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1988-084 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK August 10, 88 Date 19 _ It-ir -q.12 E This is to certify tha work requested to be done as shown by Permit No. 88-84 has been completed. This structure may,be occupied as a One Family Modular Dwelling QueensDiana Lane Location Owner 17dmund & Dorothy Clark By Order Town Board TOWN OF QUEENSBURY • 'Building & Zoning Inspector ' BUILDING PERMIT H H9 'JC TOWN OF QUEENSBURY No. 88-84 WARREN COUNTY, NEW YORK o. PERMISSION is hereby granted to Edmund & Dorothy Clark w Lot #9 Queen Diana Lane OWNER of property located at Street, Road or Ave. (Briarwood Close) One Family Modular Dwelling in the Town of Queensbury,To Construct or place a 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 376 Ridge Rd. Glens Falls, N.Y. 12801 szn 2. CONTRACTOR or BUILDER'S Name I7 0 Lamplighter Home Sales o rt 0 3. CONTRACTOR or BUILDER'S Address Rte 9 S. Glens Falls, N.Y. 12801 4. ARCHITECT'S Name 5. ARCHITECT'S Address 9G 6. TYPE of Construction—(Please indicate by X) • O ri rt N• (X)Wood Frame ( ) Masonry ( )Steel ( ) _ - £ o , o ,0 O G 7. PLANS and Specifications p' N No. 26' x 52' as per plot plan, specifications and application including o ty septic system. CD H. 8. Proposed Use THE ATTACHMENT OF THE TWO PARTS MUST a) One Family Modular Dwelling BE APPROVED BY A LICENSED PROFESSIONAL ENGINEER. o ' $5.00 C/O $ 98.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 1, 19 88 0 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the t7 ,zy town of Queensbury before the expiration date.) p ro I-4 H. Dated at the Town of Queensbury this 22nd Day of March 19 88 H LE /, ozayfii °Q o SIGNED BY )& , • for the Town of Queensbury N Building and Zoning Inspector /�d`,/ {7, p� ri '"NJ CF QUEZ:.NS URY TO BE COMPLETED BY BLDG. DEPT. (il) 'I _ac� / Application No. ctino� Queenibury Permit Issued 19 LI GG FAR 211988 BUILDING and ZONING DEPARTMENT Permit Expires 19 � �, Bay and-Haviland Road, R.D. 1 Box 98 - . Zoning Designation BUILDING & CODE OEM-. Queensbury, New,York 12801 .. .. ,_..,Variance o. Site P Review o Q�J v� 404_,D IAppr.. e`d. APPLICATION FOR /�,( ti��• /�`/� V BUILDING AND ZONING PERMIT E ' . * * * * * * * * .* * *" •a• * * * * * .t. * * * . * * * * * * * * * * * to * * 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: arG1/7d,[.. ric� be) V'hV �: C a 1- P.O. Address 3'7 /��of�� Y_c. .. Q. ro-4Js Al Y• 1as-0l - . Tel. 9,e.'S�7/� Property Location: 2L—9 0 u :? l Gi- a .La e _ Tax Map No. 3 / I / 6„6 Street number or building lot number Subdivision name (if applicable) v oc - : (t.1n_�c" • THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: • Name P.O. .��ACCddress Tel. No. Name of builder 1-6 11 '`� �o'AC4(( d�ress Tel. 41 3 c-k . Name of plumber .t Address v ,\ Tel. t. Name of mason Address 3 1 (, ((‘a ‘0, Tel. v1Ms-- '1 Ic 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 ; .,• m. *• 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' 9, ft,X ft. • * Existing.btiilding(s) Size ft X ft... PROPOSED BUILDING AND USE: * Existing building(s) Use (1M' Size of new structure ft X S7.2 ft Foundation-pier/slab/crawl/partial/4 * Proposed building, distance from property line (circle one) No. of stories (habitable space) Front yard 1-6 ft Rear yard g ft Height (grade to ridge) ft. * Side yards _ ' 1 ft and }`F} ft If residential, no. of families * If on corner, setback.from side street IVA ft No. of rooms(excluding baths) •6 ' z• • OCCUPANCY INFORMATION No. of bedrooms * PRIMARY BUILDING - No. of bathrooms X., ." * One family dwelling Primary heating system E/eerie. * Two family dwelling Type of fuel * Multiple dwelling / Number of units No. of fireplaces to be installed noo e.., 1/Permanent occupancy Will a wood stove be installed? /i * p y Central Air conditioning? Aid * Transient occupancy Business BUILDING STYLE, PRIMARY- STRUCTURE Industrial ' Other ' Ranch% Contemporary Log cabin .If addition, what will use be? Raised ranch Mansion Duplex * Split level Old style . Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- • if Colonial : Row - Town House * '" Detached garage/one car/ two car/ A car ( CIRCLE ONE PLEASE ) * - Attached garage/one car/ two car/ 11^- car * * * * * * * * * * * * * * * * * * ' Private storage building ESTIMATED tMARKE'T VALUE OF, CONSTRUCTION $ 1.7 • INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form !IPA 4/86 and-vl BUILDING PERMIT APPLICATION ,CONTINUED - • BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc.. Will any second-hand or ungraded lumber be used?, If so, for what? Foundation wall material f,y"1� J ` pC Thickness 1 Depth of foundation below grade (to. bottom of footing) Will there be a cellar? ,Heated or unheated? \V UI Floor sq. footage 13 S a,• sq ft Will there be a basement? yjf Will any portion be used as living space? 14 (If so, what portion? NIA sq.ft. - - Type 'of use? Type of roof - sloped/flat/shed/other lc,v2 Material. of roof ( c(1;17,c\-17- \c ‘11, c Size, wood studs 26 "X t, ""' spacing ),4 "o.c. length' 1,; ft. Joists(floor beams) 1st. floor- _ "X AO. " • spacing X‘ "o.c. 'span ft. . • Joists (floor beams) 2nd. floorKj,A ."X. " spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing ' "o.c. span ' ft. . Roof rafters -- "X ---. " spacing o.c. span ft. Roof trusses(pre-engineered) spacing N b "o.c. 'span .lid ft. , Exterior wall finish - Of what- material? Vq 1...�- S,% Interior wall finish 1/ R ¢o T `NNA 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 NO ft. Depth of chimney foundation below grade )`J4 ft. Depth of fireplace hearth WU ft. in. ' Water supply - Municipal or private well ai N.IA,i 6.11 SEPTIC SYSTEM Distance from ANY private well(inclu ing adjoining properties Wik ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury • STATE. OF NEW YORK County of Warren A F F I D A V. I T • 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 tl-Z'BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed wo/rkIshall be complied with, whether specified or not, and that such work is authors ed by he owner. .' • • SWORN TO BEF RE ME THIS Signature ""�` ^ Owner, owner's agent,architect,UsAtz�ontractor day o 19 • • Notary Pu lic, Waih n County, N.Y. * * * * * * * * * * * * '* -* *'.* *_ *' *• *. * * '* * * '* * * * * * * * * * * * * * * * * * * • SPECIALCONDITIONS OF THE PERMIT: . .• • • • • • • B. TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work. ANSWER ALL of the following: 1. Gross floor area 1a4- t9, � • 2 . Type of heat led iL 3 . Is the building mechanically cooled? /6 4. Percentage of area of windows and doors A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a. Are foundation walls insulated? YES NO 1. If YES , what is the R value? 3 . Slab on grade YES NO a. If YES, what is the R value of insulation around perimeter of floor? 4 ., Is basement heated? YES ( NO a. R value of insulation 5. Type of insulation B. Under 16% Only 1. R value • roof and floors ex osed to ambient conditions 2 . R value of exterior walls 1� 3 . R value of glazed area 4 . R value of doors C` 3 �', 5. R value of floors over unheated spaces , 6. R value of slab edge insulation - unheated slab 7. R value of slab insulation - heated slab 8. R value of heated basement/cellar walls (above grade) 9. R value of heated basement/cellar walls (below grade) 10. Type of insulation Ac,rO{g,g',g C. Controls 1 . Thermostat maximum heat setting D. Duct Systems 1 . Is duct system installed in unheated spaces? YES . 