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2000-333 BUILDING PERMIT rlTown of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 85000 Building Permit No. 2000333 TAX MAP NO. 125. -2-22. 2 NAATZ, KATHY Permission is hereby granted to I Owner of property locat�&b CORINTH .RD. in the Town of Queensbury,to construct or place a MODULAR HOME, 864 SQ. FT. at the above location in accordance to 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. 6 Yffn8dM: ROAD (MOTHER S) QUEENSBURY, NY 12804 Contractor or Builder's Name: ACE HOMES Contractor or Builder's Address: 3A SARATOGA ROAD. . - GANSEVOORT,v-.NY-_ Electrical Inspection Agency: NY BOARD,,,OF.,F-IREUNDERWRITERS..-,-- Type of Construction: MILYT.,DWELLING Plans and Specifications: -MODULAR s,HOME.--z--.AND;-:APPROVED.;.-.SgPTIC!.,LAYOUT-:,AS,-PERs..PLOT.-.- PLAN SPECIFICATIONS-- , Proposed Use: MODULAR:-.,HOMEa .8 6. S 0 V $ PERMIT FEE PAID-TEAS PERN41T EXPIRES (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.) June 2000 Dated at the Tow: f Queensbury this _&ofeenvs ury s Day of- SIGNED BY 2e, � _ for the Town of Queensbury Code Enforcemeni Wcer Building PeriTlit Application ' Tot-vil Of QIIeensb61ry - Dept, rfConintunity De►•elaiNnent, 742 I1rry Road, Queensbuty, NY 12804 176I-8256J foi BUILDING .& . CODE FNFORCEAI13NT Requirements prior to issuance ,A lxsrulil xiHtAt bo obtnincct tx fcxra of 111i5 ['nit: 1'GRMI7'f7Ll:NO, lxaginuing conAtructiou. No inA rcetionA will be Ilutdo until rcpplicunt find rc ceivul o/!/t Ilrxrrd Action I'HRA1lY'!•'Lill PAID a VAi,ID BUILDINt3 FERMI AlI Arras' Uso npplicn[xls" sp[►ccs olx th is uppliculion RECIZEA7%ON FCG I'Ali7$ MUST be completed and.lho sign,th[r° p/n/rn!/rg IJon/tI Action f}<� `�•' or tho nppiicnnt must nppertt (xx[ ilia REVIHIVEW Ill:• pliCntlO[I form. 7n..,k,o. 51�R I Subclivis�' It.. ,m ITullding IrasJ.�rrnr •• t Recreati0il 1'Ca�C'3l 1 Fyc.� �p9 Applicant: _tit 1 19k, �d�flTZ_ y A ���S�i'tl�'.._.�...... .. . Address: 65g (2-oW,t +)a TObNJt 3UEENSBt.RY QiSQ£NS�LR car t tV l� f3 �I5il w win i^Z�t3F_ t�E'so4 Phone # (_ � ) �_� _ � lxhonc # ( } Property Location: oy-r-' (_1o2jw% Qa ----- ----- ------- 1'ttx Max Ntimber. .Subdivision Name:* 1 Seclio) Block fill NATURE OF PROPOSED WORK: ESTIMATED MARKET VA K OF THE Building:Buildng: CONSTRUCTION: $residence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION. Alteration to Building: Primary Blti lding - residenee / colulnereial Single Family Dwel i ng 1170JVA�r'� Residence / Commercial Two Family Dwellin no change to exterJ_or give Family Dwol111 Office Other Work (describe below) Mercantile Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE: lst- Floor. . . . . . . , �� sq. ft. If ADDITION, what will use 2nd .Floor.. . . . . . . of new addition be? Other Floors . . . . , eq. ft. (not unfinished eel al r or baselaent) ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: g _ SQ. FT. Attachbd Garage 1, 2 car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building � 2 /_ FEET X _ u7p FEET Other Foundation Type: elan/ Will any second-hand or ungraded Number of Stories : j lumber be used? If so, for what? (habitable space only) I l c iJ lit (grade to ridge) foot '1_Y P1'2I. Olr ItISri'.CINC> SYSTEM: Number of fireplaces and/or woodst-ove (circle all which lies) to be installed: tJ Electric / Oil / Gas / Wood •circed asebaard / Other Person responsible for supervision of work as regards to building ' codes is : Naiite Addresse Phone Builder: R-('f Nam t [� �Ia2c ,u, 6510 7930 S, Plumber: J R%-\ q M;+)a rfmr" i• RV •��, ►�� (s r£r� �1�8�83� Mason; S'{�WSl G_t ( 2 N d- - u' fA Electric` N lfi 3. 