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1989-750 (3) l ,y CERTIIICA, �, 6F CUPAN(m.0%."vL TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Daft December _2[_1_ 19 89 This is to certify that work requested to be done as shown by Permit No. 89-7 5Q ltias been completed. This structure may be occupied as a single Family Modular Location _ y� 'Q Stephanie Lane George Koshgarian Owner By Order Town Board TOWN OF QUEEMBURY [ Director of Bldg. do Code Enfo C, ment x BUILDING PERMIT TOWN OF QUEENSBUR.Y No. 89 7 s;n WARREN COUNTY, NEW YORK " w " ry PERMISSION is hereby granted to co Street, Road or Ave. OWNER of property located at lain Lans in the Town of Queensbury, To Construct or place a at the above location in accordance to application together formation hereto filed and with plot plans and other in approved and in compliance with the Town of Queensbury Building and Zoning Ordinance_ t. OWNER'S Address is 2100 Saratoga Road Suite 5 Ballston Spa , M . Y . 12020 0 2. CONTRACTOR or SUI LDF R'S Name .� Self M` c� 3. IrD CONTRACTOR or SUI LOER'S Address p '3 U3 Same 4. ARCHITECT'S Name r 5. ARCHITECT'S Address r? r+ "v UC CIO 6- TYPE of Construction — (please indicate by X) XX) wood Frame I ) Masonry I 1 Steel rb i- PLANS and Specifications r✓ No. 24 ' x 4O " Single Family Dwelling as per plot plan , specifications , a m applicaiton , including septic , and driveway . s. Proposed use LICENSED PROFESSIONAL ENGINEER . Single Family 'Modular v $ 17n no FEE PAID — THIS PERMIT EXPIRESAPRT3�, 1s_�n (If a longer period is required an application for an extension must he made to the Building and Zoning inspector of tfie , town of Queensbury before the expiration date.) A Dated at the Town of Queensbury this Day of 'c for the Town of Queensbury c SIGNED BY Building and oning Inspe or c TowN op QUEENSBURY REVIEWED BY ©� R47CQ %� j J E/#. O Sg�: FEE PAIL] $ PERMIT NO. '- '/'�SG> _ BOG V 79egg BUILDING PERMIT APPLICATION G'pO� OEAT _ A PERMIT MUST BE OBTAINER BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL 13E MADE UNTIE, APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. - All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application. The owner of this property is: ��+" � s '2217alA.1 P.O. Address fr rQY' �� /' �� N 2! N /1z'3 d Tel. l ibr/' Property Location ! * CXrf.2.e' XZ< v' / _Tax Map NO* Z*4 ?iV '�a ? "7 alas there been any split of this property since October 1 , 1988 ? / if yes Planning Board Review is necessary. yes i no SUBDIVISION NAME, IF APPLICABLE LOT NO. - T' IIE PERSON RESPONSIB,LsE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: PdATURE OF PROPOSED WORKS * ESTIMATED MARKET VALUE OF _Construction of a new building * CONSTRUCTION: $ .Addition to a building * COMPLETE INFORMATION REQUIRED BELOW: Size of property Mp ft x -�—ft. Alteration to a building , * Existing Buildings( 3) Size - fto x ft. (no change to exterior dimensions) Proposed building - distance from property lines / Other work (Describe) * Front yard ft.. Rear yard fl y ft. �/ * Side yards �/ ft. and * ' : BOSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft. 1st Floor.- .,..., . sq. ft. , . 