0 a. If' YES , R value of duct installation b. R value of duct in other areas E . Piping Insulation 1 . Size of hot water or . cooling carrying agent pipe 2 . R value of pipe insulation F. Service Water Heating 1 .. Performance efficiency 2. Temperature control setting maximum G. For LSwimming Pool Only /, 1. Maximum heating // JP Telephone No. 74/M6-47/g (applicant ' s signature) �iw1 o C)ua14i4 APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE 51 as/ / LOCATION OF PROPERTY FOR INSTALLATIONLyf 9 yen i4/i?el n�T Owner's Name: ntendl/Drp-2y.s. Clark Telephone: 79cf . 9/e) Address: � e (�d9o'• &/e 5 ,4tI'S /V- • /02-d6 / Installer's Name: ZP,V i \�() w 0.J4_ Telephone: `i '1- 4 S Number of bedrooms (residential only) _J _ Total daily flow (compute @ 150 gal per bedroom) L/Se) Topography: circle one: lat Rolling Steep Slope % of slope �-- Soil Nature: circle one: ra-F- Loam Clay Other / Depth: feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? _ feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: unicipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption._ feet PROPOSED SYSTEM: Septic Tank / ppc, gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench S 0 feet / Total system length a-OO feet SEEPAGE PIT(S): Number of '—'—"' / Size each feet by ____ feet Size of stone to be used # / Depth or Thickness _ '� feet * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * (over) Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury 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 B. 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 be 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 Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: Date: V 1 1 1 E Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE Jown of Queeniur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 4i BUILDING INSPECTOR ' S REPORT NAME LOCATION ).e/ 2,22,z Cfacr Date- / Permit No. cify * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plum. Relief Valve. Ext. Porches Finished Floor. Interior Trim - - 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 Fr'/'/+ Next scheduled inspection (call when ready) Remarks- ; � o Afs AMID , *MI _ Builaing nspectf‘r. 6/86 and-vl nn �� cc77 p �� X i Down of Queenurey 1 •„ BUILDING and ZONING DEPARTMENT �� Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 Ati aztA r N 416- BUILDING INSPECTOR ' S REPORT NAME C//i /JA4T- LOCATION/ Qoe,g,. DO/4 Date ? / Permit No. �p� * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation i Waterproofing Backfill Framing Roofing Siding L, Masonry eneer Rough P1 .\g Relief Valv= , Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproof'. g ..- Door Closers Smoke Detecto•s Chimney INSULATION: Foundation Floors fa^I Walls Ceiling FINAL ELECT*AL INSPECTION D�.IVEWAYBuildi APPROVAL final ng Survey Next scheduled inspection (call when ready) Remarks-� 0.46 G if cA-C. r,cl u G - 1 CA'rt - !2-&-S G-T S v eFo LQ44 /vs C0 �/3 Kam- �i��'r&kr m /14A--/it/ 13 ekMi t'iTLN P L©c9, ( v' Aria 1-11-rf- ngPe or 6/86 and-vl ;Jown o/ QueenAury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 • • Queensbury, New York 12801 SEPTIC DISPOSAALL SYSTEM INSPECTION NAME mi:,74�,x.a/<.f A-A -�/ye0/J14W2l/" r�r/- LOCATIONu� �.):Cs .DATE '-/); ; /' , PERMIT NO. -2(/ SOIL TYPE - Sand'' - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length G� Length of ,each trench jc Depth of tre es ' 2"}' Size of grave SEEPAGE PITS{ .er of) Size- ft. ft. Gravel size PIPING: S, ze T'Pe Bldg. to tank Li n�b4 Tank to dist. box ia 's Dist. box to field fit 9"/ Openings sealed? 