1988-663 •
, S,. •li .r." wiwl"T, .r'i, .•4. r,:•r '� 6 t,.1/. +, :.i7•. .�.,,7. !. .. '�''�r r. .ir } i. )....' ..
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 20 19 88
16-6
This is to certify that work a uested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a ("Ma Fnmi1y Morinlnr Home
Location 4 C nrroll St.
Owner David Beecher & Vicki Rice
By Order Town Board
TOWN OF QUEENSBURY
91 .
/An
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-663
ro
WARREN COUNTY, NEW YORK z
0
PERMISSION is hereby granted to David Beecher & Vicki Rice
OWNER of property located at 4 Carroll St. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One Family Modular Home S
at the above location in accordance to application together with plot plans and other information hereto filed and LND
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. _ Q°
tok
1. OWNER'S Address is 0
56 Blvd.
Glens Falls, N.Y. 12801
2. CONTRACTOR or BUILDER'S Name
Chelsea Homes Inc. t�
3. CONTRACTOR or BUILDER'S Address
CD
P.O. Box 599 5 m
Rte9W
Marlboro, N.Y. 12542
4. ARCHITECT'S Name
5. ARCHITECT'S Address
CD
6. TYPE of Construction—(Please indicate by X)
0
( )Wood Frame ( ) Masonry ( I Steel ( )
n
0
7. PLANS and Specifications
CA
•
No. 26' x 52' as per plot plan, specifications and application including septic system.
8. Proposed Use THE ATTACHMENT OF THE TWO PARTS MUST BE APPROVED BY
A LICENSED PROFESSIONAL ENGINEER.
sb
One Family Modular Dwelling
$5.00 C/O
$ 98.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 89
(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.) s
Dated at the Town of Queensbury this Day of Sept. 19 88
SIGNED BY lie /V for the Town of Queensbury
Building and Zoning Inspector
' � T' :tv Q;..- 7777-7:1- 7:-.,:if��'' r I l`Juwn 'u/ Qucci
i3hury � `BUILDING and ZONING DEPARTMENT jJ
Bay and Haviland Road, R.D. 1 Box 98 S" 98 ' •
Queensbury, New York 12801 , `��� � '
pUILDING & COD DEPT./, ,,1: 'I pi Approve l�Jiy! ��jl APPLICATION FOR / •
• 1 G',O, •
BUILDING. AND ZONING PERMIT
itititititit * * # * * * * * * -it it * * * * * * * * * it. * * * * * •twit * *:;*
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.
The owner of this property is: iJ U'f_p 6e_er21C(' i V ICI-K-1 tC,E
P.O. Address U :g/OJ). C�; /-II 5/7S /1S Tel r7�j �� �G�C /
Property Location: c r, c-i! G — 6./i I t/ri Tax Map No. i�P r
Street number or building lot number ilde-'o i•i>•-5--")--e- `i,13//
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address Tel. No.
Name of builder Address Tel.
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED ItiORK: * ZONING INFORMATION:
Construction of a new building .* TWO PLOT PLANS 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 .
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location .
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration .
* of septic disposal area.
*
* COMPLETE- INFORMATION REQUIRED BELOW.
* Size of property ', ""- ft X / !- ft.
* Existing buildings) "Size ft X ft. ' •
•PROPOSED BUILDING AND USE:. • * 'Co)• t-i fl -
*Existing building (s) Use
Size of new structure 12,6ft X S *
Fo w,dation-pier/slab/crawl/partial all * Proposed building, distance from property line
(circle one) * �/ ft Rear yard ft
No. of stories (habitable space) / * Front yard $�
ft
Haight (grade to ridge) ft. * Side yards (.q ft and 4d�'
If residential, no. of families
* If on corner, setback from side street ft
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms • 3 • * .
No, of bathrooms * PRIMARY BUILDING -
Primary heating system LZ, * One family dwelling
Type of fuel * Two family dwelling
No. of fireplaces to be installed /J/, - * Multiple dwelling / Number of units
Will a wood stove be installed? f11 * Permanent occupancy
•
Transient occupancy
Central Air conditioning? /v,/� * Business
BUIL ING STYLE, PRIMARY STRUCTURE *. Industrial
Contemporary Log cabin * Other '
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING •
-
Colonial Row Town House * Detached garage/one car/ two car/ car.
. ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/_ car
* * * * * * * * * * a * * * * * * * _Private storage building
ESTIMATED MARKET VALUE OF * Other •
CONSTRUCTION $^- / e
•INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OP THIS SHEET, TO BE COMPLETED!
Form !IPA 4/86 and-vl
f
.
BUILDING PERMIT APPL'1'Cn'i'lOIJ COIJTINUED -
BUILDING SPECIFICATIONS: •
Type of construction, wood frame, fire safe,etc..
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation wall material SvL 0( P, edt' (,UAL J Thickness 49 ii
Depth of foundation below grade (to bottom of footing) 7`'
Will there be a cellar? 'X . Heated or ease 1, _ -;/'loot sq. footage /3<2- sq ft
Will there be a basement? Will any ortion be used as living space? tOp' '
(If so, what portion? sq.ft. - - Type of use?
Type of roof - s ope ' flat/shed/other3Yf 2 . Material. of roof . -a0 `�'`id a0 3i'i'�Z, Q- l
Size, wood studs "X " spacing ' "o.c. length/ ft. r�l Le/Y.
64v)Joists(floor beam) 1st. floor .:,a "X /II " spacing- "o.c. span .`,4 ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceilin beams) "X " spacing. /4 "o.c. span ft.
Jcoof rafters p "X ,06" spacing /h o.c. span ft. .
Roof trusses(pre-engineered) spacing / no.c. span)lp ft. n(�
Exterior wall finish ( 11 Of what material? ,\i lJJ.,OGdl. (-I YU IS H)
Interior wall finish / " b142.14W.0A1t.
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? pc, 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 .
SEPTIC SYSTEM _ Distance from ANY private well(includinrkilM ng adjoining properties o2 O ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury AFFIDAV IT STATE OF NEW YORK
County of Warren
I ::wear 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. ii\ '
t
SWORN TO BEFORE ME THIS Signature___ („1__ .
Owner, owner's agen ,arcnitect,contractor .
day of 19
Notary Public, Warren County, N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By
•
07:rurn- of 04.turt46011
DAT r1.11111
•
/I
APPLICATION FOR SEPTIC DISPOSAL PERMIT 2ottu;'rI�i C0t)L lef.
V.1t1'1.0ULLIC.LIUICY
DA'1k• 9)— ( — F ./ .
•
LOCATION OF PROPERTY FOR INSTALLATION
Owner's Name 6-ee . / • ; Telephone: — `7
`GC,
Address: _ CraragAn
Installer's Name:s- 4 0 }-k,• Cr�l(/��r� Telephone: 7 9i- `7,2-r2
Number of bedrooms (residential only) ._
Total daily_flow (compute @ 150 gal per bedroom) 616-0 •
Topography: circles one Rolling Steep Slope % of slope.•
Soil Nature_: -circle awI' • oam Clay Other / Depth: feet
Cro►.uwd Water: At what depth? ate' feet •
Bedrock or.Im erviou:: Material: At what depth? feet
Percolation test: circle one• not required required / rate min. inch.
Domestic water supply: circle one
Well Other
•
IF domestic water supply is a.Well:
Separation: Watersupply from Septic absorption . feet
PROPOSED SYSTEM: Septic Tank I n®(O gal. (minimum size: 1,000 gal,)
TILE FIELD: Each Trench • r— feet / Total system length '— feet
SEEPAGE PIT(S): Number of ,�- / Size each
feet by. a' feet
Size of stone to be used • / Depth or Thickness
feet
M 0ItTA1,1T
...I'leasx...UST N1:W L•'()U1NMr:NT TO UE INSTALLDD
• • • i i i • i ♦ 4 * • 4 4 • • ♦ 4 s 41 • i• i ♦ • 1 i i' 41 7 ♦ i i' t ♦ s 4 * s
"Dt.�7 2(6 76A / Ck
rx ' b/ wcUcr F 1 L F COPY
(over)
i
Section II Septic System Inspections: • .
