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2001-705 ��` 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:,. . P20010705 Date Issued: Tuesday, November 16, 2004 : This is to certifythat-work requested to-be done as shown b .Permit Number has been completed. Tax Map Number: 523400-290-014-0001-026-000-0000 Location: 371 HAVILAND Rd Owner: WILFRED & DEBBIE ST AMOUR III Applicant: FLOYD & MARGARET BNIEASE This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY.. it:'-Datl,p ?.‘,/ Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010705 Application Number. A20010705 Tax Map No: 523400-290-014-0001-026-000-0000 Permission is hereby granted to: FLOYD &MARGARET BATEASE For property located at: 371 HAVILAND 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: FLOYD &MARGARET BATEASE Single Family Dwelling 89,000.00 379 HAVILAND Rd Total Value 89,000.00 QUEENSBURY,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2001-705 1508 sq ft SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS $180.96 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,November 15,2002 (If a longer period is required, an application for an extension must be made to the code Enforcement Officer Dated at the Town 'nsbu hursd y,November 15,2001 SIGNED BY for the Town of Queensbury. Director of Building& de E rcement FILE No.788 09/05 '01 PM 02:24 ID:TOWN OF nlJEENSBURY FAX:518 745 4437 PAGE 2 1 . Application for Permit—.Septic 1)iapoaal System rI 1'ui1'n rrQueensbuty 742/Jay Nand Qucerr,ihury,Ni' 121104 (518)704256 256 • 1. OWNER IN?ORMA7'ION:31 ��Location of installation: y `�Gl���/�� & UIlIee U....s...e.,.._..............................__ �� Pilo Penult No, Tax Map No. / Pea Paid Owner's Name: .,L�-J/6),� s �f-41:f j� _...................,,,.......,,..., 'Address: Ao/!Q Aft �� � 66eG y yI2'/'U/ .. �/ q.)-,7 /,>l(i e. 6 PHONE NO, 792—77 __ S 2. 'INSTALLER'S NAME : 3. RESIDENCE INFORMATION: (circle year of dwelling,lllc/lcale if bedrot)tuft)and multiply t1 of bedrooms with applicable gallons per bedroom to equal(veal da ly,/low) X0103140; No,ulV,ll c rclgltl$_-_.R._,C4111111ri!lettJot► 'Vein'Daily flow 1980 or older _ x 150 gal/fxtint = 1980-1991 ______ x I30 gal/bdrtn =7 1991 prosont _ �3— — x 110 gal/bdim - _ Garbage Grinder Installed yes I no Spa or Whirlpool Inslallod yes____ / no . ✓ 4, PARCEL INFORMATION: (circle applicable information&indicate measurements) Teti ntntilu'...___,S'VII.Natuxo,.__. cilci'i d.Wni or_ ..ligll,ocii t)r-lI1QIt4-Y1..V.117,.hi.P..Ullal_ _I)oi o iC__fl1 ',fil,pl'I-Y J'7rtr swift al,rhell depth at what depth mu/act/to/ Ji0illti: /orun _.fire.! well Steep slope , clay If well;water swirly %slope other front any scpllc-syste,n depth: absorption Is it. other '. Percolation Tes: (To be completed by licensed/trtlfeaslottal engineer or crchlleci) Rate: _ „minute net.bleb • 5. PROPOSED SYSTEM: or ,giyS2ngt Stlm: All individual sewage disposal systems must be designed by a licensed professional engineer or Bralliled(unless installed bi a Planning hoard 11pplovcd subdivision), Add 250 Miklos In Ilie sir.c of he septic kink and I ;w lchlllidd for each(iatbni c Uikichl,Spa or Whiillxitii'I'ob, Stiptlo'I'aak:/Urn C) galIi)in ;ien.size 1,000gal) Tile UMW: each trench TUrn Ji, 'Total System Length; 0 © Ji. -- • Seepage Plt(a): ..ntrntbcr of___ size of each: _,_ __ 11, by__ JJ• / depth or rlrin'ktees',r __._._......._>'�'r:t Sias of Stone to be tiled: II•-______.....•-— 1 Bed System Size: _ - x Alternative System: length and/or size .� —-- 6, HOLDING TANK SYSTEM: (if required) Number of tanks: 1 Size of each: gallons /TOTAL-Capacity: gallons Note: Alarm System and associated electricnl work must be inspected by n Town approved electrical inspection agency, 7. SIGNATURE &INI;ORMA'TION FUR I SPONS1IJI 1s PERSON(please rent!) For your protection.I,lon,eo noto tlixl piii tonnt Io Section 1:10-29 of the Cotlo ache Town of quoeuebtuy.tiny por,tilt or npptuvni 1trnolatl which IN inmost upon or ix wonted in rellenea upon nay n,ntoi Jai ntir.icprenenlntion or Neill,)ro ntnlrn n nmlminl fleet or circtintstnitoo known by or on boll elf of nn nppiicnnl,such be void. I hove rand the regulations with foxpoct to bile,i1,pliontlon nod rotten In abide by then°mid ell tequiromouts of she's' 1 of „eusbury sanitary ago Llispoxal O17tiiini,Ce. (D" — V 7/. 