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2002-937
,, �r,,� TOWN OF QUEENSBURY IFir742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20020937 Date Issued: Friday, June 13, 2003 This is to certify that work requested to be done as shown by Permit Number P20020937 has been completed. Tax Map Number: 523400-226-016-0001-029-000-0000 I Location: 32 MASON Rd Owner: W. DAVID &PRISCILLA SANDERSPREE Applicant: WILLIAMS CONSTRUCTION This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 3 Cars Attached Single Family Dwelling 4 Director of Building& ode E orcement Oeak TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 ft Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020937 Application Number: A20020937 Tax Map No: 523400-226-016-0001-029-000-0000 Permission is hereby granted to: WTT,T,TAMS CONSTRIJCTION For property located at: 32 MASON Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: JOAN ROBERTSON P.O. BOX 51 Fireplace Garage CLEVERDALE NY 12820-0000 Si -3 Cars Attached Single Family Dwelling 250,000.00 Total Value 250,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency WTT,I,TAMS CONSTRIJCTION PO BOX 241 CLEVERDALE.NY Plans&Specifications 2002-937 Lot 29, Mason Rd. House# 32 per DH 11-13-02 Construction of a 1,968 sq ft single family dwelling with a 576 sq ft attached two car-garage and one IA fireplace per plot plan and specifications. $293.76 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday;.N'ovember 19,2003 ‘,) �, (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 Tow Q nsbu A T te;d. �,November 19,2002 SIGNED BY 19f *Midi. for the Town of Queensbury. Director of Building&Code Enforcement r - Building Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road, Queensbury,NY (518)761-8256 ' / 31 1A permit must be obtained before beginning construction, Permit File No. i� No inspection will be made until applicant has received a Fee Paid $ REl i E!v valid building permit. All applicants' spaces on this Rec. Fee Paid �� application must be completed and must appear on the- N application form. Reviewed By: � © 7 2002 iif A ( �` ,c1.6., l' 5 reowN OF QUEE� ( -U Applicant:W D_'Williams Construction Owner: David & Priscill o�t.•: ,y 4DE Y Address: _PO Box 241 Address: Box 192 N") Cloverdale, NY 12820 Cleverdale, NY 12820 96.1/x6(et-s/rYCe- Phone#(51 8 )656 - 3579 Phone#(5j) 656 - 340R Email Address:wmsconst@superior.net Email Address: La{-VA Property Location: Lot Number: 2:9 / House Number ? /Mason Road, CleVerdale, NY Subdivision Name: Tax Map Nuinber:2 2 6. 1 6/1 /2 9 Q lv t New Building: esidence commercial Estimated Market Value of Construction:$ 2 5 0, 0 0 0 o Addition: residence/ commercial �' If an Addition,what will use of new addition be? o Alteration: residence/ commercial - _T_Ma�6�} fr ❑ No change to exterior size: residence/com'l ❑ Other work(describe ) % \J 64" g10/,-/-07 Check Occupancylnformation 1s`Floor 2°d Floor Other floor Total - Below sq.ft. sq.ft. sq.ft. Square Feet • = Single family dwelling 1 4 28 540 1968 ✓ ' ❑ Two family dwelling - ❑ Townhouse ❑ Multifamily dwelling #of units " ❑ Office ❑ Mercantile , o Manufacturing a 1 car detached garage a 2 car detached garage to 3 car detached garage . ❑ 1 car attached garage - —1 L _, WI 2 car attached garage 576 ❑ 3 car attached garage ❑ Storage building- commercial - ❑ Storage building • - residential o Other r What is the proposed heigt of the structure 2 6 feet 6 inches Will any second-hand or ungraded lumber be used? If so,for what? Type of Heating System: electric/ oil / Cawood / rced hot airy' baseboard/other: , • Number of Fireplaces to be installed 1 Number of Woodstoves to be installed 0 -- -- List below the person(s)responsible for supervision of work as regards to building-codes: - — _ Name Address Phone Number Builder.;` W• D Williams Construction PO Box 241 , Cleverrlal e 656-3579 Plumber Ed Nolan Plumbing & Heating 3 Brenda Drive, Hudson Falls 74 Mason Dale Baldwin 621 Buttermilk Fa11G Rnaa Port Ann 792-1371 T1__i______ •w_�l ___ r-- - __1__! nr rt__1_-- - _ r ___ _ -.-1__ - __- _____ r Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: Lot #29 Mason Road, Clever ale Office Use Location of installation; File Permit No. J- )�^6 2--937 Tax Map No. 226. 1/6/ 1 / 29 David & Priscilla Sanderspree Fee Paid RtEC ® Owner's Name: w.,......_.,.. I/1// Address:Box 192 Cleverdale, NY 12820 NOV 0 a 2002 TOwN 2.. INSTALLER'S NAME : Crandall Excavating, Inc. PHONE NO, W FIEENSB qNO URy ODE 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/bdrtn = 1980- 1991 x 130 gal/bdrm = 1991 -present 2 x 110 gal/bdrm = 2 2 0 Garbage Grinder Installed yes— / no X Spa or Whirlpool Installed yes X / no 4. PARCEL INFORMATION; (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat sand at what depth at what depth municipal Rolling loam 2 Oft fcct-• : none feet well Steep slope clay Seasonal if well; water supply _%slope other High from any septic-system depth: 2' absorption is ft. - other Lake Percolation Test: (To be completed by licensed professional engineer or architect) Rate: 1 0 minute per inch 5. PROPOSED SYSTEM: For New conscr4iytion: 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: 11 2 5 0 gallon' (min. size 1,000 gal.) Tile Field: each trench 4 0 ft. Total System Length: • 2 0 0 ft Seepage Pit(s): number of 5 size of each: 2 ft. by 2. 