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93-181BUILDING PERMIT TOWN OF QUEENSBURY No 93-181 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to FOREST WOOD HOMES INC. OWNER of property located at Lot 3 Hampton C-t. , Queenabmy Fone6.t III Street, Road or Ave. in the Town of Queensbury, To Construct or place a Singte Samity dole Ong at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is HCO2 Box 286P wwcAensbung NY 12885 2. CONTRACTOR or BUI LDERS Name bame 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name S. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by XI (� ) Wood Frame ( I Masonry 1 ) Steel 1 1 7. PLANS and Specifications 28' x48' Single bamity dwe Ling as pelt pto.t plan, bpecib.ica ionb No. and appti.cati.on .incCudi.ng ;Wo cwt attached gaAage and bepti.c zLgem. 8. Proposed Use Singte 6axity dweZUng 191.00 PERMIT FEE PAID —THIS PERMIT EXPIRES MAY 12 19 94 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this SIGNED BY the Town of Queensbury I N a w W, c CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date OPt J . 14 19 L3 This is to certify that work requested to be done as shown by Permit No. 43-181 has been completed. This structure may be occupied as a to bam i ey dwe t i,ng with Vcan ac garage 1.ocadon Lox 3 Hamn.ton Cowit Q eenbbww Fow zt Phase III owner Foneaz Wood Homes, Inc. 121-14-3 By Order Town Board TOWN OF QUEENSBURY Director of Bldg. do Code Enforcement TOWN OF QUEENSBURY REVIEWED BY: COMMUNITY DEVELOPMENT DEPARTMENT BUILDING & CODE ENFORCEMENT FEE PAID: 531 BAY ROAD QUEENSBURY, NEW YORK 12804 PERMIT NO. (518) 745-4447 BUILDING PERMIT APPLICATION All applicants' spaces on this application MUST be completed ar, signature of the applicant MUST appear on the application form. OWNER OF PROPERTY: Mailing Address: Telephone Number(s): PROPERTY LOCATION: Wor Subdivision Name: (JJAV,G NATURE OF PROPOSED WORK: V NEW BUILDING: RESIDENCE/COMMERCIAL ADDITION TO BUILDING: RESIDENCE/COMMERCIAL ALTERATION TO BUILDING: RESIDENCE/COMMERCIAL (NO CHANGE TO EXTERIOR SIZE) OTHER WORK (DESCRIBE BELOW) GROSS AREA OF P OPOSED STRUCTURE: 1ST FLOOR 7a SQ. FT. s 2ND FLOOR D SQ. FT. G OTHER FLOORS SQ. FT. t h (not unfinished cellar or basemen TOTAL FLOOR AREA: /29A SQ. SIZE OF NEW STRUCTURE: J t)� T. FEET X FEET Foundation Type: (.600-f aC Number of Stories: (habitable space only) Height (grade to ridge): 2 feet Number of fireplaces and/or woodstove to be installed: -- "14ADi91633 NAME OF BUILDER/ADDRESS/PHONE: NAME OF PLUMBER/ADDRESS/PHONE: NAME OF MASON/ADDRESS/PHONE: NAME OF ELECTRICAN/ADDRESS/PHC ra 7= Lot No. _W13_ ESTIMATED MARKET VALUE OF THE CONSTRUCTION: $ cnom OCCUPANCY INFORMATION: PRIMARY BUILDING - _Z�Single Family Dwelling Two Family Dwelling Family Dwelling Office Mercantile Warehouse Manufacturing Other IF ADDITION, USE OF NEW ADDITION: ACCESSORY BUILDINGS: Detached Garage - One/Two ar Attached Garage - One wo Car Private Storage Building Commercial Storage Building Other Will any second-hand or ungraded lumber be used? If so, for what? 0 Type of Heating System: (circle all which a lies) Elec it / Gas Force / Wood d Hot Air aseboard / Other IRK AR RF.rARns TO BUILDING CODES IS: To the best of my knowledge the statements contained in this appli- cation, together with the plans and specifications submitted, ale 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 rk is authorized by the owner. Further it is understood that I/we shall s bmi prior to a Certificate of Occupancy or Certificate of Compliance bein ued, an AS BUILT PLOT PLAN drawn to scale, showing actual location of r on premises. Signature (Owner, own r a ent, ar tect, contractor) FOR ANY SPECIAL PROVISIONS - SEE REVERSE ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS 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 AId 1-PPLIC��A��N�T''S NAME: PROPERTY LOCATION: r e utl'i'LlJiI lo.t _� 4,w� &0't 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? Yes _,VlNo / 4. Percentage of area of windows and doors _ Over 17% _/Under 17% 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R b. Exterior walls R-�f— c. Glazed areas R d. Exterior doors R 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 b PERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE I EXCEEDED Ap 'i a t s S' natu\re Date. Phone Nu e INS CTOR'S REMARKS: I / AVINk VA L TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid Date: 4Njp / n Reviewed By LOCATION OF PROPERTY FOR INSTALLATION: Owner's Name: J"owdA/�ifimf Owner's Mailing Address: h0Vr Installer's Name: �I)iNff /u�g1GtfoJ Phone #:z?