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2004-726 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20040726 Date Issued: Wednesday, December 21, 2005 This is to certify that work requested to be done as shown by Permit Number P20040726 has been completed. Tax Map Number: 523400-252-000-0001-075-009-0000 Location: 47 Alexy Ln Owner: CESARE COLOMBO Applicant: CESARE COLOMBO This structure may be-occupied as a: Garage - 2 Cars Detached By order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040726 Application Number: A20040726 Tax Map No: 523400-252-000-0001-075-009-0000 Permission is hereby granted to: CESARE COLOMRO For property located at: 47 Alexy Ln in the Town of Queensbury,to constrict 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. Tyne of Construction Value Owner Address: CESARE COLOMBO 3589 TONOPAH St Garage-2 Cars Detached SEAFORD, NY 11783-0000 Single Family Dwelling $129,000.00 Total Value $129,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency SHO CASE HOMES 2717 ROiJTE 9 MALTA_ NY 00000-0000 Plans&Specifications 2004-726 Lots 9 and 10, Alexy Lane, Alexy Subdivision Legal Address: 47 Alexy Lane, Lake George 12845 2,200 sq ft MODULAR HOME �J $352.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, January 21, 2007 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the of Que b/u F . da January 21, 2005 SIG NED BY for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY -742 Bay Road,Queensbury,NY 1280.4-5902 (518).761-8201 Community Development-Building-&Codes (518) 761-8256 BUILDING-PERMIT Permit Number: P20040726 Application Number: A200.40726 Tax Map No: 523400-252-000-0001-075-009-0000 Permission is hereby granted to: CF,SARF,'Cn1,0MR(7 For property located at: Alexy Ln in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the•NYS Uniform Building Codes and the Queensbury.Zoning Ordinance. Type of Construction Value Owner Address: CESARE COLOMBO 3589 TONOPAH St Garage-2 Cars Detached SEAFORD,NY 11783-0000 Single Family Dwelling $129,000.00 Total Value $129,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency . SHO CASE HOMES 2717 ROUTE 9 MALTA_ NY 00000-0000 Plans&Specifications 2004=726 Lots 9 and 10, Alexy Lane, Alexy Subdivision. 2,200 sq ft MODULAR HOME $352.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, January 21, 2006 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the T of eens ry; d , January 21,2005 �'V SIGNED BY V. %4 for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No� c� No inspection will be made until applicant has received a Fee Paid 7� valid building permit. All applicants' spaces on this Rec.Fee Paid $ application must be completed and must appear on the Reviewed By: application form. Applicant: �� i9�� (3)Xor,1410 Owner: CCscA � :`A(ovyl�< Address: S- 11-0 4-4 SIX- Address: 3 rvNo ,44f74- S iy Phone# 11 1-7T3 Phone#(ek) gb a - 9-71.7 /17 V3 / . Property Location: Lot Number:q 0 House Number I�cKr L`g� i Subdivision Name: AL.EX y S ►v Ile o N Tax Map Number: Z S z-I-7S•j ' te' New Building: -residence /commercial 'Estimated Market Value of Construction: $ O Addition: re nee/ commercial If v Alteration: residence/ commercial an Addition,what will use of new addition be? • No change to exterior size: residence/com'l o Other work(describe ) Check Occupancylnformation 1' Floor 2° Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling a 9-00 o Two family dwelling t3 Townhouse o Multifamily dwelling #of units o Office o Mercantile o Manufacturing e2v car detached garage C� car detached garage C 0 3 car detached garage S ` 04 a 1 car attached garage 0 2 car attached garage vVIV OF QUEEN BURY III Rip I- - 0 3 car attached garage ODE o Storage building- commercial o Storage building- residential o Other What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? If so,for what? A/O Type of Heating System: electric oil / gas/wood /forced hot air baseboard other: Number of Fireplaces to be installed O Number of Woodstoves to be installed -last below-the persons)reVonsfbie for-supervisionn of work as regards to building codes: Name Address Phone Number Builder o -�AsE . S '7 �� - .�/f�4 S/SS-S 8'o -/3 Plumber ^ Ms ✓d1ob;/- vN/,� 9yS/R - 799 8797 Mason DA A F✓ III 6 F-r 79z - 1371 Electrician v/�js /liu,r;i - o�� 8% &A} f ff k1 11664! r ,S/S 798 - W/97 Degl g: please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that Uwe shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new traction. Signature: owner owner's agent,architect,contractor Pro ect Name: ( !✓� BP# Address: Building Pernut Submission ( U��'2 �� CSFD Checklist (,o S 7/ 2-Family All items below must be checked either yes,no or not applicable prior to submission of any budding permit to the Town of QueemsburyBudding Department. If anyo£the below items are lacking,the petYnit- will not be accepted until such time as the application is deemed complete for submission. 1. Budding Permit Application Completed ................................. .. Q no ❑n/a 2. EnergyForm or CheckMate Energy Code Compliance.Foray Complete.. Vyes line' ❑n/a (2 copies) 3. Energy Code Inspector's Report from CheckMate Program............... .. Q no (2 copies). 