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1987-687 r + i EMISSION CERTIFICATE CAL OCC V PA.MONY I TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK L1ace December 14 I9 38 This is to certify that work requested to be done as shown by Permit No. 87-687 has been completed. This structure may be occupied as a C7ne -Family (Modular Nome } Sherman Ave . Lacsaticm � Owner Lamplighter Rome Sales c /o Issued for lat Floor only . Upstalrs to be completed by new owns-r By Order Town Board whexi old . A buAP.iding, PervAt will be vequxred . TOWN OF QL)EENSSTJRY Building & Zoning Inspector i BUILDING PERMIT H TOWN OF QUEENSBURY � No. 87-687 WARREN COUNTY, NEW PORK ' 6 PERMISSION is hereby granted to Lamplighter Home Sales Bernard & Richard Rogge OWNER of property located at ^rzherrnan At*e . Street, Road or Ave. N r in the Town of Oueensbury, To Construct or place a One Family* Mod 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 Oueensbury Building and Zoning Ordinance. 1 . OWNER'S Address is RD # 2 Fort Edward , N . Y . 12828 2. CONTRACTOR or BUI LDE R'S Name t Same d sn � 3- CONTRACTOR or BUILDER'S Address � ro rt Pd r- 7C r7 rJ `3` B W ro 4. ARCHITECT'S Name ` r I� to W xi i1 a ro UQ as m CD cro S. ARCHITECT'S Address m rt 6. TYPE of Corkstruc0mn — (Please indicate by X) 19 (X ) Wood Frame 11 Masonry I I Steel I I >a C N 7. PLANS and Specifications No, 26 ' X 44 ' per plot plan , specifications and application including septic system S. Proposed Use One—Family Modular � VD ro I $ 5 . 00 C/O a' $ 133 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES May i ' ' 19 88 Uf a longer period is required an application for an extension must be matte to the Building and Zoning inspector of the �C town of pueensbury before the expiration date.l O PA i4th Da of October 19 87 F Dated at the Town of Oueensbury this 14 h Day , t SIGNED BY / " / ` �- - Q -� ' for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT , Application No . J_d Cl 7Own O/ Queen3A"Iy Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 L861 � '_ lu Q Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation I 4f Queensbury, New York 12801 variance No . i 1 Site view ✓ Appr v APPLICATION FOR / A/C. ,tom PUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description , plans and specifications submitted and such special conditions as may be indicated on the Permit . /f,//6 W17 --The owner of this property is : Z _ 6 Aline &Srr+'t ef, „ AliI SM/ 02s yqq P , O, Address 4Z- � p tt 2 IFU2 !!! n 45Z-40t.Il J- _ > dr 2 J' Tel !' 3 -? 3 9 z Property Location : a ir, r ,rein lq#. rA eE Tax Map Nam Street number or building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name POO& Address fTel , No . Name of builder G r x Address /Z _ 4. L. Ae1j, E r{uJe4s� el Tel . ? Name of plumber. frs[ Address R D 2- ,� r C da.✓ Tel . + r 0 ; r- ] Vf? mr. Name of mason Address Tel . S' y -- ,ro fe NATURE OF PROPOSED WORK : ZONING INFORMATION : instruction of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED , Addition to a building drawn reasonably to scale and attached hereto , Alteration to a building * showing clearly and distinctly all buildings , � (no change to exterior dimensions ) whether existing or proposed and indicate all Other work (describe) * set-back dimensions from property lines . Give street and number or lot number and indicate whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW _ " Size of property +/43" ft X 2- 40-+-� ft . Existing building ( s ) Size ft X ft , PROPOSED BUILDING AND USE ; Existing building ( s ) Use Size of new structure ,,, - c ft X ,'s�ft Foundation-pier/slab/crawl/partia ful Proposed building , distance from property line (circle one ) Front yard ""r ft Rear yard / �j ,f ft He of stories (habitable space} _ + Side yards e S' ft and y/c1 ft Height ( grade to ridge ) ft , If on corner , setback from side street ft If residential , no . of families