1989-116 .. ry •x k. rY ]':. nT.iif�'�.`�R :,'. M 1 {i'!�y`4.o1"-".Va'.-.'n':. .. .-'�.. . Y.:j i-qµ+ ++Y r�'T.AM.r�T":..%c.�q� pS�,.yyMPgt-•y :a.;�y _.4 ,. .
K
so i
CERTIFICATE OF +C►CCUPAN CY
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Date - jmwe - -6. 19 S9
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This tructu ky be occupied as a AJI }
L.ocarion 74 F' Lxlewanu Roar.
Owner niuy; Z7ai l iii� ��
By Order Town Board
TOWN OF QUEENSBURY
,.-t!• ,=�.�t�_«r'' -�-x!r�1.
Director of Bldg. & Code Enforcement
�-� - - BUILDING PERMIT
x
TOWN OF QUEENSBURY . �
IVa_ 89 - 116
WARREN COUNTY, NEW YORK �
0
a "
PERMISSION is hereby granted to MARK WATKINS �
N
OWNER of property located at 74 PINEWOOD ROAD Street, Road or Ave- l:]
l
in the Town of Queensbury, To Construct or place a SINGLE FAMILY MODULAR DWELLING o�
at the above location in accordance to application together with plat 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
34 BALDWIN AVENUE
FORT EDWARDr N . Y . 12828
y
F-�
2. CONTRACTOR or BUI LDER"S Name 7
F-;
LAMPLIGHTER HOMES
3. CONTRACTOR or GUILDER'S Address
57J
RD # 2
FORT EDVJARD , N . Y . 12828
4. ARCHITECT'S Name
b. ARCHITECT'S Address b
H
t�J
.N
S. TYPE of Construction — (Please indicate by X) 0
)tK) Wood Frame i ) Masonry ( } Steel ( ) ;G
L7
7. PLANS and Specifications C]
Na. 24 ' x 44 ' single family modular dwelling as per plot plan
specifications , and application .
B. Proposed Use THE ATTACHMENT OF THE TWO PARTS MUST BE APPROVED
BY A LICENSED PROFESSIONAL ENGINEER . s
r-
INGLE FAMILY MODULAR .DWELLING �
25 . 00 c/o �c
$ 1 57 . 0Q PERMIT FEE PAID — THIS PERMIT EXPIRES oci-ober 1 19 89 H
(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.)
C7
Dated at the Town of Queensbury this th Day of March 1989 �
t�
y
SIGNED BY for the Town of Queensbury 7cJ
Building and Zoni4 rnapector C7
[1]
t '
H
T N Or. TELNSL� URY APPLICATION FOR BUILDING AND 2CINTNG PERMIT
F ec.iev ekt
R eu E
Fee d
aid
1'-(JI LDINCB AND CODES Ul TART=' ENT Date T a cued
LAY and 1fAVSLAND ROADS RD 1 ,BOX 98 PeAntit NO
0LjrENSBVRY, NEltl YOIR 12804 --
Tel . (518) 792-5832 Ext •204
A PERMIT Musor Bq OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS
WILL 13L"" ]MADE UNTIL APPLICANT 1-1As RECEIVED A VALID DL• ILDINC PERMIT .
All applicable spaces an this application must be completed and the
� -i *Latu� rk ofrct * e applicant *must *�7� 0*r * p * � �� � � yVe � ircy � side of
�� � 5 � �*c * t *
The owner of this property is : ;x tz. /L. L.. I'l. � TEL .
11 . o .
� .:. c! 'PAX MAP b1O,�
Property location %"�
tsas there been any split of this property since October 1 , 198E3 ? yeS1, no
if yes , Planning Board Review is necessary . LOT NO .