3:7 U0.R S DECLARATION: Please sign below after you have carefully read the statement. To the best of my knowledge the statements contained in this apl),lication, together with the Mans and specifications submitted, are it true altcl complete statenxent of all proposed work to be done on the described premises mid that all provisions or the nttiwillt; C='cxte, file Ioiingt Orclirtance and all other Iclws pertaini[Ig to the prolxmcd work shall be complied with, whether spcciited or doted, and that such work is authorized by the owner. further, it is kolderstocxi Ih:lt IAvo shall sulrrclil prior to :1 Certificate of Ocetiltutey'or Certificate or Colxxpliauce being issued, an AS J1UlL'1' I'LU'I' PLAN by a Iiccnsed Surveyor; drawn to scale, showing actual localioti Ur project on premises. e Signature: (owner, owne architect, contractor) - ' Application for:Permit—Septic Disposal System Town of Queensbi- 74j Bay hood Queensbuty, NY.'1280d (518) 76I-8256 I. OWNER INFORMATION:. _._...._..........................................:......................._.................. Office use Location of installation: I Tax Map- No. A25 / � File PoijuitiNo.- Owner's Name: 'Ls��F I ..Paiii......._....:/-� _. ..................................... .... ............ Address: �S l�oRitUTYt MAY I B 2000 QUEf3.NS UP-9. rN . IQ804 2. INSTALLER'S NAME :�( l? 111i"F{S. TOWN OF QUEENSBU �a„„-90EP ONE NO. Igo �g-11S36 3. RESIDENCE INFORMATION: (eircle.year of dwelling, indicate#bedroont(v):and multiply# of bedrooms with applicable gallons per bedroom to equal.total dailylow) Year of House: No of Bedrooms x Computation = Total Daily.Flow 1980 or older x 150 gahbdrm 1980_ 1991 x 130,gal/bdrin 1991 —present _ x 110 gal/bdrm = ;XPO Garbage Grinder Installed yes Spa or Whirlpool Installed yes I no 4. PARCEL INFORMATION: (circle applicable information 8c indicate measurements) ToDostraoliv Soil Nature Ground Water Bedrock or Impervious Material ater Supply +!a san at at depth at at depth n: licipal Rolling loam feet l feet we Steepslope clay if well; water supply _%slope other . frvtn any septic-system depth, absorption is f[. other Percolation Test: (To be completed by licensed professional engineer or architect).- Rate: minute per inch t 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 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Ttib. Septic Tank:. % gallon:(min. size 1,000 gal.) Tile Field: each trench cJ lJ. It. Total System Length: 66 Seepage Pit(s): number of . size of each ft.-by f1. Size of Stone to be used: 11 �'111 / depth or thickness feet -"Be&System Siie Alternative System: length and/or size: 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note Alarm Systemand associated electrical work must be inspected by a Town-approved electrical inspection agency. . 