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98-608
CERTIFIC,A IM OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK March 1 99 l } Date �j 1 "'e � � 98608 This is to certify that work requested to be done as shown by Permit No. has been completed, SINGLE FAMILY DWELLING ( MODULAR ) This structure may be occupied as a 328 BIG BOOM RD4 Location NELSON , MARK A . Owner TAX MAP NO . 141 . - 1 - 12 . 1 By Carder Town Board TOwW OF +QUEENSBURY Director of Bldg. ck Code Enforcement BUILDING PERMIT VALUE $ 90000TOWN OF QUEENSBUR,Y No. O4 =eQ TAX MAP NO . 141 . — 1 - 12 , 1 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to OWNER of property located at BIG A $a^ — Street. Road or Ave. in ttteTown of Queensbury, To Construct or place a r, INGl_u V- A- M"rI W EMET-LING 1 MQ-OU -} at the above location in accordance to application together with plot plans and other inftirmatian hereto filed and approved and in compliance with the Town of oueartsbury Building and Zoning Ordinance. t. OWNEWS Address is BIG BOOM ROAD QUEENSBURY , NY 12804 2. CONTRACTOR or BUILDERS Name 3. CONTRACTOR or RUII.OER'S Address 4. ARCI{(TECT"S Name COMMONWEALTH ELECTRICAL AGENCY 5. ARCHITECTS Address PO BOX 706 HAGUE , NY 12836 $. TYPE or Construction — (Please indicate by Xi SINGLE FAMILY DWELLING I I Wood Frame ( Masonry t 1 Steel ( l 7. PLANS and Spacilicatlons 1640a. SQ FT SINGLE FAMILY DWELLING ( MODULAR ) AS PER PLOT PLAN SPECIFICATIONS S. Proposed Use SINGLE FAMILY DWELLING ( MODULAR ) 192 October 6 t9 2000 S PERMIT FEE PAID — THIS PERMIT EXPIRES (If a longer period is required an application (or an ex%ension must be made to the Sullding and Zoning inspector of the town of fluaensbury Were tha etrpirationt date,! 6 October 1998 Gated at the Town of Queensbury this Day of 19 SIGNED BY \1 for the Town of Queensbury Building and Zoning trtspaeear Building Permit Application Town of Queensbury - Dept. of Cominuitily Developvnent, 742 BuV Rotul, Queembury, NY 12804 1761-82S61 BUILDING & CODE ENFORCEMENT a �kW+j Requirements prior to issuance _ of this permit: PERMIT FILE NO. <� A permit must be obtained before C 7 beginning construction. No inspections PERMIT FEE PAID ,$ Y will be made until applicant has receiver] © Zoning Board Action a 'VAL.ID BUILDING PERMIT. All Area ! Use RECREATION FEE A applicants` spaces on this application MUST be completed and. the signature Q Piing Board Action REVIEWED BY of the applicant must nppear cn the SPR / subdivision 1 other Buflsting InsIvctor iOO fOrm. Awwx y� Recreation Fee Pa ym t Qwo Ito ©L v . per " Address: _ P)R ESQ% 1;:�> 1p ! Address: Phone # { ) ` --___-- Thane # JZ3 Property Location: lu l �A I "Tax Map Number Subdivision Name: Section Block i nit NAT E OF PROPOSED WORK : ESTIMATED MARKET A UUE OF THE New Bu %]sii:firg:- McsL7 0t-R[� CONSTRUCTION : $ �� wide a commercial AddltBo uilding : residence / commercial OC PANCY INFORMATION : Alteration to Building : Pr many Building residence ! commercial Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work ( describe below ) Mercantile Manufacturing Other GROSS AREA OF. PROPOSED STRUCTURE : 1st Floor . . . . . . . . 