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2002-492 TOWN OF QUEENSBURY, 742 Bay Road,Queensbury,NY 12845902 (518)761.8201... _ Community Development Building&Codes (518)761.8256 CED C IFIcATE oF oCCUPA, N- , Y Permit Number. , P20020492' 'Date Issued: Friday,Aprfl 04,2003 This is to certify that work requested to be done as shown by Permit Number P20020492 has been completed. Tax Map Number. 523400-279-015-0001-011-000-0000 Location: 65 MUD POND'Rd Owner GLENS FALLS AREA HABITAT FOR HUMANITY,INC. Applicant, GLENS FALLS AREA HABITAT FOR HUMANITY INC, This structure may be occupied as a: By Order of TomBoard Residential Addition. TOWN OF QUEENSBURY Director of Building&Co*em TOWN OF QUEENSBURY . " 742 Bay Road,Queensbury,NY 12804-5902 (518)7G1-8201 .. F Community Development-Building,&Codes (518)761-8256 f r BUILDING PERMIT Permit Number: , P20020492 Application Number: A20020492 Tax Map No: 523400-279-015-000 1-011-000-0000 Permission is hereby granted to: GUNS FALLS AREA-HABITAT FOR HUMANITY For property located at: 466 MUD POND 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 NT'S Uniform Building Codes and the QueensbUry Zoning Ordinance. T�rpe of Construction Value Owner Address: GLENS FALLS AREA HABITAT F PO BOX 4206 Residential Addition 80,000.00 Total Value' 80,000.00 QUEENSBURY,NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications BP 2002-492:New 911 Address is 65 Mud Pond Road Old Address: 466 Mud Pond Road (AV 53-2002 June 26,2002) Construction of a 407 sq. & residential addition as per,plot plan and specifications. $75.00 PERMIT FEE PAID-THIS PERMIT.EXPIRES: -Friday.,June 27,2003 of a longer period is required,an application for an,extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town Quee bury hu s a June 27,2002 SIGNED BY 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. No inspection will be made until applicant has received a Fee Paid $ ' valid building permit. All applicants' spaces on this Rec.Fee Paid $ application must be completed and must appear on the Reviewed By: r - application form. CEIVEC Applicant: Glens Falls Area Habitat Owner: Same as Applicant Address: P.O. Box 4206 Address: JUN 4 2002 0 Queensbury, N.Y. 12804gav OBQLI �: SgUR`r Phone#(518 ) 793—�484 Phone#{_) - BUILDING A^iyD CODE Property Location: Lot Number: / House Number 466 I " (p iA-,,.feT��-/ Subdivision Name: Tax Map Number: 279.15-1-11 Mudd Pond Road o New Building: residence /commercial Estimated Market Value of Construction: $ 80,000 A Addition: 0 resi ence/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial Single Family Residential ❑ No change to exterior size: residence!com'l Other eA(describe ) heck OccupancyIuformation I"Floor 2"d Floor Other floor Total { Below / sq.ft. sq.ft. sq.ft. Square Feet j{ U [?� S' gle family dwelling 1 - l e In nl ❑ Townhouse 1 Multifamily dwelling #of units ❑ Office Mercantile ❑ Manufacturing } a 1 car detached garage ' ❑ 2 car detached garage ❑ 3 car detached garage U 1 car attached garage U 2 car attached garage 0 3 car attached garage ❑ Storage building- commercial U Storage building- residential ❑ Other } What is the proposed height of the structure 12 feet 8 inches Will any second-hand or ungraded lumber be used? If so,for what? NO Type of Heating System: electric/ oil / gas/wood /forced hot-air/ baseboard!other: Number of Fireplaces to be installed 0 Number of Woodstoves to be installed n List below the person(s)responsible for supervision of work as regards'to building codes: It Name Address Phone Number Builder Glens Falls Area HFH Box 4206 Queensb 518-793-7484 Plumber " Mason " ( Electrician " Declaration: please sign below after you have carefully read the statement: 4 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 I/we shall submit,prior"to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new con}truct*ion Signature LZ ` --- ownerlawner's agent,architect,contractor Application for 1'crrnit— Septic Disposal Syst©ln ed 7btwn of Queensbilly 742 Hay lload Queensl inn,NJ' 12804 (518) 761_8236 V 1. OWNER INFORMATION: :.......................-:.......................... e. Vrfice Use Location of installation: 466 Mud Pond Road Prn �` G- • Milo etil o. Tax Mnp No. 279.lY 1 / ll Fee Paid Owner's Name: Glens Fall Area Habitat for Huriian y ............... Address: Box 4206 Queensbusy, N.Y. 12804 • � �® 2. INSTALLER'S NAME * To be provided when known PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate It bedroom(r) and rnultijAA1kjVf< 1=OOS �� bedrooms with applicable gallons per bedroom to equal total claif 'kA' \1G AN p Yoar of Houses No of Bedrooms x Courputatioll = Total Daily.Flow 1980 or older x 150 gal/bdriu = 1980— 1991 x 130 gal/bdrni = 1991 —present s x 110 gal/bdrm 330 Garbage Grinder Installed yes / no x Spa or Whirlpool Installed yes / 110 x 4. PARCEL INFORMATION: (circle applicable information & indicnto Measurements) *Refer to attached site plan T-Qv-QALCliW Q-Molld1 W-Ra OL. -[3P.S rock..vr�'sttpoil'1Pi!