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98-380
TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 7G1-8201 Community Development - Building & Codes (518) 761=8256 CERTIFICATE CIF OCCUPANCY Permit Number. 98380 Date Issued. Thursday, June 01, 2000 This is to certify that work requested to be done as shown by Permit Number 98380 has been completed, Location: 9$ BAY Pky Tax Map Number; 523400=226-015-0001=019-000-0000 Owner. TODD POLONSKY Applicant; POLONSKY, JOSEPH & NANCY This structure may be occupied as a; Single Family Dwelling By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Planning Board Director of Building & Code Enforcement or Zoning Board of Appeals. BUILDING PERMIT VALUE $ 180000TOWN OF QUEENSBURY No. 98389 TAX MAP NO . 9 . - 1 - 18 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to POLON AXCwYrII- OWNER of property located at 98 SAY PAR Street. Road or Ave. in the Town of Queensbury. To Construct or place a at the above location in accordance to application together with (slot plans and other information hereto filed and approved and in compliance with the Town of Clueensbury Building and Zoning Ordinance. #. OWNER'S Address is 2 ROSLYN ST . ELLENVILLE , NY 12428 2. CONTRACTOR or GUILDER" Name BROWN , CRAIG 3 27 ANTIGUA ROAD Address LADE GEORGE , NY 12845 4. ARCHITECT S Name ATLANTIC INLAND S. IM fn Ttj56"#Atad t�ss GREENWICH , NY 12834 6. TYPE of Construction — fP4see lodiosteby XI SINGLE FAMILY DWELLING l I Wood Frame t 1 Masonry i t Steel t 1 7. PLANS and Specifirptions 2670 fpQ FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATION a. Proposed Use SINGLE FAMILY DWELLING 288 July 27 fg 2000 S PERMIT FEE PAID - THIS PERMIT 'EXPIRES . Ilf ! n longer :wiod IsChmens requir ed on ttw expiration date jetension moat be made to the awMUq and Zoning love ator of the ury 27 July 1998 Dated at the Town of Oueensbury his Day of 19 SIGNED BY for the Town of Oueensbury vildkey and Z60ft t nepsbcsorr Building Pepr lut Application �- • To1VI1 0,11" ,Q1leellSiUlull y - Debt. OfCa►utrtunity I ewtolwtieuf, 742 Day Roml, Queembury, NY 12804 17d1-825d} BUILDING A . COUIL ENFORCEAIEN7' Requirements prior to issuance of tl:is erinit: A per+nit :Host be obtained t>.sforo P PERMIT FILE NO, � � t`cginriing construclion. No inspections will ba Hotels unlit applicant kusa received [] T..nrtlarrg lltsrarrrsi .`lCrlvli PERMIT FoEE PAID $ A VALID DUILDING PHICWT. All Anew Use ittsplicanls• spaces on this apl+licatton RCCRE'A770N FCE I MUST ba cotnpte" aind- gia eigpnlure � j}l�ullXlg a4dMrtrd .�Cllo71 of lha applicant must appear on the BEVIRWED DY licslinn form, rn..w �„, S!'li I Subdivision / plher .lJng Grrtcrror Recreation Fee payntent Applicant: _ wrztr�a Fe �,FMLorx C7wner: ►�l X1fc�*4 /Drxl , Address: 0, I I 4alI [I t? C71' Address. a R o S � t l�� 1111ollo # ( Sf6 I} (27Ey F Yi ,,rr''�/� V4 wwwM ww.www a ` l'Iktllly ( � '� 4J7 I. 7 q 72 MM,yww MwwwM wMwMww.w I'I'ultorly l 'ouldltllll k(.Aw Rc 6/v � fi�C}--ev e , Y /"�d Y Tax Mal) Number q - Section block I nl NATURE or PROPOSED HORK x x New Bui ESTIMATED MARKET ALUE OF THE esidenc / CONSTRUCTION : $ / rFO , Dtad .d d acsmmercial Adda. t on o Building : residence / commercial OCCtJPrif7C7[ Itil"OttM7t7'IDtTt Alteration to Build rsg : Pr Imary Building -- reoidence j commercial X Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior LPe29. Family Dwelling Either Work ( describe below office Mercantile ManufacCuring GROSS AREA OF PROPOSED STRUCTURKs Other V- lot Floor , . . . . . . . lzfyo a ' . ft zf ADDITION , wllat will use ra 2nd .Floor . . . . . . . . 