4. Septic application comPle fd out(if applicable).................. ❑no ❑n1a 5. Solid Fuel Burning or Comas Appliance Form... .............................. ....( - no Qn/a 6. Electrical Inspection Form......... Q............................................... ,. yes no Qn/a 7_ Two(2)complete sets of structural drawings... ! []no. Qn/a a) floor plan,b)foundation plan;c)cross sections:d)elevations; e)window and door schedule S. Two(2)site plans showing location of`the structure to be bunt....... ...... Qno Qtr✓a location of well or water Imes,location of septic system or sewer line, 9. Setbacks from property lines to new structure................................ P� Qno Qn/a 1o. Setbacks to neighboring wells and septic systems,including onsite well.... Qyes []no f� a and septic systems Cif applicable) 11, DrivewayPemm.................. .............................. .................. Ono ❑n/a Date: i Staff Initial: r_�c,�uP,,,;nP�vati�13uildiaePernuctORMS\Generic CLecklist.doc January 2$,2003 Job Site Address: l Date: Ownet: � � -� �� a Application No. File No. Building Permit — Calculation Sheet Natural Light, Ventilation & Emergency Egress Requirements Habitable Area of Req.Light Actual Req.Vent .Actual Sq.Ft. Remarks Room Room 8%of Room Light 4%of Room Vent opening for in Area Square Area Square Egress �( Square Footage Footage Feet -40k [30 .30• 0 . 9' ISO 1 C�v, n�� l fig• l5 `�• ° .7• 4 K /2 6 177.7 BED .� 3�9 /9. o z �2-4 ae) 0' z 15-6 r 1 , Z o -..r L:\SueHemingway\Building.PecmiLFORMS\Nat.Light.Ventil.Calculation.Sheet.doc Job Site Address: �' -� �f�� LC= L� �-r'� GeG,v�� '�' Date: A Owner: 04'e"s t C�ci Gar, l� Application No. File No.pp o). WINDOW SCHEDULE Window Window Mfg. Window Unit orgph 11$ S ;FT St' T SQ,1~T, Clear dear Special Hardware or Number or Name Model Stock ��eq1 flernztglass9V�sibet ,gress/Clear Qpenng Ogeping C3elgh:t Instructions Letter on Or Type Number 47d1s`; E z fIighG rl�r `4' ; C P`'�'Ep�ntngWc3th ins lrsahes Plan 4 p E 3 Ma yy f l Q 1 x it L S1 0L tt9 Y S G a�r; e � i FClZ Cj t a Call SIZE ' �!! �Av M �`xF' A C { 1 y , !iN LL P r 9�J �, i 4 1 P S �' C J,J y 11 •7a l 1 t F � � 9 E .7 1 - :_+r t p PGa 1 1P s vd� (e�� Z�3 2 2� %2 q/ ?- 31 20 �� z PGi; (, S 3'�1/6-z I2. 6 ig -THIS LINE HAS EXAMPLES OF SAMPLE ENTRIES .�,.c aA<• f .:, ... ..". itst..r 1'SS� ". "`', s Edtu S r a,�.,:' y �. ,�. A y:C+ i, a _ ,a, Ternp°tired.,_�• '"i� .r'�.nr "1 1.��1; 5� ,^.tr '+r" ..�... »z�S•'��: 11A.�t' M .�.`'.,;�'i�^�- ..�.1-.wti "�1.': '`.L•.` >.•;�.; x: .�.�..x u`, ��.11"f5 .S.r�"� y;�,M....��; r.: ��r�.,.h yin .;a.,_. 1s+:I16:';t, -i.,i,..i�. '¢'�,�` .e .,Y.. :!1.'n`'i`. :{v,'h�� > 4,., aj�,,:.:i<:+.: r -'4,.NC.x•^.,s .+.rye.d.- .��,.,.:...:: ,.. ,J;. .c. .�,. -�� _ �.1:'<.•' fr.,�....�,.: q,l.._,�:. �. � �. ��r..,. Glazin. a L,\SueHemingway\Building.Permit.FORMS\Window Schedule.doc ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 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 Dwelling; Multi-Family Dwellings(3 Stories or less) Part 4*-Design by Component Performance,Commercial Buildings-M Rise Residential *Requires submission of worksheets APPL CANT'S N E: PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: n 1 Gross Floor Area l40 0 square feet 2. Type of heat- Electric - Oil Gas Other 1. 3. Is building mechanically 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: a. Roof R b. Exterior walls R= C. Glazed areas R �35 d. Exterior doors R� e. Floors over unheated spaces R�_ f. Edge of slab on grade(heated building) R -- g. Basement/cellar walls(above grade) R h. Basement/cellar walls(below grade) R 2 Y�A i. Heating/cooling-ducts-piping in unheated space R 61 i1 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code i=-L- Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED Applicant's Signature Date Phone Number /� --gg ;-7/ 7 INSPECTOR'S REMARKS: 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: °�7 /7 4 16-X 7-S ( -75";9 ' File Permit No. Tax Map No. 2,57- ll Fee Paid Owner's Name: ��S G911 L . -j/ow b o I..................................................................................................................................... Address: SS-9 91 7�Alo d 6y6' EE4r ac) /U —19— 960 5 7/7 /l 7 33 2. INSTALLER'S NAME 61 PHONE N0.S1$ 63 9 933 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 galibdrm = 1991 resent 3 x 110 gal/bdrm = 3-30 Garbage Grinder Installed yes_ / no �/ Spa or Hot Tub Installed yes_ / no L/ 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 wha epth d municipal Rolling loam ,r feet ell Steep slope clay if well; water supply _%slope other from any septic-system depth: � other absorption is'�G�j ft. Percolation Tes . (To be completed by licensed pro essional engineer or arc atec Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposhl systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub, Septic Tank:_gallon (min. size 1,000 gal.) Tile Field: each trench eA10 A Total System Length: ft. Seepage Pit(s): number of N size of each: ft. by ft. Size of Stone to be used: #^�_ / depth or thickness et Bed System Size: /1� x Alternative System: / length and/or si e 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 'th respect to this application and agree to abide by these and all requirements of the T ensbury Sanitary Sewage Disposal Ordinance. natureVsponsible person Vate Fire Marshal's Office Town ofQueensbury,742 Bay Road,Queepsbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances �` Date 20 0-6 Permit No. d T Application is hereby made to the Building& Codes Office for the issuance of a Building and Use Permit pursuant to the New York State.Fire Prevention and Building Code. The applicant or owner agrees to coniply with all applicable laivs,.ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to pe►form required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: k,r.4', r 00z04/ 0 Stove: wood coal pellet gas Fireplace insert Address: t try Fireplace, factory-built: wood gas t,i;nta Fireplace, masonry: wood gas f Furnace: wood gas oil Phone: 5-1 4 (o t;`7 If non-masonary applicance, please provide Owner: ," t�5 �'�/" 7 , Manufacturer Name: fl a (, ai�r V Address:: V""e,r Model Number: Chimney Information Phone: ® (circle appropriate words) Masonry block brick stone / Flue the stee ) size: inches Exact Address: Y7 of construction:or histallatio►r Factory-Built Manufacturer name: � trP Model Number: _ Note: Listed By: Number: Construction/Installation must con orm to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbu►y Handouts regarding required inspections. Double wall / Triple tivcrll / Insulated / Di►ect venting Chimney Liner i Fire Mn►shal Code#. Collected_ S Rc�f rnderf . Received fi vm (refunded to): 95 address. A 173 3389 (190) Public Safety _ A 233 2655 (230)Minqr Sales DATE: _ 01 Lo (l A 1_ L) l J :Nc�ncx�wtL_ 7otvw 6"oro D_P_aO White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.) MLe�D TT�H0 Queensbury Building & Code Enforcement - Re ' al Inspection V3 - 10�� Office No. (518)761-8256 Arrive: a art: ��4m/� Date Inspection request received: Inspector s Initials: NAME: c6. P IT#: --J LOCATION: L ATE: — Z— TYPE OF STRUCTURE: F — Comments Yes No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s . ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum''/z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Surve Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/® [Tempor /Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc Queensbury Building & Code Enforcement - Resid ial al Inspection 1 eP Office No. (518)761-8256 Arrive: p art: am/pm Date Inspection request received: Inspector's Initia s: NAME: RMIT#: LOCATION: 971 ;DATE: TYPE OF STRUCTURE: Comments Yes No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete 1 Exterior Finish Complete > Platform at all exterior doors — \-J Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches (�,Bathroom/Kitchen watertight �%r Q`C Safety glazing/Window in stairwells safety glazingO�' Interior Smoke Detectors: ��('� Every level: Every Bedroom: Outside every bedroom area: --- - Inter Connected: Battery backup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s . ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/a hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/O [Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\inspection Forms\Residential Final Inspection Form revised 100405.doe lo'!3a Framing/ Firestopping Inspection Report Office No. (518) 761-8256 Date Inspectop-r st rocL ive Queensbury Building&Code Enforcement Arrive: m/ m art: m/pm 742 Bay Road, Queensbury,NY 12804 Inspector's iti NAME: �_.G�J1 (� PERMIT#: ^7Z�t`� LOCATION: i— 1 ALEiL� Ly�g\ INSPECT ON: �< — TYPE OF STRUCTURE: s!� �(� Y N N/A COMMENTS Framing C Attic Access 22"x 30"minimum Jack Studs/Headers Bracing/Bridging / Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %a(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Foundation Inspection Report Office No. (518) 761-8256 Date Inspection r es c v Queensbury Building&Code Enforcement Arrive: Depart: ! am/ 742 Bay Rd.,Queensbury,NY 12804 Inspector's Itrii NAME: C �.--Cl� RMIT#: 7d- LOCATION: p INSPECT ON: TYPE OF STRUC i Comments v Y N N/A ..- ootings Piers a Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place 'J Foundation Dampproofing li Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove h spection-.3eport Notice:New York State requires that aU UL Listed,factory built appliances be installed according to the instructio specifications containers in the Insd:allation manual accompanying the appliance.No deviation from the manuaa rer' '] instructions or specifications is allowed. Permit#_ �-i -� / Schedule Insption �` -t.� Tighe � nytin�e lnsp - Name sa Y_T Qaalo AddressQlls bough In �al Appliance Manuf arer _ _C'� i'V �i �t�7►lip oriel# (��('� l Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes o N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles // —b Vent/Chimney Termination Chimney height must be 3 feet above roof r^ penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept. �_—� Yeliew Cost mer Pink—Fire Marshal Queensbury Building & Code Enforcement - Residenti ' al Inspection /f Office No.