1986-727 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Feb. 19 - -19 87
3Qr .• r
tb certify that work requested to be done as shown byPermit No. 86-727
tis ce 4
has been completed.
This structure may be occupied as a One-Family Modular Dwelling
. Cherokee Lane - Lot 41 Land O° Pines Subdivision
Location
Owner Steven Huntington
By Order Town Board
TOWN OF QUEENSBURY
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4/27 z� fs✓
Building & Zoning Inspector
C-
BUILDING PERMIT
TOWN OF QUEENSBURY No 86-727
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Steven Huntington
OWNER of property located at 15 Cherokee Lane Street, Road or Ave.
Lot 41 Land 0' Pines Subdivision CD
in the Town of Queensbury,To Construct or place a One—Family Dwelling
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.
oq
1. OWNER'S Address is Box 91 Aviation Road
Queensbury, NY 12801
2. CONTRACTOR or BUI LDER'S Name
Lamplighter Home Sales
3. CONTRACTOR or BUILDER'S Address
tn
RD #2
Ft. Edward, NY
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4. ARCHITECT'S Name
ra
CD
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m
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( )
0
0
7. PLANS and Specifications
26'x52' per plot plan, specifications and application submitted w
No. 5
including sewage system. N.
8. Proposed Use THE ATTACHMENT OF THE TWO PARTS MUST BE APPROVED BY A LICENSED
PROFESSIONAL ENGINEER. if
One—Family Dwelling w
$5.00 C/O tJ
$ 98.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 87
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.) p
OP
Dated at the Town of Queensbury this 21st Day of October 19 86
•
SIGNED BY --ma for the Town of Queensbury
Building and Zoning Inspector e
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THE NEW YORK BOARD. OF FIRE UNDERWRITERS ,
BUREAU OF ELECTRICITY
February cw� 41 STATE STREET,ALBANY,NEW YO.RK.1220.7 •
2, 1, OUt-YJste.!
��' Date Application No.on file •T, •`, `--1 t
THIS CERTIFIES THAT
1 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
'' Steve Huntington 17 Cherokee Lane Queef''_:51Jt ry NY
S1 1e family . o
.- y
i4 cr • out.side
i 1, in the following local on17_O tBasement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot
i'qzz
IA: was examined on • and found to be in compliance with the requirements of this Board.
Li if:
—+ �; FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
� MERCURY
, OUTLETS ECEPTACLES SWITCHES INCANDESCENT:FLUORESCENT
vA►OR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. MAT. H.P.
1;
IA:
IA' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
�� AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS.. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS E,
•
1: MO
�; SERVICE DISCONNECT NO.OF S E R V I • C E n =
_
~' �, AMY. AMP. TYPE METER
1,B"2W 1,0 3W 3%3W 3%AW NO.OFF CC..COND. OF CC.COND.. NO.OF HI-LEG OF HI•-L G NO.OF NEUTRALS Op NEIJGRAL
1 1 200 cb 1 1r. 4/0
/0 2/0 1
-1 OTHER APPARATUS: _
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-------; 11). . 7r('20.501‘7417.4.-•••••d.42.......07 —
- ., Patrick c�_ J.6 D shn�T.a a 3.I
Bun 321 BRANCH MANAGER
- 46H .aon Falls, NY 12839 0
Per
This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. o
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE,ALTERED IN ANY MANNER.
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TO BE COMPLETED BY BLDG. DEPT.
// . Application No.
Jown of Queeniur y Permit Issued 19 • TOWN OFQUEEN URY
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R.D. 1 Box 9.8 Zoning Designationitlii. LOMED
Queensbury, New York 12801 Variance No. JU
Site Plan evi w No. JLF 2 g 1146
/ a, .. - a _ C , /5 Approve 7g �iO3 I1 - WAS
APPLICATION FOR 1§m1.-' ' ,,`IW1fl e'n
... i
BUILDING AND ZONING PERMIT _.