$ Mir 4r1311-.-r�or)ipstic Wota►'.$�rjrjsty Mat .rater/ 01' to--1' 431 tohal delpilr art tt-/rrrt depth �rorrrrtcrtJrrr/ Bolling locoll Jeer feet we/1 Well Steep slope clay if well; water supply slope other Cobbles None Encoix itered None Encountered ft•ottn ally septic-system , depth: 11 6" to 7'—6" absorption is 10.0 Jl. other Percolation Test: (To be completed by licensed pet fesslo/ial engineer or architect) hale: 1 — 5 minute pc1•Inch 5. PROPOSED SYSTEM: For New Conetniclion: All individual selvage disposal systems inust be designed by a licensed professional engineer or architect(unless iostnllcd iti a I'lanninl;lloard approved sulxfivision). AtIt1230,gallons io Ih� si c or(lie septic tank and leach field for catch(;atbaage(;riaider, Spa or Wlihllwol Tub. SepticTRnk• . 1000 gallon (lain. size 1,000gaI) Tile Field: each trench -15 _Ji. Total System. Length: Jl• Seepage Pit(s): dumber of -- size of each: -___.Jt• by = Jl- Size of Stolle to be tined: // —_� __ da pt/r ur thta kncxr,__•_—_...__.J' Bed System Size: — x — Altemative Sy>3t0m: — length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: ! Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON (please read) For your protactiott, please note flint pursuant to Section 136-29 of tlto Coda or•llte Town orQuootysbury, ally perrttit or sipproval };ranted whiclt is bnsod Mien or is glanleal in relianco upon nay ntnterial ill , or failure to make n material tact or circunisianco known by or on behalf of anitpl:licmtt, shall bo void. I linve read the regulations wills respect to this application and ngroo to nbido by t1teso and all requirements of the Town of Qtteensbtiry Sanitary Sowago Disposal Ordinance. Signature of responsible person Date EIVED ENERGY CODE COMPLIANCE APPLICATION TOWN OF., QUEENSBURY, WARREN COUNTY JUN 4. 9000 ,HEATING'- DEGREE DAYS - _ TOWN OF QUEENSBURY PLANNING OFFICE Com li_ance Methods: PART '5 - Acceptable Practice Method -•`��' 1&2 Family Dw,.ellings (only) 1114.- z PART 6* --•Thermal Rating - Component Trade -Offs 1&2 Family Dwellings;. Multi-Family Dwellings (3 stories' or less) T . PAR '4* - Design 'by Component Performance. - Commercial Buildings-Hi Rise Residential I *Requires submission of worksheets APPLICANT' S NAME: PROPERTY LOCATION: Glens Falls Area Habitat for Htun pity 466 Mud, Pond Road PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - ' 1146 sq.uar.e;::feet- 2 . Type of ,Heat - Electric -X Oil Gas .„Other . 3 . Is building mechanically cooled? Yes~ X No . 4 . Per`centage ,of area of windows and doors Over 17% X Under 17%' 5 . R-.VALUES FOR ..INSULATION GIVEN BELOW •MUST CORRESPOND TO R-VALUES AS� SHOWN ON. PLANS SUBMITTED a. Roof R31:8 b. Exterior walls R12.4--- C. Glazed areas R 2.0 d. Exterior door's R 2.5 e. Floors over unheated spaces R N•A f. ' Edge of .slab on grade (heated building)., R10 g. Basement/cellar walls (above grade) R11_- h. Basement/cellar walls (below 'grade) Rll-� i. Heating/cooling-ducts-piping in unheated space*- R N.A 6 . Service, (domestic) hot water heating device Conforms to. minimum efficiency per , code X Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL .NOT BE EXCEEDED APpli s S• g' Date - Phone Number INSPECTOR' S REMARKS: _ BY THIS CERTIFICATE OF COMPLIANCE THE Li 5 NEW YORK BOARD OF FIRE UNDERWRITERS S BUREAU OF ELECTRICITY 40 FULTON STREET — NEW YORK, NY 10038 r 5 5 CERTIFIES THAT L Upon the application of upon premises owned by 5 L 5 HABITAT FOR HUMANITY HABITAT FOR HUMANITY P.O. BOX 4206 P.O. BOX 4206 QUEENSBURY, NY 12804 QUEENSBURY, NY 12804 5 �5 c5 5 Located at MUD POND RM QUEENSBUIRY, NY-12804 -- - - 5 5 Application Number: 1064257 Certificate Number: 1064257 5 5 S Section: Block: Lot: Building Permit: BDC: A239 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: C5 5 Basement,First Floor,Outside, 55 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was found to be in compliance therewith on the l3th Day of March,2003. 5 5 Name QTY Rate Rating Circuit Type c5 Alarm and Emergency Equipment c5 Sensor 6 0 Smoke Appliances and Accessories Bell Transformer 1 0 KW 5 Dish Washer 1 0 1.5 KW Exhaust Fan _-2-0 -F.H.P. 5 Furnace 1 0 Gas 5 Pump/Motor 1 0 H.P. 5 Wiring and Devices Fixture 39 0 Incandescent 5 Receptacle 50 0 General Purpose 5 Switch 25 0 General,Purpose Receptacle 7 0 GFCI 5 Receptacle 1 0 Dryer 5 Outlet 5 0 CATV 5 Outlet 4 0 Telephone �s Paddle Fan 2 0 Residential ,eal, Arc Fault Circuit Interrupter 3 0 General Purpos6.- 5 Continued on Next Page 1 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the Ibcatioiflndicaied. I I m�rL3 PC J-d3-L3 Pr 121PRIER PURE�0�E,03�9�70 il�NIB 100-000-100 ffllpl31-31E��i- MM na - r r _PLPLPLPLJ Irr3 rr3 rj:3RM-1r-I 1 1 3 1 1, 03 IVE-03PUR303 211 ME: 2rr_rr3 rL3 'fl]] jRPL.PLrL3 PLI i 1':-:1 E.I E rL3 PL.IfL3 Pr !rL3PErd3-L3pr rL3rL3MPLrL3rL3ffl3[RP[Pr rL3I 0 • BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 5NEW YORK BOARD OF FIRE UNDERWRITERS 5 BUREAU OF ELECTRICITY 5 40 FULTON STREET — NEW YORK, NY 10038 5 5CERTIFIES THAT Upon the application of upon premises owned by 5 5 5 5 HABITAT FOR HUMANITY * HABITAT FOR HUMANITY P.O. BOX 4206 P.O. BOX 4206 QUEENSBURY, NY 12804 QUEENSBURY, NY 12804 55 5 Located at -67 MUD POND-RD-.