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2002-659 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building,&Codes (518)761-8256 CERTIFIrATEOF OCCUPANCY Permit Number: P20020659 Date Issued: Monday,June 16,2003 This is to certify that work requested to be done'as shown by Permit Number P20020659 has been completed, Tax Map Number: 523400.296-011-0001-043-000-0000 Location: 14 BAYWOOD Dr Owner: ASK PROPERTIES,L.L.C. Applicant: R.JEFFREY KISIEL r• This structure may be occupied as a; By Order of Town Board New Commercial Building TOWN OF QUEENSBURY Storage Building Director of Building&Code Enforcement q s TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20020659 Application Number: A20020659 Tax Map No: 523400-296-011-0001-043-000-0000 Permission is hereby granted to: R. .TFFFRFYK1S1FL For property located at: BAYWOOD 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. T"e of Construction Value Owner Address: R. JEFFREY KISIEL New Commercial Building I DEER Run Storage Building 250,000-00 GANSEVOORT,NY 12831-0000 Total Value 250,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2002-659 2454 sq. ft. new commercial building plus 110 sq. ft. storage building for tractor per plot plan& specifications. $384.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,August 28,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To 1 h of Q ens ,August 28,2002 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application ,;own 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. 04a-1.5 No inspection will be made until applicant has received a Fee Paid > $ 0 valid building permit. All applicants' spaces on this Rec.Fee Paid application must be completed and must appear on the application form. Reviewed By: RECF- YVEE) Ul3 0 5 2002 Applicant:(Sa/,,j racgo IAers T Owner: Address:. q--I,I- I_U_wpf� Avg 4 Address: --Y BURY C- r:7,- i&Y J�p CoD -AY-1 Phone#(QZ V Phone 9 Email Address::i��IA­dkl Email Address: Property Location: Lot Number: House Number Subdivision Name: Tax Map NumbeF 6>24, 11- I- q� New Building: residence Estimated Market Value of Construction: $� 000 c3 Addition: residence/ commercial If an Addition, 11 use of new addition be? j 0 Alteration: residence/ commercial 0 No change to exterior size: residence com'l Q Other work(describe Check OccupancyInformaition I"Floor 2° Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet 0 Single family dwelling 0 . Two family dwelling [a Townhouse U Multifamily dwelling #of units wf**4 Office U Mercantile U Manufacturing C3 1 car detached garage U 2 car detached garage U XeaK_4etached gaga C3 2 car atta-ched garage ca 3 car attached garage C3 Storage building -commercial 0 Storage building A - f> residential U Other !S I S1 What is the propose heightheight of the structure C feet 46, inches ;b Will any second-hand or ungraded lumber be used? If so,for what? 69 Type of Heating System: electric/ oil gas wood Zfb_7ced hot 4'r)/ baseboard other: Number of Fireplaces to be installed Number of Woodstoves to be installed ff:3 List below the person(s)responsible for supervision of work as regards to building codes: Name Address. _Phone Number Build& g rl7e-4 LI of _V'd 5--/ Plumber ,9)ser- 4_ lea"Im /_T ef4g Z Mason 170 Electrician �41_,,,112 CEL 8.00&LIZ VIA _RVGT- 17 -Declaration: please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the 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 ne o struction. Signature: owner,owner's agent,architect,contractor Application for Permit Septic'Di.sposal System Town 6f Queensbury 742 Bay-Road Queensbury,NY 12804 (518) 761--8256 1. OWNER INFORMATION: - F 9 -I Office D. r RE 3. E Location of installation: ��. U �� AUG : �.� 2002 Tax Map Nd / / 14 3 File Permit No.--,. E:E:3$ED3TC /Ngtk,ue;6�,AND 60DE � F3U!� J Owner's Name: Fee Paid 1'��.1 :S't t: ----- ---�==�....................................................._. _.......................1 Address: k x 2. INSTALLER'S NAME 42 r ! PHONE NO._14 _(>0 IQ J 3. RESIDENCE INFORMATION: .(circle year of dwelling,indicate ed oom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980—1991 x 130 gal/bdrm = 11 —Ipresent x 110 gai/bdrm = Z \ CL G'a.�7�P Ku✓Lo/r4n?�rcr�/ ..S"e rTe drerxt C/ ��1` C� pi Garbage Grinder Installed yes_ / no Spa or Whirlpool Installed yes / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) TgRoaranhv Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply at san at Vhat depth at what depth munici a cam feet I �� feet well teep slope clay if well;water supply _%slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completes`by licensed prbfessional engineer or architect) Rate: /YIminute per inch �T .r.9 5. PROPOSED SYSTEM: For New Cons ruction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: ff - gallon(min. size 1,000 gal) Tile Field: each trench 4 d—ft. Total System Length: t ft Seepage Pit(s): number of Z)1A size of each: ft. by ft. Size of Stone to be used: depth or thickness Bed-System Size: / x/ Alternk�tive System: - �Q t;1rrr d-C length and/or size �po 6. HOLDING TANK SYSTEM: (if required) i z ou p !"'i 1 Number of tanks: / Size of each: dgallons /TOTAL Capacity:Z&251r)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 pur_suantto Section 136-2.9 of the Code of the Town of Queensbury;any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signa�t7 r a espons' a s pe on Da e E g�—!*1 ex IG/ �a��r . . :'1'cttvrt c>T (2«cenwl:s�r•y • . Sewcr:t :uttl :7cw:il�c,: I)i�a>cr,:;tl (atatrl�•r AI;I;evidix C AHSORI''•I'ION Ii'II;Iii.) 'RI:I'A1LA`1`It)IN Iti�:C2[.?I1ti;I4I Ir:N'1':i PONI) � :...�`'�:�., �..�.-•, r:r u•..••f �. . _ fK}itir CAA r" ,... � l - 15ouSE G nE =f��" Il�.aysE G . E _ - � Y � Sc r•t Ic.+ `�' f J �• (,'.ter'')•• �n.^+►G '. I�.L.a• �'fiJr�'t?RPIKl t - ...... 7. SIGNATURE &.INFORMATION FOR'FWSFULNbjz$j..C.t'1✓f[�va. �,.�.��...•••, E � C_ k t e � ' HIGHWAY ', Richard A.hlissita VOU Highway Superintendent EPA RTM EN T Home(518)798-5127 742 Bay Road • Queensbury,NY 129" Michael F. Travis Office Phone: (518) ?64-821 t Deputy HighSu 'Ur Vent Fax: (Sl8) 7'45-4466 n DRIVEWAY PERMIT AUG-0 5 zooz TOWN OF QUEENSBURY DATE: BUIR.DING AND CODE ��`d J APPLICANT NAME: (�;t7 b rrDeetk TELEPHONE NO.: ADDRESS TO BE INSPECTED: RETURN ADDRESS: t�,� f to V e J yZ',,V .S)pnt Applicant must show exact location and width of driveway(s)to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: • STEP 1: { )Preliminary Approval NEED: { )Slight Swale { }Level with the road { )Deep swale Size pipe to be used(if necessary) Q0 12" ( )I S" { )IS" { )24" ( )36" Preliminary inspection completed by DATE Approval by Highway Supt. Deputy Supt Upon completion,please resubmit this approved permit for a final approval. STEP 2: ( }Final Approval O Rejected DATE: Richard A. Missita;Highway Superintendent ENERGY CODE COMPLIANCE APPLICATION TOWN OF Q7EENSBURY, WARREN COUNTY RECI� 9000 HEATING DEGREE DAYS AUG 0 5 2002 Compliance Methods:Part 5 -Acceptable Practice Method—1&2 Family Dwellings (only) d OWt,y OF Qt3Z �4S�3UF� Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwelling;BUIl DjNr E Multi-Family Dwellings(3 Stories or less) Part 4*-Design by Component Performance, Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT'S N E- PROPERTY LOCATION: nn � �t'rle�lt CA t_sa 9e5)c9 CPO PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area- square feet 2. Type of heat- Electric Oil Gas Other 3. Is building mechanically cooled? es No 4. Percentage of area of windows and doors t 6 ! .Over 17% Under 17% 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS , SHOWN ON PLANS SUBMITTED: a. Roof R 36 b. Exterior wails R- if C. Glazed areas U X-0-1 d. Exterior doors It 9 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 i. Heating/cooling-ducts-piping in unheated space R 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED Ap ant 's i Date Phonee Number/ INSPE OR'S RE ARKS: BLDG. PERMIT NO. 2002-659 APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; 14 Baywood Vxive for the following uses: Doctolcd 046ice McvLch b, 2003 DATE SIGNATURE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby (X)APPROVED ( )DISAPPROVED with the following conditions: Ceati4icate o4 Occupancy to be iszue.d upon comptel,i,on o6: Permanent inztattat'.