* * * * * * * * * * * * * .tt .* * * * * * * * * *• * * * *• * * * * *. * * 4 * * :
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.1ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit ,to do the following work which will
be done in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
The owner of this property is: STe o •h AI>d Kt _,,a,,,:. (;, ro,- _
P.O. Address Co X !_/ 7911r -i-i v ,— 7 d {a.,.e e.L -1 r, a01'� Tel. 72- re-- f—; t2
Property Location: 5 j an L r r e Tax,Ma No.
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
•
Gt vvt �i ra'/ ry - �/d�l r 14�c�U •�_ of
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Name P.O. Address Tel. No.
Name of builder' -v7 , Address 314-7yl74) Tel. �;0_,..4.
Name of 'plumber S-Ahrki,o, Address 747y Tel. ,c,.,�,�
. Name of mason.M!'r" A •p4// r , Address Tel.. ff.?V —f'S' � c1,
•
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
Addition to a building * drawn reasonably to scale and attached hereto,
Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions) * whether existing or proposed and indicate all
Other work (describe) * set-back dimensions from property lines. Give •
• • * street and number or lot number and indicate
*
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area. •
*
• * COMPLETE INFORMATION REOUI RED BELOW. F r)
* Size of property ���'ff �. ft X ` ft.
* Existing building(s) Size ft X ft.
. * .
• PROPOSED BUILDING AND USE: _ * Existing building(s) Use
Size of new structure 6 ft XS Z' ft *
• Foundation-pier/slab/crawl/partial 4 * Proposed building, distance from property line
(circle one) 3
j * Front yard b ft Rear yard O ft
No. of stories (habitable space) * Side yards ft and fG, ft
Height (grade to ridge) / g'— ft. * I.f on corner, setback from side street ft
If residential, no. of families '
No.,of rooms(excluding baths) 6 * OCCUPANCY INFORMATION
No. of bedrooms
No. of. bathrooms * PRIMARY BUILDING -
* X One family dwelling
Primary heating system . /e c 1 C * J � 'I'wo family dwelling
Type of fuel C e ci'j2 c_ * Multiple dwelling / Number of units
No. of fireplaces to be installed / —
* )( Permanent occupancy
Will a wood stove be installed: _21/a
Central Air conditioning? ,,) ,q * `.Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch * Other '
Contemporary Log cabin If addition, what will use be?
ise'ranch Mansion Duplex *
Split level Old style Bungalow *
Cape Cod Cntl-argr' ( the ' ;,;,. , r,r1TI,fTNr- .
. W . A-GG G--5Sokvi 0Urci9ice% -- n
t : VALVE- S5� oo 410A/G----
•
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. b-Ife r 4 5'
Will. any second-hand or ungraded lumber be used? If so, for what? 4)
•
Foundation wall material (;a„`(^ yLe•Te Thickness s„
. Depth' of foundation below grade (to bottom of footing) 2
Will there be a cellar?Le S Heated qZ un eated?
Will,`there be a basement? Will any portion Floor sq. footage / sq ft
portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Typeof roof - loped at/shed/other Material. of roof •
Size, wood studs 2 „X �� G• `"-�
� spacing /� "o.c. length JP"' ft.
Joists(floor beams) 1st. floor ,' "X /p " spacing it.G "o.c. span /3 ft.
• Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X / " spacing
—Roof-rafters a `f 'nor• span /j ft.
"X , spacing �-/ o.c. span
Roof trusses(pre-engineered) spacing "o.c. span ft. •
•
Exterior wall finish Lei r C : C ' Of what material? f e 't 1
Interior wall finish -pYi/
r -e 'T'2 s c /c-
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? If so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof
Depth of chimney foundation below grade ft. ft.
Depth of fireplace hearth ft. in.
•
•
Water supply - Municipal or private well n z _e rp A
SEPTIC SYSTEM Distance from ANY private well(includingadjoining J g properties ft./
(A separate application is necessary for any .repair or new installation of septic system)
Town of Queensbury
County of Warren A F F I D A V I T STATE OF NEW -YORK
I swear that to the best of my knowledge and belief 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 propused work shall be complied with, whether specified or not, and that such work is
authorize by the owner.
