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2014-054
r�` 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: P20140054 Date Issued: Thursday, September 11, 2014 This is to certify that work requested to be done as shown by Permit Number P20140054 has been completed. Location: 389 HAVILAND Rd Tax Map Number: 523400-290-014-0001-029-000-0000 Owner: JASON KINDERMAN Applicant: JASON KINDERMAN This structure may be occupied as a: Fireplace By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property gem; 4 41,5t owner of the responsibility for compliance with Site Plan,Variance, or other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement or Zoning Board of Appeals. jjff� TOWN OF QUEENSBURY `oya 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140054 Application Number: A20140054 Tax Map No: 523400-290-014-0001-029-000-0000 Permission is hereby granted to: JASON KINDERMAN For property located at: 389 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: JASON KINDERMAN Single Family Dwelling $186,280.00 24 SCHOOL St Total Value HUDSON FALLS NY 12839-0000 $186,280.00 Contractor or Builder's Name /Address Electrical Inspection Agency DREAM STREET MODULARS LARRY LAPINSKI 518-557-2126 1796 STATE ROUTE 9 CLIFTON PARK NY 12065-0000 Plans&Specifications 2014-054 SFD 1st FIr 1,540 sq ft $308.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,March 12,2015 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town Que sb �j W:i i e•)t 1, arch 12,2014 lYl SIGNED BY , \ for the Town of Queensbury. Director of Building& Code Enforcement Office Use Only Town of Queensbury Building & Codes vi j3RCI.Y6[]5 IV.19p1:4 Tax Map ID: Ago, 11 -/-aq PRINCIPAL STRUCTURE APPLICATION Permit No.: j___5 -05y A permit must be obtained before beginning construction Permit Fee: $ .3 0 $ ° dol Please read: 'TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling 'Rec Fee: $ $°JVD pat units, including single-family dwellings,duplexes or two-family dwellings,multiple family Site Plan No.: dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.: homes,but not including mobile homes. This is in addition to the permit fee. Date / arr J1 ' , Q. R/ Applicant Ja5on /4ac4rti-vvy TaxMapID Ago . /w-/-a9 Address 36CY pew, kine/ /2J Zoning Q✓een chc/r y / 'K /Z -1/3's Phone/E-mail 231 -fl JonKindp rna-, 1Q18 41641 � eon; Property Owner Son . /11O i41� Contractor/Agent Dreg M S-@-e* /4 d3✓/mr r Address q ib yr/(iy,J /C-{f Address /7g(.+ az '? Obredn Pure ✓'eons&ry, A/Y r carK lac* S Phone/E-mail 33 'i7rbQ ) POOdyrnnan /974 Phone I E-mail SS7- a ! a-CO kW-WA s ton, Contact Person for Building &Code Compliance: J 67 Let p/n S/!! Day Phone: sf��s�-o2loZ(p Building Street Address: 3Z go1-4/1- /�c1 Qv-ep,ioe6iry iJ/ iarw Subdivision Name: Lot#: Historic Site: Yes 17-No Estimated cost of construction: $ I cc/P acts O Type of Construction: Check all that apply Please indicate measurements as required below: co ci 1st Floor 2nd Floor Other Total Height ? a a O /5270 < , Single Family •� N Two-Family - Multi-Family(#of units ) Townhouse Business Office Retail-Mercantile Factory-Industrial Attached Garages(# ) Other Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 If commercial or industrial indicate name of business Proposed use of building or addition Source of heat(circle one) Gas Oil •ropane Solar Other Fireplace-complete a separate application for'Fuel Burning Appliances&Chimneys" _Yes X No Are there structures not shown on plot plan? AX.7 Are their easements on the property? Al C2 - Site Information a. Dimensions or acreage of lot ,S46'3 awe 5 b. Is this a corner lot? N 0 c. Will the grade be changed as a result of construction: _Yes X No d. blit wale or Private well `gU\)11 C e. Sewer o 'va a Septic Sys re(t la-te Sept ' (' Value of all work to be performed(labor and materials) $ Co)`a S-CD Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and department approval. I certify that the application, plans,and supporting materials are a true and complete statement/description of the work proposed,that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above. Print Name: J/ 50n e'er 0 Signature: drai i�i Date: 3I5//9 FOR OFFICE USE ONLY: Operating Permit Issued: _Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: . Special Conditions: . Town of Queensbury Building&Codes Principal Structure Packet ' 518-761-8256 r Y/N / NA Residential Plan Review;One&Two Family Dwellings 4Two (2) Full Sets of Plans ✓ Over 1,500 sq.ft.-requires engineering stamp / Design Loads on Plans: 90 wind Floor Loads 40 psf (North of Rte. 149 60) 50 Ground Snow Load Sleeping Areas& Attics 30 psf Calculations / Window Schedule With Glass Size Door Schedule/Main Entrance 36" Door Emergency Escape or Bedrooms and Habitable Space Above/Below grade-5.7 sq.ft. Grade-5.0 sq.ft. 24" (h) x 20"(w) minimum 44" maximum height above floor Residential Check Paperwork Compliance and Inspectors Checklist-Okay Driveway Length Over 300' - Turnaround Required oundation Insulation to basement floor Damp proofing/Waterproofing materials on plans Foundation Drainage on plans,if required 6" drop in 10' Exterior Grade Framing Cross Section for each roof line,Vertical fire stopping every 10' where required Ice&Snow Shield 24"inside exterior wall/24"inside knee walls platforms at Exterior Doors /Stairway headroom 6' 8";All stairs 36"width i f air Run and Rise K Run and Rise / Spiral not allowed from 2nd story ! Smoke Detectors battery backup and proper location interconnected Bathroom fixtures proper clearance / Hall width,36"width / andrals more than four risers on open sides pilling &Guards>30" / Basement stairs included/dosed risers more than 4" in height / Safety glazing notes for required areas t// arage fire separation Garage floor sloped / Attic access Roof over 30"- 22"x 30" / Crawl spaces 18"x 24" access Carbon Monoxide detector outside lowest sleeping area,on every level &interconnected 7within 15' of sleeping area Soil Test results,if required ASeptic to well or water line separation All paperwork signed Note on plans about energy saving light bulbs Blower door test agency paperwork Floodplain Permit required - check map Office Use Only Received: Tax Map ID: Town of Queensbury Building & Codes Permit No.: j'/—O5 `l SEPTIC DISPOSAL PERMIT Permit Fee: $ A permit must be obtained� before beginning construction Approvals: J Applicant: Q on hinkI/nc(,/1 Installer/Builder Mein lea-SQ Address: 5 67 14-cam 1 ctid Ica Address 71 Rlg /300rrl (e- d Qt)-een,by'ri ,✓h' 0oPP/J51)urY . JA-JY Phone: 335( — 5", COQ Phone J79,2-775 7 Owner: , )p Son r /im .0 t�In Kin c10✓ r Location of Installation In t 1 C Address: ?,�(,o' Jo v,/a --? ltd (Queen 5 bJ r y Lir Phone -753S—57 Cr 5' Contact Person for Building&Code Compliance: If/t/1 jL 7`e0-SP Day Phone: 7Q 3:-775 2 Residence Information: Year Built #of Bedrooms x Gallons per bedroom =Total Daily Flow 1980 or older x 150 = Garbage Grinder installed? 