%on o6 Handicap Signage. Rice grade at aean exit Parch. Raiuse glade around Buitdi.ng. In.6pe.ct.%on o6 Ptoat 6:j, toAm Syztem bon Pump Station. TEMPORARY CERTIFICATE OF OCCUPANC E: (X)$19.100 DIlep d EPO IT: { $100.00 received on MoAch 6, 2003 Date of Issuance Director of Bldg. & We Worcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EX--PIRES 90 DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement or his designee. Commercial Final Inspection Report Office No.: (518) 761-8256 Date Ins request received: Queensbury Building&Code Enforcement Arrive: i dir am/pm Depart: _am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: ' 61i4� A DATE: t COMMENTS: Y N NA Chimney/"B"Vent/Direct Vent Location Plumbing Vent Through Roof 6"/Roof Complete Exterior Finish Grade Complete 6"in 10' or Equivalent Interior/Exterior Guardrails 42 in.Platform/Decks Interior/Exterior Ballisters 4 in. Spacing Platform/Decks Stair Handrail 34 in.—38 in./Step Risers 711/Treads 11" Vestibules For Exit doors>3000 sq. ft. All Doors 36 in.w/Lever Handles/Panic Hardware,if required Exits At Grade Or Platform 36 (w)x 44"(1)/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator Q 8")Above Grade Floor Bathroom Watertight/Other Floors Okay Relief Valve,Heat Trap/Water Temp.110 Degrees Maximum Boiler/Furnace Enclosure hr. or Fire Extinguishing System Fresh Air Supply for Occupancy/Ventilation Combustion Low Water Shut Off For Boilers Gas Furnace Shut Off Within 30 ft.or Within Line Of Site Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), I V2doors > 10%> 1000 sq.ft 1/411our Corridor Doors&Closers Firewalls Fire Separation,2 Hour, 3 Hour Complete/Fire Dampers Fire Doors Ceiling Fire Stopping, 3,000 sq. ft.Wood Frame Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" Smoke Vents Or Fan, if required Elevator Operation and Signage/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets Handicapped Bath/Parking Lot Signage Public Toilet Room Handicapped Accessible Handicapped Service Counters, 34 in., Checkout 36" Handicapped Ramp/Handrails Continuous/12 in.Beyond Active Listening System and Signage Assembly Space Final Electrical Site Plan/Variance required Final Survey,New Structure/Flood Plain certification,if req. As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Driveway Water Fountain or Cooler Building Access All Sides by 2 able Surface 201 wide Okay To Issue Temp. or Kermanellf—C-7ti> Okay To Issue CIC Last printed 6/3/2003 9:27 AML:\PamW\Ruilding&Codes\Commercial Final Inspection Report.doc Residential Final Inspection Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: r3 al/ �Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: u DATE: TYPE OF STRUCTt E- Comments Y N 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 Railings 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 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 privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazi 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 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"access, I sq.ft.-150 sq. 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 CIO(Cert.Of Occupancy) Okay to issue Permanent C 0(Cert, Of Occupancy) L:\SueHenifig�vay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 FINAL - COMMERCIAL INSPECTION REPORT Request received: -0 J Office Use Town of Queensbury (518) 761-8256 ARRIVE +3rarn/pnz: DEPART am/pm- 742 Bay Road Ready at time: Queensbury, NY 12804 ' Inspector's.Initials I ' T Meet: NAME PERMIT# 6>9 �E'J � At time: LOCATION TYPE OF STRU TUBE INSPECT ON(date): O Notes: N/A YES NO A iV�s�( Chimney/"B"Vent/Direct Vent location t Plumbing Vent Roof Complete COMMENTS Exterior finish grade complete rm Interior/exterior guardrails 42 in.platfo /decks Interior/exterior balusters 4 in.spacing platform/decks Stair handrail 34 in.-38 in. Step risers 7 3/4 in. �' Main door 44 in. All others 36 in. Lever handles Exits at grade or platform Canopy to cover req. exit doors Gas valve shut-off exposed&regulator(18 in.)above grade Floor bathroom watertight Other floors okay Hot water relief valve Boiler/furnace enclosure <250,000 BTU N/R 250,000 BTU to 1,000,000 BTU's(1 hour) >1,000,000 BTU's(2 hour) Gas furnace shut off within 30 ft. or within line of site Oil furnace shut off at entrance to furnace area Stockroom enclosure(1 hour),3/4 hour door Storage/receiving/slipping room(2 hour), 1 1!Z doors 1 '/x hour doors and closers 3/hour corridor doors and closers Firewalls/fire separation,2 hour,3-hour complete Fire dampers,2-hour fire wall/separation or greater Fire door/shutters 1 '/z hour,3 hour Ceiling fire stopping 3,000/5,000 sq. ft. Fan shutdown,smoke vents or fan Exit door/panic bars assembly hardware Elevators Elevator signage Handicapped bathroom grab bars/sinks/toilets Handicapped bath/parking lot signage �,���� J/5h�y� �'4'�'` � Handicapped service counters 34 in.,checkout 36 in. � ��• d Handicapped ramp/handrails continuous/12 in.beyond Active listening system and signage assembly space Final Electrical Site Plan/Variance required Final Survey,new structures As-built septic system layout required Okay to issue TEMPORARY C/O—Certificate of Occupancy yes no Okay to issue PERMANENT C/O—Certificate of Occupancy yes no Okay to issue C/C—Certificate of Compliance yes no May 06 02 06: 02p Twenty First Ceritur•y H66H 8853272 p• 2 4 21ST CENTURY MECHANICAL EPA Certified° Commercial 1448 Route 50 • Ballston Spa, NY 12020 • (518) 885-0045 • Fax(518)885-3272 Galarneau Builders March 3,2003 Re:Dr Kistels Office—Combustion arc Code requirements for combustion air are I square inch for every 1000 Btu.Tice louver door that was installed has two louver sections measuring 18"x36"and 18"x24".Both sections total 1080 square inches. Even cutting that total in half for clear area you still exceed the requirements and are good to go. Sincerely William R.DeGroff Heating - Cooling • Plumbing • Licensed • Fully Insured i c�, z x - HIs� (Dw9H H aa" ,� H ., wwO a 4 S SO4 H �+ z W W0M� w H 0 Cl 0 1�w H H 9 W W •r w HH [4 caw zH z 0 w � U Q W a s x a H 0 a w z a u a x W z 9 a (� a w x H H w a H c� a H of ca y H x H p a a w w w H w a a P w a 00 oW 40wxx4z wz . I ] u zW ] w0a wzH �+ u �+ 4940 0 �► 4 W w N a Q w 0 0 4 u 4 u H W H u M > H $ N z H u 3 a s > 4 M a H x u o "} a E+ x . z z W H 9 z w W u W 9 9 �+ t► a = w H E+ > p w w a x N a A A 0 E+ > W W w z x > c� 0 a z u� W w H cl) x w w w w u > a z � NN0 x � 0 zHaWxH aaaWzaN r ch H a 0 0 0 4 a a a 9 ] N , rr z 0 W U" H �i z u 0� 0 H 0 0 w � 0 .0 0 H � 4 9 4 w a N H w H H 0 za W H z H .z w w 9 H a Q A z 0 Q w 0 U u u a > N Ha z M H (�� H W �' Q a x S H W H H H a a 0 H w w 4 W w � x z 2 W W H 0 z W U w W a W Q 0 Q w 4 �+ a H u P a 0rn H 0 p 4 a , a a F 0 a Ni H 02 H H 4 z z z H z ,. Q0 4 �w 0z x a 0 x W W a a z IH H w H X X a 9 � P� H H H x z4QE+ W uaxWxxW H01 wulc4W w axxxwm W0 Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received: Permit#e INSPECTION ON: 0—M!,00 AM PM ANYTIME L Name, I Location: DA Acv�Aux )Mr7x� APPROVED N/A YE4/. NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS—NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN 1 C4 FJ,t— V\j CHIMNEYMAXIMUM OCCUPANCY SIG bt bvA f MASONRY ROUGH IN FINAL , L9 k-- CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN K THIS DATE OkORCO NOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMDEV/CHFtISJIWORD/LETTERS200I/FIREMARSHALINSPECTIONREPORT11022001 WHITE—BUILDING DEPARTMENT COPY YELLOW—OCCUPANT COPY y CORCIAL FINAL INSPECTION REPORT Building& Code Enforcement Date inspection request received: Office No. (518)761-8256 Dept of Community.Development Town of Queensbury Arriveg,74- am/pm Depart am/pm 742 Bay Road Inspector's Iuitials� Queensbury,NY 12804 NAl�E PERMIT# oc)- S�- LOCATION DATEr9 -7 TYPE OF STRUCTURE N/A YES NO CONDAENTS Chimney/"B"Vent/Direct Vent location Plumbing Vent Roof Complete Exterior finish grade complete Interior/exterior guardrails 42 in.platform/decks Interior/exterior ballasters 4 in.spacingplatfolm/deccs Stair handrail 34 in.