� Number of bedrooms (if residential): Total daily flow (residential -compute @ 150 gal. per bedroom): WI - Topography -Circle One: lat Rolling Steep Slope % of Slope Soil Nature -Circle One: San Loam Clay Other /Depth: ,99 Ground Water -At What Depth? O Feet Bedrock or Impervious Material -At Wh t Depth? 0 $ Feet Percolation Test -Circle One Not Required Required/Rate _Min. Per Inch Domestic Water Supply -Circle One: Municipal Well Other If domestic water supply is a e - Separation: Water supply from any septic absorptionfeet PROPOSED SYSTEM: Septic Tank /000 gal. (Minimum size: 1,000 gal.) Tile Field: Each Trench A feet//Total System Length _2nZ feet Seepage Pit(s): Number of / Size each: _ ft. x _ ft. Size of Stone to be used: # Depth or Thickness feet ************** HOLDING TANK SYSTEM IF REQUIRED No. of Tanks Size�of Each Gal. Alarm system and associated electrical work to be inspected by a certified agency. **************** I have read the regulation on the reverse jeuof this heet and agree to abide by these and all requirements of the ' wn eensbur Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON:,� Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1) the proposed location of the system 2) location and distance to lot lines 3) location and distance to structures 4) location and distance to any water supply 5) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. No system shall be covered before inspection and approval by the Building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury Building & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks: TOWN OF QUEENSBURY 531 Bay Rd., Queenabury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date %r'�;:Z.:-` ,19 L Permit No. i APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional form if more than one appliance end/or chimney. Applicant >"f�'> <<` APPLIANCE (check appropriate boxes) Address ;- L' -' k F' ❑ STOVE: ❑ Wood ❑ Coal ❑ Pellet }�. ❑ REPLACE INSERT Zip FIREPLACE, FACTORY -BUILT: a -Wood ❑ Gas Phone �� % 7" ❑ FIREPLACE, MASONRY: ❑ Wood ❑ Gas Owner , n ,;_D ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil Address IF NON -MASONRY: Manufacturer: 'Jt x:1 _- Zip Model: Outlet: inches Listed By: Number: Phone Exact address of proposed construction CONSTRUCTIONANSTALLATION MUST CONFORM TO NYS FIRE PREVENTION & BUILDING CODE. CONSULT TOWN OF QUEENSBURY HANDOUTS PROVIDED REGARDING REQUIRED INSPECTIONS. Dept: Fire Marshal Code Number Cashier's. Department Title A 173 3399 (190) Public Safety A 233 2655 (230) Minor Sales e Coe llected From Refunded ess: CHIMNEY (check appropriate boxes) ❑ MASONRY: ❑ Block ❑ Brick ❑ Stone FLUE: ❑ Tile ❑ Steel Size: inches ❑ FACTORY -BUILT: Manufacturer: Model: Listed By: Number: ❑,.Double Wall ❑ Triple Wall ❑ Insulated Town of Queensbury, New York Amount Collected Amount Received a to: �i /l/, ;f4 n �_/ Dated: / 2/ f Town Clerk or Deputy: White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink do Goldenrod: Cashier's Dept. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED / 4,3 /l NAME LOCATION DATE 3 _PERMIT TYPE OF STRUCTURE_ 5F� RECHECK APPROVED N/A I YES I NO MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESP FOR PROVIDING PROTECTI FREEZING FOR 48 HOURS THE PLACEMENT OF THE C MATERIALS FOR THIS PUR FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLUMBING UNDER SLAB_ FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/NA IN B AM HEATING ROUGH -IN INSULATION: FOUNDATION WAL INT FROM LOWING EONSI FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEA SPACES KtMAKKJ: ��F6fi Foiz,�t,L-� s��7✓b � ri.� L�'�[3,�x-`3 r'YG'� .(•�r�T—OC/Y,xllfa'fT c�� (.�'tG PL f4W j2& TeF4—G'iA,' 'V& 1-00 i r,L%; � Ff� �EgvE�uurt���r�i��►G,�to� ARRIVE '�'-Z6 DEPART INSPEC OR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT /�/R- 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR IINNS"PECTION RECEIVED �/u/!�-?