1981-1991 x 130 = Spa or Hot Tub Installed? 1992—Present x 110 = Parcel Information: Topography _Flat Rolling Steep Slope %Slope Soil Nature _Sand Loam _Clay ✓Other Groundwater At what depth? Bedrock/Impervious Material At wh depth? Domestic Water Supply ✓ Municipal Well(if well,water supply from any septic system absorption is ft.) Percolation Test Rate- per minute per inch(Test to be completed by a licensed professional engineer or architect) Proposed System for New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Tank size c60 gallon (minimum size 1,000 gallons), add 250 gallons to size of septic tank for each garbage grinder,spa or whirlpool tub System Type: Absorption Field(with#2 stone) Total length ft. Each trench X Seepage Pit(S)(with#3 stone) How many? Size? Altemative System Bed or other type? Holding Tank System Total required capacity? Tank size? #of tanks? NOTE: 1)Alarm system and associated electrical work must be inspected by a Town approved electrical inspection agency-see Certified Electrical form on Town website;2)Effective as of March 23,2006 Septic System-As Built Plot Plan: The Building Department will no longer allow systems to be covered until such time as an As-Built Plot Plan is received and approved by the Building Inspector. The installed system must match the septic system layout on file. There will be no exceptions. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant,shall be void. ✓I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Print Name: JO 5on 1/)O#/tn,19 Date: S / Signature: 400111° Date: 15fq Town of Queensbury Building 8 rin pal Structure Packet 518-761-8256 13f &i- b5 �+ Town of Queensbury Highway Department DRIVEWAY PERMIT Michael F. Travis, Highway Superintendent Thomas R. Van Ness, Deputy Superintendent Home: (518)798-0413 Home: (518) 745-0929 Office Phone: (518) 761-8211 Office: (518)761-8211 Fax: (518) 745-4466 9bsDaBuilding Permit#: /J / .9-06- Date: te: Tax Map ID: Applicant Name: SGLS or\ K ^d..or 1 Address to be inspected: 3 g63 .44-au ),o i4 Ad Return Address: Applicant must show exact location and width of driveway(s)to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: Step 1: ( ) Preliminary Approval Need: ( ) Slight swale ( ) Deep swale ( ) Level with the road ( ) Level with the top of the paved wing Size culvert pipe to be used(if necessary) ( ) 12" ( ) 15" ( ) 18" ( )24° ( )36" Preliminary inspections completed by: Date: Approved by Highway Supt: Deputy Supt.: Upon completion, please resubmit this approved permit for a final approval. Step 2: ( ) Final Approval ( ) Rejected Date: Michael F. Travis, Highway Superintendent Thomas R. Van Ness, Deputy Highway Superintendent Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 Office Use Only Town of Queensbury Building & Codes Received: al 3ol Ye)1/ Tax Map ID: FUEL BURNING APPLIANCE & CHIMNEY APPLICATION Permit No.: .70 lq— 6 59 Permit Fee: $ Uw' 6(� Application is hereby made to the Building & Codes Office for the issuance of a Building & seU Permit pursuant to the NYS Fire Prevention & Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, reg( ations, nd all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections9)) Important Note To Applicant: Rough-In and Final Inspections Are Required: ✓(." U Date (0/3 Opt/ TOIt� ? 20/4 �6 �/ SUi/14.4 A,,QL&C Owner JaSOr-� �/ Knc4prYY)aI Installer/Builder Ina"fOn fr _� r4 s��?,- V (214/m4� Address S 9 �'7,2✓r/A ncl ad Address �S ., 1(oeens 3r y JO( Colo Phone 5/tS —33g — Phone • Location of proposed construction and/or installation: Contact Person for Building&Codes Compliance: Subdivision Name: Fuel Buming Appliance Information Wood Coal Pellet Gas Oil Stove ACC Fireplace Insert Fireplace,factory built* M Fireplace, Masonry Furnace,(Garage Only) *If Factory Built,Please Provide: Manufacturer Name: Model No. Listed By: Number: Chimney Information Masonry" ✓check one _Block _Brick _Stone Flue /check one Tile Steel _Size in Inches Material 'check one _Double Wall _Triple Wall _Insulated _Direct Vent _Chimney Liner **If Non-Masonry,please provide: Manufacturer Name: Model No. Signatures: Print Name: OS6)1\ ,nCL'CaJQr7 Signature: Date: ADDITIONAL NOT ONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION&BUILDING CODE AND/OR MANUFACTURER REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. Checklist - Single family dwelling or Multiple dwelling / Commercial project SINGLE FAMILY DWLLING PROJECT CHECKLIST PROJECT NAME: tnetcyav 1( Please include two(2)sets of the following documentation: Yes No NIA 1. Building Permit Application Completed ./ 2. Energy Code Inspector's Report from ResCheck ✓ 3. Septic application(if applicable) 4. Solid Fuel Burning or Gas Appliance Form(if applicable) 5. Driveway Permit 6. Structural Drawings • Floor plan(s) LV Foundation plan ✓ Cross Sections ✓ Elevations ✓ Window and door schedule Natural Light,Ventilation and Emergency Egress Requirements Plans signed and sealed by registered architect or engineer ✓ 7. Plot Plans-Indicate proposed structure,showing setback dimensions from all surveyed property lines; Show location of all existing structures on the property; ✓ Show location of water supply(well or water lines); ✓ Show location and configuration of septic disposal system or sewer line ✓ 8. Electrical Inspection agency selected �/ MULTIPLE DWELLING OR COMMERCIAL PROJECT CHECKLIST PROJECT NAME: Please include two (2)sets of the following documentation: Yes No NIA 1. Building Permit Applicati.. Completed 2. Energy Code ComCheck an. spector's Report Form 3. Septic application completely fillet cut(if applicable) 4. Solid Fuel Burning or Gas Appliance ,rm(if applicable) 5. Driveway Permit 6. Structural Drawings Floor plan(s) Foundation plan Cross Sections Elevations Design loads including floor, snow load and wind load Seismic design(required after January 2003) Plans signed and sealed by registered architect or engineer Window and door schedule 7. Plot plan: Indicate proposed structure,showing setback dimensions from all surveyed prop-.k lines Show location of all existing structures on the property Show location of water supply(well or water lines) Show location and configuration of septic disposal system or sewer line 8. Electrical inspection agency selected Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256 U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 National Rood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date:July 31,2015 SECTION A-PROPERTY INFORMATION (FOR INSURANCE COMPANY,USE• Al. Building Owner's Name Jason Kinderman Policy Number. A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No)or P.O.Route and Box No. Company NAIL Number. 