1990-027 CERTIFICATE, OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date MAY 2 19 90
90 - 27:
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a single fRmily dwelling
/0 Mud Pond Road
Location
Peter and Theresa Darrah
Owner
By Order Town Board
TOWN OF QUEENSBURY
A
Ywi a fcatit"
Director of Bldg. & Code En orcement
BUILDING PERMIT
y
sn
TOWN OF QUEENSBURY 4
No.gn - 27 ,z
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Peter & Theresa Darrah
m
OWNER of property located at C Mud Pond Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Single 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.
1. OWNER'S Address is
Harrison Avenue
S Glens Falls NY 12803 • ;b
CD
2. CONTRACTOR or BUILDER'S Name
(D
Collette Contruction Inc. R°
CD
3. CONTRACTOR or BUILDER'S Address
(1D
' 9 Collette Lane
Hudson Falls NY 12839
4. ARCHITECT'S Name
4
z
CZ.
ro
0
5. ARCHITECT'S Address
O
6. TYPE of Construction—(Please indicate by X)
( )()Wood Frame ( ) Masonry ( ) Steel (
Modular
7. PLANS and Specifications
O
No. 24' x 42' Modular single family dwelling per plot plan, specifications and sv
application,including sewage system.
8. Proposed Use ' -
THE ATTACHMENT OF THE TWO PARTS MUST BE APPROVED BY A
Single family dwelling
LICENSED PROFESSIONAL ENGINEER.
aq
$ 120.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 27 19 90
(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 27th Day of Mar eh 19 90
SIGNED BY 2/0 for the Town of Queensbury
Building and Zoning Inspector
)WN OF QUEENSBURY SBU'R�
TOWN OF QUEEN
_t____
: DY12? CO
VIEWE
5.71,%, PERMIT NO. go-41 uu FEB 141990
BUILDING BUILDING PERMIT APPLICATION &CODE DEM
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
ILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
413 0
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • * • • •
�� ( Oe6,� Ne� �Re�he owner of this property is: 2 ' d, (?� p O��IZR4v:
.0: Address . S-6•F Tel. -29F /6 y/
i°i��T�J=^?a�� ,._..y •
Tax Map N�a /_�/ ,! ��
property Location Aid, �6'4 ��'
as there been any split of this property since October 1, 1988? / (7- Se/r7
yes Planning Board Review is necessary. yes no
,UBDIVISION NAME, IF APPLICABLE
LOT NO.
'HE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
k fie
'
KATURE OF PROPOSED WORK: ESI'IMATED MARKET VALUE OF '
. •
/ • CONSTRUCTION: S.
crO
i✓ Construction of a new building
• COMPLETE INFORMATION REQUIRED BELOW:
Addition to a building
• Size of property g.y S� ft x ft.
Alteration to a building , • Existing Buildings(3) Size ft. x -ft.
(no change to exterior dimensions) - • • Proposed building - distance from property line:
Other work (Describe) • Front yard_ ft. Rear yard I ft.
'• Side yards 6 ft. and I.b ft.
' If on corner, setback from side street__ft.
3ROSS AREA OF PROPOSED STRUCTURE •
9-
1st Floor J dig sq. ft. )20t�� ' OCCUPANCY INFORMATION
2nd Floor '• sq. ft.
\ •• Primary Building -
• �ne Family Dwelling
Other Floors sq. ft. • Two Family Dwelling
(not cellar or basement)
•
_Multiple Dwelling/Number of units_
TOTAL FLOOR AREA /06g sq. ft. • Business
Size of new structure ft x ft. • Industrial
Foundation-pier/slab/crawl/partialO011
(circle one) • _Other
•
No. of stories (habitable space) I •
Height (grade to ridge) /c ft. • If addition, what will use be'
If residential, no. of families / •
No. of rooms(excluding baths) • Accessory Building..