9 o f newt addl rl,on be ? , w sq . fL . Other Floors . . . . . sq . ft . ?,� 04. ( not unfinished cellar or baseane ACCESSORY BUILDINGS % Detached Garage 1 2 car TOTAL [ CORK AREA Ilk: {� SQ . FT' Attached Garage I , 2 car SIZE OF NNW STRUCTURE : Private Storage Building /1 r, Commercial Storage Building (D FEET x TV FEET other Foundation Type : ffk.r�e..J GCYv1c rL Will any second-hand oar ungraded �/� Number of Stories . � '_' lumber be used ? I £ soy £or what ? / F ( habitable space only ) Height ( grade to ridge ) * 2 -7 feet TYPE oF' 1IEATII^ G SYSTEM -- Number of fireplaces allld/`or woo stove ( ci. rcle ' all itch applips ) to be installed : C� Elect / Ol. / Gas / /Wood • orced ]to aseboard / Other Person responsible for supervisiot codes is ; I of work as regards to building ' Ndme �.� � 13 builder . t�u? tiCih7urY1 i Hr�`fc`esilsl� p[ �CPhone Plumberss� �- - Mason : ' Electrici.arr : , �y P ECLARAHON.# Plecrse sign below gf?e1 you have carefrelly read the afalenient. `t7 f To the best of my knowledge die statements contained in this application, together With the plans and specifications submitted, arc a true and complete statement of all prolapsed work to be clone on ( the described premises anti titan all provisions of she Building Code, (lie Zoning Ordinance and all other laws itcrtaining to the proposcd work shall be complied with, whether specified or noted, and that such worst is authorized by the owner. 174.11-ther, it is understocxl that Vwe snail subsoil prior to a Certificate of Occupancy"or Certificate of Compliance being issued, all AS BUILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: (owhir, owner's agent, architect, cort[raclor) Application for SEPTIC DISPOSA.L PERMIT Town of Queensbury Dept. of Community Development Permit No. 9g Building & Codes Office 742 Bay Road. Fee Paid $ Queensbury, NY 12804 Location of property for installation: ��"'�' ' " Property Owner's Name: � � Property Owner*s Mailing Address: Installer's Name: �h-�1( '1 Phone # Number of bedrooms (if residential): : Total daily flow: f (residential - compute @ 154 gal.Jbdrm.) Topography: ✓ flat, rolling, steep slope % of slope Soil Nature: sand, loam, clay, other I depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? _ feet Percolation test: not required, required [ rate min.. per inch ] Domestic water supply: municipal, well, ocher 1-. Wv-- If domestic water supply is a WELL, water supply from any septic absorption is _ l feet. PROPOSED SYSTEM-VG R C UDC AT�� Septic tank: I gallon (minimum size: 1 ,000 gal.) Tile meld: each trench feet I Total system length: feet Seepage pit(s): number of I size each: ft. by ft. Size of stone to be used: # 1 death or thickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons Alarm system and associated electrical work to be inspected by a certified agency. For your protection, please note that pursuant to Section I36-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or 5Zure to make a material fact or c1XCu mtance 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 I?ispo081 Ordinance. Signature of responsible person: 1L{�tn `✓ ado Date: Y BLDG. PERMIT NO. APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at ; 98 Bay ParK Way Joseph & Nancy Polonslcy for the following uses: Single Family Dwelling October 13 , 1999 DATE G TURE OF AP 7LICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ( )APPROVED ( )DISAPPROVED with the following conditions: Certificate of occupancy to be issued upon completion of : final Survey TEMPORARY CERTIFICATE OF OCCUPANCY FEE: (1vr 10 .00 DEPOSIT: /$100.00 received on October 13 , 1999 Date of Issuance Director of Bldg. do Code Enforcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES � DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement or his designee. f ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURYr WARREN COUNTY 9000 HEATING DEGREE DAYS ..HUH 419 � w �ti Compliance Methods : PART 5 - Acceptable Practice Method 1 & 2 Family Dwellings ( only ) PART 6 * - Thermal Rating - Component Trade Offs 1 & 2 Family Dwellings ; Multi-Family Dwellings ( 3 stories or less ) PART 4 * - Design by Component Performance Commercial Buildings-Hi Rise Residential * Requires submission of worksheets APPLICANT ' S NAME : PRfy[]OPE{ry/R�TY LOC ION : + P J 1, PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : hz 1 . Gross Floor Area 70 square feet 2 . 