'r , f? * OCCUPANCY INFORMATION 2nd Floor sq. ft. * Primary Building - Other Floors sq. ft. * One Family Dwelling (not cellar or basemeni ,� Two Family Dwelling T'OTA L FLOOR AREA G��� sq, ft. Multiple Dwelling/Number of units ' ! �► Business "size of new structure.2z' ft x �ft. Industrial roundation�pier/slab/c raw l/parts if€ull (circle one) Other * Ito. of stories (habitable space) +� 11eight (grade to ridge) / r '`/ ft. * If addition, what will use be? It residential, nos of families / 'to. of rooms(excluding baths) Accessory Building ' ;ow of bedrooms Detached Garage ONE/TWO Car " To. of bathrooms "rimary heating system `= c .5 ++ Attached Garage ONfiITWO +�r i'ype of fuel r/s e Private storage , ^building be of fireplaces to e Installed� i7ther � ILI GI ENO Will. a wood stove be installed Ventral Air conditioning lLE a OY• ER r BUILDING PERRUT APPLICATION CONTINUED - BUILDING 3PVCIFICATIONS: 'rype of construction, wood frame , fire safe, etc.��<yF? Will any second-hand or upgraded lumberbe used? If so, for what ? roundation wall material '�' e"'CThickness 'r Depth of foundation below grade (to bottom of footing) `f ' r Will there be a cellar ? {/ Heated or unheated? �7��v t�� ^_Floor sq. footage _s ft. Will there be a basement , Will any por•tiore be used as living space? q (if so, what portion ? sq ft . Type of use? Type of roof ---g1� Toped/ at/stied/other.Material of roof f, ' Size, wood studs rrx_�rr spacing`" o.c. length_% ft. Joists (floor beams) 1st floor rrx /j , if spacing�rro.c. span / ft. .Joist (floor beams) 2nd floor.'rx It spacing 'ro. c. span ft. Overlays (ceiling beams) 49 rrx ff „ spacing {''' a. c. spen �ft. sr�r*�d Cam' - See �c�.fcr Roof rafters rrx it spacing o. c. span ft. Roof trusses (pre-engineered) spacing -OW o. c. span / P Gr €t . Exterior wall finish ,/ I � ✓'� of what material ? , ? • /G ►nterior wall finish " / If a garage is to be attached, d scribe materials to be used for FIRE SEPARATION: �s there to he an opening between garage and dwelling? . If so will a Fire-rated door, enclosure, ,elf-closing device be provided? Will a flue-lined chimney be installed? /+ 'C' Height above roof ft. IJepth of chimney foundation below grade _ft. 0etpth of fireplace hearth to in. Water supply - Municipal or private wellGt ! , '+l?FTIC SYSTEM Distance from ANY private well Unclud ng adjoining properties J ? ft. ` 11 separation application is necessary for any repair or new installation of septic system) A RIE 4F BUILDER S6 ,f , ,,,,ter ADDRESS �tel TEL. NO. A ME OF PLUMI3ER:r ma`s/ , AI3DRESS - . - TEL. NO. AME OF MASON l�I�.e tG� ADDRESS___�a,.� �TEL. NO. ,APiefr OF ELF.CTRICiA N � sr , I ADDRIESS TEL. Noe DECLARATION To the best of my knowledge and belief the statements contained in this application, together with the ins and specifications submitted, are a true and complete statement of all proposed work to be done on described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and other laws pertaining to the proposed work shall be complied with, w ther s cffied or not, and that !h work is authorized by the owner. Signaturea Owner, owner's t, architect, contractor : CIAL�CONDITIONS OF THE PER IT: C f/1 !/7�'T� l/ c` '//�✓E-. .f f J /'r atv Cs .0 rr 000 d27t� fJ' '{/ G?� fs�C 027?ds,1.�`__ "c ,C-�"�J/ rLi/�� . ter<,• �1✓f ,r Z::;xer oz. " 'lll� �►riE3 tp f� 'f .f. �C' By TOWN OF ,QUEENSSURY a:2 & WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning workm ANSWER ALL of the following : 10 Gross floor area r 2 , Type of heat y �r 3 , Is the building mechanically cooled ? AV 0 !I� 4 , Percentage of area of windows and doors. h A , Over 16 % Only 1 . U value of gross area of walls , roof /ceiling and floors o exposed to ambient conditions 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO � 1 . If YES , what is the R value ? 