No. of bedrooms 2 ' Detached Garage ONE/TWO Car
No. of bathrooms, / ' WO Car
�, • Attached Garage ONE/TWO Primary heating system ,r�/e�r�r�, 6�1" i° '-
Type of fuel ' Private storage building
•
No. of fireplaces to be Installed �tl_p Other
Willa wood stove be installed=
'
Centrai Air conditioning A)d
OV• ER
BCILDING':PE__RMIT,,AP:PLIC.ATION CONTINUED -
BL=IL-D[NG SPFCIFICATIOvS:
•i...e .. ...
Type o �f•construction;-,,wood..frame, fire safe. etc. Gy Jo A{f
Will any second-hand or upgraded lumber be used? If so. for what? Ajt)
Foundation wall material (..Ave_e.e- Thickness c�
Depth of foundation below grade (to bottom of footing) ,
Will there be a cellar? Heated or unheated? 0A)X safe Floor sq. footage /- ,9 sq ft.
Will there be a basement? /J O Will any portion be used as living space?
(If so, what portion? sq ft. Type of use?
Type of roof - ope• at/shed/other Material of roof �4. cc
Size, wood studs "x 6 " spacing /6 " o.c. length Q' ft.
Joists (floor beams) 1st floor a "x " spacing /.6 "o.c. span /X ft.
Joist (floor beams) 2nd floor — "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 2 V " o.c. span a U ft.
Exterior wall finish CA of what material? 1/
Interior wall finish rciee,Tor}e'
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
N?i 2,v2 a
Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure,
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. i3O-e.-//
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties //o ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER Co,f// 1' ADDRESS j 6// ,b �fEL. NO. 7 y ' Stie?
NAME OF PLUMBER ' ADDRESS I TEL. NO.
NAME OF MASON - " ADDRESS TEL. NO.
NAME OF ELECTRICIAN i' ADDRESS '' TEL. NO.
DECLARATION
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 premise. _ '•;e'st all provisiPr.".,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 &ale
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
•
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 ' Mg'. • .
• 2 . Type of . heat aG{(/ C
3 . Is the building mechanically cooled? 00
. 4 . Percentage of area .of windows and doors // (D
A. Over 16% Only
-. 1 . Uo value _ of gross area of • walls , roof/ceilin and floors
. exposed to ambient conditions . 6Ph
2 . - Floor over heat i spaces YES NO
a. Are foundat on walls insulated? .YES • NO
1 . If YES , what is the R value? .
3 . .Slab on .grade' YES NO • •
a. - If YES ,. wh .t is the R value of insulation .around .
• perimeter of floor?
4 . Is basement heated? .YES ( ) � - . .
• • a. R value of- insulation • /2_2. -
. .
5. Type of insulation rp • •
. B. Under 16% Only
' 1. R value of roof and -floors .exposed to ambient conditions_
2. R value of. exterior walls
• 3 . R value of glazed area •
•
• . 4 : R value of doors .
' 5. it 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_
. C. Controls . .• . .
' - 1. • Thermostat maximum heat setting
•
D. Duct Systems
1. Is 'duct system installed in unheated spaces? YES NO
. a. •If YES, R value of duct installation
b. R value of duct in other areas'
E. PiQina- Insulation
1. Size . of hot water or. cooling carrying- agent pipe_:
2. _ __ue.. of pipe insulation
. Service Water Heating .
•F
' 1: Performance efficiency
2. . Temperature control setting maximum /34,�
G. . For Swim.ing_Pool Only
1. Maximum heating .
Telephone No. 7�-) -- . '-i 33 ` ` ^"" .
(applicant' s signature)
P.615 ., .
Tofun of ( utensburg tghfung penrxrtment
Bay at Haviland Roads Office Phone 518-793-7771 Oueensbury, New York 12801
PAUL H.NAYLOR RICHARD A. MISSITA
Superintendent Highways Deputy Superintendent Hi hw ys
TOWN OF QUE2P:SBU'n
{1
DRIVEWAY PERMIT FEB 141990
BUILDING & CODE DEPT.