-QUEENSBU R-Y,,-NY 12804. -- __. —5 5 Application Number: 1064257 Certificate Number: 1064257 5 Section: Block: Lot: Building Permit: BDC: A239 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring,described below, located in/on the premises at: 5 5 Basement,First Floor,Outside, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was found to be in compliance therewith on the 13th Day of March,2003. 5 5 5 Name QTY Rate EAjjjg Circuit Type 5 Service C5, I Phase 3W Service Rating 200 Amperes tc S S S 5 5 _ 5 5 5 5 5 fZ- 5 5 `' seai 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 10 2 rJ512IMPRIERPRIERIERRIVER311 Mirl " I � 9 030 E E Residential Final Inspection Office No. (518)761-8256 Date Inspection rVaart Queensbury Building&Code Enforcement Arrive: : a 742 Bay Rd.,Queensbury,NY 12804 Inspector's InitialNAME: ant LOCATION: TYPE OF STRUCT Comments Y N N/A ChimneyHt./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in. or more D stairs,decks, atios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in.or more Exterior Finish Complete Inteiior/Exterior Railiif s 34 in.to 38 ' . 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 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 Valve(s)installed Interior rivac /trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glzin 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 Floor truss,draft stopping stoppiag finished basement 1,000 sf Emergency egress below grade Basement stairs closed'rise>4 inches 3/hour fire door/door closer Garage fireproofing Duct work Sealed propeLly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 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(Cert. Of Compliance) .Okay to issue Temporary C/O Cert. Of Occu anc Okay to issue Permanent C/O(Cert.Of Occu anc L:1SueHemingway\Building.Codes.Inspecdon.FORMSIRes.Final Insp.form 2.doc edited January 28,2003 Septic Inspection Report n�Office No.(518)761-8256 Date Inspection request received: l �p Queensbury Building&Code Enforcement Arrive: am/ Depart: art: U am/pm 742 Bay Rd.,Queensbuty,NY 12804 Inspector's Initials.\. NAME: PERMIT NO.: 0 LOCATION: Cp INSPECT ON: RECHECK: Comments and/or diagra Soil Typ4: San o'/Loam/ ay Type of Water/ Municipal Well W er Waterline separation distance, ft. Well separation distance ft. Other wells: Absorption Field: Total length ft Length of each trench ft. Depth of trenches., Size of Stone M Seepage Pits: Nbmber Size: X— Stone Size: Pi in Sizpf Type, Building to tank Tank to Distributiq'n Box Distribution Box/0 Field Pit q 7-6 Opening Sealed( NI Partial Location/Separations Foundation to tank Foundation to absorption ft, Separation of Pits Conforms as pet Plot PE-ii Y N Location of Syst—e on Property: Front Rear Left Side Right Side Middle Front 'Middle Rear 'LvLL�Sstem Use Sta s: Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved LASueHemingway\I3uiIding.Codes.Inspection.FORMS\Sep tic Inspection Report.doe. January 28,2003 I I - 7 qfq -02oL) =r tte Residential Final Inspection �0 D Office No. (518) 761-8256 Date Inspection request received, Queensbury Building&Code Enforcement Arrive: am/pm -Depart: 742 Bay Rd.,Queensbury,14Y 12804 Inspector's Initials: 41qaP E RIMIT#:NAME � &) LOCATION: DATE: A= TYPE OF STRUCTLIE7 Comments Y/ XN N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof 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 Interior/Exterior Railiu s 34 in. to 38 in. 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 sflI plate 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 V Low water shut-off boiler Relief.Valve(s)installed 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: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation V Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 3/4hour fire door/door closer 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"accpss, I sq.ft.-150 sq. ft.vents J Building No./Addres/yisible from road Final Electrical . Q Site Plan /Variance rVquAd Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker V Flood Plain Certification, if required Okay to issue C/C(Cert. Of Compliance) Okay to issue TSm2orary C 0(Cert. Of Owu an Okay to issue Permanent C 1 0(Cert. Of anc L.\SueHeming�vay\Building.Codes.Inspection.FORMS\Res.Final 1 28,2003 Septic Inspection Report Office No.