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97-705 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK March 2 98 3 \ \ v \ 1 Date 19 0\ t This is to certify that work requested to be done as shown by Permit No. 97 0' has been completed. 2467 SQ FT MODULAR HOME This structure may be occupied as a 265 FULLER RD, Location Owner STARK, THOMAS/DUNKLEE, PAMELA TAX MAP-NO. 88 . -1-2 0. 1 By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEE•NSBURY VALUE $ 111000 TAX MAP NO. 88. -1-20._1 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to STARK. THOMAS/-DUNKIEE. P-AMELA OWNER of property located at . 265 FULLER RD. Street.Road or Ave. in the Town of Oueensbury,To Construct or plaoe a 2467 SQ FT MODULAR HONE at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. I. OWNER'S Address is 3 265 FULLER. RD. QUEENSBURYr NY,:, 12.804 2. CONTRACTOR or BUILDERS Name J • LAMPLIGHTER HOME 3. CONTRACTOR or BUILDERS Address N ROSS LOFFLER ; RD2- ROUTE 9 �. .: FT EDWARD .NY 12828 , , 4. ARCHITECTS Name •4--a-A, COMMONWEALTH"ELECTRICAL AGENCY 5. ARCHITECT'S Address iHAGUEj .-NY ,-12836„,., 6. TYPE of Construction—(Please indicate by X) _ - SINGLE.:FAMILY DWELLINGS- ra. ( )Wood Frame ( 1 Masonryi ( I Steel 1 7. PLANS and Specifications -_..:24619-W..FT,-.SINGLE. FAMILY DWELLING (MODULAR).. AS•: PER<PLO:T PLANS ?4 • SPECIFICATIONS..-.: ..,, 8. Proposed Use . 2467..:SQ.:: FT-.HODULARI._HOME . 266:;.. December- 16 99•r,,:; $ PERMIT FEE PAID -THIS PERMIT EXPIRES 19 (If a longer period is required an application for en extension must be made to the Building and Zoning inspector of the town of Oueensbury before the expiration date.) 1.6a. ..e�,u,rj_�1 Dec:e nth e�: .b Dated at the Town of Queensbury this Day of , ; SIGNED BY for the Town of Oueensbury Building and Zoning Inspector 11/06/1997 • 15:3 7 5187454437 DEPT OF COMM DEVEL PAGE 07 Building Permit Application . • Town of Queensbury - Dept. of Coiwnunity Developmnt, 742 Bay Road, Quetwsbl.uy, NY 12804 /761-8256/ 4- BUILDING & CODE ENFORCEMENT r.,_ NOTICE Requirements prior to issuance r` :'"" r� l _v of this permit: PERMIT FILE NO. 7- / Q A permit must be obtained before `,,, beginning construction. N« inspectionsPERMIT FEE PAID$ 2(//f „, will be made until applicant has received IT Zoning Board Action a VALID BUILDING PERMIT. All Arca /Use . RECREATION FE 'PAID$ applicants' spaces on this application 1 ____,__. —_.—_ MUST be completed and.the signature Planning Board Action REVIEWED pI. of the applicant mast apl lr om the SPR I Subdivision /Other Budding Inspector Tpplication form. M,gk pm Recreation Fee Payment - Applicant: LWYI p LL9 /.trF. 1-Io/vl.s1 2-for Owner: T-toMA3 STAPP<, PAM-eCA 15u,J1,0.,cr • • Address: MCP ba t (Tq FT FtWiO Nil, Address: oZ eel LLUd'c'Q Retr , Qc,l'eu,f3c .X • Phone # (51K) J c1.3_73..i.2 -- Phone # (67,y,_) J 5a. - 17(1 . Property Local s .0 LLQ Qt O-Uee•US G day Tax Map Number Q/ i / "20 ' 1 Subdivision Name: -- •• Section block t.cat NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF Ety L New Building: CONSTRUCTION: $, .'ll•la¢ '. pbo" `` 0� residence / commercial . - - Addition to Building: residence / commercial . OCCUPANCY INFORMATION: „�_ Alteration to 'Building: Pri ry Building - residence ./ commercial r Single ramily Dwelling Residence / Commercial Two Family Dwelling__________ no change to exterior size Of fie~,Family Da 1Ti cI=;_-,-T Via" )( other Work (describe below) Mercantile ' ,t ). '-� , , h160U1►4R f-Ivm1e . . ... ... _.. Manuf_acturinc V2 519`' 7 ._.._..___. Other / GROSS AREA OF PROPOSED STRUCTURE: ,C n�"`C, ;'` ' . < :_Y • If ADDITION, w t- ��.W, . .-�°" Zst Floor sq. f of new addition be-? n 2nd .Floor -i Qc� sq. ft . S �t/1`� Other Floors a3G7 eq. ft. C . _ (not unfinished cellar or basement) ACCESSORY BUILAZNOS: Nil4. • • Detached Garage 1, 2 car TOTAL FLOOR APE"A: .