f No . of rooms ( excluding baths ) OCCUPANCY INFORMATION No , of bedrooms PRIMARY BUILDING - No . of bathrooms �- �. Primary heating systemf� One family dwelling Two family dwelling Type of fuel Multiple dwelling / Number of units No . of fireplaces to be installed Aej ,/ Will a wood stove be installed?o * Permanent occupancy Central Air conditioning? N1r+r Transient occupancy Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin Other Raised ranch Mansion Duplex x If addition , what will use be _ S 1 ' el Old style Bungalow ape Co Cottage Other ACCESSORY BUILDING- Co a Row Town House * Detached garage/cane car/ two car/ car ( CIRCLE ONE PLEASE ) Attached garage/one car/ two car/L.car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF �Othet CONSTRUCTION $ �lr 000 INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : F Type of construction , wood frame , fire safe , etc . A orAft rr2. r4 Will any second-hand or ungraded lumber be used? If so , for what? ewLoJc.) Foundation wail material r" ,� n, G /C r ry" ,P Thickness ,�`3 Depth of foundation below grade (to - bottom of footing ) :2 rMod � • Will there be a cellar?_ j e—" eated or unheated? * J4,*1�tfr loor sq. footage /1' sq ft « Will there be a basement? Will any portion be used as living space ? ( If so , what porti sq , ft . - - Type of use? Type of roof - oped/ lat/shed/other * Material of roof Size , wood studs "?[ { _ " spacing "o . c . length r+G ft . Joists ( floor beams) 1st . floor f.- "X or y spacing_Z_Me� "o , c . span 3�ft . Joists ( floor beams) 2nd . floor "X spacing "o , c , span ft , Overlays ( ceiling beams ) "X spacing "o . c . span ft_ Roof rafters " X " spacing o . c , span ft. Roof trusses (pre-engineered) spacing "'o . c . span ft . Exterior wall finish Ae rA9 P 'Ai , Jk I � 6 Of what material? 0% Interior wall finish 5!h&rM 12 p c, (c� If a garage is to be attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? If so will a Fire-rated door , enclosure , and self-closing device be provided? Will a flue-lined chimney be installed? Height above roof ft , Depth of chimney foundation below grade ft , Depth of fireplace hearth ft _ in , Water supply - Municipal or private well Zjj 9A A , Ll SEPTIC SYSTEM _ Distance from ANY private. well ( including adjoining properties ft . (A separate application is necessary for any repair or new installation of sept c system) Town of flu Warren County of Warren .K A F F I D A V I T STATE OF NEW YOR I swear that to the best of my knowledge and belief 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 not , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature _ er , owners agen , arcni te0t , c ntra , _ "3 t� day of �,p.'�'"� 19 � 7 Notary Public , Warren County , N . Y . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * r SPECIAL CONDITIONS OF THE PERMIT : APPLICA013ON FOR SEPTIC DISPOSAL, PERMIT DATE / &� > LOCATION OF PROPERTY FOR INSTALLATION „' 0e, rrt $I Owner's Name: [ /.bx ram/ 4_ �lpeK _2rtz/& '+CF' g4 (i'elephonet Addresst _ L 'Ljor 7' "t � r - Installer's Name: LA) 1ML A ti (f 00 Telephone: Number of bedrooms (residential only) __� Total daily flow (compute @ 150 gal per bedroom) fly Tcgxn�praphy: circle one: Flat Rolling Steep Slope % of slope Soil Nature: circle on San Loam Clay Other / Depth: feet Ground Water: At what depth? ,r..-/ ea_. feet Bedrock or Impervious Material: At what depth? i / •' .Q feet Percolation test: circle on not required equired / rate min. inch. Domestic water supply: circle on Mun cipa3 Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM; Septic Tank / 5 L1 gal. (minimum size: 1 ,000 gal.) TILE FIELD : Each Trench :rL Ij feet / Total system length �� feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # / Depth or Thickness __ feet IMPORTANT „.Please...LIST NEW EQUIPMENT TO BE INSTALLED (over) Section II 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, the 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. iG. 