SUBDIVISION NAME , IF APPLICABLE
'rho person responsible for supervision of work as regards. Building Codes is ..c
p . a . ADDRESS
NAKE 44 ,wrr00 rTei �
t4ame of builder L l,L7f t°►�- Address c2 . Tel 7 fr '3 - a AIIII�� ^m
Name of Plumber !. ram' I P'!r a e�.+lx�` r.ddress '2 *t
,Gr7G� •4-,�
Mama of Mason f L r��+e's+ Address Tt O 2
tw<1TURC DF I�t;Of'OSLTR WARS- : ZO-NI r4 INI-'ORAl1'!` 10N ( 0 -ffice use On1g )
VConatructiort of a rka:+.r building] I 'ZONING DESIGNATION OF PROPERTY
Addition to a 'building . P
PERMITTED PRINCIPAL BRI'IITTED ACCESSORY
Altur:.tion to a Lailding w ]REQUIRED E¢UIRED - pLANNIL3G BOARD ZONING BOARD,
(ako clk:krtclu to exc.= r.ior climonsiansS APPROVED DATE
Ochor work SITE PLAN REVIEW v --�-^-
GROSS .AREA OV PROPOSCD. ; T1lUC 'i' URE {
VARIANCE # APPROVED DATE
Remarks :
lst floor to s` ft '
2nd Floor
s q f It . , COKPLETl_ x{di'G1r:riA'rI[3M 1t4 fyU IstiL1] isL xa[ rLJ .
" ,ir.: of propjrtyr� ZL I _ft x f.,_ .f Ft .
Other Floors sq ft ' L xi:atincl lauil.liat+ x si::a: L' L' x 1 C .
, not collar or basamOntl ■
TOTAL FLOOR AREAiD 56 sq W L:xiacincl bwildinkl (a ) Usu
•'i�u of now ::tructuro � `/ ft k
t'csua4dation-pier/alal+/crawl/partial to 1 ' s}rekposCd building , di::cancu rrow prtalsurcy linu
(circle aria ) ; Front yurd ft Rear yard /.
� _ _ r t
Na . of :tarie.� (haLiit:able slsacel
Side y:ard:: t t and 0
tt.:ighc ( yrada to ridgu ) i' . S fc • If on cernar , ::c: r.Liack from side: s;tru4t - fC
li rQuiduntial , no* of families OCCUPANCY INFORHlATION
No. of roomos ( excludin.l b"thal
tda. of bedroom:: - # PRIMARY LUILDINC
No . of b:.aclkroouk:.:� ( �Oncs faa►ily dwelling
Priuury lsuatinta s:y:.;l cu 95 fLg t * 'l la f"oily dwk�lliny
`i`ylsu of fuol �, Multiple awall&ngNumber of utlitS�^
tr
No . of firuplacu:: to lJc insewllcd 1'e ;ysrGnr. occup:ukcy
• w
will ;k wood :i"Vo Lu inut:allud? 'L`tan :iunl: ac culs:xrkcy
CUAL. l Air coiulitiuning:' ■ lsusincas
BUILDING STYL> p PRIMARY STRUCTURE * lnclu::crial
Oehcr
cabin
uc k Cont. tu;wrc:ary i.c.+s ■ if .addition , wt'tat will u%;Q k7a:i'
1t.AIU46:d ranelk Kansiukk oul.ltix
ulslic luVul Old atyla laukk.l.aloW • ACCi:SSORY BUILDIWG-
t.:k,lsu Cod Catz"gr� 00kur car
rowrk House '" lkwcachzu c1 ►r;kcle/ane c:,r/ two car/
Ca l an i:a l liaw cu k'
( CIitCLL•' Ufli PLEA:E 1 � At,tuchuU clur:igu/ona: car/ two cat/ -
■ ■ * ■ ■ ■ x ■ . . ■ ■ Y . ■ * * 1�Y.1.V :kta: rtoruga building
; '1• xMA4' l: A MA` R, K�CAP VALUE of Otlkt' r
7r1F`ORrSATION ON BUILDINC st�r•_CTVICATIONS , ONRr~VEsLSE SIDE OF THIS CsILl:`1`, TO BECOMPL.G'1'L'Dl
Form BPA 10/88 V2
T �-
BUILDING PERMIT A-PPLICATION CONTINUED
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc . ia.7pt, l=iL �q r, z
Will any second-hand or ungraded lumber be used? If so, for what ?
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing } G Will there be a cellar? ( .$ Heated or unheated? et
-- ti. sled. as living
sq. footage U 5 sq ft
Will there be a basement? Will any portion be used as living space ?