(Q467 SQ. FT. Attached Garage 1, 2 car Private Storage Building • SIZE''OIF NEW STRUCTURE: Commercial Storage Building Ai. lr FEET X `I O r FEET Other— �� — Foundation Type: CoIUC(Zen-z . Will any second-hand or ungraded • Number of Stories : : lumber be used+' if so, for what? (habitable space only) it - VO. Height (grade to ridge) : o5 L ;feet TYPE OF HEATING SYSTEM: ' . Number of fireplaces and/or woodstove (circle all which. a plies) to .be installed: . electric / Oi.r /il ®bo Wooard d Other Person responsible for supervision of work as regards to building codes is: . Nazile Addreses Phone Builder: S'CC e_5 . Pe._ SCjA. —JSE j L9!/l l21 ivr_,$ - 79. ...7 92. Plumber: Mi)_() . . Mason; • - I �{�(,-Cr�ftyc _ O Electrician: aLL 14AS_F' c•t121C. - T(CONbu2oc(A S8'S=, y ._..._y..— . 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 trite 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 ail 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 Uwe shall submit prior to a Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed urveyor; drawn to scale, showing actual location of project on premises. • Signature: -owner, owner's agent, architect, contractor) . !' . Application for SEPTIC DISPOSAL PERMIT Town of Que nsbury i IR t;' --r'-';--j ' c i. ? )(per '7O3 Dept. of CommunityDevelopment Permit No. Building &Codes Office DEC 11 1997 Bay Fee Paid $ 742 Road TO`,''; TlY Queensbury, NY 12804 t;, Location of property for installation: 02.6 5 4)ilera. RJp 4ve.c.Os 1 3 U Qy n)v Property Owner's Name: -nor,, S'1 i.( , P4nn Q N k?Le c_ Property Owner's Mailing Address: a 6Q I L'. c c t C tler Le., (iU'eea s1&tQQ.l\ / . Installer's Name: BILL TH Q E Ls alkic Phone # 7 Q 3.3 7S/ Number of bedrooms (if residential): A Total daily flow: RO3 (residential - compute @ 150 gal./bdrm.) Topography: flat, rolling, steep slope % of slope Soil Nature: 17.sand, loam, clay, other /depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? feet Percolation test: not required, required [rate min. per inch ] Domestic water supply: lAnunicipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. _ PROPOSED SYSTEM Septic tank: I CCO gallon (minimum size: 1,000 gal.) Tile field: each trench 40 feet / Total system length: aCC> feet Seepage pit(s): number of /J 4... I size each: ft. by ft. Size of stone to be used: # ot_ / depth or thickness 1 feet HOLDING TANK SYSTEM: (if required) Number of tanks: Nl/1 Size of each: AV,/ gallons &hum system and associated electrical work to be inspected by a certified agency. 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.Signature of responsible person: ( �� .1 Date: ial�1197 TOWN OF QUEENSBURY w'1 r BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (! (518) 761-8256 ARRIVE: DEPART: INSP(OL FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST RECEEIV D: NAME ` ��t tiYl)I 1 Q LOCATION � e'. DATE 7 --9 g PERMIT' I c17- 705 TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING _ ROUGH PLUMBING _ SEPTIC _ INSULATION • FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH ECK PORCH STEPS RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: • BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS jfOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN./_VARIANCE REQ. AL SURVEY PLOT PLAN �) OK TO ISSUE C/O OR C/C \� RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 ��Building &Code Enfotrment Arrive: �"5 Insp: • - Dept. of Community Development - A (-- Town of Queensbury Date Inspection Request Received: 742 Bay Road ' Queensbury, NY 12804 NAME .4-1-Ft R PERMIT NO. q1- 7o LOCATION . Fl\L1_ER RORn DATE Z- 73-9?) TYPE OF STRUCTURE ('•)Ft) ( VIO NAPt iq N/A YES NO COMMENTS Chimney Height/"B" Vent/Direct Vent Location ii Fresh Air Intake f` Plumb Vent Through Roof y/ Roof Complete \' t Exterior