1 [ot-- 0 s ft If ADDITION , what will use 9 • . of new- addition be ? : 2nd .Floor . . . , . . . sq . ft . Other Floors . . . . . sq , ft . ( not unfinished cellar or basement ) ACCESSORY BUILDINGS % Detached Garage 1 , 2 car TOTAL FLOOR AREA. : ` c7' �L�%_ SQ • F`1' • Attached Garage 1 , 2 car Private Storage Building SIZE OF NEW STRUCTURE : Commercial Storage Building Other (rc? t 7 FEET X FEET Foundation Type : VC, Will any second- hand or ungraded - Number of Stories : I lumber be used ? if so , for what ? ( habitable space only ) Height ( grade to ridge ) : feet TYPE 00 HEATING SYSTEM : Number of fireplaces and/or woo stove ( circle all ch applies ) to be installed : Electric Gas / Wood �Ferrc sir Baseboard / Other Person responsible for supervision of work as regards to building codes is : Name Addresss Phone Builder : Plumber : Mason : Electrician ; DECLARA770X* Please sign be"v of 4er you have carefitrlly recut 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 previsions 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 Uwe shall submit prior to a Certificate of Occupancy-'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: .- 1 { 7 weer, owner s agent, architect, contractor) rt Application for SEPTIC DISPDSA-E PERMIT Town of Qum ry �J � �P of +Con�mun.tnunity Development Permit No. Building & Codes office 742 Bay Road Fee Paid $ CQueertsbury, NY 12,804 Location of propei flog installation: C_N,sA Property Owner's Name: 1998 Property Owner's Mailing Address: Installer's Name: 5tl liV J!!F-XCjQ+V/. r1 Phone # Number of bedrooms (if residential): Total ,may flow : %50 (residential - compute (i 150 gal./bdrm.) Topography: flat, rolltng, steep slope of slope Soil Nature: sand, loam, clay, other / depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? feet Percolation test: not required, required [ rate lain. per inch Domestic water supply: municipal, well, other If domestic water supply is a WELL, water supply from anv septic absorption is feet. PROPOSED SY5TE14i Septic tank: gallon (nluurnum size: 1,000 gat.) Tile field: each trench 150 feet / Total system Iength: RO 9 _ feet Seepage pit(s): number of I size each.: ft by ft. Size of stone to be used: I depth or thickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons Alarm system and as�"..�-+ electrical work tb ba ;,,�-*�-+ by a certified may. Far your protection, please note that pursusmt to Section I36-29 of the Code of the Town of QueensNzy, any permit or approval granted which m based upon or is granted in relurace upon any material n3ifirepresentabcm or failure to me a material fact or airrumatance known by or on behalf of an applicamIt, shall be void. I have read the rea,taraona with respect to this application and agree to abide by t1effs* and all requnements of the 'Town of Queernsbury Sanitary Sewage Disposal ordinance. Signature of responsible person: 9 _, Date. �� ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY , WARREN COUNTY SEPc .29 1998 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 APPLICANT ' S NAME : PROPERTY LOCATION : SA PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area scxare feet 2 . Type of Heat - Electric ✓/ Oil Gas/ Other 3o is building mechanically cooled? Yes ✓ o 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 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 TEMPERATURE CONTROL MAXIME3Mi SETTING 1400 now WILL NOT BE EXCEEDED ,Applicant ' Signature D to Phone Number INSPECTOR ' S REMARKS : BLDG . PERMIT NO. 98 - 608 APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; 328 Big Boom. Road for the following uses: Single Family Dwelling ( Mark Nelson ) Fl . 