DATE: a7i 3/9 d
APPLICANT NAME: (_a(AA CG Y-7 -1c,f
TELEPHONE NO. : `7 c/7 c13 3
ADDRESS TO BE INSPECTED: `J7 Uci P>? .KcL i
RETURN ADDRESS : 9 Cn7/eA LAJ • fiudZehi
Applicant -rn , show ,exact "location, and: widths :cif dr ._,(s) 51
to be co -ed.to h� h tghwa , by: plat g sfiak at the
S jJ.eO Pl an '``
Th0 'Superintendent of 144hways, Tawn of Qgeensbur :
rgvietWeds the applicafinn o the._above_ named resident to
gpnnec a ,driveway to the Yawn roads. The ;�foltoy4 g- igri<=..
has::l�beer . taken:_ ; . -r�
STEP l, . ( Preliminary' ,Approval,
NEED: (;. ) SZ .ght Swail
(t - ;Level With The Road-"
} Dreg:. Swai 1
Size Pipe to be used (if necessary)
( ) 12" ( ) 15" ( ) 18" ( ) 24" ( ) 36"
Preliminary inspection by DATE
Approval by Highway Supt. Depty. Supt.
After receiving the Preliminary Approval, submit the permit
to the Town of Queensbury, Highway Department upon completion
for a Final Approval.
STEP 2 : ( ) Final Approval
( ) Rejected
DATE: ' '
Paul H. Naylor
Superintendent highways
Town of Queensbury
TOWN OF QUEENSBURY
APPLICATION FOR . OWN OF QUEENSBUFR':
>_ RECEIVED
-=_vja• SEPTIC DISPOSAL PERMIT
MAR 2 6 1990
- BLDG. & CODE DEPT.
DATE a1f y/ d
LOCATION OF PROPERTY FOR INSTALLATION My, fi.Al a
Owner's Name: Ps i ei pRp54 sae,,,iI Telephone:
Address: gd.qx/ I()e , 6'4tis /// 1V , Y+
Installer's Name: ((,., ).Q //+9 /74 Telephone: 4 7-5 13
Number of bedrooms (residential only) 3
Total daily flow (compute (d 150 gal per bedroom) (f
Topography: Circle one: Flat Rolling Steep Slope % of Slope g• %O
Soil Nature: Circle one: Sand Loam Clay Other /Depth: Lf Feet
Ground Water: At what depth? ? Feet
Bedrock or Impervious Material: At what depth? ? Feet
Percolation test: Circle one: of required equired rate C)-5 min. inch.
Domestic water supply: circle one: Municipal 1010 Other
If domestic water supply is a well:
Separation: Water supply from septic absorption /O p feet
PROPOSED SYSTEM: Septic Tank !to 6D gal. (minimum size: 1.000 gal.)
TILE FIELD: Each Trench CO feet/Total system length -gin feet
SEEPAGE PIT(S): Number of — / Size each -- feet by — feet
Size of stone to be used # a /Depth or Thickness 2 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.
SIGNATURE OF RESPONSIBLE PERSON: .
DATE: g7/06
OVER
TOWN OF QUEENSBURY ,4' 1
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT •
REQUEST FORilINSPECTION ECEIVED1/5�
NAME j() �1
LOCATION +, v+
DATE' .Q PERMIT # q —21
y� APPROVED
. J YES NO
FOOTING/PIERS 1
MONOLITHIC POUR FORMS 7
FOUNDATION/DAMP—PROOFINGI
BACKFILL APPROVAL `; / '
ROUGH PLUMBING ' ', 1
FRAMING
ELECTRICAL ROUGH—IN ' '. i. ' • • ' ' •
INSULATION: `'• J
0
FOUNDATION !,,'
FLOORS . . • . i.; . . . . .
WALLS `, �'s .