(518)761-8256 Arrive: am/pm epart: �. pm Date Inspection request received: Inspector's I tia 1r_ NAME: P RMIT#: LOCATION: ATE: TYPE OF STRUCTURE: / Comments / Yes No N/A Building Number/Address visible from road i Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior• exterior Railin s 34 inches to 38 inc`hes Interior a s airs or more rs Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safe lzin /Win ow in stairwells safety glazing Interior Smoke De ctors: � Every level: Eve Bedrom: / Outside every bedroom rea. JJ / Inter Connected: Battery backup: Carbon Monoxide Detector VL\` r Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents V Bathroom Fans,if no window Plumbing fixtures �L Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Ay•" `v' Oil Furnace shut-off at entrance to furnace area V ;) Furnace/Hot Water Heater operating Low water shut-off boiler ` 1 Relief Valve(s)installed/Heat Trap/Water Tern 110 Enclosed Stairs Sheetrock Underside minimum%z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fire roofin /3/a hour fire door!door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure C� \ Final Electrical Final Survey Plot Plan V As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/O [Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/pm epart: .� Nm/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: orb H � LOCATION: DATE: TYPE OF STRUCTURE: Comments / Chimney Ht./"B"Vent/Direct Vent Location Y N N/A Fresh Air Intakes 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete ` Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete l d, Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum '/2" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall � � 6 inch clearance to sill plate I Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft.or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating {f DC d�F -- Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: I Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss, draft stopping finished basement 1,000 sf �1 Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/'/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"a cess, s . ft.-150 s . ft. vents Building No./Address vi ible f m d Final Electrical Site Plan /Variance regAAed Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 Queensbury Building & Code Enforcement - Resi n al 'nal Inspection Office No.(518)761-8256 Arrive: m/pm art: Date Inspection request received: Inspector's Initi NAME: t IT#: Z LOCATION: ATE: _ TYPE OF STRUCTURE: ` E-& rao ` �V Comments �. Y N N/A \ Chimney Ht./"B"Vent/Direct Vent Location \ Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete ` Guard 30 in.or more cry stairs,decks,patios Guard at stairwell at 34 in. or more t C Guard at deck,porches 36 in. or more U Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. v Platform at all exterior doors /` CnT Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %" j Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate lP l I Gas Valve shut-off exposed/regulator 18" above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: � �� Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window i\ (—\N,L -Ir\- U— ures F u Foundation fixtsula Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer 4\Vz) Duct work Seated properly Gas Logs in Sealed or Glass Enclosure a� Attic access 30 in x 22 in.x 30 in.(ht.)In accessible area Eli Crawl Spaces 18"x 24"access, I s . ft.-150 s . ft. vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent L:\PamW\Building&Codes\Inspection Forms\Res. Final Inso. form 2.docLast printed 2/12/04 Rough Plumbing / Insulation Inspection Report Office No. (518.) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pr r gepart: /pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: `z`� n NAME: l C7)1,j =10 PERMIT #: LOCATION:�1 I e ke INSPECT ON: C o TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent/ Vents in Place 1 1/21nch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/ change of direction Pressure Test Ar9 Drain/ Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes w4,5 Pressure Test Water Supply Piping ��.�p Air/ Head -50 P.S.I for 15 minutes ation / Residential Check/ Commercial Check Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If,re uired unheated spaces Combustion Air Supply for Furnace Duct work sealed properly No duct tape COMMENTS: LAPam Whiting�3uilding&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 z 1 Framing / Firestopping inspection Office No. (518) 761-8256 Date Inspection re st e� r' ed: Queensbury Building& Code Enforcement Arrive: I p epart: V5LI;-�n_VK 742 Bay Road, Queensbury, NY 12804 Inspector's Im al NAME: I PERMIT#: LOCATION: INSPECT ON: � TYPE OF STRUCTURE: ( s"( *� Y N N/A Framing COMMENTSJack Studs/Headers Bracing/Bridging Joist hangers 0"Onv Jack Posts/Main•Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. G —�> _ Stairwells 36 in. or more Headroom 6 ft. 8 in. t \ Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses n, Anchor Bolts 6 ft. or less on center l V. k- and snow shield 24 inches from wall Fire separation 1, 2, 3 hour P- w Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade I-ASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Septic Inspection Deport Office No.