-38 in. Seep risers 7%in. Main door 44 in. All others 36 in. Lever handles f 6-l�//" `i' �'!61� i r/ i� •YGu�' Exits at grade or platform /' Canopy to cover req.exit.doors r" e�ttt v� L-o//l &-kk CLAP- Gas.valve shut-off exposed&regulator(18 in.)above grade Floor bathroom watertight Other floors o t wkay Haater relie#valve Boiler/furnace enclosure 000 BTU 250. hS r f 250,000 BTU too 1,000 (000 BTU's 1 hour) >1,000,000 BTU's(2 hour) 1C Gas furnace shut off within 30 fL or within line of site F,7 L Oil furnace shut off at entrance to furnace area �/�s"r "'er' 14e`le 0441, Stockroom enclosure(I hour),3/4 hour door Storage/receiving/shipping room(2 hour), 1 '/z doors I ti hour doors and closers J j 3,g hour corridor doors and closers Firewalls/fire separation,2 hour,3 hour complete Fire dampers,2 hour fire walllseparation or greater Fire door/shutters 1 '/2 hour,3 hour Ceiling fire stopping 3,000/5,000 sq.I Fan shutdown,smoke vents or fan Exit door/panic bars assembly hardware Elevators Elevator signage � /� �(j Handicapped bathroom grab bars/sinks/toilets Handicapped bath/parking lot signage Handicapped service counters 34 in.,checkout 36 in. ® ,J / Handicapped ramp/handrails continuous/12 in.beyond f��ist c1rN` Id �iCwr ri r Active listening system and signage assembly space Final Electrical Site Plan/Variance required__ Final Survey,new structures �,.-� , ,. As-built septic system layout required �w� �� •� Krr 1 iur c r Okav to issue temp.C/O(Certif.of Occupancy) Okay to issue permanent C/O(Certif:of Occupancy) Okay to issue C/C(Certif.of Compliance) �i•'C��t ���PlJ � cz�- s�'tr Ar .6--d Z,,4 Fi jle Yol, 4),r11i CELLULOSE INSULATION CERTIFICATE OF INSULATION This,is to certifythat;Bonded insulation-has-been-installed,to`the-manufacturer's recommendations in'attics`to provide. .a value of R* 38 using 85 bags of insulation to cover f 7 6 square feet , of area at a minimum thickness of inches.@ 3.7 Ali Mc M In sidewalls to provide a value of R* using bags of insulation to cover square fed of wall area at a thickness of (street address) (city,state,zip) a 6A1h9?jCW 3U1(.0491 :14-x, Bonded cellulose meets all Federal safety standards and American Society of Testing material standards, The product contains no asbestos,glass fibers,or formaldehyde. Signed 9 a-c,,,, . .G (installer (company) (state license#) b' 13' �y �k fpq�u) /J � i L6 (city,state,zip) (date) Keep this certificate with your other valued papers.If you ever sell this properly,this certificate should be passed on to the purchaser, *The higher the R-Value,the greater the insulating power, Your home is safely insulated with Bonded INSULATE insulation, loose fill SAFELY WITH wood fiber based A ® CELLULOSE INSULATION insulation. Bonded cellulose offers an exceptional CELLULOSE INSULATION CERTIFICATE combination of performance values,It has a higher insulating value than man-made fiber insulation, a drafts are eliminated,the product carries no f INSULATION '. carcinogenic warning,it is an effective sound r insulator;and it is fire retardant, Bonded complies with Federal Specification HH- � 1-515 D and ASTM,039-B6, l a B011MED kw0on Company,hic. ! . `�� P.O.Box 337,Nauman,N.Y.12086 }� �M ti rQ j rL3I2PLrL3r@ [Ell rL3rQrQPLPLPLPr 5 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS 5 BUREAU OF ELECTRICITY 5 40 FULTON STREET — NEW YORK, NY 10038 5 5 5 CERTIFIES THAT 5 5 5Upon the application of upon premises owned by 5 5 V-R ELECTRIC JEFF KISIEL 235 ROUND LAKE RD 3 BAYWOOD DR c5 5 BALLSTON LAKE, NY 12019, QUEENSBURY, NY 12801 5 5 5 5 Located at 3BAYWOODDRQUEENSBURY,-INY12801_ Application Number: 1086880 Certificate Number: 1086880 5 5 Section: Block: Lot: Building,Permit: BDC: A239 5 5 Described as a Commercial occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring,described below, located in/on the premises at: 5 First Floor,DENTIST OFFICE,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 6th Day of February,2003. 5 5 5 Name OTY Rate Rating Circuit Type 5 Receptacle 1 0 Dryer Paddle Fan 2 0 Residential 5 Dimmers 2 0 General Purpose Switch 2 0 Motor Control Service. -- - - - - - - 5 1 Phase 3W Service Rating 400 Amperes 5 Service Disconnect: 2 200 CB 5 Meters: 1 5 S 5 5 5 5 5 5 .Ka seal Y : f_ 5 5 - :1 u 5 Z' ra� 2 of 2 �-. 3, S This certificate may not be altered in anyway and is validated only by the presence of a raised seal attil I �Lqi iOted. 5 o E 5 2 1�E 2 i�0�9 ffl3PLPLPLPLPLPLPr [ff[ ji_rL3PLPrPL.PL.PLPLPLPLPr E9r2l0r4100jRPLr@ jMgjPr jj2PLPLPLPffl 7L3 _Pr PLPLpr Pr PLJ 5 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 5 40 FULTON STREET — NEW YORK, NY 10038 5 5 - �5± CERTIFIES THAT 5 Upon the application of upon premises owned by 5 S 5 5 5c 5 V-R ELECTRIC JEFF KISIEL 235 ROUND LAKE RD 3 BAYWOOD DR 5 BALLSTON LAKE, NY 12019, QUEENSBURY, NY 12801 5 5 5 Located at 3 BAYWOOD DR QUEENSBURY, NY 12801 Application Number: 1086880 Certificate Number: 1086880 cS Section: Block: Lot: Building Permit: BDC: A239 I Described as a Commercial occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring,described below, located in/on the premises at: 5 5 First Floor,DENTIST OFFICE,Outside, 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was 5 found to be in compliance therewith on the 6th Day Of February,2003. 5 5 5 Name QTY Rate , Ego Circuit Tyne Alarm and Emergency Equipment Exit Light 7 0 Visual Emergency Light 5 0 Visual Appliances and Accessories 5 Air Conditioner 1 0 66 Amps A-ray Unit '5-- 0 --Amps X-ray Unit 1 0 9 Amps 5 5 Furnace 1 0 Gas 5 Exhaust Fan 5 0 F.H.P. 5 Motors 21 5 5 Wiring and Devices 5 Fixture 36 0 Incandescent 5 Fixture 21 0 Fluorescent Outlet 2 0 Fixture Switch 32 0 General PurposK Receptacle 76 0 General Purp 04 ea Receptacle 14 0 GFCI Continued on Next Page 1 of 2 5 This certificate may not be altered in anyway and is validated onlyby the presence of a raised seal attK6A 9,catFon indicated. 0 :]�EPrJ ['RPrPErr3P ffflpfl L3 WLffl _P r.j _,[RPLFr3Pr L[gfl: COI�BIERCIAL FINAL INSPECTION REPORT Building& Code Enforcement Date inspection request received: Office No. (518)761-8256 Dept. of Community Development Town of Queensbury Arrive 1U5 am/pm Depart am/pm 742 Bay Road Inspector's lnitials >AL Queensbury,NY 12804 NAME Q PERMIT#_ c S lc� "J LOCATION DATE /—,4•--9 —0 3 TYPE OF STRUCTURE N/A YES NO COMMENTS ChimneyP'B"VentMirect Vent location Plumbing Vent, Roof Complete Exterior finish grade complete hafrior/exterior guardrails 42 in.platform/decks f^ —' I' Interior/exterior ballasters 4 in.spacing platform/decks �'jA Stair handrail 34 in.-38 in. Sub risers 7 3/4 m. ._ L� Main door 44 in. All others 36 in. '7 Lever handles4k � Exits at grade or platform Canopy to cover req.exit doors /� .