Finish Complete V` �` Interior/Exterior Railings 30" to 36" / Ni Exterior Handrails, Balconies, Landing 18 in. or more i / Interior Handrails Stairs Both Sides 3 or More Risers ✓/ 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 i -'\f/ Oil Furnace Shut-Off at Entrance to Furnace Area Furnace/Hot Water Heater Operating A - Relief Valve(s) Installed — -_- ---- -- — - - - N,- -- ----- — Headroom 6 ft. 6 in. On Stairs V Basement Stairs 6 ft. 4 in. �////, Handrail Exterior Stairs Both Sides More Than 3 Risers V Interior Privacy/Trim/Doors/Main Entrance 36" Floor Finish V, Bathroom/Kitchen Watertight J .1 Interior Handrails Balconies/Landing 18 in. or more Railing Across Window in Stairwells Smoke Detectors: V^ every level V/• every bedroom V/ outside every bedroom ,/�� inter connected Bathroom Fans :// ylumbing Fixtures HF'1 / % Foundation Insulation V 9 PP R F_I,Pol-,Fn, 1/ 3/4 Hour Fire Door/Door Closer N4/ Garage Fireproofing ' / Garage Penetrations Sealed •1/ Furnace In Separate Room Protected (In Garage) J Light Ventilation Per Room• I Safety Glazing 18" or Less From Floor ,`�` Final Electrical / Site Plan/Variance Required 1(✓F �r inal Survey Plot Plan �l ✓As Built Septic System Layout Req. 1 /Oka t T C/O Y Okay t• Issue Permanent C/O (� \*4.-YOUr- t tC, V-�L.--` -----------/-, Okay to Issue C/C RESIDENTIAL FINAL INSPECTION REPORT (—' G Office No. (518)761-8256 Date inspection request received: - '3X Building& Code Enforcement '..--- Dept. of Community Development Arrive • e Depart 'i e r r Town of Queensbury Inspector's Initial• 742 Bay Road Queensbury,New York 12804 r 3�,/, �� i PERMIT# / c' NAME r 'p ,f _ DATE a - -7 v LOCATION O S u P/` �� TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location V i Fresh Air Intake �� Plumb Vent through roof / V r-r z G Roof Complete "I Exterior Finish CompleteInterior/Exterior Railings 30"to 36" 0 C Z Exterior Handrails,balconies,landing 18 in. or more / �� �� Interior Handrails stairs both sides 3 or more risers �`/ o 3o\°� Grade 2%away from foundation / 8"clearance to sill plate �/✓ O -Q� a\ Gas Valve shut-off exposed/regulator 18"above grade 16 �' Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area i_ _ ,e�_ t l-�1 Furnace/Hot Water Heater operating 'yiN 1 V `o Relief Valve(s)installed i Headroom,6 ft. 6 in. on stairs \�� Z � U� ��� Basement stairs,6 ft.4 in. li Handrail exterior stairs both sides more than 3 risers 1 -;C�-�i Interior privacy/trim/doors/main entrance 36" J/ U Floor Finish qi Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in. or moreNit Railing across window in stairwells Smoke Detectors: -,, tb every level every bedroom outside every bedroom J inter connected Bathroom fans V/ Plumbing fixtures - Foundation insulation 3/4 hour fire door/door closer Garage fireproofmg • Garage penetrations sealed Furnace in separate room protected(in garage) - Light ventilation per room Safety glazing 18"or less from floor Final ElectricalI �( Site PlanNariance 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) �r:�z,'\\ Okay to issue permanent C/O(Certif. of Occupancy) v \ bob ___prt-c-_ F t)�(2 To 013E\_' - '( v-viC> TOWN OF QUEENSBURY • BUILDING A CODE ENFORCEMENT '�6 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Namecc 5 - Y- -N) Nt)4Le_e Location c9.4.0 C tg\ 1 * KX- kj Date g -6-414 '-rmit # 9. 7-2 5 SOIL TYPE: San. .oam Clay- Results of Perc. .tion Test- (if applicable) Rate-Minute/Inch TYPE OF S -STEM: ABSORPTION FIELD: 'tal Len ° O� hI Length of -:-ch c '30 Depth of tren r ,�-� Size of stone SEEPAGE PITS: .Number- Size - ft. x ft. Stone size PIPING: lbn Bldg. to Tank Si wo Typed -Tank. to Dist. Box 4 k Dist. Box to Field/P' it .. u Openings Sealed? Ye No Partial LOCATION/SEPARATION . Foundation to Tank / feet Foundation to Absorption feet Separation of Pits " a feet Conforms as per Plot Plan No LOCATION OF SYSTEM ON PROPERTY. Aggialtwe one) - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: 66-Pftvi-Po 4) 9-(3 8't-wi — 6K • .44 SYSTEM USE APPROVED: NO Arrived: l .4J Departed: !r 5-75E diet Building Inspector CA7/15161—,is-0-0-7—' (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT vh ' 742 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: AR�' DEPART2" '‘NTJ` C REQUEST FOR INCTION,RECEIVJED: NAME li"U '1A/6(E(�ilL!