A. All :ihl,likations for septic system installation, alteration or repair, as
required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Depar•tn►ent at least Ld hours before start
of construction and shall include a plot plan showing:
l.) the proposed location of the system
Z.) location and distance to lot lines •
3.) location and distance to structures
' . d.) location and distance to :►ny.water.supply
5.) size and diidensions 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.
I have read the regulations above and a reqto abide by these'and all requirements
of the•Town of Queensbury Sarlit ewag4 Disposal Ort1in.ancc..
--_,
. .Sigri:►ture of responsible person:
',/ I ►ti1�► -, ��
Date: 9/ ii ?-- /( JLÔ. I _
'
•
Town of Queensbury
Building and Code_Department
•
Bay at 1-laviland Road
Queensbury, New York 12801
' (518) 792-5832
Ill
01 • 3 .M
• t ; I.. t
{ TO', N Cf ( J7-17'77^t
INTERIM BUILDING PE TSEP �---
BUILDING & CODE DEPT.
PERMIT APPLICANT U11 c
DioS 'c,-t -ri4 �1 2�
CONSTRUCTION LOCATION C'r; R,
EFFECTIVE DATE db C�
i
APPROVED BY
SPECIAL CONDITIONS :
fotw pAR- ; old '4- PLAc )4OtOLAi keM4-
P&It P f/t/A rr f'D L 1 P 10/f. .4x Lu O ull f E cer i c
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit , the above named
may begin construction per plans submitted. It is the
responsibility of the applicant to obtain the Permit -
from the Building Department, following processing .
POST THIS INTERIM PERMIT IN A C� SPIC OUS O � ION ! !
A,..d./.101/0f
Building & C+-: es Department
TOWN OF QUEENSBURY
FILE COPY
• YOU ARE HEREBY.REQUESTED.TO • -
• •' -INSPECT AND ISSUE CERTIFICATES • •
' :FOR THE FOLLOWING ELECTRICAL_' - . • -
" - ` EQUIPMENT-TO BE INSTALLED BY
UNDERSIGNED ,
• TEMP.N DATE, /
, CITY OR VILLAGE- /` - ,�°WNSHIP . . , ' I - I. COUNTY
•
,% /e!;?S /r r `/A 6.,ti. e ei, 3Z.(f'r1 ' - I, g RC.n
STREET AND NO OR ROAD _ f POLE NUMBER
BETWEEN WH CROSS STREETS IS PREMISES LOCATED? '-SECTION BLOCK .__LOT _
(I TWO r rll_' l•i .4 .I.) �. F% i /.4 •• .•.,(%/ •
OCCUPANTS NAME -_ . ,BUILDING OCCUPANCY '•- U
7��i.VI ' v'' CE(h � f•� r- ,/iC. k I hiC. -
•
OWNER'S NAME AND ADDRESS - HOME TELEPHONE NUMBER
j f? W `F.
I 0 CC&: `C-/-/C-•/ -t- " L/l c_k!( ' K.:) •t✓ 2._ j ej2- _Z `>LO.)
CURRENT SU/PPLIED,BY FROM THEIR - •1 f`OFFICE ,�-/ fi ; WORK TELEPHONE NUMBER
BUILDING IS _ •
_ -- - - '
NEW E - . , • OLD❑ . WORK IS . NEW❑ ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& • MOTORS - HEATERS BRANCH . OFFICE USE
Loca-- Lamp Receptacles CIRCUITS ONLY
tion Side Attach'I.• H.P. Watts A.W.G.
Ceiling Wall Recep'Is-, Switch Pendant .Bracket No. Type _Each No, _Each No. Gauge INSPECTION
OUT-
SIDE •
SUB-
BASE .
BASE-
MENT • - - -. - •
1st . •• '
FL: , •
2nd .
FL. - '
3rd - ._ . , .
•
FL._ -
•
•
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE:
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. - - • . .