389 Haviland Road City Queensbury State NY ZIP Code 12804 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) Warren County Tax No.290.14-1-29 A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.)Residential A5. Latitude/Longitude:Lat.43 21 33.15 Long.73 37 22.43 Horizontal Datum: 0 NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 2 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) sq ft a) Square footage of attached garage sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes 0 No d) Engineered flood openings? 0 Yes 0 No SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1.NFIP Community Name&Community Number 82 County Name 83.State Town of Queensbury 360879 Warren New York B4.Map/Panel Number 85.Suffix B6.FIRM Index Date B7.FIRM Panel 88.Flood B9.Base Flood Elevation(s)(Zone 0019 B July 16, 1984 Effective/Revised Date Zone(s) AO, use base flood depth) July 16, 1984 A4 293.32 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM 0 Community Determined 0 Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 0 NAVD 1988 0 Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 0 Yes ® No Designation Date:_ 0 CBRS 0 OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: 0 Construction Drawings` 0 Building Under Construction' ® Finished Construction `A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,ARAE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7.In Puerto Rico only, enter meters. Benchmark Utilized:GPS Observation Vertical Datum: NAVD88 Indicate elevation datum used for the elevations in items a)through h)below. ® NGVD 1929 (81 NAVD 1988 0 Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a)Top of bottom floor(including basement,crawlspace,or enclosure floor) 296.14 ®feet ❑meters b)Top of the next higher floor 304.84 ®feet 0 meters c) Bottom of the lowest horizontal structural member(V Zones only) ❑feet 0 meters d)Attached garage(top of slab) 0 feet 0 meters e)Lowest elevation of machinery or equipment servicing the building 296.14 5 feet 0 meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 296.0 ®feet 0 meters g)Highest adjacent(finished)grade next to building(HAG) 302.7 ®feet 0 meters h)Lowest adjacent grade at lowest elevation of deck or stairs,including structural support 300.0 ®feet 0 meters SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION _ This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevationd'. - , information./certify that the information on this Certificate represents my best efforts to interpret the data available. F' 1fj 4�'^ I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S Code,Section 1001. , .... tt.,f� 0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a p j\ ® Check here if attachments. licensed land surveyor? * ` ' jr Y ® Yes ❑ No .: . <.r';: to a f: Certifier's Name Matthew C.Steves License Number 50135 'K.rr-- ', -+..,..M. ,-._h.: Title President Company Name Van Dusen&Steves _ `1«+ '- Ztv Address 169 Haviland Road City Queensbury State NY ZIP Code 12804 I,c;--- ^k? Signature Date 8-01-14 Telephone 518-792-8474 FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number 389 Haviland Road City Queensbury State NY ZIP Code 12804 Company NAIC Number. SECTION D—SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments Signature Date 8-01-14 SECTION E—BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1—E5.If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C.For Items E1—E4,use natural grade,if available.Check the measurement used.In Puerto Rico only,enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is __ ❑feet ❑meters ❑above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is __ ❑feet ❑meters ❑above or❑below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance'? ❑ Yes ❑ No ❑ Unknown.The local official must certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments. SECTION G—COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below Check the measurement used in Items G8—G10.In Puerto Rico only,enter meters. G1. The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3 ❑ The following information(Items G4—G10)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate f mpliance/Occupancy Issued /4/-� - OW --3/10)/ani/ 9iy G7. This permit has been issued for: ?slew Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ,.2S6. /y eet ❑meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: 293 . 3 L eet ❑meters Datum G10.Community's design flood elevation: .3—J�`'1 . 32. Iifeet ❑meters Datum Local Official's Name. 1 402.1 A irIMEMII=IMMO ,QKctZA. Community Name � /.I / - - / —92c?3 Signature ���j'� Date Corprlints j �,(� �� O// /i 0A5/ /o4y' I mekt aze_ c - I e_ •ve �,y/ 0 Check here rf attachments. FEMA Form 086-0-33(7/12) Replaces all previous editions ELEVATION CERTIFICATE, page 3 Building Photographs . . See Instructions for Item A6. • IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USEI Building Street Address(including Apt., Unit,Suite,and/or Bldg No.)or P.O. Route and Box No. Policy Number: 389 Haviland Road City Oueensbury State NY ZIP Code 12804 Company NAIC Number. If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. ___JV ; --_�_ ate _ — _-- _ � - j::0 i airji 44 an - �I _- • 1 . � fl FEMA Form 086-0-33(7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 4 Building Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. [FOR INSURANCE COMPAN JOSE• Building Street Address(including Apt., Unit.Suite,and/or Bldg. No.)or P.O.Route and Box No. Policy Number: 389 Haviland Road City Queensbury State NY ZIP Code 12804 pany NAIC Number. If submitting more photographs than will fit on the preceding page, affix the additional photographs below Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View.' When