5 ft. Size of Stone to be used: #3/4% to 1-1• //-depth or thickness 2' 5 feet Bed System Size: 4 0 ' x 4 0 ' 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) ! , -... t':Rt:L.nM , i..--..."------" '-(.77't 1-2q1 — - • L pv.JD_ _ ! th . NA. 7 _. _ 1/'WEll- IN 1//1Tf•rt- -r ,/� wGl Lt'ra•r . 4) S. Y OUSt Gil 1FE y ,I> " il�:�usr= G . / E . 11 . „ / - " ........111:.:_t 1...... ,,,- f. ,l / ,�rI,Y.. �� � 10 Uri tit 11,1ye // \ ..,' '''' c.r..c.fi .ter, \ "' • IF . \----- I . . . .. . . . ..._,,.. . RAJNt) ._...y '---- • 7. SIGNATURE &INFORMATION FOR RWaYVNW.ksLr.r>✓,‘owri wuca.•.....y • 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 �t �.��.tn-.� r.7 ,20 r, ; • Permit No. 2oq3 7 Application is hereby made to the Building& Codes Office for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. • Applicant Information Fuel Burning Appliance Information (circle appropriate words) Stove: wood coal pellet gas Name: to 5 '111.11. 1 Arne:„ nn Inc Fireplace insert • Address: I) ' •i30It 2 4'3 Fireplace, factory-built: wood ads') r; e n 1i , ►� Fireplace, masonry: wood gas Furnace: wood gas . oil • Phone: 656-357 ! •• If non-masonary applicance, please provide • • be orovir3.e6 by Manufacturer Name: 4.1,,, Owner: Day1.6 f� rir,,cb: Address: T,,w . ���,� ► .Model Number: To 1: cs. .t,:e r:c,t..n;--"a i - -tee. 9 d..a art Chimney Information Phone: 56.r:3 4 tt C'3 (circle appropriate words) Masonry block brick stone Flue tle ;s e ) size: inches • Exact Address: Lot 29 1',iasorz , - of construction or installation Factory-Built Manufacturer name: Model Number: Note: Listed By: Number: Construction I Installation must • • conform to NYS Fire Prevention &Building . Indicate(circle) chimney material: Code. Consult available Town of Queensbur v Handouts regarding required inspections. • (Double wall) Triple wall / Insulated / Direct venting • • Chimney.Liner Ca.schtier'isc.Depr rtmez:t-To,.�rr-rs.:c f Quiee cembuzy,11.1-ew 30m'1 Fire Marshal Code# $Collected $Refunded Received from (refs lled to): t:' 1l ) .:; /.!'.< r ,<° address A 173 3389 (190) Public Safety A 233 2655 (230)Minor Sales DA7'E: //7 f�. _ i�wcwto- /Off f1 tiLinli of A � "White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.) 602-937 �611 ENERGY CODE COMPLIANCE APPLICATION W...0. .. TOWN OF QUEENSBURY, WARREN COUNTY DEGREE DAYS 9000 HEATINGRCEniliQ Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings(only) NOV 0 Part 6*- Thermal Rating—Component trade Offs 1&2 Family Dwelling; 2002 Multi-Family Dwellings (3 Stories or less) r'owN O e F QU Part 4*-Design by Component Performance, Commercial Buildings-Hi DICDINGAN�S Co E y Rise Residential *Requires submission of worksheets APPLICANT'S NAME: PROPERTY LOCATION: w D w; lldamc Construction, Iric. Lot#29 Mason Road, CLeverdale PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 9 6 8 square feet 1. Gross Floor Area- s q 2. Type of heat- Electric Oil X Gas Other 3. Is building mechanically cooled? yes X No 4. Percentage of area of windows and doors X Over 17% Under 17% 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R38 b. Exterior walls R21 c. Glazed areas R 2. 78 d. Exterior doors R 6. 25 . e. Floors over unheated spaces R 3 0 f. Edge of slab on grade (heated building) R -- g. Basement/cellar walls (above grade) R 11 h. Basement/cellar walls (below grade) R 11 i. Heating/cooling-ducts-piping in unheated space R -- 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code X Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED A plipart's Sig at re Date Phone Number a i//7 oa 656-3579 INSPECTOR'S REMARKS: _ Porch, Deck, Dock, or Boathouse Permit Application °7E1 Town of Queensbury—Dept of Community Development, 742 Bay Road, I,irp..ii1,: :2002 (518)761-8256A permit must be obtained before beginning construction. No Permit File No. N°V0 inspection will be made until applicant has received a valid Fee Paid building permit. All applicants' spaces on this application must be r�EENSBUR�' completed and must appear on the application form. Reviewed By_BUILDlN G AND.CODE Applicant:V WI il1G' ���5 u� �/tee . Owner idas-%l,� 9eAdi2/3 y ' Address: .PI) 13 or., / Address: ' oc. /9& C/P,/erdce ii/\l. /a r'aO , C//fie/Cie ° . Phone# (r/ )(0 7e_ - �57 r'J� � Phone# )/,s , - , �� Email Address: /,j S(a i SI a !, _ >< kd Email Address: Person Responsible for Supervision of Work as Regards to Building Codes: Name WalwP 'b, WI I I(rafr ) Address: above Phone Property Location: Lot Number: c am] / House Number / 1,&n ROccCv Ckl/e Cik tP //•1 Subdivision Name: Tax Map Number: 7,? , 1 5' Estimated Market Value of Construction: $ 250 b 00 , .:I Porch Is_ Deck ❑ Dock ❑ Boathouse ❑ Other work(describe Size of structure to be built 97,2 square feet Submit along with this application: 1. Two plot plans drawn to scale,preferably using a survey map. Indicate proposed structure showing setback dimensions from all property lines. Show location of water supply and location and configuration of septic disposal area. 2. Two sets of structural drawings. Indicate size of posts or studs, floor joists, decking or flooring material to be used. Show how the porch or deck will be fastened to the building. If a roof will be constructed, indicate the size of posts or studs, roof rafter spacing and span. Indicate type of roof: sloped, flat, shed, or other. Indicate the type of material being used for the roof. Declaration: please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this