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2001-758 IlitTOWN OF QUEENSBURY --1 v �' 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010758 Date Issued: Thursday, October 17, 2002 This is to certify that work requested to be done as shown by Permit Number P20010758 has been completed. Tax Map Number: 523400-226-015-0001-003-000-0000 , Location: 166 LAKE Pky Owner: ENGLERT WN LIVING TRUST Applicant: ENGLERT WN LIVING TRUST This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY (--- ail,P 4 ,-/----- 1„,„ \. Director of Building&Code Enforcement ��� TOWN OF QUEENSBURY stsi s 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010758 Application Number: A20010758 Tax Map No: 523400-226-015-0001-003-000-0000 Permission is hereby granted to: ENGLERT WN LIVING TRUST For property located at: 166 LAKE Pky 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: ENGLERT WN LIVING TRUST Single Family Dwelling 105,000.00 20 WORDEN Rd Total Value 105,000.00 SCOTIA,NY 12302 Contractor or Builder's Name/ Address Electrical Inspection Agency KRAFT CONSTRUCTION RAY KRAFT Plans &Specifications 2001-758 2228 SQ FT SINGLE FAMLIY DWELLING AS PER PLOT PLAN SPECIFICATIONS $267.36 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, October 24,2002 (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 of Queensbury; Wednesday,October 24,2001 SIGNED BY for the Town of Queensbury. f e Enforcement Building Permit Application Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No O No inspection will be made until applicant has received a Fee Paid $ D.Co ,3(.0 valid building permit. All applicants' spaces on this Rec. Fee Paid $ application must be completed and must appear on the Reviewed By: application form. Applicant: t/,q'-T£/? lz!✓G L./3i2 r Owner: S,4 A2>✓ Address: ao Doti O Address: co7)/3 NY 1,-30-2— Phone#(S,'g ) 3 72 - o Phone# ( ) - Property Location: Lot Number: / House Number /66 / GAxt P94Kw/3/ /455£m/j ay O T Subdivision Name: Tax Map Number: 2, , /S-/-3 e.New Building: residence /commercial Estimated Market Value of Construction: $ /Or d6El? o Addition: residence/ commercial If an Addition,what will use of new addition be? o Alteration: residence/ commercial ❑ No change to exterior size: residence/com'l - ❑ Other work(describe ) Check Occupancylnformation I iSt Floor 2' Floor Other floor I. Total Below sq.ft. sq.ft. sq.ft. Square Feet aL011 ❑ Single family dwelling ( l 1 �{ 1 1 1�/ 2 D-� & o Two family dwelling o Townhouse o Multifamily dwelling #of units ❑ Office ❑ Mercantile - ❑ Manufacturing ❑ 1 car detached garage _\" g S iU 2‘ (^ ❑ 2 car detached garage � ���✓ t ❑ 3 car detached garage f ❑ 1 car attached garage ❑ 2 car attached garage ❑ 3 car attached garage O Storage building- commercial ❑ Storage building- residential ❑ Other What is the proposed height of the structure . Lf feet inches Will any second-hand or ungraded lumber be used? If so, for what? N Type of Heating System: electric �0 ga wood /forced hot air/ baseboard/other: Numbe Fireplaces to be thstalled ,v o n,_ Nu er of Woodstoves to be installed NON List low the person(s)responsible fo u ervision of work as regards to building codes: Name Address Phone Number Builder ARR ELL //vmEs ZNc RT el Pei3dx'l eoeM7m1N �a y /7v sib 3Z2a— Plumber nay riffle-7 re 'sr c Ayr/Mire RP cL£/av£ep, NY Gr/ 3GG2. .79v0:11 Mason RAY cRAtar co#cr GL£4vCRo/}Lr rep cL£,6vc2o/}i-EN'f t.tb 3Liz. 792.eS17 Electrician /{gy cR/3PT Cotst- ce c .v4ltni -c_Rp cLth,,q q-d.t ,vy r C 3`62- -4z so? Declaration: please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new construction. CSignature: C�,�piv owner,owner's agent, architect,contractor • ' Application for Permit—Septic Disposal System• Town of Queensburyy 742 Bay Road Queensbury,NY 12804. (518) 761-8256 • 1. OWNER INFORMATION: • • Office Use Location of installation: ,/•4. 