� j tc•.tc,� Gas valve shut-off exposed&regulator(18 in.)above gra _ 2 d�� h tL Floor bathroom watertight Other floors okay Hot water relief valve Boiler/f imace enclosure <250,000 BTU N/R 250,000 BTU to 1,000,000 BTU's(I hour) >1,000,000 BTU's(2 hour) Gas furnace shut off within 30 f—or within line of site Oil furnace shut off at entrance to f imace area Stockroom enclosure(I hour),'/4 hour door Storagelreceiving/shipping room(2 hour), 1 '/z doors I t i hour doors and closers '4 hour corridor doors and closers Firewalls/fire separation,2 hour,3 hour complete Fire dampers,2 hour fire wall/separation or greater Fire door/shutters 1 1/2 hour,3 hour Ceiling fire stopping 3,000/5,000 sq.ft. Fan shutdown,smoke vents or fanJ /ve �• C /�� G rGv / Exit door/panic bars assembly hardwareElevat Elevatoriguagef ��nG CGdJ �r �'b � Handicapped bathroom grab bars/shiks/toilets Handicapped bath/parking lot signage Handicapped service counters 34 in.,checkout 36 in. Handicapped ramp/handrails continuous/12 in.beyond rho Active listening system and signage assembly space Final Electrical Site Plan/Variance required­ Final Survey,new structures .As-buik septic system layout required Okay to issue temp.C/O(Ca f.of Occupancy) Okay to issue permanent C/O(Certif.of Occupancy) Okay to issue C/C(Certnf.of Compliance) COMT*HRCIAL FINAL INSPECTION REPORT Building&Code Enforcement Date inspection request received: Office No. (518)761-8256 Dept. of Community Development Town of Queensbury Arrive am/pm Depart am/pm 742 Bay Road Inspector's Initials Queensbury,NY 12804 NAIVE eL 1. l PERMIT 0 LOCATION DATE 2I �✓ TYPE OF STRUCTURE N/A YES NO COMMENTS ChimneyP'B"VenvDirect Vent location Plumbing Vent Roof Complete Exterior finish grade complete / hdm for/exterior guardrails 42 in.platform/decks fiteaior/exteriorballasteas 4 in.spacingplatfonr/decks Stair handrail 334 in.-38 in. h� �� elr�l/ gA11 ers Sup ris 7/,in. Main door 44 in. All others 36 in. `� J` rs Lever handles Exits at grade or platform Canopy to cover req.exit doors Gas valve shut-off exposed&regulator(18 in.)above gra Floor bathroom watertight Other floors okay Hat water reliefvalve, Boiler/funace enclosure <250,000 BTU N/R 250.000 BTU to 1,000,000 BTU's(1 hour) >1,000,000 BTU's(2 hour) ,Gas furnace shut off within 30 fl.or within line of site Oil furnace shut off at entrance to furnace area Stockroom enclosure(I hour),3/<hour door &orage/receiving/shipping room(2 hour), 1 1/z doors 1 ',i hour doors and closers 3`hour corridor doors and closers Firewalls/fire separation,2 hour,3 hour complete Fire dampers,2 hour fire wall/separation or greater Fire door/shutters 1 '/z hour,3 hour I Ceiling fire stopping 3,000/5,000 sq.ft. /�� e Cpi 1r4J6'- Fan shutdown,smoke vents or fan Jj Exit door/panic bars assembly hardware 1 �nGf IA-,All �,f, // Elevators Elevator signage r f � , Gr rU1'al�c� Handicapped bathroom grab bars/sinksftoilets Handicapped bath/parking lot signage Handicapped service counters 34 in.,checkout 36 in. Handicapped ramp/handrails continuous/12 in.beyond active listening system and signage assembly space_ Fatal Electrical Site Plan/Variance required Final Survey,new structures As-built septic system layout required Okay to issue temp.C/O(Certif.of Occupancy) Okay to issue permanent C/O(Certif.of Occupancy) Okav to issue C/C(Certif.of Compliance) Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518)745-4437 Fire Marshal's Inspection Report Request Q; � /1*11 SCHEDULE Received: Permit# INSPECTION ON: ,r . Name: f� 3 - l7 m1 �. �-'` AIU# % PM ANYTIME Location: ' APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL ,�}��' �� f {� v o mr A L- - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS ra_ ? FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM j n FIRE SUPPRESSION SYSTEM OV1 Wt HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS " CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGHIN C P�� l1 y�� Vol, CHIMNEY FINAL U� FACTORY BUILT ROUGH IN ex, '�/� FINAL � J�`�' WOOD STOVE ROUGH IN Q V FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK THIS DATE OK FOR CO NOT O FINAL S FIREPLACE t? �3& FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMDEV/CHRISJMORD/LETTERS2001/FIREMARSHALINSPECTIONREPORT11022001 YELLOW-OCCUPANT COPY WHITE-BUILDING DEPARTMENT COPY MULTIPLE DWELLING,HOTEL., MOTEL,APARTMENT FINAL INSPECTION REPORT Office No. (518)761-8256 Building& Code Enforcement Date inspection request received: Dept. of Community Development Town of Queensbury Arrive anVpm Depart am/pm 742 Bay Road Inspector's Initials Queensbury,NY 12004 NAME s e1 PERK# LOCATION DATE 7 TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location �} Fresh Air Intake Pu,,ie- Cer,/ W p� d j,v C 1r pe , Plumb Vent through roof j Roof complete C"L A� axcrh( Exterior finish complete , t Interior/exterior railings 34 in.to 38 in. -Exterior handrails,balconies,landing 18 in.or more Interior handrails stairs both sides 3 or more rises .Guardrails 42 in.Ballisters 4 in.spacing_ �5 k 4-S Doors 36 in. 411 Headroom 7$.on stairs /I Handrail exterior stairs both sides more than 3 risers Gr `fr.,F 51 Floor finish Bathroomlkitchen watertightL/w, Interior handrails balmnies/landing 18 in.or more Railing across window in stairwells s� Smoke detectors: rG✓: �. �4/► every level every bedroom p r rd i(S c rLl L outside every bedroom inter connected Bathroom ns Plumbing fixtures Foundation insulation Fire separation hour Fire walls 1 2 3,hour Z � /� J c►Y-s / w,�-- Fire doors'/,, 1 '12,2 hour / '! �/ Handicapped Accessibility 76 ;Oor cJ m/C� -4A1 Handicapped parking Handicapped signageA�� Finish grade Gas valve shut-off exposed/regulator 18 in.above grade ,. Gas furnace shut-offwithin 3011,or.within Iine of site /wtJ L AZ­,L»; i» !✓�r m� ` Oil furnace shut-off at entrance to furnace area Furnace/hot water heater operatin Reliefvalve(s)installed Garage fireproofing .Garage penetrations sealed t�/' f f //� �'' WA1 L Furnace in separate room protected(in garage) J,/z1t G !� Light ventilation per room Safety glazing 18 in.or less from floor Final Electrical Site PlanNariance required Final Survey Plot Plan 111J As-built septic system layout required Okay to issue temp C/O Okav to issue permanent C/O(Certif.of Occupancy) Okay to issue C/C(Certif.of Compliance) Office 1 �` .CxENERAL, INSPECTION REPORT Inspector: Town of Queensbury Ready at timer .Dept. of Community Development Request received: Meet: Building& Code Enforcement / At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPARTIO V m/pm Notes: (518) 761=8256 Inspector's Initials NAME: 6 o PERMIT- -A6 #LOCATION: INSPECT ON(date}: TYPE OF STRUCTURE: j RECHECK0 N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place Tlie 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/Dampproofmg Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In !� l su ati�n iecttc�� (d CoZc 1 N — I AJ /A-7 s(1 L . Foundation Walls Interior R- Foundation Walls Exterior R- C(!:—l L AYC�>- 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:LSueHemingwaytBuilding.Codes.Inspection.FORMS\GENERAI INSPECTION REPORT.doc QJJIee Use GENERAL INSPECTION REPO Inspector: Ready at time- Town of Queensbury Dept. of Community Development- Request received: 0Z - Meet: Building chi Code Enforcement At time: 7M ��3 a 742 Bay Road fi Queensbuty, NY 12804 ARRIVE ' amlpm: DEPART am/pm Notes:, i � Wre (518) 761-8256 Inspector's Initials NAME: �y NG�i�� PERMIT r j LOCATION: �� INSPECT ON(date}: ( l �� TYPE OF STRUCTURE: � ���� l RECHECK Y NIA YES NOj COMMEN 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 lumbirtg entiven& Place n lamb' . Keating 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- ro a t; tic ve t1-0 gamin c, cc-tz A)A-k4_( e-�-G EP 6((ZtA y2 1 kUsS Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam I i�I hon BeerFV 1�0_&-rt- Pi p ra on , 3;hour Penetration Sealed rr e Wall 2,3,4-hour_ - F: op ' L.\SueHemingwaytBuilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT-doe Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement 'At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPAR Notes: (518) 761-8256 Inspector's Initials �m/pm NAME: PERMIT# LOCATION: INSPECT ON(date): t [t teZ-- TYPE OF STRUCTURE: RECHECK N/A i 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 FoundationfWallpour Reinforcement in Place Foundation/Dampproofmg 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- 4 P� P per Vent Attic Vent ranting ,qu 6 A 11-- 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\GENERAT,INSPECTION REPORT-doc Office Use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Notes- Queensbury, AY 12804 ARRIVE a T `' Dan pm (518) 761-8256 Inspector's Initi Is NAME. PERMIT it LOCATION: INSPECT ON(date): TYPE OF STRUCTURE RECHECK N/A i YES i 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 FoundatiorvDampproofmg_ Backfill,Approval Plumbing Under Slab Plumbing Vent(Vents in Place Rough Plumbing Heating Rough-hk. Insulation Foundation Walls Interior R- Foundation Walls Exterior R it - Floors R- Walls R- Ceiling R- Duct work or piping in . unheated spaces R- Proper Vent Attic Vent )@raming 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:\SueHomingway\Buildiiig.Codes.Iiispection.FORMS\GENERAT,INSPECTION REPORT-4oc 1 l I Zoo, ' ro +) 4� 4-) 0 0 fi N 4J TO QJ 0 Q)z - r " Ists, � � '0 �, a ► W 0 .