(518)761-8256 Date Inspection request re eived: f Queensbury Building&Code Enforcement Arrive: a Depart: am/pm 742 Bay Rd., Queensbury,NY 12\804 Inspector's Initials NAME: PERMIT NO.: nd.( LOCATION: , INSPECT ON: RECHECK: Comments and/or diagram Soil Type: Sand/Loam/Cla Type of Water: Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: . x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/Pit Opening Sealed: Y/N/Partial End Caps C � Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan _Y N Engineer Report and As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Fro Middle Rear System Use Stat s: Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved Last revised 1/6/05 ` rj Septic Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building&.Code Enforcement Arrive: am/ epart: am/pm 742 Bay Rd., Queennsb�ury,NY 12804 Inspector's Initials: � '} NAME: V:%� Cr��_ C) PERMIT NO.: [/ " 7)- LOCATION: f \ ,��- INSPECT ON: c7 - (�_ RECHECK: _�C�— Comments and/or diagram Soil Type: San Loa Clay Type of Water:Wzliicipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone Seepage Pits: Number Size: x_ Stone Size: Piping Siz -Type Building to tank L Tank to Distribution u Distribution Box to ield/'Pit Opening Sealed: /N/ artial End Caps' 6�,,+ - r Location/Separations Foundation to tank ft. �' �� 4C k�..L '� Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built Y N Location of Syste on Property: 0(4 �- 4 Front ear)Left Side Right Side Middle Front Middle Rear System Use Status: pproved artial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved Last revised 1/6/05 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection req est eceived: + ' Queensbury Building &Code Enforcement Arrive: azn/p e !m/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: 0L LOCATION: 2 INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour, Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Foot' g Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- _ Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\I3uiiding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report `(�to 0 Office No 5 -. ( 18) 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: NAME: ` � PERMIT#: LOCATION: INSPECT ON: TYPE OF STR E: Comments Y N/A (. outings �4�� Piers , ) Monolithic Slab Reinforcement in Place c- A-� 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 Re orcement in Place 'oundafion Dampproofing - — o Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: X h width es above footing of for wet areas under slab / Backfil1,Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- _ Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection requ t•received: ` 'Queensbury Building &Code Enforcement Arrive: am/ Depart- ni'pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: �O�'a�.-- cam PERMIT#: LOCATION: INSPECT ON: `t TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour enforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab BackfiR Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- _ Rough Grade 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Repoil.doc Januaiy 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/p /f Depart: d am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: �X- NAME: PERMIT#: 4- LOCATION: INSPECT ON: �� TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Mat als for this purpose on site. Fo ation/Wallpour01 Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfll Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Bui]ding.Codes.InspectionTORMSWoundation Inspection Report.doc Januaiy 28,2003 �o 2�P Ej a (30 N Ln BUILDING BYMFG. L N �uVir oP s FND DESIGN FINI511 GRADE + ' N CD 8'PC WALL ago See�Paurrdation WaIJ m Table Below _ aRk E C E I A N CD v 2 MAP 2 9 2005 d+A A8 BUE�CQURY PANr � ORL • a . • ,`_,_ } 7 a` FOUNDATION WALL > 6ACKFILL EXP05ED FODTER d HEIGHT 7HICKNIM5 DEFT11 WALL 51ZE 8' 8' <T' >4 2' 24'x 1 O' a' 1 oil >7' [12' 30'x ICY' m REINFORC MENT—f ACLffemperatur_e Steet Reauiredl 9) 8.!WALL =#a{coal;t "rrc'UERT a #4{ il'2 t RIZ: Z m ReI NFOR,C EMENT S11TU GRADE GO REBAR [Py > GO k9d H a z t za I °gym ° '' N REMISED FOUNDATION SECTION =dz 0 la RS 114'= PLO" M a mFri 3> w rz_ m CD z 6`I� 1 rV Foundation Inspection Report Office No. (51 8) 761-8256 Date Inspection request receiv d7�. Queensbury Building&Code Enforcement Arrive: a � s `Depa ; �'> amr`pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: <. NAME: PERMIT#: LOCATION: SPBCT ON: TYPE OF STRUCTURE: �c Comments Y N/A ootings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezin for 48 hours following the placern 'nt of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- _ Rough Grade 6 inch drop within 10 ft. LASueHerningway\Building,Codes,InspectionTORMSToundation Inspection Repon.doc January 28,2003 .j aTATC Or -NEW)',DRK DEPARTMENT OF STATE i 4 i STATE MTF?c.E; ALBANY. NY 12231 C3✓iI D,;ccmber?(1 2002 iA.nrd�, r Ga:a,. 