CEILING %,
FINAL INSPECTION: 1 1
CHIMNEY HEIGHT e
ROOFING '4,
SIDING ',
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & AILSR 5`+y, !/
PLUMBING FIXTURES/RELIEF VALVE ✓
INTERIOR TRIM/PRIVACY DOORS,
FINISHED FLOORS ';,; ✓
GARAGE FIREPROOFING;
DOOR CLOSER(S)
SMOKE DETECTORS j • i, ✓FINAL ELECTRICAL INSPECTION
_.FINAL APPROVAL OF CONSTRUCTION ✓
OK TO ISSUE C/O OR .C%C
8 t.
A SIGNED CERTIFICA7 OF OCCUPANCYaMUST BE
OBTAINED FROM THE BUILDING DEPARTMyENT BEFORE
,
THESE PREMISES ARE CCUPIED!' k
,t
REMARKS:
,,ee r,'#4‘i
44ed 4/..,1 e e./z_ Le,?&A er?" _
jat;u4s,s d 1 0? /-1a,Le-5
F
•
}
ARRIVE /4' /O
DEPART///4>
INSPECTOR
Jown of Queeniur, 11j�
• BUILDING and ZONING DEPARTMENT <
Bay and Haviland Road, R.D. 1 Box 98 .
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
�1
NAME Qttb 1�1A.�r�1 �{I Cc�jtAc�►`i
LOCATION grid_ And /q'
DATE 06149l 9Th PERMIT NO. 90 -27
SOIL TYPE - Sand;, oam 44110
Percolation Test '+Re+b ' 4? S S. NO •
Percolation rate - Min/Inch - • :
TYPE of SYSTEM: ,;"
Absorption field, total length 00
Length of each trench '
Depth of trenches r of / .:'
Size of gravel I;, ,'
SEEPAGE PITS{Number of)) _
Size- ft. X. ft x a
Gravel size . h
PIPING: Size Typ
Bldg. to tank . 1.,
Tank to dist. box
Dist. box to field/ t '
Openings sealed? AYES w,1NO Partial
04
LOCATION/SEPARATIONS: 3' t
Foundation to tank 4 w ft.
Foundation to absorption ft.
Absorption to lot line ft.
Separation of pits t ft.
LOCATION OF SYST PROPERTY(circle one)
Front - Rear eft side Right side -
COMMENTS: a
' f
i
I, F
i
',
I e.
/; ` .
SYSTEM USE APPROVER %N
f/
•
Buildin Insp tor
•
2c G Xjtvru- iay/ -4Lo de igr-C
01/86 and vl
TOWN OF QUEENSBURY /'�f
BUILDING AND CODES DEPARTMENT � '/
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPEC
�TION
� RECEIVED,� /`41A—/
NAME ,en/) • �, , /1 Allid 7k'
LOCATION 2,( � uL de,L, I
DATE �7 A6! PERMIT gD- 7
APPROVED
YES NO
FOOTING/PIERS i, I
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING 1 c/ /
vBACKFILL APPROVAL4
ROUGH PLUMBING
FRAMING t !
ELECTRICAL ROUGH-IN I
INSULATION:
FOUNDATION
FLOORS I
WALLS
CEILING 'y 1
FINAL INSPECTION: U
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S EPS
t
STAIRS-CLEARANCE RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRI ACY, DOORS
FINISHED FLOORS i
GARAGE FIREPROOFING IT
DOOR CLOSER(S) \
SMOKE DETECTORS t
FINAL ELECTRICAL INSPECT ON
_FINAL APPROVAL 0 CONSTR C TION
OK TO ISSUE C/O OR C/C
A SIGNED CERTI ICATE OF OCpUPANCY MUST BE
OBTAINED FROM HE BUILDING DEPARTMENT BEFORE
THESE PREMISE- ARE OCCUPIE `!
REMARKS:
•
- --
ARRIVE (-)?_ 30
// d
DEPART
INSPECTOR
TOWN OF QUEENSBURY �JJ
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS I '
QUEENSBURY, NEW YORK 128(4
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST "OR INSPECTION RECEIVED d V , 7
NAME I Aj Alb __ad,
LOCATION. /
DATE J O " PERMIT #
APPROVED
YES/NO
II/FOOTING/PIERS ✓
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN"`
INSULATION:
FOUNDATION
FLOORS
WALLS 1 . . .