<zLG� rJ is v 1 LOCATION (J -hared-R DATE /D-/43�5`/ PERMIT H g /US TYPE OF STRUCTURE: � (//0,4-61.1-64-ej RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE— MENT OF THE CONCRETE. - MATERIALS FOR THIS PURPOSE 0. SIT' _ FOUNDATION/WALLPOUR / ` REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFI+G ) ACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER 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- b p i 6•Q\Nq \` 6° (518) 761=8256 TOWN OF QUEENSBURY '''' `BUILDING E., CODE ENFORCEMENT r " ;iLJ 742 BAY RD., QUEENSBURY NY 12804 :,,,..- INSPECTOR'S REPORT: ARt+l EPART2. )I f'•' . REQUEST FOR INSPECTION ECEIVED: / 01 31 _9 NAMED a��"� � � �_� LOCATION ''j ((0 , 0'102\r 1 -(',' 0 DATE ) 3 3 c-97 PERMIT A ,7- l TYPE OF STRUCTURE: ())) t )L)K� W-CZ RECHECK _ / APPROVED i. N/A YES NO _\ / 1 00TINGS/PIERS- ). '� r y MONOLITHIC POUR FORM _ REINFORCEMENT IN PLAeB L . THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION ROM FREEZING FOR 48 HOURS FOLLONINp THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE,_ FOUNDATION/WALLPOUR • REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING _ JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER 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- w(,,et NN12,0vJA,Tutotrvoi\+642-2-- x\NacvaA., 18) 761-8256 'MY brocot\ok, `\�\ _WN OF QUEENSBURY 11 BUILDING & CODE ENFORCEMENT 1 "`r, 742 BAY RD.,c Q E NSBURY NY 12804 Q' L'_%^i! i 4 INSPECTOR'\Sl REPORT: ARR Vl/; EPAI In'/ RIN4e-- REQUEST F INSPECTI RECEI D: NAME VOAjY\\� "Cii 1 p LOCATION b Q '\cx— J DATE ! —9 PERMIT g TYPE OF STRUCTURE: RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR" FORM REINFORCEMENT IN P THE CONTRACTOR I RESPONSIBLE OR PROVIDING PROTE ION FROM FREEZING FOR 48 HOURS FOL KING THE PLACE— MENT OF THE CON RETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING SACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH•PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER 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— TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name 1.)00V>LE- Location FtJL F ig.6141) Date I? — J'a—`j7Permi t # 97-70 SOIL TYPE: Sand-Loam-Clay- / Results of Percolation Test- (if applicable) Rate-M nu -/I ch TYPE OF SYSTE ABSORPTION FIE r; • Tota i Le g• h Length of each tren 4 Depth of trenches VW Size of stone SEEPAGE PITS: Number- Size - ft. x ' ft. Stone size PIPING: Size Type B1dg. to Tank Tank to Dist. Box Dist. Box to Fiel /Pit Openings Sealed? Yes No Partial LOCATION/SEPARA IONS: Foundation to T nk feet Foundation to bsorption feet Separation of/ Pits _ feet Conforms as per Plot Plan Yes No LOCATION OF/SYSTEM ON PROPERTY: (circle oneO Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: V-0V \T ,i -&E.F2v \mo(1,` k3E.1I.A0) -b'c`\AC\ . ' U©EA_ SY,STEM`tISE`APPIFOVED: —YE Arrived: i,' 6 J� Depar - 1 : ° `._� ,deig :uilding I • �.c or jrk • ,_ • - 7• • - F .CaU'4:- .-et-- •'1�.; _�.•. �i�A'• •• •G. 2mR tit¢ ..•� y-yY '' - '.1.:• ' .;• •.• ., ::i:::- _ .tt • <_ _.:a yam•_'{.' r.s _4 +R-t�ui�tiV.-`:...' '-�+Z r�_'bJ::.:c-.. _ _:•L•. _:T� :1 - t:1..y. ilt _ _ ...:-<y r.a h. 'lt•Ra..}�. -{._. ,. - •._ ...- -=ti,s arid; - _ ::t`::.�-=?.x:��' �" :'r+o.s.`�..:..,s_-•�-'�v� .�e� _4_:;:• L - •• • 1 • _ Via; [:r H+• "l •{•' - ,•Stir•,:ti• i c. T.:.VYs o. 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