7. SIGNATURE &.INFORMATION FOR RESPONSIBLE PERSON(please read) 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 mis"representation or failure to make a material fact or circumstance known by or on behalf of an applicants shall be void. I have read the regulations'wiith respect to this application and agree to abide by these and all requirements of the Town of Queensbu ' Sanitary Sewage Disposal Ordin ice: ignatUre of- n i le person a{e ENERGY CODE. COMPLIANCE APPLICAT&E TOWN OF QUEENSBURY, WARREN COUNTY. CEIVED 9000 HEATING DEGREE DAYS MAY 16 2000 "I TOWN OF QUEENSBL;RY C Compliance Methods: PART 5 Q-Acceptable Practice _A&PN .ANDCODE 1&2 Family Dwellings (only) • PART 6* Thermal Rating - Component Trade Offs 1&2 Fdmily Dwellings; Multi-Family Dwellings (3 stories or less) PART A Design by Component Performance • Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NAME: PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 15C sauare feet 2 . T-,roe of Heat - Electric. — oil Gas Other. 3 . Is building mechanidally cooled? Yes ' V No 4 . Percentage of area of windows and doors Over 17 Under 17% 5 . R-VA.LUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS S1HOWN ON PLANS SUBMITTED:' a. Roof R 32 b . Exterior walls R C . Glazed areas R d. Exterior doors R e . Floors over unheated spaces R /91 Edge of slab on grade (heated building) R a. Basement/cellar walls (above grade) R h. Basement/cellar walls (below grade) R L . Heating/cooling-ducts-piping in unheated space R 6 ., Service (domestic) hot water heating device Co-nforms to mini-mum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 WILL NOT BE EXCEEDED Appl "- c;=r.t' s Signature Daze Phone Number -kilb 0oa- ch lu IQ INSPEECT, O.Rl S REMARKS: TOWN OF QUEENSBURY Richard A.;Miisita HXGHWAY, Highway Superintendent DEPAR,'IZ EN'�' Home{5i8)798-5i27 742 Bay Road - queensbis NY 12804 Michael K,Travi.4 tce Phone: S�8 76 f-82 Deputy Highway..Superintendent I. (5f8)798-0418 Fax {S18) 745-4466' _ DRIV PERMIT _ TOWN OF OUEENS13UR1� 3 �Ult.N G AND+COL E' DATE: � R APPLICANT NAME: h TELEPHONE NO.: ADDRESS TO BE INSPECTED: 5.5 eo z;,U m R RETURN ADDRESS; )'��� _, fit . jaR �1 Applicant,must show exact location'and width ofdriveway(s),to be,connected to the highway by placing stakes at the specified location., The Superintendent.of Highways of the Town,of'Queensbury hat:reviewed this application. The following action has been taken: .STEP ]: Preliminary Approval NEED: O Slight Swale { )Level with the road { )Deep swale Size pipe to be used':(if necessary} (.)12" . (.)15" ( )18" ( )24" (,)36" Preliminary inspection-completed by DATE Approval by Highway Supt. Deputy Supt . Upon completion,please resubmit this approved permit for a final approval. STEP 2:' { }Final Approval . ( }Rejected DATE- Richard A. Missita,Highway Superintendent �i m N C ro n ,ro�ro �3 z C z w H 0 0 r H z C t� m 0 r x H00 � > 0, > > ; z H o C o 0 0 t z �3 � r n q 0 C H z G o z x w H Hey 0 r C7 G� m '� x "►C H N '� m H W r w H �? H ro n H © m x H n ro H H m z 0 H H i mr a 0n A om 0z mlot 0 z a m 0 '� H 0 m r x ro 0 rrm z N `� z C N W 0 q N H r x n mc � H C � z rha or n� q mx 0 0 n 0 q C m h m �, n (� H X z M] 0 a w H z z 0 P H C n ro z g m 0 z r� E m a x Hzm n H ro H 0 N z 000 q H ors ace � r� ro � roG0 zz a z r arm H tq E q 4 > w ro zH HIVwN 0 t q 4100 �+ n G1 0 b H z NH C H d� q m0 H n C H0 n z z m H H z t z x o m m z z a 0 czi z ti ow h z ro �m 0z HOZN x N z �H �3 H ' N H G C7 b p H Ul H PiN.�tL iil��i�EGTiON REPORT - i!!