2003-745 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number P20030745 Date Issued: Friday, September 16,2005
This is to certify that work requested to be done as shown by Permit Number P20030745
has been completed.
Tax Map Number: 523400-308-014-0001-052-000-0000
Location: ,.,
8 (�U(1D;'LW-P;7I N ,
Owner: ARC COMMUNITIES 14,LLC
Applicant: SUSAN CLOTHIER
This structure may be occupied as a:
Residenfial Alteration By Order of Towwn,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 Director of Building&Code Enf cemen
Planning Board or Zoning Board of Appeals:
- Building,Permit Application
Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. -Permit File No.
No inspection will be made until applicant has received a Fee Paid
valid building permit.-All applicants' spaces on this Rec.Fee Paid $
application must be completed and must appear on the Reviewed B
application form. -
Applicant: c�cc 6,g, C f o+(i e r-- Owner:- Arc(-a'.et,r-
Address: Q r�a (2r-, {� { Address: &,nrne—
Phone#( g) 71-1 - O:�b Phone#(_) -
i )
Property Location: Lot Number:./'House Number ' / G✓chv � �
Subdivision Name: og 12 0 Y/ �n c-e,!g to ,(� Tax Map Number: _�6 S
a New Building: residence /commercial 'Estimated Market.Value of Constructio $ 3/��� CPO
n'
t3- Addition: residence/ commercial If an,Addition,what will use of new addition be?
a Alteration: residence/ commercial
n No change to exterior size: residence t com'l
a Other work(describe )
Check OccupancyIaformation I. Floor_ 2" Floor Other floor; Total:
Below sq.ft. sq.ft. sq.ft. Square Feet
Single family dwelling ._ /'f,#T -,
o Two family dwelling
o Townhouse 0 5
o Multifamily dwelling TO AM OF
#of units- QtJ q .,
o Office
o Mercantile
a -Manufacturiniz
D 1 car detached garage
0 2 car detached garage
0 3 car detached garage
0 1 car attached garage
a 2 car attached garage
0 3 car attached garage el t
o Storage building-
commercial
O Storage building-
residential
o Other
What is the proposed height of the structure feet inches
Will say second-hand or urigraded lumber be used? If so,for what? A)y
Type of Heating System; electric of / gas/w{ood /forced hot air/ baseboard/other:
Number of Firevtaees to-be.installed -W14- _ Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder `
Plumber
-Mason
Electrician
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 Ilwe shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator of Director of Building and Codes,an.As Built Survey by licensed surveyor;drawn to scale,showing actual
location of all1 new constrruction
Signature: �u_r.fst,c �3 %i {f/�(( owner,owner's agent,architect,contractor
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: -P20030745 Application Number: A20030745
Tax Map No: 523400-3 08-014-0001-052-000-0000
Permission is hereby granted to: ST JS AN C 1.0TfffFR
For property located at: 183 PITCHER Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: ARC4BFND, L.L.C. Residential Alteration $3,500.00
PO BOX 13244
PROPERTY TAX DEPARTMENT Total Value $3,500.00
EL PASO, TX 79913-3244
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
2003-745 8 Woodland Path, Forest Mobile Home Park
ROOF OVER MOBILE HOME AS PER APPLICATION
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, September 21,2004
(If a longer period is required,an application for an extension must he made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the own Quee /7 September 21,2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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f_ fo�_m_ datiou sas�port� pier s-pacirxg - - _ _
per s".—MMI f-- --------------------------
_ $�-horirig per x"mum"r- ---------------
3_ water 1%rae shuf off -____________------
4_ sewer line support 4 feet -------
5_ heatirig cros_svrer �c�lewide� off grd_ _ -
- -
7_ slCiWltiug"vehtifated -------- ------------- -
8_ hot water relief valve piping outside -
9_ decic� perches, steps. railirxg --------
it3_ fux-x�3c�lhcit -water-vperatx=ag _ _____--_
I_ garage fire proofing ------------------