1_ �iE�a"7-.f; E, t'A.Tiw7;i D c c N-Ir. William Lake Lill.L31:_e I1•10dular Homes d 88 Flrrncl-rs Road Sprakers, NY t216 VIA FA CSIAMILE TkANS.M 11-17A L RF: !1_l. 11.79-02-053 Syst(in approval CONDITIONAL Dear Mr. Lake.: lssucd hcnnvith, in response to your Sepierrlber 25,2002.application for approval of Detached One- and Two-Faniil4 Dwelbogs System of Models is Tactor)' N.1anLJfiWtUTtd Building Approval rlesUmat!sd_M 1179-02-0.1 as authorized under Fart. 1281 of the f.iriifrrnn Fir Pr4:i ov ion and Building Code. SaPplirpilerltal IC orkiitio_r s of Approval In additi-on.the cond ti0ns Under which system approval is granted arc: d.Tllc:rnanufactureris to suhrni#ro the>`rJO ion ad>apiicate of the p�unit. c1.ft,rcac-fld~titllin to be installed in New York State.Each portnit;sot is co be sealed and signed I) an tircl itcct or enoincwr registered in New York Sttrti; and is to bear thatarchitectorenVi3lcor sr.crtificationthat"the plans .and specifications of the permit set are derived fx-om and consistent }Milli the plans and speclficat:ions associated with this approval on file ~!<tlith the Division and this conditional appr(1),a letter.'. 1e certiA7in,architect or en.aine.cr mal not be.atfiliatcd or asswkitcd with the II1c`1111If2lChLrtr�s quality- eu-,SaranCe a!_�enCV. The fbtlowing are specific. rrql.9irumcnls Iegard111-1,, the contents of file permit set. l.l. A sot of drtlivings minprising at- a-rninhimm: 1.1.1CoN-cr shoot e'hich.coiltains iriforin.a:tion un: - Project location - Der-Wn c_ritcria: listing, of applicable design loads suc]i as Ground Snow Load. Scismit 17c:si n CCaiegorx!_find Speed I_iiti I.uads. I ead Loads-etc, ,applicable buildim, codes and design specifications - Fner y code information: statement by prof"essir.nal (}F compliance Conservation Con.strnerion{'r-..,c:le i,+,Bair l'`c,rh Stale, 20.rl.?&iir,"vn. Method of' com.pt-anc� and peri-incnt docunnentation shall be provided. -OC'ClIpancy'CI assificatrOil Yi YI'.'•. ail!' .i C.`!'• —_ r G MG•. I!.-'- .!� �I� _ �,.. 1.:.. C:TC�CL•:•::-:•. Mr. William Lake December 20,2402 7�1 -Construction type classification I -General notes r drawings ngs �!� 11� 1� 1�rerrs titl S SEP ? 5 2004 SMOKE DETECTORS AR€ IR, }oval.,of derivation from Svstcm set ADJACENT TO BEDROOMS, m 9 ' .1 SM 9 aplmroti�al letter MW6 QULENSBURY INCLUDING CELLAR OR 1BA81i - Is AL BUILDING RstJD CODE DETECTORS SHALL BE INTERGOWIETLOTED MAQvggts' Information on: ALL SMOKE DETECTORS iI 4�Tr�aBAT rR��+Wtilation.egress.nvindotil raid door schedules CARBON MONOXIDE DETUCMIR'REWIEIX-06TM�Fstmctural members LOWEST SLEEPI 94-13VELand G:FCI Interrupt protection 1.1_4 Foundation plan 1.1.5 Building cross section with infor imon on: -Building integration(module connections)details -Location of required fin: stopping -Roof truss bracing and structural connections 1.1-6 Roof systcrn -Special ratluirenments addresse-d(such as sliding,drifting ortumbalanced snow load conditions) Y 1.1.7 Non-typical details(such as pros-,roof,cautile-ver b .ams.e(c.) 1.2 Summan-, of references to sys-tcrn for selcetion of structuTal muml,urs. 1.3 Each page of drawings and c.olculations should be sign;d, scaled..and dared by Ncv, York State registered design professional- 2. The =nuftcturor will submit a weekly report summarizing (listing) all permit sets vtirith information about prctjcO location,production serial number,and N`r'S insignia number_ 3.The manufacturer i ill pramptly address the deficiencies of subnmittals_ 4.The system conditional approval is subjectto termination upon evaluationofcompliancewith the provisions oftl..)e Uniform Code. 5.The Division will conduct.quality control.rcvi-Q v of permit sctsubmittalc to Qvaluatc compliance Nvith the above conditions and with the provisions of the Rc:sidentio] Code of Yf as- Y(v ;rule. Duficicncios will be reported to Manufacturer name and are to be promptly addressed. The approval is indicated by the New-York Slate Department of State "Starnp of Approval"placed on the accompanying set ofplans and by the gw-difvin;letter dated December 20,2002 A copy of the firsttwo pages of this letter shall accompany each set of plans- submitted fora building permit;Ind be deemed a duplicate original. TOWN OF QUEENSBURY BUILDING DEPARTMENT - Based on otlr limited'examination Sinter comppliance with our comments shah not be construed as indicating the plans and speaicaWns are in full compliance with the Building Codes of ISIM York State. GeorWE.Clark,Jr_ COPY Division of Code Enforcement and Administration Enclosure cc: TRArnold &Associatcs;.`7(I0 E Beardsley Ave, Elkart IN' 4651 �� 1 � EZ File 02-0S3. pd BUILDING & CO® f REVIFVt�I0 QY Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code RES check Software Version 3.6 Release 1 Data filename:C:\BILL LAKE SYSTEMS APPROVAL\houses\RES-CKECK\PR-600.rck PROJECT TITLE:PR-600 COUNTY:Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric WINDOW/WALL RATIO:0.11 DATE:08/27/04 DATE OF PLANS:08-26-04 PROJECT DESCRIPTION: CESARE COLOMBO ALEXY LANE QUEENSBURY,NY 12804 (SHOWCASE HOMES) DESIGNER/CONTRACTOR: BILL LAKE MODULAR HOMES 188 FLANDERS ROAD SPRAKERS,NY 12166 PROJECT NOTES: FLOOR INSULATION ON SITE BY OTHERS. COMPLIANCE:Passes Maximum UA=347 Your Home UA=306 11.8%Better Than Code(UA) Gross Glazing Area or Cavity Cont.