°! TcD in CA Ckue nsbury Buildino 8L Codtg -EEntaro4gmeont 742 Bay 3Road Queensbury. NY - - 1 2804 - (51 8) 761-8256 AR�I�TE: �arA�T: I N r DATE INSPECTION REC�UEST RECEIVED: L,QCA.TI02`T DATE: I C> C? e gii�l�E1t,E HO1►iE !4l�1sUY.AR HQME FOO"TIATGS FdUI�TDA'TIc3N - BACKFIT i- FRAMING N/A YES 1444C3 1_ foundation support, pier s acing perr3riajauf- --- ------------ -- --- -- --- 2. anclxarina pHer manuf_ -_ -___ _-____ 3_ water line shut "off -- -____--_. - - -_- 4_ sewer Iine support (&� 4 feet _ -__- S_ heatir�g crossover (dbteuride� o grd_ 6. dryer vented outside ---------------------- 7_ skirting ventilated ------ ----------- - 8_ hot water relief valve pip -g�auts // 9_ deck, porches, steps, railing ___ - _ _ 1 U_ furriacelhcit water operating ------- 1 1- garage fare proofiin,g ---- ---- -. --- --- - cloe12_ door srs _______ _____________ •- 13_ plumbing fixture __ ___________ __ _______ 14_ foundation insulation (if appl_)___- -_ 1 S- smoke deter tars 16_ final -_ _ _---- 17_ variance required -_- --------- _ -_ ------ IS- data plate okay --------- ------------ -- 19_ mobile HUD seal okay ____ __ _ _______ Mcx3e1 # j Inc' �C ` `C Sez ial # 0 t,'lam 7 D Manufacturer Date of Manufacturer Z'' C OKAY T© IssUE NO Corrirrients �Cy�P u �Z V 1A Pp t>0 A <— RESIDENTIAL FINAL INSPECTION REPORT l Office No.(518)761-8256 Date inspection request received: tO Building&Code Enforcement - " Dept.of Community Development Arrive am/pm Depart n//}n Town of Queensbury Inspector's Initials r 742 Bay Road Queensbury,New York 12804 a'3a3 NA1v1E tZd PERMIT'# _ z LOCATION DATE TYPE OF STRUC �— 1 Q 1 N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location -- Fresh Air Intake V1 Plumb Vent through roof i 'a, 1 Roof Complete Exterior Finish Complete hiterior/Exterior Railings 30"to 36" t J Exterior Handrails,balconies,landing 19zin.or more Interior Handrails stairs both sides 3 or more risers\ pp`` Grade 2%away from foundation �v 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 operating1 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 J -1 I Interior Handrails Balconies/Landing 18 in.or more / . Railing across window in stairwells / . Smoke Detectors: .' every level / every bedroom outside every bedroom f inter connected ' Bathroom fans Plumbing fixtures Foundation insulation ' 3t4 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 C/O(Certif.of Occupancy) irE+��u�+i�u�tr�n•u�u{u�ufu�u�u�nfu�uEl �i �u�irifu�nfn• �;n�Fr�u�u�u�yr�u�n;Fl�lliurx�n�Fi�n��t�uN��9 i�nrupn�d THE NEW 1 • BOARD • UNDERWRITERS M 8080779 BUREAU OF ELECTRICITY - �! �I I� jl NEW NY 10038 � (i « l .SI Date ' f f r r J l I� 2000-333 I� �i t r equipment f described belowand introduced r ri:^,�tf'r� rrrr'r I aboveapplicationf' r r 1 III I lil •' ` li .�I I� C , , ' I� !�� r r r f r Basement f r Block r ' �I I �I r 1 't 1 • and found I becompliance National Electrical Code. I �� It FURNACE MOTORS SERVICE DISCONNECT • • . Fps ^(I®®® � ®®®® • •' ,' • t • •fl••`t • • III �� T�4�1��•� • I�" OTHER APPARATUS: �I I� I I� i I �1 SALK MY; :{I lye I� �ll I i I �i I} I}: "�I Var��,� •y��t��w{��i��I �� '(I ► f P�� ' I j I .