'Type of Heat - Electric Oil Gas Other 3 . Is building mechanically cooled ? X Yes No 4 . Percentage of area of windows and doors Over 17 % Under 17 % ow 5 , R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED : a . Roof R !L $ b . Exterior walls R c . Glazed areas R � d . Exterior doors R e . Floors over unheated spaces R G 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 devic Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING: 1400 - WILL NOT BE EXCEEDED Applicant " S ' azure Date f ,ate• Ph oumber ;�2 CA INSPECTOR ' S REMARKS : Y C _ W& I TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSDURY NY 12804 (5t8) 761-9256 ARRIVE : DEPART : INSP : FINAL INSPECTION REPORT - RESIDENTIAL DATE INS ACTION REQUES%k RECEIVED ' °' NAME LOCATI DATE '� '�7` PERMIT 0 TYPE OF STRUCTURE — FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION? FINAL ELECTRICAL WOODSTOVE OR FIREPLACE XES NO Cfi1MNEY INEiGHT B VENT EEE1G lT PLUMBING VENT ROOFING EX411ERIOR FINISH - DE:CFf !PORC1i f STE P 5 /RAILING S RELIEF VALVES - FURNACE/HOT WATER OPERATING INTERIdR TRIMfP IVACY 'D ORS FINISH FLOORS ' BATHfICITCHEN WATERTIG!__IT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE PRAILINGS SMOKE DETECTORS - 0A"1'LIROOM FANS . PLUMBING F1 TURES FOUNDATI N Nx st1LATION GA GE FI E PROOFI G DOOR CLOSERS FINAL ELECTRICAL SITE PLANfVARIANCE REO FINAL SURVEY LO P AN OK TO I SU C/O OR C i _ ��11 Office No. (S18) 761-8256 / Building 8t Code Enforement Arrive: .26FD Insp: Dept of Community Development Town of Quoensbury Date Irtspection Request Received; 742 Bay Road Queensbury. NY t-ZW4 NAME 6 S f V C �� - ^�, PERMIT NO. LOCATION' � .- Lr� [* DATE !� TYPE OF STRUCTURE s } t Chimney Height/"B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent 'Through Roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, Balconies, Landing 18 in. or more Interior Handrails Stairs Both Si 3 or More Risers Grade 2 Away From Founds ' 8" Clearance To Sill Plate Gas Valve Shut-Off Exposed gulator'.418" Above Grade Gas Furnace Shut-Off within 3 Feet or"' 'thin Line of Site Oil Furnace Shut-Off at Entrap to Fu ce Area .Furnace/Hot Water Heater Clper ling Relief Valve(s) Installed Headroom 6 ft. 6 in. On Stairs Basement Stairs 6 ft. 4 in. Handrail Exterior Stairs Both Sideg More Than 3 Risers Interior Prlvacy/Trini/Doors/Main 'Entrance 36" Floor Finish Bathroom/Kitchen Watertight Interior Handrails Balconies/L.andirts 18 in. or more Railing Across Window in Stairwells+ Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom Fans Plumbing Fixtures Foundation Insulation 3/4 Hour Fire Door/Door Closer Garage Fireproofing Garage Penetrations Sealed Furnace In Separate Room Protected (In Garage) Light Ventilation Per Room Safety Glazing 18" or Less From Floor Final Electrical Site Plan/Variance Required Final Survey Plot Plan ,r.H As Built Septic S m Layout Rey. Okay to Issue 7KMP9710 RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 7614256 Date inspection request received: Building & Code 'Enforcement Depk of Community Development Arrive 3' arn/pm Depart u Town of Queensbury Inspector's Initials 742 Bay Road Queensbury, New York 1281W � ( jj [(\/yam\/}y NAME rr LOCATION DATE ( TYPE OF STRUCTURE NIA YES NO COMMENTS Chirrrney Height/"B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interiar/Exterior