3 . slab on grade YES NO a . If YES , what is the R value of insulation around perimeter of floor ? 4 . Is basement heated ? YES NO a , R value of insulation 5 . Type of insulation 8 . Under 16 % Only 1 . Ft vr^a� lu of roo and floors exposed to ambient conditions_ 22 2 , R value of exterior walls_, /,,r^'"� �,�r Cr r 3 , R value of glazed area^ C>e& 7'e4 A) gar 4 , R value of doors enrie A40 ev2a 5 5 , R value of floors over unheated spaces_ ' )e" y � 60 R value of slab edge insulation - unheated slab N 7 . R value of slab insulation - heated slab 8 . R value of heated basement/cellar walls ( above grade ) 90 R value of heated basement/cellar wall (below {grade ) / 02 10 . Type of insulation Ce Controls ' 1 . Thermostat maximum heat setting D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES Nfl a . If YES , R value Of duct installation be R value of duct in other areas E . Piping Insulation 1 . size of hot water or cooling carrying agent Pipe 2 , R value of pipe insulation F , Service Water Heating 1 . Performance efficiency s7 ,P 5S Cs J 2 , Temperature control setting maximum_ G . For Swimming Pool Only yp 10 Maximum heating_ !� / Telephone Noe "-• ' a p is nt na re ] APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION -' Owner's Name: 2 .D-$,/`J Lf�-'�'./'t .r'*/C3 � [C4�q� t Telep/lx�a/ne:(��` /fj � Address: �2' L( � �cz�t�r�Q-� li'+r /1rc ai�� 1,[Ys_ e/ //�'� // T u ram' Installer's Name: <�S e Dsdr 11'G3t rig A,t Telephone: Number of bedrooms (residential only) _ Total daily flow (compute @ 150 gal per bedroom) Topograpbyx circle one: Fla Rolling Steep Slope 95 of slope Sail Natwre: circle one. Sand Loam Clay Other / Depth: feet Gr-ound Water: At what depth? feet Bedrock or Impezovious Material: At what depth? _ feet Percolation test: circle one: of required required / rate min. inch. Domestic water supply: circle one: unicip Well Other IF domestic water supply is a Well: Separations Watersupply from Septic absorption _ _ feet PROPOSED SYSTEM: Septic Tank / 0406 gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench 25� feet / Total system length ;?n422_ feet SEEPAGE PIT(S): Number of / Size each feet by feet t Size of stone to be used # �e;4, Depth or Thickness l 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, 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. co 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 Queensbury Sanitary Sewage Cji,dnange. Signature of responsible person: / I l—_ Date. --- Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York lZ801 (518) 792-5832 crrr1 Fr) 17F't _ _ HOMe OF NATURAL BEAUTY . . A GOOD, PLACE TO LIVE MIDDLE DEPART ON AGENCY, INC. . ��(� IF IE11Sp Gr, Odic Mai► 18 . 1990 Ccrtif ieo that ie ��� uipment listed has been � approved as being in accord with the National Elect ,applicable governmental, utility an s. Owner: Hartha r s !'tote -� p t�1 occupant: Suite ,r R.t 9 Queens (!a r CO rt�ficata t iptneM and install■lion inspected this L.Ocarion: a dare. If additional u ni w be introduced or alterations made to existing system thi i tts nun and void. and appiicaWn for 19 5 Cutlet �77.]K1�Llres y �.