4/-KC. //gkkr/f-y /r1SSci�i�cy,///�. File Permit No. • Tax Map No. / / • Fee Paid Owner's Name: `,,j/,1-4.-r-f,e • f'4/GLa,e r • • Address: p0 /,) g_ioF',J /2,) S 0 n avY' • 2. • INSTALLER'S NAME : PHONE NO. 79 -U i6 7 3. •RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply ti of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No, of Bedrooms x Computation = . Total Daily Flow 1980 or older • x 150 gal/bdnn = 1980— 1991 x , 130 gal/bdrm = • 1991 —present 3 x 110 gal/bdrm, = 33 O Garbage Grinder Installed- yes. / no Spa or Whirlpool Installed yes / no .- • • 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) • Iop il. tro Ground_Wat,9r_ 1394rock or 1mpctyjoos Materi4.1T12o1».01.1c Wator_$upp1Y Flat sand at what depth at what depth municipal Rolling loam /o feet /Van/ feet well Sleep slope if well; water'supply _%slope other from any septic-system depth: absorption is fl. other [.,n.K.e Percolation Test: (To be completed by licensed professional engineer or architect) Bate; /2n,,,4 ya$ c nhinute per inch• 5. 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). Add 2.50 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. • Septic Tank: tau v gallon (min. size 1,000 gal.) l X(ST fi Tile Field:.each trench ft. Total System Length: ft. Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: 11 / depth or thickness _______fleet • Bed System Size: _ x Alternative System: . 3 c 'x a length and/or size 7A' E L £bki 3 r -r" 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: • gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved • electrical inspection agency. • 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For yourprotection,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. • %l/4144- /a / Signature'of resp sible person Date _ c.:36b/ csei ENERGY CODE COMPLIANCE APPLICATIONREC1�®E TOWN OF QUEENSBURY, WARREN COUNTY @� 9000 HEATING DEGREE DAYS OCT20 01 Compliance Methods : PART 5 - Acceptable Practice Met (2FQUEENSEURY 1&2 Family Dwellings ( ING NDCODE PART 6* - Thermal Rating - Component Trade Offs 1&2 Family Dwellings;- Multi-Family Dwellings (3 stories or less) PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NAME : PROPERTY LOCATION: w/3LT£R 166 GAZE 00004/451 ,955E/M y pr PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - o1.oZ 8 square feet 2 . Type of Heat - _ Electric ✓ Oil Gas Other 3 . Is building mechanically cooled? Yes ✓ No 4 . Percentage of area of windows and doors Over 17% ✓Under 17% 5 . R-VALUES FOR .INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R 3O b . Exterior walls - R /9 c . Glazed areas R d. Exterior doors R e . Floors over unheated spaces R !9 f . Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R IPia h . Basement/cellar walls (below grade) R i . Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code ✓ Yes No • TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Appli ant' s Si nature Date Phone Number a1a,(.64, 5)f' 37?.. aaa-v INSPECTOR' S REMARKS : • F. rt�,£'' I`k'°r �, ,fyY • . • . •tyi .1 IS e t c`V �+ Ci. i.15�.p,,Y"P.a< `�3,9:4'1 I 1 'ri, r t4 , r 9 J - - r N 1 h' • ';; Jk'Y-y 7 • + t+4-430,kc'Zi-k.;.' '','":4=','t,-...,..'1.;,,-- ...".. .