application,together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the • described premises and that all provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the propose ork shall be complied with,whether specified or noted,and that such work is authorized by the owner. b Applicant's signature• � � + Date: l/ Q L:\SueHemingway\Building.Permit.FORMS\Porch.Porch.Permit.doc 8/13/02 revised per DI-1 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT •j • 742 BAY ROAD t QUEENSBURY NY 12804 (518) 761-8256 //++ ARRIVE: DEPART: INSP: (, FINAL INSPECTION REPORT COMMERCIAL MULTIPLE DWELLING (hotel, motel, apt. complex) DATE INSPECTION REQUESTy� RECEIVED: NAME ~f•C X3/(12.... LOCATION 1 . DATE LQ —)3' /3 PERMIT # �_ 3e7 TYPE OF STRUCTURE /3512> FOOTINGS BACKFILL_ FRAMING_ PLUMBING INSULATION N/A YES NO CHIMNEY/"B" VENT/HEIGHT PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH HEATING/HOT WATER RELIEF VALVES FLOORS FOUNDATION INSULATION INTERIOR STAIRS/RAILINGS STOCKROOM ENCLOSURE FIRE/DEMISE WALLS PENETRATION FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS/CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS PLATFORM/ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. NAL SURVEY PLOT PLAN, IF REQ CA) OK TO ISSUE C/O OR C/C CIRF Lands N/F Lands N/F STEPHEN A KURUC,JR. SUNSOVAL, INC. and w DIANNE M.KURUC o GARAGE226 1�6-1-319 105 � 68 B.899,P.322 o v 226.16-1-32 o � �o a' Nut° S82"52'37"E 185.94' o IPF p'S S82°52'37"E 199.91' fCw Vo r--------------------------------- 111 ' N --------------------------------------- STONE ' O a �� PROPANE � --- GARAGE TANK 0 ; APPROX ARF�1 ' -�^- ---- - - -- --- - - Lands N/F �'- WILLIAM D.KEIS and LORRAINE A.KEIS LEGEND ss.st 8.838,P. 159 226.16-1-30 C.I.R.S......................... CAPPED IRON ROD SET I.P.F............................. IRON PIPE FOUND ' Lands C.I.R.F_........................ CAPPED IRON ROD FOUND W. David Sanderspree I.R.F............ .................. IRON ROD FOUND 116.00-2-39............... TAX MAP SECTION-BLOCK-LOT and 70 8.769 P.986................ DEED BOOK do PAGE Priscilla Sanderspree 107 N/F.............................. NOW OR FORMERLY B. 1292, P. 184 1 112 STORY DWELLING T O.U. OVERHEAD UTILITIES 226.16-1-29 `03 ......................... UTILITY POLE Area=31,373t Sq.Ft. AnFrlSTONE WALL ................... LOT NUMBER PER MAP REF. 2 III O SCREEN CIRF ON PORCH LINE �C o h Lands N/F JON R.HART B.706,P. 124 to 226.16-1-28 CERTIFIED TO: n2 a ' a4 W. DAVID SANDERSPREE PRISCILLA SANDERSPREE CIRS N82°52'37"W 214-81' MB MORTGAGE CORPORATION an its successors and/or assigns FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK ' STOCKADE Lands N/F JOHN R.PYLE,JR. � and Lands N/F ELOISE PYLE 109 72 444/ B.648,P. 1004 EMMA GREGORY JO H P. FUERST PLS 50,419 JUNE 12, 2003 226.16-1-27 13.568,P.493 226.16-1 26 � 7 l MAP NOTES RECEIVED" JUN 12 2003 1. NORTH ORIENTATION IS PER BOOK 969 OF DEEDS AT PAGE 70. TOWN QP QUEENSBURY 2. THE RIGHT OF WAY OF MASON ROAD WAS ESTABLISHED USING EXISTING BUILDING AND CQUE MONUMENTATION. THE SUBJECT PARCEL IS SUBJECT TO ANY RIGHT, TITLE OR INTEREST THE TRAVELING PUBLIC, TOWN OF QUEENSBURY OR THE Survey of Lands of COUNTY OF WARREN MAY HAVE OVER THE TRAVELED WAY OF MASON ROAD OR TO THE WIDTH ANY DOCUMENTS OF RECORD MAY SHOW. Hammond Robertson, Jr. and Joan Robertson 3. REFERENCE IS HEREBY MADE TO A FIRST AMERICAN TITLE INSURANCE 'ONLY COPIES FROM THE ORIGINAL (IF THIS SURVEY *UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY erred COMPANY OF NEW PORK CERTIFICATE OF TITLE BEARING TITLE NUMBER MARKED WITH AN ORIGINAL OF THE IJW prepared OT l'D SURVEYOR'S MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A l' f EMBOSSED SEAL SHALL BE CONSIDERED TO BE VAUD VIOLATION OF SECTION 7209, SUB-DIVISION 2 OF THE 780—WR-4083 AND AN EFFECTIVE DATE OF 5/14/03. TRUE COPIES." NEW YOM STATE EDUCATION LAW David and Priscilla Sanderspree DATE RECORD TF WORK ' CHK APPRALL - POINTS TOWN OF: QUEENSBURY ALL 6-12-03 FOUNDATION LOCATION JPF OF NE �(� H COUNTY OF: WARREN, N.Y. Land Survey, PLLC MAP REFERENCE ��� �� �� co * SCALE:- 1• = 20' W >R 1. MAP OF LANDS PROPOSED TO BE CONVEYED BY ROBERT L. & LYDIA M. 146 GAGE HILL ROAD EDWARDS TO STEPHEN A. KURUC, JR. & DIANE M. KURUC, PREPARED p� DRAWN BY' JPF LAKE LUZERNE, NEW YORK 12846 BY COULTER & McCORMACK LAND SURVEYORS ON NOV. 9, 1993 AND19 FILED IN THE WARREN COUNTY CLERKS OFFICE. v 518-696-7272 S 2. MAP OF RIPLEY'S POINT PREPARED BY J.W. REED DURING APRIL, 1887. LAND CHECKED BY- S JOSEPH P. FUERST APPROVED BY: DATE: 7-12-02 PROJ. NO. 02-099 DWG. NO. 02-099-FD SHEET 1 OF 1 PLS 50,419 , /7:,f) ," / Residential Final Inspection trift . Office No. (518) 761-8256 Date Inspection request received: . Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: 12-� NAME: . 