4/ Etlgnalure of responsible person Date F I LE No.788 0 /05 '01 PM 02:23 I D:TOWN OF Q:iEENSBURY FAX:51.8 745 4437 PAGE 1 ,.,; Building Permit Application Town of Queensbury-Dept of C:ommunity.Development,742 Bay Road,Queens/airy.NY - (SIB)01-:8256 •--e7 L ®-S A permit must be obtained before beginning construction, Permit File No. W(/� No inspection will be made until applicant has received a Fee Paid $ , `� valid building permit, All applicants'spaces on this Rec.Fee Paid ." I application must be completed and must appear on the Reviewed By:__', ' application form. Applicant: r40 d 3&- a.5e_i _ Owner:_ 4:& Addr 59 n.. oira. .4e_a A—t Address: — /(ee 1 'e --/ / -fe/ Photo;it l._..__) - Phone.4� 9.4 yid Property Location: Lot.Nutn �/' House Number I 411UOLFlF✓!, ,EGG , Subdivision Name: Tax Map Number: -"!f/; •—5—67, 2_7 s New luilding: residence lctntimercial Estimated Market Value or Constriction:S 7900a :u Addition: residence 1 commercial if an Addition,what will use of new addition be? a Alteration: residence r commercial Q No change to'exterior size: residence,com'l o Other work(describe ) Cheek `Occupancylul'ormation T. 1"Floor j 2" F�loor -1- Other fluor Total Below I sit.ft. sq.tY, ! sq,ft. Square Feet .J Single family dwelling /SO _ __— _..._ /5 -01f_i ❑ Two family dwelling � a 'Townhouse _l__ i - ' ❑ Multifamily dwelling . #of Officeu units _ . -..._. _.._ a Mercantile _.....__ a Manufacturing o 1 car detached garage ---..._ v a 2 car detached garage _ ^—� T u i oar deraahed garage _ JI a l car attached garage — — 1 u 2 car attached garage a 3 car attached garage 1 a Storage building- _i commercial a Storage building- residential ❑ Other What is the proposed height of-the structure ,'3 feet /D Inches Will any second-hand or ungraded lumber be used? if se,for what? N/A 'I'vpe of Beating System: electric 1 oil i gas!wood i forced hot air: baseboard'other:hal-caw "k5-e-he,arc'C Number of fireplaces to be installed .N14 Number of Woodstoves u,he installed List below the person(s)responsible for supervision of work as regards to building cedes: Name Address Phone Number �o����✓ {Builder 7TCG_�lG` �4n5e c>Dr /2(� 7'%3 oS3`� Plumber j o � vu �ll�c,�y' "-----,,__-7;„;�%—�9 Z-?7J 7 (i Mason lie • 9 Lvcz <e� • / t? 7 2- Z 7 Electrician ree_ i./oa.See•ePereed -7q2-. —7J5- peclaration: please sign below after you have carefully read the statement: To the best(rimy knovaedge the statements contained in this application,together with the plans anti e.pecificetions submitted,are a true and complete statemeittof 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.hit understood that 1.'we shall_ submit,prior to a Ceniiicute of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Uuffr8ervev'by a licensed surveyor;drawn to scale.showing actual location of all new cons uction. Signature r,owner's agent,architect,contractor 1 09/11/2001 13:53 518-793-1994 ACE HOMES INC PAGE 03 FILE No.788 09,05 '01 PM 02:24 ID:TOWN OF WEENS13uRY FAX:516 745 4497 PAGE 2 Appticetkau for I'crnlit-•Septic Disposal$yetotn Tows of Qrteensbwy 747 mu,head gitteli 1 sty,NJ' 12801 (31&)761-8150 • 1, OWNER INPOItMA1'IONy� J ...Ntfke Vw • b.ociatieet of biriallatl0n,�/!49GY 0- a Pale 1'u."k Ho, Tea Msp No. / /A44 - yd l /4 To Paid r Qwnu't,Nsrhn: 7 f•�' —� ���� �'J YI � ' /�.F'‘ / Address; - - i/r4 eGj e 7� � `�KCeiKO fy,` 2, ••INSTALLER'S NAME : , t HONE 3, RESIDENCEINFORMt1TI N; (circlo)'enr of dwell4lq,btdleale II beer•olm(0 and multiply d uP hrdrnulfS with nppliceblo galliast par•herfrounl to equal local ekUljJluw) Ya,ryf 1f(1)the; „- 6u 1E.0W_...3,..R 21111.nla11enW. ...