( If so , what portion? sq . ft . - - Type of use?
Type of roof - sloped/flat/shed/othelrl r:ec< Material , of roof !�
Size , wood studs`!L " X_,i" spacing_ 1(� "o . c . length �fo ft .
JO± Sts ( floor beams ) lst , floor
Joists ( floor beams) 2nd . floor ,+ spacings" Oo c . span L ft .
Overlays (ceiling beams ) „x —' „ ,1 — -1� sl'acing�"a . c . spanft .
Roof rafters n f spacing ,. t il*Q . c , span f "--- ft .
'+x " spacing . 4eG o . c . span / S' ft .
Roof trusses (pre-engineered) spacing ""o . c . span ft _
Exterior wall finish efo�14 t ' _ 46 Of what material?
Interior wall finish en, _
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 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 !/ St ft .
(A separate application is necessary for any repair or new installation of sep—t-1cc system)
DEC LA RATION
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.
Signature
Own owner's agent, Wchltect, cofftracf4f
SPECIAL CONDITIONS OF THE PERMIT :
ti
By
TOWN OF nVCENSt3URY
WARREN COUNTY . NEW YORK
Application for : UUILDINC PERMIT IN C014PLI26NCC WITH T1iE t1EW YORK
STATE ENERGY CONSERVXTION CODE.
A permit must be obtained before beginning work. .
ANSWER ALL Of the following !
1 , Gross floor area
2 . `1' Ypa: Of hewt
30 Is the building mechanically
4 . Percentage of area of windows and doors
A . Over 16 ♦ Only
1 . UQ vu•lua of gross area of walls , roof/ Calling and floors
Qxnpyed to autbi t: nt condttionb
� . Floor over heated spaces YES NO
a . Are foundation walls i. nsuluted ? YES NC]
1 , If YES , what is the It vwiu4 ?
3 . Slab on grade YES NO
a . If y2S . what is the R value of insulation around
peril Qcar Of floor ?
4 , 15 basement heated. ? YES 140
w , R value of insulation
5 . Typo of insulation
a under 164* Only
10 It v .. iva of roof and floors exposed to ambient conditions �
? . R value of axtcrior walla t� -
•3 . R v ,:. lue of glazed area
40 R value of doors
5 . R value of floora over unhea.t :: d spaces
a . R value of . lab edge insulation - unheated slab
? . R value of :; lab insulation - heated slab
la R value of heated basement/ cellar walls. ( wbove ' grade )
9 . R value of heated basemcntjcellu )Y wall ~ ( below grads )
100 Type of insulation e t, / p S -5 -
C . Controls
1 . 41' ►14Armostat maximum heat setting
D . Duct systems_
1 . . Ia duct system installed in unheated spaces ? YES NO
4 . If YES , R value of duct installation
b * it value of duct in other areas '
E . Pining Insulation_ ..ir,.■
1 . Sixu ofhot water ' or cooling carrying agar► t pipe: �sF
R values of pipe insulation
p , sarvicu wacar Haating-
1 . eeiCLancy/
w . '1' aurls ,arataara control s wowing uauxiulaaua
G . For Swimming Pool Only
1 . Maxitstum
Tv: lephona No . *� /`R 9
plicantas si natura)
APPLICATION FOR
J SEPTIC DISPOSAL PERMIT
BATE
LOCATION OF PROPERTY FOR INSTALLATION 7 `/� p L,4D O S, r( li 4Q, � �•1
Owner's Na m e:fon A yz 1 c. 0. Telephone: ] t/
Address: 7 le
Installer's Name: W . w+ rvt . 1I Telephone: 7 r - r r3 F r
Number of bedrooms (residential only) l
Total daily flow (compute (d 150 gal per bedroom) Z?x S
Topography: Circle one: Flat Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other „ c( /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: Municipal Well Other ,
If domestic water supply is a well:
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM : Septic Tank ZAIE02 gal. (minimum size: 2 , 000 gal.)