5:9N %/e,A PERMIT#: 6 r� LOCATION: M eCh v0 DATE: 1p 3 a 3 TYPE OF STRUCTURE: Comments X /N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete- _ V' Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in.or more OK Exterior Finish Complete ✓/ Ja116016tAl Interior/Exterior Railings 34 in.to 38 in. if I ' Platform at all exterior doors � Interior Handrails stairs 2 or more risers • ✓/ Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall / 8 inch clearance to sill plate ✓ • . Gas Valve shut-off exposed/regulator 18"above grade IX Gas Furnace shut-off within 30.ft. or within line of site Oil Furnace shut-off at entrance to furnace area ` Fumace/Hot Water Heater operating ✓ Low water shut-off boiler.. / Relief Valve(s)installed ✓/ Interior privacy/trim/doors/main entrance 36 in: ✓i Bathroom/Kitchen watertight i Safety glazing . • Window in stairwells safety glazing - Interior Smoke Detectors: / , Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: ' / Battery backup: / Bathroom Fans,if no window ✓ Carbon Monoxide detector • Plumbing fixtures ,// Foundation insulation 1/ Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade ' Basement stairs closed rise>4 inches • / _ 3/4 hour fire door/door closer 6/ Garage fireproofing Duct work Sealed properly ✓ Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"acc s, 1 sq.ft.-150 sq.ft.vents Building No./Address isib a from road Final Electrical (4 It 0'S (eAGj Site Plan /Variance re uire Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C/0(Cert. Of Occupancy) Okay to issue Permanent C/0(Cert. Of Occupancy) L:\SueHenvngway\Bui]ding.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 PA/ / Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: a'7 O 3 Queensbury Building& Code Enforcement Arrive: am/p De art: I(/1'7 '/0 am/pm 742 Bay Rd., Queensbury,NY 128Q4 Inspector's Initials: c—D NAME: -l^�d%&y � PERMIT NO.: —9`�7 LOCATION: _nG�. � ,.., INSPECT ON: U RECHECK: t-d-9* a0,-,__ 1, Comments and/or diagram Soil Type: Sand/Loam/Clay 444.0,6 , J -- ,4, ae______ Type of Water: Municipal/Well Water Waterline separation distance ft. T 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 t)41 / Stone Size: • k Ki • Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial Location/Separations Foundation to tank ft. Foundation to absorption ft. ��C6.- - V17/4 ; Separation of Pits ft. / Conforms as per Plot Plan __ _Y N Location of System on Property: C Front Rear Left Side Right Side . Middle Fron Middle Rear • S stem Use Sta s: Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INCVc ,— Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE ELECTRICAL APPROVAL /a> Permit No. n/ Cert. 0 ,�8 2�55 3 3 Cut-in Card No Owner PI, /7 ell. S P/ u Location l o v 12P. 61...Ll77JS Lf/" Installation Consisting of... ... .... .. " o _'5, r 6' Installed By G'/ • eA , 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 pro ptly made for inspection. Inspectors of this Company shall have the privilege of making ' sp tions at any time, and if it: rules are violated,the Company shall have the right t re ke this c t' icate. Date L' /7 a 3 INSPECTOR Mo...1.e..1V CD A 1 A C 1 TOWN OF RMIT �jBUILDING & CODE ENF 742 Bay Road Queens bury NY 12804 (518) 761-8256 -/) SEPTIC DISPOSAL SYSTEM INS ION Name jli',,/C6g5�j-'� Location4v� k)t) , Date i fOPeit # 0 2^ ��j' SOIL TYPE:\Sand 7Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: i ,1 ABSORPTION FIELD: Total Lengt/ Length of each trench () Depth of trenches Size of stone _ l ' SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: S i gt Type a Bldg. to Tank '7,'O Tank to Dist. Box , ;t ci Dist. Box to Field/P' <)<-n-O Openings Sealed? es o Partial LOCATION/SEPARATIONS. 1 Foundation to Tank / U feet Foundation to Absorption 2 feet Separation of Pits _ / feet Conforms as per Plot Plan Yes No LOCATION SYSTEM ON PROPERT . (circle -off) /� Front -( Rear - (Left Side - Right Side Middle Fr t - Middle Rear COMMENTS: l X/ „4)6261_ 8) 6qP 7--(---- 7- -—; 4/4- C �c� SYSTEM USE APPROVED: YES 0 Arrived: _ l�r�Departed: CA Building Inspector - r----- Town of Queensbury F _ Fire Marshal's Office `� 742 Bay Road Queensbury, NY 12804 , Phone (518) 761-8205 Fax(518) 745-4437 ) Fire Marshal's Inspection Report Received: 3 5 o Permit# 2t - L N PECTIO ON: 3 2 d 1, Name: `'��i/L ?y A T PM ANYTIME Location: . APPROVED N/A YES NO S EXITS /�ZOMMEN �Zo AISLE WIDTHSirp l ./D4diq EXIT SIGNS-NORMAL - BATTERY I e�Vi---- EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM i FIRE SPRINKLER SYSTEM 1 ( \--6- �p IG FIRE SUPPRESSION SYSTEM HOOD INSTALLATION - n /\ ' INTERIOR FINISHES � OW �j,1/9 - 0 _ STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS - CLEARANCE TO HEATING j #01 w r[tk UNITS CLEARANCE TO ELECTRICAL "" 1(,?.6Alte----- 0 REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN 0/kAK - 0 CHIMNEY P MASONRY ROUGH IN FINAL 1 � �lailitt ()OLele-CCHIMNEY . FACTORY BUILT ROUGH IN FINAL WOOD / STOVE ROUGH IN ' FINAL VENTED GAS ' APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN rOK THIS DATE K FOR CO N T OK FINAL Be. FIREPLACE x _� FACTORY BUILT ROUGH IN / TED FINAL COMDEV/CHRISJ/NORDILETTERS2001/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY . ,�w ! ` Fx Town of Queensbury Fire Marshal d ,Q() 3 r c b r e:i 742 Bay Road `: � y f'; Queensbury,NY 12804 / ...-. , �` 1** "7114 761-8205/761-82060 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. 0 3 ) 2 ti ,'' �S Permit# �-"1 Schedule Inspection �!'�`i f 6 2) Time ..> am pm anytime Inspectorry 11 i Nam i�l��(�,�rt�`Q. �`i '\.Q1: , Address_31),M(17)--cN. C Rough InV�Final_ Appliance Manufacturer V':iA Mer.,t- C143ti U`r5 enrt7 c if odel# D\I 3 ce V Q F"-r Direct Vent K Factory I tint Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection i i ,, Clearances to Combustibles (all sides) / - 0` L)(-� S k S S of C. C)ENV Gl L ( �U'r'c ) S i 1r. i_s �i / d _� �/ Firestop(s) Vertical Chase `3 �2 °gin / I Wall Penetration I Vent Clearances to Combustibles ✓ k 4 5 51-)Q i v..