-1, 1PaitiZoot R ISO Nllbdtlll A! . 19si0 or older — n 130 W111bdan 1910-1991 - - 1991 present .3 , lc 110 S.1IJbdl In e* - „ .---"" , Garliapo OrInder l,utalaed yea.-. I no Spa or W111tIpool Installed yes_-- / 110 ,_,,,--- 4, PAIICEL INPORMATION: (eIrclo Applicable in(brmstlon eft utdiutte meentton sells) Ultu ltuidt.9 ..$vll.Matltt_ Shutout Wnitrl-. .,Itinlitick Or,1,►talnl.y1V.11t.1AoIW,.1At- -.I)v,,v„io WnIW,SottI.1y /ry11, ,Y,4N/ .17 w/r,N del.,11 .0 ith1111 lhyub ,rind./p.r1 llpl1h14 It.uwl „. __,l'e7 .. __...,'••7 well .S,.p,lop. clay if lrrit;evnrrr.Vwpply _pi slop other from any ac,Nlc•.yNrto diplh: nbsoi pryml Is_/t. '' Percolation Test: (To a)t rerl7plcird by!fronted pr1 .elvt of rrtgNlrtr or r7rchllrc1) Rafe: ,-__minute per MO S, PROPOSED SYSTEM; w'„ClatirskU: MI individual scamp J1g14tal syelainal Haim be*sinned by a IIct it d luorcasioai,t cottiltlxr Br architect(unless!+daps;in ill 111011111W111amd nipnili'od sulxlivielnn). Alid 2311 1011 int lu lhu ui/.c of the te114ie link and leat:1111ckI fur mash GIIItUII W 0011%10,fir or Whil;huts Tub, Septic,Tank: ,L _ i Hon Brun,alter 1,000 gal) 0 I Tile Field: tUerh(tomb5 0 /1, 'Total Syidan Length:�,..q..120,0 Ttespsse PItU): 71vinbrr qf,- �,,..�, ,tr,w wreck h: __a Uy _,,/J. slam of Stone to be used; R••--- ,ub,ro NikAii.. A' „ .....-.....-fie,/t /r/ Sad System Slane: • Alterative System: _ lrosrll trfdlorasee e. HOLD[NQ TANK SYSTEM: (if ioquired) Nuanbalr of tanks: / Sias of esclr _- gallons I TOTAL Capacity; 1 envoi Nate: Mann Sylltaln 11nd Nltooittod elcctricel wank Inuit be inspected by a Towu approved : eloctricel inspection agency. 7. s1ONATUIt t &ImPORMATION FOR IUISPONSHJLB ptittsON(pleura reel) • pot rms.1,►vtueiion.plewse iet4e Ilul goo SOMA Iv.Roc11IN1 1 J(. 9 of Ilio COuo urll.e Town of crottasllrtny,wily per...lt Or n14,t4Vn1 ltrwstvll,red,;li in Unapt't41n11 M IA K,ent4 i III , rellwgtA spot.wily mntu.;AS,.d*,lyt,aawdgll,m or fiui u,.)lu i,rnMo n 11101 e.lnl M,ll nr cH•euslliMeee kaeown 17y o..A,boknlr or ns npltliaeue,slten bu visit . 1 llwe read die instantiate will'lorpect to 6100 wpplltcMkal end Pxioo Is.1'4410 by;beep mid ell requlreMenla*Cilia Town or tluoonabniy Sewlialy Sowese v»pe al t hdt11nlite. Of, '. .„......"*.‘d:::_63 --_..,. -, /1 6 / , • 1ture of rOSponslbts pervert Dote TOWN OF QUEENSBURY { BUILDING '& CODE ENFORCEMENT tAtt 742 BAY ROAD QUEENSBURY NY 12804 Kr (518)745-4447 ARRIVE: DEPART: INSP: e FINAL INSPECTION REPORT COMMERCIAL MULTIPLE DWELLING (hotel, motel, apt. complex) DATE INSPECTION� REQUEST RECEIVED: NAME 1;NS;Tit I e6/ (_ �t, LOCATION +1�4�J N I I Ju D W iL0,1'D DATE � '61'Lf71114 PERMIT # ` D`1 /(7 ,6 TYPE OF ' G STRUCTUREv P12 FOOTINGS BACKFILL FRAMING PLUMBING_ INSULATION N/A YES NO CHIMNEY/"B" VENT/HEIGHT PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH HEATING/HOT WATER RELIEF VALVES FLOORS FOUNDATION INSULATION . INTERIOR STAIRS/RAILINGS STOCKROOM ENCLOSURE FIRE/DEMISE WALLS PENETRATION FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS/CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS PLATFORM/ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL SITE PLAN/VARIANCE REO. . FINAL SURVEY PLOT PLAN, IF REQ OK TO ISSUE C/O OR C/C bte, I �'V`�Lw ���d"N"� all)) Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm Depart: am/pm Date Inspection request received: _ Inspector's Initials: 70 NAME: T - --c�v PERMIT#: ��r/q/6/LOCATION: � ,!��t l,tk2�/m ( v DATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in. or more cr 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 Enclosed Stairs Sheetrock Underside minimum '/" Gypsum Grade away from foundation 6 in. with 10 ft. Handrail Termination at Newell Post or Wall 6 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/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 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 or C/0 [Temporary/Permanent] • L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 FINAL INSPECTION REPORT b MOBILE / MODULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ; , ARRIVE: DEPART: , c/0 INSP: DATE INSPECTION REQUEST RECEIVED: NAME: 9 rr 6r-TC-- C LOCATION: �21 'I; it_4-A10 t` UC DATE: JI?