� ' ' C V) N4 f M It I 1 lost 1a 'tLT is cliD N *0 c0 S. *+� t co "r 01 so .x r- 0 0 4M a1(A "d � H a 0 cn a .awl� ro pJ � U � -P 0 roa4J4J 0r- H 4- U V) 41 S. 0 N ro vI +) QJ W V) Or I 0or vlcccroCic010 N 4- 0 2- N Q k \ 0 0 0 0 w S. 0 i � aL1� � 04- W 0 �� � 00 � 'r 'r"r � 4J �yI 0 �' I .N ro,ro ro Nr, a) Z ' WOQ14JQJAt09: +) cro4. .0 u 4' H 4- 40CaNWN00. bC00U � � :: .r ro 0 ro 0 N"r Q4 0 QJ W -r- 4,) �r a; U L � ` Q V) 0 � aVJycncna �o�© ojl° I°vi °� �' L2: U � 1 tomil �1 ' �•:------_ M n !c E� m 82.E � ,;I''- \ .__----"_----" > - Z 0. i -- T Q - - - - - °o m N ----- d �' O T _ — — ---- U I w II ^ _ _ ____________ 0U m&° 4 O i,,,z n ^q_______ 9 d M o O I Z U Q Pt LIJ Os15 o 0 E Of1va m NJ o ,00'Sl v' m odi t ii i W4. %.r =x o -'- �^ --------- N�b'813_S te •- r _ N v 0001 pO aW Oz F - -_i--- 0�£ '�3_iNlOd__ p c t z 1 , t f I i LU C) C n a v d Ld 0 0 oc �--q n o � _ — v FW--OOti I -- O ... 4 q C ci > i o c n - a .. ----------- - Office Use f f 0 GENERAL INSPECTION REPO FInspector: Town of Queensbury Ready at time: Dept. of Community Development Request receive& q Meet: Building& Code Enforcement At time: 742 Bay Road otes: Queensbury, AT 12804 ARRITE a I a,r Cp,�Elk- (518) 761-8256 Inspector's Initi is NAME. PERMIT 4 40- LOCATION: 3 la'L"W(�rnd Dii INSPECT ON(date): TYPE OF STRUCTURE: Wk. RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place ,, Found o ampproofffig �� c� Nakfill Approval —v4L Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing-_ Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:\SueHemingway\Building.Codes.Inspection.FOI NIS\GE,NERAL INSPECTION RFPORT.doc Office Use GENERAL.-INSPECTION REPORT Inspector: To-win of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE-am/pm: DEPAR am/pm Notes: (518) 761-8256 Inspector's Initials NAME: Y=s PERMIT# a)o 2- - LOCATION: 3, INSPECT ON(date): 9 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 Foundation/Wallpour Reinforcement in Place oundation/Dampproofing b Backfill Approval m V Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing_ I< 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/Bridgmig 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\Biiilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc UZI Office Use GENERAL INSPECTION REPO-JDLI---JPL Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART :- Pam/pm Notes: (518) 761-8256 Inspector's Initials 1� NAME: PERMIT# LOCATION: L-joob INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YE 9 NO COMMENTS �ootings/Piers I/ Monolithic Pour Form 41/— 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/Wallpo Reinforcement in Place Foundation/Dampproofmg 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 Firestoppffig L:\SueHemingway\Building.Codes.inspection.FORMS\GENERAT,INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPOD,\.qr Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE am/pm: DEPART "cum/pm Notes: (518) 761-8256 Inspector's InitiaiSv NAME: PERMIT# LOCATION: INSPECT ON(date): TYPE OF ST�RU�, TURF: RECHECK N/A YES COMMENTS ao�ot gs/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement 0 e77' )C K of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing-- Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- 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\Btiilding.Codes.Inspection.FORMS\GENERAI,INSPECTION REPORT.doc V, 1 ro � 4JV0 I O. +J v a, v , s. 4. 4- Va Iz\ 1 ro w H � Q1 0 V) rl I \ 0) wul -P N C r w S» 0 ce matN. � N .,.I C 0 ro Vf td r w h r r A 0 rr IL �tx 0 � � w U Irk ro I � 'N -r 0. '�, 11111 la V) w '` ,� � N 0 U N , A. V) 4J w �� Ciro © roro v roJ .�eo �n �- 4-V w 0m rQY ++ S. � Xw, H C VA4JO. W Ia +r� �, . .� �l U. �' I 0 L' +� tU 4- 0Nh �'" ro21r ® U�-. CO S. 4Iw.0 U 4R. 0 rti v r-w H U c N to .Y r It 0 0 4- av) V) 0. .A00Co CV0 (01V4J0 ^ 5. +) 0Z H ro ro V) 4) L0� V) � N v ro w (AL. 0 �. H 4- U ) 41 +)H (V I-. -r V) V'1 C C C (00 C NCI w t1 w 0 rV) 4- M0. N Q k \ 0 0 0 0o� S. 0 4- It- 0 0 ut Z -r r-r. 0 IL Y) 'C H 0 0 4--w cn .. p 0 co Cn +P V -P6 v 1 � 3 N 0 ,,,, 'r 4J Q,OL C 00 1 0 V CH ro,ro ro Mrr 0Z m - wro c #P,C cc Nz *0 .0 - 0�- U4ar-w w +MN w v ro a) w. :3 w 0 0)4J N 0. v CH 0).!i 4J r- c c ro 4w e. !i. M E U +1 H 04-10CaN.wN017) r. ►) vU :1ZO. CU,r- 0 tJ1 IL (00 (00 41 ,r.�m 0 0 .r w-r- -P H r• rO'r ao 0 0 N 0 0 U S» rr. 0 dl ..! Q N C1;' .-1A Ul� V? 0. p�� L1C7 � U. liUi w V) 141: r Project Name: Asli c AAJTe 0 -W-r BP# Address. LO ;uc-. Building Permit Submission Multiple LDa ng ter Caamrr"Proem Checklist All items below must be checked either yes,no or not applicable prior to submission of any building permit to the Town of Queensbury Building Department. If any of the below items are lacking,the permit will not be accepted until such time as the application is deemed complete for submission. 1. Building Permit Application Completed...... ... E]no ❑ 2. Energy Form or Checkkdate Energy Code Compliance Forms Complete s Qno Qn/a 3. Energy Code Inspector's Report from Checkmate Program... ...... ... ... ��s Ono ❑n/a 4. Septic application completely filled out(if applicable).:. ... nno ❑n./a 5. Electrical Inspection Form... ...... ❑n/a 6. Two (2) sets of plans showing the following. ...... ...... ... ... ... ...... ... ...... yes []no Qn/a 6a. Floor plan(s)... ......... ... ...... ... ... ... ... ... ...... ... ... ...... ... .. ❑yes Qno Qn/a 6b. Foundation plan... ............ ... ...... ... ... ...... ... ... ...... ... ........Qyes Qno Qn/a 6c. Cross section(s)... ...... ... ... ... ...... ... ... ... ... ... ... ......... ... ... .. Qyes Ono Qn/a 6d. Elevations ...... ... ... ...... ... []yes nno ❑ 6e. Design loads including floor,snow load,and wind load... ... Qyes Qno Qn/a 6f. Seismic design(required after Jan. 1,2003)... ... ... ... ...... ... ... ... Dyes ❑no ❑n/a 6g. Plans signed by registered architect or engineer,signed... ... ... . ❑yes ❑no ❑n/a and sealed by a registered architect or engineer 6h. Window and door schedule... ... ...... ... ......... ... ...... ... ... ... Qyes Qno Qn/a 7. Two 2 site plans showing location of the structure to be built,... ... ... ❑ s o n/a ( ) P g ye location of well or water lines,location of septic system or sewer line with tom' all setbacks and separation distances shown,and all improvements to "the property. 8. Solid Fuel Burning or Gas Appliance Form(if applicable)... ... ... ... ... . Qyes Qno Qn/a 9. DrivewayPermit............ ... ...... ... ... ...... ... ......... ... ... ... ... ... ... . Qyes Qno Qn/a Dater -' Staff Initi L:\SueHerdmgway\BuildingTemutFORMS\Generic Checklist:doc Burglar Alarms Fire Alarms Loss Prevention Experts Inc. UL FM Central Station Capital District Office: Business Office 2070 Route 9N 31 North Street Greenfield - NY 12833 Monticello • NY - 12701 (518) 869-4737 (914) 794-6133 ATTN: Ed Stano February 17 , 2003 Ref: Office of Dr . Kisiel 3 Saywood Drive Queensbury, NY 12804 Dear Sir , This letter is to advise you that Loss Prevention Experts completed the installation of a smoke detection system at the above referenced location. The control unit is a Napco Gemini P3200 with 16 smoke detectors installed throughout the office with one in the crawl space. Annunciation is via a local voice siren, a fire strobe light and digital communicator to Feelsafe Monitoring , Inc . , our UL listed central station. The system was tested and all components and the system as a whole operated in a satisfactory manner . If you have any questions or need additional information concerning this system, please call me at 869--4737 . Sin erely , Edward Stano r . Serving the Capital District Since 1976 GENERAL AND SURVEY NOTES ry 0 Z TOP OF SLOPE, TYP. END CAP 0 LATERALS, TYP. SEPTIC SYSTEM LATERAL, TYP. SEE SEPTIC SYSTEM DESIGN DATA & LATERAL SCHEDULE, DWG. C-3. AREA RESERVED FOR FUTURE SEPTIC SYSTEM DISPOSAL FIELD EXPANSION. 