applicable, photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. FEMA Form 086-0-33 (7/12) Replaces all previous editions Queensbury Building & Code Enforcement - Residential Final Inspection 1 3 Office No. (518) 761-8256 q / C,0//J(/ Arrive: b ` am/pm ;Depart am/pm Date Inspection request received: 1 ( Inspector's Initials: Wt. NAME: V` yjnr A/J PERMIT#: t' — OSL LOCATION: -3 0-1,ADATE: TYPE OF STRUCTURE: Comments: Yes No_ N/A_ 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete {/ Platform at all exterior doors Handrail 4 or more risers Guards at stairs, decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck, porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet / 6 inch clearance to sill plate ✓ Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/IGtchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors 1 Carbon Monoxide Detectors Every level: Every Bedroom: _ Outside every bedroom area: _ Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation to floor I Sticker on Panel Duct work sealed properly/Blower Door Test Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet 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 Enclosed Stairs Sheetrodk Underside minimum'F"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Gas Logs in Sealed or Glass Enclosure Final Electrical; Energy Saving Light Bulbs 50% ✓ Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certificatior(Mquiced Okay to issue C/C o C/Q..fImporary/Permanent L:tBuilding&Codes Forms\Building&Codestlnspection Fonns\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11 t Queensbury Building & Code Enforcement - Residential Final Inset io 6)3 I- 3 Office No. (518) 761-8256 Arrive: cW am/p part: emm�C Date Inspection request received: Inspector's Initials: NAME: K to nr� PERMIT 14-1 -06 LOCATION: .2 �j 4f.4 .1 t'I a rl d DATE: g--'1141 TYPE OF STRUCTURE: 8 F D Comments: Yes No WA 4" Building Number Address visible from road Ft D Chimney Height/"B"Vent/Direct Vent Location PL JAI 0 Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches Ce Q.X ` F `C�t t �V Roof Complete/Exterior Finish Complete 1� ri 1 Platform at all exterior doors i Handrail 4 or more risers ✓'/1, J LQE , Guards at stairs,decks,patios more than 30 inches above grade / Guard at stairwell at 34 inches or more ✓ / Guard at deck,porches 36 inches or more ✓ _ Handrail Termination at Newell Post or Wall 1 / f Interior/Exterior Railings 34 inches to 38 inches Deck Bracing I Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet /5-- 6 /6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Vje Interior privacy/trim/doors/main entrance 36 inches h// Bathroom/Kitchen watertight 1// Safety glazing/Window in stairwells safety glazing ✓ Interior Smoke Detectors/Carbon Monoxide Detectors Every level: be Every Bedr000r : Outside every bedroom area: Inter Connected: .7 Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents `/, / Bathroom Fans,if no window V/ Plumbing fixtures / ` ty Foundation insulation to floor/Sticker on Panel ✓ 04 13 at- Duct work sealed properly/Blower Door Test Certification Floor truss,draft stopping finished basement 1,000 sq.ft. / Emergency egress below grade k/ Gas Furnace shut-off within 30 feet or within line of site / / jA J /r // / c f�e����� I Oil Furnace shut-off at entrance to furnace area / / ! / Fumace/Hot Water Heater operating / / rti (� we 1��� Low water shutoff boiler / v - ./ £ , c- Relief Valve(s)installed/Heat Trap/Water Temp 110 ✓/ Enclosed Stairs Sheetrock Underside minimum IA"Gypsum t// faJ��yol i• J Basement stairs closed rise>4 inches r/ / ,z/A/sk Garage Floor Pitched c/ - , ? Garage fireproofing/%hour fire door/door closer ✓ 1 .2E , Gas Logs in Sealed or Glass Enclosure 6 Final Electrical;Energy Saving Light Bulbs 50% / /� ( CA J Final Survey Plot Plan ✓ +� /� AK ��/�<y Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles �����! 1� Flex Gas Pipe Bonding evc liivb- C p Y• t 1!c As Built Septic System/Sewer Dept. Inspection Sticker '. / Site Plan /Variance required /f/ �ed J/2 llt.- ` {� Flood Plain Certificate• / Okay to issue C/C • C/O CU;' /Permanent] r//tv/r Sec c mil ginJ( f r✓.Lii --$ // n �•• le //- L:\Building&Codes Forms\Building&Codes\Inspection Fomhs\Residential Final Inspection Form_revised_100405.doc; Revised `- e404,101 January 7,2008; Revised 626108;Revised 12/22/10,Revised 04/13/11 1 ��J ko i Jj// /,/l,)J11r ,t% 7--o&lw/ TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 I Community Development-Building&Codes (518) 761-8256 Inspections per Permit Permit# P20140054 Inspection Date Inspection Type Approved/Denied Comments Permit Type Person Responsible 03/05/2014 Miscellaneous Single Family Dwelling STAFF Misc 2014-054 permit app rec'd& entered 03/11/2014 Miscellaneous Single Family Dwelling CRAIG BROWN Staff Approved 2014-054 zoning approved 03/12/2014 Miscellaneous Single Family Dwelling STAFF Misc 2014-054 permit issued 06/05/2014 Footing Single Family Dwelling JOHN O'BRIEN Approved 2014-054 2#4's Gravel installed under deep footing 06/05/2014 Reinforcement in Place Single Family Dwelling JOHN O'BRIEN Approved 2014-054 2#4's Gravel installed under deep footing 06/06/2014 Foundation Wall Pour Single Family Dwelling JOHN O'BRIEN Approved 2014-054 06/06/2014 Reinforcement in Place Single Family Dwelling JOHN O'BRIEN Approved 2014-054 TOWN OF QUEENSBURY -Ala 742 Bay Road,Queensbury,NY 12804-5902 (51 S)761-8201 .4, Community Development-Building& Codes (518) 761-8256 Inspections per Permit Permit# P20140054 Inspection Date Inspection Type Approved/Denied Comments Permit Type Person Responsible 06/06/2014 Single Family Dwelling JOHN O'BRIEN Approved 2014-054 footing dowels in place 06/12/2014 Septic Single Family Dwelling JOHN O'BRIEN Partial 2014-054 water line will be in front trenches not esta bushed yet Manholes not established yet Need as-built from Ethan Hall 06/12/2014 Backfill Single Family Dwelling JOHN O'BRIEN Approved 2014-054 OK to backfill-has been inspected by Ethan Hall 06/16/2014 Footing Single Family Dwelling JOHN O'BRIEN Approved 2014-054 interior 06/16/2014 Backfill Single Family Dwelling CHARLES DYER Staff Approved 2014-054 06/16/2014 Foundation Dampproofing Single Family Dwelling CHARLES DYER Staff Approved 2014-054 06/18/2014 Septic Single Family Dwelling JOHN O'BRIEN Approved 2014-054 As-built rec'd TOWN OF QUEENSBURY w gik* 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 