_t (6.3 PERMIT#D 7 3 :-/ MOBILE HOME MODULAR HOME FOOTINGS FOUNDATION BACKFILL FRAMING N/A YES NO 1. foundation support, pier spacing per manuf. _ 2. anchoring per manuf. _ _ • 3. water line shut off 4. sewer line support ®4 feet 5. leaf 6g rossover (dblewide) off grd. _ ✓ :'.41: vented outside ..w _ 7. skirting ventilated — _ 8®. hot water relief valve piping outside 9. deck, porches, steps, railing 10. furnace/hot water operating 11. garage fire proofing 12. door closers 13. plumbing fixture _ 14. foundation insulation (if appl.) 15. smoke detectors 16. final electrical 17. variance required data plate okay _ 19. mobile HUD seal okay 74s�IAJArC �Lli@d Model # i 0V--N Serial it Ol-l-2-07'3 ,pc6 Manufacturer Vu\U, 1��� Date of Manufacturer t v l® V OKAY TO ISSUE C/O YES /NO Comments: 5 06(IAA C /44j` d�U 1 i 7/04 V6 INSPECTOR'S REPORT Dept. of Community Development Building & Code Enforcement :=Town of Queensbury (518) 761-8256 742 Bay Road 4 w 3fc ° Queensbury, New York 12804 Date: -2--/ 03 Property Location: 31 I �'{M)t L Aid to Po Owner/Tenant: 43-y,0 BUILDING SEWAGE SIGN OTHER REMARKS: Tax Map No. 2 (3(-- J A-5 ,A)c j /ACC-./1-) 6/C � FOi< Th 15 1-/a itA C , C PC 6 // — / u r,26U / 6c-wt 5 4A1.) u- .4 F7.4/'-L ✓1 C• Ati 5"cLe 7"/ / 7D0 <(s Q C v o16C--r2 i 6/t) /A) l l-t t 5 It'41.,4: I�LGI v/ vAt& Building Inspector 4 -- 4U----L.0----- 0 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: 1 i' Building&Code Enforcement ) ^ �/ Dept.of Community Development Arrive am/pm Depart __ m/pm , Town of Queensbury Inspector's Initials � 742 Bay Road Queensbury,New York 12804 • NAME N l\O .,�e C PE )'/6'3 2LOCATION "-,-7I Aii L. rn r„> C_: DATE — rvI TYPE OF STRUCTURES`� N/A YES NO COMMENTS /ig 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,Ianding 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade t L��� Gas Furnace shutoff within 30 feet or within line of site �r��yr Icy�' � GS' "c�� 911 Furnace shut-off at entrance to furnace area f V&A)7— 'JFurnace/Hot Water Heater operating A f elief Valve(s)installed f�r %/41� 17c,c�� A,f-t5gf r Re—L[e I� Headroom,6 ft.6 in.on stairs i/A't'l16" Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" ANCi'u STY' —r F 2 o,Q CC,4 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 Foundation insulation 34 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 F' Electrical 7 e P1anNariance required final Survey Plot Plan / 1u8 AA,,-i--- FjA,/} 5'1...v:PC / As Built Septic System layout required _ P L Z � 4 c�5 /,,��� i Okayto issue C/C Certif.of Compliance) / p Okay to issue temp.C/O(Certif.of Occupancy)_ / oi0 �o}vim Okay to issue permanent C/O(Certif.of Occupancy) 'V COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.01001-7 oS Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No. Cert. N c 79003 Cut-in Card No Owner r.... .0 f- .� P • Location / `G IL . Installation Consisting of / 5114ft ..r ..l - / 4•• -mv / - Si?74 Installed By 5 Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making ' pections at any time, and if its rules are violated,the Company shall have the right to revo a this mate. Date /- g�'7" INSPECTOR Member N.F.P.A..I.A.E.I. FINAL INSPECTION REPORT MOBILE / MODULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 , (518) 761-8256 ii ARRIVE: DEPART:it 1•' INSP: vl� DATE INSPECTION REQUEST RECEIVED: NAME: 1 A% E LOCATION: 7 I ' \At3 I L'AA)0 ec, . DATE: 7,k C3 / PERMIT# O I— /�� MOBILE HOME MODULAR HOME 7 FOOTINGS _ FOUNDATION _ BACKFILL_ FRAMING_ N/A YES /NO 1. foundation support, pier sp: 2. V per manuf. _ 2. anchoring per manuf. Vg ,d _ 3. water line shut off _ V _ 4. sewer line support 0 4 feet _ / 5. heating crossover (dblewide) • grd. i c/ 13 6. dryer vented outside ..w ; _ 7- 7. skirting ventilated 8. hot water relief valv. pipin, o tside 9. deck, porches, steps, r•' g ... _ _�� 10. furnace/hot water operating .... ... / 11. garage fire proofing 12. door closers _ _ 13. plumbing fixture _ V 14. foundation insulation (if appl.) 1 . smoke detectors /5 _ /— /' 16. final electrical L- / -' ie 17. variance required - ___/ 18. data plate okay 19. mobile HUD seal okay _ _ Model # - Serial # • / Manufacturer ''U(>44 i7 !r 2''41) iu F--ie, - Date of Manufacturer ' OKAY TO ISSUE C/O. YES /NO i u(5 ik i T Fig/It- 5 0. U4,y d Co 14' 1"6- Comments: DP 6-' V�N7 CXTE,Ju eELILA cP� `� r�oic.