�F j I� # i '► t2,39 Ir Per �i Ir This certificate must notbe altered In any • to the office of :•• • if Incorrect. •: • may be Identified by :•: s li "'/,;Y�Y Yet,7si�,i�7�Y�i��r•1,;r•L;%Y,r=��„r•�:1"•1„r•7;�i� ;I��„i�Y Y�Y7iY�Y�Y Y�Y,�Y•Y YiY,�Y�Y 7fY Y�Y,Y+Y Y�YY#Y Y�YYtY Y�Y,YtY Y�Y YiYY�Y7sY Y�Y7aY Y�Y 7iY 7st�Y•t;Y•Y 7•i,�I�Y�tsY Y�YY�Y���1 -YOWW OV QUEEKSBURY BUIEDING & CODE- -ENF=ORCEP4EN-F Bc--i_y Rciiact Quc--t--n.tlour--v NY X2SO4 (518) STYPTIC DISPOSAU SYS-rEP4 YNSPEG-rION N ame EEL D a to (0/00 Pe r-rn 1 -t it ev ) 1 SOXiL TYPE: 6;�)Loam- Cl ay- Resul is cff' Per-cccol a7t! an "T S-t ( 1 -F applicable- ) Ra -ta-Min -te/ ' nch -TYPE . OF SYS-IFEM n T-e"' I h t ABSORPTION VIEL-D : 'To-tall L n4,g t trench �c h IL Length o-F each -tr-e-nch 1 Depth o-F *tv-e-ncho Size of-' stone SEEPAGE PI-TS : Number— S-1ze- Stone size PIPXNG : S40 Type so Bldg - - -tc� Tank --v- . Tank- -tO Dist _ BaX Dist _ Bax -to Fiel <J/ Openings Seal E!d -?' y e- T5 s a -aY-7t-i al JLOCA-VXOff,/SEPARA-VIOpenings - Faunda-tian to -rank e-e-t Faunda-ti on to Ab scarp -tlan -Feet: Sc--Pav-aticm o-F Pits -F et �Con-Forms as per, PI 0-t pl an No OCA-TION OF SYS-rEM ON pRop Rea - Le-Ft Side Righ-t Side F r-on :0c P ( c Q2 Side Lm i do,d I Middl c-- Re T- COPWIMEN-TS SYSTEM USE APPROVED = YE S No ) Bu'fl4d-fng �3 RECEWED SEP 2 6 2000 rr`"JV'r�C)F Q =Ec;MURY 1 2000 ELT °�pf` OF QtlEE RY T uILDI G `' E L4/t ) S6 �t� e. T 144 1 0 GENVER4L dN PECTIQIV SPORT (518) 761-8256 Town of Queensbury Dept.of Community Development'"l at rispection request received; d Building&Code Enforcement 742 Bay Road (�• Queensbury,NY 128041. Arrive am/pm Depart ! - Inspector's Initials NAME: ' Zi PE P IT# oC LOCATION: DATE TYPE OF STRUCTURE: !S,GO�_ RECHECK _ N/A YES NO COMMENTS Footings/Piers % Monolithic Pour Farm 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 �t € Reinforcement in Place 4 Foundation/Dampproofing l fill App val Plumbing Under Slab Plumbing Vent(Vents in Place Rough Plumbing +� Heating Rough In Insulation 4 Foundation Walls Interior Ra Foundation Walls Exterior R Floors R- i Walls R- Ceiling Duct work or piping in . unheated spaces R- Proper Vent, Attic Ven Framing Jack Studs/Headexs Bracing/Bridgini Joist Hangers z Jack Posts)Wlain Beam Air Infiltration19Barrier Fire Separation 1,2, 3,hour PenetrationfSealed Fire WaIV2,3,4 hour Firestoppmg GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road77 Queensbury,NY 12804. Arrive am/pm Depart 1�L Inspector's lnitialss�J NAME: PERMIT# LOCATION: DATE: TYPE OF STRUCTURE: RECHECK N/A�4N COMMENTS VFtin gs/Piers onolithic Pour Form Reinforcement in Place The contractor is respo ble for providing protection fro freezing for 48 hours following th placem t of the concrete. Materials for this purpose sit Foundation/W 1pour Reinforcement in la Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents' Place Rough Plumbing Heating Rough-In Insulation Foundation Walls tenor R Foundation Walls xterior R _ Floors R Walls R Ceiling R- ingDuct work or p in unheated;lZes R- Proper Vent, Atti 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 f i Ov 40 t MO L o�� (/ O��f�/ /. �.r�r1V 'l y✓o �l/1) d dYM x� �� � - '� r, ,. V7 D'WM s �j1�► " N` j/1 V�f All ff • Q h� p��i^trod a� v� otl so lrvi,, 4rm.. •wm O� qm . damoft one /rw 00/ IL 4 on 1 LV 6R r ®m ►WVA(J,r VA►A1 r ♦�rrrQ C 1 ®� ® �� �'� arr Pop n 0C _�.; /�`1��t�f �,�y �,► , soar t7�o1r�/� �C/� �j��/V / �rrti tL r 0 lop,rr11►/r ��► y��hl� , �t•,�•6•dan11K/ Mr/gym ,rNr ii r-�t�' T '8 •I,,� �7r•Mw, ,/ o Ot�S ddt E tt lvQ'NN�"�:' .d� ��aywarl IC,iY7 r