3 FUTURE LATERALS @ 60' EACH. paved drive 4 "0 PVC 0 1/8"/PT., TYP. DIST. BOX OUTLET INV. EL. 329.30' TYP. - 2"0 PVC SDR21 FORCE MAIN. PROVIDE TURNED DOWN 90" BEND IN DIST. BOX. DEPRESSED AREA FOR STORMWATER INFILTRATION. 10' WIDEx6O' LONG WITH 1:8 SIDE SLOPES AND BOT. EL. 328.4'. TOPSOILED AND SEEDED. LEGEND ------- 322 ------ EX. CONTOUR 324- NEW CONTOUR + 328.00 NEW SPOT ELEVATION EXIST. EDGE OF TREES NEW EDGE OF TREES ® TP 1 TEST PIT LOCATION PT 1 PERCOLATION TEST LOCATION PROPERTY LINE ............ SETBACK LINE HANDICAPPED PARKING SPACE _. Elp EDGE OF NEW PAVEMENT STORMWA TER MANAGEMENT NOTES 1. DESIGN BASIS: STORMWATER MANAGEMENT SYSTEM WAS DESIGNED TO ACCOMMODATE THE 50-YEAR RECURRENCE INTERVAL STORM EVENT WITHOUT SIGNIFICANT INCREASE IN PEAK RUNOFF RATE OR RUNOFF VOLUME WITH RESPECT TO THE PRE - DEVELOPMENT CONDITIONS AT THE SITE. A STORMWATER MANAGEMENT REPORT INCLUDING DESIGN CALCULATIONS WERE FILED WITH THE TOWN OF OUEENSBURY WITH THE SITE PLAN REVIEW APPLICATION. 2. STORMWATER INFILTRATOR UNITS BELOW PAVEMENT SHALL BE "FIELD DRAIN HD PANELS" AS MANUFACTURED BY CULTEC, INC., OR APPROVED EQUIVALENT SUITABLE FOR H-20 VEHICULAR THE INFILTRATOR UNITS LSHALL GBE CONSIDERED AS THE ER OVER THE MINIMUM REQUIREDRTH AND PAVEMENT V 3. STORM DRAINAGE PIPING BETWEEN THE CATCH BASINS AND INFILTRATOR UNITS SHALL BE TIGHT -JOINT PVC SEWER PIPE. STORM DRAINAGE OUTLET PIPING TO THE DETENTION BASIN SHALL BE ADS N12 SMOOTH -BORE HDPE PIPE AS MANUFACTURED BY ADVANCED DRAINAGE PRODUCTS, OR APPROVED EQUAL. 4. CATCH BASINS SHALL BE PRECAST CONCRETE UNITS AS MANUFACTURED BY THE FORT MILLER CASTINGS 9349ATES AND FRAMES SHALL BES RACUSE CINGS TYPESCBD,PATTERNIf 5. ALL JOINTS WHERE PIPES PENETRATE CATCH BASINS SHALL BE GROUTED WATER TIGHT. 6. ALL PIPES SHALL BE BEDDED IN HAND -TAMPED CLEAN SAND. BEDDING SHALL EXTEND MINIMUM 6 INCHES ALL AROUND PIPE. 7. GEOTEXTILE FILTER FABRIC SHALL BE MIRIFI 140N, OR APPROVED EQUAL. S. CRUSHED STONE FOR INFILTRATOR INSTALLATION SHALL BE NO. 2 SIZE CLEAN AGGREGATE. EROSION CONTROL NOTES 1. TOPSOIL AND SEED ALL DISTURBED AREAS NOT COVERED BY STRUCTURES OR OTHER SURFACING IMMEDIATELY UPON COMPLETION OF THE WORK. CATED WING C-3 2 PRIOR INSTALL ILT FENCE IN ACCORDANCE WITH THE DETAIL COMMENCING ANY EARTHWORK CONSTRUCTION. MAINTAINNSILTFENCETo FENCE IN OPERABLE CONDITION AT ALL TIMES UNTIL CONSTRUCTION IS COMPLETE AND ADEQUATE TURF HAS BEEN ESTABLISHED. PERIODICALLY REMOVE BUILT-UP SILT FROM BEHIND SILT FENCE AS NECESSARY FOR THE PROPER PERFORMANCE OF THE FENCE. ---------- ea a of pavement paved rive paved drive - ------------ Baywood Drive x - ve BENCHMARK + CUT ON BOLT 0 -_ HEAD OF ARROW 1 ELEVATION 329.07' edge of pavement --- ----------------- R------- - - . w'ater valy o o� ', hydrant Q R � .60 330.22 _"�- - - 4- _ 30.82 1 + Z I t6.Ot701 ; 1- -i- - •_ _ _ }. i I _ ITYPTYP.Ii 328 �l 30 I ' CV .329 EW DENTAL OFFICES 3P0.00 II '•l 1 r�+i 1� i� i TP2 i FIN. FLR. i �i 1 ' % 331.67 % 1 I J. 0 t i i o J. j I M % , -- ►- tt i M 16.00 ; i TP I S ; ZI EPARATIO + 'Co t I f + ; • ; t =I ; I t 330 00 PT ' �1 ; ; I `_ + 330.00� T ='� J'' 28.42 i ' _' ' ' I HI H PT. I 0.00 328 f 3, I % 331. 330.82 33a.60 20.00' 330.00 0.17 MIN. 3 17 7 328 30.00' _4 329 _ - SETBACK - _ _-------_.-.� 3 �' X. TR E L.-._-•----•----- 329 ! `` TO REMAIN. --- - 9 FL n pi h fc FL iron pin found ❑ Q ! \ O F- telephone ped �' ! I 'ra-sformer 1 ; telephone ped building 5'-O"x5'-O" LEVEL LANDING 10.06'' AT ENDS OF RAMPS. SECK ;1 1 L;-,_•_- HANDICAPPED RAMP i 5'-0" WIDE 0 1:12 SLOPE. iron ,pin fund ; I ` NOTE: SEE DWG. C-2 FOR SITE LAYOUT, LANDSCAPING AND LIGHTING lands now or formerly of DATA AND OTHER INFO. NOT SHOWN. Richard Reisman DISPOSAL FIELD AND SEPTIC TANK INSTALLA TION NOTES SITE PLAN SCALE 1 =20 1000 SEAMLESS CONC. SEPTIC TANK. SEE DETAIL, DWG. C-3 4 "0 PVC HOUSE SEWER 0 1 /4 "/FT. SLOPE. 4 "0 PVC 0 1 /4 "/FT. SLOPE. PUMP PIT. SEE DETAIL, DWG. C-3 CONC. STEPS. (6) RISERS 0 6 5/16' (5) TREADS 0 12' MONUMENT SIGN SEE DWG. C-2. 5'-0" WIDE CONC. WALK W/1/4'%FT. MAX. CROSS -SLOPE. SEE DETAIL, DWG. C-3. ----- Wing sWQ�e -- 0 -------- DRIVEWAY & I PARKING LOT 2�_ Fi ;' - 327 I L 3 7i427.20 327. 327.1 b HIGH L&► o5 1 I ; 13 Q 1 �TP3� , Y W PAVED `* PARKIN_ 328. �2 LQ-T 328.00 ; - - OWT -- - ' ' Q 28.28.00 1 r TP 327 /P 7 0 4nd 326 --------------- A, r 1 , exist. curb i DI TOP 324.26 DI INV I I x ; MAX. , in 3 a33. I 30.0'; - 2. SETBA�N M M C�) Lu I u , ! o i ! o i 1 r EX. TREES a TO REMAIN t 1 , , 1 i /Transformer 00,11 , I woods Y -' p Q O _ C\I M AJ c --- i i --_..--=-------------- > R 0 o iron pin; found SEPTIC TANK AND PUMP SYSTEM MOTES 1. CONSTRUCTION AND LAYOUT SHALL BE AS SHOWN ON DRAWING C-3 AND THIS DRAWING, 1. PUMP PIT SHALL BE A SEAMLESS PRECAST CONCRETE UNIT AS MANUFAOLI ED BY THE Fr. MILER CO., AND SHALL BE IN ACCORDANCE WITH THE N.Y.S. DEPARTMENT OF HEALTH AND TOWN OF OR EQUIVALENT. SET PUMP PR LEVEL. OUEENSBURY REQUIREMENTS. 2. FORCE MAIN SEAL BE HIGH DENSITY POLYETHYLENE PIPE - ASTM Hp10PROVIDE DOUBLE FILL FOR CONSTRUCTION OF DISPOSAL FIELDS SHALL BE A WELL -GRADED SANDY LOAM, ND RADK/5 SHALL. BE IN STAINLESS STEEL PIPE CLAMPS AT ALL JOINTS AND FITTINGS. INAIUM UM END 2. WITH 10X TO 12X OF FINE MATERIAL (PASSING NO. 200 SIEVE). NO ORGANIC DEBRIS OR OBJECTS LARGER THAN 3" IN DIAMETER SHALL BE ACCORDANCE WITH MANUFACTURER'S REOUNREMENTS . SLOPE PPE UNIFOWILY BACK TO PUMP PIT FROM DISTRIBUTION BOX WITH NO SAGS. PERMITTED. PERCOLATION RATE AFTER INSTALLATION SHALL BE 10-15 MIN./IN.. 3• EFFLUENT PUMP SHALL BE GOULDS MODEL 3871 SUBMERSIBLE EFFLUEN PUMP - 3/4' SOLIDS - 3. PRIOR TO PLACING FILL INDISPOSAL FIELD AREA, REMOVE AND STORE ALL TOPSOIL, STUMPS AND BAN N DI DISS AND TAMP STUMP HOLES WITH FILL MATERIAL. 0.4 HP, 115 VOLT, SINGLE PHASE. WITH REMOTE CONTROL SWITCHES. 4. FLOAT CONTROL SWITCHES SHALL BE GOULDS MODEL A2-3. FLOAT SWEH BRACKET SHALL BE 4. PLACE FILL MATERIAL AND MODERATELY COMPACT WITH MULTIPLE PASSES GOULDS MODEL FSB1. OF A TRACK BULLDOZER UNTIL REQUIRED PERCOLATION RATE IS ACHIEVED. THE ENGINEER 5. PUMP CONTROL PANEL SHN.L BE SIMPLEX CONTROLLER WITH AUDIBLE AD VISUAL ALARM N NEMA 1 BEFORE COMMENCING EXCAVATION FOR PIPE INSTALLATION, NOTIFY MIN. 48 HOURS IN ADVANCE FOR A REQUIRED INSPECTION AND PERCOLATION TEST ENCLOSURE. INCLUDE PROVISION FOR A M L14L OPERATION OF PUMP. OW LOCATION OF PANEL TO BE FIELD DETERMINED WITHIN BUILDING. PROVIDE ANN. 12 GA. POWER WMPNVG AN 16 GA. FLOAT CONTROL WIRING TO VERIFY REQUIRED PERCOLATION RATES. IN CONDUIT BETWEEN PUMP PIT AND PUMP CONTROL PANEL 5. NO HEAVY EQUIPMENT SHALL BE ALLOWED WITHIN THE LIMITS OF THE DISPOSAL FIELD AFTER 6. ALL ELECTRICAL WIRING SHALL BE N STRICT ACCORDANCE WITH THE NADNAL ELECTRIC CODE AND STATE PIPE INSTALLATION HAS BEGUN. AND LOCAL REQUIREMENTS. ALL UNDERGROUND WIRING SHALL BE IN 13NDUIT. 6. AFTER EXCAVATING THE TRENCHES TO THE DEPTHS REQUIRED, THE WALLS AND FLOOR OF 7 ALL PIPE WITHIN PUMP PIT SHALL BE SCH. 80 PVC PIPE. EACH TRENCH SHALL BE CLEANED AND RAKED TO ACHIEVE AN EVEN SECTION AND TO LOOSEN SMEARED AREAS. 