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2002-448 TOWN OF QUEENSBURY 742 Bay Road,Queensbuxy,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE, O,F COMPLIANCE Permit Number: P20020448 Date Issued: Monday, June 03,2002 This is to certify that work requested to be done as shown by Permit Number P20020448 has been completed. Tact Map Number: 523400-301-006-0002-011-000.0000 Location: 1 SYCAMORE Dr Owner: STEPHEN HATHAWAY Applicant: STEPHEN HATHAWAY This structure may be occupied as a: By Order of Town Board Septic Alteration Residential TOWN OF QUEENSBURY Director of Building&Code Enforcement ICATOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020448 Application Number: A20020448 Tax Map No: , 523400-301-006-0002-011-000-0000 Permission is hereby granted to: STFPHFN HAT14AWAY For property located at: 1 SYCAMORE Dr 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: STEPHEN HATHAWAY JO ANN STOCKWELL Septic Alteration Residential Total Value 1 SYCAMORE Dr QUEENSBURY,NY 12804 Contractor or Builder's Name/Address Electrical.Inspection Agency Plans&Specifications 2002-448 SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS $25.00 PERMIT FEE PAID-THIS PERMIT'EXPIRES: Tuesday,June 03,2003 t (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 r7jb� � a June 03,2002 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ----- Office Use Location of installation: s r'Vk-�—'p File Permit No. C Tax Map No. E Fee Paid Owner's Name: Address: .2 66-- SAD 7 6 2. INSTALLER'S NAME G% -c rJ PHONE NO. 7 K7 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s)and multiply# of bedrooms with applicable gallons per bedroom to equal total dailyflow) Year of House: 3 No of Bedrooms x Computation = Total Daily Flow 1980 or,.older x 150 gal/bdrm = 1980—1991 x 130 gal/bdrm- = RE MVE1 1991—present x 110 gal/bdrm = Garbage Grinder Installed yes____ / no ./ MAY1 2002 Spa or Whirlpool Installed yes_ / no ,/ TOWN OF QUESNSBU €3UIi_1-,N AND COM 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) TopoMp—hy Soil Nature Ground Water Bedrock or LLn2ervious Material omesti Water Su 1 Flat sand I,-- at what depth at what depth municipal Rolling loam feet feet I Steep slope clay ifwell;water supply _%slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designedby 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: /& -t gallon (min. size 1,000 gal.) LA 6 Tile Field: each trench - '' ft. Total System Length: Z&O }� Seepage Pit(s): number of size of each: fr by fl Size Hof Stone to be used: # / depth or thickness feet Bed�System Size: 3 x Alteinative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number oftanks: / 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 pursuantto Section 136-29 ofthe Code of the Town of Queensbury,any permit or approval granted-which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. P I Sl ature of responsibl person Date Queensbury Building &Code Enforceinent - Residential. Final Inspection Office Nb.(518)761-13256 Arrive: D a Date Inspection request received: Inspector's Initia s: / f NAME: 4 MIT#: 0 LOCATION: TYPE OF STRUCTURE:,.' .. Comments., Y No NIA 4" Buildi Number Address.41sible from road Chimney Height/"B",Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Ventthroggh roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors HandrWI,4 or more risers !!! Guards at stairs decks, tios more than 30 inches above rade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Intedor0derior Railiinlp 34 inches to 38 inches Deck Bracing/Hand!Lapped Ramp Compliant Grade away from foundation 6 inches with 10 feetQ-�1 6 inch clearance to sill plate Gas Valve shut-off exposed!regulator 18 inches above grade DF—: � Interior privacy I trim'/doors I main entrance 36 inches Bathroom/Kitchen watertight Safety glazin / indow in stairwells safety glazing Interior Smoke Detectors/Carbon li0 alono)ide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: , ' -Ba#M backup: Attic access 30 inches x 22 inches x 30 inches i ht in accessible area Crawl Spaces 18 inch x 24 inch access,l sq.ft:150 sq.ft.vents Bathroom Fans,if no window ou— IA A s�� VVA I Plumbing,fbctures Foundation insulation fl Floor truss,draft stoppir4 finished basement 1,000 sq.ft. - Emergency egress below grade V>Nb Gas Furnace shut-off within 30 feet or within line of site Oil Fumace shut-off at entrance to fumace areafi� F ��?