-- or Door Perimeter R-Value R-Value U-Factor UA _ Ceiling 1:Flat Ceiling or Scissor Truss 1107 38.0 0.0 33 Wall 1:Wood Frame, 16" o.c. 2391 19.0 0.0 125 Window: 8457S:Vinyl Frame,Double Pane with Low-E 33 0.370 12 Window:4257S:Vinyl Frame,Double Pane with Low-E 166 _ 0.370 62 Window:38375:Vinyl Frame,Double Pane with Low-E 10 0.370 4 Window:264IS:Vinyl Frame,Double Pane 7 0.370 3 Door:6SLIDER:Glass 40 0.340 14 Door:2-8 9LITE: Solid 18 0.200 4 Door:3-0 2 SIDE LT:Solid 38 0.200 8 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 1107 26.0 0.0 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 plans or specifications are in compliance with this Code. G 1/Q Builder/Designer "' �' - = ` ; ��..°> Date "0� rdF, Q N78 38 00"E 150.00' LQ 0 W s O O DIN 3 LOT 9 .O� N t rn 1N z FOUt4IDL11 ON 23,083.96 sq. ft. � 0.53 acres .0 h s GAR IG ONLY FOUND An 52 4' Lri rn 10 Lrj 14 N r- it trlN `N �•�1 LOT 10 N 0) 0 � O J N u� 17 4.0d S7a 3 p0"w A A Date, APRIL 14, 2005 UlIAUTHang ON D ALTERAT OR ADOMON TOA SURVEY Scale 1'=20' „ �'j `a�• 1•'7 S V BEARING A LICENSED LAND SURVEYORS SEAL IS A Map of a Survey made for �) & •� YIOIAIM OF SECTON ZIOB.SUB-aVESON Z OF THE NEW rant STATE EDUCATCN LAW s rows torts OFJ me OF TKE LAND r U rrM MAIMED ALL AN CONSIDERED orrTE BE VALID RU SEAL SHALL BE OCILroDE1iED ro BE vALp TRUE COMES." • TI REDI� WIN Cesar Colombo THIS SIRVEY WAS PREPARED M ACCORDANCE WTI Tf Land Surveyors BY EMING �`STAT"�S FOR LAND ' BY Tff NEW YORK STATE ASSOCIATION OF PROFESSONAL LAND SURVEYORS SAID CERWICATIONS SAL RIM ONLY TO TIE PERSON FOR*M THE SURVEY IS PREPARED,AND SHEET 1 OF 1 ON HIS BEHAV TO THE TITLE CMVANY.GOVERNMENTAL AGENCY AMLENDINGRISIMTION LISTED HEREOIL AM Town of Queensbury, Warren County, New York 169 Haviland Road Queensbury, New York 12804 roLENDINGme A55ICNM5 or THE LENDING w TffUT*N coLOMeo C-150 DWG. N0. 05037 (518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DE51GN BASIS SPECIFICATIONS/MATERIALS PERCOLATION TEST RESULTS: COLOMBO PROPER STABILIZED RATE LE55 THAN 40 MIN/IN 9 ALEXY LANE 3 BEDROOM HOME 110 d/bedroom PERFORMED 8/1 5/04 QUEEN5BURY, NY -_•n .�_r SEPTIC TANK gp BY JOHN G. HARDING, P.E. WARREN CO. Q = 330 GPD DEEP PIT TEST DATA(8/1 2/04): -LEVEL AND BED ON A MIN, OF 3"OF SAND OR PEA GRAVEL MINIMUM SEPTIC TANK SIZES TABLE OF 5LOPE5 TABLE OF 5EPERATION D15TANCE5 NEW WATER SAVING FIXTURES -MAX. 1 2"COVER OVER ACCESS/INSPECTION OPENING -SHALL HAVE INLET/OUTLET BAFFLES OR SANITARY TEES BEDROOMS TANK CAPACITY MIN. LIQUID SURFACE BUILDING TANK SEPTIC TANK 1/4 IN/FT N/ELL WATERCOURSE HOUSE PROPERTY LINE 0-8" DARK BROWN ORGANIC LOAM ICI -MIN. ONE 20" DIA, ACCESS/INSPECTION OPENING PER COMPARTMENT 3 1000 GAL. 27 5F. SEPTIC TANK TO D-BOX I/8 IN/FT 8-48"ORANGE/BROWN SILTY/SANDY/CLAYEY LOAM /� -MIN, ONE CLEAN OUT OPENING LATERALS 1/8 IN/FT HOUSE SEWER 25' 25' 10, 10' PROJECT ■ TIGHT WITH 4' MIN. Desi n talc. =5' max.) LIQUID DEPTH DISTRIBUTORS I/I G TO I/32 IN/FT SEPTIC TANK 50' 50' 10' 10, 48" BEDROCK LOCATION LU W -TANK SHALL BE WATER ( g -MIN, 2" INLEVOUTLET INVERT DIFFERENTIAL DIST. BOX 100 100' 20' 10' W �. 00 -RECT. TANKS SHALL HAVE AN EFFECTIVE LENGTH 2 TO 4 TIMES THE If WIDTH DISTRIBUTORS 100'* 250' 20' 10' 36" PERCHED/SEASONAL HIGH GROUNDWATER FOUND -LIQUID SURFACE SHALL BE BETWEEN 2.7 AND 5.3 5F/100 GAL. OF TANK CAPACITY ' =200' IF WELL 15 DOWN SLOPE W � " T. CLEARANCE BETWEEN BAFFLES AND INSIDE TOP OF TANK DESIGN RECOMMENDATION // N N MIN. I VER CLE GENERAL SITE NOTES: ALEXY LANE Z V O E Ln -TANK TOP SHALL BE ABLE TO SUPPORT 300 PSF MIN. ZLn -MULTI COMPARTMENT TANKS SHALL BE REQUIRED IF IN51DE TANK LENGTH > 10 FT. CONVENTIONAL SYSTEM PERCHED WATERTABLE ON TOP OF BEDROCK I. FIRST COMPARTMENT SHALL BE 60-75%OF DESIGN VOLUME SHALLOW TRENCH ABSORPTION SYSTEM SLIGHTLY SLOPING TO REAR TOPOGRAPHY 2. COMPARTMENT DIVIDER SHALL EXTEND FROM THE TANK BOTTOM UP TO G"ABOVE OUTLET INVERT G @ 55' (330 LF MIN REQ'RD) ~ �"'� I�Z c 3, CONNECT COMPARTMENTS WITH 4"V.x28"H. SLOT OR(2)4-0 ELBOWS, AT 1/3 LIQUID DEPTH STABILIZED RATE < 40 MIN/IN GPS COORDINATES: V x _ STEEL TANKS HOUSE SEWER -SHALL BE LAB W 730 38.9 17' ,L LABELED IN COMPLIANCE WITH UNDERWRITER LAB. STANDARD, UL-70 N 43° 2G.358' C -SHALL BE COATED INSIDE AND OUT WITH A BITUMINOUS OR OTHER APPROVED MATERIAL -4" DIA. RIGID PVC AT I/47FT. ON A FIRM FOUNDATION -BEND5 SHALL BE 45 DEGREE WITH PROPERLY FITTING PLUGS AEROBIC UNITS (RECOMMENDED ONLY IF THE FOLLOWING ARE MET) -CLEANOUT TO BE INSTALLED WITHIN FOUND. WALL LOCATION MAP W = �. -SHALL BE CERT. BY MFG. NY LICENSED ENGINEER TO BE IN COMPLIANCE W/N5F CLA55 1, 5TD. 40 CONST. AND MATERIAL SHALL MEET 9NYCRR PARTS 903-907, INCLUSIVE AND PART 1 250 OO Q n -STD MFG. SERVICE CONTRACT FOR 3 YR5. MIN. INCLUDING -ROOF, FOOTER, BASEMENT AND WATER SOFTENER DRAINS SHALL NOT BE CONNECTED TO THIS SYSTEM NOT TO SCALE t 1. SEMI-ANNUAL INSPECTIONS 2. ANNUAL PUMPING " IN. ACCESS V 20 M z Z 4" HORIZ. " FLOW BAFFLE,TYP. SLOT >W-LLJ Q O Z FLOWF MO 3" G, =0 0� 18° o AS FLOW FLOW Q � o I G" BAFFLE 5' Min. W rq 0� m 4"HORIZ. 