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. I have read the regulations above and agree to abide by these and all requirements of the Town of Queembwa-y Sanitary Sewage Disposal chrd lance. Signature of responsible person: Date: mac' ` -- 30_ Sr- "7 Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD- PLACE TO LIVE O MIDDLE DEPARTMENT INSPECTIONAGENCY INC. goo Haddon Avenue, C001119rerood, a r. a Dale December 1 , 1988 ( erflf iVA that the electrical equipment listed has been examined and is approved as being in accord with the National Electrical Code. applicable governmental, utility and Agency rules. T Dwelling owner., Lamplighter Humes Occupancy: Same *'Y �!V pccupan[: ee ��us-V (na'rre 0.0) Twicer yticare cwan the elaclr pal equipment and in sta7tannn ns pecretl to o Location: Upper Sherman Avenues Qu Y date. If ntleitlanal equipment ahp+ld be inlrodticed or ailerat'ans made to existing system this certificale. shall oe null and + id. and dp Plicateon Far in SpeCtian anould oa submitted promptly to thia Agency Fixtures ; nt same to hi or gperly a auranea carrier 7 0 Qutlets �+Oeceptac lea ; l0 Noldar of this certYticab ahauld paese Equtpmafit,• s {agent or thmponyt as evidence Of ce*tiricaiion of elacrrlcal equ�ptnent apP*owed C ':i:-ka - as aPeciibd. �, Appliances .. r Lamplighter Homes NO - 15-028388 gpplfeant: Saratoga Read � _ . �•- `. ' pea is lee, 703 6L 1.53 (]F QUEEl3SBUR.Y TOWN CODE5 DEPARTMENT BUILDING AND BUIHAVILAND" ROADS 12801 YORK BAENSB QUEURX. (518 ) 792_ yg32 TEY,EPHONN P pRT Wji,1 I31 G Il3SPEC �tJR' S ! INSPECTION RECEIVE7�7__,[t. RgGUES 1/0 ZI NAME LOCATION PERMIT # APPROVED DATE yes NO pooTING/PIERS PORMS_- MONOLITHIC p0U P�pROOFING__ - --� �-- FO fWDATZO ROVAI �- - ~� ~� ~~~ BACKFxLL A PP ROUGH PLUMBING � FRAMIN xCAL ROUGH SN�� ELECTR 1 INSULATION: FOUND FLOORS WAL LING INSPECTION INAL HEIGHT �- CHIMNEY ROOFING SIDINGESI EPS��-- -�`____ EXTERNAL � RAILS VALVE STAIRS~CLEARANCE SIRELIEF RS PLUMBING FI.XTUR INTERIOR TRIriS/ RIVACY DOl7 FINISHED FLp OOF.TNG��_-� GARAGE FI ER DOOR CLOSERfIS ? SMOKE DETE CAL INSPECTION p CTRICAL CONSTRUCTION FINAL ELE Of7AL OF FINAL APPR . 1 - T BE OCCUPANCY Mt15 FORE - -- "_�� - EPARTMENT HE A SIGNED CERTIFICA BUIOI,FDING D OBTAINED FROM THE OCCUPIED ! MISES ARE r THESE PRE INSPECTOR IU-2001t4G � 4/ �ia e¢rt a st r and Hawlfand Road, R.D. i gox 98 Oew York 121901 pueensbury, AI SYSTiEM 'INSPECTION SEPTIC D I SPOS E- FERMI NO. 42 Lo YES - 140 SCIL TYPE Sand e iced - Percolation Test R % Inch Percolation rate — irlin/ Y TYPE of SYSTEM* .total Ieng"th Absorption field , ench I,.ength of each tr L]epth of trencbe5r-----r Size of gravel SEEPAGE P1 S# 11 Gravel }s ze --�� g xe eye PIPII3G : aldg - to tanx Tank to aist . box t �� - lal to field NO part flirt . SS ) openings 50'ai�� SEF"A oMS ` �- LOCp,Tlota/ to anlc rf ft • F onnciation absorption f,t- Faunaation to lot line ft. Absorption f pi.t PE s (circle one) Separat.io R ght side IACpTT.CN ron eft Side Ft ar cajiME"T SYSTEM USE APPROVED Y N Pru i in9 'Inspector t7l f86 and v1 F� QW'R! pL'B� �pFtTlE � / � and Z S.D. 1 E34x 98 �{ 4�1111 DIfYG f Bay a'0d Ha�iland Roa Yo"k 12801 QueensbufVo New w ,REP09RT g, l} IL© IN'G INSP �GTdR j A NAME i^ f !z- T I C)N U v �Ge 1,.OGA N� . pexTnit Lao gate * * * * * ✓ p.PpROVEt) -* ` �'oc+tir;91'p�-er Farm-s �ounc7atioTs aterp��f int3 goof ing_�- S�Ldln Veneer a9 Fluinb n9 Relief ,,halves Ext - Pod E' es shed loors i lnte Tso& lings le ;lar grain Pi Concrete Floors p1 3 - Fixture W3 Gar Firepresof cl` se'rs Door oor Detectors Chimney E•ounCIa 3-.on Floors W all s _ Ceil�nI ECTN FECTI0I3 ICPL F IN A3 ]7ItIV'E�y�A"� APpg'DV ALA--�'~'�� Final Building survey ����� � - L ay 7 Inspection (call ,aen 23ex � sCihe led Remar,�CS Inspector i E,/g6 and-vl own Of Queenj1 " r5f BUILDING and ZONING DEPARTMENT Bay and Haaiiand Road, R.D. 1 'Box 98 Oueensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME 'J AM Ll3CAT I C7hl iMA ll [uGA p [r:[�wf-1 Dry . Date Permit Nov [ V/ / APPROVEI]* -* * * ANC? Footing/Pier Forms Foundation Waterproofing Back.f i l l Framing Roofing Siding Masonry veneer Rough Plumbing —..