(518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: anl�/�Dvepart: am/pm, 742 Bay Rd., Queensbury,NY 12804 Ins ector's Initials: NAME: PERMIT NO.: LOCATION: ojd. f<rA U INSPECT ON: RECHECK: Comments and/or dii!gram Soil Type; Sand/Loam/Clay -5,- b ,C'e A) Type of Water: Municipal/Well Water 41�4 Waterline separation distance Well separation distance ft. Other wells:' Absorption Field: Total length ft. Len 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 I Pit Opening Sealed: Y/N/Partial Location/Separations Foundation to tank Foundation to absorption ft. Separation of Pits ft. 0 FN ce— Conforms as per Plot Plan Y N Ce"R&C T 7 Au-5 Location of System on Property: / C Front Rear Left Side Right Side X)OT Middle Front Middle Rear System Use Status: Approved Z Partial Approved and needs to be re-inspected,please call the Building&Codes Office V Disapproved 4, Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building ii1ding&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd.,Queensbuiy,NY 12804 Inspector's Initials: NAME: A PERMIT NO.: LOCATION: C—// INSPECT 0 RECHECK: 1.4 ornments and/or diag ram Soil Type: �an(Yl Loam Clay/—) dia ram Type of Water: Municipal )Yell Waterline separation distance ft. Well separation distance ft. , Other wells: ft.A/0' Absorption Field: Total length Length of each trench Depth of trenches ft. Size of Stone Seepage Pits: Number A44 Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box a' Field Pit Opening Seale : Yj NI Partial Location 1 Separations Foundation to tank ft. Foundation to absorption Separation of Pits wcabe-,- -ro Conforms as per Plot Plan Y Location of Syst m on Property: (A/' Front Left Side Right Side Middle Front Middle Rear System Use Status: p-r-6ved artial Approved and needs to be re-inspected,please call the'Building&Codes Office .ni, Disapproved L:\SueHemingway\Building.Codes.hispection.FORMS\Septic Inspection Report.doc January 28,2003 Sent By: STONE INDUSTRIES LLC; 518 584 8850; Feb-11 -03 11 :12; Page 1/1 STONE INSTALLATION SERVICES �E3TC�NE ( 518 ) 584- 10 8 ( 000 )446 - 6 3 ■ FAX ( 518 ) 584 - ass0 i � S T p L LA r 10 N 4305 Routo 50,Sarattga SpOInags, MY 12886 FACSIMILE TRANSMITTAL SHEET TO: PROM: Mr.David I-lunt Charles Marriott t:OMPANV: 1?NVE; Qucensbuay Town Builaig lnts 2/11/2003 PAX NUMBER: '1'0TAT.NO.OF PAGES TNCLUDING COVElt 518-7454417 I PTTQN1-NUMBER: RE: pal Sl8-7G1-825G G5 Mud n�ci I2ci. r 13 URGENT ❑Y0R R1'V1KW ❑PTZASE CO.h1iVi1.:N'l' Q PIXASK RKPi Y ❑ PT.P.Asn TTAwni.r•. Dear Mr. Hunt, Stone Installations,LLC:has hccu contracted to install a septic sysLetn aL 65 Mud Pond Rd. However, due to the current environmental cc-xnditiont.we axe unable to install the system in such a manner as to be consistent with btulding codes and the quality of work we believe in. PuEsuant to your conversation with James Freemire today, this letter is to agree in writing;to the terms you and fames agreed upon. Stone Installations is going to install a temporary drainage system enabling the homeowner to get a temporary C/O for the property. As soon as environmental conditions allow Stone Installations will return to the site and install the dtaivago system that was designed for the property. Once such work has been completed a pem anent C/O will be issued,assuming thete arc no other outstanding issuer unrelated to the drainage system. The hnrneown.er has been instructed to restrict his water usage until such time as Stone Instalbitions is able to install the correct system. Sincerely, Charles Marriott,CF(� 43055 ROUTE 60 SARATOGA SPRINGS, NY - 12888 PHONE: (6183 1584-1048 . FAX: 9 518) 584-6850 W W W.SiTONHIN0USTRIES.COM Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518)745-4437 ti.. Fire Marshal's Inspection Report Request SCHEDULE Received: Permit�L�V\Ouwt� INSPECTION ON: � } Name: I�� 1 c�, 9or) AM PM ANYTIME MLocation: APPROVED N JA YES NO COMMENTS EXITS AISLE WIDTHS - EXIT SIGNS—NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM 1 ^� HOOD INSTALLATION INTERIOR FINISHES STORAGE t�Y Mt ,��' b� COMPRESSED GAS v l✓ 1 CLEARANCE TO SPRINKLERS WC- C LEARANCE TO HEATING ���// f �h4 b UNITS l�"' "" � �� Y''y CLEARANCE TO ELECTRICAL ` REQUIRED SIGNAGE tk EMERGENCY PLAN me, 1� MAXIMUM OCCUPANCY SIGNCHIMNEY ,l " MASONRY ROUGH IN �/ "' bgC" ,1 j� ¢ 5 ��It CHIMNEY FINAL 1� � � fir'U v�%` �}1"'t FACTORY BUILT ROUGH IN1Vr �`'i,K✓ FINAL NI 9' r WOOD �',�. 61f c �('it� �i STOVE ROUGHIN VENTED GAS CA FINAL "" � ( � ��r j� APPLIANCE ROUGH IN FINAL b�� /�� � �11✓ ►�.a�� ������. FIREPLACE MASONRY ROUGH IN OK THIS DATE OK FOR OO (:NOT06:K ) FINAL ` ti FIREPLACE FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMDEV/CHRISJM1ORDILETTERS20011F IREMARSHALI NSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Office Use .GENERAL INSPECTION UPORT Inspector: Town of Queensbury Ready at time. Dept. of Community Development Request received: /( Zc o 2— Meet: Building& Code Enforcement At time: 742 Bay Road i Queensbui3,, AT 12804 ARRIVE am/pm: DEPART am/pm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: 4- RECHECK C*:Oy N/A YES NO COMMENTS a� � 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 'Foundatioii/Wallpour Reinforcement in Place Foundation/Dampproofing__ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing_ Heating o - -1 jR­ugh In � Insuiation ,7 Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls it- ,00 Ceiling R-13 Duct work or piping in unheated spaces I',,- ,Yent M.Wr—anung