Railings 31T' to 36" Exterior Handrails, balconies, fan 18 in. more Interior Handrails stairs both sides or mor risers Grade 2% away from foundation 8" clearance to sill plate Gras 'Valve shut-off exposed/re or 18" above grade - -.._.._ Gas Furnace shut-o feet or within line of site ,, Oil Furnace shut-off at entran to furnace area Furnace/Rot Water Neater Relief Valve(s) installed Headroom, 6 ft. 6 in_ ji Basement stairs, 6 ft.Handrail exterior staides more than 3 risersInterior privacyltrim/ n entrance 36" Floor Finish Bathroom/Kitchen watertight interior handrails Balconies/Landing 18 in, or more Railing across window in stairwells / // Smoke Detectors-- every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures �� / /damaf 1r ,f Foundation insulation (iC��'rw'-�- `/`/" I/a hour fire door/door closer , Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or less from floor Final Electrical Site Plan/Variance required Final Survev Plot 'Plan As Built Septic System layout required Okav to issue CIC (Certif. of Compliance) Okav to issue tcmp. CIO} (Certif. of Occupancy) Okay to issue permanent CIO (CcAif. of Occupancy) 16 %L RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement / Dept of Community Development Arrive am/pin Depart am/pm Town of Queensbury Inspector's lmtial_s� 742 Bay Road Queensbury, New York 12WW NAME S PERMIT # LOCATION vt DATE TYPE OF STRUCTURE NIA YES NO COMMENTS Chimney HeightrB" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, balconies, landing 19 in. or more Interior Handrails stairs both sides 3 or more risers Gracie 2% away from foundation S" clearance to sill plate Gas Valve shut-off exposed/regulator 18" a e gra _.. Gas Furnace shut-off within 30 feet or wi line of ., e Oil Furnace shut-off at entrance to furnace _ Furnace/Hot Water Heater operatin Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides more th in 3 risers Interior privacyy/trim/doorslmain entrance 6" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom a / c�! kue gr1 Ose/sferp outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation r_ .• /` d r. +[/ - -'��f'' �`�" 3/m hour fire door/door closer r /� �o� !�-f+l Ar Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) v Lighi ventilation per room Safety glazing 18" or less from floor Final Electrical Site Plan/Variance required { / Final Suuvev Plot Plan f? 1' As Built Septic System layout required " Okav to issue C/C (Certif. of Compliance) Okav to issue temp. C/O (Certif of Occupancy) ' �r r r ,ram Okay to issue permanent C/O (Cenif of [Occupancy) r eve �r/ /f/ lcam/` �r6 ts`eo, ELETRICA75as �n�tAI H EL'F,C'VaICAo d anheitn, PAL f AFpRp iJA L com vy�VL {"C 06 Due Run R MUNICIPAL CERTIFICATE :.' Q 6 4 $7 2 Cut-in Card No. ................. . pastel Board N ...l -. ............. A , .. L.flcallon ............ �. , - ve Con%iStln� of ...._...........,. K-,f �Y Ittstallatiott ...•......,.,'.�-... -.-..... Lic. No. ..-...... s d.. USAY ig ue is �/ / .ftT !I'k'fa!!:,!^T:............_........,....... ........ certificate P eettif+care. and ally of date. Upon the +.,. the issuance of this conditions as Installed BY. o,,.emed ade for insrpection, wing $ rnent and installation rampily, to and if its The conditions folio shall Lye p at any time, the electncaf equip lication .nsl ;ions Cane - covers ent or alterations, a1.. �e of snak This certificate only rivilel, ,i of additional cquipi`n the ht r vok ' ate. Coirtpan 1 shall have intraductia tors of this shall have,e tl a rig �° A t� the Cornp' ,{J-�IJ n.F.r.a„ I-n F.t. an i 1ar violated. y .................................................. rules are (�' 1NSPE.C'rOR ............. Member +j ERAL LNS CMff REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road - --' Queensbury, NY 12804 Arrive -^'gyp �-- Inspector s Ini NAME: cr PERMIT # LOCATION I�r1��,,;�� k•� `'c't`��}�� DATE TYPE OF STRUCTURE: RECHECK N/A YES NO 'ONTS FootingslP'iers N Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from for 48 hours following placeme of the concrete- ter for this parse on site Foundatio pout` Reinforcement in Foundation/D finE — Backfill Approv Plumbing Uncle Slab Plumbing Ven ents in Place1� �, Rough PI Heating Rough-In r Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- i� j I�i 1- '- F't ► C . Pti 'Walls R.- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing lack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beane Air Infiltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin GENERAL ZNV CTI©N J PC)RT Town of Queensbury - ' Dept. of Community Development Date inspection request received* Building & Code Enforcement 742 Bay Road De artPm Queensbury, NY 12804 Arrive 'a) a Inspector's Initlais ''fir NAME: PERMTr # LOCATION: ti DATE TYPE Oa_ F STRUC"I`URE: RECHECK NIA YES NO CO1bINUM14TS Footaings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection froth ing for 48 hours following th P meet of the concrete Materials for this se o site Foundation/Wall Reinforcement in FoundationA am fin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior _ Foundation Walls Exterior _ Floors R. Walls Ceiling Duct work or piping. in X unheated spaces R- g.rnVent, Attic Vent Jack Studs37eaders eCtfrt I e F Aj,c�t y1 j. Bracing/Bridgin Joist Hangers Jack. Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed _ Fire 'Wall 2, 3, 4 hour FiresW�in GENERAL INSPECTION REPORT Town of Queensbury Dept, of Community Development Date inspection request reeelwed: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive-:�tV am/pm Depart am/pm Inspector's InitlalxQ NAME: a PERMIT # LOCATION: C DATE TYPE OF STRUC RECHECK N/A YES NO CON04ENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place / The cantractar is respa ble for providing protection fr freezing for 48 hours following f he placement of the concrete. f Materials for this p on site Foundation/Wallpour Reinforcement in P Foundation/Dam Backtill Approval Plumbing Under Sl Plumbing Vent/Ve in Place Rough Plumbin Heating R.ough-ln Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- r 'Vent, Attic Vent � � M� � ,,�.� /� Of- Jack Studs/Headers !• / BracingBridgin , i� rl bAe Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fi all 2, 3. 4 hour GENERAL INSPEG'TIUN REPORT Town of Queensbury Dept. of Community Development Date inspection request received.: Building & Code Enforcement 742 Bay Road Q►ueensbury, NY 12804 Arrive J !.aL am/pm Depart atn/pm Inspector's ie'I�:ala NA.ME:� PERMIT # 4 LOCATION: DATE : -- TYPE OF STRU r"'"3 RECHECK N/A Y•ES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place13 The contractor is responsible for — '�'-r+ sf clJ Ii'`5 _ "� k/ Y %�/� v providing protection from freezing for 48 hours followi the placem — �t � of the concrete. _ ^S A er r,-.,1��- �• � � Materials for this { r m purpose n Foundation/Wallpottr Sell �C` /� ,E, c Reinforcement mk Place �lr^` / �^��a .. �J/ < < .-. ✓` L / s�L, Foundati Backfill o Approval. fin I /i t II �+risl3 cr J ,/ PlumbingU nder Slab _ e3 .3 �� e.— ,�]�,rn.f /• �+ �il� Plumbing Vent/Vents in P "`Lnr Rough Piurmbin-In _ A Frr4 )parrs .► e4R,ti, e{ c ert �,- Heating Rough ffr1 Jf ! Insulation Foundation Walls Intc 'or R- y if Foundation Walls E rior R- `` Floors R_ ,r..mr� Walls R- J 1 Ceiling, R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent N. rung Jack Studs/Headers v Braciny)Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL LL% CTl NC REPQRT C Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart am/pm Inspector's CInkialss s NAME PEw*v1UT # l LOCATION: ► DATE : �i- 4— TYPE OF STRUCTURE: a RECHECK NIA YES NO CONoINMNTS Footings/Piers skek � Monolithic Form �� c J /aes /�- Reinforceme Place The contract is responsibl for cc / r.,� rd�r �rscP- prong pro on from ing / // for 48 hours follo `ng the lacement �' .. "' j .a.b s/t,►e,4 � of the concrete_ Materials for this site _ ,1/0 oe� �. Ju ,+7rw vie.