7. PLACEMENT OF STONE,FILTER FABRIC BE ESHALL RTOEAVOIDEINCLUSIONAND7EXTILE WASTEWA TER SYSTEM DESOV B*49 AS SHOWN, ANDCCARE BE TAKEN OF FINE GRAINED SOILS"ALL AND WASTE MATERIAL IN THE STONE AND PIPE. 8. TOPSOIL AND SEED THE DISPOSAL FIELD AND ALL DISTURBED AREAS IMMEDIATELY 1. THE WASTEWATER DISPOSAL SYTEM IS DESIGNED SSl MING TIE USE OF MIERLESi_ TYPE AFTER CONSTRUCTION. DENTAL CHAIR 1 WASTEWATER DESK/ FLOW IS AS FOLLOWS 9. NO VEHICULAR TRAFFIC SHALL BE PERMITTED ON THE DISPOSAL FIELD AFTER CONSTRUCTION. OFFICE OCCUPANCY O 0.1 GPD SF r 2444 SF 244 MISCELLANEOUS PATIENT RESTROOY USAGE 50 10. GEOTEXTILE FILTER FABRIC SHALL BE MIRAFI 14ON OR EQUIVALENT. ALLOWANCE FOR LAUNDRY (t WASH/GAY) • 25 319 11. DISPOSAL FIELD LATERALS SHALL BE PERFORATED 4"0 PVC SOLVENT WELDED SEWER PIPE. INSTALL LATERALS WITH HOLES DOWNWARD. PROVIDE END CAPS WITH 1/8"0 VENT HOLE NEAR 2 TOTAL DESIGN INASTEIWUER FLOW/ DESIGN PERCOLATION RATE USED N THE DESIGN = 41 MN,/Md. DESSM APPLICATION RATE - 0.5 GPD/SF TOP AT ALL LATERALS. PIPING FROM DISTRIBUTION BOX TO THE LATERALS SHALL BE 470 SOLID SOLVENT WELDED PVC PIPE. ALL BENDS SHALL BE STANDARD FITTINGS. 3. SEPTIC TAW SIZE REQUIRED - 1-5 r 0 - 479 GAL. SEPTIC TANK OIPACITY PROVIDED - 1000 GAL. 12. DISTRIBUTION BOXES SHALL BE PRE -CAST CONCRETE UNITS WITH BAFFLES AS MANUFACTURED BY 4. TOTAL LENGTH OF LEACH TRENCH REOII/I£D - 320 LF. LEACH TRENON LENGTH PROVIDED - 360 I.F. THE FORT MILLER CO.. OR EQUIVALENT. SET DISTRIBUTION BOXES LEVEL ON MIN. 8" THICK LAYER LEVEL OF UNIT BY FILLING WITH WATER TO OUTLET INVERTS. PROVIDE 5. THE WASTEWATER DISPOSAL FIELD WAS DESIGNED AS A -WILLOW TRENCH TYPE SYSTEM N ACCORQANCE WITH OF PEA GRAVEL. CHECK LIQUID LEVELERS AT ALL OUTLETS. NYSOOH REOUIREMENTS. PRECASTCONCRETEUNITMANUFACTUREDBY THE FT.ER 6. A 50% FUTURE EXPANSION AREA EOLK TO 180 LF OF TRENCH IS PAMWO. 13 SEPTICTANKSHALLMA SHALL SHOWN. BE A SEAMLESS TANK AND PPIT OR CATCH BASIN RIM. EL. 327.00' SEE DETAIL, DWG. C-3. 8"0 PVC PIPE HEADER TO INFILTRATOR BEDS, (TYP.), Q1 1. SURVEY INFORMATION IS BASED ON A FIELD SURVEY 'TOPOGRAPHIC MAP OF LANDS OF R. JEFFREY KISIEL" BY DAVID F. BARRASS, LS DATED 412102. 2. ELEVATIONS ARE BASED ON THE AMENDED MAP OF SUBDIVISION OF LANDS OF JOHN M. HUGHES AMENDED DATE NOVEMBER 7, 1990 PREPARED BY COULTER & McCORMACK, LAND SURVEYORS AND FILED IN THE WARREN COUNTY CLERK'S OFFICE AS MAP A 1-145. 3. ONE FOOT CONTOUR INTERVAL. 4. DEED REFERENCE: JOHN M. HUGHES AND ROGER W. BRASSEL TO JEFFERY KISIEL DATED 17 JANUARY 2002 AND RECORDED IN THE WARREN COUNTY CLERK'S OFFICE ON 22 JANUARY 2002 IN LIBER 1248 OF DEEDS AT PAGE 10 5. EXISTING UNDERGROUND UTILITY LOCATIONS ARE BASED ON VISUAL EVIDENCE ABOVE THE GROUND SURFACE AND ARE CONSIDERED AS APPROXIMATE ONLY. CONTRACTOR SHALL LOCATE SUCH UNDERGROUND UTILITIES AND SHALL PROTECT THEM FROM DAMAGE DURING CONSTRUCTION. ANY DAMAGE TO EXISTING UTILITIES SHALL BE IMMEDIATELY REPAIRED IN A MANNER ACCEPTABLE TO THE ENGINEER 6. CONTRACTOR SHALL STAGE CONSTRUCTION TO PROTECT AND MINIMI DAMAGE TO EXISTING LAWNS, TREES. STRUCTURES, ETC.. ALL DISTURBED LAWN AREAS SHALL BE RESTORED TO ORIGINAL GRADE, TOPSOIL AND SEEDED. SEE DETAIL DWG. C-3. SITE AND ZONING DA TA - DI TOP 320.92 I. ZONING DISTRICT. PROFESSIONAL OFFICE SILT FENCE f 130 LF. 2 LOT SIZE: 25,000 SF REQUIRED / 39,360 SF PROVIDED. SEE DETAIL DWG. C-3. 3. LOT WIDTH: 80 FT. REQUIRED / 102.3 FT. PROVIDED. PRECAST CONC. WHEEL 4. FRONT PROPERTY LINE SETBACK: 50 FT. REQUIRED / 30 FT. PROVIDED STOPS, TYP. SIDE PROPERTY LINE SETBACK: NOT APPLICABLE DUE TO ROADWAYS paved drive REAR PROPERTY LINE SETBACK: 20 FT. REQUIRED / 10 FT. PROVIDED • * NOTE THAT THE FRONT AND REAR SETBACKS COMPLY WITH THE STATED MINIMUM STORMWATER INFILTRATION DIMENSIONS INDICATED ON THE EXISTING SUBDIVISION PLAN PREVIOUSLY APPROVED BED BELOW PAVEMENT. 8' WIDE BY THE TOWN OF OUEENSBURY. x 56' LONG. SEE DETAIL, DWG. C-3. 5• TOTAL IMPERMEABLE AREA, INCLUDING ROOF, WALKS AND PAVEMENT = 7833 SF. TOTAL PERMEABLE AREA = 31,527 SF. PERCENT PERMEABLE AREA: 30X REQUIRED / 8OX PROVIDED. 6. TAX MAP REFERENCE: TOWN OF QUEENSBURY 296.11-1-43 7. OTHER PERMITS REQUIRED: BUILDING PERMIT E --- DI TOP 32062 8. ESTIMATED MAXIMUM DAILY WATER USAGE = 320 GPD (Al 4 "0 PVC PIPE LATERAL FROM paved drive HEADER TO INFILTRATOR PANEL. 2 LATERALS REQ'D. TO EA. INFILTRATOR PANEL. (TOTAL OF 4 LATERALS ON EA. END OF INFILTRATOR BED.) l CATCH BASIN RIM EL. 327.00' SEE DETAIL, DWG. C-3. PARKING DA TA 1. NUMBER OF PARKING SPACES: REQUIRED - 1 SPACE PER 300 SF BUILDING - 24441300 = 8.1 = 9 SPACES PROVIDED: 13 SPACES INCLUDING 2 SPACES FOR HANDICAPPED PARKING 2. PARKING SPACE SIZE. 9 FT. x 18 FT. = 162 SF. APPLICANT DA TA R. JEFFREY KISIEL, DMD 1 DEER RUN GANSEVOORT, NY 12831 v v 8 "0 HDPE STORMWATER 1 OVERFLOW PIPE. ADS N-12, OR EQ. OUTLET INV. EL. 325.00'. SEE INFILTRATION BED/CATCH BASIN DETAIL, DWG. C-3. DETENSION BASIN - EXCAVATE Q BOTTOM OF BASIN & PLACE MIN. 1 6" OF NO. 2 CRUSHED STONE ON GEOTEXTILE FABRIC ON BOTTOM SURFACE. TOP OF CRUSHED STONE ELEVATION 324.50'. MIN. 650 S.F. BOTTOM BASIN AREA. BERM W/MIN. 2' TOP WIDTH 0 EL. 325.5' AND 1:3 SIDE SLOPES. ADJUST BERM LOCATION TO PRESERVE EXIST. TREES AND TO PROVIDE REO'D. BASIN BOTTOM AREA. TOPSOIL & SEED ALL BERM SURFACES. TEST PIT AND PERCOLATION TEST L 1 APPROVALS: TEST PIT TP 1 0 TO 8" TOPSOIL. 8" TO 27" LT. BROWN FINE SILTY LOAM 27" TO 48" GREY VARVED FINE SAND AND SILT 48" TO 72" (BOT. OF PIT) GREY FINE SAND AND SILT MOTTLING AND GROUNDWATER 0 36" TEST PIT TP2 0 TO 6" TOPSOIL. 6" TO 20" LT. BROWN FINE SILTY LOAM 20" TO 66" (80T. OF PIT) GREY FINE SAND AND SILT MOTTLING AND GROUNDWATER 0 30" TEST PIT TP3 0 TO 6" TOPSOIL. 6" TO 32" LT. BROWN FINE SILTY LOAM 32" TO 42" (BOT. OF PIT) GREY FINE SAND AND SILT MOTTLING AND GROUNDWATER 0 18" TEST PIT TP4 0 TO 6" TOPSOIL. 6" TO 32" LT. BROWN FINE SILTY LOAM 32" TO 42"(BOT. OF PIT) GREY FINE SAND AND SILT MOTTLING AND GROUNDWATER 0 18" PERC. TEST PT 1 STABILIZED AT 16 MIN. 40 SEC. /IN. TEST DEPTH 0 24 " BELOW EX. GRADE PERC. TEST PT2 STABILIZED AT 40MIN. 10 SEC. /IN. TEST DEPTH 0 24" BELOW EX. GRADE NOTE • TEST PITS AND PERCOLATION TESTS WERE CONDUCTED ON 4115102 AND WERE WITNESSED BY CARL B. SCHODER, PE. SURVEYED BY DAVID F. BARRASS LAND SURVEYOR 5 MAPLE STREET CORINTH, NEW YORK REVISIONS REV. DATE DESCRIPTION 0 4124102 ISSUED FOR SITE PLAN REVIEW 1 5122102 CHANGES PER SITE PLAN REVIEW COMMENTS. ho.62971 , S FESt43�P�� UNAUTHORIZED ALTERATION OR ADDITION TO THIS DOCUMENT IS A VIOLATION OF SECTION 7209 SUBDIVISION 2 OF THE NEW YORK STATE EDUCATION LAW. � j SCHODER RIVERS `TI ASSOCIA TES CONSULTING ENGINEERS, P. C. Prospect's Rise Professional Offices 2315-2 Route 9N Lake George, New York 12845 (518) 668-2918, FAX: (518)-668-2919 E-Moil Address: sro0superior.net SCALE: 1 "--20' DRAWN BY: KAS DATE: 4124102 ENG. BY: CBS PROJ. NO: 02-129 CHK'D BY: CBS CLIENT NAME KISIEL DENTAL OFFICES 3 BAYWOOD DRIVE QUEENSBURY, NY DRAWING TITLE SITE GRADING, DRAINAGE AND STORMWATER MANAGEMENT PLAN DRAWING NO. SHT. 1 OF 3 C-1 REV. 1 MONUMENT SIGN MAX. 50 S.F. IN ACCORDANCE WITH ZONING ORDINANCE SECTION 179-7-040.E AND TOWN OF QUEENSBURY SIGN ORDINANCE. APPROX. LOC. NEW 314 "0 TYPE K COPPER 0 WATER SERVICE TO BUILDING. MIN. 5'-0" BURIAL DEPTH. 15' SIGN SETBACK. HANDICAPPED SYMBOL W/WHITE PAVEMENT MARKING, TYP, LANDSCAPE AREA 3 LANDSCAPE AREA 2 DIAGONAL PAVEMENT STRIPING. .,; ......:.....:-.:-.- ....... .---------..... - edge of pavement """ paved drive paved drive --'-- - " ' .................. •. 4" WIDE WHITE PARKING SPACE STRIPING, TYP. .................................................. D TOP 324.26 ............ -_- PRECAST CONC. WHEEL STOP, TYP. B ayw o o d Dr, W 9 �:.:-.:::-.:........ sw1Q a .... LANDSCAPE AREA 1 30.0' - BENCHMARK ..---- .......... ........ --- ----- ...........x...... + CUT ON BOLT 0 9.25' HEAD OF ARROW „ DI TOP 320,92 _ _ ........................ ; '"" ELEVATION 329.07' Q ---- edge of ................................. ? povement - x .................... DRIVEWAY & -____ -- -- - R --_---=, v....... . - ---- ..� i .................w.