- . 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Parkway,, `Assembly Pointi ; R it„'�� `n I f..', lam'°'�i',,M1 Y 1}Wl 1i� ? 5 � i l ,. 41 �•L t^`�.'kytyt T �r It.Y.Y,a;,'l a L•ake` Ge4r ... • .� •2 4S t e :. • E ;, 4Y ,,, • g State•• NY Zip `` T2 45 .>* `9 tssr }+-a tf olti a, • i, 4 , I i' ,ty Address Town •of- -Queensbur t ,, .,:� j F ��f � �tr-i1 } • Y�•' _ ?.v�,sr'lr�j.ax y . lc- 2 .' r * c`semb'ly`Poin• t •• • • • „ {,sL f�r it F3 .h1'ax Map'Number.: . SectionBloc � 9. k { 5,t r1' tot.. 3. M1= _ . 1iF t: T,tt,xs permit ' wi 11 al•1 ow ..to• ,� , you operate a wastewater' treatment syste a 3 t 45�. ��, the above address :and authorizes .you. to, discharge from 'this_ .fact17ty in o' �? �� �° V�' • �. r,#,n ` 3dr_f k �'��r �a� , r r v er of =Ne •W Yorkr. State i n accordance with`the c:ondit:i,ons and re ui E?1 T t �rnkt1 t. ,�t i smpernll t g her 4tW =7; tiffs PERMIT EXPIRES=THREE, _YEARS FROM THIS DATE �99 • T�f � g t .'0 i `' h df r - • 0,71 cJJ 1 .9.: i{' - r r I}t,rpy'+ '4,rA'', y s • crt, 1 °'},1 •• `4$;.6 11 r t''V 1 .t • :. 7.. .i 1 r ry ,• r e y�fi Sri sz 7 �iii �jl�k'.'a4:4 t 01 • J� r �-' .----7..�. — i, - t I . )Lr: iy,,, 'k r N.'j4 141sy ':t., • F�' k 4W tf 4 7 r ; F y d� 'r 4 i )r-A7,4! r�ir 14-. .,:', f i ,.WFJt`'l ` r i s•r`:-r'>I fJc t"+ xf y n I ., r� {sr a" tiAftk�ID HMTIN DI.REC R i r: k l)r 7 F y ; ikt, ,14, ` S.ILDDINV�a ,AND CODE ENF0RGEP+1 :?,Iv r s '�p. 6:.02 , ,1. Y I� bA. y,+ •f 1 a ) ENT DEPARTff,NT. {. 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REVIEWLD kW k'S'I" DATE CfC)e-i4 z226- ,/9S7-9 / . • , . , . , ! . , . _ . . . . . , . . . . . 4 . 75"' . . . 1 . : . •S I % . • . . : : • C. ! ; , . • .. . - • 4.- L....... g a -- .........0 . . . . { .. . :• , I . . I I . . • ilt•-■••••)7'—di. 4-Bl--1/ 1 • il 0 1.1.-5 ht. . . 1 I . . • i . .. • f%. . . .• 1 I . . I . -•. . - . . •.. . • I . . . I ! . . I 4 1 1 • • . .. , _ i _ • • • ! • i - — l''‘kt —7 7 7— 1 . • .. .. . 1 • . . . . . . •• . . 1 . . ! . . 1 • • ( i . .. i I . N . atiotilja • . , . . ... . . • RESIDENTIAL FINAL INSPECTION REPO Office No.(518)761-8256 Date inspection request receive : Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart am/pm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 • NAME 4— / //�� PERMIT# o/V 5 U LOCATION � L�� //e/ r ff'9' DATE TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above 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 Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan — As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent CIO(Certif.of Occupancy) J6-el 6,q 3 cgs - Pis, & /( —Iv r-e-i-- cAff) a —}7)47eC RESIDENTIAL FINAL INSPECTION REPORT C20_,Zrf_ a Office No.(518)761-8256 Date inspection request received: /0/ D Z 14 Sc(Z Q. lr Building&Code Enforcement L•L Dept.of Community Development Arrive am/pmDepa pI //La Town of Queensbury Inspector's Initials 742 Bay Road . Queensbury,New York 12804 NAME iiV6 J Y4- ������ PERMIT# 2-60i-758' LOCATION I la.