- lAlu/ •; Foundation/Wallpour Reinforcemenij n PlaceFoundation/Dmpproofin dA ,f i,v Backfili Apprval G'v Plumbing Under Slab Plumbing Vent/Vents in Place. �/+ o / Rough Plumbingv e,�r= f //Ur a HeajJmg Ron -In an mCia,f;rrak E.rc',eC1�rarvL Foundation Walls terior R- _ Foundation Walls xteriar R- .�. .. ... Floors R- Walls R- Ceiling J 4/t Y e{ R.- ' Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Bangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 31 4 hour Firestoppin. B11itDING& CODE ENFO 742 Bay WFT Queensbu ry Noa d NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date Permi' #-�! SOIL : San - 7ay- Results of Percolation est- ( if applicable ) Rate- TYPE OF SYSTEM; to/inch A$SDRPTION FIELD: T alVLength Length of each tr ch I Depth of tre s Size of stone SEEPAGE PITS: Size um ber- f x Stone s7ze - -�� ft . PIPING: I _ Bldg. to Tank ' Sze Tank to fi�� . tr LA Dist - BOX to Field/pit ►ti � Openings Sealed ? s LOCATIQV/SEPARA a rt i a Foundation to Tank Foundation to Absorption `� feet Separation o-' Pits _ feet Conforms as per plot Plan feet LOCATION OF SYSTEM ON PROPERTYYes No ( circle one)F Left L 7 +' fiddle Fron dd7Side - Right Side _e Rear i i SYSTEM USE APPROVED: YES NO Arrived; 3' Departed- - - Ui ing for GENERAL IN.SPECTIt7N REPiORT "" - Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Read Queensbury, NY 12804 Arrive amlpm Depart pm inspector's NAME: '~ PERMIT # LOCATION: DATE TYPE OF STRUC RECHECK NIA YES NO co S FootingsTiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from fuzing for 48 hours following the placement of the concrete. �Ma. 'als for this purpose on site �l:its�dipottr Reinforcement in Place Fou dation/Dampproofiing ckfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior R -71 - Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attie Vent Framing Jack StudsJHeaders Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Aar Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INSPECTION REPORT •�, Town of Queensbury Dept. of Community Development Date inspection request receiveds Building & Code Enforcement 742 Bay Road Queensbary, NY 12804 Arrive G ' sun/ Dep pm NAME: 7 `'C7 'C'�• PERMIT 4 l _/ LOCATION: DATE : TYPE OF STRUCTURE: RECHECK rrrA yES a NT5 ti. ,ungsrPiersI v I ' Monolithic Pour Form ��` Ce(e 44,KC ! Reinforcement in Place The contractor is responsible for { f f f 1 providing protection from freezing u for 48 hours fallowing the placement of the concrete. Materials for this purpose on site FoundationrWallpour, Reinforcement in Place FoundationADampproofing. Backlill 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 Fratnin Jack Studs/Headers BracingrBridgin Joist Hangers _ Jack Posts/Main Beam Air Infiltration Barrier, _ Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 21 3, 4 hour Firestoppin 116e��''1 Too OF QUEENSBURY BUILDING � CDE �adRCEMENT 2 Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ' Location Date c� Permit # �. SOIL TYPE: Sand-Loam- Clay- Results of Peaate°M plicablee )) Rinut Ilnc'h �----- { if ap TYPE OF SYSTEMre t -- —' ABSaRPTION Length of each Depth of tren Size of stone SEEPAGE PITS :Size _ ftstone size iz �PIPING:Bldg . to Tan - -Tank to DistartiaDist , Box toKo Openings Sealer!? Yes IONS : feet LOCATION/SEPARAT feet Foundation to Tank � _ � _ Foundation to AbsOrPtion feet j Separation 0+ Pits -`- es N0 an Conforms as per plot P PROPERTY : LOCATION OF SYSTEM ON ( circle one ) Left