CEILING
FINAL INSPECTION: u 1
CHIMNEY HEIGHT
ROOFING
SIDING ie
EXTERNAL PORCHES/STEPS'\ d
STAIRS-CLEARANCE & RAIL`S I
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DO9 S
FINISHED FLOORS
GARAGE FIREPROOFING }i
DOOR CLOSER(S) 4 '.
SMOKE DETECTORS k
FINAL ELECTRICAL INSPECTION `a.
FINAL APPROVAL OF CONSTRUCTION
a
A SIGNED CERTIFICATE OCCUPANCY MUST BE
OBTAINED FROM THE BUDDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
I
REMARKS:
THE CONTRACTOR IS ' ESPONSIBLE FOR PROVIDING
PROTECTION FROM FREEZING FOR 48 HOURS
FOLLOWING THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
ARRIVE YES NO
DEPART `
\9)
INSPECTOR
TOWN OF QUE NSBUIT
R.H. IRISH RECEIVED
CONSULTING ENGINEER
RD.#1 Box 508
Sanford Ridge Road Glens Falls,N.Y. 12801 MAR 2 6 1990
518-792-5591
March 25, 1990
BLDG. 8` CODE DEPT.
#90-012
Mr. Ken Collette
Box 9
RD
Collette Lane
Hudson Falls, N.Y. 12839
RE: Percolation Tests -Mud Pond Road, Town of Queensbury - First Lot East
of Lot at Corner of Mud Pond Rd. and Jenkinsville Rd. - South Side Mud
Pond Road
Dear Mr. Collette:
The results of soils test performed on the referent property on March 23,
1990 are as follows:
Deep Test Pit
0" to 11" Top soil
11" to 32" Fine Sand to Sandy Loam - moist
32" to 38" Sandy/Silty Loam - moist
38" to 63" Clayey loam - moist
Groundwater was not encountered
Percolation Test # 1 (24" deep) Stabilized after 8 runs = 4 minutes per inch
Perc. Test #2 (24" deep) 10 runs (8measured) rate of last run indicates
percolation rate of slightly less than 18 min./inch
The location of the deep test pit and percolation test holes are indicated
on a copy of your plot plan enclosed.
Ve • . ruly,
imond H. Irish, PE&LS
. i
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REVOSED: g/1/89
GEORGE KLIROSAKA JR., P.E.
BUILDING SYSTEMS CONSULTANT
13 ARBUTUS DRIVE
QUEENSBURY, N.Y. 12804
(510793-7190
RESIDENCE'
13 ARBUTUS DRIVE
QUEENSBURY, N.Y. 12g04
PHONE 5113 792-1522
` BUILDING INSPECTOR
TOWN OF QUEENSBURY re: Factory Manufactured Home
TowN HALL - BAY ROAD Installation Certification.
QUEENSBURY, NY 12E104
•Attention: DAVID HATIN
/�'�� 7(7 ..2, 4 ,may �¢ "-
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:
4��1 Date of Installation:
Site Location: Se) . S'o . 7v® "oh,Q </
Community: TOWN OF QUEENSBURY
County: WARREN
Manufacturer/Supplier: /a S r.,f
Address: SjY'/,t G "s
/4= � /t5'�y
Insignia Serial No. 3 /7� /.
Plan Approval No. O Z6 5<f
Manufacturer"-'s:Model/Component No. �d](yC� S ye�,� 4 ``
Date_of_Manufacture: _/z,4� '-/ - 3 4
Installer/Supplier: iG� (7
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.
! OF NFL �/ /9 RESPECTFULLY SUBMITTED,
'` Kupcs
fQ �
cc: �<to 4'O.35869 t+ BEOt GEORGE KUROSAKA JR., P.E.
9GpfsSIDNPV
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TOWN OF OuiEmSBURY
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BUILDING & CODE DEPT.
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