CAMONT"t,f�zk-;-p �6 10�A35 Jack Studs/Headers Bracing/Bridgmig— Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Scaled Fire Wall 2,3,4 hour Firestopping_ L:\SueHemiiigwa?,Buildiiig.Codes.inspectioq.FORMS\GENERAL NSPECTION REPORT.doc Offlce Use .GENERAL INSPECTION REPORT Inspector: J-0 Town of Queensbury Ready at time-- Dept, of Community Development Request received: Meet: Building& Code Enforcement At time: I_: .3 742-Bay Road JYInlpm Queensburj; NY 12804 A.RRIVE am/pm: DEPART �L 1\ Notes" x (518) 761-8256 Inspector's Initials NAME: - PERMIT# LOCATION: 144 tAl 10014 INSPECT ON(date): TYPE OF STRUCTURE: RECHECK X, 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/Wallpour Reinforcement in Place Foundation/Dampproofing_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Roujh,PIurobing Heating Rough-in Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R_ Walls it- Ceiling R- Duct work or piping m\ unheated spaces R- Proper Vent,Attic Vent. le" ;2_9MM" Jae f7d", rs Bracing/Bridging— Joist Hangers e', Jack Posts/Main Beam R,kxx- K f-!)c--rat A-,5 A* Infiltration Barrier . Separation 1,2,3,hour enetration Scaled ire all 2,3,4-hour FinestIT ��l N, L:\SueHemiiigwa3lBuilding.Codes.Inspection,FORMS\GENB.RAL.INSPECTION REPORT.doe �r Office Use -GENERAL INSPECTION REPORT Inspector: I-k, .j Town of Queensbury Ready at time: Dept. of Community Development Request received: L 6-'2- Meet: Building& Code Enforcement t /-' At time. 742.Bay.Road 72 Queensburl;.NY 12804 ARRIVE am/pm: DEPART� am/pm Not ► '= (518) 761-8256 Inspector's Initials4L 777 NAME: � �44 PERMIT#�(�� LOCATION:, (L �&L-d Pam.d fj INSPECT ON(date): TYPE OF STRUCTURE: CW1 RECHECK N/A YES NO COMMENTS Footings./Piers_ Monolithic Pour Form Reinforcement in Place 7(-K The contractor is responsible for , . providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site FoundationlWallpour� Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab P bing VentlVents in Place lunyBEg Ileatin Rou =In' Insulation Foundation Walls Interior R- ✓ Foundation Walls Exterior R- �'��L.,' A)A-((-- ��� ���� 4; Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces It- Proper Vent,Attic Vent 6 Jot 5 r „I�Frairaiiig- _._ 77 acc Studs/Headers ff Bracing/Bridging C X Joist Hangers _ Tack Posts/Main-Beam A A)C /Z Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed ire Wall 2,3,4 hour Firesto' ing *Z:.r -. -11 V ftJfs L:1SueHemingwa3`,Building.Codes.Inspection,FORMS\GENERALU4SPECT260RT. od'c Office Use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: 2,- Meet: Building& Code Enforcement At time: 742 Bay Road L) Queensbury, NY 12804 ARRIVE amlpm: DEPART amlpm Notes (518) 761-8256 Inspector's Initials, NAME: --- .' ga blj: +� PERMIT# - 2,66 Z- q?z- LOCATION: d P&J INSPECT SPECT ON(date): cad �Z &L Q TYPE OF STRUCTURE: 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 Poundation/Wallpour Reinforcement in Place Foundation/Dampproofing_ Backfill Approval Plumbing Under Slab Plumbing.V.ent(Vents in Place Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping mi unheated spaces R- 4 P Vent,Attic Vent ftlackSiiids/Headers Bracing/BridgingJoist Hangers Z -------------- Jack Posts/Main Beam tz nfiltra,*51 Barrier Separation 1,2,3,hour lCir"Sepor Penetration Sealed Feire, all 2,3,4 hour ' i L-.\SueHemiiigway\Buildiiig.Codes.Iiispection.FORMS\GF-NERAL INSPECTION REPORT-doe Office Use GENERAL INSPECTION REPOW Inspector: Torn of Queensbury Ready at time:_ / Dept. of Community Development Request received: Meet: Building& Code Enforcement At time 742 Bay Road Queensbury, NY 12804 ARRIVE D RT = a yn Notes: (518) 761-8256 Inspector's Init"""al NAME: SVQ, PERMIT# LOCATION: {1 rvL. r INSPECT ON(date): .4,1 TYPE OF STRUCTURE: E - 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. fBMaterials for this purpose on site oundation/Wallpour einforcement in Place oundation/D ampproo fmg ackfll Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Onsulation 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 Office Use Inspector: GENERAL INSPECTION REPORT F ector: Town of Queensbury GO Ready at time: Dept. of Community Development Request received: 0 Meet: ffi 0"44AC--, Building& Code Enforcement At time: 742 Bay Road Notes: Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm i A r (518) 761-8256 &r Avx-r- Inspector's lnitia,4� 1 14 b,.-44 - NAME: bA '<:A-14 PERMIT# 1-60 '-7 —�q ;?- LOCATION: ply d ACA- INSPECT ON(date): 611Z167,, TYPE OF STRUCTURE: 431PE) RE ECK YE NO skot 5914t—0 ove - RE _ N/A COMMENTS Form Monolithic Pour Form Reinforcement in Place `Z— — The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundatiorv'Vftl1pour Reinforcement in Place Foundation/Dampproofing__ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing_ Heating Rough-In,-_ Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- 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:\SueHemingwaylBiiilding.Codes.Inspection.FORrvlS\GENERAT,INSPECTION REPORTAGC k THE :;:. INSPECTOR `> BU1L I G PE I :..:................... D N RM T# ft' A�+ .t� 7 t'x. t .