SIZE OF MAINS - FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS"
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF -
_ ❑ CONCEALED - • •
-
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER). - CAPACITY -
. • SERVICE ENTERS BUILDING - - MANUFACTURER OF SIGN . • -
❑ OVERHEAD - ❑ UNDERGROUND • '
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) • MUST ENTER APPLICANTS ►
- IDENTIFICATION NUMBER
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
- PRINT NAME AND ADDRESS ;0-
- DATEOF APPLICATION S MATURE OF APPLIC T •
NAME OFr APPLICANT -'-) ' //-- � 1 / �} �' ' •
1:f:1 V(•.I J .lam C.. 6.. *..- Ste. R�- 't%i Lk c �,\...ti�".�' X U ! ' rj ✓ !1=l-'Tf-_-_�!•f'
STREET ADDRESS--. . • V - • ,.T LEPHONE NO_
4 /I/;y _ '�,o- 7 :: t f (,` If
CITY OFS POST OFFIC / ' : , _- + ZIP,CODE LICENSE NO.WHEN APPLICABLE
❑ 85 John Street , Ar'41 State Street :, ❑ 584-Delaware Avenue '❑ 217 Lake'Avenue. - ❑ 202 Arterial Road '.
. ' NEW,YORK,NY 10038 ALBANY,'NY 12207 BUFFALO,NY 14202 . - ROCHESTER,NY 14608 SYRACUSE,NY 13206:
- - THF•NFW YORK SQARQ"QF-FIRE UNDERWRITERS • _ •
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME -7AVLD 76 6,6-er f-6-�
LOCATION CA-/2,,QO LL S) //
DATE 10j�0/D D PERMIT # �(�"4 b 3
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING •
FRAMING
ELECTRICAL ROUGH-IN
INSULATION: •
)(FLOORS
WALLS
CEILING
FINAL INSPECTION: lit //II
CHIMNEY HEIGHT A/4
ROOFING 6/
SIDING
EXTERNAL PORCHES/STEPS `i, V
STAIRS-CLEARANCE' & RAILS ✓�
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS r I
GARAGE FIREPROOFING /`^jf
DOOR CLOSER(S) ��//J
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION •
FINAL APPROVAL OF CONSTRUCTION '
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS)4(, r L 7_
Al 0 I-6/Wel
NSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT �
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /( - /
NAME -
LOCATION _7 (1-a%Z<V_`?`S�
DATE -� PERMIT #
G-r4Lr APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING '
ELECTRICAL ROUGH-IN
•
INSULATION:
FOUNDATION
FLOORS A/[ Z) 41102- 1/
WALLS
CEILING
•INAL INSPECTION: •
CHIMNEY HEIGHT
ROOFING tom_
SIDING •
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE &t'RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS '
GARAGE FIREPROOFING •
DOOR CLOSER(S)/ /
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL/OF CONSTRUCTION •
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: A-c ,0)c._
A57-4'S1:11-0M PA-TV PoojtS --
//U5(ULA-7- ' O ra_
1k' .
INSPECTOR
Jown o/ .Queenibur,
• BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
in/21/----- Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME Aut, ,e /z
LOCATION '! (Le,
DATE_ NZ,thr PERMIT NO. 7 La�
SOIL TYPE - Sand - Loam - Clay - •
Percolation Test Required? YES - NO
Percolation rate - Min/Inch /
J
TYPE o SYSTEM: •
Absorpti n field, total lengt
Length o each trench
Depth of tenches . / '
Size of gra el' / /
SEEPAGE P umb r of) . / 7
Size- -ft. L-CJ ft.�`/ _� .
Gravel sine y
PIPING: ize T pe
Bldg. to tank /
Tank to dist. box _ PG!
Dist. box to field/ ' 11/ G!L.
Openings sealed? ES -TO Partial
LOCATION/SERARATI91/4 :
Foundation to tan '" ft.
Foundation to ab orption ft.
Absorption to to line - ft.
Separation of p is 2 ft.
LOCATION/ SY EM ON. PROPERT (circle one)
Front -Rear - Left side - Right side -
COMMENT :
/ Zi"''
r / /---b' t/ _
• .
•
. .
7- ,/, .
SYSTEM USE APPROVED ES �l
Buil ing Inspector •
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS ��
QUEENSBURY, NEW YORK 12801 ,
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /D-p-(T
NAME /�t�//IGt AlaeZ 2
LOCATION 'T (r/)
DATE /// -(fr PERMIT # 4W- 6
APPROVED
\ YES NO
FOOTING/PIER
MONOLITHIC PO R FORMS
FO��NDATION/D P-PROOFING �'
(„/BACKFILL APPRO\TAL f
ROUGH PLUMBING,
FRAMING .
