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1986-881 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 This is to certifythat workrequest -to be done as shown by Permit No. 86 881 has been completed. Thu structure may be occupied as a One Family Modular Dwelling #fin �. Eldridge Road Harry Tripp O . By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVC "1N3TA" PRINTING. GLENS FALLS. N Y 12801 I516J793-5656 BUILDING PERMIT TOWN OF QUEENSBURY No. 86-881 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Harry Tripp OWNER of property located at Eldridge Road Street, Road or Ave. w in the Town of Queensbury,To Construct or place a One—Family Modular 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. 1. OWNER'S Address is 67 Orchard St. Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name John Hughes �y I� N• a. 3. CONTRACTOR or BUILDER'S Address 114 co 375 Bay Road x Glens Falls, New York a+ 4. ARCHITECT'S Name 5. ARCHITECT'S Address 0 0 6. TYPE of Construction—(Please indicate by X) (x)Wood Frame ( ) Masonry ( I Steel ( ) 7. PLANS and Specifications 46Tx24' modular dwelling and 14'x22' one car attached garage per plot:-plan, specifications and application submitted a, No. including sewage system. Per Var. 1157. n 8. Proposed Use THE ATTACHMENT OF THE TWO PARTS MUST BE APPROVED BY A LICENSED r7 PROFESSIONAL ENGINEER. m One—Family Modular Dwelling 1-6 $5.00 C/O $ 82.00 PERMIT FEE PAID—THIS PERMIT EXPIRES July 1 1987 (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.) Dated at the Town of Queensbury this 30th Day of December 19 86 SIGNED BY dZG.. a• k for the Town of Queensbury Building and Zoning Inspecto ��j TO BE COMPLETED BY BLDG. DEPT. I • Application No. • aiiiYi`401Pf UE NC.9t,i' ( Own O/ Queen./Iury Permit Issued 19 1 .iti. - r BUILDING and:ZONING DEPARTMENT Permit Expires 19 jk_. ij. l : j , Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation It Queensbury, New York 12801 Variance No. //3-7 p...0 )6 ° • q Site Pla Rev ew No. r f..�7 7 T.! dY e 3 ` Approv "by: c�,: �y%9 s74a 1-3)4 )6 ' , . a .c APPLICATION FQR e�f./I BUILDING AND ZONING PERMIT0. -* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * # * # # * # p N AP02.ovA-L ®3v J A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER 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: /7 L � 7 -", /- P.O. Address £y 7 C>r' jiAY'J '7 0r.r Tel. ? 0,i7Jr Property Location: r/al—,'olq. 12,(� Tax Map No. / / Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: / Name P.O. Address Tel. No. • Name of builder a my;v 17/;,�A , c Address ? .' 5 ic--, y/20/ Tel. f►}�2fr/)o�, Name of plumber .5�/� 0e,r-k,,,,;,c c'_ Address ?c)77 ,;-. j /. Tel. 7 r . ;Lio Name of mason ii:-,:`,2,,,-,J %3iv<14:ice Address k:,C;c y�:4"7 �,V,Ve, Tel i 2 3 NATURE OF PROPOSED WORK: * ZONING INFORMATION: , t/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 REQUIRED BELOW. * Size of property 5, ,E ft X 7 ,c ft. * Existing building(s) Size ft X ft. * . . . . . . . . . . . . . PROPOSED BUILDING AND USE: * Existing building(s) Use ' Z!'•c * Size of new structure ft 'X 7 ft Foundation-pier/slab craw /partial/full * Proposed building, distance from property line (circle one) * No.- of stories (habitable space) * Front yard " 30 ft Rear yard ft * Side yards '/0' ft and s4.) ft Height (grade to ridge) /3 ft. * If on corner, setback from side street ft If residential, no. of families i • No. of rooms(excluding baths)_ * OCCUPANCY INFORMATION No. of bedrooms * * PRIMARY BUILDING - No. of bathrooms f *.' ! One family dwelling Primary heating system %Je.1:.7,r,c. . • Type of fuel * Two family dwelling No. of fireplaces to be installed 4,t.,n,� * Multiple dwelling / Number of units Will a wood stove be installed? ,ry ;, * Permanent occupancy * Transient occupancy . Central Air conditioning? ht fi * Business BUILDING STYLE, PRIMARY STRUCTURE x.• ' Industrial ch Contemporary Log cabin * Other Ran * If addition, what will use be? • Raised ranch Mansion Duplex Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUI.LDING- Colonial Row Town House * ' Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * 1/Attached garage/one car/ two car/ 41,, car * * * * * * * * * * * * * * * * * * ' ' "Private storage building ESTIMATED MARKET VALUE OF * Other . . ' . : ' ' ' • CONSTRUCTION ��,ffUU * - $�:_"1460 INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! :;'on, IVJA 4/86 and--v]. BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. ,-y orift,,)A v., Will any second-hand or ungraded lumber be used? If so, for what? Foundation wall material e �F;„)x f)jerk Thickness " Depth of foundation below grade (to bottom of footing) yj Will there be a cellar? Ake) Heated or unheated? Floor sq. footage /v i sq ft Will there be a basement? 