_ NAMELG LOCATION DATE 1/ 93 PERMIT # TYPE OF STRUCTURE RECHECK 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 SIT FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN P ACE_ PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM d- HEATING ROUGH -IN INSULATION: f FOUNDATION WALLY EXTERIOR R- FLOORS i R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEA SPACES ARRIVE ( 50 DEPART �7S TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPPECTION RE,CE/IVED 6,12_ lA13 NAME \7�/Q0d GC/G iV�DoY�X�� LOCATIONf DATE (p - 3 PERMIT # i.? If/ TYPE OF RECHECK STRUCTURE APPROVED I N/A I YES I NO 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 SI FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VEN S IN LACE_ PLUMBING UNDER SL1B K FRAMING: t JACK STUDS/HEADE S BRACING/BRIDGING•, JOIST HANGERS JACK POSTS/MAIN M HEATING ROUGH -IN INSULATION: FOUNDATION WAL S INTERIOR R- FOUNDATION WA S EXTERIOR R- FLOORS R— WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATE SPACES / /1 T.lt4 Plv4 , ARRIVE/d J*� DEPART . '/,�) TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 00 k� NAMES Ae 1�g�ztt:xzo LOCATION___,et 3�� DATE 2VZ4% PERMIT # 9;-/f/ TYPE OF STRUCTURE RECHECK APPROVED { N/A I YES i NO 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 S FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE_ PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGW N yINSULATION: Ar (L�y /' FOUNDATION WALLS INTERIOR �R- FOUNDATION WALLS EXTERIOR R- FLOORS rARIN(mt C&j"A,, R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEAT SPACES Ls�WG�io�IC2uU�- ��°L ✓�'� Uffbk- ARRIVE I:i D� DEPART tl; /p IN4ECR e.L� TOWN OF QUEEN BUILDING d CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name r,, .4 Location jjf,3 /✓.��Q . Date i 10 Permit SOIL TYP Sand- oam-Clay- Results of Percolation Test - (if applicable) Rate-Minute/Inch�� TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Po Depth of trenches z.�r Size of stone SEEPAGE PITS: Nun Size - ft. x �t Stone size PIPING: Size yp — Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pj� p��� Openings Sealed? _ Yes N _? a� rtial I 9 Foundation to Tank feet Foundation to Absorption feet feet Conforms as per Plot Plan' - e No LOCATION OF SYSTEM ON PROPERTY: (circle one Front - ea -Left Sid�%e - Right Side Middle rout - Middle, ear COMMENTS: i SYSTEM USE APPROVED: YES NO Arrived: Departed: ng TOM OF QUEENSBURY 531 BAY ROAD QUEENSBURYURY, NEW PORK 12804 TELEPHONE (518) 745-44447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIYF 3 C6 /Y J PERMIT/' TYPE OF STRUCTURE RECHECK _FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) _FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC _INSULATION _WOUDSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION ✓ B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER 0 'RA ING INTERIOR TRIM/PRIVACY, POORS FINISH FLOORS: }� BATH/KITCHEN WATER) GHT OTHER FLOORS SWECPAOLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS DOOR CLOSERS BATHROOM FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPTION FIRE/DEMISE WALLS FINAL ELECTRLGAik OK TO ISSUE / R C/C /7,e 7`4cs.f 49< Al-' ARRIVE DEPART I/ IN —ay- TOM OF QIIEENSBURY 531 BAY ROAD QUEENSBURYURY, NEW PORK 1280q/�� TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED v 1 a NAME LOCATION Z,.- 3 q(/6 jNyy DATE PERNIT# 93 TYPE OF STRUCTURE �5;CD Z, RECHECK FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) vF00TING L,—WNDATION �,BACKFILL [,FRAMING ROUGH PLUMBING FINAL ELECTRICAL LSEPTIC _INSULATION _WOTDSTOVE/FIREPLACE REMARKSf1s9 1 /JiAJ2.Ua i/ w7,yy y1{/L��� APPROVAL CHIMNEY HEIGHT/LOCATION N/A YES NO B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS- BATH/KITCHEN WATERTIGHT, OTHER FLOORS SWEEPAB(E OTHER FLOORS CARPETED STAIR CLEARANCE/RAILIN SMOKE DETECTORS DOOR CLOSERS BATHROOM FANS ALL PLUMBING FIXTURES OPE TING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS FINAL ELECTRICAL /3 OK TO ISSUE C/O OR C/C � lPoa/le/a//� � �� ,d�v; ye 7t- ARRIVE /, Y6' DEPART % C"V INSPECTOR FIRE MAI REQUEST�IVE NAME (n� LOCATION J�P FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 f ISPE EP7�0' FY�L'I��11A�F9J��i[d�NP►I -/�) Ld f3-r 8 I AM PM 0 I=./ APPROVED 3 —t g/lil4g N/A YES I NO EXITS AISLE WIDTHS EXIT SIGNS _ EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEMt FIRE SUPPRESSION SYSTEM HOOD INSTALLATION STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE ❑ MASONRY ❑ FACTORY BLT. ❑ ROUGH -IN ❑ FINAL REMARKS: ❑ OK TO THIS DATE 30 ir+sysuPwe � NSPECTOR (-11 r 7 _ Sfr3�9A. mmrat UO N�e a tp' l i i I �CI,I Ft V yw I I S^/m4Fu.-U � i I111 l i W ICI ► L„r e\ OF $ 4 co 7S OF Oar P t_.n-r P<_ r) I I PP V2. Qnnlicetion Lor , 19")tsr•IS6clvy 1-4p,ve� Fon_ r-oP-EST (l)o)np 1(..r,oe Mloy 511993 SCAT- I'•:50' DAVID J. BOLSTER LIC. LAND SURVEYOR 22 BONNER DRIVE -- QUEENSBURY, NY 12804 n i)