(a Pait,V I i /7�S, Pi-- DATE /d/ //L)7 /c " / C • " TYPE OF STRUCTURE 5 ,') N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof / Roof Complete r/ • Exterior Finish Complete / Interior/Exterior Railings 30"to 36" /�Exterior Handrails,balconies,landing 18 in.or more / Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation / 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade / Gas Furnace shut-off within 30 feet or within line of site t// 1 Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. / % Handrail exterior stairs both sides more than 3 risers t f • Interior privacy/trim/doors/main entrance 36" Floor Finish i// ' Bathroom/Kitchen watertight j Interior Handrails Balconies/Landing 18 in.or more / Railing across window in stairwells t/ Smoke Detectors: / \ every level ✓ every bedroom / outside every bedroom V inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4hour fire door/door closer / Garage fireproofing ,/ i Garage penetrations sealed ,// Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"ore fr oor Final Electrical �� / b7j 6 Site l ariance r uir / l J 5�\ Final Survey Plot Plan '7 o v % As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) / Okay to issue temp.C/O(Certif.of Occupancy). f/ Okay to issue permanent C/O(Certif.of Occupancy) TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name 5/V6644— Location r(.c PALL04.1 Date C-ik Q?- Permit # O/ - 76S SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Number- Size - ft. x ft. Stone size .� PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank feet • Foundation to Absorption _ .feet . Separation of Pits • feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) • Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: r.D. c-c SYSTEM.USE APPROVED: • YES NO Arrived: Departed: tLi.-12)yi . Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name (=-71)6CCA Location /(Q 4'g 1-44/. -r 6-44-4311/ Date4-1i,40.iPermit # ol"7b SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Ra --Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: ota Length Length of each tre ch Depth of trenches Size of stone SEEPAGE PITS: Numb: Size - ft. :4 ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/P t Openings Sealed? es No Partial LOCATION/SEPARATIONS Foundation to Tank feet Foundation to Absorp ion . feet . . Separation of Pits —_ feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM IN PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: 0. /1)66_0 f--( G/ / SYSTEM.USE APPROVED: YES a Arrived: i Departed: e V 44> Building :nspector • Office Use GENERAL INSPECTION REPORT Inspector: Ready at time: Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm Notes: (518) 761-8256 Inspector's lnitials3-A2e_ NAME: </U GL6 to r PERMIT# ©I — 7.5 LOCATION: /(P(o L A-lL - eVw f INSPECT ON(date): 07/02---- TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsi a for providing protection from eezi g for 48 hours following the lace ent of the concrete. Materials for this purpose on s•t: Foundation/W allpour Reinforcement in P - Foundation/Dampproofmg Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing . Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire eparation 1,2,3,hour P etration Sealed ire Wall 2,3 4 h ur Firestopping y4 ik W L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc liilk en TOItii-OF UEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Locationon ` G Icla Date Li "— Permit E --, SOIL TYPE Sand Loam-Clay- Results o rcolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: _J ABSORPTION FIELD: al Length l 1 Length of each tre. . itCy, '' Depth of trenches Size of stone C Llawn, SEEPAGE PITS: Numb= Size - ft.