� Fumace/Hot Water Heater operating a,\ Low water shut-off boiler W t 0 \ I� p � Relief Vain s installed/Neat Trap/Water Temp 110 t. Enclosed,Stairs Sheetrodr Underside minimum'/"G sum To iw o vof k'p�"t Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door,/door closer C C� ,r Duct work Sealed r e=-"1�6 �(�3.-t,) tf Gas Lo6s in Sealed!or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms --mow, "' \t 1 �5 t Flex Gas Pi Bondi o.1F-� ul As Built Septic§ydern/Sewer Dept.Inspedon Sticker Site Plan /Variance Leguired Flood Plain Certification,if required Okay to issue C I C'or C 10 Tempormy/Permanent LABuilding&Codes Formstuilding&Codesllnspecdon Forms\Residential Final Inspection For7Lrev1sed_100405.doc:,Revised January7;2008 � J �. Queensbury Building & Code Enforcement - Resid tial Final Inspection Office No.(518)761-8256 Arrive: 2 C�h a airn Date Inspection request received: Inspector's Initials: NAME: *wc, P IT M 0 LOCATION: _1� f-` /: D TE: Z_�� TYPE OF STRUCTURE: kJ Comments j f Yes No N/A- Chimney Building Number J Address visible from road Height/"B"Vent/Direct Vent Location �! � t Fresh Air Intake. ��� 3 inch Plumbin Vent through roof minimum 6 inches Roof Complete/,Exterior Finish Complete ZZ Platform at all exterior doors �12,3 �� Guards at stairs,decks,patios more than 30 inches above grade. 0 , 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 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 Slaain Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Batterybackup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height))in accessible area �J►.7 �� - �� Crawl Spaces 18 inch x 24 inch access, I s .ft.-I50 s .ft.vents � � Bathroom Fans,if no window u nda fixtures F Foundatt ion insulation `F Floor truss,draft stopping finished basement 1,000 s .ft. ` r Emergency EEergency egress below Eade 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%:"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Gara a fireproofing/%hour fire door/door closer Duct work Sealed propqrly Gas Logs in Sealed or Glass Enclosure . Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection 5k6ker Site Plan /Variance required Flood Plain Certification,if required 2!�aj to issue C/C or C/0 f Tem or /Permane5kf L:1Building&Codes Forms\Building Lits�nspecfionForms\Residential Final Inspection Form revised 100405.doc nI l� r 4? 4W +) 0 0 woe 41 r•. 070) 0Z 10 l0000 h � 0 u 41 z WN r I w GC U M 0 V H 0 2 4J 0 N C C to Cd Q) 0) u V) Ll. 0 or. I— 'r- r I lA ©LU r Q► 'a i z z 0 „ �, U C 2 (a +� t aJ or- at_ a W w it � i 0 t +).c ' '� Sw �,- 4) Z V) a) U1 W �+ a) or- 0 0 u N ?; a V) tl r' . ' r r C 4J 4J 0 (0its a) E ,Y 0 a r 4-1r tL _J ++ S, u1 a r � a 0 , C04J LL v n Q �' 1 , 0 Ci 0 (1 CI- h° .0 or i� J C C C i~ m Z W .0 u iL V) a.. Ah'" Lt* 0 0 CU7 C -P 0 ro� 4JV 0 � .. 0Z a ro ro O (A (D 0� U) 41W inL, C 4- u >Z P 4J H 0) (A cn e C C (0 0 w cc N 0 k � 0 0 0 0 O + W 0 0 O.L� 1"' 04-W U) ++ -P 0m 0) 4J4J4 0 i M "0 or 4J a 0 C. .0 0 Q 0 � C N 0 it ro � W r 0 4o) Im 4- r (0 R' P .0 Q 0) Z It +,r- 1" '0 0 S. 0 u4r > � W a? ro Q) J � W00)4J010) CH0) Y4JCItCCit4-� � CV � � ro E u +) t� 04- 10CaNWNOC '0C0Q1 O � A� CU '+- 070 m 0 M 0 0_�- 0 0 Q)+r.W 't- 4J H r (0it, 0. 0 0 (D0 0 u 0 J 0 V) tY�l-4JClV)00V)IM.F- 00 �IU. U. 0U 7. 0 V) 0 fi aid_ nJ T•v's 4' CO t: llt t j t 0 I tt ( i i T t I t XX U t t Z t0 .0 �`\ hi Oki` ivl ' 7 art 75 -� t i ht (7)7" (,ka'• 3C) E TOWN OF QUEEN BURY "I have seen or observed, or believe I saw evidence of, all objects such as houses, wells,trees,fences, etc., BUILDING & T. shown on this document. I also represent that I have REVIEWED B persona ly measured the distances set forth on the diagram." DATE ntn.t s•rt nP f1ATC