�2 0 C�a,Q2‘C% so,c.E,2 dil/s.Ji *M 5 © ,ti:< Jj )2 Po575 T FR-o02 () /*MUfs7C vas A,), /0 Fo. oA �..t,,`1, Be,e01,, ,60rrTin1 FINAL INSPECTION REPORT MOBILE / MODULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: DEPART: 9 - INSP: DATE INSPECTION REQUEST RECEIVED: NAME: ,BAr,96.& LOCATION: /141//L,g-r4/2 'e DATE: 21J PERMIT# D 1 — 0.. MOBILE HOME MODULAR HOME FOOTINGS _ FOUNDATION _ BACKFILL_ FRAMING_ N/A • YES NO 1. foundation support, p -r sp cing per manuf. _ 2. anchoring per manuf. . _ _ • 3. water line shut off 4. sewer line support ®4 f- 5. heating crossover..(dble •-) off grd. _ _ _ 6. dryer vented outside 7. skirting ventilated 8. hot water relief valve piping «utside 9. deck, porches, steps, railing .. ..... 10. furnace/hot water operating ... .... 11. garage fire proofing 12. door closers 13. plumbing fixture 14. foundation insulation (if appl.) 15. smoke detectors 16. final electrical 17. variance required 18. data plate okay 19. mobile HUD seal okay _ Model # Serial# Manufacturer Date of Manufacturer OKAY TO ISSUE CIO YES /NO • Comments: A % Ark t5 /�G i Qc=C AJ h4, v 0 �0 2 `-1-{. 4c in)47c-GTia 1 TOWN OF QUEENSBURY . BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518)761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location ,/ .tJ 4N O 12e) . Date 111 U")---Permi t # 7d6 SOIL TYPE: Sand-Loam-Clay- Results of Percol tion Test- (if applicable) te-Minutbe/Inch TYPE OF SYSTEM: \ ABSORPTION FIELD: Total Len\gth Length of each tr nch Depth of trenches Size of stone SEEPAGE PITS: Numb Size - ft. x\ / ft. Stone size \ / PIPING: C Size Type Bldg. to Tank ' Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Ri ht Side Middle Front - Middle Rear COMMENTS: • SYSTEM USE APPROVED: YES NO Arrived: Departed: cV)-67/// Building Inspector. TOWN OF QUEENSBURY - i1L'N, BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name 6,5) pDQ Location --`a()1 Laktd .4):134 Date ) - Permit J j---?OJ SOIL TYPE: Sand-Loam-Clay- Results of Percolat' 4n Test- (if applicable) Ra e Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: To al Length Length of each t enc Depth of trenche•. Size of stone SEEPAGE PITS: N mber- Size, - f . x ft. Stone size A PIPING: Size Type Bldg. to Tank '� �y, yU Tank to Dist. Bo Dist. Box to Fie d/Pit Openings Sealed? Yes No Partial LOCATION/SEPARAT,ONS: Foundation to Ta k feet Foundation to Ab-orption feet Separation of Pit: _ feet Conforms as per P of Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: `)J0 )11).-°-( CIK Ogice__ -( SYSTEM USE APPROVED: YES NO Arrived: trZ Departed: . Building Inspector TOWN OF QUEENSBURY Pr BUILDING. &_CODE ENFORCEMENT 742 Bay- Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ___- A)'Utk Location _ 44 ; ,, 1\' n�Cl � Date \a;`_fa -9( Permit iorj- 73_5 SOIL TYPE: Sand)Loa Cl ay- Resul is of Percolat . Test- (if applicable) Rat:, mute/Inch j' TYPE OF SYSTEM: ABSORPTION FIELD: To . Le t( 1 A Length of each trenc' r' Depth of trenches Size of stone • SEEPAGE PITS: Number& Size - ft. x ft. Stone size PIPING: ./ Size Type Bldg. to Tank ,1/'% et) o "1-1 Tank to Dist. Box If 1' k.1 C) Dist. Box to Field/Pit A • Openings Sealed? Yes 0 Partial LOCATION/SEPARATIONS: Foundation to Tank /U feet Foundation to Absorption feet Separation of Pits eet L2,. onforms as per Plot P1 anNo CATION OF SYSTEM ON PROPE' ircl ont Rear -� Left Side - Right Side ddle - Middle Rear MMENTS: 466- ( - 6 U ;L,, R/9--A) bU C-�4- -7"-- C947/6e- --vo , _ cd, pc 7 - a SF- %U 7 iW //e 74/ (--:4"c_- j.:c ✓' ii&tiG-C SYSTEM USE APPROVED: YES NO • Arrived: Departed: 12 jrX_ Building Inspector (V To (6u6-R &tit) '"' i` i• ZON B s FLOYDMARGARET I. BATE.o�`, �,` DATED APRIL 1. 