`'.9.. PARKING LO sptd% , p� .I paved drive , X 'X X 1 1 • 1 1 li 1: 1; LEGEND - water vole ......... hydr nt Q `; --- 0 FL A 26.0' --------------- M �,� 1 axisurb- st p a, �"-328__,_ I- 1 329 ' 1 CV , r , r , SEPTIC SYSTEM NEW DENTAL (SEE DWG. C-1) �� OFFICE LANDSCAPE : N ' AREA 5 -� _i (\ \ r , 1 LANDSCAPE ..AREA 6.' ; � 1 r ' , 10.00' Cd 330 329 1.00, I TCJ REMAIN `�- ;, - --- 3z9 - R R - iron pin found ❑ telephone ped transformer telephone ped building ------- 322------ EX. CONTOUR 324— NEW CONTOUR EXIST. EDEGE OF TREES NEW EDEGE OF TREES R PROPERTY LINE HANDICAPPED PARKING SPACE E/P EDGE OF NEW PAVEMENT E NEW WIG ELECT. SERVICE yy NEW WATER SERVICE T NEW WIG TELEPHONE SERVICE I; t ; ; , 1 1 I 1 , 1 , 1 iron rein fund lands now or formerly of Richard Reisman NOTE: SEE DWG. C-1 FOR SITE GRADING, DRAINAGE AND SITE PLAN STORMWATER MANAGEMENT DATA AND OTHER INFO. NOT SHOWN. SCALE 1 "=20' HORIZONTAL ILLUMINANCE LEVEL (FOOTCANDLES) NORWAY MAPLE SHADE TREE DI TOP 12098 1 u ; INV 31123 ' o N ' E/P r 32 , 18.0 i ' x ; of , 1 40, J N TOPSOIL AND Cl) M SEED SLOPE AT ! '' a ALL LOCATIONS EXCEPTS ; LANDSCAPE AREAS. i EXIST. TREES c j E; TO REMAIN. r 0� ) ; woods ; j � 1 , 1 1 rmer, ' r ' ped' Cl) ------- --------_=----= E E ------- v -- _ ----- o , R w , t CL ' o iron pin; found o, ) ----- 1 D `V 'D 1 Ccy , APPROX. LOC. NEW U/G ELECTRIC SERVICE. 1 ' APPROX. LOC. NEW U/G TELEPHONE SERVICE. „ , i MAINTAIN MIN. 4' BURIAL DEPTH AND RUN ALL WIRES IN CONDUIT WHERE ELECTRIC AND TELEPHONE LINES GROSS STORMWATER INFILTRATOR BED. LUMINAIRE SCHEDULE Symbol Label aty Catalog Number Description Lamp Fie Yrnens LLF Watts ARCHITECTURAL ONE 250-WATT CLEAR A 1 WFL3 250S FT BUILDING MOUNTED ET-18 HIGH PRESSURE Ld8801.ies t9000 0.72 300 LUMINAIRE, FT SODIUM, HORIZONTAL DISTRIBUTION, CLEAR POS. LENS. SITE LIGHTING STATISTICS Description Avg Max Min Ma)dMin Avg/Min Calc Zone #1 0.7 fc 3.6 fc 0.2 fc 18.0:1 3.4:1 paved drive BLUE RUG JUNIPER JUNIPER SEA GREEN (2) ALT. ROWS. 7 0 t3' C-C. — + 30 EA. � 3' C-C. + + LEATHERLEAF VIBURN + + APPROX. j OF BED 3 EA. @ f4' C-C. + + + + + + + + + + + + 10' MIN. + + + + + HICKSI YEW HEDGE ,{ + 14 EA. ® f3 C—C. LANDSCAPE AREA 1 N.T.S. LEATHERLEAF VIBURNUM 3 EA. ® f4' C—C. E-- DI TOP 32062 x 0 z paved drive LANDSCAPE AREA 3 N. T. S. JUNIPER SEA GREEN 13 EA. @ f 3' C—C. LEATHERLEAF VIBURNUM 3 EA. ® t4' C—C. HEMLOCK EUONYMOUS SP. z + 51 EA. @ f3, C—C. + f10 + + RHODODENDRON SP. + 4 EA. 0 f3' C-C. Z CENTERED UNDER WINDOW O + m f6' + ----HEMLOCK +T EUONYMOUS SP. + + 5 EA. 0 f3' C-C. WALK LANDSCAPE AREA 5 N. T. S. x 0 z EUONYMOUS SP. LANDSCAPE AREA 2 N.T.S. LANDSCAPE AREA 4 N.T.S. BUILDING + z + + + f 10' a f5' + RAMP LANDSCAPE AREA 6 N. T. S. LANDSCAPING NOTES 1. CONTRACTOR HALL PROVIDE A ONE-YEAR WARRANTY FOR ALL TREES, SIRUBS AND PLANTS FROM THE PLANT SUPPLIER PRIOR TO ISSUANCE OF THE CERTIFICATE OF OCCUPANCY BY THE TOWN OF OUEFNSBURY. 2. ALL LANDSCAPE AREAS SHALL BE THOROUGLY COVERED WITH BARK MULCH BETWEEN PLANTINGS. 3. ALL AREAS ON THE SITE NOT COVERED BY LANDSCAPE AREAS, BUILDINGS, WALKS, TREES (NEW AND EXISTING) AND PAVEMENT SHALL BE COVERED WITH MIN. 4" TOPSOIL AND SEEDED TO ESTABLISH A DENSE LAWN. HEDGE 3' C-C. RHODODENDRON SP. 7 EA. @ f3' C—C. HEMLOCK (CENTERED) RHODODENDRON SP. 7 EA. ® f3' C—C. I SITE LIGHTING PLAN SCALE 1 "=20' CONCRETE MARKER AT GRADE ABOVE OPENING MIN. 20" 0 OPENING. PROVIDE EXTENSION COLLAR TO 4" BELOW FIN. GRADE IF TOP OF TANK IS BURIED MORE THAN 12". FINISH GRADE TOPSOIL & SEE7--\ HOUSE SEWER 4"0 PVC SEWER PIPE MIN. SLOPE OF 114" PER FT. INLET BAFFLE 1000 GAL. SEAMLESS CONC. SEPTIC TANK. i" MI N 6" TYP 12" MI N. -- r •°- y a SEPTIC TANK DETAIL N. T. S. NEMA 4 JUNCTION BOX CONDUIT FOR POWER AND CONTROL WIRES TO PUMP CONTROLLER AND ALARM PANEL IN HOUSE. FLOAT WIRE BRACKET FINISH GRADE TOPSOIL & SEED SEWER FROM SEPTIC TANK ON MIN. SLOPE OF 114" PER FT.-� GROUT PIPE FOR WATERTIGHT SEAL 1000 GAL. PRECAST CONC. SEAMLESS SEPTIC TANK UNIT. PUMP ON LEVEL 3 PUMP OFF LEVEL 6" 8" t LIQUID LEVEL 8" MIN. TYP. 4" PVC PIPE MIN. SLOPE OF 114" PER FT. BAFFLE PEA GRAVEL TO PUMP PIT 2' MIN. 12 MIN. PEA GRAVEL PUMP PIT DETAIL N. T. S. a U Lu "w Q¢ N �h 24"0 OPENING WITH CONC. EXTENSION COLLAR TO FIN. GRADE. PROVIDE 24"0 FRAME AND WATERTIGHT COVER. 2"0 PIPE VENT TO BUILDING & EXTEND 2' ABOVE ROOF LINE. PROVIDE RAIN CAP. -1 112" GLOBE VALVE 1 112- SCH. 80 PVC PIPE TO PE PIPE ADAPTER. -1 1/2" PE PIPE TO DISTRIBUTION BOX. SLOPE UNIFORMLY FROM DISTRIBUTION BOX BACK TO PUMP PIT. -GROUT PIPE FOR WATERTIGHT SEAL. -1 112- UNION OR QUICK DISCONNECT FITTING -114 ft 0 DRAIN HOLE IN BOTTOM OF PIPE -1 1/2" CHECK VALVE -EFFLUENT PUMP NOTE. ALL PIPING WITHIN PIT SHALL BE SCH. 80 PVC PIPE. NEW SHADE TREE MIN. 3" CALIPER 6" TOPSOIL & SEED SANDY LOAM FILL AS REQ'D. PERC. RATE 10-15 MIN./IN. AFTER PLACEMENT. GEOTEXTI LE FILTER FABRIC 4" 0 PVC DISTRIBUTION LATERAL AT UNIFORM SLOPE OF MIN. —1 /32"/FT. FROM INLET TO END CAP. EXISTING SOIL LIMITS OF TRENCH, TYP. 112" TO 1 112" CRUSHED STONE HOLD BOTTOM OF TRENCH LEVEL. DISPOSAL FIELD TRENCH DETAIL N. T. S. AMENDED TOPSOIL MIXTURE f 10'-0" MAX. C—C SHALL BE IN THE FOLLOWING iv RATIOS BY VOLUME: 2"x2" FENCE POST — 20 PARTS TOPSOI L99 — 4 PARTS PEAT MOSS — 2 PARTS PEAT HUMUS — 1 PART FERTILIZER cr_ (10-6-4) UNDISTURBED SOIL. 11 FLOW EMBED FILTER CLOTH MIN. 6" INTO GROUND / v v SECTION ELEVATION NOTES 1. FILTER CLOTH TO BE FASTENED SECURELY TO POSTS WITH STAPLES OR TIES AT 6" MAX. SPACING. 2. WHEN TWO SECTIONS OF FILTER CLOTH ADJOIN EACH OTHER THEY SHALL BE OVERLAPPED BY 6" AND FOLDED. 3. MAINTENANCE SHALL BE PERFORMED AS NEEDED AND MATERIAL REMOVED WHEN "BULGES" DEVELOP IN THE SILT FENCE. WRAP WATERPROOF TREE WRAP, APPLY I N 4" WIDE STRI PS. HOSE WIRE No. 1090. STAKES Y-2J� " DIA. OR SO. 8' LG. USE 3 STAKES FOR OVER 2" CAL. 2 STAKES 2" CAL. + UNDER. MULCH 3' MI N. FINISHED GRADE ` AMENDED TOPSOIL MIXTURE. UNDISTURBED SUBGRADE. 12" _ PI T = BALL DIA. + 24" SHADE 7WE PLANTING DETAIL N.T.S. LATERAL SCHEDULE LATERAL ID. PERFORATED LENGTH INLET INVERT ELEVATION 1 60' 329.16 2 60' 329.22 3 60' 329.28 4 60' 329.28 5 60' 329.22 6 60' 329.16 30'-0" MAX. SPACING BETWEEN EXPANSION JOINTS MAX. 1 /4"/FT. CROSS —SLOPE MAX. NOTE: BROOM FINISH TOP OF SLAB PLAN rVP)AAlCTnAl inTAir TIGHT JOINT 4"0 PVC SEWER PIPE LATERAL. (2 REQ'D. TO EA. I NFI LTRATOR PANEL UNIT).— INV. EL. 324.95' SUBBASE COMPACTED TO MIN. 95% MOD. PROCTOR DENSITY FULL DEPTH OVER BED. GEOTEXTI LE FILTER FABRIC. TOP OF STONE CONTROL JOINT (TYP.) INFILTRATOR UNITS. \ "FIELD DRAIN HD PANELS" AS MANUFACTURED BY CULTEC, INC. w BOT. OF BED rl Tn A n/Y. "A„ CUT EVERY OTHER FABRIC WIRE AT CONTROL JOINT Z 0 COMPACTED SUBBASE - TYPICAL SIDEWALK DETAIL N. T. S. �•d • - - ° . ,.. d Z ra ITEM NO. 403.16 ASPHALT CONCRETE TYPE 6 TOP COURSE, MIN. 1" THICK. ITEM NO. 403.13 ASPHALT CONCRETE TYPE 3 BINDER COURSE. MIN. 2" THICK. ITEM NO. 304.05 SUBBASE COURSE TYPE 4, COMPACTED TO 95% MODIFIED PROCTOR DENSITY. 8"— THICK SUBGRADE FILL COMPACTED TO 9590 MODIFIED PROCTOR DENSITY. FI L L MATERIAL SHALL BE GRANULAR FILL WITH NO ORGANIC MATERIAL, MAX. 107. FINES (PASSING THE NO. 200 SEI VE) AND NO STONES LARGER THAN 4"0. THICKNESS VARIES. GEOTEXTI LE STABILIZATION FABRIC WHERE TOTAL DEPTH FROM FINISH TO EXISTING GRADES IS EQUAL TO OR LESS THAN 24". MI RAFI 50OX, OR EQUIVALENT. EXISTING SOIL WITH TOPSOIL & ORGANIC MATERIAL REMOVED. J PROOF COMPACTED. TYICAL PA VEMENT DETAIL N. T. S. 114" TOOLED RADIUS (TYP.) EXPANSION JOINT W/ 114' THK. PREFORMED JOINT FILLER 6x6, W 1.4xW 1.4 W. W. F. (TYP.) SECTION "A -A" 8" I S BBASE, TYP. 8"0 HEADER TO INFILTRATOR A UNITS. A & GRATE: SYRACUSE CASTINGS TYPE SCB-1 D WITH PATTERN NO. 9349 GRATE RIM EL. 327.00' PAVEMENT SLOPED [ULET-GRATE, TYP 8" ADS N- 12 1 OVERFLOW PIPE AT SOUTH CATCH BASIN ONLY. i� I NV. EL. 325.10' 'zQ 2'6"x2'-6" I.D. UNDISTURBED SOIL �I SQUARE CATCH BASIN. BY FORT MILLER, OR EQ. PEA GRAVEL NOTE• QPROVIDE 8"x4" TEES AT CONNECTION OF HEADER TO LATERALS & END CAP UNDISTURBED SOIL AT END OF HEADER. BACKFILL W/ COMPACTED GRANULAR FILL. NO. 2 CRUSHED STONE. STORMWATER INFIL TRA PON BED/CATCH BASIN DETAIL N. T. S. SIL T FENCE DETAIL N.T.S.