ELECTRICAL ROUGH.-IN
INSULATION: I
FOUNDATION \
FLOORS \ I
WALLS \
CEILING \ I
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/• TEPS\
STAIRS-CLEARANCE & RAILS\
PLUMBING FIXTURE /RELIEF VALVE
INTERIOR TRIM/P IVACY DOORS\
FINISHED FLOORS i\
GARAGE FIREPR FING \
DOOR CLOSER(S)/
SMOKE DETECTORS \,
FINAL ELECTRIC L INSPECTION
FINAL APPROVA OF CONSTRUCTION
A SIGNED CE TIFICATE OF OCCUPANCY MUST BE
OBTAINED FR M THE BUILDING DEPARTMENT BEFORE
THESE PREM SES ARE OCCUPIED!
REMARKS:
1)-S'al -2:r-- OA til P' Pr'
G
i ,____-//)t--/ 1--L_---
INSPECTOR
TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS firn
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED A2 /V t
NAME a ii-c.4
LOCATION '7 �, /j/r 1()7L
DATE /O -zRD --& PERMIT # Mr- 4/1_3
APPROVED
/� ,YES NO
(FOOTING/PIERS !} x/� 1.1 /\
MONOLITHIC POUR F S /
FOUNDATION/DAMP-PR
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS 1
WALLS 1 1
CEILING % f
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING r'
SIDING .'
EXTERNAL PORCHES/STEP
STAIRS-CLEARANCE & RAILS
u
PLUMBING FIXTURES/RELIEF VALVh.
INTERIOR TRIM/PRIVCY DOORS
FINISHED FLOORS j
GARAGE FIREPROOFIpG
DOOR CLOSER(S) y
SMOKE DETECTORS ,'
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION N
S
A SIGNED CERTIFICATE OF OCCUPANCY MUST E
OBTAINED FROM 'THE BUILDING DEPARTMENT BEFQRE
THESE PREMISES ARE OCCUPIED!
C
REMARKS:
--r-
_piA
0/(
G�
1 ,
1, , _
)/ -/
INSPECTOR
, "
,,
_ MORSE ENGINEERING
11111 99 LOWER DIX AVENUE
GLENS FALLS,NY 12801
December 8, 1988
Queensbury Building & Codes Department
Queensbury Town Office
Bay at Haviland Road
Box 98
Queensbury, NY 12804
RE: Beecher/Rice Modular House Inspection
Gentlemen:
•
Please be advised that Morse Engineering has conducted an on-site
inspection of a one-story modular home owned by David Beecher and
Vicki Rice at 4 Carroll Street, Town of Queensbury, Building
Permit #88-663 .
Said inspection included, specifically, visual examination of the
foundation for possible damage from placement of the building,
main or center support beam connections and vertical support, as
well as roof structure connections and support.
Foundation - o.k . - No chips or cracks.
Main Center Beam - o.k. - Level and true. All connections
tight with 9/16" bolts @ 4 ' o.c.
Columns - 6 @ 3" steel posts with steel plates top and
bottom.
Roof System - o.k. - All connecting straps and wood supports
well fastened and sections drawn tightly together.
Walls - o.k. - Interior connecting walls fit properly and tight.
All connecting straps well fastened.
All components, connections and supports inspected met generally
accepted standards for modular home construction and placement.
RICHARD S. MORSE, P.E. Phone:(5I8) 792 - 5382
11
/AM
December 8, 1988
Page 2
N.Y.S.D.H.C.R. Model Approval Data:
Insignia Serial No. 33456
Mfr. - Chelsea Homes, Inc.
Model - Hemlock
Plan Approval No. - N.Y. 0648
Mfr. Serial No. - 1493
Date Mfg. - 11/21/88
Should you have any questions regarding this inspection, please
contact Morse Engineering.
Yours truly,
MORSE ENGINEERING
Mack A. Dean
MAD/jj
cc: David Beecher & Vicki Rice
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