SWORN TO BE • ME THIS Signatur - /. -� �
Owner, owner's agen.E,arcnitecct,cont ctor
da of . 19
Notary Public, Warr.'n County, N.Y.
* * * * *' * * * * * * * * * * * * * * * * * * * * * * . * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS 'OF THE PERMIT:
TOWN OF QUEENSBURY
BUILDING & ZONING DEPARTMT
SEWAGE DISPOSAL PERMIT APPLICATION
1. Owner' s Name _l-p il .p /-At n . A G Te�-
Address yC 9/ ail, ,4T.e.n 72 4<
0
e
% ��% , CJ��j4�„ '7Telphone No. ' 9 "'�
4-0 � 9
• 2. Property location /"7 ct'he,/zoE &' /A, . '
3. Name of person or firm responsible for installing system
lei 'P/, t -(je,L /e 3 Telephone No. 7P I -) 3 C
Address i2. � ,2. to , `z /
4. Number of bedrooms (residential buildings only) 73
5. Daily flow L/S U gallons/day
6. Septic tank capacity gallons
7 . Topography: rolling, steep
% of slope
8 . Nature of soil and depth t Ci
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? iv ft.
10. Percolation test: A !V is required
B is not required
C If required what is the rate minutes/inch
11. Water supply: municipal, well, other ✓t7 a a C , PA /
12 . Type of system proposed: drywell , tile field, other Gf4-cp% F, to / r
Any contractor, corporation, individual, etc. engaged in' the construction
of a sanitary sewage disposal system who covers the same before inspection,
does not have an approved permit, or varies from the approved application
will be subject to a penalty of $250 as provided for in Section 6 . 010 of the
Queensbury Sanitary Sewage Ordinance.
Date 9 - , -3 - fu J • 2c T��z S
signatur of app ica24
. On separate sheet of paper submit a diagram of the proposed septic system
with all dimensions, including distance from any structure, distance from
property line and domestic water supply, etc . Include all dimensions of
the system itself.
Form 3-82 ,
GEORGE KUROSAKA JR..P.E.
qic BUILDING SYSTEMS CONSULTANT `4
POET OFFICE BOX NO.860 dl:
OLENU FALLS.NEW YORK 12801 • (/
(518)792.1522 �(U
• 13 ARBUTUS DRIVE
OUEENSBURY. N.Y. 12801
PHONC 519 792-1522
BUILDING INSPDCTOR •
Town of Queensbury r re: Factory Manufactured Home
Town Hall Installation Certification. •
Queensbury, New York 12801 j
Attention: Mack Dean /ft•AlerLegetot — C e
Dear sir, •
This is to certify that I have observed and inspected the installation of a
"Factory Manufactured Home"; as defined by the New York State Uniform Fire
Prevention and Building Code, Chapter D - MANUFACTURED HOUSING, Article 2 -
FACTORY MANUFACTURED HOMES, as applicable to your local building regulations;
there appeared to be no apparent structural damage to the units, due to or
attributable to the transportation or loading/unloading of the units, herein-
after described as follows:
Date of Installation: //G
Site Location: 4' "-' 77."-- — C-4 '1"/
Community: Town of Queensbury
County: Warren
Manufacturer/Supplier: RITZ-CRAFT CORP of PA INC.
Address: P. 0. BOX 70
MIFFLINBURG, PA 1784l
Insignia Serial No. Z37-0
• Plan Approval No. O /47'
• Manufacturer's Model/Component No.: ZtItS2..— di1 2 —/gs's'
Date of Manufacture: /Zlj./:
Installer/Supplier: LAMPLIGHTER HOMES
I have also examined the approved Plans & Specifications for the abovementioned
"Factory Manufactured Home", and to the best of my knowledge and belief, this
"Home" has been installed in accordance with these approved Plans & Specifications,
and all other applicable laws codes, ordinances,standards &/or regulations.
a
O FcuRo��•�� Res;� tfull s mit edS
oc-G O L '�
Q
001.• trt (1,4.