20" Mt eye a U_Z SLOT `•J W 0� Cn Z ca +1 _ 4"SAND OR PEA GRAVEL g ELEVATION VIEW PLAN VIEW 833N tie" T ��PTC TANK DETAIL �01 #9 J :0 ao ._ ,X 10 -150 ll k SHALLOW TRENCH ABSORPTION SYSTEM BASAL AREA = TOP OF FILL AREA FINIS GRADE (2.5'+GO'+2.5')(3.5'+G'+G'+G'+G'+G'+3.5') = G5'X 37 = 2405 SF .a--2'MIN. Z DISTRIBUTOR LENGTHS I _150' Q 3 BEDROOMS ~1 (BASED 110 GPD/BEDROOM) TOP501L 2"STRAW OR UNTREATED Q = 330 GPD BUILDING PAPER STABILIZED PERCOLATION RATE LE55 THAN 40 MIN/IN FT, DISTRIBUTORS G@55' SOT A, O G TO 1 2" .±150'XG4 a 2"MIN CRUSHED STONE ABSORPTION TRENCHES Q 3/4 TO 1-1/2" PROPSED WELL -4" DIA. PERFORATED PVC PIPES , G'O.C.,(GO'MAX. LENGTH 6" MIN 150 4"DISTRIBUTOR �-� -2' MIN.TRENCH WIDTHS, 4'MIN. TRENCH EDGE TO EDGE SEPARATION ' -G"MIN. CRUSHED STONE BENEATH THE PIPE, 2" MIN. ABOVE PIPE -COVER CRUSHED STONE WITH UNTREATED BUILDING PAPER OR2"OF STRAW RENCH SECTION DETAIL-DISTRIBUTORS SHALL HAVE THEIR ENDS CAPPED AND BLOCKED w�o -2' MIN. BETWEEN TRENCH BOT. AND SEASONAL HIGH GROUND WATER, [MOTTLING] 51N aX rn-3/4 TO 1-1/2"CRUSHED STONE TS Op SEPTIC O TANK °-BQX DISTRIBUTION BOX COVER BFFLE &�E�?ED A LOTS" -REMOVABLE TOP WITH 1 2" MAX. EARTH COVER FUTURE- 4 Lot fines shown -OUTLET INVERTS SHALL ALL BE SET EQUAL Bldg -LEVEL AND BED BOX ON 1 2"MIN. SAND OR PEA GRAVEL I i FLOW LATERAL -2"INLET/OUTLET INVERT DIFFERENTIAL FLOW _ 0 BAFFLE - FLOW FLOW - -2" MIN. BETWEEN TANK BOTTOM AND OUTLET INVERT --" - "' ® � O , -INLET BAFFLE SHALL EXTEND UP TO I"BELOW THE COVER I PLAN VIEW ELEVATION VIEW DISTRIBUTION BOX DETAIL o DB o o NTS FRENCH BRAIN I 2RPG40 E > GRADE TO DRAIN +150 p�L1VE FILL MATERIAL 20'MIN. 30 15A5AL AREA TAP-FILL MATERIAL SHALL BE A GRAVELY/SANDY LOAM WITH A CERTIFIED PERC. RATE < 45 MIWIN �G"TOPSOIL Wo ALLOWED TO CONSOLIDATE 3 I � ® R 100'-0" 0 FILL DIMEN5ION5 ORIGINAL +2 -HEIGHT SHALL PROVIDE 2'MIN. BETWEEN TRENCH BOTTOM AND 5EA50NAL GROUND „ O HIGH GROUND WATER(MOTTLING) TRENCHES TO EXTEND INTO ORIGINAL GROUND�� -TOP DIMENSION SHALL EXTEND TO COMPLETELY COVER THE BASAL AREA 2 w -BOTTOM DIMENSION SHALL BE DETERMINED AS THE LARGER OF: CERTIFIED FILL MATERIAL N +1 Q 1+ Q 1 . H : I V 51DE SLOPE EXTENDED FROM EDGE OF BASAL AREA TO ORIGINAL GROUND 3 SEASONAL HIGH GROUNDWATER 4 � s- 2. 20' MIN. HORIZ. TAPER FROM EDGE OF BASAL AREA TO ORIGINAL GROUND -TOP G" OF FINAL FILL TO BE SEEDED TOPSOIL BEDROCK + pISTRiBUTOR CONSOLIDATION METHOD PER PLAN \ -FILL TO BE SPREAD IN G" LIFTS AND ALLOWED TO CONSOLIDATE T P ,5d0FRENCH DRAIN NTS ,Z, GpRpGE DISCHARGE TO APPROVED FRENCH DRAIN — BASAL AREA --{ DR1V� +2.0 SURFACE LOCATION CONSOLIDATED FILL CONSOLIDATED FILL ORIGINAL GROUND R- 0 SS ABSORPTION SYSTEM SECTION ,15 NT5 FINISH GRADE S G LU 2"STAW OR UNTREATED PROPERTY SETBACK DIMENSIONS 8_�RIPOSED PLOTPLAN13UILDING PAPER OD I" = 50ft CRUSHED STONE Bldg 4 Septic offsets also shown w 3/4 TO I-I/2" PLOT PLAN PROPERTY LINE LAYOUT: PROPERTY LINE FIELD. -FROM DESCRIPTION PROVIDED BY OWNER. (n PROPER IN THE F }■- U z 4 PERF PIPE CONSTRUCTION NOTES: TOPOGRAPHY: W PROPERTY IS FLAT TO SLIGHTLY SLOPING TO THE REAR[EAST] PROPERTY LINE. MAXIMUM CONTROL OF GROUNDWATER ELEVATION/FLOW DEPENDS ON: --0 -MAINTAINING FREE FLOW IN THE PIPINGco -CONSTANT PIPE SLOPE �-- 0/ IS) -5ET PIPE AS DEEP AS POSSIBLE, IN LIGHT OF THE ABOVE CONSTRAINTS OUTLET TO APPROVED SURFACE LOCATION(5) LU G" MIN 77 0 LU KEY FRENC (n H DRAIN DETAIL PERC. TEST CD NTS V J C F DEEP PIT G WELL(proposed) ® 0 FLOW PIPE LAYOUT NOTE: FROM HOUSE U Q ACTUAL NUMBER 4 LENGTH OF PIPES MAY VARY, FROM THE LAYOUT SHOWN HERE BASED ON FIELD CONDITIONS, SEPTIC 0 TANK "I have seen or observed, or believe I saw evidence of, U SEPTIC PIPE SLOPES, MINIMUM TOTAL DISTRIBUTOR LENGTH, GO MAXIMUM --� J _ TANK FLOW INDIVIDUAL D15TRIBUTOR LENGTH 4 5EPERATION D15TANCE5 SHALL all objects such as houses, wells,trees,fences, etc., FROM GOVERN. HOUSE TOTAL DISTRIBUTOR PIPE LENGTH PROVIDED TO MEET OR EXCEED shown on this document. I also represent that I have MINIMUM REQUIRED LENGTH, REFER TO perSO measured t d nc set forth on the diagram.` W PERFORATED DISTRIBUTORS AT G FT. O.C., GO'LONG MAX.,TYP. DESIGN RECOMMENDATION / I( 5 R/ DISTRIBUTION D15TR1BUTl ox NOTES: SIGNATURE DATE BOX CONSTRUCTION NOTES/REQUIREMENTS: BUILDING 4 WOODY VEGITATION SHALL BE CDT TO THE SURFACE OF THE EXISTING GROUND 4 REMOVED LATERALS LATERALS EXISTING GROUND SHALL NOT BE DISTURBED PERFORATED DISTRIBUTORS AT G FT. O.C., GO' LONG MAX.,TYP. CONTRACTOR TO VERIFY PROPERTY LINE LOCATION PROPOSED DRAINAGE PATTERNS: FINAL GRADING OF THE 51TE SHALL DIRECT OVERLAND FLOWS AROUND 4 PROTECT THE SANITARY SYSTEM FRENCH DRAIN SHALL BE CONSTRUCTED UPHILL 4 SUCH THAT THE TRENCH BOTTOM, 15 BELOW THE ELEVATION OF THE NEAREST ABSORPTION TRENCH. . ,. SPECIAL NOTES: JOB` Drawn By: JGH P.E. "BUTTERFLY' CONTRACTOR TO PAY SPECIAL ATTENTION TO MAX TOP501L COVERAGE OVER DISTRIBUTORS "FAN" D TRENCH PLAN OPTIONS DATE: 9/2004 ACTUAL LOCATION OF THE SANITARY SYSTEM TO BE NEAR PERCOLATION TEST HOLES 8__ ISTR.IBUTOR SEPARATION DISTANCES AND PIPES SLOPES GOVERNING IT IS A VIOLATION OF THE LAW FOR ANY PERSON, UNLESS HE IS ACTING UNDER THE DIRECTION OF ALICENSED PROFESSIONAL ARCHITECT/ENGINEER, TO ALTER THIS DRAWING IN ANY WAY. ALTERATIONS MUST HAVE THE SEAL AFFIXED ALONG WITH A DESCRIPTION OF THE ALTERATION, THE SIGNATURE AND DATE.