Inspections per Permit Permit# P20140054 Inspection Date Inspection Type Approved/Denied Comments Permit Type Person Responsible 07/01/2014 Fire Place Rough In Single Family Dwelling MIKE PALMER Staff Approved 2014-054 Cozy Heat Model Z-42 Factory built chimney 8"flu see pg 7 of installation manural RE mantel height 07/01/2014 Fire Place Rough In Single Family Dwelling GARY STILLMAN Approved 2014-054 Cozy Heat Model Z-42 Factory built chimney 8"flu see pg 7 of installation manural RE mantel height 07/31/2014 Final Electric Single Family Dwelling MIDDLE DEPARTMENT Approved 2014-054 08/01/2014 Final Inspection Single Family Dwelling JOHN O'BRIEN Denied 2014-054 1.Submit revised foundation plan&cross-section showing wood framed wall w/engineer's stamp 2. Submit final survey w/flood plain certification 3. Submit installer's warranty seal 4.Install code compliant guard rail @ slider install guardrail on steps Q9 east side of nome 6.Hook up propane 7.complete water service 8.Bathroom fan noisy-needs adjustment 9. Install trap for furnace condensate line 10. Complete exterior finish at walkout 11.Complete sealing all ductwork 12.Install downspout on relief valve of HW tank 13.Complete framing& insulation of walkout wood framed wall 14. Submit specs on windows&doors for walk out wall. They will be required to meet 2010 energy code standards 15. Complete west side rock retaining wall&fill to damproofmg 16. Install floor bridging removed 17.Final Fireplace 08/01/2014 Final Inspection Single Family Dwelling JOHN O'BRIEN Denied 2014-054 Manufactured Modular Home Model Master Series, Serial#23-0618434AB Muncy Homes,6/3/2014 TOWN OF QUEENSBURY Ask. 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 Inspections per Permit Permit# P20140054 Inspection Date Inspection Type Approved/Denied Comments Permit Type Person Responsible 08/15/2014 Miscellaneous Single Family Dwelling STAFF Misc 2014-054 fmal elec report reed&entered TOWN OF QUEENSBURY w "t 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 Inspections per Permit Permit# P20140054 Inspection Date Inspection Type Approved/Denied Comments Permit Type Person Responsible 03/05/2014 Miscellaneous Single Family Dwelling STAFF Misc 2014-054 permit app rec'd&entered 03/11/2014 Miscellaneous Single Family Dwelling CRAIG BROWN Staff Approved 2014-054 zoning approved 03/12/2014 Miscellaneous Single Family Dwelling STAFF Misc 2014-054 permit issued 06/05/2014 Footing Single Family Dwelling JOHN O'BRIEN Approved 2014-054 2#4's Gravel installed under deep footing 06/05/2014 Reinforcement in Place Single Family Dwelling JOHN O'BRIEN Approved 2014-054 2 #4's Gravel installed under deep footing 06/06/2014 Foundation Wall Pour Single Family Dwelling JOHN O'BRIEN Approved 2014-054 06/06/2014 Reinforcement in Place Single Family Dwelling JOHN O'BRIEN Approved 2014-054 TOWN OF QUEENSBURY ` 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 Inspections per Permit Permit# P20140054 Inspection Date Inspection Type Approved/Denied Comments Permit Type. Person Responsible 06/06/2014 Single Family Dwelling JOHN O'BRIEN Approved 2014-054 footing dowels in place 06/12/2014 Septic Single Family Dwelling JOHN OBRIEN Partial 2014-054 water line will be in front trenches not esta Wished yet Manholes not established yet Need as-built from Ethan Hall 06/12/2014 Backfill Single Family Dwelling JOHN O'BRIEN Approved 2014-054 OK to backfill-has been inspected by Ethan Hall 06/16/2014 Footing Single Family Dwelling JOHN O'BRIEN Approved . 2014-054 interior 06/16/2014 Backfill Single Family Dwelling CHARLES DYER Staff Approved 2014-054 06/16/2014 Foundation Dampproofmg Single Family Dwelling CHARLES DYER Staff Approved 2014-054 06/18/2014 Septic Single Family Dwelling JOHN O'BRIEN • Approved 2014-054 As-built rec'd R • Queensbury Building & Code Enforcement - Residential Fi r spection Office No. (518)761-8256 Arrive: A.•.aa:J. ` Part: ►' r. - Date Inspection request received: Inspector's Initis . NAME: \ DE/4A ►J yrIT#: P Q�LOCATION: c fk New«-'t' *\) Nin — TYPE OF STRUCTURE: Comments: Yea / No NIA 4" Building Number Address visible from road � © 6VOMrT Ra'16Ep Four '- Chimney Height/'B'Vent/Direct Vent Location J VU ) 402065-6 ECT\OA t-�r'taill►`o Fresh Air Intake 1.0000FPRM _n IOALL W% 3 inch Plumbing Vent through roof minimum 18 inches 1 f Et3G\*3EE9 b c5TRMP, Roof Complete/Exterior Finish Complete / e v� Platform at all exterior doors / J )etk T F 1 ockc 1/43 p, Guastl more risers •/ - / bJ1 F1,_000 PLck\c3CE FCale►\ Guards att stairs,decks,patios more than 30 inches above grade / J Guard at stairwell at 34 inches or more JLL Guard at deck,porches 36 inches or more f �r7V(31�i t 1JE3CAL � Handrail Termination at Newell Post or Wall I / UJRbRRet OT'( EeL4 Interior/Exterior Railings 34 inches to 38 inches �J ® 15-TRQ CAC CDFROIS Deck Bracing/Handicapped Ramp Compliant / 6vARfl �P 1L��U � Grade away from foundation 6 inches with 10 feet • 6 inch clearance to sill plate / J/ A \1 }stet,•. ARO Cke1L 06 Gas Valve shut-off exposed/regulator 18 inches above grade J/ cS�EQ6 V--1:%N� E �Q .• Interior privacy/trim/doors/main entrance 36 inches Ham\ UP PRoPc� Bathroom/Kitchen watertight Ji Safety glazing/Window in stairwells safety glazing V (1) CAt c ca GThIaTE(N Interior Smoke Dr ctors/Carbon Monoretectors L RQCE Every level: ./ Every Elect:Outside every bedroom prea: S (3pt'�t��jO� FA13 jA/�1� Inter Connected: ./ Battery backup: I b,JE D) jun eavk-\SWe Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents / 1T4ikl-MQ Ffle\ ��RtiAC� Bathroom Fans,if no window C 00.0 1 be TE Plumbing fixtures Foundation insulation to floor/Sticker on Panel J,rr Vi tJE_• Duct work sealed properly/Blower Door Test Certification I "pp C O ``A� Ey (�St tRFloor truss,draft stopping finished basement 1,000 sq.RFl t�l 1jtt 'l Emergency egress below grade �� �AUKC C5 'o Gas Furnace shut-off within 30 feet or within fine of site ,tb C �p Ar.tV ".,�_ L �r Aa_Oil Furnace shut-off at entrance to furnace area I t j � ��C�� amt O Fumace/Hot Water Heater operating Low water shut-off boiler J all 'A36-vp s_ �14)/Al U Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs SheetrockUnderside minimum WGypsum l RuE� �}A s) ` �J Basement eFl stairs closed rise>4 inches ✓ 70 , ��c'- FRFTM t it• Garage Floor Pitched ,/✓ 0 Garage fireproofing/%hour fire door/door closer / \tI�LRti 00 CD X11�1?V Gas Logs in Sealed or Glass Enclosure -t/ Wcec- E ms,)•` � u e u_, Final Electrical; Energy Saving Light Bulbs 50% ‘71 / 14 �USM v � _1j Ot� Final Survey Plot Plan �/ Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles J tO\b30p t.Jlj ptxQ.