4-7Will any portion be used as living space? A.) (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other fy, ' Material. of roof dxsO,r; /T _5,67�_,j Size, wood studs _5"X " spacing a, "o.c. length .2 'rft. Joists(floor beams) 1st. floor "X ,5- " spacing / "o.c. span /: . ft. Joists (floor beams) 2nd. floor "X " spacing. "o.c. span ft. Overlays(ceiling beams) "X " spacing 4- "o.c. span / ft. Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing "o.c. span vp / ft. Exterior wall finish !sr/A., , /J, Of what material? Interior wall finish i/ +i 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? ,,.,s If so will a Fire-rated door, enclosure, and self-closing device be provided? Will a flue-lined chimney be installed? Asko Height ab//ove roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well SEPTIC SYSTEM Distance from ANY private well(including adjoining properties ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County of Warren 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 proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner. SWORN TO BEFORE ME THIS Signature �.,,�/ tr-L-4 Own- ', owner's ag, ,arcnitect,contractor day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By `�ou,n of QuPensture APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 I • Queensbury, New York 12801 DATE p /a p- S LOCATION OF PROPERTY ROR INSTALLATION £-loI oe OWNER' S NAME / a 00 ADDRESS . 47 Off";),,firol S7-, j. f• TEL 2 ¢g1062V INSTALLER' S NAME ,4 l �� Fj'��� , f i f�'/ ) 1- L"UA e.rC TEL 9 Number of bedrooms (residential only), Total daily flow(compute @ 150 gal per bedroom) 3 6-0 Topography: Rolling .- Steep slope - (circle one) % of slope_ Soil nature: )- Loam - Clay - Other Depth ft. Groundwater -At what depth? /tl i3mc, ft. Bed-rock or impervious material - At what depth? r0.0i4.f• ft. Percolation test - Not required - Required - -Rate min-inch. Domestic water supply - Municipal - Well - Other 0A,,/dir,r/ Separation - Watersupply(if well) from Septic absorption ft. Proposed System: Septic tank J'rye o gal. ( Minimun size, 1000 gal. ) Tile Field - Each 'trench ft. Total system legnth • ft. Seepage pit(s) Number of a . Size each ( ft X 6 ft 0,7,i1172,sg r ,2 Size of stone to be used . _3 Depth or thickness ft. * * * * * .* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT ! ! Ord a ' separate piece of paper, submit a diagram of the proposed system with all dimensions shown; including distance from any structure , distance from property lines and from ANY DOMESTIC WATER SUPPLY or shore-line of lake, stream,pond or wet-lands. Include all dimensions of the system, itself . * * *_ * * * * * *• * * * * * * * * * * * * * * * * * * * * * * * * * * * * 1 have read the regulations on the reverse side of this sheet and agree to abide' by these and aZZ requirements of The Town of Queensbury Sanitary Sewage Disposal Ordinance . • L, Signature of responsible person 44, c ••54 ' Date is . 4, - .6'e 0 05/86 and/vl Section II Septic System Inspections: A. All applications' for septid system installation, alteration or repair, as reauired by the Town of Oueensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1) the proposed location of the system 2) location and distance to lot lines 3) location and distance to structures 4) location and distance to any water supply 5) size and dimensions of all tanks, distribution • boxes, tile fields and/or drywells 13. No system shall be covered before inspection and • approval by the Building Inspector. Failure to comply with this requirement may result in the Uncovering of the system by the ,installer and a fine of up to $250. 00. C , An approved copy of the plot plan shall he available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction ' prevent proper installation, alteration or repair of an approved system, a new proposal ,!must be submitted to the Oueensbury Building Department before further construction. BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED: (TEMP.# IDATE 1 • CITY OR VILLAGE , , ," r" :�)�, -3;: r"•, TOWNSHIP COUNTY s, ,)./.., .;r''!''/Li STREET AND NO.OR ROAD AND POLE NO. /- /y/tom'! G,I c., f'_ J� ;? _ POLE NO. BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK / LOT , OCCUPANT'S /! 1 BUILDING : NAME J l r "Il t tr` 7,-, :-J l-� OCCUPANCY - s. �-/ _ + ,� _. .. OWNER'S NAME ' / r i AND ADDRESS ' - TEL.$� .