{0�C�� ��A.. Molinsder dettan should n p i riame to la wpeney, Equipment: ]Y It{ order dt this ce fYcsta fit same to hts oropertY insurande carMer 15 Vent Fans � 2 Q .Pl1�l. , ServiC agem dr come ylaeevi rtilicat ion of efeCtr4cal equipmanl approved as specified, Roger LaFbnt S ►NCE 1883 Applicant: RR5 , 229 Lake Ge D ' 16-033173 Queenebury , tir 128 Fpn His. 7= W. 1-" TOW RY BUILDING C G AND CO E S DE BUILDING AND CODES DEPARTMENT SAY & HAVILAND ROADS QUEENSBURY, NEW YORK 22800! TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST .FOR INSPECTION RECEIVED NAME l - e 4 Y A LOCATION DATE / PERMIT # I APPROVED YES NO i FOOTINGIPIERS MONOLITHIC POUR FO FOUNDATIONIDAMP— ING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION i FLOORS WALLS CEILING tJ%%eXNAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESISTEP STAIRS—CLEARANCE & RA �— PLUMBING FIXTURESIRELI F VA' VE ✓ INTERIOR TRIM/PRIVACY OOR FINISHED FLOORS — GARAGE FIREPROOFING I H~ DOOR CLOSER (S) 14! .SMOKE DETECTORS FINAL ELECTRICAL INSPECT _ FINAL APPROVAL OF CONS T C ION A SIGNED CERTIFICATE F OCC FANCY MUST BE OBTAINED FROM THE BU LDING EPARTMENT BEFORE THESE PREMISES ARE CCUPIED. REMARKS* ENSPECTOR r29S41 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY �p� f, y441 STATE STREET, ALBANY, NEW YORK 12207 Date .,.�1RWV 62,3 tq%C) ''rPPlecucean ,"4'n. on file . . . THIS CERTIFIES THAT so r i 5 L only the electrical equiprment as described beloeo and intradesced by the applicant named on the above application number in the premises of in the llrn.etng Milan; 1 11Basement lat Ft. ❑ 2n4 Ft. 5Coti4In block Lot toas examined on ,' " .�LW+iI�R1I"U1'1. and found to be in conspliance with the requirements of this Board. FIXTURE EFTACLES SWITCHES R?[TURES RANGES COOKING DECKS OVENS E11SN WASHERS EXfiAUST FANS �OUTUrr5 INCANDESCENT FLUdlESCENT ClTHER AMT. R. w. AMi. K. W. AMi. R.W. AMT. K, w. AMT. M. P. • i+ DRYERS FURNACE MOTORS FUTURE Afk7tANCE FEEDERS 3►E{IAl REC'PT TIME CLOCKS �u UINIT HEATERS MULTI-0uTUIT DIMMERS SYSTEMS AlMT_ R- W. 00t M_ P. OAS Fl. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. F7. P. NO- OF FEET AMT. WATTS i SERVICE DKCONNECT NO. OF S E R V I C E AMT. AMP. I TYPE METER 1 W 2W 1 X SW 8 ,e �W 8�' .rw No. GF CC, c.OND. w w. Pj. IJo. Of HI-LEG N17. # NEUTRALS EClUIF. PER A of CC. COND. Oi ril-LEG C7F NEUTRAL AJO OTHER AFFARATUSc ES1u, III 1Pk�Ct !^EtSx 1 "' •s K• .z.. Cif 1_Q�1^)` f/ �$� BRANCH MANAGER per This certificate must not be altered in any monner,- return to the office of the Board if incorrect. Inspectors may be identified by their credentials, aa COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 4 BAY & HAVILAND ROADS / QUEENSBURY, NEW YORK 228041 4/ f y TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST XN,SPECTION RECEIVED_ NAME LOCATX _ . DATE / ""f PERMIT APPROVED YES NO FOOTING/PIERS r'r MONOLITHIC POUR FORMS ✓FOUNDATION/DAMP—PROOFING BACKFXLL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—XN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT tp ROOFING SIDING EXTERNAL PORCHES/STEP STAIRS—CLEARANCE & RA jFwS _ PLUMBING FIXTURES/REI,fIOF VALVE INTERIOR TRXM/PRXVAC*' M?ORS FINISHED FLOORS GARAGE FIREPROOFING: DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL XN$+PECTXON' FINAL APPROVAL OF CONSTRUCT P-N s A SIGNED CERTIFICAh'E OF OCCUPCY MUST BE OBTAINED FROM THR BUILDING DE RTMENT BEFORE THESE PREMISES ARt OCCUPIED! 1 f 1 REMARKS: err l INSPECTOR _Down f7� �ueert314ur1�[ BUILDING and ZONING DEPARTMEN Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION J` DATE MY_ PERMIT NO.� / SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch �.. TYPE of SYST +� Absorption fi Id , total length Q 0 C) _ f Length of each trench S C, Depth of trenc s 2 rr Size of rlravel -z SEEPAGE l?ITS er of) Size- ft . X _ t_ _ uel PIPING : — - Size Type ~� Bldg . to tank r_ Tank to d1st . box I-} eve" oy Dist , b : to field/ 3. £ 1711 e -- Openings sealed? YES , NO Partial LOCATION,iSEPARATIONSc Foundation to tank to Foundation to abscrp ion '\.:7, -:5 £t . Absorption to lot 1 ' e 0 ft. +- Separation of pits ft. LOCATION _ SYST _ OPERT (Circle one ) Front Rea e t sid - Rigft side - CC MMENT S T C)`T�PZ,1..fiJ CT A Oki ' LU Y VLF k/ SYSTEM USE APPROVED YES IVO Bufld nq Ins ctor 01/86 and vZ w Y (5 NORTH x w t RECORD TOWN OF QUEENSBURY r cRECEIVED x DEC 2 1989 p o J i Lands Of FISHER x IS: Y p . ,,, awi > b a CODE DEPM i0C i BLUG. &� Y i t8.i in m z * z J So 08 * 42 ' 30 " +w. 100" = Q IOU a � T NC 9C H 3 0 cc 4C w W 0 10 4 ` m o: u W K rn C-0 W H A. y .� W Y = F O M. w S Cl s al p x Ir u ffi i a rr PR4POSfC? Y. r ;C W F 0 _ r I 51E vrj& W t m era _ IXu 1=— b tom [V to f I k L/A/SS Ar 47' ."d. J ,,-•.,yy �_--ram- �� yy (VOTES �7J `/ I. MAP REFERENCE ' mMAP OF A PROPOSED _ SUBDIVISION OF LANDS OF WALTER DOMBEK" BY COULTER St MCCORMACK DATED SEPT, 26, ISSO, FILED IN THE tal WARREN COUNTY CLERKS OFFICE ON or oft NOV. 7, 1960 IN BOOK 102 , PA 6E 42, CV PROPOSED el E COCA r/ O/V flow 0 15' + Lfp , H Jrr * 0`.. CID CF] ZP Cl i N . 08011 20 E , 100 STEPHANIE rso R. O, W, J LANE' CERTIFICATIONS SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY IS PREPARED. AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENOING INSTITUTION LISTED HEREON AND TO THE SUCCESSORS AND ASSIGNEES OF THE LENDING INSTI- TUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDeTIONAL INSTSTUTIONS OR SUBSEQUENT OWNERS THE CERTIFICATION OF THIS MAP AND SURVEY IS NOT SURVEY OF VALID UNLESS SIGNED AND SEALED WITH AN / IMPRESSION SEAL. O (,rj � UNAUTHORIZED ALTERATION OR ADDITION TO THIS MAP OF A PROPOSED SUBDIVISION OF LANDS OF SURVEY MAP IS A VIOLATION Of SECTION 7209 (2) OF WQLTER DOMBEK THE NEW YORE STATE EDUCATION LAW. CJ GOLINTY : n S DATE PROPOSED H'DUSE LOCATION FOR TOWN OF QUEENSBURY WARREN N .Y . /IT/69 GEORGE KDSINGARIAR T IIn Y 9/20/89 PROPOSED HOUSE LOCATION REVISED FOR II I DATE CJDPROPOSED SEP70ICRtAN SYSTEM REViSEO FOR —5Cl4LE; 1 = 30 AUGUST 17 , IJEiJ L*1 is. 12/19/E9 GEORGE KOSHOARIAN . i�olsert �Dhn �la�iidrl�tt9� �T f.ICENfED LAWDl SUNVEYON -LAND PLANNING lz z SALL" , Ax N SPA—NEW Yo —Irma z L1 69 a ROBERT J , Mac FARLANE 44 , 229 Noe 69. s m COPYRIGHT ® $969 RODERT J. Mae FARLAFIE Engineers Planners • Buildin 9 an of Landscape d7esigners Gaffor ASSSUczat,E'. S 59 Franklin Street, P.O. 1010 Saratoga Springs. New York 12866 Telephone: (518) 584- 1300 November 16, 1989 Building Department Town of Queensbury, New York RE: Modular Home Construction Gentlemen: I have reviewed the plans for modular homes produced by Poloron H )Ines of F'ennsvlvania and inspected the installation of such modular home units located at mots #27 and 928 Stephanie Lame in the Town of +Queensbury. The connections have been made according to the approved building Plans and specifications. Please feel free to call this office should you have any questions. �q�FESSIOH,�ri- . Sincerely, 1 � e r 059469 . Y Ernest J. Ga EJGfdig