�j F Flex Gas Pipe Bonding ✓/ LOVA LV, bo nli-,i>-ME I As Built Septic System/Sewer Dept. Inspection Sticker / t L-6.\__ gE �Gfil k 1\R�� Site Plan /Variance required /� JJ Flood Plain Certification,if required ✓ Tt� � ZO tD E 3EV6 Okay to issue C/C or C/O(Temporary/Permanent) t•ii)- 6-tAtJ9R RQ3. % - .. , -\-E_ t.N. Vsk-bil_ L:\Building&Codes Forms1Building&Codesllnspecion Forms\Residential Final Inspection Form_r sed 1 r r n w ;R8wS88'� t January 7,2008; Revised 626108; Revised 12/22/10,Revised 04/13/11 v_b BR D6t�J6 0MOE--V G. FtiJpu FIRE-CA-PIS John OBrien From: John OBrien Sent: Friday,August 01, 2014 11:26 AM To: jmkinderman1979@hotmail.com; 'affordablemodularhomes@yahoo.com' Subject: KINDERMAN FINAL INSPECTION BUILDING PERMIT 14-054 Attachments: doc20140801112238.pdf Jason & Larry I have attached my final inspection with a list of 17 items that need to be addressed including a final inspection by the fire marshal for the fireplace.The majority of these items must be addressed before a temporary co is issued. If you have any questions please email or call me. I am leaving early today so contact me Monday morning and we can talk further and hopefully some of the items will be completed by then. John O'Brien Code Enforcement Officer Town of Queensbury 1 [ Superior HUlIdrrts,sales division of MUNCY HOMES,-y+ C. [� ,ri; 1567R 442 fiery Wil< kiting',PA 17758 .: da�N UQTAPIA •,,,c..,...,„„...,..t,..‘, a+nc i uybier Dream Street►rtodutars, Inc emton Park,NYt OueeZgy. NY Contltne d a slog J Un.t SMwt Number 23.0616434A6• - Stet;1 label Number 6062M---7-----,________ Mosel master$ene3 TPIA NamelAddrest PFS Corppratran 1507 Matt Pass Co. 1 TPIA label Num 7PIA Aeteptana 874 .bei 764146 'lags Grove,VA 5352'7 Oat*et Manufacture 06,0372014 Dare Label Axed 05:1211014 If(A!Of Constructan Wood Frame Unprotected DM,Data�e*food Bigg Lit/Story tamdation. 2 St6rD17l074 Furnace Story 390- FloorGroup t or 2 FinleyFamrDover FIoorArea 1540 5q Fe - - Mfg. N A Water Heater mode, fdfg NONE M.1Btuh TUH-Factory B Output 29 751 B Model Ra c Butt!Portion Only n9 Degree Days 7635 Mfg NONE Refrigerator - -. ” Model MSB •NONE D shwasher Model Mfg NONE D�tposal Model M/g tYaste Kuxj Moder 3131.6 Elettr.calRaungs 120/240 V AC FaePtace -• _ Main Rating Mips 200 Mfg Codes Standards Compiled With: NONE L^10 NYS Rte./sante'Coda 2010 NYS ECCC 2003 NEC Model Design Parameters. - Ground Snow Load 50 PSF Floor Loact 40* _ Polarity Test F B P InUudes O,rs Test Wad Speed(3-See 90 Ou-s -Fp Qeq F MPH Wind Exposure Category C Water Test 50 PSWIs Mm PSIG1IO4E D'errl.[e StrengthCAL Test S PS).75 Mn PStG,7Ut£ :. Test Factory Bee Porton i...:. ' tan,t Weight 29260 lbs per nodus Ground/1g Ccenn•..ty Test Fact•,8_-t p.m. _ - T . Fire Sprinkler. Seisnc Zorn 6 - ::, NONE f- '+' Special instructions: - _ raAR ^r •'' HA',yE 1010 ',in I At K,is•R?i nixCgR1f sus-,'rw* ::a kray. ,,•..¢ .•a:...r.asx .r,x=-.a rnecs;:24W; 14..-k-.... Instructions for waterldraln connactlons. � ..:i -.y ixv:a-A:,,,i, .mN, ea. fan.'-o..1Ste� -..,,r. G .r a'- •...L'' e _,: -i ... ." - :.r2;'t gv t'S?�r5�- -y! . . t i . - `moi- ifZ. c fw \ k, 4. ,Y a i ti r f Y, C { 1 ,. ia��e '1 T` -q;- .."x :- tl 1 STATE OF i t,' E NEW YORK k �C .$.4 OEPARTIE OF STATE Y� INSIGNIA OF APPROVAL L- >; ' Queensbury Building & Code Enforcement— Manufactured / Modular , al Inspection M, Office No. (518)761-8256 Arrive: h'-c'fam/p r `` - •.crt �- 1 Date Inspection request received: Inspector's Initials: NAME 1"1 t tJpOF RiAB13 PERMIT#Off Ip4-0.�l LOCATION: 3� \ H'H� 1u: 130 PSD DATE: 4R--1 Manufactured Home Modular Home Footings_ _Foundation_ Backfill_ Framing_ Comments: Yes No WA Foundation support,pier spacing, Per manufacturer Anchoring per manufacturer 2'from ends ✓ Water line shut off Sewer line support 4 feet J Heating Crossover(doublewide}off grd. Dryer vented outside ✓ Skirting ventilated i sq.ft.per 1.500 sq.ft. / !v E_ R ` \ p Cv\E> Hot water relief valve piping outside [1 Deck porches,steps.railing 1 Fumace/tmt water operating 6�1I t Garage Fire proofing - t l3 b ©i6 LUC? Fire Door/Door closers Plumbing Fixture/3"Vent through roof(Modular) ✓/ Foundation insulation[d applicable] ist Smoke I Carbon Monoxide Detectors/Interconnected Final Electrical ✓ Variance required (//Data Plate okay Manufactured HUD seal okay Warranty Seal after January 1,2006 J Installers Warranty Seal 18'x 24"access or 22'x 30"attic access Vapor retarder under home 6 mil poly or other 911 Street number Okay to issue C/C or CIO[Temp.l Penn.] Model# NIASTEQ bt_RAE.J") Serial# 2_3-x(01 Lg142 t k P6 Manufacturer Mv1JG`? HN{ I J) Date of Manufacturer Ln L:1Pam Whiting120101Butiding Codes Fomns\Manufaclured Modular Final Inspection 03 04 10.doc Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Wood Burning Fireplace/Stove Inspection Report Notice:New York State requires that ail UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructti-o7ns or specifications is allowed. Permit# /V.-OS/SchedulefJInspection `/IItt I i� Time a•'/vantParra nytime Inspector Mekc Name /1/1'eltrhTiy Address Se? §�/ !gs,cf J RoughInX Final_ Appliance ManufacturerL}Z ' Model# 2-1/61% bb stir Masonry Chimney_ Factory Built Chimney Flue Size Double WallXTriple Wall_Insulated_ Yes No N/A Comments Floor Protection Xe Clearances to Combustibles(all sides) /` Safety Strip Installation (fireplaces only) A Firestop(s) Vertical ChaseX \/ Wall Penetration Chimney Clearances to Combustibles Chimney Termination 3 feet above roof penetration;2 feet above )(1 any combustible construction within 10 feet Combustion Mr IC Hearth Extension �/ ?Ay, ' `Mantel(height above f/p opening) /� 1 0P skdhm Fireplace Doors/Screen(required) l' Carbon Monoxide Detection }� White—Building Dept. Yefon—Cusbmer Pink—Fire Marshal Septic Inspection Report Office No. (518) 761-8256 Date Inst• n -u / - - : Queensbury Building &Code Enforcement Arrive: a- i Qui'.^ 0-Part: a 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial el NAME: I Os t k PATNO.: 1-1 -04 LOCATION: acba1-\AJ11An 'D IIS CT ON: eo- 1 - 114 RECHECK: / F i t_l- e 1AT QI4fl Comments and/or diagram Soil Type:(SancjLoar Clay Type of Water: Municipal/ Well Water Waterline separation distance _ 1C) ft. h - "r F W3e3t ` & ) 6-6104.3 Lk)Pi a) Well separation distance ft. Other wells: ft. Well Casing Length 50'+/ - Y_N_N/A [150'to well required if NO] Absorption Field: Total lengthft. Length of each trench bj Cp_i--1 ft. Depth of trenches 19"- Lt.4 t Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank 4 " Ac A 4C� Tank to Distribution Box y" Q C_ Distribution Box to Field/ Pit /y" NC- -co ttI Qac_?e ?