� Relief Valves _ Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile concrete Floors Plbg . Fixtures Gar . Fireproo ng Door Closers Smoke Detec ors Chimney INSU14ATIO Foundati n Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APFROVAL Final Building Survey_ Next scheduled lnspectivn kcal when ready ) Remark.s- c9 Building Spector 6/€36 and-vl L BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS, FILE T141S COPY WITH BUILDING DEPT. WHEN RECLfIRED. TEMP. CITY OR , - VILLAGE TOWNSH `IP COUNTY _�C' x NNV #2 STREET AND NO. OR f ROAD AND POLE NO. !e POLE NO. BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED7 a= t .A ,A) �a »7 C d6 „4 �S fl,.eShcrl:'S" ON / BLOCK LOT OCCUPANT'S BUILDING NAME OCCUPANCY . OWNER'S NAME TEL, AND ADDRESS vaa + -' `. _ SSUPPLIED II----�� FROM THEIR y jj OFFICE BUILDINGANNI DEFECTS NEW OLD 1,J WORK ❑ REMOVED Is IS NEW ADDITIONAL r LIST BELOW ALL.. EQUIPMENT WHICH YOU INSTALLED RCH NUMBER OF OUTLETS La�ir1I R of iiceptacles MOTORS HEATERS tures A CIR(�'UITTS OFFICE USE La6t ONLY tion Side Attaeh't H.P. Watts A.W.O. Coiling WON Recap'ls $eritch Pendent Bracket No. Type Each Ale. Each No. Gauge INSPECTION Out- side bias Base ment In Fl. 2" Fl. 3rd Ft. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: OO NOT USE THIS SPACE. ThiS appi ital ion is intended to corer the ebarrMisted equipment to be inspectad but it at time of inspection th am is found additional equipment not above listed, you err authonaed to make the inspection and Whist the fee to cover the additional equipment, es provided by the applicant. SIZE Of ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER ED-:> GAS TUBE SIGN OF WORK OlerArED TRANSFORMERS OF VA WORK TO BE iNUMBERI 1CAPACITYI STARTED _ COMPLETED Si2E OF SIGN SERVICE 143VIiiRHEAD UNDERGROUND MAKER ENTERS OF SIGN BUILOING INSPECTION REOU TED �I ON OR AS NEAR AS POSSIBLE o „ NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAYBE RETURNED. PRINT NAME AND ADDRESSNAMEOf / . APPLICANT• ? APPLICATION � ] ! STREET ADDII ESS t TGE.LEPHONE LICENSE NO. POST ITY OFFICE / I ` YL l '� fT L„Lid�.�L- +1 �Y, CODE } z 'WHEN APPLICABLE 46 EL (REV- NIBS) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING r ' r . Soo - 16 4 C `'t aX la od 6 N t.. rn r s f fn t + r f ArMORSE ENGINEERING 99 LOWER DIX AVENUE GLENS FALLS, NY 128011 December 7 r 1988 Queensbury Building & Codes Department Queensbury Town Office Bay at Haviland Road Box 98 +Queensburyr NY 12804 RE : Ritz -Craft Modular Home Inspection Upper Sherman Avenue , Queensbury Gentlemen : Please be advised that Morse Engineering has conducted an on-site inspection of a two-story modular home placed at upper Sherman Avenue , Town of Queensbury at the request of the ownerr Lamplighter Homess Inc . Said inspection included visual examination of the foundation for possible damage from placement of buildings main beam connection and support & as well as roof structure connections and support . Foundation - o . k . -- No chips or cracks . Main Floor Beam - o . k . - 9116 ' bolts 8 5 ' oec . Columns - o.k . - 6 @ 3" steel with steel plates top and bottom . Roof System - o .k . - All connecting straps and gussets properly fastened . Additional roof support from 2 full lengthy half wallow All components , connections and supports inspected were acceptable . N. Y . S . D . M . C . R . Model Approval Data. : Serial No . 26798 Mfr . - Ritz--Craft Corp . of PA Plan Approval No . NY 0182 Mfr . Serial No . 03-0988-0132 AB Should you have any questions regarding this inspections please contact Morse Engineeringa very truly yours & -MORSE ENG 4=1c:tDean KAD/j j cc : Lamplighter -Homes . Inc . RICHARD So MORSE , P. £. Phone = ( 518) 792 - 538E