Side - Right Side Front - Rear Middle 'Front - Middle Rear CENTS: f 04 SYSTEM USE APPROVED (riEV No Arrived:. Departede ---- 3 Bui ding nspector I i 1b \ TOM OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 Say Road Queensbury NY 12804 (sib) 761-8256 SEPTIC DISPOSAL SYSTEMS INSPECTION Name I rib Location Date Permit # SOIL TYPE : Sand- Loam-Clay-Results of Percolation Test- ( if applicable ) Rate- Minute/ Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: umber' ft , Size - fte x Stone size PIPING: Size TYPe Bldg . to Tank Tank to Dist . Box Dist , Sox to Field/Pit Twri Openings Sealed? Yes No arti a LOCATION/SEPARATIONS : feet Foundation to Tank feet Foundation to Absorption feet Separation of Pits Conforms as per Plot P1 an - +es No LOCATION OFSYSTEM OIL PROPERTY : ( circle one ) Front - Rear - Left Side - Right Side Middle Front Middle 'Rear COMMENTS: op SYSTEM USE APPROVED : YES NO Arrive& Depa Bui ing nspe o Ah r ! �, a�, IS 4t ��¢ r do- A(p y Jti: (aw TOWN OF QUEEENSBURY Fr6l; 742 Bay Road, Queensbury. NY 12504--5902 518-761 -52101 November 26, 1999 Mr. Joseph Polonsky 1278 Bay Parkway Road Assembly Point Lake George, NY 12845 Re: Certificate of Occupancy Building Permit 98-380 Area Variance No. 5-1998 Dear Mr. Polonsky: After review of the final survey submitted for the alcove referenced building permit and a field inspection of the subject property, it is apparent that there are significant deviations from the approvals granted. Specifically, the relief granted with Area Variance No. 5-1998 was based on the information supplied with the application which depicted an elevated deck at the second floor level. information submitted with bath the variance application and building permit application planned for the elevated deck to be closest to the lake. Neither application depicters a lower level porch and steps. A November 22, 1999 field inspection revealed a lower level deck and steps to be constructers within 39 feet of the shoreline. This additional construction, closer to the shoreline than previously approved does not comply with the variance granted. A Certificate of Occupancy can not be issued until this matter is corrected. There appear to be two options available to you to remedy this situation. removal of all construction not previously approved or, secondly, area variance application requesting additional relief, The current temporary Certificate of Occupancy for this building permit will expire on December 13, 1999, Please contact the building department for an extension, if necessary. Should you have any questions or comments please do not hesitate to contact this office. Sincerely, D PT. OF COMM_ DEVELOPMENT Craig%Xwn Code Compliance Officer CBf sh Encl_ LACraig11999 Lcuers\Polonsky112399.doc "HO.NIE OF &NrVFi. 'KNL BE-\ I-l' . A GOOD PLACE TO LIVE' 5E'T"rLE=D 1763 JA ME S E . —1 « TCHINS, Ro E , c ; c �r7s� iltincl L � , .1it 0((7 r5 PG Box 220, 19ca Ciirc: IF-� Avenr ifs. N(c rth Creek, NY 12853 (51 8) 251 -421 0 July 20, 1998 ) 98-041 Mr. Craig Brown 27 Antigua Road Lake George, N . Y _ 12845 Re: Polonski Residence Assembly Point Queensbury (T) ©ear Craig : At your request, 1 visited the Polonski residence on Assembly Point, Town of Queensbury , Lake George, N . Y . on July 17 , 1998 , The purpose of the visit was evaluation of the existing wastewater system . My on site observations included the following : The property is accessed from Bay Parkway and has approximately 70 feet of frontage on Lake George. - The existing wastewater system was partially hand excavated . The system , based on the site inspection as well as records obtained from the Town of Queensbury consists of a septic tank, pump chamber and a disposal field . Available plans indicated that the existing septic