\ x ft. Stone size \_ PIPING: V _,Size Type Bldg. to Tank cm, 57/ ww. Tank to Dist. Box ' -2-u Dist. Box to Field/Pit Y'it. Openings Sealed? Yes 0 Part a LOCATION/SEPARATIONS: Foundation to Tank /10- . feet Foundation to Absorption 24 feet . Separation of Pits • feet Conforms as per of Pla — No LOCATION OF SY E•M ON PRO" .RT-. (circle one) ' c3kDcz"'-- Front - Rear Left Side Ri .ht Side Middle Front - ' dle R- : - COMMENTS:10/./ ,o: L f-re• Pre— ��d Ps6bc j v fr,L v3 gfr Cke .0 r F c zd. L i4-TCA-[ 5. • Cto S 7;1-6 c_ A-G ►e IA 2. Po ' cirwuexi 0,' -iO F Ai Ae- � --CC 4.4L — ,.c-/2. -- ol4 SYSTEM.USE APPROVED: YES NO Arrived: Departed: ' i - -74 „Ifi . . Building Inspector • ....._ .. _....J6G..... x j kW�y . _. . __ . . . .. • WI..F' ie _.o67-ki.N_ 0. rreom L-Kc_ - . . . • 1. . So....__._ __ . ._...._. . _.. . __ . .. . • _ ._. . .c?/ i I r Y ' • I — . i • • I . • i �" •• l • , it- I .4. .1 • _ _. , . . . - -.- - • l � ' • �--, 3 • . * Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: J Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART/I I tm/pm Notes: �_f_ { (518) 761-8256 Inspector's Initials NAME: (f/1)���� PERMIT# d 1 73 LOCATION: ) 4A-i & i9�ICGc9.� 61) INSPECT ON(date): 3,h2-- TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS . Footings/Piers Monolithic Pour Form (Th Reinforcement in Place The contractor is responsi le for\ providing protection from_ eezii for 48 hours following the p ace ent of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place , Foundation/Dampproofing Backfill Approval \ Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- • Walls R- Ceiling R- Duct work or piping in l unheated s.aces R- /roperd A 'c Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air In ltration Barrier Fire eparation 1,2, 3,hour Pe tration Sealed F' e Wall 2,3,4 hour _ iresto in %� lm g 1 UTi..P6C6r& L:\SueHemingway\Buiiding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc � \, �_ ��� Office Use GENERAL INSPECTION REPORT w ' \vcInspector: Town of Queensbury .\\ Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART) ` am/pm Notes: (518) 761-8256 Inspector's Initials—21\'2 NAME: �,`n, ' -Q/W-A PERMIT# ' -St-1 ' 1 ! ii?' LOCATION: 9 INSPECT ON(date): - 0j----. TYPE OF STRUCTURE: )�� ., RECHECK N/A YES NO COMMENTS . Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible f providing protection from free i g for 48 hours following the plac ent of the concrete. Materials for this purpose on site , Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing / \ Backfill Approval / Plumbing Under Slab Plumbing Vent/Vents.inPla‘ Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- 1 Floors R- Walls R- Ceiling R- Duct work or piping in eatedspaces R- _ Pr er Vent,Attic Vent arcing / Jack Studs/Headers / � Bracing/Bridging V' c0 PLC�� 6 te I DCo/d-C2 •} Joist Hangers / / NL Jack Posts/Main Beam ',/' ryQ- U IL� \j •AvA) f A pele Gv A-L- � z FL 2 Air Infiltration Barrier -- ' Fire Separation 1,2,3,hour �''. duC A�-e- lA)5`'�e-/9-T7 b Penetration Sealed Fire Wall 2,3,4 hour (16„. o��� L� V+ `� Firestopping �0 I D -1G L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart/ �� m , Inspector's InitialsL ) NAME: #,PERMIT C� / LOCATION: `41L i<w DATE : dl ��� TYPE OF STRUCTURE: RECHECK N/A YES'N COMMENTS Footings 'ers -----1 Monolithic our Form `l n / Reinforcement in Place �� .E, lt' l The contractor is respo sibl for providing protection fro fr zing for 48 hours following t e pla, anent of the concrete. Materials for this purpose o site Foundation/Wallpour Reinforcement