TILE FIELD: Each Trench 45 , _feet/Total system length . �s v feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # 3 -/Depth or Thickness feet
I have read the regulation on the reverse side of this sheet and agree to abide by these
and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
T
c
SIGNATURP OF 'RESPONSIBLE. PERSC? N,�y� 7w ��
DATE:
OVER
L JN T C �4 c 2 � t7 r' � � -hi �'i ..i r' .� O '`� 1 4 � .Q i ['� f"` T
2 13 P . 02
THE STATE INSURANCE FUND
1S9 CHURCH STREt:-T NNW YORK, N Y, 10007
( 212 ) 312 - 7616
CERT11=1CATE OF WORKERS' COMPENSATION INSURANCE
DERNA14D C ROGGE S R .' CFAR !O C R OGGF POI.EGY reu +EiEt�
D/R/A LAMPLI�GIJU k;,� and MF.3 803 i42 9
BOX 2750 R D z
bnr'e
FORTkUWAFtD NY 12828 3/27/89
G�ERTEFCATE NUf,A6ER
f> 11 - 499
Aef'1;4J C?VEltEG 3V TM10 CERTiPiC.ATB
11/Oi/88 TO 11/01/a9
OUCYrtOLDER CERi7F!GATE HOi.OSR
BEi4NARD C ROCCO S RICKAJAD C ROCCO TOWN OF QUEEN�BURY
D/B/A LAMPLIGHTER Ro%Nms D,EP:' OF BLDGS
BOX 2750 R 0 2 BAY RD
FORT £S3ioiFIF2D _--- - - TIY 3282' 8 QJEE4 $8[1R1' NY 12804
'3'HT3 g 15 TO CI'oR'1TFV TFIAT TEE POLYCYHOTL SZR N*IMEV ABOVE Is INSUHtr13 WITH 1141 W SIA.TE
INSURA;d FUND UDDER PCILSCY NO . 803 143 - 3 UNTIL IL1101/89 , CQVI�94NG THE ENTJR.E
Os:. SGr� sGv OV TFIS POLICYHG-=L,E!t FOR lJOvRFSE:'RS CQM?2N$pjTItON 4JL64ur;R Twe 604www Y01Rx WbRK-
ERS ' COMPENSATION LAW WITAN RES1> Ci TO ALL OPERA .: 1ONS IN THE STATE OF NEVI YORK *
IF SAID POLICY IS OR CHANGED PI YOP TO 11r/01189 in SUCH NANNER AS
TO R FECm THIS CEFlTxTe';GATEf 3c DAYS WRITTEN :'r0'd'1Ce Gr, SUCH C ANCELLATrON
wv. LTr BE GIVEN TO THE CeAiIFICATE; HOLDER ABOVE . NO'TICZ BY REGULAR MAIL. SO
ADDRESSED SHALL BE SUP'P`AC3ff;NT (.^QMPL _IANCE W2Tt! fiF3IS AP5OVjSjO w .
THE STATE UNSURANCE FUND
HEROERTJACOBS
TOWN OF QUEENSBURY
BUILDXNG AND CODES DEPARTMENT
BAY & HAVXLAND ROADS
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECT-TON RECEIVED
NAME
�/ � �
LC)CATION
DATE �j - {i` 4 PERMIT # r
APPROVED
YES NO
FOOTXNG/PXERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFXLL APPROVAL
ROUGH P.LUMBXNG
FRAMING
ELECTRXCAL ROUGH- N
XN.SULATXONr
FOUNDATXON
FLOORS 1
WALLS
C SLING
[FAL INSPECTXON:
CHIMNEY HEXGHT
ROOFXNG l
SXDXNG
EXTERNAL PORCHES/STEPS"
STAIRS-CLEARANCE & RAX
PLUMBXNG FIXTURES/RELXEF LVE
INTER-TOR TRXM/,PRIVACY DOO
FXNX.SHED FLOORS
GARAGE FXREPROOFING -
DOOR CLOSER (S) -
SMOKE DETEC7'ORS_��- g
FINAL E"LECTRXCAL XNSPECTIO'
FINAL APPROVAL OF CONSTRU ION
A SXGNED CERTXFXCATE OF CUPANCY MUST $E
OBTAXNED FROM THE BUILDIN DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPI D!
