // / �• ;� SEPTIC TANK � ELGIN 'IN-DRAIN' SEED �+ DETAI LS S f /�s - �: , // , / I Bi0-MAT UNIT � ..._ �� 5 I / I ABSORPTION SYSTEM �. o -6 TOPSOIL // �/ /� / // ��► /� - m 1 IRF 71E LIN 6 -18' FINE SILTY LOAM / / / � % ,/ 3 TRENCHES e 48 EACH .� '�"`'•--- E C � ARE�N. F RO 3a • / / / / (SEE DETAILS) �� ,�� 1 SET$ C '`.�-- 4i IRF 1.7'f FROM 18-38, FINE SAND & SILTY LOAM h 25' "''``—'°` I ' N 38-66 COMPACT SILTY/SANDY LOAM / // // / vl' j� SHORE A� - MOTTLING AT 56' / // , ' CIRF t , c�. l 41, sq. �--• TP/ N� 0.95 res ^ PERCOLATION RATE 1' IN 11-3/4 MINUTES St• /// p / n, • �-- /%�i h O SOIL & PERC. TEST BY NACE ENGINEERING, P,C, 12-28-99 � � � `•yg �y Pq (�'`a�Tt�a.� � •� // : fit/ 0 • r ``gyp WELL CIRF 0 91� g°0�' aDa N v // Q' �•7 LANDS N/F OF 1 "gyp '�,<Xi, 02 N3� r . I ,xi N GOWER f ?� q`�� W QG ^0 ti wL� Vl �• 1 q,� f �1 - _- LOCATION MAP 4 . o .7 1 ^: � •� ;. �i . � ' c as • y. M V O 0 ,ry i o IiSs � Co �w DOCK >: p 25 ^ 0 QO 4 "• _, ; • IRF .. .. ,. �r - • , a• f g2 5 CIRF W _ , �• ram, // 1J��► .,: • • ' � / • ... , \ a 21 • � CHu,1CHul.POAD T •'• .��' ��, : rit,wvp.S: • 'I :�. a A+^"''•� .�.``. , - . + •,,.•: 1 t--- ,o i �.� DRIVE �y v 42 Dates JANUARY A 200C) .: ► ; , / �� NE �-- --'---. N80� ��2 ,o• /�,; R+sv�ed� JANUARY 7, 2000 • a --..,,,.,,, � •.'� it r..-�--" NEC) �,.�- 1".---• _ LANDS N/F OF 7iE� 5 �. .• •l MAP REFERENCE: McCALL N �!tv AREA EAST OF ROAD •:'� .. µ�` 't' MAP OF LANDS OF \ NO WELL ON THIS 825g,,," —.`'"' 2,732 sq.ft. PROPERTY WITHIN 100' OF 6 42, W Z'R� SHORE 0.06 acres N • �,/ 2,5 FROM � z _ COMMON PROPERTY LINE � � J�TE,, •• , { � �I DATED: 5EPTEM ER 128, 19s4. LEGEND. 8cMle LAST REVISED: MAY 26, 1998 - i 'S. 1 `ANt : • �. • : BY: WAYNE R. RAYMONO IPF IRON PIPE FOUND NM• r r� LICENSED LAND SURVEYOR IRF = IRON ROD FOUND \ �w _ S82 58 17 E �.t ` ; � ,. �- •a ;3,s�'3z9,;�+: _ '> � .�_ F CAPPED IRON ROD FOUND PLAN " , I\I CIRF UTILITY POLE 9.30, . 49049 r zo 1 * �, • • MAR " 0 2000 ,. •• TOY,,.,CIS C -1a� .�1UPY SURVEY N0. 99290 T a .•' ! i .� # - pIA"I , a —E • t •ti. BUI'Plt .> •: � � . - - 4"6JIu_LfliVt� A,+`JI?C0t.0E .. MAP REFERENCE: ' MAP OF LANDS OF PAUL KNOX III IRF DATED: SEPTEMBER 28, 1994 LAST REVISED: MAY 26, 1998 BY: WAYNE R. RAYMOND LICENSED LAND SURVEYOR LEGEND: O IPF = IRON PIPE FOUND O IRF = IRON ROD FOUND OCIRF = CAPPED IRON ROD FOUND = UTILITY POLE LANDS N/F OF H OFFM AN NO WELL LANDS N/F OF o v KNOX _ o NO WELL WITHIN 100 OF PROPERTY LINE 4 RF .bc ,y%K 300.93, N82.57'48"W 4.19' _ IR nE LW 4.47- -IRf' 1.7't FROM SHORE IPF `r CIRF AREA WEST OF ROAD v 3 �S92o�0�, rygh HOUSE 41,238 sq.ft. .�� i' C3 N �00, 0.95 acres °` C ti . t� `� of O I.WELL o�' O CIRF o � LAKE G E R G E �- - � � ^wry HARRIS BAY �4q SECOND STORYDOC K (DECK OWX�O PORCH IRF 25'0p ^V6 �.1> N CIRF. . . . . Iz, 1 2 S7 48» <v LANDS N/F OF �.._ GOWER \ W ,o� io N07'2120"E 3.00' �� /t } �,. NE DRIVE N8 ��' ^°• /:. T Nov 2 T z�O SN gT0 —s __' �,.w AREA EAST OF ROAD B( 'yOPQU Q q• �Dl A E� +UAL IMF 2.5't FROM SHORE 2,732 S ft. NO N0 \ F F o 0.06 acres OF LANDS N/ 0 \ a / - • S8 9 30'7*E ••�Q�� EW CMcCALL Of ��Yo9. DATUM=U.S.G.S. ate, NI)VEMBER 24, 19919 Du •UMAUTHgtlffD ALTERATION DR AMMON M A SURD Scale 1'=30' -� d►-� S NAP BEARM A UCEN30 LAW SURVEYORS WAL IS A Map of a Survey made for (��[/� P C KV YM STATE EDUCATIM LA%L* 2'a 1I� 5 10-25-2000 HOUSE LOCATION V�I S t e v t/ A��/ •OKAY VATH A OR IRE OOORK OF iSU SURVEY MARKED w7N AN OSgNAL OF 1KE LAND SURVEYORS SEAL SKULL BE CONSIDERED TO K VALID TRUE COPIW 4 5-17-20W FOUNDATION LOCATION • >,� ,ml,� ,mT MICHAEL & GAIL DAWSON 7M3 91AtvEr rKAs PREPARED N ACCORDANCE WTN'ME Land Surveyors , LLC PRAM ADS 3 1-31-2000 ADJOINERS HOUSE/SHORE LOCATION BY tNE KEW`NRKc sUTE AtlOOCNna+OF PROfE3SIONAI m n,E SAIDw,NE SURVEY IS�PPARED,,uo 2 1-6-2000 WELL LOCATIONS SHEET I OF I ON"Is KK"TO 1W 1I1LE CTSFANY,OOVERIUMAL 37 Chester Street Glens Falls, New York 12801 AGENCY WE OF 7K E W 114LISIT `O°•"'A'� Town of �Zueensbury, Warren County, New York 1 t-4-2o0o TOPOGRAPHIC INFORMATION DAWSON C 186 (518) 792-8474 New York lAc. No. 50135 NO. DATE DESCRIPTION DWG. NO. 99290 7-1-16.14