$ Opening Sealed: ✓Y/ N End Cap ✓Y N Inlet/Outlet Pipes&Baffles N Manholes 12"or less below grade N- [provide extension collar if Yes] _Y ✓N Location/ Separations AS BUILT Foundation to tank \C) ft. Foundation to absorption 7 ft. 4" Separation of Pits Lf ft. Conforms as per Plot Plan N Engineer Report and As-Built Y^ N ETU Maintenance Contract _Y_N provided Location of System on Property: Front R Left Sid Right Side Middle Front Middle Rear S tem Use S s: Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved L:\Pam Wilting\2010\Building Codes FomrsWopa.Oon Forms\Septic Inspection Report 03 29 1040c t _- ' Queensbury Building & Code Enforcement - Residential Fi r spection 4111, Office No. (518)761-8256 Arrive: I►•'ra am/40' 4,1rpart: it :A • y Date Inspection request received: Inspector's Initia NAME: D `-ti\ \ � Illet1J P'R IT#: ( QST LOCATION: c "\ ‘--\12N)\<-'esr \7 Y-S) ri ' : —1--I4 TYPE OF STRUCTURE: Comments: Yes No • N/A 4" Building Number Address visible from road 0600t`\\T REJ%6E0 FCU.t.ric Chimney Height!'B'Vent/Direct Vent Location J t� 0 C_2 -5 ojj ECT\CA _t .\St, Fresh Air Intake 6.3000 F RAMEC) b3 Rt-l_ t331 3 inch Plumbing Vent through roof minimum 18 inches i /, E, s3EEWb .STFwitP, Roof Complete/Exterior Finish Complete �/ Platform at all exterior doors / ✓ beto\CT e\t L .A\1 R\E Handrail 4 or more risers •/ / W F\Ac0 pl >�\►,}CE�Ftcs1� Guards at stairs,decks,patios more than 30 inches above grade v/ Guard at stairwell at 34 Inches or more V I D�JLL--''v t3Pk\l \,_l�fC \�£Rrj Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall I j U3FINAn,sv4 /b FQLo Interior/Exterior Railings 34 inches to 38 inches ® \v.. 61- tU_ CXWJ t.s*-y(�p Deck Bracing/Handicapped Ramp Compliant ✓ vPiRD 941\L 6\_WE-i Grade away from foundation 6 inches with 10 fed / r . 6 inch clearance to sill plate �/ / \►JjTeLi- ^Wj RSZO RPM_ a>, Gas Valve shut-off exposed/regulator 18 inches above grade / J \'Eel,&- Ef**'V_bo .eF t\CC Interior privacy/trim/doors/main entrance 36 inches `// }\ N uV PRo\f�t3 F . Bathroom/Kitchen watertight V to glazing/Window in stairwells safety glazing V C i t - W___ bThiiziVE � Interior Smoke Detectors/Carbon Monoxide,0etectors ckv\c__E Every level: ,/ Every Bedrooms Outside every bedroom�fea: ✓ Os GPTt\ .00t-\. ia 1,Xwe, Inter Connected: ✓ Battery backup: 60E~� P OSMEk� Attic access 30 inches x 22 inches x 30 inches(height)in accessible area • FQ�` Crawl Spaces 18 inch x 24 inch access,1 sq.ft.-150 sq.fL vents \ � �Rc ^ 2 Bathroom Fans, if no window / FUS ACE- COOV EC)bcw Plumbing fixtures � Foundation insulation to floor/Sticker on Panel ✓/-_ Duct work sealed properly!Blower Door Test Certification Ii 10 co - v . E ltd Floor truss,draft stopping finished basement 1,000 sq.R ,( ' Emergency egress below grade F\r‘)lb\k Fru u9,\-\ACA)\-o Gas Furnace shut-off within 30 feet or within line of site .ti) Co t-Wtcc 5Ect Lac. AI Oil Furnace shut-off at entrance to furnace area / Furnace/Hot Water Heater operating t/ A-x--\- j R\A Low water shut-off boiler \Z Relief Valve(s)installed/Heat Trap/Water Temp 110 4• -hT'AeLL Cr Stairs Sheetroc k Underside minimum'W Gypsum J REucF V 9IWE > \\ \-Ny4 Basement stairs closed rise>4 inches 3 GOMPI E \ FReMstJFS Garage Floor Poffing d / \,DU\r'R'V\o0 0E u'hf Ut01 Garages fireproofing/or% lass Enclosuren door/door closer J / ��V) Gas Logs in Sealed Glass V ��,�q 1.r�E�1\L-, Final Electrical;Energy Saving Light Bulbs 50% / _ f Final Survey Plot Plan �/ ` dugt�'�b \ cPr‘zCp ©0 Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles ✓ tom‘°VD uDbtJ Ra m�t9004-5 F Flex Gas Pipe Bonding / �F1L� O % As Built Septic System/Sewer Dept. Inspection Sticker \/ 011.4_ PSE Rv Q a\Rcc) Site Plan 1 Variance required Tp M EST ZD%� ��% Flood Plain Certification,if required s' Y `'j ,, (v&, Okay to issue Cl C or C I O[Temporary/Permanent I .• �� vJ TSI �ri� \••17,301 t. p�,.R\J� L:U3uilding&Codes FormsWuilding&CodesUnspection Forms\Residential Anal Inspection Form_rbvr\sed 1 tr 1r5. ;R5 """ \ January 7,2008; Revised 6/26/08;Revised 12/22/10,Revised 04/13/11 ` \ � �Rnt f� C6 E: 0BR�DG E1 til ) Fn3et _ FtRE\ ' ± rir John OBrien From: John OBrien Sent: Friday,August 01, 2014 11:26 AM To: jmkinderman1979@hotmail.com'; 'affordablemodularhomes@yahoo.com' Subject: KINDERMAN FINAL INSPECTION BUILDING PERMIT 14-054 Attachments: doc20140801112238.pdf Jason & Larry I have attached my final inspection with a list of 17 items that need to be addressed including a final inspection by the fire marshal for the fireplace.The majority of these items must be addressed before a temporary co is issued. If you have any questions please email or call me. I am leaving early today so contact me Monday morning and we can talk further and hopefully some of the items will be completed by then. John O'Brien Code Enforcement Officer Town of Queensbury 1 ,.p..,.g,ttiJ.tea,.: .y..-e^-,t^r.-,'a. . •... 4 _ ,,,�rc.-w+..'-rG'�gA7: ' :-I '.^-"a' 'm,'+,' iiz'1,5w°+r •'". —,.c . s-• Queensbury Building & Code Enforcement— Manufactured / Modula'F' al Inspection Office No.(518)761-8256 Arrive: VS-00 am/. I-- ,-rt Io•`Io f ntn Date Inspection request Q received: Inspector's Initials: 11, , NAME: V 1 R t• DEMRf� t� PPERMIT*. \y �1'" '1 LOCATION: 3 1tD \ \'RJ \'- t V RD DATE 3-t —14 Manufactured Home Modular Home S. Footings_. Foundation_ Backfill_ Framing Comments: Yes No WA_ Foundation support,pier spacing, r Per manufacturer / / Anchoring per manufacturer 2'from ends / ,/ Water line shut off ' ✓ Sewer line support u 4 feet ✓ ' Heating Crossover[doublewide)off grd. / f Dryer vented outside ,i Skirting ventilated 1 sq.ft.per 1.500 so.ft. ✓ `J E-E--- R 1 ` ?ICV Hot water relief valve piping outside f Deck,porches,steps,railing ✓ �,f\ E_.\ , `p l� 1 � FumaceRrot water operating /' 1J !J �1 /{ �(1�� Garage Fire proofing V- lir k v3 b gc �� O �I�1 Fire Door/Door dosers I Plumbing Fixture/3"Vent through roof[Modular] Y i Carbon Foundation insulation[rf applicable] / J r Smoke I Monoxide Detectors/Interconnected . / Final Electrical / Variance required / 1 Data Plate okay ✓ r Manufactured HUD seal okay V/ Warranty Seal after January 1,2006 ✓ Installers Warranty Seal / ✓ 18'x 24'access or 2Y x 30'attic access I Vapor retarder under home 6 mil poly or other r / r 911 Street number /i` Okay to issue C/C or C/O[Temp./Perm.] ,/ Model# 1-1\9%5TO-AME.1) Serial# Z3-D(DI S Pe Manufacturer MO OC.