4, GEORGE KUROSAKA JR., P.E.
NYS PE Lic., No. 35869
„:A /
Jocun of Queeni‘ury
/l I `OUILDING and ZONING DEPARTMENT
o01/Bay and Haviland Road, R.D. 1 Box 98
4 /�` Queensbury, New York 12801
0U
(-
BUILDING INSPECTOR ' S REPORT
NAME — L C�1F//� fT ��
/4/,77,14/
/ . 1
•
LOCATION /r/leya„,e,
Date //.7 / f/ Permit No. W” 77^ 7
* * A. * A. * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
foofing • 0.K
telding b,r
Masonry Veneer
Rough Plumbing
.55;lief Valves
Ext. Porches bA
it5Tnished Floors /
�Interior Trim al-
✓5tairs & Railings (9Sk
Cellar Drain Tile
Concrete Floors
Plbg.
Fixtures o/i;�
Gar. Fireproofing (/
(Deter Closers PV-
troke Detectors �r
Lefiimney Ar/1-
t SULATION:
jFoundation
1- Toors Cf.t
Walls
Ceiling
FINAL ELECTRICAL INSPECTION Pa l J
DRIVEWAY APPROVAL `
Final Building Survey , -
Next scheduled inspection (call when ready)
Remarks- ` Z14.0.-/ G.
/ilk/
_c
644
Building Inspector
6/86 and-vl
G 4 /7-'6° /o/ O'4 i`. `745' ,9-141
_/own oI 7ueenJur,
03C BUILDING and ZONING DEPARTMENT
c"N Bay and Haviland Road, R.D. 1 Box 98
,n Queensbury, New York 12801
\r
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME �.- e -61 ilKnrr nSToZ
LOCATION l c C' G.r 6 L, `e-,
DATE / 7/ ,P,‘ PERMIT NO. ,j(6— `7)7
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: ,
Absorption field, total length
Length of each trench , , 0
Depth of trenches f V
Size of gravel s`r
SEEPAGE PITS4Number f)
Size- ft. X ft.
Gravel size
PIPING: Size., Type
Bldg. to tank "'9-0
Tank to dist. box :,>�,i ?•i(c:'
Dist. box to field/p�,i_tt
Openings sealed? YES) NO Partial
LOCATION/SEPARATIONS: /
Foundation to tank ;t.
Foundation to absorption P ft.
Absorption to lot line
Separation of pits ft.
LOCATION/OPZN,S,YSTEM ON PROPERTY(circle one)
Front ''Rear{- Left side - Right sid9 -
COMMENTS»ter �,/
SYSTEM USE APPROVED NO
A•
Building Inspector
01/86 and vl
� 4i1ec19 /O/ y/S6 ' yS 1
Jown o/ Queen4ar,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME STD ' r
tI h 14 u ,--t-i n5 "r-oh
LOCATION
Date /�l,VY/ P4, Permit No. .(YG- 727
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms
' Foundation �"'"
17aterproofing
Backfill
° A----------
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls --"'"'7.---.-'-"\
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey • t
Next scheduled inspection (call when ready)
Remarks- z`1�-
41-irbe/ e
Buaing Inspector Q
6/86 and-vl
_Down of Queen ilur/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME I7ala
LOCATION
Date Gd / �( Permit No. sob /02 7
= APPROVED - YES NO
noting/Pier Forms
Foundation •
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors N
Interior Trim
f'
Stairs & Railings /'
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing /'
Door Closers
Smoke Detector F
Chimney • '\
INSULATION:
Foundation .
Floors
Walls •
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
' Next scheduled Inspection(call when ready)
Remarks- -
•
•
Building Inspector
6/86 and-vl
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