+ ? (411C,2, Vent/Chimney Termination / Chimney height must be 3 feet above roof / penetration;2 feet above any combustible V I construction within 10 feet - i�c' �U t L �_( i. t "tr., l./L)J►‘. "--' Gas Shut-Off Valve , Combustion Air Hearth Extension (if any) Mantel ,`( Height above f/p opening Witness Operation J Tank Placement Of LP) / V White-Building Dept. Yellow-Custmner pink-Fire Marshal , • Q141 Rough Plumbing / Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received Queensbury Building&Code Enforcement Arrive: am3dpm Dep rt(?" : a m 742 BayRoad, Queensbury,NY 12804 Inspector's Initials: : • Q `Y, � NAME: VRUeArr 0.0 PERMIT#: ( (4 3/ LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N NN/A, PVC: R-1,R-2,R-3,R-4 Drain/Vents �f ? Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping • Copper Commercial • opper, CPVC,Pex One&Two Family } sulationWi ential heck/Commercial Check I4 FUG tub tk p Proper Vent, Attic Vent Duct/Hot Water Piping Insulation ► � — If required unheated spaces ,� ��� Combustion Air Supply for Furnace 1ia Duct Work Sealed Properly _ LDF COMMENTS: • • L:\SueHemingway\Building.Codes.Inspection,FORMS\Rough Plumbing Insulation Report.doc January 28,2003 206-2-737 Permit Number • • MECcheck Compliance Report Checked By/Date New York State Energy Conservation Construction Code TOWN OF Q U EI EENSBURY MECcheckSoftware Version 3.4 Release la Data filename: C:\Program Files\Check\MECcheck\2300-02 Sanderspree.cck NO V ® 7 2002 • COUNTY: Warren BUILDING ANp STATE: New York CODE HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE: 11/06/02 DATE OF PLANS: 11/06/2002 PROJECT INFORMATION: Sanderspree Residence COMPANY INFORMATION: Northern Design&Building Associates,Ltd. P.O.Box 47 Hudson Falls,New York 12839 COMPLIANCE:Passes Maximum UA=360 Your Home=352 2.2%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Mudroom Ceiling:Flat Ceiling or Scissor Truss 200 38.0 0.0 6 Great Room Ceiling: Cathedral Ceiling(no attic) 770 38.0 0.0 21 Crawl Space Walls: Solid Concrete or Masonry, 6.0'ht/5.0'bg/3.0' insul 676 11.0 0.0 70 Loft Ceiling Flat:Flat Ceiling or Scissor Truss 426 38.0 0.0 13 Loft Ceiling Sloped: Cathedral Ceiling(no attic) 231 38.0 0.0 6 First Floor Walls 8': Wood Frame, 16" o.c. 950 21.0 0.0 46 First Floor Walls 9': Wood Frame, 16"o.c. 693 21.0 0.0 31 Norco Windows: Wood Frame,Double Pane with Low-E 104 0.280 29 Norco Windows: Wood Frame,Double Pane with Low-E 17 0.280 5 Norco Patio Doors: Glass 124 0.330 41 Therma Tru Entry Door: Solid 22 0.160 4 Therma Tru Entry Door: Glass 22 0.370 8 Second Floor Walls incl. Gables: Wood Frame, 16" o.c. 699 21.0 0.0 31 Norco Windows incl Gable Glass: Wood Frame,Double Pane with Low-E 148 0.280 41 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design ' Professional has stamped and signed this page, they are attesting that to the best of his/her knowledge,belief,and professional judgment, such d lans o specifications are iin compliance with this Code. Builder/Designer —1�'� V! e z_ '��dl� ;l��—"-• Date �4� co ��PPp KEI7y�0 o 1- o Ill Q 1 • „Al E, 2� b b"r'r uwn➢ � f^ F � 111(4 z MECcheck Inspection Checklist New York State Energy Conservation Construction Code ' MECcheckSoftware Version 3.4.Release la DATE: 11/06/02 Bldg. Dept. Use • Ceilings: [ ] 1. Mudroom Ceiling:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: [ ] 2. Great Room Ceiling: Cathedral Ceiling(no attic),R-38.0 cavity insulation Comments: [ ] 3. Loft Ceiling Flat:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: [ ] 4. Loft Ceiling Sloped: Cathedral Ceiling(no attic),R-38.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. First Floor Walls 8': Wood Frame, 16" o.c.,R-21.0 cavity insulation Comments: [ ] 2. First Floor Walls 9': Wood Frame, 16" o.c.,R-21.0 cavity insulation Comments: [ ] 3. Second Floor Walls incl. Gables: Wood Frame, 16" o.c.,R-21.0 cavity insulation Comments: Doors: [ ] 1. Therm Tru Entry Door: Solid,U-factor: 0.160 Comments: Crawl Space Walls: [ ] 1. Crawl Space Walls: Solid Concrete or Masonry, 6.0'ht/5.0'bg/3.0'insul, R-11.0 cavity insulation Comments: • Applies to walls of unventilated crawl spaces. Air Leakage: [ ] 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 combustible materials. If non-IC rated,the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-11. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-6. [ ] Supply ducts in unconditioned spaces must be insulated to R-11. [ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. Duct Construction: [ ] All joints, seams, and connections must be securely fastened with welds,gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Duct tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). [ ] Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] Air filters are required in the return air system. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ . ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: [ ] Separate electric meters are required for each dwelling unit. Fireplaces: [ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction provisions of the Building Code of New York State,the Residential Code of New York State or the New York City Building Code,as applicable. Service Water Heating: [ ] Water heaters with vertical pipe risers must have a heat.trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the I levels in Table 2. ri , Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water , Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) s Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180- 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 • Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(F) 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature , 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 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) I",,, rb Rough Plui b\g L a?gI\ne$Mn Report Office No. (518)761-8256 Date Inspection request receive : Queensbury Building&Code Enforcement Arrive: pm D : ��,j a pm 742 Bay Road, Queensbury,NY 12804 Inspector's In. -3 Pff) NAME: �r�‘Q(S Q2— PERMIT#; : O7 LOCATION: ,7 S(� `J INSPECT ON: ,5--/ ()3 TYPE OF STRUCTURE: v\--) X N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents it Cast Iron, Copper Drain/Vent/Comm. . 6 ` � VC? , o(?_._. ,,OPlumbing Vent/Vents in Place Qj � ki7 ,��2LZ �� uRough Plumbing/Nail Plates �/� Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping • Copper Commercial � � ��� / Cpper, CPVC,Pex One &Two Family �x sx sulation/Residential Check/Commercial Check � - ��s` Proper Vent,Attic Vent �� ��� i�� ✓ , Duct/Hot Water Piping Insulation If required unheated s aces -- ., Combustion Air Supply for Furnace 1 i t©`� ° J Duct Work Sealed Properly ` ,`' -% " COMMENTS: i•f .,/i 1<0(Z 'S*l;; ` 0 - '4. . J''%. . 6-'4'\ %, \ \V-.-,•.r . (49 ,\) • . L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Framing / FirestoPPin� p inie ort' U'J Office No. (518) 761-8256 Date Inspection request rec v�c1- s 1 Queensbury Building& Code Enforcement Arrive: am/ , ) a m 742 Bay Road, Queensbury, NY 12804 Inspector's Initial `� p NAME: �>i �� - �P PERMIT#: OcD ( 3 LOCATION: 'a `O S�\ INSPECT ON: 3 —5-03 OF STRUCT Y N/A v/ COMIVrITS aming ``J IJack Studs/Headers Bracing/Bridging N/ ' s- Joist hangers c.� Jack Posts/Main Beams Exterior sheeting nailed properly ` t=U 1�� 12"O.C. / 3L —�— `✓tD (*. L.1:--\i k% Headroom 6 ft. 8 in. V Stairwells 36 in. or more M C w A i Headroom 6 ft. 8 in. _ Notches/Holes/Bearing Walls l � ` Metal Strapping for Notches Top Plate at \ A-‘1/4 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 snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping V Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 'Y2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 • Rough Plumbing / Insulation Inspection Report WC4), Office No. (518) 761-8256 Date Inspection request received: `/cz Queensbury Building&Code Enforcement Arrive: am/ D —ark 742 Bay Road, Queensbury,NY 12804 Inspector's Initial / NAME: PERMIT#: LOCATION: • ue INSPECT ON: O 3 TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents j Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Lrl�gh Plumbing/Nail Plates (� Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial Copper,CPVC,Pex One&Two Family 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 COMMENTS: • L:\PamW\Whiting\Rough Plumbing Insulation Report.doc • ®. r Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road .1 i 4) Queensbury, NY 12804 ARRIVE am/pm: DEPART ` •am/pm Notes: (518) 761-8256 Inspector's Initials �. NAME: vkl,',1C-Y Zb B"2&' PERMIT# 0 Z_::::_f_____17 LOCATION: 0,J `ice O . INSPECT ON(date): _ j �jfo / TYPE OF STRUCTURE: RECHECK N/A YE NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place ,_ 'The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour _ Reinforcement in Place Foundation/D ampproofmg 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- Proper Vent,Attic Vent Framing . Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Ins ectorO ffwe Use GENERAL INSPECTION REPORT p Town of Queensbury Ready at time:. :: Dept. of Community Development Request received: _ _ Meet: • Building& Code Enforcement ` At time:,tidy Vq 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART - ��am/pm Notes:• C`� =f� �l�- (518) 761-8256 Inspector's Initials NAME: SatA— L. PERMIT#, �,�O 7i q,3 7 LOCATION: Z VVI& jl INSPECT ON(date): G 2/3/ L Z OM. • TYPE OF STRUCTURE: (3T_ RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour7/2 Reinforcement in Place Foundation/Dampproofmg kackfill Approval • pPlumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- _ Floors R- Walls It- 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 Bather Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc GENERAL Office Use GENERAL INSPECTION REPORT Inspector: Ready at time Town of Queensbury Dept. of Community Development Request received: ll1 l q16 l Meet: Building& Code Enforcement At time: GCIq1✓1 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART✓/ am/pm Notes: (518) 761-8256 Inspector's Initials \J1/2" l------- NAME: - k 1/ice C )ERMIT# ZOO Z`13 7 LOCATION:9 L- 11444.5y, sLo + 24 ) INSPECT ON(date): be/2.41/4 Z, TYPE OF STRUCTURE: 5-A RECHECK N/A YES O COMMENTS • „...)(-Footings/Piers Monolithic Pour Form _ Reinforcement in Place 7az/ 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 It- Ceiling R- Duct work or piping in • unheated spaces R- Proper Vent,Attic Vent Framing . Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier • Fire Separation 1,2,3,hour_ Penetration Sealed Fire Wall 2,3,4 hour Firestopping _ L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc • 2 1 9 3-) Permit Number (tnwn iim) Town.of Queen. bury Application for Stormwater Management Permit Under Chapter 147,Stormwetor Management,LL 4-99 ,THI$APPLICATION IS FOR A 0 Major Project . Minor Project 1. OWNER , iNOIVIDUAL 0 PARTNERSHIP Q ASSOCIATION 0 CORPORATION Pa MUNICIPALITY CI AGENCY NAME DAVI1D A PR 54, LL A- T $ PHONE 65G -39�5' MAILING ADDRESS Box I9Z CITY CI_EVEe BALE_ STATE IVY ZIP CODE 12824 2. AVANI u SAME ASUWNLti, 1 jNTRACTQR 0 ATTORNEY 000N3ULTANT 0 CONTACT r'ERSON NAME WfYNE A , I1JIL-t.-1/kV PHONE 6,SG— 35-77 MAILING ADDRESS f , O. Box ? 4-I CITY CLEVru)A--E STATE ZIP CODE IZ820 3. CONTRACTOR ,,SAME AS AOENT NAME PHONE MAILING ADDRESS CITY STATE ZIP CODE 4. PROJECT LOCATION FACILITY NAME(if not residential) SECTION 22&', / . BLOCK I LOT Z. 'T STREET 3 3 H ftsoW R R . EONINO CLAoolrIoATION PROPERTY I9 PRESPNTI v ,VACANT 0 PARTIALLY DEVELOPED ['DEVELOPED&OCCUPIED IS PROPERTY PART OF A SUBDIVISION? 13 No 0 Yee, name of subdivision Q. PROJECT DESCRIPTION PROJECT NElV µo1`dt` PROJECT INVOLVES: 0 Earthwork/Landscaping )'Tree Clearing lifHouse Construction or Addition gDriveway Construction L,ICRAIb1TEMPLATEStSTWATAPPSTOWN STORMWATER APPL,DOC 1112000 Page 1 of 2 2 Rid 1,F17tP ctpl. RTq:'CH-I A)-If1f1SNRRnll -In Nmn I :tTT tlb:20 Lid 2O, RT/TT 1.T4'°N T1T-1 • ,¢.Garage Construction 0 Detached Structure 21.8eptic Systom 0 Modification of a Stormwater Device 0 Other PROPOSED USE 0 Residential(seasonal),gResidential(year-round) 0 Association 0 Public p Commerclal PROPOSED STARTING DATE //—Za,,.'f Z PROPOSED COMPLETION DATE - 03 DESCRIBE THE MAXIMUM SLOPE OF THE PROPERTY IN THE PROJECT AREA: 0 0-5%0(Level)X5-10%(Gradual elope) 010-15%(Moderate slope). U Greater than 15% (Steep Slope) IS ANY PORTION OF THIS ACTIVITY FOR WHICH A PERMIT IS SOUGHT NOW BEGUN OR COMPLETED? "0 Yes XNo (If yes,please explain) 6. CALCULA I IONS d4 CONTROLS TOTAL AREA OF PROPERTY 3 l 4 Z d'd ACRES T9(circle one) TOTAL AREA OF LAND DISTURBANCE: `FT2(do not include area of stormwater controls) TOTAL AREA OF NEWLY CREATED IMPERVIOUS SURIACEI 5 2.3 FTC TOTAL VOLUME OF STORMWATER TO BE CONTROLLED: (see Instructions) TYPE OF STORMWATER CONTROL MEASURES TO BE USED: EAYC --f R.E.Ar 0—14 AN SkASSF-b Vti 1,14 Sro k t DRtvEWAY HAS AN EROSION CONTROL PLAN BEEN PREPARED? ,Yes,plan is attached 0 No If no, please contact your County Soli&Water Conservation District for assistance: Warren County 623-3110 7, 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&! A no I wish to be contacted prior to any site Inspection /1/4ffl) A no 8. CERTIFICATION I hereby affirm that tho Information on this form and all attachments submitted herewith in tom to the hest of my knowledge and belief. As a condition to the issuance of a permit,the applicant accepts full legal responsibility for all lemmas) Iiir i' ,r..41r®"4I l„hafmrop, f1Irai anti hyl urhfvrAVAr RI trfArM Ari.4inn nut of the oroiect 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 Oh1NER .- DATE // `. - 0 SIGNATURE OF AGENT DATE //—/9—D INCLUDE WITH THIS FORM: A Site location map A Project plans on B4Vs X 11 size paper(Submit 4 copies of any plans larger than 11X17) A Names and legal mailing addresses of anyco-ownera of the property A Attachment A(for major projects only A Stormwater Control Report(for major projects only) A Environmental Assessment Form(for major projects onli Failure to Include any one of the required items will result in en incomplete notice endue In processing your L:ICRAIGITEMPLATESISTYVATAPPS1TOWN STORMWATER APPL.DOC 1112000 Page 2 of 2 0 7C1-I.J )Chh Chi OTC,VH-I 11JnACNlnra -In N('l T !(TT Cb•7A I.I.4 X . AT/TT J TC'CN a1T a application. Permits end approvals may be required from other agencies. for town ue•onry The project Is approved as shown on the attached approved plans and subject to the conditions listed on the attached Schedule A. Approved by on Permit Expires Zoning Administrator Date • ATTACHMENT A to 8tormwater 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 • _ L;ICRAIG\TEMPLATESZTWATAPPS\TOWN STORMWATER APPL,DOC 1112000 Page 3 of 2 b 7Ft1r1 l.Pt7b 4h1. Riq:SH-1 ,lNNSNfl( -Ill NMfI :fTT gt7:Pt7 LI-I 20. 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M P C _ PROPOSED GARAGE PROPOSED PRECAST CONCRETE EFFLUE PUMP CHAMBER 10 I000't f i l PROPOSED GRASSED DITCH ' ' B j } � I A MAP DEFERENCE I PROVIDE 30' DITCH WITH 24" WIDE X I2'' DEEP STONE INVERT PROPOSED 1000 GALLON PRECAST CONCRETE SEPTIC TANK SURVEY OF LANDS OF ` HAMMOND ROBERTSON, JR. AND JOAN ROBERTSON � PREPS FOR I DAV I D AND PRI SC ILLA SANDtERSPREE PREPARED BY JOSEPH P. FUERST, PLS i i DIRECTION OF FLOW FOR DATED: 7-12-02 PROPOSED ROOF GUTTER (TYP) D 0 , SETBACK DATA PROPOSED EAVE TRENCH (TYP) O I REQUIRED PROPOSED FRONT 30 75' C7 SIDE 25' 46' & 30' REAR 25' 73' I PROPOSED ROOF GUTTER (TYP) • 15' PROPOSED 3 BEDROOM RESIDENCE I PROPOSED DOWNSPOUT AND 4" PVC TO EAVE TRENCH (TYP) NOTE ; BUILDING AREA COMPUTATION LOT AREA 31,200t SF THIS DESIGN DEPICTS AN EFFLUENT PUMP TO DELIVER " SEPTIC TANK EFFLUENT TO WASTEWATER FIELD. BUILDING ` APPROXIMATE PROPERTY LINE FIRST FLOOR 1480 SF IF FINISHED FLOOR ELEVATION OF PROPOSED HOUSE SECOND FLOOR 560 SF RECEIVED ALLOWS FLOW OF SEPTIC TANK EFFLUENT TO GARAGE 528 SF PUMP MAY Nov 13 ZooZ PUSCREENED PORCH 192�sF DISTRIBUTION BOX BY GRAVITY, EFFLUENT PORCH 48 SF TOWN OF QUEENSBURY BE ELIMINATED. DECKS 580 SF BUILDING AND CODE TOTAL 3388t SF ALLOWABLE = 31,200 SF X 0.22 = 6864 SF OK I TEST HOLE 0"— 4" BROWN SANDY TOPSOIL "-BY: DATE: . NOTE; _ 4"-12" BROWN SAND, SOME SILT, LITTLE GRAVEL WASTEWATER SYSTEM SCALE: 1" = 10 SITE PLAN 12"-24" LIGHT BROWN SAND, SOME SILT, TRACE OF GRAVEL j%viss �,,�� DAVID SANDERSPREE" °�A►" Z.N.M. I" = 10'± ROOTS TO 20" �� r��% cr+ECKErr SEASONAL HIGH GROUND WATER @ 20 TOWN OF QUEENSBURY .J.E.H. PERCOLATION @ 12" — I "/ I 0 MINUTES .. 