`? 1 t bt I 3 r+ ;^444.',.;+ Date of Manufacturer 6 -3 - 14 L:\Pam Whiting120101Building Codes Forms'Manufadured_Modular Final Inspection 03 0410.doc fes=: Superior Builders, sales division otMUNc Y HOMES," MC A: . , 1567 Routs 442 they Muncy,PA 17756 { 'r,-?C..;,. doeNametoreation Dream Street Modulate, Inc_Cfltort Park NYA AIAI E /1 r.i- Um Serol Number 23.0618434 ,3 Otreensflury,NY <UUuCtld ( 3 ._." -,t.:-.;i ; States Label Number19 60628 Model Master Seng TPIA Nome/Address PFS Corporation 1507 Matt Pass Cottage TPR Artapfaace Ntd+>ber TPIA Label Number 784148 otta a GrovE, 53527 Date of kt rwlaoture 0603/2014 °ate of Construct on Oates Law AN�tad osulzett Wca!Frame Unprotected Date Data Ptete Affraed o62L1r201t Bldg HtUStory Limdatron 2 Story 35'0^ Use Grew 1 Or 2 Fin*laeefnvl, FIocck a 1540 Sp rt . Pomace Mfg NIA Water Neater Atodet Mfg NONE 1.1.n Btuh Output 29 761 BTUH•Faaory Built Portion Only Model Range RefrigeratorDeflrea Daya' 7635 Mfg NONE -- Model Mfg NONE D washer Model Sh - - Mt NONE �Pesat _ _ - Muret 1ttC Waste King EleancmRabnps 120/240 V AC Model 3BMT - - Main• RatingAm FeePpctr -- - - - - Pa 200 Mtp NONE Codes Standards Complied With: Model :eta NYS Resdenual Code :OI O NYS ECCC 2008 NEC Design Parameters. - - Ground Snow Load 50 PSF Ftcot Lost 40i PSF - Potarty Test F B P Inc/odes Gus Test Outside Temp •tu - - ' 3 - Wntl Speed c3-sec 90 MPH Wrtd Exposure Ce9 F Water Test 50 PSI/15 Min Y C - PSiG:'tPAE trnw Test 5 P5615 Him _ DmteCr,c Strength Test Factory Bu„t Patton Lint Weght 29260 Os per mudve Gra.na.nq Ccr•rn.ay Test Faetry 8;�3 Polon Fire Sprinkler, Seams tore 8 - r'r NONE Special Instructions:75:- . ,.sate rN try cotes. I.r F'N.s•R2' nnd'CI-R3: E..dor-etr.on,:.s 111..p, ..w ,b.n•6srat'e•.;r.nay-r,e,;>ocrcor7 Y GUA.t.3E tOtp tnstruc40ns for WaterrdraIn connections: r" :.' •,s Ggr1eenv• se.lxrw..N. 1'4141""1MP%As Jr weans E, O. r-., ..-.e..•r - r n,-..?",.-;;;;;.. .- :3 fY�Ca--.1i x t���T 7, [t(� ,..n . _ ,,. . a... asGh1Ct L -\ pT' � � " lI -6-,i, y✓t� \ 2t Ai Act ;= STATE OF I t NEW YORK J -R 4 .s 1 s�,a- ti, OEPASTME OF STATE fr 6' INSIGNIA OF APPROVAL :: } 'F a��. -i 1.too Lotto florial wooer ' .T,"`2: ' : , kpa 2.MSN at Saxe actor's Money Moes, Inc. '1y \� - E a a.nos AJsraval Mneber M13S7-02-070 •i.- -;:-;• �¢ 1�11iIl1111111/Iix:`: ,..,-,-4.4,{; I Sat or Coyan of Das _Son �4� tithed One I Two Finally :r,`,€."_. tf.rsarfaeturer•e Serial Miaow K.�'04fEN.� ^'s2 Foundation Inspection Report ‘ --(7 . Office No.(518)761-8256 Date Inspection 1«^• • Queensbury Building&Code Enforcement Arrive: i-... Depart: ,fe 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: ' 1• / NAME: 1`l t tJ oC--IZP'1 44 0 OrI #: - y LOCATION: 9\91-\ fA \L¢aft) ) Rh 1 SPECT ON: (0 — r —\y TYPE OF STRUCTURE: \P i --r IIIIIIO �� 1� lrr�y. Comments )(94 Yf N N/A "'"''\ tJT R' F� V\ Piers / 7 1 oaoIithic Slab„, Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour einforcement in Place ooting Dowels or Keyway in place 4:41 1mO_idatim Diimppr Lige„g Foundation Waterproofing Footing Drain Daylight or Sump Pi,,ATE--_--\--)V\ rFooting Drain Stone: 4r/ i 12 inch width41 �;3Jy� 6 inches above footing . 6 mil poly far wet areas under slab TBack11IIAppioval -` 2j Plumbing Under Slab << PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\building&Codes\Inspection Forms\Foundatlon Inspection Reportdoc Lag printed 12/20/2005 9:24:00 AM Hoo Septic Inspection Report Office No. (518) 761-8256 Date InsPn ��1r • Queensbury Building &Code Enforcement Arrive: 'f7 il;D part: a m 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: 1 ,1 1JS�ERM R 'f rr NO.: 14 --lbgtk LOCATION: c`3W1}Ay 1 LAt3U A° NSPECT ON: (fl —1z_ RECHECK: Ftp — Comments and/or diagram Soil Type:art Loam/Clay Type of Water: Municipal/ Well Water Waterline separation distance _ATM ft ti- ecc Well separation distance ft. \ tJ ee-t Other wells: ft. Well Casing Length 50' + / - _Y_N_N/A [150'to well required if NO] Absorption Field: Total length .,I& ft. Length of each trench -fAJ,i,. Depth of trenches ft. ►.5 CT E V r23tA 5\s -S). `E-\ Size of Stone L ‘U- cec ec Seepage Pits: Number _ C� Size: x Stone Size: Piping Size Type Building to tank 4« PC-AA4N Tank to Distribution Box 14u_ g\C C Distribution Box to Field/ Pit / y '( Qt3Cj V ELF Opening Sealed: ✓Y/ N End Cap > N Inlet/Outlet Pipes&Baffles N } Manholes 12"or less below grade N tiIDT r gam'R41.-\5\,\V---C) {e [provide extension collar if Yes] _Y_N tt Location/ Separations Foundation to tank 1 fl ft. Foundation to absorption 7 r) ft. Separation of Pits Conforms as per Plot Plan _Y t ED �S_Q3\�T F V-OM Engineer Report and As-Built Y �[N ETU Maintenance Contract Y_ N F t provided Location of System on Property: Front Rear Left SideRight Sid Middle Front Middle Rear System Use Status: /Appr/Approved 014TD 6PtC -Ftt_l Ac b (3CEtJ oved Approved and needs to be re-inspected, please call the Building•&Codes Office ' Disapproved I 0 bPEC TSD Q`k E\-1-k p1/4-0 tk P&L. L:\Pam Whiting\2010\Building Codes forms\IrapectIon Fomes\Septic Inspection Report 03 29 10.doc 1 AtAa a y Foundation Inspection Report Office No. (518) 761-8256 Date Inspection reque Queensbury Building& Code Enforcement Arrive 70 , • rpm�'�//-Depart: 1.=�l' i 742 Bay Rd., Queensbury, NY 12804 Inspector's Ini!MIS NAME + LIIT#: i 'I ° 5 T LOCATION: 3 19 I-1 antlQcq,nd INSPECT ON: (9 '6 —1 ,J TYPE OF STRUCTURE: £ F dJ Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for thisimpose on site. cl(ly Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM Foundation Inspection Report Office No. (518) 761-8256 Date Inspection regv- Queensbury Building& Code Enforcement Arrive: 17=21 c carp ( part: I -OC /pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initi. s: S 4 NAME: K(:"Aelzu.tesn«.N, RMIT#: ! 7`O Ll 7 LOCATION: 3 'S9 cl'®&4j2,.rcd INSPECT ON: Co—.5-1 41 TYPE OF STRUCTURE: S F b Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for Z _ y�� providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. G F-. .. \la A LLE Foundation/Wallpour Reinforcement in Place Ob3OE9\ DEEP Fo oct l e Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/18/2013 2:44:00 PM N Q _. O N