'DATE ¢ 1 � � SIGNATURE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ( AP' PROVED ( )DISAPPROVED with the following conditions: Certificate of occupancy to be issued upon completion of : install stairs and handrail sliding Doer TEMPORARY CERTIFICATE OF OCCUPANCY FEE: ( )$10.00 DEPOSIT: ( )$100 .00 received on February 8 e 1999 Date of Issuance Director of Bldg. do Code Enforcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 60 DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement or his designee. RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received f Building &. Code Enforcement Dept. of Community Development Arrive "Q!* hu Town of Queenshury tor's 742 Bay Road QQueensbury, New York 12804 � � PE121u1TI` # 23fi ME DATE 1 LOCATION TYPE OF SIRUC'1 [.TRE NIA YES NO COMMENTS Chimney HeightP 13" VentMirect Vent Locati Fresh Air Intake 3 Plumb "Went through roof +�� � Roof Complete Exterior Finish Comp to Interior/Exterior Railing Q" to 36" Exterior I3andrails, balconie attcling 8 in, or mor Interior Handrails stairs both side more riser [made 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regul or 18" above grade _ Gas Furnace shut-off within 30 f or within line of site „_...... Oil Furnace shut-off at entrance t furnace area FurnaccAlot Water Heater opera Relief Valve(s) installed Headroorn, 6 ft. 6 in. on stairs Basement stairs, 'u ft_ 4 in. Ilandrail exterior stairs both s' s more than 3 risers Interior privacy/trim/doors/ entrance 36" Floor Finish_ BathrooraMitchen 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 'la 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 As Built Septic System layout required_ Okav to issue C/C (Certif. of Compliance) May to issue temp. C/O (Certif of Occupancy) Okay to issue permanent C/O (Cenif of Occupancy) i'i+ISPECTT4L3 Sti+:nt� �..r `���H '�LEG`tRIGAL i 75�5 1 caMmONWETerrace�„T rtiaY.tf �• P� XVPR©VAL office 357 E LA N[ain ATE ELECTRICAL ^�IFI � c ' •7 c4 �UNI,CIPAL CER �y Card Nu. .. Celt- t Panel 8 Ow ne r Occupant unsistinS of .� •_. . . lnstallatiun _..-..- -,._ nd any yert1i ll axC ..-- ...-........ ...... ............. ... rtifiwate. a 1t on - ._..-. ._ .. -.. ,.Iti•!-G-4'r.., .., ... of this a5 �rf data-made lot -T" the issixance condition romptly [read installed BY ...... fotlowints governed ent and installation if its The conditions the elecxricat equip"sr dons, applicatit'n shaif be P time, and celled: -oniy covers ent ur insPeetions at anY issuThis certificate ddittonal eq+-1iPtr` a of TnakinEt rnfieate- uction of a have the Pt",t tett a this ca ..,/'. _ . the intrad a0Y shall ha to revok . - „ . inspection- this Comp shatt ►tsve the rig .-_ ►_A,E..I. inspectors of Company ember N.E.p.A.. rules ate violate d, the Ir1SP4T Date ,, ..Q. r` .? ...._.. TOWN OF QUEENSBURY j BUILDING & CODE ENFORCEMENT -742 BAY ROAD QUE(5I8 ) 745—NSBURY NY 8i14 44A7 ! �1� r�- Ae.P, FINAL DIP P� INSPECTION REPORT -- RESIDENTIAL DATE INSPECTION REQUEST RECEIVED $ NAME LOCATION 1� DATE / EMIT I TYPE OF S UCTURE FOOTSNGS� FOUNDATION BA+C'KF LL FRAMING ROUGB PLUMBING SEP IC IN LATION FINAL ELECTRICAL W DSTOVE OR FpIREPFACE p A 6 —per CHIMNEY HEIG14T B VENT It IG T PLUMBING VENT 1 ROOFING d _EXTERIOR FINISH f� DEC SC_L_FOR it_LSTEPS RAILINGS tET..IEF VALVES ' FURNACE HOT W TE PERA IN INTERIOR TR M RIVACY DOORS FINISH FLOOR3 { BATH K CHEN W TER.T GIIT OTHER. FLOO S SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCI? RAI ING•S SMOKE DETE4'TO 8 BATHR OM FANS PLUMBI G FIXTUREs FOUNDATION INSULATION GARAGE FIRE PROOFING f DC1OR C_J +('15ER5 FINAL ELECTRICAL SITE PLAN VARIAN RE FINAL SURV EY P'�L,, YLAN OK TO II_SSU C OR CKC .00 /IVS�cG TAWT o ,+� i +ti 4'�- c '5..