tank is 1000 gallons capacity . It is proposed to relocate the tank during building construction : the tank size and condition should be assessed upon reinstallation _ - The existing pump chamber is indicated by records to be 500 gallon capacity . Based on my site inspection , the chamber is at least several hundred gallons in capacity . More than 100 gallons of water was discharged into the pump chamber. The pump control system did start and stop the pump. The effluent was in fact discharged . The extremities of wastewater disposal field were hand excavated . Five laterals are presently installed at 3' and 4' on center- Overall width of the field ( lateral to lateral) is approximately 12 .5' . The length of each lateral was measured to be 18' +/ Based on the limited hand excavation and a series of probes, the stone above and below the distribution system was determined to be continuous. The stone also extends beyond the laterals_ - A test hole was excavated and logged as follows: (}" - 8"" Topsoil 8" - 32" Brown Fine Sand , Little: Silt A percolation test at 32" was recorded as 1 "/ 15 Minutes . The rate was rejected as being inconsistent with soil profile . The hole was excavated several days prior to inspection . Rainfall may have washed excessive fines to the bottom and influenced percolation rate . A second percolation test was conducted adjacent to the first hole, Percolation rate stabilized at 1 "/4 minutes for 3 ( three) successive trials . The stone is assumed to extend 2-3 feet beyond the laterals. Lateral separation from the O' Keefe property line was measured to be 9 .5' and 7 ' . It was reported that the Polonski , Morse , and O' Keefe properties all utilize a lake intake for water source. - The existing house has "low water usage" toilet fixtures installed - consumption is reported to be 1 .0 + /- gallon/flush . - Setbacks from Lake George were measured as follows : Lake to Septic Tank !00' + /- Lake to Pump Chamber 105' + /- Lake to Wastewater Field 1 13'+ /- In order to assess compliance with the Town of Queensbury standards, - the following have been consulted : Town of Queensbury Sanitary 8 Sewage Disposal Ordinance ( 1 982) NYS Department of Health - Appendix 75-A - Wastewater Treatment Standards - Individual Househould Systems N 'YS Department of Health Individual Residential Wastewater Treatment Systems - Design Handbook ( 1996) The proposed house contains three bedrooms_ A septic tank capacity of 1000 gallons is therefore required . The existing septic tank will be relocated during construction . The size and condition of the tank should be verified at that time. The existing wastewater field is assumed to be an "absorption bed" system . fSee page 20 of Appendix 75- A ) . Based on field measurements, the effective area of the bed is computed to be 363 + /- square feet ( 1 65' x 22') . The measured dimensions plus 2' on each side of the bed was utilized for area computation ( 1 2. 5' + 2' + 2' and 184 2' + 2' + ) . Witt- a design percolation of 1 " = 5 minutes, the bed application rate is 0.95 9011on/day/square foot. Bed capacity is therefore 345 gallons/day . Design flow for a home with post 1991 reduced flow fixtures is 1 10 gallons/day/bedroom or a total of 330/gallons/day . Based on the above observations, assumptions, measurements, and analysis, it is my opinion the existing wastewater system does conform to the standards of the Town of Queensbury with the following exceptions. Wastewater field setback from property lines is less than 10' . Wastewater field setback from proposed structure is less than 20'_ Craig , I trust the above is responsive to your request. Should you have any questions, do not hesitate to contact me. Ve _ truly yours, ?mes E . Hutchins, P . E . Copy : David Hatin