-3 CURRENT ,. ' - ` - SUPPLIED (,� r'" BY y i -, ;=a ' i r^i'}k.:i _ I., FROM THEIR ( ,/ /-- '-i //) OFFICE BUILDING NEW❑''4 OLD CI IWS DEFECTS NEW � ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS CIRCUICTS OFFICE USE Lora- ONLY tion • Side Attach't H.P. Watts A.W.G. Ceding Wall Recep'Is Switch Pendant Bracket No. Type Each 'No. Each Na• Gauge INSPECTION Out- side Sub- • base Base- ment 1st Fl. 2nd Fl. - 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. ' This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS -•"" OF SIGN BUILDING INSPECTION REQUESTED - ON OR AS NEAR AS POSSIBLE NEW El OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF , MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. - APPLICATION PRINT NAME AND ADDRESS NAME OF i V SIGNATURE `.•/ / ' APPLICANT %'-,- Try 7 7- /1 OF APPLICANT .),/'', -,.ter; j STREET ADDRESS 6 ) (%%c,b p"rd •% /. (,.. TELEPHONE# ';;? J. (J f, 2•?;, CITY OR ! )) _ - - ZIP LICENSE NO. POST OFFICE + -r /l/,_-.._`a / /-//_. IL). I % - CODE ._ ,'0/ WHEN APPLICABLE 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING . t ."..\•/"�t/.".".".".,I!\)t(at/,.1"?.).. \t."-.Yt/,\t/•11!.",1tt,),te,1t/.". t/."..1t/..1"!","..!•. .1t/-•1t/ ,1t/et!.1"?. !-?tt.�t(at/,ft(.t/,.At,)h.)tOt(1t/,1tt-.\t(-±tt,)t(1t t,i_b„_h„11 - • 4000522 THE NEW YORK BOARD. OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ..- Hi f 41 STATE STREET,ALBANY.NEW YO�RvK)122�0.7j7 • F. Date March 0, 1937 Application No.on file A �' f� .4 THIS CERTIFIES THAT ,! _ only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of :' Modular iRome, Eldrige Rd. , Glens Falls, New York Pole I� 51 • = in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. outside: Section Block Lot : was examined on 2/25/87 and found to be in compliance with the requirements of this Board. ' FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT.FLUORESCENT MyAC1 AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 4 S DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS 1. = 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 ': = 'i = SERVICE DISCONNECT NO.OF S E R V. I C E 17E_ AMT AMP. TYPE METER 1 .02W 1 0 3W 3,9 3W 3,9 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.~'•G• NO.OF NEUTRALS A.W.G. EQUIP. PER B OF CC.COND. OF HI-lEG OF NEUTRAL 72 1 2-- cb 1 OTHER APPARATUS: I II .hit(!5,4.--4-4-••••.4.-12.---71:777: Sam W. Corhouse 11 Potter Rd. BRANCH MANAGEREA 12821 k Yor Canseeoo c. New Per . to 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. !!lifillantIltICEifiliffiiIMISEWSIMLICIINEWINEMIN115101151lEtEMNIMIIIMI15051Elint15101MINEME ( = COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. _loom o, Queeni‘ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME bfk.e...(igt, -MN l�' LOCATION �� r DATE is/,3/�/ if' . PE IT NO. ?(D - 331 SOIL TYPE .-•- Loam - Clay - Percolation st Required? YES NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel SEEPAGE PITS*Number of) Size- ft. X ft. 4,,,6,E 4. 1 '( `3( Gravel size V. 5 " PIPING: Size Type Bldg. to tank 40i (/D Tank to dist. box Dist. box to field0,'i-tom Openings sealed? 'DES ) NO Partial LOCATION/SEPARATIONS: Foundation to tank 10 ft. Foundation to absorption (:) ft. Absorption to lot line !0 ft. Separation of pits fcft. LOCATIO F STEM ON PROPERTY(circle one) Front - Rear Left side - Right side - COMMEN SYSTEM USE APPROVEt(Tt) NO /..;(41/6 Building Inspector 01/86 and vl Jown of Qu 'enur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME ;\ ViA '1 LOCATIONe--(Letzie Date f 3r / (( Permit No. to - a i * * * * * * * * * * * * * * * * * * * * * . . ✓ = APPROVED - YES / NO Footing/Pier Forms � �Foundation Waterproofing ©�" kg-ackfill ,p f 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 Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey g Next scheduled inspection (call when ready) Remarks- Building Inspector 6/86 and-vl / /0 6 M a 12 1/k* // awn of Queen iur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Li ah�' y T'; LOCATION c�I Date/&./..57 /6 Permit No. Y r- n * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YE / NO ? Footing/Pier Forms a). N. Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors � Interior Trim Stairs & Railings Cellar Drain Tile 1\/2//4 Concrete Floors Plbg. Fixtures Gar. Fireproofing \\ Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- - °i1,h /u yL eS eayirracp, Building Inspector 6/86 and-vl I 1 � f ( I 1 ., � � ? �� ,J r o: i r,,-�,)f !j a j�j `'� _._,_�-�r---_------- — i �� � a � � �_ 3 I ; `� � Aoj � 4 �i \ � � � {�.r \ i I i ~� i os ' i °`� � � o _._._..----'--..._.}_._------'-. � _ "' _ ._"" � f \� 1 �O �O i I' I ___ i