REMARKS. z
e lee eo�C
r
INSPECTOR ��
BUILDING and .ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
f
SEPTIC DISPOSAL SYSTEM INSPECTION
LOCATION
DATE / Q PERMIT NO.
S013, TYPE - Sand Loam - Clay f
Pere lation est Required? YE N�
Perco ation rate - Min/Inch
TYPE of SYSTEM:
Absorpti n field , total le th "' �
Length of each trench -
Depth of t nches --
Size of gra 1 �_ ---
SEEPAGE PITS umber of
Size- ft, f
Gravel size
PIPING : Size Typ-
Bldg. to tank � 4 CS c (T C_
Tank to dist. box �� � �
Distw box to £iel / r �v � .
Openings sealed? E NO Partial
LOCATION/SEPARA ONS :
Foundation to k o ft.
Foundation to sorption oft .--}..
Absorption to of line eft .
Separation of its t
LOCATION S TEM ON PROPERT circle one )
Front - ear Left side - RI side -
COMMENTS
SYSTEMS USE APPROVED Y NO
Building Ins ctor
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
SAY & HAVSLAND ROADS
QUEENSBURY, NEW YOR,K 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTORS REPORT
REQUEST FOR XNSPEC ON ,R E2VR
NAME
LOCATION
DATE PERMIT #
APPROVED
YES I Na:
F�'1"ING/PIE
MC7NOL_£THIC POU FORMS
FOUNDATION/DAMP PROOFING
BACKFILL APPROVA
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULA TION:
FOUNDATION rrT
FLOORS r
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCH /STEPS
STAIRS-CLEARA E & RAILS
PLUMBING FIX RES/RELIEF VALV
INTERIOR TR (PRIVACY DOORS
FINISHED F RS
GARAGE FI PROOFING
DOOR CLOS R (S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTXF2CATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMXSES ARE OCCUPIED!
REMARKS:
1
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR XNSPE9TION R,ECEFVE'D !,/��r Gj `
NAME r •�-y-
LOCATION
DATE PERMIT #
APPROVED
YES NO
11FOOT1'NGf PI ERS
MONOLITHIC POUR FORMS
FOUNDATIONIDAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN `
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM1pRSVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER (S) i
SMOKE DETECTORS ;
FINAL ELECTRICAL SPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIF#'CATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMIS'ES' ARE OCCUPIEDI
REMARKS:
col,zi
INSPECTOR
4p
Z410
es%* r7
f7D P.
rig
LZ GCS C4
MORSE ENGINEERING
99 LOWER DIX AVENUE
GLENS BALLS, NY I2aol
June 6 , 1989
Queensbury Building & Codes Department
Queensbury Town Offices
Bay at Haviland Roads
Box 98
Queensbury , NY 12804
RE : Lamplighter Homes Modular Rome Inspection
Gentlemen :
Please be advised that Morse Engineering has conducted an on-site
inspection of a one story single family modular dwelling recently
located at Pinewood Road , Town of Queensbury, at the request of
the current owner-, Lampligh+er Homes , Inc .
said inspection included visual examination of the foundation for
possible damage from . placement of the structural sections , main
beam connection and support , as well as roof structure
connections .
Foundation - o . k . - no cracks , chipping , or spalling .
Main Floor Beam - o . k . - 9116 " bolts @ 5 ' o . c .
Columns - o.k . - 3" steel columns @ 8 ' o.c . with steel plates top
and bottom.
Roof System -- o . k . - all connections tight .
All components , connections and supports inspected were
acceptable .
N . Y . S .D . H .C . R . MODEL APPROVAL DI
MFR . - RITZ -CRAFT CORP . OF PA .
MODEL - HOMESTEAD II
SERIAL NO . 33707
PLAN APPROVAL NO . 0182
MFG . SERIAL NO . 0205893185AB
MFG . DATE 5/5/'89
Yours truly ,
SE E _
00
k A . can
MAD/jj
CC : Lamplighter Homes , Inc .
RICHARD S . IMIORSE , P. E. PhOns = \/
318) 792 - 5382