in Place J Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: fa-- Building& Code Enforcement 742 Bay Road / Queensbury,NY 12804 Arrive/.)ice" n�epart h,/ p15, spector's lnitia s- `y—' NAME: y� I ' PERMIT# �� `I .7S'� LOCATION: , DATE : a-1Y��/ TYPE OF STRUCTURE: RECHECK /' Pk N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placemen of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place AitRilinclation/Dampproofing Backfill Approval V Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam_ Air Infiltration Barrier Fire Separation 1,2, 3, hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping 2;'- at5 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart! a Inspector's Initials C NAME: it C.,i1--'P PERMIT# 75 1# LOCATION: )Ca.c. Lt ip:, DATE : it 2_8 ,6 TYPE OF STRUCTURE: \ RECHECK \ / N/A YES N COMMENTS Footings/Piers �. F I Monolithic Pour Form Reinforcement in Place /VIO The contractor is responsible for \/ providing protection from freezing for 48 hours following the placement' of the concrete. Materials for this purpose ousite Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- f Walls R- Ceiling R- ,/ Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping '! p- ) GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Gi U' Queensbury,NY 12804 Arrive am/pm Depart �ap;/, pn r Inspector's Initials NAME: =-`(\C' ZN'C PERMIT#0 LOCATION: •l�c,�9 �i?.j�� �r�\VJ r ' DATE . —a-CD ) TYPE OF STRUCTURE: S \C--) RECHECK N/A YES// COMMENTS tings/Piers I Monolithic Pour Form Reinforcement in Place l 6(//O/L)4Q " 7 The contractor is respo si:le for providing protection '.m freezing for 48 hours followin;,the plac*ent of the concrete. Materials for this purpo e on site _ Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi g Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in •,ace Rough Plumbing Heating Rough-In Insulation Foundation Walls Interio R- Foundation Walls Exterior R- Floors - Walls - Ceiling Duct work or piping in unheated spaces (- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road ' Queensbury,NY 12804 Arrive_ am/pm Depart - p // Inspector's Initials NAME: (-1y &2 1 PERMIT# O( /47 LOCATION: I t‹,(0 1 P-ILiR.) DATE : B TYPE OF STRUCTURE: RECHEC N/A YEA COMMENTS \'Footings/Piers I • I Monolithic Pour Form Reinforcement in Place '— The contractor is re ponsible for providing protectio from freezin for 48 hours folio ng the placement of the concrete. Materials for this pu se on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval \ Plumbing Under Slab \ Plumbing Ven • a e Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R-- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing, Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping - ' • ELJEN iN D IN CROSS SECT!O9� - - • .. n .............a ...'...n n'['1 •T. 1 n.... . FWISH D anE TOP SOIL . _ _ • SUITABLE BACKFILL . - 4"DIA.PERFORATED PIPE - (COBBLES,ROCKS TO BE REMOVED)-. .HOLES 5&`7 O'CLOCK.- _ ' GEO-TEXTILE COVER • .. 7- 10-17" •BANDING STRAPS '� • • -�j���l .ib.� .:f%Jncs` y. 7 I" r. :i /////f/ �� / /i%i %ck+c§sa � ?a' 4 �7 Frrrr> '� rs �r4gy� .:4. % // 7ii RAIN UNIT .!l/l / c z� ky a..' - 'r7&% �t: /�� //% —u -'�+ `5YRj Sr—___-..sr _ a.�'f ." `ir�5 a r1'ftS1v tI ..r?ts Ei+% j j =rE �ArID`- /�‘77/////%�/%%%%/�%/%%%/�� 6r/ I• MIN. C ` 1 : • 36" 6"MIN. 2' MIN. . . 2'TO IMPERVIOUS STRATA,BEDROCK,OR .•:'i:-.''.-..