4 S NO Partial LOCATION/SEPARAT •NS: Foundation to t k l i -ft. Foundation to .,.sorption Tcrft. Absorption to , of line i11 ft. Separation of pits 4/; ft. LOCATION OF. STEM ON PROPE•TY(circle one) Front - gear - Left side - Right side - • COMMENTS: • SYSTEM USE APPROVED Es NO Building 'Inspector 01/86 and vl Jown of Queena4ur , BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 in Queensbury, New York 12801 /4 BUILDING INSPECTOR' S REPORT NAMEQ, Yg-le./k_ LOCATION . �(� �i ,,,,--oL �_ Date47'// Permit No. Gq-Cf.Y * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms lam"'ndation g( aterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Rail'ngs Cellar Drain Tile Concrete Fl"ors Plbg. Fixt,res Gar. Fireproofing Door Clo ers Smoke De ectors Chimney INSULAT ON: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when n ready) Remarks- 0/< . Building Inspector 6/86 and-vl cD7�wv /I-oWA-no C04friZ� r� Jouin o/ Queeni‘ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME CL/4f k‹ O FIW1,4r7oAJf2o11-O, LOCATION QU4-6-t/hIA-NA- Date sly / Permit No. - 0 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - Y / NO Footing/Pier Forms doyW - Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer ,/ Rough Plumbing Relief Valves Ext. Porches/ Finished Flo' rs Interior Tri Stairs & Rail'ngs Cellar Drain tile Concrete Floor. Plbg. Fixtures Gar. Fireproofi g Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL EL2CTRICAL INSPEITION DRIVEWAY APPROVAL Final Bu lding Survey Next scheduled inspection (call when ready) Remarks- y0 !_ 6 kuilding Inspector 6/86 and-vl _ MORSE ENGINEERING 99 LOWER DIX AVENUE GLENS FALLS,NY 12801 August 10, 1988 Town of Queensbury Building and Zoning Department Bay at Haviland Road R.D. #1, Box 98 Glens Falls, NY 12801 Gentlemen: I inspected the modular home on Lot 9, Queen Diana Lane, Briarwood Close, Town of Queensbury, and observed the following: 1. The center beams where the modules fit together was bolted in six places. 2. Metal columns were located along the- center beam with a maximum span of approximately 8 feet. - 3. Column bearing plates were lagged to the center beam. 4. Insignia approval serial number: 29328. 5. Manufacturer: Ritz Craft Corp. of PA, Inc. 6. Plan approval number: NY 0182. 7. Model or Component Designation: 26 x 52. 8. Manufacturer's serial number: 02/0588/2307AB. 9. Date of manufacture: 5/5/88. 10. NTA, Inc. serial number: F2-20069. If you have any questions, please contact me. Very truly yours, • Iv10 ENGINE ING ames E. Hutchins, P.E. Senior Project Engineer JEH:lag RICHARD S. MORSE, P.E. Phone:(518) 792- 5382 • 0 C P /n 0 5 , u ; J I .,1-1 r 1 -- / " r• O9, I S ft I r 1 1,\ I $.A `•S 1 r . I - �� t ' y 1 , •\j• .—Os/ \"s4;)17 &LI....L0 J`C$ ^ % f ! '„nv,,.0 1 •.,,.n w. , II eD _ or? 4p ham& 0�� f° _ / ' I i .1-A6S � -e $ h\ '. - s- / LQA7/O Si7E A/ .I • . '1p • 4 . ---- t IL :!/E,2/T•E EL o.e/12 .6- SSG /z G 8 //4 C7D,e AUo2EY 0,e/7Z. T- �e,S CZ-5-/a 2/ t05 j/�"rAT a - LOCAT/O/f M/¢P - fl I ,� . /-=moo'(4) _ o • :1/4....- :,, :: 4; " •24,048S:F.) 6 05 I ( 1�11911 Q 1 _^_1 V i y I( '� p11 till _____.: j -�� ,'' Cam, 7SF) N VVV\ 1'I i\e''' . _ _ °�� ,,Zo. \, • 3 0 , ✓mY y S-2o 37-/O=1A) b•. \o \ N /oo aco „...6.v S-3/"4 : 5 DM,air .J'-2o' 3/=/O= W 2 .. 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