12_ door closers =--------------------_----- -
I3_ plumbirag fimtui-e -------_---------------
14_ fouxzdation insulatio=x Clf-aPF�l-�------
IS_ sxric�lce dtcrs- ----------------------- -
16_ fixml e2ec_tricai ------------------_-___
l'7_ vai7iartr,es r+ uir .ci ---------------------
18_ data plat+c� cik�iy ____________
l 9_ rnc�►bil H7L7► l .«c�rlcay _____-__ ,
i"�axxx.xfactaxrer
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Foundation Inspection Report
Office No. (S 18)761-8256 Date Inspection reque recei�,ved:
Queensbury Budding&Code Enforcement Arrive: arn/pm ': Depart: '- 'a0pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi�:l°s,,�`i �` +
NAME: CX P iit IT#:
LOCATION; SPECT ON:
TYPE OF STRUCTURE:
Comments
Y N NIA
-
� ofitffic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofmg/Waterproofing
Footing Drain Daylight or Sump_
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly,for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:ISueHemingway\BuiIding.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection requeF e
Queensbury Building&Code Enforcement Arrive: in; Depart: a
nllft�
742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initia
4eensbuy, 12804
NAME: ERMIT#: C
LOCATION: PELT ON:
JCT
TYPE OF STRUCT N-9 ne
Comments
Y N AN/A
-VZ)
Nx0tings
Piers >
Monolithic Slab
Reinforcement in Place -5 coti
I c, i1v
The contractor is responsible for
providing protection from freezing �c i
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump.
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil of for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SucHeniingway\Building.Codes.Inspection.FORMS\Foundation inspection Reportdoc January 28,2003
Framing/Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: a a m
742 Bay Road, Queensbury,NY 12804 Inspector's Initials.
NAME: _i. � i1 C��— PERMIT#: ^.. t.�
LOCATION: '?, 1 INSPECT ON:
TYPE OF STRUCTURE:
Y N °N/A COMM TS
Framing
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly ' \
12"Q.C.
Headroom 6 A. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq.ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from'wall
'Fire separation 1,2, 3 hour
Fire wall.2,3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilin /wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:1SueHemingway\Building.Codes.Inspection.FORMSTraming Firestopping Inspection Report.doc January 28,2003
�Ic1�v.A.�.' ■Nac,�s�»���misof�v r—��=r�•csr�-i- . - . _ _. _
- . Town of CQuiaensbury
E3uilding S: Cflde Enforcem4ont-
= 74.2 E3-VY Road
Ouaansbu'ry,' Wir, -12804
(518)..761-825fi
ARRIVE: DEPART: E&> ItioS
I]A'TE iNSFECT3tJN It-El QLJP.,S`r RECEIVE -
DATE: - C _.__ - PERIVIIT #
M�9�ILE -E�OMCE ME11'LTLAR Hi'�ME -
�On►I�NGS` -Fc3i3�TI�A�ORT. BA�r_i_ Fi2AMIPIG -
�� � - - - - _ NIA. Y C►
I. founda.tion sxnnol irt, pier spacing
per rnELnsif- ------------------------ _
2_ anchoring per manuf- ------------ _--
;/Oo
3_ water line shut.off -------------------- -
4- sewer lirxo-- support (W 4- feet .. ---
5. �saitix�tg crossover -�dbl�wide) off' grd.- - -
6__ dryer vested outside __._---- _ ------_----- -
?_ skirting ventilated ----- - - ------ - -
S. hot water relief valve piping outsides - - _ -
9.
t 1C1. fursiacefhot water operating . ....... _
11_ garage fire- prc*oAireg .....................
12. door closers -- --------- ------------
13_ plumbing future -----=_.__- ------ _
14. foundation insulation of appl-)o------
15. smc)ke detectors ._:_.." ........
1?__variance required -----------------------
-IS-- data plats okay -----------------------
19_ mobile 1413D seal okay .-------- "
Manufacturer -
Bates of rVianufacturer - = . - - _
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TOWNOFQNEENrBJRYE '
Based an our limited examinatio�l DEPARTMENT
Of com�llanc°with Our c4n1n1enfs shall
y ' � consfnaed as I
, ndicating-te
. o� �IA�t� Plans and specifications are In full
compilance ev�fh rhs Building Codes �. ��__.,of1%1t o�Sfax'
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