1986 IN BOOK 680 PAGE 441 A - - ev,c-r „,,.c. . c.,...', �w}'';. S84. 64 00T 4W `4 / 7Q5 yli {' RECEIVED �� f: SEP.1 7 2001 r ibl +t G. 14 .. TOW .., . • (S� WBUILDING OF QUEENSBURY a ,g DING AND CODE i 4... 2 ..y . AREA IA t �S ff 6.423 acrestoi f BASEMENT FLOORm292.3 GROUND FLOOR-301.64 PI N • • • ,• 200.00 U • 2 C,A/Z 2 -5'O r • 127,9q • a� T igc • 111 : , •-::;„..N8426.2o•W •• • n• .A. . las-c; il 1.,, 2 0",1 . • • fr... .. )< �'�' • • 8• .• • , :..... 0 . .. immiummumemenummi •• HAVILANDimirmmumemmemmummum • RCIA.D "1 have seen or observed, or believe I saw evidence of, vp04 :30 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart ' pm Inspector's Initials NAME: PERMIT# LOCATION: e Z� DATE : — TYPE OF STRUC : RECHECK N/A YES NO COMMENTS Footings/Piers I, I I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freez n for 48 hours following the pla me t of the concrete. Materials for this purpose on site Foundation/Wallpour — Reinforcement in Place / Foun ion/Dampproofing ekfill Approval V Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation L i Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- . Ceiling R- Duct work or piping in J 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 / : 0 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road. r Queensbury,NY 12804 Arrive am/pm Depart (� Inspector's Initials NAME: I J f---1—C=A S PERMIT It G ( — d� LOCATION: 14PN l U,4-N 0 Zo DATE : lk. a e i TYPE OF STRUCTURE: RECHECK N/A YES N COMMENTS Footings/Piers II— Monolithic Pour Form _ Reinforcement in Pl e The contractor is esponsi le for f li ' 261 " \providing protect on from eezingl\r0 , for 48 hours foil 'ng the p acement of the concrete. Materials for this p rpose on to Foundation/Wallpour Reinforcement in ace Foundation/Dampp oo g Backfill A 4 Plumbing Under Slab Plumbing Vent/Vent in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls ECterior R- Floors R- Walls RR:Ceiling - 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 / VC/ GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depar- ` 2 m Inspector's Initial 2 NAME: ta( -/ ;' PERMIT# 71 LOCATION: r_� ` lid' C'J�-,0 e., DAIh : s k Zr_�i v 1 TYPE OF STRUCTURE: RECHECK N/A YE/NO COMMENTS Footings/Piers ^ I. I Monolithic Pour Form Reinforcement in Place %�✓ `— The contractor is responsible for i providing protection om freezing for 48 hours followin_ the placement of the concrete. 1 Materials for this purpose on site t Foundation/Wallpour I 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 41111• 0a TOWN OF QUEENSBURY i , 742 Bay Road, Queensbury, NY 12804-5902 518-761-8201•.. September 25,2001 • • Floyd Batease 371 Haviland Road. - • Queensbury,NY 12804 Dear Floyd: • Prior to issuing a permit for the structure located on your property,the following information must be submitted: 1. A licensed engineer must provide soil perc tests, as well as deep hole tests,to show the perc rate of the soil,as well as the depth to groundwater in the proposed area of the septic system,. so we can determine whether a standard system can be placed in this area or not. • 2: An engineered foundation plan must be submitted along with these plans, stamped by an engineer, showing a cross section of the foundation,as well as the foundation layout. The • cross sections .submitted' with your drawings are generic and do not provide specific information regarding your project Once the above information has been submitted to,this office,a building permit will be issued. If you have any questions,please don't hesitate to contact me. _ Sincerely, TO OF QUEENSBURY i • David Hatin,Director Building and Code Enforcement • DH/ing • • "HOME OF NATURAL-BEAUTY . . . A GOOD PLACE TO LIVE" SETTLED 1763 . • • • . . . : ,..,:.,. . . • . •.