`,'' - . SEASONAL HIGH GROUNDWATER • . PG 8 / FIG 1 — 1 =l w�„ / : : o,o Lk Pi�w , , . Iide7,K Ez ' 1 ,,,,( . Rt c• E1 OCTo ,� t. -� S = I > 9 2001 TOWN OF QUEENSBURY BUILDING AND C • i 0 . 7 • , . 0 • ii2Ifl1 ' G • • • / F---- 13'9"--, t . • I . i 1 . •U i 1 ! • • I I I• 1 i 1 1 1 1 11 1 I �.' I. 1 1 _,J ! {- I i 4 E f H. .i i r -t. i -:1: ' ! •,- tl • :7-4 .=.„_4' - I: «' 1 I 1. 5 j f 1 ! 1 �Jt/.11. 7. i i 1 ; 3 j }" 1 .., 1 . ? 1 1 - , •_ 1 'I-- i 1 1, f 1 1 1 { Qh _ j - i -, . •j 1. . 1• I r j f 1 3=ct:s r'i I=maim Q I p b ` i r 1 Xo. if ,: ,.! n £ 1 3-iivi rcG 1 1 •l . ,f` _ l ���� t �r.�=��i��q� ' ..1 (Vty?Jd N1.;. I i f •! . f i : � ! 1 i # : i . 1 , ` .1 i 11 , 1 :� i j 1 I i ) 1 i i , 1 , I i .i I 1.;. I. )I, 1 i i H 1. i -I , 1 l yN(rf%rj , I F' a !! I I -i :j I ' 1 • f i • ; -! 1. "1 ' ;.• 1 1 • . i i . .,1yn o=1 ; i .! i L. I I 1 , ; d. — -- — -- - - • 3 ; f i i i Y ' '•— ' v "? � I i t i i I ; 1 I i . J { { I i t I i ! I 1 1 _VI_ • • ' I ` { ! f�J' 1 @ 1 ) 1• 1 i i 1 ` -1 i i 1 I I �� -03 W r`l'- 3-AV'! (V 4' • S .ppf�91 ,3 n4 : t -?'i. j ' i j — — Y I ! . . 1 i . 0?I+�tl• 1-75 C E! STATE OF NEW PORK OCT 0 9 2001 DEPARTMENT OF STATE TOWN OWN 4 I STATE STREET OF FIIE QUEEN S9 ALBANY, NY 1223 I-000 i BUILDINGgN0 C0 E Y RAN DY A. DANIELSOWN Or QUEENSBURY BUILDING DEPARTMENT SECRETARY OF STATE 1 9Y Based on our limited examination, August 27, 2001 compliance with our comments shall not be construed as indicating the plans and specifications are in full compliance with the code. Mr. Thorns Gallagher 'Modular Structures of PA., Inc. 259 South Old Trail Selinsgrove, PA 17870 TOWN OF QUEENSBURY Re: Approval No. 01413 BUILDING & CODE. EPT, Manufacturer No. M 1248 DearFaV. alMa i Y DATE As Your request for an extensi n the expiration date of Factory Manufactured Home Approval No. 01413, applicable to one and two family dwellings, is hereby granted subject to the conditions of the initial approval, except as follows: - All connections of roof systems at bottom chord/ceiling level shown on drawings 11.1, 11.2, 11.3, and 12 shall be replaced by connections shown on the attached addenda to the approved drawings and set up manual for on-site connections at ceiling between modules. In addition, the manufacturer shall be responsible for assuring that homes or components bearing insignias issued during the extension period also comply with the current requirements of the NYS Uniform Fire Prevention and Building Code. This extension will expire on October 17, 2001. A copy of this letter shall accompany plans or specifications submitted for a building permit and be deemed a duplicate original. I am hopeful that you will find this extension of assistance. Ve truly yours � .._ NOTICE . y y ' ° s ►' `�` SULATION MUST BE COVERED NOTICE BY A 15 MINUTE THERMAL BARRIER GSMOKE DETECTORS ARE REQUIRED IN BFLOOROLEV�EL Diroector Codes division" sMo NOTICE ADJACENT TO BEDROOMS AND �mENT. ALL SMOKE INCLUDING CELLAR OR BA KRAFT PAPER INSULATION MUST BE DETECTORS SHALL BE INTERCONNECTED ON ALL LEVELS. COVERED BY NON-COMBUSTIBLE BARRIER WWW.DOS,STATE.NY.US • E-MAIL: INFO@ DOS.STATE.NY.US RECYCLED PAPER i: FROM= : M; DULAR. STRUCTURES OF PA, INC. PHONE NO. : 570 743 2019 Mar. 30 2000 03:39PM P7 :h \\ [ A N 2X3 LEDGER 2X4 HEADER Spe'Z ... es' ck 2x6 HEADER i:X C IIII 1fOw CS a a F/�2 EEALLS r�!-- c a,,, z p p L c PRE-MANUFACTURED � Q m O �. ' 6/12 TRUSS @ 16"0.C. i V_ ZIA d 6 V c Liu Z Q } A �- .6 �►.