+,vv:::.:;.•�•vv�.:}:y:::?:}}S:{tr:?:•'.�i::?•:'•iiiiii::::.:........v..,Q,{,::::i:::::..h..........,,.. �+ CITY OR VILLAGE ZIP CODE TOWNSHIP ,._ COUNTY Q saskaux r 12$ 14 is i ., Warren STREET#AND OR ROAD '` Pole number 466 mud Poad Road �< Additional helpful directions ",.' :` Section Block" "` � Lot Ridge Road to Jenmkinsville Road ` '279.15 1 11 OCCUPANTS NAME JBUILOING'OCCUPANCY .h Glenna Fails Area Hr-� Single F'.nily Residential OWNERS NAME & ADDRESS HOME TELEPHONE-: Glens F'a3.1 Area HF'H Box' 4206,' Quee brury, N.Y. �. CURRENT SUPPLIED BY _2 FROM-THEIR-OFFICE- WORK:_TELEPHONE Niaga:t:a Mohawk = s ' BUILDING IS INEW OLD -=: :__ _''_ ehat?. at le 3.St g_lat=cture w/adctit on, WORK IS INEW X ADDITIONAL IDEFECTS REMOVED Inspection or Electrical Premises Survey; We have attended at the premises named herein to inspect the electrical installation and regret that we can not . kKey: issue a certificate of compliance for the reason(s)listed hereunder; r' Concealed work not exposed sufficiently for inspection. Additional work observed with no application forinspection being filed. installation not completed sufficiently forinspection. Installation not in compliance with the"NEC for,reasans iisted hereunder. Code number printed under column A listed below combined with code`'nuriber printed under column B listed below indicates condition. - EC VIOLATIONS Level NEC VIOLATIONS Level NEC VIOLATIONS Level,, i<>I .t': • :t•S:`•.�1FSCi !iF iiia33iiii:;: ::i ..At.T.I',�•�'• ;;•.,: #kk : :: ii iiiS� tt: i ..\.r;;:rr:•::•;'{.t:.::.::•x,<';:a{;•::•::::::i?.»:::::::.,•;:::.::::::.,::.::...............:........................ .............,......,...............,.,,. ....... .......... i :•...•'v:is::{i•:.::::,�i:....i':..::::i:.:iii;;.::::::.�:::vTii:ii::::::..::::.::::::::..::•i::{,, xc:;•:::•:.••:: •:'+ti iiiiiiiii::vii...,. :::s:•T:::l.:•:•:•:•:•:•::;{v..r•:'.y}v'•:'::f.,iiily:, }:iiiiiii: ..:�:::.�...,:.:•::.+,:•.�:.::v:.i::•i:•.�::d5i::•ii:•iii:,,......... ::: :;:}:ti?i'•:$:•:v }i}i::iiiii:ti::;ii?::�: ....:::.•.•:.r::.iiiiiiiiiY.•:}w:::::::::::::::::::::.�::?,,::;::•:: :.i'.;i'{::.}•::•;^::.:ti•::r,•r•ii}ii::::+,i•.;iv.;•. xx �:vti%:�:�:i:?{:}iiii$iii.'•iii iiiiiti�'•:•:?:•:�::••.: :v{$•,:{+y:;:i:titi?':}i'r:k?5:•i::{•:•SYi:tiff•:•:•:4:{iv?:ti::,:•.:•::::;aj;::•$:>.:?v?f:•ii>$>ii::}j}:{:iiii'' Size of service 100 amp APPLICANT ATTESTS THAT THERE IS NO OTHER APPLICATION PENDING Feeders WITH A QUALIFIED ELECTRICAL INSPECTION AUTHORITY, FOR Work is exposed EVosed INSTALLATION LISTED HEREIN.THIS APPLICATION IS VALID FOR A Work is concealed PERIOD NOT EXCEEDING ONE YEAR FROM THE DATE RECEIVED. Service enters the structure overhead U v rne-aX MUST ENTER APPLICANTS IDENTIFICATION NUMBER Service enters the structure underground Date inspection requested t�.�i# ikE #:E7£.:3EEEGLt31f:# X: ' F :: i:;: ::::::?z':::::::::?i:::::::>:::::`•>::::>:::>=:=:=>:=>:':':'::>::::::::»z'>::>:::<::'>:=::>::::::::>::>:<:>::#:: PRINT NAME AND ADDRESS NAME OF APPLICANT DATE OF APPLICATION SIGNATURE OF F APPLICANT Gras F'al-Is Area Habitat for Humanity STREET ADDRESS TEEP$HOEf $ $ x 420 CITY OR POST OFFICE LICENSE NUMBER Queensbury, N.Y. 12.804 ... N1:................................................... ..:...... ........... ........ ........... ........... ..... .......................::>:<:::::>::::>:::::..............................................................<::::::::: .... ... :.. ...........................:........... ... i»' »> I 1 I TOPSOIL FOR SETTLING SEWAGE DISPOSAL SYSTEM NOTES: 4" INLET -- n -- 4" OUTLETS \\ ���` ���%�\\\\�%� \\1 EARTH BACKFILL �;\\ ,\\� �\\\\ EARTH BACKFlLL 1.) SEWAGE FLOWS:3 BEDROOM HOME L/ AY GAL/DAY/BEDROOM TOTAL EXPECTED FLOW = 3J0 GAL/DAY (TYP•) - - ILJT— �� - - (') 2 x 1 2.) SEPTIC DESIGN: FOR 3 BEDROOM HOME 1000 GALLON SEPTIC PERMEABLE GEOTEXTILE JOINT (TAN) TANK MIN. io N UNTREATED BUILDING PAPER 2" MIN, OR 4" HAY/STRAW PERFORATION 3.) LEACH FIELD DESIGN: CONVENTIONAL TYPE SYSTEM ( I I I PERCOLATION RATE � 1-5 MINUTES/INCH -LOADING RATE � 1.20 GPD/SF 4' PERFORATED PVC PIPE SLOPE PIPE O 1/16"-1/32" 330 GPD FLOW 275 SF TRENCH AREA OR EQUAL PER FT. 1.20 fS PLAN a CRUSHED STONE/ - AT 2' WIDE TRENCH WIDTH, 136 LF TRENCH REQUIRED QU WASHED GRAVEL -USE 4 LINES AT 35 LF EACH - LEACH FIELD SIZE - 20'x35' FINISH GRADE SPACING OF ABSORPTION 3/4" - 1 1 /2" REMOVABLE COVER Z - 24" TRENCH O.C. (TYP 4.) CONTRACTOR SHALL AT ALL TIMES COMPLY MATH THE REQUIREMENTS OF THE DESIGN DOCUMENT APPENDIX 75-A-WASTEWATER iv TREATMENT STANDARDS FOR INDIVIDUAL HOUSEHOLD SYSTEMS, INDIVIDUAL RESIDENTIAL WASTEWATER TREATMENT SYSTEMS DESIGN HANDBOOK. z GROUND WATER, BEDROCK, OR g INVERT ELEVATION IMPERVIOUS LAYER 5.) SURVEY INFORMATION TAKEN FROM A MAP FOR "GLENS FALLS AREA HABITAT FOR HUMANITY, INC. BY VAN DUSEN O STEVES, P.L.S., DATED 20 FEBRUARY 2002. SECTION PARTIAL LONGITUDINAL VIEW INLET 72'* MIN. O OUTLET 2' MIN. 4"O _ _ HIGH GROUNDWATER TEST PIT RESULT SECTION NOTES: 1. PIPE JOINTS TO BE SEALED WITH ASPHALTIC MATERIAL OR EQUIVALENT. 