-- --- . . -.- .. _ ___ . . • -• • . , . . • . • . -:• ," • . • . liL. . . ' -. , . - . . . r • . ; . . - • ' •. . . .. . • . • • . • - . . ' , . • • , . i 1 .• . • ' I/ 0•0'• 1 . .•. ' i -- -- 1-4-----2x 8 /21:,.5-/2'Z (4/1(‘: /77 i'l/n4/4) - / • . . • - - . ., . • • . .. . . . . . 1 .. . . . . . • - •. " • . : . • . • ; — ,g "C.O/YC,-. A//9I L (3a,00/cSZ CO/Ye,) . - ' • • '•.: ...;-: '••• '- 1 • ..) .. - • .. ,. . - . . . . . . . . - 1 . • ! . . - . I . . . . • . •I/ • - . . . . • • . ,.. • / ,....-4,/i/L... ., • . , , ; • i : . . ./ . /-.-• -•,6 -/,.!'--/ is :',-//€' . .• • • : I. i',/ ./y.,;•• ..1 • . • i i . . , _. , . . .• I . ' . ' • . . „ . ! , VZI/.///14. ----__i..• -., .. X-"---7: i...7. --;-7. ! : 1 . . , , • • •• .., . ., ... . I. : . . 4, .,..... ... ____--, • ,‘. . , . . . , . . .... - . ' - . ,. • - et. . ! ,.. . \ , _ i i• • - . . . . 1 \: \ \N„,,, N 1 d‹...... • .. ',/12/Z /es. .2 Z. ' . ; • •I Q 'r!--, ,, _ . 1 7:5•,-.;•>.:,.. , s..,, Is-. ..\ 1,• .----7:/=-7 j:/-iiA-%f ;Y,•-"7....3-- --/7Z;l'Z-: 6 ) : . ....... . 1 of,•,i .i• \. \ .\.. . _\ . . .,. ,zi" ‘ '.7'e-e.11/? ', OW6-22..c 1 '. ' : . -, ... .• —-• .-: .., • _ " • 1 -:.• -. • - . . 1 - .- -, . \.• . •• i • • • 1 • . . • . r , .. „. _,..,,--,_ „,_ .- .., c, . . - ' v,.„,.ssioNAte. ' .• 1 . . 3,.....:, ... • .(-9. . . 44,41- ONT Go._ .4r; - •1 - • - .1 - ' / " - ' N • • . , • . 'I-A-----. i , J I-..) ::,- . . f‘;:r -i; . • . • . /f4"-Z7/9 RS CO/V17 . • • . : I --1 * ...tti : .. ,E. • ' .. '. .- . .. . , - . • .J • . • . . . ; • - "isiZ:1;" . '' - . I - . • ' . J—Z--C T 2- / . .• . .. • •.. . . .. . . . . , . .,.,.„-.. - . ' . 4"./ " • .. :. - ;•. . .._.. . • • . 1 , . • • : :4.. : .. . . . . . . . . • • , • i . ., . ;•, . . . , .. . 1 .. i• •.. . . , . • i. APPROVAL SUBJECT TO ALL •'• . : . . • . ., . - . • • . ,. • CONDITIONS IN ENGINEERING - . • • - . . • ; ,. • --- • • •• • • • • „ EVALUATION DATED /. '---7,-r--:•‘-'7 • - • •. . . • • ..17//:.<----/-e-;:un. ?.....-...1 .4'"^"7-----7/2 • . . . , . . . , . • . " . . • • • • • • TO , ,_ ;r .,0 "` FLOYD G. & MARGARET I. BATE. ZONE B DATED APRIL 1, 1986 ` IN BOOK 680 PAGE 441 K , :. . S84 46'00"E 707.77 • ( 20.4)0 /— 7 a5 :,tir,t,' itlii ':.:1. IQ h E V D W ,,,„, I ARE 17 2001 "' .... ; ! / o Noz,se, 1 6.423 acres ,� co 1 ': `BASEMENT FLOOR=292.3 TOWN OF QUEENSBURY - M ;'y•;, GROUND FLOOR=301.64 11 BUILDING AND CODE M a; =Y t:, , .Y af`' 1i,4IL.tY.f '`- `. N8 to4 w 1 -_ ` cN G' 0 127.94 G ,34t 23 a / N81,38 40"w ,,,r N N ' I 1 d I 4, (( . 'I'" . z inOP ONC X • �� I vic,in • IIAVI�ND ,N ROAD "I have seen or observed, or believe I saw evidence of, all objects such as houses, wells,trees,fences, etc., shown on this document. I also represent that I have personally measured the distances set forth on the diagram." fr.4 ‘4._,--.. "--e.,. ..4t) G TURE DATE N 11NAUTI1OFSED ALIEAA110N ON ADCI11711 TO A SW NAr MAIM A WOOED LAND■wxmNa NFAL O A Map made for NOJI=OF=TON 77Oq as-UE�pOj a.OF M NCO 101Nf STAR EORIOAN N EAU' 'ONLY CONKS FDOI THE ORMNAL OF DNN SLIMY MOM UTl AN 040110L OF DE LAID SUM iEX(MALL NC W1i0Ot[D ID DE YAD DNE cOFIOL' F_IIGCFON °M7 FLOYD G. & MARGARET I. BATEASE 1INa NlwRty NwN"EMI"AOWOUNq rnl 1NE ^I oOLIrO an:4"EMI Fal wo aMKro6 AOor= Or 1NE NEW. IRATE AWOCWION OF FIr{EDYONAL we LAND LAND NURM.1Qti LAD OOTIFICAD MALL ALL NW OLT / TO 11E PERSON FOR NNW DE 81OEY O PREPARED,AID ON NO i TO DE DD[OOP p ANI,O71123• 1AL - KM/Li n',""„am„ ' Town of Queensbury, Warren County, New York 50135 / 7 t f lams _ r rMVYRAW --- — ' \\ FIRM FLOOD INSURANCE RATE MAP k: C \ HAVILAND '• ° r ZONE B. TOWN OF / QUEENSBURY, NEW YORK - ' WARREN COUNTY • • • PANEL 19 OF 35 ' IEEE MAP INDEX FOR PANELS NOT PRINTED) • • • • • • COMMUNITY-PANEL NUMBER ew •360879 0019 B _M n 1' EFFECTIVE DATE: ifs �Q .' �A Y'• JULY 16,1984 z it Hou I BASEMENT FLOOR=292.3 II Federal Emergency M GROUND FLOOR=301.64 Illii Management Agency KEY TO MAP • ' 500 Year Flood Boundary---,., 100-Year Flood Boundary _'er.