�� Ad L, CCOZ %o f1 4/? B Cu ) > V Qo, V m 42 C Q ,✓ 14'-9" _ SIMPSON STRONG TIE / W J >' o m Cu SA36(EA TRUSS/JOIST) ' Q Q O N R ct (I , C. r a' • o c s £ I O g Z 21 a.E Oo —ct f P. caE �0 t ' 32 H o un Cp v W.0.c o 2X3 SPFp2 EE WALLS cs1 L3. p m o .: I), ®N6"O.C. aZ 1 ,411001° PRE-MANUFACTURED 6/12 TRUSS @ 16"O.C. 1. 10.-0" / 4' SIMPSON STRONG TIE SA36(EA TRUSS/JOIST) LATERAL LOAD=1275#(SEE NOTE #9 HM1741 R01 TRUSS DRAWING) SA36. CAPACITY=1140#(1 .15)=1311 LBS. ADDENDUM TO MODIFICATION OF NEW YORK SYSTEMS M1248-00-001 . AND DRAWING # 11 .3 . AND SET UP MANUAL FOR ON—SITE CONNECTIONS © CEILING BETWEEN MODULES. . t @ O HLDER ` __ (Dv' / 0�7C pCN90Ni BY' SGBAZ. H MUSS iTPE: .y lWi h ITI NODULAR SfRUCff/RRS OfPA.INC. MAT: 3159 SOUTH OLD TRAM B7 OAre: SCALE. D1A 1NG/ •UNO',Toff: TALCS ousaN srA1C SWIASCROTSJAA.,aas0 NY (6so)-sy—;or; • 1` TOG 3/30/00 t/a'_I'-D• J sruc Type / FROM MODULAR STRUCTURES OF PA, INC. PHONE NO. : 570 743 2018 Mar. 30 2000 03:38PM P3 t _i WORST CASE 3/12 FOLDING RAFTER SYSTEM 60PSF ZONE • 1/2" DIA. SIMPSON -BOLT W/WASHER STONG TIE MSTA36 OR EQUAL 48" 0.C. ,JOIST HANGER - /4r \ CENTER LINE OF MODULES LATERAL LOAD=1258.61 PLF(1 .33)=1673.95LBS. MSTA36 CAPACITY=1495#(1 .15)=1719.25LBS. DEPARTMENT OF STATE «,, CODES DIVISION . FJ-•. ALBANY, NY 12231-0001 �' y:. Stamp of Approval for a System,Model or Component 01413 /ii /zi 9/31 oo Application No. Manufacturer's No. Date of Approval NOTICE•This approval is applicable only to those components of the factory manufac- tured buildings that-are fabricated and assembled at the factory manufacturer's facility. This approval shall not relieve the manufacturer from responsibility for deviations, ' err;, or omission from the approvecuments. . J.! By *r.--- • ADDENDUM TO NEW YORK SYS . ' MS DRAWINGS 11 .1 , 11 .2, 12 AND SET UP MANUAL FOR ON—SITE CONNECTIONS CEILING BETWEEN MODULES. n OUI.00� �. NiC 1 D47r. 4M90NL pv \ gFpµ� � IC7(wE TRYSS 'm Y. /Uv N MODVI.IR STRUCTVRLS DPPA.INO. ,c,*' SCUM CROV PA.)aO orsom P': DA 3Cµ,• 'T.IadN # CECNC.YiC/1h NY �6�o)-"S-2O1Z f TOG 3/30/DO I/4 I'-0' i TAR ttn: ' MAP REFERENCE: MAP OF A SURVEY MADE FOR DAMD M. THILL DATED: SEPTEMBER 6, 1995 REVISED: SEPTEMBER 7, 1995 BY: VAN DUSEN & STEVES LAKE GEORGE ASSEMBLY BY: ERNEST L.H. MEYER DATED: JUNE 1914 FILED: DECEMEBER 7, 1914 MAP BOOK 1, PAGE 11 LOT 35 Q Z0, IPF J .l. A-j JE 3'S r !3K 'ITt V 2L a 136•1g3, GEORGE , v I PA7O ho��y�,�J GARAGE re �r LOT 36 t`, ° AREA �r 11,875 sq.ft. .33. °tip 0.27 acres 3 oN,1S8 56, Cl) 2�32 a LOT 37 LEGEND: RECEIVED 0 IFF- IRON PIPE FOUND 0 IRF- IRON ROD FOUND ' O C T 17 2002 TO �-unLmr POLE TOWN OF QUEENSBURY BUILDING AN,)CODE i - 7 r V I ' Du se Date, November. , 2001 a S e „M„MNO ALIMUM OR M01 70 A P. Scate 1'= 20' .� WV QINNP A.U000M W D$LSKZVM MEAL IK A Plot Plan made for Q.. �a NOLAM N OF$MqM 7M 90-ifIM9101 X OF 7W C..�( WO YM STAR EDYC"WF.• (/�—��'V P 101LY 001R7►IIdN MOMMOLGrimIIIIWIY S t/ v \/ S WMIm NM MKAMIALOF7IL'UM SUNflCA SF►L SNAtL.ME CQl�1M M[M1LD 11!Cat- S..... 1 �° ��� � �+VALTER ENGLERT VMS 24OLL INN NM7A1®MI AC WW 1 1MIN M E er"OCHE OF MRA6M M IANM I MOIN MOM "1K NEN'AM=I*MOM"ff POWISMN& Land S u ry e�ors , LLC WIVE F "M VAW'#M SW W away M me 2 1011 G02 FINAL A5-MALT 8�T 10F 1 OI NIS MOIA17 W V!WU EOW MV:ODYME�EWAL AWCf169 Haviland Road Queensbury, New York 1280 10TWI��N-la ' AM Town of Quee> sbury, Barren County, N.Y, 1 1/25/02 LOCATE IMPROVEMENT5 ENGLERr R)IM[A7MIOMm/XIIR muw renrmoM.' C-596 (518) 792-8474 New York Lie. No. 50135 NO. DA TE DESCRIP 77ON DWG. NO.01258 9-1-3