2. INVERT ELEVATIONS OF ALL OUTLET PIPES MUST BE EQUAL. USE OF SPEED LEVELING DEVICES IS REQUIRED. 3. THE SLOPE OF OUTLET PIPES BETWEEN THE DISTRIBUTION BOX AND DISTRIBUTER LATERALS SHOULD BE AT LEAST 1/32" PER FOOT. 4. BAFFLE REQUIRED FOR SIPHON OR AUTOMATIC DOSING OR IF INLET PIPE SLOPE EXCEEDS 1/2" PER FOOT. Distribution Box Section 20" Dia. ((MIN. TAPERED PRECAST bON RETE REMOVABLE PLUG LOCATION STAKE BUTYL ROPE SEALANT IN JOINT ALL AROUND 4'0 PVC INLET PIPE — 4"0 PVC SANITARY TEE (TYP.) 1000 GALLON SEAMLESS - PRECAST CONCRETE SEPTIC TANK BY FORT MILLER CO. OR APPROVED EQUIVALENT FLOW GROUND SURFACE 12"t INVERT OF INLET 2" ABOVE INVERT OF OUTLET uQl 16" INLET BAFFLE MAY BE USED INSTEAD OF INLET SANITARY TEE 30" MIN.- 60" MAX. LIQUID DEPTH Scale: N.T.S. LOCATION STAKE FLOW 1 4"0 PVC OUTLET PIPE B• TO DISTRIBUTION BOX HIGH DENSITY POLYETHYLENE PIPE GASKETS AT ALL PIPE CONNECTIONS X � z 2 m NOTES: 1) DO NOT INSTALL TRENCHES IN WET SOIL 2 INSTALL TRENCHES PARALLEL TO CONTOURS. 3 INSTALL TRENCHES AS SHALLOW AS POSSIBLE WHICH MEET THE ABOVE NOTED MINIMUM DEPTHS. 4) RAKE SIDES AND BOTTOM OF TRENCH PRIOR TO PLACING GRAVEL. 5) ENDS OF ALL DISTRIBUTOR PIPES MUST BE CAPPED UNLESS INTERCONNECTED. Disposal Trench Section / Profile /1 DISTRIBUTION Box (SEE SECTION - BELOW) ASPHALT BITUMASTIC COATING ENTIRE INTERIOR AND EXTERIOR SURFACES AS SPECIFIED • _�$ ��Z APPROVED/ SUBBASE MATERIAL PLAN MINIMUM SEPTIC TANK CAPACITIES NO. OF BEDROOMS MINIMUM CAPACITY (GAL) 1.2.3 1,000 4 1,250 5 1 1,500 Septic Tank — 1000 Gallon NATURAL GROUND — LEVEL- TOPSOIL & SEED ABSORPTION TRENCH (TYP•) VARIES DRAINAGE ' i I 24' MIN. TO GROUND (') (T�) WATER OR BEDROCK 18' TO 24 1KItl VAUKI'ILL •RMEABLE GEOTEXTILE UNTREATED IILDING PAPER OR 4" HAY/STRAW MIN. Scale: N.T.S. Section Scale: N.T.S. SEASONAL HIGH WATER 6" DIA. STEEL CAP OR BEDROCK ' CONCRETE SLAB SECTION ELECTRIC o BOX 7 CONTROL " 6' DA. STEEL CASING Disposal F i Field d PRESSURE AND aA�E l I LIFT OUT PIPE 5TANK ELEC. CONDUIT Plan / Section Scale: N.T.S. PRESSURE POLYETHYLENE SWITCH CAP '7 PITLESS ADAPTER GATE VALVE OR SANITARY WELL SEAL AND GASKET RESIDENTIAL STRUCTURE SAMPLING TA' SUBMERSIBLE CABLE TAPED TO DROP PIPE GROUND SURFACE —, DROP PIPE I CLAY OR BmROC1C Septic System — Profile Section Scale: N.T.S. SUBMERSIBLE PUMP CAPABLE - OF DELIVERING 5 G.P.M. (MIN) 030 PSI AT BUILDING BASE SECTION VARIES / 6 \I W/ SITE CONDITIONS - I REFER TO ADJACENT SECTIONS Potable Water Supply System Section i 5 N Z 0 I No. DESCRIPTION DATE: 6 May 2002 D.T. #1 0 to 1'-6" Organic layer, loamy fine sand 1'-6" to 7'-6" Sandy loam, silt, cobbles NO SOIL MOTTLING ENCOUNTERED - SOIL PROFILE CONSISTENT TO BOTTOM OF TEST PIT NO GROUNDWATER, NO BEDROCK, NO BOUNDARY CONDITIONS PERCOLATION TEST RESULTS No. RATE (MIN: SECANCH) DEPTH (IN.) DATE P.T. #1 3 min. 45 sea (61 30" 6 May 2002 (PRESOAK) 5 min. 10 sea (6") 1 min. 10 sec. (1") 1 min. 31 sea (1") 1 min. 32 sec. 0") No. RATE (MIN: SECANCH) DEPTH (IN.) DATE P.T. /2 4 min. 32 sea (61 48" 6 May 2002 (PRESOAK) 5 min. 10 ase. (6") 1 min. 15 sea (1") 1 min. 29 sea (1") 1 min. 31 sec. 01 NOTE: EACH WELL MUST BE QUALITY TESTED FOR: COLIFORM BACTERIA, LEAD, NITRATES, IRON, MANGANESE, SODIUM, PH, HARDNESS, ALKALINITY, FLUORIDE, TURBIDITY AND YIELD TESTED AT A CONSTANT FLOW RATE DURING bRAWDOWN AND THROUGHOUT A 4 HOUR STABILIZED WATER LEVEL PERIOD TO VERIFY A MINIMUM 5 GALLONS PER MINUTE WELL YIELD. THE TERM 'SANITARY FACILITIES' USED IN THE DEPARTMENT'S CONDITION OF APPROVALS REFERS TO BOTH WATER SUPPLY AND SEWAGE. THE CONSTRUCTION/SITING OF THE WELL. PUMPING WAVENT AND REVIEW OF WELL WATER QUANTITY AND QUALITY DATA MUST BE INSPECTED/REVIEWED FOR COMPLIANCE WITH THE APPROVED PLANS AT THE TIME OF CONSTRUCTION BY A P.E.. RJL. OR EXEMPT LLS. AND WRITTEN CERTIFICATION (INCLUDING ALL PUMP TEST AND ANALYTICAL DATA) TO THAT EFFECT SHALL BE SUBMITTED TO THE GLENS FALLS DISTRICT OFFICE AND THE TOWN OF WILTON BUILDING CODE ENFORCEMENT OFFICER WITHIN 30 DAYS AND PRIOR TO OCCUPANCY FAILURE TO PROVIDE PROPER CERTIFICATIONS WILL BE GROUNDS TO DENY CERTIFICATES OF OCCUPANCY AND SUSPEND/REVOKE SUBDIVISION APPROVAL IN THE EVENT THAT LOWER THAN EXPECTED WELL YIELD OR WATER QUALITY RESULTS THAT FAIL TO MEET DEPARTMENT OF HEALTH STANDARDS ARE ENCOUNTERED. AN AMENDED DESIGN MUST BE SUBMITTED TO THE DEPARTMENT FOR REVIEW AND APPROVAL HOME WATER STSTEM: (MINIMUMS) BEDROOMS 2 3 4 5 PUMP CAPACITY: GALLONS PER HOUR 250 300 360 450 PRESSURE TANK: (GALLONS) 42 82 82 120 SERVICE LINE FROM PUMP: (DAIETER IN INCHES) 1 3/4 3/4 1 1-1/4 PROTEMCT.EE CAASNG CIEMEN GROUT (1)ORE AT COUPLING SHOE PRICKER Scam, r DIOL MlrwruM SCREEN SZE TO BE DETERNII ED BASED ON WELL TI01�1 UNCONSOLIDATED FORMATION Glens Falls Area Habitat for Humanity Applicant: Glens Falls Area Habitat for Humanity, Inc. P.O. Box 4206 Queensbury, N.Y. 12804 (518-793-7484) Property Address: 466 Mud Pond Road Queensbury, N.Y. 12804 Application Submission: Queensbury Code Enforcement Off ice Buildin Permit Application Town of Queensbury 742 Bay Road Queensbury, N.Y. 12804-5902 Prepared By: Kevin L. Hastings, P.E. 3 Jackson Avenue South Glens Falls, N.Y. 12803 (518-798-6548) No Alteration Permitted Hereon Except as Provided Under Section 7209 Subdivision 2 4 , of the New York Education ��• 40 Law PROTECTIVE CASING N.Y. Lic. No.: 076269 CEMENT GROUT Sheet Title: Septic Details (1.5" OR MORE AT P COUPLINGS) SHOE IUV 3 UNCASED HOLE CONSOLIDATED FORMATION Scale: N.T.S. Date: 5 June 2002 Scale: As Noted Sheet No.: S-2 Commercial N Gravel Quarry o (No Residential Improvements) 0 to rn o v 0. x � T F Lands N/F Of 3 Keith Harris 279.1 1-1-1 c 0 r 3 CD N83 222 0 - — a 2" IPF IPF — 0.85 — — — Property Line) 10'-0" P.T. Septic 1 Setback (From #— I Sloped Bank I P.T. #2 D.T_ # Steeply Slo 100'-0"+ To Well Supply Proposed / Distribution 32 L.F. 4" Dia. PVC SDR 35 Box ® 1 /8"/Ft Slo e (Min ) Lands N/F Of = Robert & Edith Baker / 502 / 393 (53-1-5) / Existing Well (To be Abandoned Existing Woods — Line (Approx.) 100'-0" Radius (From Proposed Well) _ I1 I 1 p a. 466 Mud Pond Road (279.15-1-11) Area Proposed O 14,863 S.F. 1000 Gallon 0.34 Acres 3 Septic Tank O 1 �o r OR ' o M °(D 30.11' 0 z I I 0 1_1/2" ,Q o D 0 I W a , a0 . '0 0. Cy' Bedroom 0 5 G � CD w tJ 1 w Bedroom 3 —I 0 Kitchen Deck W Family Room New Well �. Crab CA +MMaple 35.61 ' 35.61 S86 31'52"W S8 0' 14"W - N `---- Mud pond Road --�— 1tlNJl531tla 20 I7� euos,ad uo ao as s?38 . ayl paJnsea III I>.+ea�elp ayt y� { } aney I teyl luasaidai osle 1 •}uawnoop siy' uo uMoysons s}oa(go Ile j •o>}a'saaua{'saaaJse 'sllaM `sasnoy y `10 a-3uapina Mes { ana!iaq 10'patiasgo 10 uaas MIA Is. I I Septic Setback (From property Line) Proposed Sewage Disposal Area (4 Laterals 0 35'-0" each) (Sewage Disposal Area is relatively level with a slight 1 slope to the Northeast and approximately 4' below I the finish grade around the existing house) estic Well " To Downgradient Dom 200-0 + y--31.88'� � f � � l ONE a, 3 0 D .. o I 0 0 N I + Maple n 2 5 '. 0 S83" 43'31.1 W 3/4" IPF New Gravel Parking Area and Pedestrian Walk I off Existing adjacent Driveway I l Lands N/F Of I Robert Cutter I 692 /309 I I I -�— Low Stone Wall II I Existing Septic Tank and Absorption Field l) I (To be Abandoned) Locations as shown are approximate II Overhead Electric Power Service to Dwelling U Legend O IPF - Iron Pipe Found O IRS - Iron Rod Set/To Be Set `0-) Utility Pole ® Well 0 Septic System - Distribution Box O Septic System - Septic Tank O + Existing Deciduous Tree P.T. #1 Percolation Test Pit D.T. #1 Deep Test Pit Deed Reference Christopher G. & Katheryn M. Crandall To Glens Falls Area Habitat for Humanity, Inc. Dated: November 30, 2001 Book: 1246 Page: 219 Tax Map No.: 279.15-1-11 RIPS No.: 53-1-6 Consultant References: Property Survey By: Van Dusen & Steves Land Surveyors, LLC 169 Haviland Road 301JJ0 ONINN`dld Queensbury, N.Y. 12804 AwM33no JO NM01 (518-792-8474) N.Y. Lic. No. 50135 7?r17. v I NA Dated: February 20, 2002 Building Architectural Plans (33 I303 Engineering America Company 23 Church Street Saratoga Springs, N.Y. 12866 (518-587-1340) George M. Yosenchak, P.E. Septic System Design By: Kevin L. Hastings, P.E. 3 Jackson Avenue South Glens Falls, N.Y. 12803 (518-798-6548) N.Y. Lic. No. 076269 Site Plan Preparation By: Stephen McCorkell, RLA 7 Olde Saratoga Knolls Lane Schuylerville, N.Y. 12871 (518-695-5657) N.Y. Lic. No. 001462 Zoning Data (LC-110A Zone) Required Existing Pr000sed Front 100' 11.39' 11.39' Side (1) 100' 43.88' 43.88' Side (2) 100' 30.11' 30.11' Rear 100' 102.25' 82.00' Height 40' 16' 16' Permeability 95% 94% 86.5% Minimum Lot Size Area (acres) Width (feet) 10 400 Site Development Data Area Existing Prop. Addition Total (S.F.) (S.F.) (S.F.) Building Footprint 747 407 1154 Detached Garage N/A N/A N/A Accessory Structure N/A N/A N/A Paved, Gravel or other hard surface 0 712 712 Porch/Deck 123 0 123 Other (Bilco Door) 26 0 26 Total Non -Permeable 896 1119 2015 Parcel Area 14,863 0 14,863 Percent Non -Permeable 6% 7.5% 13.5% Applicant: Glens Falls Area Habitat for Humanity, Inc. P.O. Box 4206 Queensbury, N.Y. 12804 (518-793-7484) Property Address: 466 Mud Pond Road Queensbury, N.Y. 12804 Application Submission: Queensbury Code Enforcement Off ice Building Permit Application Town of Queensbury 742 Bay Road Queensbury, N.Y. 12804-5902 Prepared By: Kevin L. Hastings, P.E. 3 Jackson Avenue South Glens Falls, N.Y. 12803 (518-798-6548) No Alteration Permitted Hereon Except as Provided Under Section 7209 Subdivision 2 of the New York Education Law N.Y. Lic. No.: 0762 Sheet Title: Site Plan Soils Data Site lies within the Oakville Loamy Fine Sand soil type 3% - 8% slopes, deep, well drained. Site is adjacent to the Hinckley Cobbly Sand Loam soil type Magnetic North 8% - 15% slopes, excessively drained. (' there was evidence of this type of sal within the deep test pit) Date: 5 June 2002 0' 10' 20' 40' 60' Scale: 1 "= 20'-0" Sheet No.: S-1