�:: t 0.00 / Zone Designations, N 26 20'W , 100"Year Flood Boundary S00-Year Flood Boundary fi• .� /4Ji�9NP ;,.,;.;;, Boa Flood Elevation Line With Licnution In Feet** SIJ��-...� - I Base FloodIEL 8871 'Elevation in Feet • 1ff t Where Uniform Within Zone•• I I/ • ElevationReferenhA Mark Zone D B _._�,_oundary— fl N � C--- River Mlle M O O I !7 “Referenced lu the National Geodetic Vertical Datum of 1929 O) *EXPLANATION OF ZONE DESIGNATIONS ZONE EXPLANATION A Arco of 10factor flood;base flood elevations and flood hoard factors not determined. AS Areas of 100•year shallow flooding where depths are between one of inundation are n three(o)foo average depths are determined, shown,but no flood hazard factors AN Areas of 1WFyear shallow flooding where depths a/� � are between one(I)and three 3 e e elevationsd tee shown, but ( )feel;base flood T���T are dmermloed. °O BOOd hoard factors ♦Hl VI LAND AI•A90 Areas of 100•year flood;base flood elevations and ii / 'flood hazard factors determined. i,/ AEE Areas of 100•year flood to be protected by flood • protection system under construction; base flood elevations and flood hazard factors nut determined, Y Areas between limits of the 100•year flood and 300- year flood;or certain areas subject to 100•year flood. • Ins with average depths less than one(I)foot or where the contributing drainage area Is less than one square • mile;or areas protected by levees from the base flood. (Medium shading) C .' Areas of minimal flooding.(No shading) 'sh O Areas of undetermlded,but possible,flood hazards. • _ V Areas of 100-year coastal flood with velocity(wave action);base flood elevations and(food hazard factors not determined, VI•V90 Areas of 100-year coastal Rood with velocity(wave action);base flood elevations and flood hazard(actors determined. FLOOD ZONE INFORAMTION AS PER NATIONAL FLOOD INSURANCE PROGRAM • FLOOD INSURANCE RATE MAP COMMUNITY PANEL NUMBER 3608790019E EFFECTIVE DATE: JULY 16, 1984 • a� U S a wwrR+otbaa AL,FAATDII a ADOIIpN>o A P I MMO A MIMED WND tWVEVERI OFAL aIIA1ET M ^ MD.KOEON<F tTE EW DOA ENCAMP LAW.' I 1.ED 1C S V Z T V Ohty L�1E7 RCM DE ORDINAL tE L13 g alfY �V/ �/ RAISED MX MI CRON&OF THE IA/D BRIER IC&SRO.Et:canoe=TD fc VAND OW conga' • Land - - •CERIVIGTONE MCAT=112CON SOW!THAT Surveyors, LLCOM'I"Y WM�' °" e FLOYD G MTN°COX rF MAME/CR WO Oy INC file sorer WAN 0 DA11DM dP IMMONAL • LAID MAMMA BM OA1PICARONs MALL Dot OILY TO THE PRISON red MOM'ME EMMY IS PeRaem von • ' 4sk r,:'t:,c{a;;.: 4,..- FLOYD G. & MARGARET I. BATE. '�, 'ZOf B'' • , DATED APRIL 1, 1986 ` • � • • IN BOOK 680 PAGE 441 ''f : S84.4 pp"E A� i07.77 / 705 Fi:.•; . L., • RECEIVE ::. . • SEP 1 7 2001 is. % • . W • QUEENSBURY /p , _ �UU JNG AND CODE O. 0 AREA g ;:v • I I 6.423 acres PI! ' House' 'A '61"i BASEMENT FLOOR=292.3 ` l'•.• GROUND FLOOR=301.64 il . in • 200.00 .Z o,�/�c• :'' N8426' r 127.94 : . . 1.;.,...6113416.20"W . - j,.: V W , rid / Nal":37.7470 fit' �y9 i '.-- �s i • il • il`at c ; • �' �.1$O; Ig 1: zo �, '1 * ,,..00 Ity • I-�n ` . • , :_... g IIAVILA.ND 11.111 . R D "I have seen or observed, or believe I saw evidence of, , all objects such as houses; wells,trees,fences, etc., shown on this document. I also represent that I have personally measured the distances set forth on the diagram." f G ,TURE DATE • • • • wi umiaran/OMNI=OR ADODON TO A SW Map made for NAr OWING A IJ®OMO NAND NM vi VIAL IS A Iw ANN a MIDI UMILr a I.-Nwo or Is WI TON'TAU WJCADON LAW 'ONLY DMZ MY DID ON7INL a 111{NUAAIY DANDv VIN AN O KIN&of M• NMKIORS 1,="cc IO ICIIAC L ,II�DD� FLOYD G. Sc MARGARET I. DATEASE DWVIDADDIO NDIDAIm ICICON$3WT DNT ilp NU11ll'el";lIQAOIm N AOOOONOO[WM DOt 1 oOATNq Daac O nuance I01 w0 sIMKIDNN ADO►I® n DR NM MAC NTAN AONODADOO OF PODICOO OIOL () LAM ILODCO'UIL MID ODDIDOADOat MALL OWN OLT TO DE FIRDN FOR WOOD 1116 WDlT O POEM •AND DN W Naar TO DID DD[oOeran;OOAaMeRAL 12801 T; a.'trim"D AND Town of Queen3bury, Warren County, New York 50135 • • • C