'ARR.REN COUNTY, NEW YORK L*A,m No.: _02-066 ' JAMES E. HUTCHINS, E. OF pe, P.O. B"220, 12 CIRCLE AVE. SHEET DATE g iN 1i L NORTH Qwx,N.Y. 12853 PLACE 48't MEDIUM SAND FILL, STABILIZE FILL MECHANICALLY WITH TRACKED EQIHISSUR OR BLADE / BUCKET PRESSURE OR OVERFILL FOR SETTLEMENT NOTE: LAKE WATER SUPPLY STATIC STEEL WHEELED ROLLER. STABILIZED FILL. STABILIZE IN 6"t LIFTS TO 4" PVC SDR 35 PERFORATED TY PROPERTY LINE USE GRANULAR MEDIUM TO APPROXIMATE DENSITY OF (TYP) FINE SAND WITH PERCOLATION UNDERLYING SOIL. PERCOLATION 6" TO 12" FILTER FABRIC RESIDENCE RATE OF I' / 5 MIN TO f' ! 10 MIN RATE SHOULD BE 1" ! 5 MINUTES 2" TO 1" / 10 MINUTES. IN PIT. ' ass <:. ,. 4" 10' MIN. ABSORPTION TRENCH - SEE PLAN FOR NUMBER �''"•r' .�.� , AND LENGTH OF LATERALS 6" " 3/4" TO I I/2" WASHED (LONGITUDINAL SECTION) 4 PVC SDR 35 HOUSE SEWER 0 1/4 /FT MIN - TOPSOIL, FERTILIZE AND SEED GRAVEL OR CRUSHED STONE MIN 20' SEPTIC TANK (CROSS SECTION) 4" PVC SDR 35 EFFLUENT SEWER 0 I/8"/FT MIN -'O`•`' 15 2' MIN TO S.H.G.W. MIN EFFLUENT PUMP CHAMBER ..44 i.. 2' MIN TO BEDROCK " • 5' MINI 1-1/2 PVC SCH 40 OR SIMILAR (100 PSI RATED) FORCE MAIN TYPICAL SECTION ABSORPTION TRENCH DISTRIBUTION Box • /w .. 20't 36" MIN (N.T.S.) 10, EXISTING GRADE ABSORPTION FIELD NOTES: MIN 10, - SPACE ABSORPTION TRENCHES 6' MIN O.C. OR AS NOTED MIN sAso ►L HIGH WATER TABLE - SLOPE PERFORATED PIPE 1/16" TO 1/32" PER FT - TRENCH BOTTOM LEVEL - DO NOT INSTALL IN WET SOIL - RAKE SIDES AND BOTTOM OF TRENCH BEFORE TYPICAL LOT DE-TAIL TYPICAL SECTION PLACING GRAVEL ABSORPTION FIELD IN STABILIZED FILL - TRENCH 24" WIDE, 30" MAXIMUM DEPTH (N.T.S) - INFILTRATOR 24 MAY BE USED IN PLACE OF STONE TRENCH (N.T.S.) LOCATION MARKER IV " INISH€D GRADE « 42"t "T" WITH VALVE AND DRAIN 4'U".. .. .;, ZABEL FILTER COVER 2' 0 EXTENSION TO GRADE SANITARY TEE it A Vol EXPLOSION PROOF JUNCTION BOX, ' (� 4 CAULKED JOINT (TYPICAL) INSTALL CONTROL PANEL IN HOME TO y " OUTLETS 25" 6" OF SAND, PEA 3 MIN 60 " 2" FORCE MAIN—• ------ INLET 6 MIN WALL TO GRAVEL OR 3/4 TO L_______ THICKNESS FOR GATE VALVE PRECAST CONCRETE L.AIVRAL$ 1-1/2 AGGREGATE _ `� '` POURED IN PLACE UNION SEPTIC TANK PUMP ON .r PUMP PUMP OFF WATERTIGHT SEAL ALL BLACK PUMP #a" MINIMUM AS REQUIRED _ COVERS, JOINTS AND .: 6" R�►VEL PENETRATIONS . PRECAST OR POURED CONCRETE SEPTIC TANK t jNOTES - - - SEAS. ALL OPENINGS WATERTIGHT _ INLET OUTLET - SET ALARM 6' ABOVE "PU�+tP ON" A ORPTION FIELD DESIGN DATA - LOCATED IN HOUSE • WALL POWER At"� C4NI1"R� WIRES TO CONTROLLER OCA OUS - USE 1000 GALLON SEPTIC TANK FOR P1 4P CHAMBER ASSUME 3 BEDROOM'S (BR) AND A DESIGN i .� "w - PUMP SHALL BE GOULDS WE0312M , 250VOLT, 1750 RPM SUBMERSIBLE PERCOLATION RATE OF I"/ 10 MINUTES w a CONCRETE SEPTIC TANK TO PUMP 20 GPM 0 20' TDH - INSTALL GOULDS S10015 CONTROL WITH ALARM LIGHT AND FLOAT ASSUME 1.6 GALLON/FLUSH TOILETS AND (NTS) SWITCHES AS REQUIRE© 3.0 GALLON/MINUTE FAUCETS/SHOWERHFADS II U2" NOTE: s . : 5 I/' - PROVIDE "T" WITH GATE VALVE TO DRAIN USE 1250 GALLONS FOR 4 BEDROOMS DESIGN FLOW = 3 BR X I10 GPD/BR - CONTRACTOR SHALL VERIFY EXISTING ELECTRICAL SERVICE PRIOR USE 1000 GALLONS FOR 3 BEDROOMS OR LESS TO PURCHASING PUMP(S) DESIGN FLOW = 3.50 GPD �•' NOTE: EFFLUENT PUMP DETAIL ABSORPTION RATE =0.9 GPD/sF 12" OF SAND, PEA GRAVEL, INSTALL ZABEL A1800 RESIDENTIAL WASTEWATER ABSORPTION AREA = 330GPD/ 0.9GPD/SF SECTION - " (N.T.S.) ABSORPTION AREA = 367 SF Obi 3/4 TO 1-i/2 AGGREGATE EFFLUENT FILTER IN OUTLET TEE - GARBAGE GRINDER SHALL BE CONSIDERED EQUVALENT USE ABSORPTION TRENCH DESIGN I�l �'RLBI�TION �0� TO AN ADDITIONAL BEDROOM FOR SIZING SEPTIC TANK. TRENCH LENGTH = 367SF/2SF/LF AN OUTLET GAS DEFLECTION BAFFLE AND A TWO TRENCH LENGTH = 184 LF (N.T.S.) COMPARTMENT SEPTIC TANK IS REQUIRED WHEN A USE 5 LATERALS ® 40' GARBAGE GRINDER IS INSTALLED NOTE: - INSTALL TEE IN TANK INLET AND OUTLET AS SHOWN THIS WASTEWATER TREATMENT SYSTEM IS - U SPEED LEVELING DEVICES TO BALANCE FLOW �� DESIGNED AND APPROVED BASED ON THE N WELL 0 INSTALLATION OF WATER CONSERVING j 100' SETBACK OF EXIST 34 FIXTURES AND A DESIGN FLOW OF IIOGPD PER BEDROOM. THE SYSTEM IS NOT DESIGNED TO x = ACCOMODATE EXTREME WATER USE FIXTURES, PROPOSED WASTEWATER SUCH AS JACUZZI-TYPE SPA TUBS OR WATER TREATMENT EQUIPMENT. THE INSTALLATION 32 OF NON-CONSERVING WATER FIXTURES IS Y CONTRARY TO THE APPROVAL OF THIS OV ` �E SUpp�. m WASTEWATER TREATMENT SYSTEM AL 0 WATER SUPPLY o �m GRADE DRIVEWAY TO SHED Z ` 3KEtS 0 BARK MULCH IN ao LANDSCAPED AREAS RUNOFF TO GRASS DITCH ; 0 "'wommob&-, i F - g V AcANT b" DRIVEWAY PROPOSED WASTEWATER 29 28 NARTT ---�.. 18' tS ,�.R.��-i •--._r ND SPREE v A��` CRUSHED STONE SA ' A :: I MAX . 12"t PROPER 1 MAX i 24" 2 2 i AV TR N H l�OCATIt SECTION PROVIDE STONE INVERT REV. BY: DATE: NOTE; As NOTED ON PLANS WASTEWATER SYSTEM « scALE. AS NOTED EA' E TRENCH DETAIL GRASSED DITCH WATER / WASTEWATER SEPARATION -ePu � �� � DAVID SANDERSPREE Z."'�" � DRAWN: . T. S. �� CHECKED: J.E.H. EN T SS ) 1" 100' �� TOWN OF QUEENSBURY SOURCE: WARREN COUNTY TAX MAP s� WARREN COUNTY NEW YORE. DRAWING No.: 02-066 w JAMES E. HUTCHINS, P.E.-- DA ED: P.O. 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