�* �.�d SIB" G "G+?•r•' 'rF-Y� iU'C�-E-�''.�A-,�2�i' � o.F�°�Tt'a•'vS [c� U`d c"r7"Io�eJ 0 'I F'1[R1A.L NVSP�CTft�I1V �RILP`it~iT MGM3fLE ! MC3z3 JLAR Town of Queensbury Building &. Code Enforcement 742 Bay Read Queensbury, NY 12804 (518) 761-8256 ARRIVE: DEPART: : A INSP: V ' DATE INSPECTION REQUEST RECEIVED: NAME: LOCATION. PERMIT 0 r (! DATE: Z + Ly 140s][LE 110 M[8 {yD[TLAII pME ppOt'I tNGS FOUNDA-MON SACK I r FRAMING N/A Y7 NO I. foundation support, pier spacing per manuf.. .. .. .. ... .. .. .. .. .. .» ... f 2. anchoring per manuf. ». ». .. . . . » .. . .. 3, water line shut. Off . . » . ». . . I. .. .. .. ... 44 sewer line support a 4 feet -- 5. heating Grosso r (dblewide ff grd. 6, dryer vented ou 'de .» .. 7. skirting ventilated 8o hot water relief v e Pir 9, deck, pOt clues, Ps' railing . .. . .., » 1p. furnacelktat star apernting . . , ... .. 12.1 garage Proofisx8 ., ». .. . • .. .. . ... door c rs . . .. . .. .. .. ... .. . . .. .» .. .. . 14, foundation insutatiOn (if 15. smoke detectors ,` 16. final electrical �. ' , .. 17. variance required .. .... .... . .. .. .. .. .. �( 18, data plate y . .. .. 19. mobile HUD seal `okra.�y .. .. .. .. .. . Model # S°rtal # l Z. �` Manufacturer �"'2C '/ ►� 7~ Date Of Manufacturer t�i Z-f i OKAY TO ISS C YES NO Cos m ents. (AA Ir' RIlVAL IiIVBPECTICk111 r�t�r�*cara r MC101LE / MC3IDIJLAPI _ Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: DEPART.* INSP-. `�{►" DATE INSPECTION REQUEST RECEIVED: NAME; /I/�c=G� d.JT AMC LACATION: �,_J '' / DATE. E� PERMIT # 9�" MOBILE HOME MOKPLY*-AR HOME FCKYrINGS _ FOUNDATION BACI FILL _ FRAMING — NIA YES NO 1. foundation support, pier spacing permanuf. ., ., ., .. .. . . .. ... .. .. .. . — — — 2. anchoring per manuf. . .. .. .. . .. 3. water slant, off 4. sewer 1' support a 4 .. .. ... — — — 5. heating c er (dole da) off grd. — — 6. dryer v outside . . .. ..... .. .. .. .. .. . 7. skirting ven _S. hot water relief v ing on — — — 90 deck, parches, ate . railing . .. ..... — — 10. furnace water operating ...... .. — _ — 11. garage fire proo g . ... .... .. .. .. .. .. ...._ — 12* door closers . .. ... . . .. .. .. . . . . . .. .. .. 13o plumbing fix — - - — 14, foundation insulation (if appl.).. .. .. - 15. smoke detectors . ..... .. .. .. ... .. .. .. .. — — _ __ 16, final electrical . .. ... .. .. .. .. .. . . . . . . . . 17. variance required .. ....... .. .. .. .. . . . . j 18. data plate okay _ 19. mobile HUD seal okay .. I..I. .. .. ... — Model # Serial # i � Manufacturer Date of Manufacturer I OKAY TO ISSUE %A YES NO Cornmentsw Left TOMM OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbaury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name � �,�/ k• �.,` Location p I e Permit SOIL TYPE aL am-Cl ay- Results of Percolation Test- ( if applicable ) 1Rate-Minute/ Inch TYPE OF SYSTEM: ABSORPTION FIELD Total Length ! Length of each t nch Depth of trenches —� Size of stone SEEPAGE PITS : Numbe 7771 Size - ft , f . Stone size _ PIPING : Sire Type TankBldg . to Tank -����'? .� r s� to [list . Box Dist . Box to Field/PI 1c Openings Sealed ? es o arti a�i LOCATION/SEPARAT Foundation to Tank p feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan LOCATION OF SYSTEM ON PROPEERTR ( circle one ) Front - Rear - Left Side - Right Side p9a'°ddl"e Front - iddl a Rear C I I 1 1 i i SYSTEM USE APPROVED: C YFS Arrived � Depa ed : gip" B ildin In y S GENEERAL REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bap Ruud _ Queensbury, NY 12804 Arrive ina. x ,Dwk Inspector's NAME: PERMIT # 0 LOCATION: DATE : cal TYPE OF STRUCTURE" , RECHECK - N/A YES NO COMMENTS FootingslPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing pro an from freez for 48 hours folly the pla en of concrete, s for this purpose o site elation/Wallpour Reinforcement in Placte FR `o�rnappr+aofiug Plumbing Under Slab Plumbing VentlVents in Place Rough Plumbi 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 Fram mng Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Seated Fire Wall 2, 31 4 hour Firestoppin GENERAL IN PE IUh�`REP+�RT Town of QueenabA�W Dept. of Community Developmentr Date In revgwest received: Building & Code Enfocement 742 Bay Road q Queensbury, NY 12tio4 Arrive am/pm �p� / ` am/ Inspector's Initials NAME: PERMTr # L.QCATTQ DATE : TYPE OF STRU UOF 40 RECHECK NIA YES NQ COMMENTS gstmers 1 Monolithic Pour Form �-+ Reinforcement in Place — ✓ `� t_L—/rnJ —e� � �� t-c� - f� vZMiE? dv� �j The contractor is responsible for providing Protection from freezing for 48 hours following the place�p cnir of the concrete. ,per L �'12 F(.� GC- Materials for this purpose on site Foundation/Wall Reinforcement in P � Foundation/Damppmo Backlxll Approval Plumbing Under Slab--�,�� Plumbing Vent/Vents irf 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 Framin Jack Suers Bracing/Bridging Joist Hangers — - Jack Posts/Main Beam Aix Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INSPE["'lCllV REPORT ' Town. of Queensbury Dept. of Community Development Date inspectionrequest received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive as/pm Pm Inspectoes nittiah.—AQ �! DAME: /00&— 5 PERM M IT # "-(0 i1 'V LOCATION; y � DATE : TYPE OF STRUCTURE: xs-� RECHECK —.. NIA NO COMMENTS /ootings/Piers Monolithic Pour Form ` Reinforcement in Place The contractor is responsible providing protection from ing for 48 hours following the p cement of the concrete. Materials for this a site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi. Backfill Approval Plumbing Under Slab Plumbing Vcnt/Ven in Place Rough Plumbin 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 Framin Jack Studs/Headers Bracing/Bridgiitg-__ Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire separation 1 , 2, 3, hour Penetration: Sealed Fire Walt 2, 3, 4 hour Firestapp' 16 1 fhave seen or observed, or !3alieve I saw evidence of, sfi;iwn it objects such as houses, wells; ees, fences, etc., on this document, I also rpv P.OA that I have Pa(sonally measured the distances set torth on the diagram:' SE ATUI�E ;)ATE UJ f j y . A l! f �r T4 40 PIE r% 4 vi Nol. _41 :S. $ ` S ' f�r't . +we• sJ'L' 'L 'l i '1 on _.mob L �s 1 »P"� mar' ' lark Tom Wz 10•. �• p LA mmo "me7eP ' �+'4if$ oe+vlkwwo G 0` • a � woo i� 'lira t , lOW a mm r OZZ �r 1 }/ n y A N �l ji WWI ow S2'Z l-rt �4 "9 't*z C "^' _ �" ,•mot .+1 •t*a � rc f �t C) 4 •;y •1 ' o N <go9 L aA